CDRLs.pdf
PDF 2 MB Posted
- Attached to
- MK 70 Booster Hardware Kits
- Solicitation number
- N0017417R0086
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CDRLs
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Other files
| File | Type | Posted |
|---|---|---|
| N00174-17-R-0086-0002.pdf | ||
| N00174-17-R-0086-0001.pdf | ||
| PastPerformanceMatrix.doc | DOC document | |
| CAPIDIQ.doc | DOC document | |
| N0017417R0086.pdf | ||
| PastPerformanceQuestionnaire.doc | DOC document | |
| QA_Requirements.pdf | ||
| Mk_70_BH_-_Key_Personnel.docx | DOCX document |
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G. PREPARED BY
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 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.
Designed using Perform Pro, WHS/DIOR, Aug 96
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TDP: Yes
TM: Off
System/Item: MK 70 Ballast Hardware
Data Item Number: A001
SUBTITLE:
TITLE OF DATA ITEM: Engineering Change Proposal (ECP)
CONTRACTPR NO:
CONTRACTOR:
CONTRACT REFERENCE: SOW Paragraph 3.4
REQUIRING OFFICE: NSWC IHEODTD, E14
DATE OF FIRST SUBMISSION: ASREQ
DATE OF SUBSEQUENT SUBMISSION: ASREQ
AS OF DATE: N/A
FREQUENCY: ASREQ
DIST STATEMENT REQUIRED: C
ESTIMATED TOTAL PRICE:
PRICE GROUP:
DD-250: N/A
APP Code: N/A
Remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors. Other requests for this document shall be referred to the commander, NSWC IHEODTD.
BLOCK 10, 12 and 13: Shall be submitted upon ECP approval
Block 14:
NSWC IHEODTD
Attention: Kyle Foley, E14KF 3703 Benson Road Indian Head, MD 20640 kyle.r.foley@navy.mil
Data shall be delivered in hard copy and electronic formats per the SOW.
2017-03-08T15:27:57-0500
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CONTRACTPR NO:
CONTRACTOR:
CONTRACT REFERENCE: SOW Paragraph 3.4
REQUIRING OFFICE: NSWC IHEODTD, E14
DATE OF FIRST SUBMISSION: ASREQ
DATE OF SUBSEQUENT SUBMISSION: ASREQ
AS OF DATE: N/A
FREQUENCY: ASREQ
DIST STATEMENT REQUIRED: C
ESTIMATED TOTAL PRICE:
PRICE GROUP:
DD-250: N/A
APP Code: N/A
Remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors. Other requests for this document shall be referred to the commander, NSWC IHEODTD.
BLOCK 10, 12 and 13: Shall be submitted upon NOR approval
Block 14:
NSWC IHEODTD
Attention: Kyle Foley, E14KF 3703 Benson Road Indian Head, MD 20640 kyle.r.foley@navy.mil
Data shall be delivered in hard copy and electronic formats per the SOW.
2017-03-08T15:29:19-0500
PIEGOLS.BRUCE.W.1229421553
2017-03-08T13:03:21-0500
BUTZ.JOHN.LAUREN.1401485577
Authority: DI-SESS-80642D
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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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 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.
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CONTRACTPR NO:
CONTRACTOR:
CONTRACT REFERENCE: SOW Paragraph 3.4
REQUIRING OFFICE: NSWC IHEODTD, E14
DATE OF FIRST SUBMISSION: ASREQ
DATE OF SUBSEQUENT SUBMISSION: ASREQ
AS OF DATE: N/A
FREQUENCY: ASREQ
DIST STATEMENT REQUIRED: C
ESTIMATED TOTAL PRICE:
PRICE GROUP:
DD-250: N/A
APP Code: N/A
Remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors. Other requests for this document shall be referred to the commander, NSWC IHEODTD.
BLOCK 10, 12 and 13: Shall be submitted upon RFD approval
Block 14:
NSWC IHEODTD
Attention: Kyle Foley, E14KF 3703 Benson Road Indian Head, MD 20640 kyle.r.foley@navy.mil
Data shall be delivered in hard copy and electronic formats per the SOW.
