Revised CDRL_ Exhibit A001.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 NDTI

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

MK96, MOD 2 COLD GAS FES PRESSURE

SWITCH

TBD TBD

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

A001 TEST/INSPECTION REPORT

WRITTEN TEST REPORT FOR QUALITY

PERFORMANCE

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

TOTAL PRICE

DI-NDTI-80809B SOW, SEE PARA 2.1.4 N00253

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

DD REQUIRED ASREQ ASREQ

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 ASREQ Reg Repro

16. REMARKS TECHNICAL POC 1 1

BLK 9: DISTRIBUTION STATEMENT "D" - DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD

CONTRACTORS ONLY; CRITICAL TECHNOLOGY, EXPORT CONTROLLED (7/23/2019). OTHER

REQUESTS SHALL BE REFERRED TO PEO-SUBS (PMS404).

"WARNING" THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT IS RESTRICTED BY

THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C. SEC 2751 ET. SEQ.) OR THE EXPORT

ADMINISTRATION ACT OF 1979, AS AMENDED, TITLE 50, U.S.C. APP. 2401 ET. SEQ. VIOLATORS OF

THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE PER THE

PROVISIONS OF DOD DIRECTIVE 5230.25.

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/INSPECTION REPORT SHALL BE SUBMITTED WITH EACH SHIPMENT OF

MATERIAL (PRODUCTION AND FIRST ARTICLE UNIT). (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 ADDRESS: SEE G-242-H001,

GOVERNMENT CONTRACT POINTS OF CONTACT & REPSONSIBILITIES.

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