CDRL_A004-_CDR.pdf

CONTRACT DATA REQUIREMENTS LIST

(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:

TDP TM OTHER __X__

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81250B

5. CONTRACT REFERENCE

PD paras 4.1,B

6. REQUIRING OFFICE

402 CMXG/MXDBE

7. DD 250 REQ

NO

9. DIST

STATEMENT

REQUIRED

A

10. FREQUENCY

ONE/R

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

0 0

15. TOTAL 0 2 0

I. APPROVED BY J. DATE

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _ _ of __Pages

18. ESTIMATED

TOTAL PRICE

17. PRICE

GROUP

L9WC20

1 1

G. PREPARED BY H. DATE

A004

2. TITLE OF DATA ITEM

Critical Design Review Documents

16. REMARKS

Blocks 11, 12, 13: Data shall be provided in the original product format within 5 calendar days of meeting. The Government will review the documentation and determine if the design meets the requirements. The Government will provide the determination and guidance within 5 calendar days of receiving the data. If required, the contractor shall resubmit the data within 15 calendar days for review and approval.

Addressee:

402 CMXG/MXDBE/Attn: Shane Groves 420 Richard Ray Blvd.

Suite 100/ MXDQBE Robins AFB, GA 31098

SEE BLK 16

HARD COPY

ELECTRONIC 0 1 0

Christine L. Clark 18 April 19 Christine L. Clark 18 April 19