2017-03-08T15:30:20-0500
PIEGOLS.BRUCE.W.1229421553
2017-03-08T13:04:00-0500
BUTZ.JOHN.LAUREN.1401485577
Authority: DI-SESS-80640D
Text2: 3
Text3: 15
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 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.
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TM: Off
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CONTRACTPR NO:
CONTRACTOR:
CONTRACT REFERENCE: SOW Paragraph 3.4.1
REQUIRING OFFICE: NSWC IHEODTD, E14
DATE OF FIRST SUBMISSION: See Block 16
DATE OF SUBSEQUENT SUBMISSION: ASREQ
AS OF DATE: N/A
FREQUENCY: ASREQ
DIST STATEMENT REQUIRED: C
ESTIMATED TOTAL PRICE:
PRICE GROUP:
DD-250: N/A
APP Code: N/A
Remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors. Other requests for this document shall be referred to the commander, NSWC IHEODTD.
BLOCK 10, 12 and 13: Shall be submitted prior to beginning/revising the production process
Block 14:
NSWC IHEODTD
Attention: Kyle Foley, E14KF 3703 Benson Road Indian Head, MD 20640 kyle.r.foley@navy.mil
Data shall be delivered in hard copy and electronic formats per the SOW.
2017-03-09T05:33:32-0500
PIEGOLS.BRUCE.W.1229421553
2017-03-08T13:04:36-0500
BUTZ.JOHN.LAUREN.1401485577
Authority: DI-MGMT-81889
Text2: 4
Text3: 15
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 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.
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TDP: Off
TM: Off
System/Item: MK 70 Ballast Hardware
Data Item Number: A005
SUBTITLE:
TITLE OF DATA ITEM: Supplier's Configuration Management Plan
CONTRACTPR NO:
CONTRACTOR:
CONTRACT REFERENCE: SOW Paragraph 3.4.1
REQUIRING OFFICE: NSWC IHEODTD, E14
DATE OF FIRST SUBMISSION: See Block 16
DATE OF SUBSEQUENT SUBMISSION: ASREQ
AS OF DATE: N/A
FREQUENCY: ASREQ
DIST STATEMENT REQUIRED: C
ESTIMATED TOTAL PRICE:
PRICE GROUP:
DD-250: N/A
APP Code: N/A
Remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors. Other requests for this document shall be referred to the commander, NSWC IHEODTD.
BLOCK 10, 12 and 13: Shall be submitted prior to beginning the production process
Block 14:
NSWC IHEODTD
Attention: Kyle Foley, E14KF 3703 Benson Road Indian Head, MD 20640 kyle.r.foley@navy.mil
Data shall be delivered in hard copy and electronic formats per the SOW.
2017-03-09T05:35:10-0500
PIEGOLS.BRUCE.W.1229421553
2017-03-08T13:05:11-0500
BUTZ.JOHN.LAUREN.1401485577
Authority: DI-SESS-80858C
Text2: 5
Text3: 15
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 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.
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TDP: Off
TM: Off
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Data Item Number: A006
SUBTITLE: Diminishing Manufacturing Sources and Materials Shortages (DMSMS) and Bill of Material (BOM)
TITLE OF DATA ITEM: Diminishing Manufacturing Sources and Materials Shortages (DMSMS) Implementation Plan
CONTRACTPR NO:
CONTRACTOR:
CONTRACT REFERENCE: SOW Paragraph 3.4.1
REQUIRING OFFICE: NSWC IHEODTD, E14
DATE OF FIRST SUBMISSION: See Block 16
DATE OF SUBSEQUENT SUBMISSION: ASREQ
AS OF DATE: N/A
FREQUENCY: ASREQ
DIST STATEMENT REQUIRED: C
ESTIMATED TOTAL PRICE:
PRICE GROUP:
DD-250: N/A
APP Code: N/A
Remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors. Other requests for this document shall be referred to the commander, NSWC IHEODTD.
BLOCK 10, 12 and 13: Shall be submitted prior to beginning the production process and as required throughout the contract
Block 14:
NSWC IHEODTD
Attention: Kyle Foley, E14KF 3703 Benson Road Indian Head, MD 20640 kyle.r.foley@navy.mil
Data shall be delivered in hard copy and electronic formats per the SOW.
