J-16_CDRL_A030_Weight_and_Stability_Rprt.pdf

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USS SAMPSON 8C1 DSRA Federal contract opportunity
Solicitation number
N4523A-18-R-0550
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Department of the Navy Naval Sea Systems Command

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Text version

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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:

TDP ________ TM _______ OTHER

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

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages lorraine.henry Highlight lorraine.henry Highlight

1_DATA_ITEM_NO: A030
2_TITLE_OF_DATA_ITEM: WEIGHT AND STABILITY REPORTS FOR IN-SERVICE SURFACE SHIPS
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-SESS-81404A
5_CONTRACT_REFERENCE: SOW para. 1.0
6_REQUIRING_OFFICE: PSNS&IMF, C/451
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: D(SEE BLK 16)
10_FREQUENCY: ASREQ
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: SEE BLK16
13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16
addressee1: PSNS&IMF, C/451
draft1: 0
reg1: 1
repro1: 0
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16_REMARKS: BLOCK 9: “DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational use (July 2017). Other requests shall be referred to PSNS&IMF, C/451, Everett, WA 98207

BLOCK 10 and 12: Submit report no later than 4 days after completion of each applicable Work Item.

BLOCK 13: Subsequent submissions shall be progressive as Work Items are completed.

BLOCK 14: Media requirement. The report shall be delivered electronically to the Navy Maintenance Database (NMD) as specified in the Contract..

17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
G_PREPARED_BY:
H_DATE: 7/28/2017
1_APPROVED_BY:
J_DATE: 7/28/2017
Page: 1
reg38t: 1
A_CONTRACT_LINE_ITEM_NO: CLIN 0001
B_EXHIBIT: A
TDP:
TM:
OTHER: Systems Engineering Standards
DSYSTEMITEM: SUPPLIES/SERVICES
E_CONTRACTPR_NO: N4523A-18-R-0550
FCONTRACTOR: TBD
of_pages: 1
Reset:
2017-07-28T12:52:10-0700
BRUNS.MARVIN.M.1231770042
2017-07-28T13:04:38-0700
TIEMEYER.JOHN.DAVID.1044537105

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