0326-04_-_Anechoic_Test_Chamber_-_CDRL_A002.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- NDTI

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

ANECHOIC TEST CHAMBER

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

A002 TEST/INSPECTION REPORT

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

TOTAL PRICE

DI-NDTI-80809B SOW Para 4.2 NSWCDD/B34

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

NO 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

N/A N/A N/A Reg Repro

16. REMARKS TPOC 0 1

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

AND U.S. DOD CONTRACTORS ONLY (ADMINISTRATIVE OR OPERATIONAL USE) (18 APRIL 2019).

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

WARFARE CENTER, DAHLGREN DIVISION/B32.

BLKS 10, 12: SUBMISSION DUE 14 DAYS PRIOR TO INSTALLATION OF THE CHAMBER

BLK 14: ELECTRONIC MEDIA: SUBMIT DATA BY ELECTRONIC MAIL (EMAIL) TO THE TECHNICAL

POINT OF CONTACT (TPOC), ROBERT NICHOLS, EMAIL: ROBERT.B.NICHOLS@NAVY.MIL.

SEE BLK 16

15. TOTAL ▬▬▬▬►

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 3 Pages patricia.honosky Typewritten Text