2017-03-09T05:48:59-0500
PIEGOLS.BRUCE.W.1229421553
2017-03-08T13:05:51-0500
BUTZ.JOHN.LAUREN.1401485577
Authority: DI-MGMT-81899
Text2: 6
Text3: 15
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 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.
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TDP: Off
TM: Off
System/Item: MK 70 Ballast Hardware
Data Item Number: A007
SUBTITLE:
TITLE OF DATA ITEM: Failure Analysis and Correction Action Report (FACAR) (NAVY)
CONTRACTPR NO:
CONTRACTOR:
CONTRACT REFERENCE: SOW Paragraph 3.4.2
REQUIRING OFFICE: NSWC IHEODTD, E14
DATE OF FIRST SUBMISSION: ASREQ
DATE OF SUBSEQUENT SUBMISSION: ASREQ
AS OF DATE: N/A
FREQUENCY: ASREQ
DIST STATEMENT REQUIRED: C
ESTIMATED TOTAL PRICE:
PRICE GROUP:
DD-250: N/A
APP Code: N/A
Remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors. Other requests for this document shall be referred to the commander, NSWC IHEODTD.
BLOCK 10, 12 and 13: Shall be submitted for any defects and failures
Block 14:
NSWC IHEODTD
Attention: Kyle Foley, E14KF 3703 Benson Road Indian Head, MD 20640 kyle.r.foley@navy.mil
Data shall be delivered in hard copy and electronic formats per the SOW.
2017-03-09T05:36:07-0500
PIEGOLS.BRUCE.W.1229421553
2017-03-08T13:06:26-0500
BUTZ.JOHN.LAUREN.1401485577
Authority: DI-SESS-81927
Text2: 7
Text3: 15
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 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.
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TDP: Off
TM: Off
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SUBTITLE:
TITLE OF DATA ITEM: Quality Program Plan (QPP)
CONTRACTPR NO:
CONTRACTOR:
CONTRACT REFERENCE: SOW Paragraph 3.4.3
REQUIRING OFFICE: NSWC IHEODTD, E14
DATE OF FIRST SUBMISSION: See Block 16
DATE OF SUBSEQUENT SUBMISSION: ASREQ
AS OF DATE: N/A
FREQUENCY: ASREQ
DIST STATEMENT REQUIRED: C
ESTIMATED TOTAL PRICE:
PRICE GROUP:
DD-250: N/A
APP Code: N/A
Remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors. Other requests for this document shall be referred to the commander, NSWC IHEODTD.
BLOCK 10, 12 and 13: Shall be submitted prior to beginning the production process and as required throughout the contract
Block 14:
NSWC IHEODTD
Attention: Kyle Foley, E14KF 3703 Benson Road Indian Head, MD 20640 kyle.r.foley@navy.mil
Data shall be delivered in hard copy and electronic formats per the SOW.
2017-03-09T05:36:55-0500
PIEGOLS.BRUCE.W.1229421553
2017-03-08T13:07:46-0500
BUTZ.JOHN.LAUREN.1401485577
Authority: DI-QCIC-81722
Text2: 8
Text3: 15
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 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.
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SUBTITLE: Certificate of Compliance (COC) and Certificate of Analysis (COA)
TITLE OF DATA ITEM: Certificate of Compliance
CONTRACTPR NO:
CONTRACTOR:
CONTRACT REFERENCE: SOW Paragraph 3.4.4
REQUIRING OFFICE: NSWC IHEODTD, E14
DATE OF FIRST SUBMISSION: See Block 16
DATE OF SUBSEQUENT SUBMISSION: See Block 16
AS OF DATE: N/A
FREQUENCY: ASREQ
DIST STATEMENT REQUIRED: C
ESTIMATED TOTAL PRICE:
PRICE GROUP:
DD-250: N/A
APP Code: N/A
Remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors. Other requests for this document shall be referred to the commander, NSWC IHEODTD.
