I.14. CDRL_EHFRepair_12072022.pdf

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing the reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this burden, to Department of Defense, Washington DC, Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704- 0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

0002 A TDP TM OTHER See Block 16

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

SUBSAFE/L1 Hardware, Engineering and Technical Services

PR 1301044891 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 Inspection and Test Plan Inspection System Procedures

4. AUTHORITY (Date Acquisition Document No.) 5. CONTRACTING REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED DI-QCIC-81110 SOW para. 4.0 NUWCDIVNPT Code 8541 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT

ONE/R See Block 16 b. COPIES

8. APP CODE D

See Block 16

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Final

N/A N/A N/A Drafts Reg Repro

16. REMARKS:

NUWC Code 8541 1

BLK C: Category is Other – QCIC

BLK 9: See BLK 16 Addendum attached.

BLK 12: 30 days after task order award.

NUWC Code 45 COR 1

15. TOTAL 0 2 0

A002 N/A Technical Report

4. AUTHORITY (Date Acquisition Document No.) 5. CONTRACTING REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-80508B

SOW para 4.1 NUWCDIVNPT Code 8541 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT ONE/R See Block 16 b. COPIES

8. APP CODE D

See Block 16

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Final

N/A N/A N/A Drafts Reg Repro

16. Remarks:

BLK C: Category is Other - MISC

BLK 9: See BLK 16 Addendum

BLK 10 & 12: No Later Than (NLT) 30 days after receipt of failed EHFs.

G. PREPARED BY:

Brian Wohler

H. DATE

12/7/2022

I. APPROVED BY

J. DATE

DD Form 1423-2, AUG 96 1059/183

Previous editions may be used of 4

Pages

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing the reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this burden, to Department of Defense, Washington DC, Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704- 0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing contracting Officer for the

SUBSAFE/L1 Hardware, Engineering and Technical Services

A003 Test/Inspection Report

N/A

4. AUTHORITY (Date Acquisition Document No.) 5. CONTRACTING REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-NDTI-80809B

SOW Para. 4.2 NUWCDIVNPT Code 8541 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

See block 16 See block 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Final

N/A See block 16 N/A N/A Drafts Reg Repro

BLK C: Category is Other - NDTI

Block 10 & 12: Delivery expected 30 days after successful repair of failed EHFs.

S

A004 N/A Certification/Data Report

4. AUTHORITY (Date Acquisition Document No.) 5. CONTRACTING REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-80678

SOW Paragraph 4.2 NUWCDIVNPT Code 8541 TOTAL PRICE

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT See Block 16 See Block 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Final

N/A See Block 16 N/A N/A Drafts Reg Repro

16. Remarks:

BLK C: Category is Other – MISC

NUWC Code 40 COR 1

Block 10 & 12: Contractor shall deliver a report within 10 days after completion of failure inspection of each failed EHF. Upon Government disapproval the contractor shall return The hardware to the Government.

Brian Wohler

H. DATE

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing the reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this burden, to Department of Defense, Washington DC, Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704- 0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing contracting Officer for the

A005 Certification Data for Non-Nuclear Level I Material

4. AUTHORITY (Date Acquisition Document No.) 5. CONTRACTING REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-81020

SOW Para. 4.2 NUWCDIVNPT Code 8541 TOTAL PRICE

REQUIRED

See block 16 See block 16 b. COPIES

SUBMISSION

a. ADDRESSEE Final

Block 10 & 12: Contractor shall deliver a report within 15 days after successful completion of Electrical Hull Fitting (EHF) repairs and tests.

A006 N/A Certificate of Compliance

4. AUTHORITY (Date Acquisition Document No.) 5. CONTRACTING REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-81356A

SOW Paragraph 4.2 NUWCDIVNPT Code 8541 TOTAL PRICE

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT See Block 16 See Block 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Final

N/A See Block 16 N/A N/A Drafts Reg Repro

16. Remarks:

BLK C: Category is Other – MISC

Block 10 & 12: Contractor shall deliver a report within 30 days after repairing EHFs.

G t F i h d M t i l f EHF i

Brian Wohler

H. DATE

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing the reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this burden, to Department of Defense, Washington DC, Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704- 0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

A

0002 TDP TM OTHER See Block 16

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

A007 Contract Status Report

4. AUTHORITY (Date Acquisition Document No.) 5. CONTRACTING REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-81991

SOW Para. 5.0 NUWCDIVNPT Code 8541 TOTAL PRICE

REQUIRED

MTHLY 30 DARC b. COPIES

SUBMISSION

a. ADDRESSEE Final

4. AUTHORITY (Date Acquisition Document No.) 5. CONTRACTING REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Final

16. Remarks:

15. TOTAL

Brian Wohler

H. DATE

DD FORM 1423

PR 1301044891

BLOCK 16 ADDENDUM

Export Warning

The following “EXPORT CONTROL WARNING NOTICE” must be used in conjunction with DISTRIBUTION STATEMENTS identified in all CDRL Items.

Warning - This document contains technical data whose export is restricted by the Arms Export Control Act Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979; as amended, Title 50 ,U.S.C., App 2401 et seq.

Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25.

THE FOLLOWING DISTRIBUTION APPLIES TO:

CDRL A001 – A007

Distribution Statement D:

Distribution authorized to the Department of Defense and U.S. DoD contractors only, Critical Technology (26 March 2020). Other requests for this document shall be referred to NUWCDIVNPT Code 8541.