CDRLs_101112.pdf

I Form Approved

OMB No 0704-0188 CONTRACT DATA REQUIREMENTS LIST Public reporting burden for this collection of Information IS estimated to average 440 hours per response, 1nclud1ng the time for rev1ew1ng Instructions, search1ng existing data;

sources, gathering and maintaining the data needed, and complet1ng and review1ng the collection of information Send comments regard1ng th1s burden est1mate or any othe~ aspect of th1s collect1on of 1nformat1on, 1nclud1ng suggest1ons for reducing th1s burden, to Department of Defense, Wash1ngton Headquarters Serv1ces, Directorate forj Information Operat1ons and Reports, 1215 Jefferson Davis H1ghway, Su1te 1204, Art1ngton, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduct1on:

Project (0704-0188),Washlngton, DC 20503 Please DO NOT RETURN your form to e1ther of these addresses Send completed form to the Government IssUing Contracting Officer for the ContracVPR No. listed 1n Block E ;

A. CONTRACT LINE ITEM NO. ,B. EXHIBIT , C. CATEGORY:

TOP TM OTHER

D. SYSTEM I ITEM

RanQe Support Services I

E. CONTRACT I PR NO. IF. CONTRACTOR

N00421-11 -R-0066

1 DATA ITEM NO 2 TITLE OF DATA ITEM 3 SUBTITLE

Vessel Inspection and Repairs Needed Rpt A01 0 Marine Surveyor Report

4 AUTHORITY (Data AcqUisition Document No.) 15 CONTRACT REFERENCE

CDRL A010 ATR-DID j SOW Section 3.2.6.3

6 REQUIRING OFFICE

ATR Air 5.2.0 '

7 DO 250 REO 9 DIST STATEMENT 10 FREQUENCY 12 DATE OF FIRST SUBMISSION

REQUIRED

14 DISTRIBUTION

No Annually 30 days DAC b COPIES

8 APP CODE 11 AS OF DATE 13 DATE OF SUBSEQUENT SUBMISSION a ADDRESSEE Final

N/A SeBiock 16 Draft Reg Repro !

16 REMARKS '

By October 31 of each new fiscal year. Bldg 21 18 1 0 All submissions will be via electron ic media '

15 TOTAL 1 0

1 DATA ITEM NO 2 TITLE OF DATA ITEM 3 SUBTITLE

' A011 HAZMAT Inventory Report

4 AUTHORITY (Data AcqUISition Document No) 15 CONTRACT REFERENCE

DI-MISC-81397 I SOW Section 3.3.6.1

6 REQUIRING OFFICE

ATR Air 5.2.0

' 7 DO 250 REQ 9 DIST STATEMENT 10 FREQUENCY 12 DATE OF FIRST SUBMISSION

RFOtiiRFD

14 DISTRIBUTION

No Annually 30 days DAC b COPIES

8 APP CODE 11 ASOFDATE 13 DATE OF SUBSEQUENT SUBMISSION a ADDRESSEE Final

N/A Draft Reg Repro !

16 REMARKS

All submissions will be via electronic media Bldg 2118 1 0

15 TOTAL 0

1 DATA ITEM NO 2 TITLE OF DATA ITEM 3 SUBTITLE

NPSC Certification AO 12 Non-Personal Service Certification

4 AUTHORITY (Data AcqUisition Document No) 15 CONTRACT REFERENCE

I Sec: H - Contractor Gov lnterf

6 REQUIRING OFFICE

NAVAIR Contracts Dept

7 DO 250 REO 9 DIST STATEMENT 10 FREQUENCY 12 DATE OF FIRST SUBMISSION

REQUIRED

14 DISTRIBUTION

No Yearly TBD N/A b COPIES

8 APP CODE 11 AS OF DATE 13 DATE OF SUBSEQUENT SUBMISSION a ADDRESSEE Final

See Blk 16 See Blk 16 Draft Reg Repro !

16 REMARKS

Block 12, 13 - 1st report due 7 days post receipt of letter of Gov intent to exercise AIR 2.5.1.7 1 0 additional option period of performance

15 TOTAL ~ 1 0

f3 PREPARED BY r DATE 1 APPROVED BY p DATE

I 09/26/2012 pregory P Havens ,(!.(:: /lt:P ~-- ./ 1 o9/26/2012 1 4 .t >flt>1 fl.~ DD Form 1423, Jun 90 1161/183

Previous editions are obsolete Page ~of jlPages

17 PRICE GROUP

18 ESTIMATED

TOTAL PRICE

17. PRICE GROUP

18 ESTIMATED

TOTAL PRICE

17 PRICE GROUP

18 ESTIMATED

TOTAL PRICE

INSTRUCTIONS FOR COMPLETING DO FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A.. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TOP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning ," "Configuration Management," etc.

Item D: Enter name of system/item being acquired that data will support.

Item E.. Self-explanatory (to be filled in after contract award) .

Item F. Self-explanatory (to be filled in after contract award) .

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of ODRL approval authority.

Item J . Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in ltem4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number) .

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11 . Specify as-of-date of data item, when applicable.

Item 12. Specify when first submittal is required .

Item 13. Specify when subsequent submittals are required , when applicable.

Item 14. Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through

15. Examples are: Tailoring of documents cited in Item 4;

Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production , development, testing , and administration) but which is required by DD Form 1423.

Estimated price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation , control , or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group Ill. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirement with regard to the depth of content, format, frequency of submittal , preparation , control , and quality of the data item.

Estimated Price - Costs to be included under Group Ill are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of the normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost..

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data. These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.