REDACTED_18NB055_&_19NB033_CDRL_A001.pdf

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EY28 Power Supply
Solicitation number
N0010418RK023
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CDRL A001

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 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 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

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

B_EXHIBIT: A
TDP:
TM:
E_CONTRACTPR_NO: N0010418NB055 & 19NB033
FCONTRACTOR: EAGLEPICHER
RESET:
A_CONTRACT_LINE_ITEM_NO: 0001
DSYSTEMITEM: Emergency Power Supply, EY28
6_REQUIRING_OFFICE: NSWC IHEODTD, CODE E21
cover 17&18 blocks:
G_PREPARED_BY:
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
H_DATE:
reg35:
addressee38:
form#: FY18 6/16/17
reg25:
J_DATE:
OTHER: X
1_DATA_ITEM_NO: A001
2_TITLE_OF_DATA_ITEM: PRODUCT BASELINE
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-CMAN-81218
5_CONTRACT_REFERENCE: SEE BLOCK 16
7_DID_250_REQ: DD
8_APP_CODE: N/A
DIST_STATEMENT: D
10_FREQUENCY: SEE BLOCK 16
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: 90 DAC
13_DATE_OF_SUBSEQUENT_SUB: SEE BLOCK 16
addressee1: SEE BLOCK 16
repro1: 0
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total_draft: 0
total_repro: 0
16_REMARKS: Block 5. Contract Reference SECTION C – Section C - Description and Specifications paragraph 3.

Block 9. DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only (Critical Technology) (Date of Contract Award). Other requests shall be referred to (NSWC IHEODTD Code E26).

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 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Block 10. Required to be submitted once per contract, per item being procured.

Block 13. Date of subsequent submission - Revision only required when an approved Engineering Change Proposal (ECP) has changed the contractor's Technical Drawing Package (TDP) for item(s) called out in section C.

Block 14. Distribution Addresses:

N00174

NSWC IHEODTD

Indian Head, MD *See Section H - Administrative Points of Contact, paragraph 2 for email distribution

Cognizant DCMA (Indicated in Block 6 of SF26)

reg38t: 1
draft1: 0
reg1: 1
1_APPROVED_BY:
Page: 1
of_pages: 7

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