CDRLs Catapult No 4 Air Flask Recert 01_13_2022.pdf

CONTRACT DATA REQUIREMENTS LIST (CDRL)

CONTRACT/PR N0. N42158-21-TBD

DWIGHT D. EISENHOWER (CVN-69)

CATAPULT #4 INTERIOR FLASK CLEANING & PRESERVATION

DD FORM 1423-1, Rev B. Dated APR 2017 PAGE 1 OF 4 PAGES

Contract Data Requirements List (CDRL) Table of Contents

ITEM SUBTITLE

A001 CONDITION FOUND REPORT

A002

DEVIATION OR WAIVER REQUEST

A003 TEST/ INSPECTION REPORT

DWIGHT D. EISENHOWER (CVN-69)

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Rev 0 (3-23-21) DD FORM 1423-1, Rev B. Dated APR 2017 PAGE _ OF 4

CONTRACT DATA REQUIREMENTS LIST

(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

A

C. CATEGORY

TDP TM OTHER MGMT 1

D. SYSTEM/ITEM

CVN 69 - CAT #4 INTERIOR FLASK

CLEANING & PRESERVATION

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO

A001

2. TITLE OF DATA ITEM

CONDITION FOUND REPORT

3. SUBTITLE

CONDITION FOUND REPORT

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-81648 (SEE BLK 16)

5. CONTRACT REFERENCE

SOW, PARA 3.3

6. REQUIRING OFFICE

NNSY TBD

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D (SEE BLK 16)

10. FREQUENCY

ASREQ (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

(SEE BLK 16)

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (6 FEBRUARY 2018). OTHER REQUESTS SHALL BE REFERRED TO

POC AT NORFOLK NAVAL SHIPYARD, PORTSMOUTH, VA.

BLK 10, 12, & 13: REPORT SHALL BE SUBMITTED IAW NAVSEA STANDARD ITEM 009-

09, PARA 3.1

BLK 14: DATA SUBMISSION SHALL BE SUBMITTED TO ALL POCs VIA EMAIL IN A

DOWNLOADABLE MICROSOFT OFFICE ACCEPTABLE FORMAT THAT WILL BE WRITE-

PROTECTED OR PDF FORMAT. THE CONTRACTOR SHALL CALL THE APPROPRIATE

GOVERNMENT ORGANIZATIONAL ENTITIES TO ENSURE RECEIPT OF THE REPORT.

POCs:

NNSY: TO BE DETERMINED

NNSY TBD 0 1 0

15. TOTAL 0 1 0

17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE

DWIGHT D. EISENHOWER (CVN-69)

CONTRACT DATA REQUIREMENTS LIST

(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

A

C. CATEGORY

TDP TM OTHER MGMT 1

D. SYSTEM/ITEM

CVN 69 - CAT #4 INTERIOR FLASK

CLEANING & PRESERVATION

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO

A002

2. TITLE OF DATA ITEM

REQUEST FOR TECHNICAL DEVIATION OF SHIPYARD

STANDARD WORK ITEMS REQUIREMENT(S)

3. SUBTITLE

DEVIATION OR WAIVER REQUEST

DI-MGMT-82051 (SEE BLK 16)

SOW, PARA 3.6

6. REQUIRING OFFICE

NNSY TBD

7. DD 250 REQ

LT

ASREQ (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (6 FEBRUARY 2018). OTHER REQUESTS SHALL BE REFERRED TO

POC AT NORFOLK NAVAL SHIPYARD, PORTSMOUTH, VA.

BLK 10, 12, & 13: REPORT SHALL BE SUBMITTED WITHIN 1 BUSINESS DAYS OF

DISCOVERY OF DEVIATION OR WAIVER REQUIREMENT.

BLK 14: DATA SUBMISSION SHALL BE SUBMITTED TO ALL POCs VIA EMAIL IN A

DOWNLOADABLE MICROSOFT OFFICE ACCEPTABLE FORMAT THAT WILL BE WRITE-

PROTECTED OR PDF FORMAT. THE CONTRACTOR SHALL CALL THE APPROPRIATE

GOVERNMENT ORGANIZATIONAL ENTITIES TO ENSURE RECEIPT OF THE REPORT.

GROUP

DWIGHT D. EISENHOWER (CVN-69)

CONTRACT DATA REQUIREMENTS LIST

(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

A

C. CATEGORY

TDP TM OTHER NDTI 1

D. SYSTEM/ITEM

CVN 69 - CAT #4 INTERIOR FLASK

CLEANING & PRESERVATION

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO

A003

2. TITLE OF DATA ITEM

TEST/ INSPECTION REPORT

3. SUBTITLE

INSPECTION REPORT

DI-NDTI-80809B (SEE BLK 16)

SOW, PARA 3.9.2

6. REQUIRING OFFICE

NNSY TBD

7. DD 250 REQ

LT

ASREQ (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

SEE BLK 16

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: TAILOR DID AS FOLLOWS: OMIT DID PARA 10.2.4 THROUGH 10.2.4.d AND

PARA 10.2.6.6 THROUGH 10.2.7.3.

BLK 9: DISTRIBUTION STATEMENT D DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (6 FEBRUARY 2018). OTHER REQUESTS SHALL BE REFERRED TO

POC AT NORFOLK NAVAL SHIPYARD, PORTSMOUTH, VA.

BLKS 10, 12, & 13: REPORT SHALL BE SUBMITTED WITHIN 3 BUSINESS DAYS OF

COMPLETION OF RELATED WORK.

BLK 14: DATA SUBMISSION SHALL BE SUBMITTED TO ALL POCs VIA EMAIL IN A

DOWNLOADABLE MICROSOFT OFFICE ACCEPTABLE FORMAT THAT WILL BE WRITE-

PROTECTED OR PDF FORMAT. THE CONTRACTOR SHALL CALL THE APPROPRIATE

GOVERNMENT ORGANIZATIONAL ENTITIES TO ENSURE RECEIPT OF THE REPORT.

GROUP