BLOCK 10, 12 and 13: Shall be submitted with each delivery order
Block 14:
NSWC IHEODTD
Attention: Kyle Foley, E14KF 3703 Benson Road Indian Head, MD 20640 kyle.r.foley@navy.mil
Data shall be delivered in hard copy and electronic formats per the SOW.
2017-03-09T05:37:59-0500
PIEGOLS.BRUCE.W.1229421553
2017-03-08T13:09:07-0500
BUTZ.JOHN.LAUREN.1401485577
Authority: DI-MISC-81356A
Text2: 9
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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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 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.
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SUBTITLE: Unit Traceability
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CONTRACTPR NO:
CONTRACTOR:
CONTRACT REFERENCE: SOW Paragraph 3.4.5
REQUIRING OFFICE: NSWC IHEODTD, E14
DATE OF FIRST SUBMISSION: See Block 16
DATE OF SUBSEQUENT SUBMISSION: See Block 16
AS OF DATE: N/A
FREQUENCY: ASREQ
DIST STATEMENT REQUIRED: C
ESTIMATED TOTAL PRICE:
PRICE GROUP:
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APP Code: N/A
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BLOCK 10, 12 and 13: Shall be submitted with each delivery order
Block 14:
NSWC IHEODTD
Attention: Kyle Foley, E14KF 3703 Benson Road Indian Head, MD 20640 kyle.r.foley@navy.mil
Data shall be delivered in hard copy and electronic formats per the SOW.
2017-03-09T05:38:49-0500
PIEGOLS.BRUCE.W.1229421553
2017-03-08T13:09:43-0500
BUTZ.JOHN.LAUREN.1401485577
Authority: DI-MISC-80508B
Text2: 10
Text3: 15
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 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.
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SUBTITLE: Quality System Review
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CONTRACTPR NO:
CONTRACTOR:
CONTRACT REFERENCE: SOW Paragraph 3.5.1.1
REQUIRING OFFICE: NSWC IHEODTD, E14
DATE OF FIRST SUBMISSION: ASREQ
DATE OF SUBSEQUENT SUBMISSION: ASREQ
AS OF DATE: N/A
FREQUENCY: Annually
DIST STATEMENT REQUIRED: C
ESTIMATED TOTAL PRICE:
PRICE GROUP:
DD-250: N/A
APP Code: N/A
Remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors. Other requests for this document shall be referred to the commander, NSWC IHEODTD.
BLOCK 10, 12 and 13: Quality System Reviews shall occur annually until all delivery orders are complete
Block 14:
NSWC IHEODTD
Attention: Kyle Foley, E14KF 3703 Benson Road Indian Head, MD 20640 kyle.r.foley@navy.mil
Data shall be delivered in hard copy and electronic formats per the SOW.
2017-03-09T05:40:23-0500
PIEGOLS.BRUCE.W.1229421553
2017-03-08T13:10:16-0500
BUTZ.JOHN.LAUREN.1401485577
Authority: DI-MISC-80508B
Text2: 11
Text3: 15
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 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.
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CONTRACTPR NO:
CONTRACTOR:
CONTRACT REFERENCE: SOW Paragraph 3.5.1.2
REQUIRING OFFICE: NSWC IHEODTD, E14
DATE OF FIRST SUBMISSION: ASREQ
DATE OF SUBSEQUENT SUBMISSION: ASREQ
AS OF DATE: N/A
FREQUENCY: ASREQ
DIST STATEMENT REQUIRED: C
ESTIMATED TOTAL PRICE:
PRICE GROUP:
DD-250: N/A
APP Code: N/A
Remarks: Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government agencies and their contractors. Other requests for this document shall be referred to the commander, NSWC IHEODTD.
BLOCK 10, 12 and 13: Metrics shall be updated and reported after each delivery order
Block 14:
NSWC IHEODTD
Attention: Kyle Foley, E14KF 3703 Benson Road Indian Head, MD 20640 kyle.r.foley@navy.mil
Data shall be delivered in hard copy and electronic formats per the SOW.
2017-03-09T05:41:11-0500
PIEGOLS.BRUCE.W.1229421553
2017-03-08T13:10:48-0500
BUTZ.JOHN.LAUREN.1401485577
Authority: DI-MISC-80508B
Text2: 12
Text3: 15
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302.
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