0608-01_-_VariGen_Simulator_-_CDRL_A001_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 - TMSS

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

VARIGEN SIMULATOR N00178-16-

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

A001 COMMERCIAL OFF THE SHELF (COTS) MANUALS USER MANUALS

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

TOTAL PRICE

DI-TMSS-81815 (SEE BLK 16) SOW Para 4.1 NSWCDD/V41

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

N/A REQUIRED OTIME SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

B (SEE BLK 16)

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

Draft

Final

N/A N/A N/A Reg Repro

16. REMARKS TPOC 1

BLK 4: CONTRACTOR FORMAT ACCEPTABLE.

BLK 9: DISTRIBUTION STATMENT B: DISTRIBUTION AUTHORIZED TO U.S. GOVERNMENT

AGENCIES ONLY (PROPRIETARY INFORMATION) (27 JUNE 2016). OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO THE NAVAL SURFACE WARFARE CENTER, DAHLGREN

DIVISION (NSWCDD), ATTN: V41, 17221 AVENUE B, SUITE 138, DAHLGREN, VIRGINIA 22448.

BLKS 10, 12: SUBMISSION DUE PRIOR TO OR IMMEDIATELY AFTER GOVERNMENT ACCEPTANCE

OF THE SYSTEM.

BLKS 10-14: ELECTRONIC SUBMITTAL ACCEPTABLE.

BLK 14: SUBMISSION SHALL BE SENT BY ELECTRONIC MAIL TO THE FOLLOWING:

JAMES W. WILLIAMS III,

EMAIL: JAMES.W.WILLIAMS4@NAVY.MIL.

SEE BLK 16

15. TOTAL ▬▬▬▬►

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

REGINA ELLER, V41

PATRICIA A. HONOSKY, DM

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 2 Pages patricia.honosky Typewritten Text 8/8/2016