0528-15___WVU_Study_-_CDRL_A003.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 - MISC

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

DAMAGED STATE M&S SEE BLK 16

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

A003 TECHNICAL REPORT - STUDY/SERVICES

PRELIMARY RESULTS OF MODIFIED ATEP MODEL

AND REPORT

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

TOTAL PRICE

DI-MISC-80508B SOW PARAGRAPHS. 3.3.3, 4.3 NSWCDD/M20

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

NO REQUIRED OTIME NLT 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 TPOC 1 1 0

BLK F: WEST VIRGINIA UNIVERSITY (WVU) INNOVATION CORPORATION

BLK 8: DRAFT SUBMISSION DUE DATE APPROVAL OF TECHNICAL CONTENT AND FORMAT. THE

GOVERNMENT HAS 10 BUSINESS DAYS FROM RECEIPT OF DRAFT TO REVIEW AND COMMENT.

THE CONTRACTOR HAS 10 BUSINESS DAYS TO SUBMIT REVISIONS. IF THE GOVERNMENT DOES

NOT PROVIDE COMMENTS WITHIN 10 BUSINESS DAYS OF INITIAL SUBMISSION, THE

DELIVERABLE IS CONSIDERED ACCEPTED.

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

AND U.S. DOD CONTRACTORS ONLY (ADMINISTRATIVE OR OPERATIONAL USE) (15 APRIL 2019).

OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL SURFACE WARFARE

CENTER, DAHLGREN DIVISION (NSWCDD), M20, ATTN: WARREN BOORD.

BLK 14: ELECTRONIC MEDIA: SUBMIT IN MICROSOFT (MS) OFFICE APPLICATIONS OR ADOBE

PORTABLE DOCUMENT FORMAT (PDF) TO THE TECHNICAL POINT OF CONTACT (TPOC), WARREN

BOORD, EMAIL: WARREN.BOORD@NAVY.MIL.

SEE BLK 16

15. TOTAL ▬▬▬▬► 1 1 0

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

WARREN BOORD, M20

PATRICIA A. HONOSKY, DM

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