CDRLS_N0010418NA029.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 220 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 Services, Directorate for Information Operations and Reports (0704-

0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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

AIR STABILIZER, MK31 MOD1

E.CONTRACT/PR NO.

F.CONTRACTOR

1.DATA ITEM NO.

A001

2.TITLE OF DATA ITEM

Test Procedure

3.SUBTITLE

17.PRICE GROUP

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

6.REQUIRING OFFICE 18.ESTIMATED

TOTAL PRICE

DI-NDTI-80603A ALL DRAWINGS NUWC DIV KEYPORT CODE 423

7.DD250 REQ

DD

9.DIST STATEMENT

REQUIRED

10.FREQUENCY

ONE TIME

12.DATE OF FIRST

SUBMISSION

14.DISTRIBUTION

D

60 DAC

a.

ADDRESSEE

b. COPIES

8.ADP CODE

A

11.AS OF

DATE

13.DATE OF

SUBSEQUENT

Draft

Final

Reg Repro

16.REMARKS SEE BLOCK

0 1 0

THE PLAN IS TO SPECIFY PROCESS CONTROL INSTRUCTIONS AND INSPECTION

PROCEDURES NEEDED TO ENSURE PRODUCT CONFORMANCE TO DRAWINGS,

SPECIFICATIONS, AND CONTRACT REQUIREMENTS IAW ANSI/ASQC Q9000-2000

OR

EQUIVALENT. THE PLAN IS TO INCLUDE FIRST ARTICLE AND PRODUCTION LOT

QUALITY CONFORMANCE INSPECTION PROCEDURES IAW DI-NDTI-80603A ALONG

WITH ALL APPLICABLE DATA ENTRY SHEETS TO BE USED TO DOCUMENT PROCESS

INSPECTIONS.

BLK 14: DISTRIBUTION ADDRESS

N00104

COMMANDING OFFICER

NAVSUP WEAPON SYSTEMS SUPPORT

ATTN: CODE N772

5450 CARLISLE PIKE

P.O. BOX 2020

MECHANICSBURG, PA 17055-0788

Kirsten.Barnes@navy.mil

15.TOTAL 0 1 0

G. PREPARED BY:

Margaret Bowerman

H. DATE

14 March 2018

I. APPROVED BY:

Sandy Staub

J. DATE

14 March 2018

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 5 Pages mailto:Kirsten.Barnes@navy.mil

The 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 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 Services, Directorate for Information Operations and Reports (0704-

0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR

0001AA

D. SYSTEM/ITEM

A002

Test/Inspection Report

Pre-Production & Production Test

4.AUTHORITY (Data Acquisition Document No.) 5.CONTRACT

REFERENCE

DI-NDTI-80809B ALL DRAWINGS NUWC DIV KEYPORT CODE 423

PER LOT

SEE BLOCK 16

a. ADDRESSEE

16.REMARKS SEE BLOCK 16 0 1 0

THE REPORT IS TO VERIFY PRODUCTION LOT CONFORMANCE TO THE

APPLICABLE

DRAWINGS, SPECIFICATIONS, AND CONTRACT REQUIREMENTS. THE REPORT

CONSISTS OF THE PLAN (A001) CONTAINING ALL REQUIRED INSPECTION

RESULTS DOCUMENTED ON THE PLAN’S DATA ENTRY SHEETS. IN ADDITION,

THE

REPORT IS TO INCLUDE MATERIAL CERTIFICATIONS AND ALL OTHER

PERTINENT

OBJECTIVE QUALITY EVIDENCE. THE REPORT MUST BE APPROVED BY NAVSUP

WSS CONTRACTING OFFICER BEFORE FINAL ACCEPTANCE OF THE LOT.

BLK 12: DATE OF PRE-PRODUCTION TEST REPORT SUBMISSION – NLT 15

DAYS

AFTER FIRST ARTICLE TEST COMPLETION.

BLK 13: DATE OF SUBSEQUENT SUBMISSION – NLT 15 DAYS AFTER LOT

ACCEPTANCE TESTING OF SECOND LOT AND BEYOND.

NAVSUP WEAPON SYSTEMS SUPPORT

ATTN: CODE N772

5450 CARLISLE PIKE

P.O. BOX 2020

Margaret Bowerman

H. DATE

14 March

I. APPROVED BY:

Sandy Staub

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 5 Pages

The 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 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 Services, Directorate for Information Operations and Reports (0704-

0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR

D. SYSTEM/ITEM

A003

Failure Analysis/Corrective Action Report

DI-SESS-81315B Section E NUWC DIV KEYPORT CODE 423

LT

a. ADDRESSEE

SEE BLOCK 16 Reg Repr o

16.REMARKS SEE BLOCK 16 0 1 0

BLK 5: INCLUDE AND TAKE ACTION ON SECTION I IF FAT IS REQUIRED.

BLK 10: FREQUENCY - IS DETERMINED BY NUMBER OF FAT/LAT FAILURES.

