16R2044__CDRL_A001.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:

TBD A TDP ____ TM _____ OTHER X - TMSS

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

MODULAR XRAY LINEAR ACCELERATOR TBD TBD

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

A001 COMMERCIAL OFF THE SHELF (COTS) MANUALS OPERATION MANUAL

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

TOTAL PRICE

DI-TMSS-81815 SOW 3.1.8 NSWC DAHLGREN, E41

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

LT REQUIRED OTIME 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

NA NA NA Reg Repro

16. REMARKS TPOC 0 2

BLOCK 9: DISTRIBUTION STATMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE AND U.S. DOD CONTRACTORS ONLY ADMINSTRATIVE AND OPERATIONAL USE ONLY

APRIL 2016. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NSWCDD/E41.

BLK 10: SUBMISSION IS DUE WITH DELIVERY OF EQUIPMENT.

BLK 14: ELECTRONIC MEDIA: REPORT SHALL BE SUBMITTED IN MS OFFICE 2007 APPLICATIONS

(OR EARLIER) OR ADOBE PDF ATTACHED TO EMAIL TO THE TPOC, AS LISTED IN SECTION G,

GOVERNMENT CONTRACT ADMINISTRATION POINTS OF CONTACT AND RESPONSIBILITIES OR IN

HARD COPY.

15. TOTAL ▬▬▬▬► 2

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

CLINTON JENKINS

13 Apr 2016

NIKKI BLASER

13 Apr 2016

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