0414-04_-_FATEPEN_Support_-_CDRL_A003_Final_(Computer_SW_Product_End_Items).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:

0001 A TDP ____ TM _____ OTHER X - MCCR

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

FATEPEN N00178-14-P- BALLISTIC IMPACT ENGINEERING, LLC (BIE)

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

A003 COMPUTER SOFTWARE PRODUCT END ITEMS SEE BLK 16

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

TOTAL PRICE

DI-MCCR-80700 (SEE BLK 16) SOW Para # 4.3 NSWC DAHLGREN, G24

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

LT REQUIRED OTIME EOC

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 G24 TPOC 1 1 0

BLKS 3, 4: COMPUTER SOFTWARE PRODUCT END ITEMS INCLUDE SOURCE CODE, MODULES,

SUBROUTINES, DOCUMENTATION, FUNCTIONS, TEST CASES, AND OUTPUT AS GENERATED AS

PART OF THIS EFFORT.

BLK 8: APPROVAL OF TECHNICAL CONTENT AND FORMAT. GOVERNMENT HAS 7 DAYS FROM

RECEIPT TO REVIEW AND COMMENT. THE CONTRACTOR HAS 3 DAYS TO SUBMIT REVISIONS TO

THE GOVERNMENT. IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS WITHIN 7

DAYS, SUBMITTAL IS APPROVED.

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

AND U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE USE (7 MARCH 2013). OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE CENTER,

DAHLGREN DIVISION (CODE G24), 6138 NORC AVENUE, SUITE 313, DAHLGREN, VIRGINIA 22448.

BLK 14: ELECTRONIC MEDIA: DOCUMENTATION TO BE SUBMITED IN MS OFFICE 2010

APPLICATIONS (OR EARLIER) OR ADOBE PDF ATTACHED TO EMAIL NOTIFICATION OR ON

COMPACT DISC (CD) OR DIGITAL VIDEO DISC (DVD) TO THE TECHNICAL POINT OF CONTACT AS

FOLLOWS:

DAVID DICKINSON

NSWCDD/G24,

6138 NORC AVENUE, SUITE 313,

DAHLGREN, VIRGINIA 22448.

EMAIL: DAVID.DICKINSON1@NAVY.MIL.

SEE BLK 16

15. TOTAL ▬▬▬▬► 1 1

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

DAVID DICKINSON, G24

PATRICIA A. HONOSKY, DM

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 4 Pages