1.03_N0010423RK043_CDRLs.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.

0001AA

B. EXHIBIT

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

6135-01-339-8064 CWRG

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 NEWPORT

7.DD250 REQ

LT

9.DIST STATEMENT

REQUIRED

10.FREQUENCY

ONE TIME

12.DATE OF FIRST

SUBMISSION

14.DISTRIBUTION

D

60 DACA

a. ADDRESSEE

b. COPIES

8.ADP CODE

A

11.AS OF

DATE

13.DATE OF SUBSEQUENT

Draft

Final

Reg Repro

16.REMARKS SEE BLOCK 16 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 (WSS)

N772; Donald Fischer

5450 Carlisle Pike, suite 410

Mechanicsburg, PA 17050-2411 donald.fischer@navy.mil

NAVSUP Ammunition Logistics Center (ALC)

A112; Jonathon Lambert

5450 Carlisle Pike, suite 407N, B3

Mechanicsburg, PA 17050-2411 jonathon.lambert@navy.mil philip.lindley@navy.mil

INSPECT / ACCEPT:

N66604

COMMANDER

NAVAL UNDERSEA WARFARE CENTER DIVISION NEWPORT

ATTN: CODE 8524

1176 HOWELL STREET

NEWPORT, RI 02841

alejandra.torres@navy.mil patrick.faerber@navy.mil

15.TOTAL 0 1 0

G. PREPARED BY:

J Lambert

H. DATE

11/13/20

I. APPROVED BY:

J Hilliker

J. DATE

11/13/20

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 5 Pages mailto:donald.fischer@navy.mil mailto:jonathon.lambert@navy.mil mailto:philip.lindley@navy.mil mailto:alejandra.torres@navy.mil mailto:patrick.faerber@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

B.EXHIBIT

C.CATEGORY:

D. SYSTEM/ITEM

E.CONTRACT/PR NO.

F.CONTRACTOR

A002

Test/Inspection Report

Qualification/Pre-Production/Production Test

DI-NDTI-80809B ALL DRAWINGS NUWC NEWPORT

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 QUALIFICATION/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 (WSS)

N772; Donald Fischer

5450 Carlisle Pike, suite 410

A112; Jonathon Lambert

5450 Carlisle Pike, suite 407N, B3

Mechanicsburg, PA 17050-2411

COMMANDER

NAVAL UNDERSEA WARFARE CENTER DIVISION NEWPORT

ATTN: CODE 8524

1176 HOWELL STREET

NEWPORT, RI 02841

patrick.faerber@navy.mil 15.TOTAL 0 1 0

J Lambert

H. DATE

11/13/20

I. APPROVED BY:

J Hilliker

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 5 Pages mailto:jonathon.lambert@navy.mil mailto:philip.lindley@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

D. SYSTEM/ITEM

A003

Failure Analysis/Corrective Action Report

DI-SESS-81315B Section E NUWC NEWPORT

a. ADDRESSEE

SEE BLOCK 16 Reg Repro

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 (WSS)

N772; Donald Fischer

5450 Carlisle Pike, suite 410

A112; Jonathon Lambert

5450 Carlisle Pike, suite 407N, B3

Mechanicsburg, PA 17050-2411

COMMANDER

NAVAL UNDERSEA WARFARE CENTER DIVISION NEWPORT

ATTN: CODE 8524

1176 HOWELL STREET

NEWPORT, RI 02841

J Lambert

H. DATE

11/13/20

I. APPROVED BY:

J Hilliker

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 5 Pages mailto:jonathon.lambert@navy.mil mailto:philip.lindley@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

D. SYSTEM/ITEM

A004

Ammo Data Card (ADC)

DI-MISC-80043B Section C NUWC NEWPORT

a. ADDRESSEE

PER LOT Reg Repro

16.REMARKS SEE BLOCK 16 0 1 0

BLK 4: DATA CARD SHALL BE PREPARED IAW current 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 current MIL-STD-1168)

COMMANDER

NAVAL UNDERSEA WARFARE CENTER DIVISION NEWPORT

ATTN: CODE 8524

1176 HOWELL STREET

NEWPORT, RI 02841

A112; Jonathon Lambert

5450 Carlisle Pike, suite 407N, B3

Mechanicsburg, PA 17050-2411

NAVSUP Weapon Systems Support (WSS)

N772; Donald Fischer

5450 Carlisle Pike, suite 410

Mechanicsburg, PA 17050-2411 donald.fischer@navy.mil

15.TOTAL 0 1 0

G. PREPARED BY:

J Lambert

H. DATE

11/13/20

I. APPROVED BY:

J Hilliker

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 4 of 5 Pages https://mhpwarp.redstone.army.mil/ mailto:patrick.faerber@navy.mil mailto:jonathon.lambert@navy.mil mailto:philip.lindley@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

D. SYSTEM/ITEM

A005

2.TITLE OF DATA ITEM

Contractor’s Progress, Status and

Management Report

DI-MGMT-80227 SEE BLOCK 16 NUWC NEWPORT

MTHLY

a. ADDRESSEE

16.REMARKS SEE BLOCK 16 0 1 0

N00104

Commanding Officer

NAVSUP Weapon Systems Support (WSS)

N772; Donald Fischer

5450 Carlisle Pike, suite 410

A112; Jonathon Lambert

5450 Carlisle Pike, suite 407N, B3

Mechanicsburg, PA 17050-2411

COMMANDER

NAVAL UNDERSEA WARFARE CENTER DIVISION NEWPORT

ATTN: CODE 8524

1176 HOWELL STREET

NEWPORT, RI 02841

BLK 11, 12, 13: The report shall be submitted via email monthly on or before the 5th day of each month after contract award.

J Lambert

H. DATE

11/13/20

I. APPROVED BY:

J Hilliker

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 5 of 5 Pages mailto:jonathon.lambert@navy.mil mailto:philip.lindley@navy.mil