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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 - MISC |
| 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
| A002 |
| TECHNICAL REPORT - STUDY/SERVICES |
| TECHNICAL REPORT |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-MISC-80508B |
| SOW Para # 4.2 |
| 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. |
A
| 16. REMARKS |
| G24 TPOC |
| 1 |
| 1 |
| 0 |
BLK 8: APPROVAL OF TECHNICAL CONTENT ONLY. GOVERNMENT HAS 14 DAYS FROM RECEIPT OF DRAFT TO REVIEW AND COMMENT. THE CONTRACTOR HAS 7 DAYS TO SUBMIT REVISIONS. IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS WITHIN 14 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 JULY 2013. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE CENTER, DAHLGREN DIVISION (CODE G24), 6138 NORC AVENUE, SUITE 313, DAHLGREN VIRIGINIA, 22448.
BLK 14: ELECTRONIC MEDIA: SUBMIT IN MS OFFICE 2010 APPLICATIONS (OR EARLIER) OR ADOBE PDF ATTACHED TO EMAIL NOTIFICATION TO THE TECHNICAL POINT OF CONTACT, DAVID DICKINSON, EMAIL: DAVID.DICKINSON1@NAVY.MIL.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DAVID DICKINSON, G24 |
| PATRICIA A. HONOSKY |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 4 Pages
