J-5_063-18_CDRLs.pdf

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SMALL BOATS REGULAR OVERHALL (34PB)
Solicitation number
N40027-18-R-0010
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J-5

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SSP:

CONTRACT DATA REQUIREMENTS LIST

Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

D. SYSTEM / ITEM

E. CONTRACT / PR NO. F. CONTRACTOR

A

Form Approved OBM No. 0704-0188

1. Data Item

1. Data Item

A0001

A0002

2. Title of Data Item

2. Title of Data Item

SI 009-04: QUALITY SYSTEM

SI 009-07: FIRE PREVENTION / HOUSEKEEPING

3. Subtitle

3. Subtitle

5. Contract Reference Section C

5. Contract Reference Section C

6. Requiring Office SUPSHIP Code

6. Requiring Office SUPSHIP Code

4. Authority (Date Acquisition Document No)

4. Authority (Date Acquisition Document No)

9. Dist Statement Required

9. Dist Statement Required

8. APP Code

8. APP Code

10. Freq.

10. Freq.

11. As Of Date

11. As Of Date

12. Date of 1st Submission

12. Date of 1st Submission

13. Date of Sub. Submission

13. Date of Sub. Submission

14. Distribution

14. Distribution

a. Addressee

a. Addressee

b. Copies

b. Copies

Final

Final

Draft

Draft

Reg

Reg

Rep

Rep

16. Remarks

16. Remarks

In accordance with Section C of the solicitation and Contractor's Written Quality System

In accordance with Section C of the solicitation and Gas Free Procedure

7. DD250 Req.

7. DD250 Req.

Supervisor

Supervisor

15. TOTAL

15. TOTAL

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

DD Form 1423-2, JUN 90

1059/183 S/N 0102-LF-010-5600

Previous editions are obsolete PAGE 1 OF

(2 Data Items)

TDP: TM: OTHER: X

SHIP REPAIR (HM&E)

Yes

Yes

As Required

As Required

As Required

As Required

End of Task Order

End of Task Order

Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government issuing

Form Approved OBM No. 0704-0188

1. Data Item

1. Data Item

A0003

A0004

2. Title of Data Item

2. Title of Data Item

009-20: GOVERNMENT PROPERTY

SI 009-39: TECHNICAL MANUAL CONTRACT REQUIREMENT (TMCR) for

NEW TECHNICAL MANUALS FOR COMMERCIAL EQUIPMENT /

COMPONENT

3. Subtitle

3. Subtitle

5. Contract Reference Section C

5. Contract Reference Section C

6. Requiring Office SUPSHIP Code

6. Requiring Office SUPSHIP Code

4. Authority (Date Acquisition Document No)

4. Authority (Date Acquisition Document No)

9. Dist Statement Required

9. Dist Statement Required

8. APP Code

8. APP Code

10. Freq.

10. Freq.

11. As Of Date

11. As Of Date

12. Date of 1st Submission

12. Date of 1st Submission

13. Date of Sub. Submission

13. Date of Sub. Submission

14. Distribution

14. Distribution

a. Addressee

a. Addressee

b. Copies

b. Copies

Final

Final

Draft

Draft

Reg

Reg

Rep

Rep

16. Remarks

16. Remarks

In accordance with Section C of the solicitation and Description of Property Control Systems.

In accordance with Section C of the solicitation and Provide new Technical Manuals for commercial equipment when specified by the work item. The number of copies (*) as specified by the Standard Item.

7. DD250 Req.

7. DD250 Req.

Supervisor

Supervisor

15. TOTAL

15. TOTAL

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

DD Form 1423-2, JUN 90

1059/183 S/N 0102-LF-010-5600

Previous editions are obsolete PAGE 2 OF

(2 Data Items)

TDP: TM: OTHER: X

SHIP REPAIR (HM&E)

Yes

Yes

As Required

As Required

As Required

As Required

End of Task Order

Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government issuing

Form Approved OBM No. 0704-0188

1. Data Item

1. Data Item

A0005

2. Title of Data Item

2. Title of Data Item

SI 009-21: LOGISTICS AND TECHNICAL DATA

3. Subtitle

3. Subtitle

5. Contract Reference Section C

5. Contract Reference Section C

6. Requiring Office SUPSHIP Code

6. Requiring Office SUPSHIP Code

4. Authority (Date Acquisition Document No)

4. Authority (Date Acquisition Document No)

9. Dist Statement Required

9. Dist Statement Required

8. APP Code

8. APP Code

10. Freq.

10. Freq.

11. As Of Date

11. As Of Date

12. Date of 1st Submission

12. Date of 1st Submission

13. Date of Sub. Submission

13. Date of Sub. Submission

14. Distribution

14. Distribution

a. Addressee

a. Addressee

b. Copies

b. Copies

Final

Final

Draft

Draft

Reg

Reg

Rep

Rep

16. Remarks

16. Remarks

In accordance with Section C of the solicitation and Provide logistic and technical data for all GFM and CFM equipment or components installed or permanently removed. Provide weight and moment changes resulting from work accomplished.

7. DD250 Req.

7. DD250 Req.

Supervisor

Supervisor

15. TOTAL

15. TOTAL

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

DD Form 1423-2, JUN 90

1059/183 S/N 0102-LF-010-5600

Previous editions are obsolete PAGE 3 OF

(2 Data Items)

TDP: TM: OTHER: X

SHIP REPAIR (HM&E)

Yes

Yes

As Required

As Required

As Required

As Required

End of Task Order

PM NAME (LAST, FIRST): Dan Undheim
USS SHIP (FFG-XX): NECC Small Boats
SERM-XXX-XX: SERM-063-18
Date: 7/2/2018
TYPE OF AVAIL (I:
E:
RAV/TAV, PMA): ROH

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