CDRLSA001.pdf

G. PREPARED BY

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _XXXX_______________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

B. EXHIBIT

D. SYSTEM/ITEM F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

A. CONTRACT LINE ITEM NO.

CLIN 0001

OHE

A001 INITIAL CONDITION FOUND REPORT

N/A PWS 8.B

DD ASGEN

N/A

SEE BLOCK 16

N/A

N32205 (MSC N441)

OHE HELP DESK

MSC_MHEOHE@US.

NAVY.MIL

A

E. CONTRACT/PR NO.

N2360240194048

N/A

SEE BLOCK 16

An Initial Condition Found Report (CFR) filled out shall be provided to the Contracting Officer, MSC-N44 MHE/OHE Support Office and MSCREP via e-mail no later than 3 calendar days following receiving material documenting the following:

1. Discrepancies between the OHE items listed in Paragraph 7 listed on the SOW and OHE actually received, to include discrepancies in the MK, MOD, serial number and quantity of OHE received if any.

2. Pieces of OHE by NIIN, MK, MOD, MODEL, CAGE CODE, PART NUMBER and SERIAL NUMBER found satisfactory for testing.

3. Pieces of OHE by NIIN, MK, MOD, MODEL, CAGE CODE, PART NUMBER and SERIAL NUMBER found to require repairs prior to testing.

4. Pieces of OHE by NIIN, MK, MOD, MODEL, CAGE CODE, PART NUMBER and SERIAL NUMBER failing visual inspection, found to be beyond economic repair (BER) and/or requiring disposal with pictures.

5. For items 2-4 use the attached INITIAL CFR OHE DATA SHEET.

Distribution Statement not required.

Digitally signed by Dennis Lewis Date: 2024.01.19 09:16:36 -05'00' HADLEY.RICHARD.T.III.1454717569 Digitally signed by HADLEY.RICHARD.T.III.1454717569

Date: 2024.01.19 10:16:23 -05'00'