CDRL.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:

TBD A TDP TM _____ OTHER X NDTI

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

MK54, BURST DISK TBD N/A

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

A001 TEST/INSPECTION REPORT

WRITTEN TEST REPORT FOR QUALITY

PERFORMANCE- BURST DISK

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

TOTAL PRICE

DI-NDTI-80809B SOW, SEE BLK 16 N00253

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

DD REQUIRED ASREQ 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

A N/A SEE BLK 16 Reg Repro

16. REMARKS TECHNICAL POC 1 1

BLK 5: ALL WRITTEN TEST DATA REQUIREMENTS STATED ON SOW, BURST DISK CERTIFICATION

AND HELIUM LEAK CERTIFICATION SHALL ACCOMPANY EACH DELIVERY OF MATERIAL,

ENSURING CONFORMANCE TESTING ACCOMPLISHED IAW WITH TECHNICAL REQUIREMENTS 1-7

PER THE SOW. A CERTIFICATE OF CONFORMANCE WILL ALSO ACCOMPANY EACH DELIVERY OF

MATERIAL.

BLK 9: DISTRIBUTION AUTHORIZED TO THE U.S. DEPARTMENT OF DEFENSE AND DOD

CONTRACTORS ONLY; CRITICAL TECHNOLOGY 1/15/2012; OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO NUWC, DIVISION KEYPORT.

DESTRUCTION NOTICE-FOR UNCLASSIFIED, LIMITED DOCUMENTS, DESTROY BY ANY METHOD

THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLKS 10-13: TEST DATA IS TO BE DELIVERED WITH EACH SHIPMENT OF MATERIAL

(PRODUCTION AND FIRST ARTICLE UNIT). (SEE SOW ITEMS 1-7 AND CONTRACT FOR DELIVERY

SCHEDULE).

BLK 14: DELIVERABLE FORMAT:

TEXT DOCUMENT: ADOBE PDF (.PDF, SEARCHABLE) OR MICROSOFT WORD (.DOC)

PRESENTATION: ADOBE PDF (.PDF, SEARCHABLE) OR MICROSOFT POWERPOINT (.PPT)

SPREADSHEET: MICROSOFT EXCEL (.XLS)

DISTRIBUTION ADDRESSEES AND ELECTRONIC MAILING ADDRESSES ARE PROVIDED BELOW:

1) NUWC DIVISION KEYPORT, TRACI SEELEY, TECH POC, TRACI.SEELEY@NAVY.MIL.

2) NUWC DIVISION KEYPORT, PCO (CONTRACTING OFFICER), MELANIE POWERS,

MELANIE.POWERS@NAVY.MIL

3) NUWC DIVISION KEYPORT, CONTRACT SPECIALIST, SEE CONTRACT

4) NUWC DIVISION KEYPORT, MIKHAIL VAYNER, ENGINEER, MIKHAIL.VAYNER@NAVY.MIL

MAILING ADDRESS:

COMMANDER

NAVAL UNDERSEA WARFARE CENTER

DIVISION KEYPORT

610 DOWELL STREET

KEYPORT, WA 98345-7610

PCO 1 1

CONTRACT SPECIALIST 1 1

ENGINEER 1 1

15. TOTAL ▬▬▬▬► 4 4

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

TRACI SEELEY

12 MAR 2019

13 Mar 2019

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