I. H. CDRL.doc

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Attached to
Transition, Base Federal contract opportunity
Solicitation number
N6660423Q0373
Issued by
Department of the Navy Naval Sea Systems Command

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RFQ N6660423Q0373.docx DOCX document

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

OMB No. 0704-0188

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 this burden, to Department of Defense, Washington Headquarters Service, 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP_________ TM___________ OTHER: MISC

D. SYSTEM/ITEM

Type 18 Antenna Assembly Transition Base

E. CONTRACT / PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM:

Technical Report/Study Services

3. SUBTITLE

Coordinate Measurement Machine (CMM) Data

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW Para# N/A

6. REQUIRING OFFICE

NUWCDIVNPT, Code 3423

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ
9. DIST STATEMNT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST

SUBMISSION

14.

DISTRIBUTION *

LT
D*
ASREQ
See Block 16*

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE
Draft
Final
N/A
See Block 16*
N/A
See Block 16*
Reg
Repro
16. REMARKS
PI
0
1
0
Block 9: See BLOCK 16 ADDENDUM
3432 DM
0
1
0

Block 10: Ten (10) submissions are anticipated.

Block 12 & 13: Contractor shall deliver CMM data with each unit that is delivered.

Block 14: Media Requirements: The report shall be delivered electronically in Microsoft 2016 format with email notification to all addressees.

Principal Investigator (PI): brian.rozzero@navy.mil

3432 DM: NUWC_NPT_3432DataMgt@navy.mil

15. TOTAL ______>
0
2
0

G. PREPARED BY:

Brian Rozzero

H. DATE

8 FEB 2023

I. APPROVED BY
J. DATE

DD Form 1423-1, Feb 2001

Previous Edition May be Used

Page ____ of __ Pages

CONTRACT DATA REQUIREMENTS LIST

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 this burden, to Department of Defense, Washington Headquarters Service, 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP_________ TM___________ OTHER: MGMT

D. SYSTEM/ITEM

Type 18 Antenna Assembly Transition Base

E. CONTRACT / PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM:

Status Report

3. SUBTITLE

N/A

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MGMT-80368A

See Block 16*

5. CONTRACT REFERENCE

SOW Para# N/A

6. REQUIRING OFFICE

NUWCDIVNPT, Code 3423

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ
9. DIST STATEMNT

REQUIRED

10. FREQUENCY
12. DATE OF FIRST

SUBMISSION

14.

LT
D*
MO
See Block 16*

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE
Draft
Final
N/A
See Block 16*
See Block 16
See Block 16
Reg
Repro

16. REMARKS

Block 4: Waive DI-MGMT-80368A Section 3.2.3.

PI
0
1
0
Block 9: See BLOCK 16 ADDENDUM
3432 DM
0
1
0

Block 10: Three (3) submissions are anticipated.

Block 11, 12 & 13: Contractor shall deliver monthly status reports on the first of every month.

Block 14: Media Requirements: The report shall be delivered electronically in Microsoft 2016 format with email notification to all addressees.

Principal Investigator (PI): brian.rozzero@navy.mil

3432 DM: NUWC_NPT_3432DataMgt@navy.mil

15. TOTAL ______>
0
2
0

G. PREPARED BY:

H. DATE

8 FEB 2023

I. APPROVED BY
J. DATE

CONTRACT DATA REQUIREMENTS LIST

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 this burden, to Department of Defense, Washington Headquarters Service, 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP_________ TM___________ OTHER: SESS

D. SYSTEM/ITEM

Type 18 Antenna Assembly Transition Base

E. CONTRACT / PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM:

Materials and Processes List

3. SUBTITLE

N/A

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-SESS-82235

5. CONTRACT REFERENCE

SOW Para# N/A

6. REQUIRING OFFICE

NUWCDIVNPT, Code 3423

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ
9. DIST STATEMNT

10. FREQUENCY

12. DATE OF FIRST

14.

LT
D*
ASREQ
See Block 16*

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE
Draft
Final
N/A
See Block 16*
N/A
See Block 16*
Reg
Repro
16. REMARKS
PI
0
1
0
Block 9: See BLOCK 16 ADDENDUM
3432 DM
0
1
0

Block 10: One (1) submission is anticipated.

Block 12 & 13: Contractor shall deliver a chemical breakdown of materials used in the fabrication of the units including sub-processes.

Block 14: Media Requirements: The report shall be delivered electronically in Microsoft 2016 format with email notification to all addressees.

Principal Investigator (PI): brian.rozzero@navy.mil

3432 DM: NUWC_NPT_3432DataMgt@navy.mil

15. TOTAL ______>
0
2
0

G. PREPARED BY:

H. DATE

8 FEB 2023

I. APPROVED BY
J. DATE

CONTRACT DATA REQUIREMENTS LIST

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 this burden, to Department of Defense, Washington Headquarters Service, 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.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP_________ TM___________ OTHER: MISC

D. SYSTEM/ITEM

Type 18 Antenna Assembly Transition Base

E. CONTRACT / PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM:

Certificate of Compliance

3. SUBTITLE

N/A

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MISC-81356A

5. CONTRACT REFERENCE

SOW Para# N/A

6. REQUIRING OFFICE

NUWCDIVNPT, Code 3423

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ
9. DIST STATEMNT

10. FREQUENCY

12. DATE OF FIRST

14.

LT
D*
ASREQ
See Block 16*

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE
Draft
Final
N/A
See Block 16*
N/A
See Block 16*
Reg
Repro
16. REMARKS
PI
0
1
0
Block 9: See BLOCK 16 ADDENDUM
3432 DM
0
1
0

Block 10: One (1) or ten (10) submissions are anticipated. All ten units may be documented on one submittal or provided individually.

Block 12 & 13: Contractor shall deliver a Certificate of Compliance with each unit that is delivered. The Certificate of Complaince shall include a mercury free statement. NAtioanl Stock Number (NSN) not available; Part number and revision shall be provided on Government drawings.

Block 14: Media Requirements: The report shall be delivered electronically in Microsoft 2016 format with email notification to all addressees.

Principal Investigator (PI): brian.rozzero@navy.mil

3432 DM: NUWC_NPT_3432DataMgt@navy.mil

15. TOTAL ______>
0
2
0

G. PREPARED BY:

H. DATE

8 FEB 2023

I. APPROVED BY
J. DATE

DD FORM 1423

CONTRACT DATA REQUIREMENTS LIST

BLOCK 16 ADDENDUM

PR 1300821982

BLOCK 9: The following information is provided in amplification of the Block 9 Distribution Statement shown on each DD FORM 1423.

Distribution Statement paragraphs are in addition to CLASSIFICATION markings of the data.

CDRLs A001-A004 Distribution Statement D: Distribution authorized to Department of Defense and U.S. DoD contractors only Critical Technology (30 September 2020). Other requests shall be referred to NUWCDIVNPT, Code 349.

The following "EXPORT CONTROL WARNING NOTICE" must be used in conjunction with DISTRIBUTION STATEMENTS identified in the CDRL.

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.

DD Form 1423-2, AUG 96 (EG)
PREVIOUS EDITION MAY BE USED
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