N00253-16-R-0006_D1423_CDRL.pdf

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing the reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this burden, to Department of Defense, Washington DC, Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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

BAG ASSEMBLY, COLD GAS

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

A001 FIRST ARTICLE INSPECTION REPORT TEST REPORT

4. AUTHORITY (Date Acquisition Document No.) 5. CONTRACTING REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-NDTI-80809B ALL CONTRACT DRAWING NUWC DIV KEYPORT CODE 423 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION $0

DD ONE TIME PER FIRST ARTICLE b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Final

Drafts Reg Repro

16.

REMARKS:

THE REPORT IS TO VERIFY FIRST ARTICLE CONFORMANCE TO THE

APPLICABLE DRAWINGS, SPECIFICATIONS, AND CONTRACT REQUIREMENTS.

THE REPORT CONTAINING ALL REQUIRED INSPECTION RESULTS

DOCUMENTED ON DATA ENTRY SHEETS. IN ADDITION, THE REPORT IS TO

INCLUDE MATERIAL CERTIFICATIONS AND ALL OTHER PERTINENT OBJECTIVE

QUALITY EVIDENCE. THE REPORT MUST BE APPROVED BY NAVSEA KEYPORT

BEFORE FINAL ACCEPTANCE OF THE LOT

NUWC KPT C/423

0 0 0

0 0 0

0 0 0

0 0 0

15. TOTAL 0 0 0

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

A002 PRODUCTION INSPECTION REPORT

TEST REPORT

4. AUTHORITY (Date Acquisition Document No.) 5. CONTRACTING REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-NDTI-80809B ALL CONTRACT DRAWINGS NUWC DIV KEYPORT C423 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION $0

DD PER LOT PRIOR TO LOT 1

SHIPMENT

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Final

Drafts Reg Repro

16.

REMARKS:

THE REPORT IS TO VERIFY PRODUCTION LOT CONFORMANCE TO THE

APPLICABLE DRAWINGS, SPECIFICATIONS, AND CONTRACT REQUIREMENTS.

THE REPORT CONTAINING ALL REQUIRED INSPECTION RESULTS

DOCUMENTED ON DATA ENTRY SHEETS. IN ADDITION, THE REPORT IS TO

INCLUDE MATERIAL CERTIFICATIONS AND ALL OTHER PERTINENT OBJECTIVE

QUALITY EVIDENCE. THE REPORT MUST BE APPROVED BY NAVSEA KEYPORT

BEFORE FINAL ACCEPTANCE OF THE LOT

15. TOTAL

G. PREPARED BY:

LINDA VALLEY

H. DATE

3/7/2016

I. APPROVED BY

MIKHAIL VAYNER

J. DATE

3/7/2016

DD Form 1423-2, JUN 90 1059/183

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