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CONTRACT DATA REQUIREMENTS LIST (CDRL)
(1 Data Item) Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the 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 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 collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| 24.2 |
| TDP ____ |
| TM X |
| OTHER _________________________ |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| HMC MACHINE (REPLACE T20) |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| 7 |
| VERFICATION TEST REPORT |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| Purchase Spec 24.2 |
| 309CMXG/ENLC |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| SD |
| REQUIRED |
| ASREQ |
| DFDEL |
| a. ADDRESSEE |
| b. COPIES |
| 8. APP CODE |
| 11. AS OF DATE |
| 13. DATE IF SUBSEQUENT SUBM. |
| 16. REMARKS |
| 309 CMXG/ENLC |
| 1 |
| 24.2. | VERIFICATION TEST REPORT: THE MANUFACTURER'S STANDARD VERIFICATION TEST REPORT SHALL BE PREPARED BY THE CONTRACTOR AND SUBMITTED TO THE CMXG PROJECT MANAGER. |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| RABON CAHOON 801-586-5285 |
| 1 Feb 2010 |
| RABON CAHOON 801-586-5285 |
| 1 Feb 2010 |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 7 of 7 Pages
