CDRLs.pdf

PREVIOUS EDITION MAY BE USED. Page 1 of 4 Pages

DD FORM 1423-1, FEB 2001

The public reporting burden for this collection of information is estimated to average 110 hours per response including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188).

Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a Government issuing Contracting Officer for the Contract/PR no. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP ____ TM ____ OTHER _________________________________________

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F2DCBP1347A001

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Precision Measurement Equipment Laboratory (PMEL) Report

3. SUBTITLE

Monthly Production and Quality Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80158C

5. CONTRACT REFERENCE

PWS 2.6

6. REQUIRING OFFICE

527 EMXS/MXDC

7. DD 250 REQ

DD

8. APP CODE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

10. FREQUENCY

MTHLY

11. AS OF DATE

BLOCK 16

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft

Final Reg

Repro

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

BLOCK 16 1

J. DATE

I. APPROVED BY

H. DATE

0 1 2

G. PREPARED BY

16. REMARKS

1. Block 4: Contractor's format is acceptable. Tailored as follows:

Delete paragraph 10.2.

2. Blocks 11, 12, 13: One Time and revisions.

Date of First Submission: 9 November 2013

Date of Subsequent Submission: NLT the 10 th

Calendar day of each month throughout the five year period of performance.

3. Block 14: 1 Electronic copy, Microsoft product compatible.

Email to:

14. TOTAL

PREVIOUS EDITION MAY BE USED. Page 2 of 4 Pages

The public reporting burden for this collection of information is estimated to average 110 hours per response including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188).

Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a Government issuing Contracting Officer for the Contract/PR no. listed in Block E.

A. CONTRACT LINE ITEM NO.

A002

Contractors Progress, Status & Management Report

Annual TCIR/DART Rates

DI-MGMT-80227

5. CONTRACT REFERENCE

PWS 3.3.1.3

BLOCK 16 1 1

I. APPROVE BY H. DATE

G. PREPARED

1. Block 4: Contractor format is acceptable

2. Blocks 10, 11, 12, 13:

Date of Submission: 15 January of each year

3. Block 14: 1 Electronic Copy ea

Deliver to:

And

PREVIOUS EDITION MAY BE USED. Page 3 of 4 Pages

The public reporting burden for this collection of information is estimated to average 110 hours per response including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188).

Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a Government issuing Contracting Officer for the Contract/PR no. listed in Block E.

A. CONTRACT LINE ITEM NO.

A003

Contractor’s Standard Operating Procedures

3. SUBTITLE

Contractor’s Safety and Health Plan and/or Quality

Control Program Updates

DI-MGMT-81580

5. CONTRACT REFERENCE

PWS 3.3.2.2 & Appendix C

I. APPROVED BY

H. DATE

1. Block 4: Contractor format is acceptable. Tailored as follows: Delete paragraph 3.

Date of Initial Submission: NLT 15 calendar days from change.

3. Block 14: 1 Electronic Copy

PREVIOUS EDITION MAY BE USED. Page 4 of 4 Pages

The public reporting burden for this collection of information is estimated to average 110 hours per response including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188).

Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a Government issuing Contracting Officer for the Contract/PR no. listed in Block E.

A. CONTRACT LINE ITEM NO.

F F2DCBP1347A001

A004

Accident/Incident Report

Mishap Notification & Reporting

DI-SAFT-81563

5. CONTRACT REFERENCE

PWS 3.3.2.3 & Appendix C

I. APPROVED BY H. DATE

1. Block 4: Contractor format is acceptable

Date of Initial Submission: NLT three calendar days from the mishap.

Additional information shall be provided NLT 20 calendar days from the mishap.

3. Block 14: 1 Electronic Copy ea.