BLK 12: DATE OF FIRST SUBMISSION – NLT AN INTERIM REPORT IS DUE NLT

10 DAYS AFTER NOTIFICATION OF LOT FAILURE. A FINAL REPORT IS DUE 30

DAYS AFTER NOTIFICATION OF LOT FAILURE.

BLK 13: DATE OF SUBSEQUENT SUBMISSION – NLT 10 DAYS AFTER FAT

COMPLETION OF SECOND FAILED LOT AND BEYOND.

NAVSUP WEAPON SYSTEMS SUPPORT

ATTN: CODE N772

5450 CARLISLE PIKE

P.O. BOX 2020

Margaret Bowerman

H. DATE

14 March 2018

I. APPROVED BY:

Sandy Staub

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 5 Pages

The 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 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 Services, Directorate for Information Operations and Reports (0704-

0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR

D. SYSTEM/ITEM

A004

Ammo Data Card (ADC)

DI-MISC-80043B Section C NUWC DIV KEYPORT CODE 423

a. ADDRESSEE

PER LOT Reg Repr o

16.REMARKS SEE BLOCK 16 0 1 0

BLK 4: DATA CARD SHALL BE PREPARED IN ACCORDANCE WITH MIL-STD-1168,

AS CHANGED BY ADL EXCEPTIONS AND THE CONTRACT DOCUMENT LIST BY

ACCESSING THE WORLDWIDE AMMUNITION-DATA REPOSITORY (WARP) WHICH IS

LOCATED: https://mhpwarp.redstone.army.mil. AN ACCESS REQUEST FORM

MUST BE COMPLETED BEFORE WARP CAN BE ACCESSED. QUESTIONS SPECIFIC

TO

WARP SHOULD BE ADDRESSED TO ONE OF THE RESPECTIVE POCs AS LISTED ON

THE WEBSITE.

BLK 10,12,13: DATA CARDS PROVIDED TO NAVSEA PMS-404 AND THOSE SENT

WITH SHIPMENTS SHALL BE HARDCOPY PRINTOUTS GENEREATED WITH THE WARP

PROGRAM AND SHALL BE SIGNED AND DATED BY THE GOVERNMENT INSPECTOR.

NAVSEA PMS-404 SUBMISSIONS SHALL ALSO INCLUDE HARDCOPY PRINTOUT OF

SAMPLES CARDS (SEE MIL-STD-1168, PARA 4.3.1.4)

N3598A

OFFICER IN CHARGE

NAVSUP AMMUNITION LOGISTICS CENTER

ATTN: CODE A112

5450 CARLISLE PIKE

Bldg. 407N

MECHANICSBURG, PA 17055-0735

MARGARET.BOWERMAN@NAVY.MIL

Margaret Bowerman

H. DATE

14 March 2018

I. APPROVED BY:

Sandy Staub

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 4 of 5 Pages https://mhpwarp.redstone.army.mil/ mailto:MARGARET.BOWERMAN@NAVY.MIL

The 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 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 Services, Directorate for Information Operations and Reports (0704-

0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR

A.CONTRACT LINE ITEM

NO.

D. SYSTEM/ITEM

4T-1356-01-050-7678 –

QW47

E.CONTRACT/PR NO.

N5006316NA008

1. DATA ITEM NO.

A005

Production Line Of Balance Status

Production Progress Report

4. AUTHORITY (Data Acquisition Document No.) 5.CONTRACT REFERENCE 6.REQUIRING OFFICE 18.ESTIMATED

DI-MGMT-80034 See Block 16 NUWC Keyport Division Code N421

LT

9.DIST STATEMENT

AS REQUIRED

MTHLY

a. ADDRESSEE

N/A

13.DATE OF SUBSEQUENT

16.REMARKS NUWC Keyport 0 1

(Block 5) Contractor shall submit a monthly progress report (DD Form 375) describing the NAVSUP WSS 1 0 contractor's current progress in a graphic form by comparison of planned objectives for flow of NAVSUP ALC 0 1 materials and Components into manufacturer of end items as related to delivery requirements.

(Block 12) Date for First Submission: 30 days after start of production.

Report shall be submitted to:

Commanding Officer

NUWC Keyport Division

Attn: Code N421

610 Dowell Street

Keyport, WA 98325 nicole.lerner@navy.mil

Commanding Officer

NAVSUP Weapons Systems Support

P.O. Box 2020

Mechanicsburg, PA 17055-0788 kirsten.barnes@navy.mil

OFFICER IN CHARGE

NAVSUP Ammunition Logistics Center

Attn: Code A112 Bldg. 407N

Mechanicsburg, PA 17055-0735 margaret.bowerman@navy.mil

(Block 16) Date of Subsequent Submission: Subsequent reports to be submitted no later than the

5th day of the month (for the month proceeding). Local DCASMA verification required on all

Status reports.

15.TOTAL 0 1 2

G. PREPARED BY

Margaret Bowerman

H. DATE

14 March 2018

I.APPROVED BY

Jeremy Hilliker

J. DATE

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 5 Of 5 mailto:nicole.lerner@navy.mil mailto:kirsten.barnes@navy.mil mailto:margaret.bowerman@navy.mil