15R4240_-_IA_Support_-_CDRL_A001_(CTRs_Progress_Status__Mgmt_Report)_signed.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 - MGMT

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

VALIDATION SERVICES N00178-15- SELECTED PRIME CONTRACTOR

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

A001 CONTRACTOR'S PROGRESS, STATUS AND MANAGEMENT

REPORT MONTHLY STATUS REPORT

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

TOTAL PRICE

DI-MGMT-80227 (SEE BLK 16) SOW PARA 4.1 NSWC DAHLGREN, 1043

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

LT REQUIRED MTHLY 15DARP

a. ADDRESSEE

b. COPIES

8. APP CODE

D (SEE BLK 16)

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

Draft Final

A 0 SEE BLK 16 Reg Repro

16. REMARKS 1043 TPOC 1 1 0

BLK 4: CONTRACTOR FORMAT ACCEPTABLE. USE THE DID AS A GUIDELINE FOR THE

INFORMATION DESIRED. IF NOT A MICROSOFT OFFICE PRODUCT, GOVERNMENT MUST

APPROVE SOFTWARE PACKAGE USED. DID IS TAILORED AS FOLLOWS:

DELETE 10.3F, 10.3G, AND 10.3H.

BLK 8: APPROVAL OF TECHNICAL CONTENT AND FORMAT. GOVERNMENT HAS 5 DAYS FROM

RECEIPT OF DRAFT TO REVIEW AND COMMENT. THE CONTRACTOR HAS 5 DAYS TO SUBMIT

REVISIONS.

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

AND U.S. DOD CONTRACTORS ONLY (ADMINISTRATIVE OR OPERATIONAL USE) (15 DECEMBER

2014). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO 1043, NSWCDD, 17632

DAHLGREN ROAD, SUITE 201, DAHLGREN, VA 22448.

BLK 13: SUBSEQUENT SUBMISSIONS DUE 15 DAYS AFTER THE END OF THE MONTH.

BLK 14: SUBMISSIONS SHALL BE SENT VIA EMAIL TO THE FOLLOWING: PAUL.BRYAN@NAVY.MIL

AND EILEEN.ORDONEZ@NAVY.MIL.

BLKS 10-14: ELECTRONIC SUBMITTAL IS ACCEPTABLE.

104 TPOC 1 1 0

SEE BLK 16

15. TOTAL ▬▬▬▬► 2 2 0

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

27 Jan 2015

PATRICIA A. HONOSKY, DM

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages patricia.honosky Typewritten Text 27 Jan 2015

9.0.0.2.20120627.2.874785 SignatureField1: