0312-05_-_Rugged_Panel_Modification_-_CDRL_A004_(FAT_Report).pdf

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item)

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 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:

A TDP ___ TM _____ OTHER X - QCIC

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

RUGGEDIZED TOUCH PANELS N00178- MILCOTS, LLC

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A004 ACCEPTANCE TEST PLAN FACTORY ACCEPTANCE TEST (FAT)

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

TOTAL PRICE

DI-QCIC-80553A SOW Para 7.0 NSWC DAHLGREN, G34

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD REQUIRED ONE/R SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

D (SEE BLK 16)

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft Final

A N/A N/A Reg Repro

16. REMARKS TPOC 1 1 0

BLK 8: APPROVAL OF TECHNICAL CONTENT ONLY. GOVERNMENT HAS 30 DAYS FROM RECEIPT

OF DRAFT TO REVIEW AND COMMENT. THE CONTRACTOR HAS 15 DAYS TO SUBMIT REVISIONS.

GOVERNMENT THEN HAS 15 DAYS FROM RECEIPT OF FINAL PROCEDURE TO APPROVE OR

DISAPPROVE.

BLK 9: DISTRIBUTION STATMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE

AND U.S. DOD CONTRACTORS ONLY; CRITICAL TECHNOLOGY USE APRIL 2012. OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO COMMANDER, NAVAL SURFACE

WARFARE CENTER DAHLGREN DIVISION, ATTENTION G34,17320 DAHLGREN ROAD, DAHLGREN,

VA 22448-5100.

BLKS 10, 12: DRAFT DUE WITHIN 15 DAYS OF TEST DATE. FINAL SUBMISSION DUE 15 DAYS

AFTER GOVERNMENT APPROVAL OF DRAFT.

BLK 14: ELECTRONIC MEDIA: CONTRACTOR FORMAT IS ACCEPTABLE. FAT REPORTS SHALL BE

SUBMITED IN MS OFFICE 2007 APPLICATIONS (OR EARLIER) OR ADOBE PDF ATTACHED TO

EMAIL NOTIFICATION TO THE TPOC AS LISTED IN SECTION G, GOVERNMENT ADMINISTRATION

POINTS OF CONTACT AND RESPONSIBILITIES.

SEE BLK 16

15. TOTAL ▬▬▬▬► 1 1 0

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

MATTHEW SPRUILL

18 Mar 2014

PATRICIA A. HONOSKY, DM

18 Mar 2014

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 4 of 4 Pages