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:

#### A TDP ____ TM _____ OTHER X NDTI

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

MOTOR INSEPARABLE, ASSY TBD

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

A001 TEST/INSPECTION REPORT WRITTEN TEST REPORTS FOR MOTOR ASSY

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

TOTAL PRICE

DI-NDTI-80809B 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 IN ACCORDANCE WITH 3238174 REV B SHALL ACCOMPANY THE

DELIVERY OF ALL FIRST ARTICLE, PERIODICS, AND PRODUCTION UNITS. A CERTIFICATE OF

CONFORMANCE WILL ALSO ACCOMPANY EACH DELIVERY OF MATERIAL.

ALLOW 90 DAYS FOR INSPECTION AND ACCEPTANCE.

BLK 5: ALL TEST RESULTS AND QUALITY REPORTS IN ACCORDANCE WITH 3238174 REV B AND

3242563 REV B, SHALL BE INCLUDED WITH DELIVERY. SUBJECT TO REJECTION WITHOUT THE

FOLLOWING REPORTS:

- CERTIFICATE OF CONFORMANCE

- MATERIAL: IDENTIFICATION OF MATERIAL USED TO MANUFACTURE

- VALUES: PER DWG 3238174, REV B M101-M103

- ALL PROOF OF TEST DATA IAW 3242563, REV B

PERIODIC SAMPLES WILL BE SELECTED BY DCMA FROM PRODUCTION LOT AND BAG, TAGGED

SEPARATELY AND IDENTIFIED AS SUCH

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DOD AND DOD

CONTRACTORS ONLY; "CRITICAL TECHNOLOGY (DATE:2/12/1992. OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED COMMANDER NAVALSEA SYSTEMS COMMAND, WASHINGTON

DC, 20362-5101..

BLKS 10, 12-13: TEST DATA IS TO BE DELIVERED WITH EACH SHIPMENT OF MATERIAL (FIRST

ARTICLES, PERIODIC AND PRODUCTION UNITS). (SEE 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, BRITTNEY CROMWELL, TECH POC,

BRITTNEY.CROMWELL@NAVY.MIL

2) NUWC DIVISION KEYPORT, MONIQUE KLOSE, PCO (CONTRACTING OFFICER),

MONIQUE.KLOSE@NAVY.MIL

3) NUWC DIVISION KEYPORT, XXXXXXXXXXX, CONTRACT SPECIALIST

4) NUWC DIVISION KEYPORT, JOE MEIER, ENGINEER, JOACHIM.MEIER@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

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