A031_CDRL__Weld_Qualification_and_Training_Program-signed.pdf

CONTRACTDATAREQUIREMENTSLIST

(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 Officerforthe Contract/PRNo. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

USS MICHIGAN

E. CONTRACT/PR NO.

N4523A18R0833

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A031

2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81940

5. CONTRACT REFERENCE

SOW para C-2.0

6. REQUIRING OFFICE

PSNS&IMF, C/411

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D(SEE BLK 16)

10. FREQUENCY

CP/RQ*

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A*

11. AS OF DATE

N/A

13. DATEOF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft

Final

Reg Repro

16. REMARKS

BLOCK 8: The report shall be delivered NLT 10 work days after contract award.

Government requires 10 days to review and comment prior to initiation of production work.

Contractor has 5 days to incorporate any changes and return to Government.

BLOCK 9: “DISTRIBUTION STATEMENT D. Distribution authorized to the Department of

Defense and U.S. DoD contractors only for Administrative or Operational use (August 2016).

Other requests shall be referred to PSNS&IMF, C/411 Bremerton, WA 98314.

BLOCK 10, 12 and 13: Subsequent submissions shall be submitted for review and acceptance prior to use as changes/updates occur.

BLOCK 14: Media requirement. The report shall be delivered electronically in Adobe

Acrobat, Version DC, as an e-mail attachment to all addressees.

BLOCK 14 (a): C/411 Contracting Officer’s Representative (COR)

PSNS&IMF,C/411* 0 1 0

15. TOTAL 0 1 0

H. DATE

11/13/18

I. APPROVEDBY J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1 Adobe Professional 8.0

Welding Performance Qualification and Training Program

MISC

G. PREPARED BY

Anna LewisC/411 Mark Acres 174629 11/13/18