E-DD_1423-1_A003_final.pdf
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- Solicitation number
- N0017819R3006
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A003
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DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
| 1_DATA_ITEM_NO: A003 |
| 2_TITLE_OF_DATA_ITEM: TECHNICAL REPORT - STUDY/SERVICES |
| 3_SUBTITLE: POST REPAIR/INSTALLATION SUMMARY REPORT |
| 4_AUTHORITY_Data_Acquisit: DI-MISC-80508B |
| 5_CONTRACT_REFERENCE: SOW C.4.2.3 |
| 6_REQUIRING_OFFICE: NSWC DAHLGREN, A31 |
| 7_DID_250_REQ: LT |
| 8_APP_CODE: A |
| DIST_STATEMENT: D (SEE BLK 16) |
| 10_FREQUENCY: ASREQ |
| 11_AS_OF_DATE: N/A |
| 12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16 |
| 13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16 |
| addressee1: COR |
| draft1: 1 |
| reg1: 1 |
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| addressee2: FIBER OPTIC ENG |
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| 16_REMARKS: BLOCK 8: GOVERNMENT HAS 10 DAYS FROM RECEIPT OF DRAFT TO REVIEW AND COMMENT. THE CONTRACTOR HAS 5 DAYS TO SUBMIT REVISIONS. IF THE GOVERNMENT DOES NOT SUBMIT REVISION REQUESTS WITHIN 10 DAYS, SUBMITTAL IS APPROVED. |
BLOCK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (OPERATIONAL AND ADMINISTRATIVE USE ONLY) (NOVEMBER 2017). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO (NSWC DAHLGREN, A31, FIBER OPTICS SECTION).
BLKS 12-13: FIRST SUBMISSION AND SUBSEQUENT SUBMISSION DUE NO LATER THAN 5 DAYS AFTER FINAL TEST COMPLETION.
BLK 14: ELECTRONIC MEDIA: REPORTS SHALL BE SUBMITTED IN MS OFFICE 2010 APPLICATIONS (OR EARLIER) OR ADOBE PDF VIA EMAIL NOTIFICATION TO THE CONTRACTING OFFICER REPRESENTATIVE (COR) AS IDENTIFIED IN SECTION G CONTRACT ADMINISTRATIVE DATA.
| 17_PRICE_GROUP: | |
| ESTIMATED_TOTAL_PRICE: | |
| G_PREPARED_BY: | |
| H_DATE: 09/14/2018 | |
| 1_APPROVED_BY: | |
| J_DATE: 09/14/2018 | |
| Page: | |
| reg38t: 2 | |
| A_CONTRACT_LINE_ITEM_NO: TBD | |
| B_EXHIBIT: A | |
| TDP: | |
| TM: | |
| OTHER: MISC | |
| DSYSTEMITEM: FIBER OPTIC CABLE PLANT (FOCP) | |
| E_CONTRACTPR_NO: N00178-19-R-3006 | |
| FCONTRACTOR: TBD | |
| of_pages: | |
| Reset: | |
| 2018-09-14T12:36:17-0400 | |
| CASTELO.MATTHEW.P.1383386043 |
| 2018-09-14T13:53:20-0400 | |
| BLOM.LISA.L.1267702701 |
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