CDRLS,_DD_FORM_1423-Eng_OH.pdf

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

Form Approved OMB No. 0704-0188

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 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:

A TDP TM OTHER

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

MK 105 Turbo Engines 190217 Turbo Power

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 Test Plan

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

DI-NDTI-80566A SOW PARAGRAH 3.2 NSWC PCD CODE A22

18ESTIMATEDTOTA

L PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION LT REQUIRED 2TIMES 10 DAC b. COPIES

8. APP CODE SEE SOW 8.0 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 5 DARC Reg Repro

16. REMARKS NSWC PCD Code A22 2 2 2

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within 5 days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 12: Initial submittals are due within 10 days after completion of each test/inspection.

Blk 13: “DARC” means “Days After Receipt of Government Comments”.

Blk 14: Reproducible copy shall be submitted as Microsoft Word 2010 files via e-mail to: Leah.Dunham@navy.mil;

Angel.Sarraga@navy.mil

LT ONLY:

NSWC PCD Code 022

15. TOTAL 2 2 2

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A002 Test / Inspection Report

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

DI-NDTI-80809B SOW PARAGRAPH 3.2 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ SEE BLK 16 b. COPIES

8. APP CODE SEE SOW 8.0 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 5 DARC Reg Repro

16. REMARKS NSWC PCD Code A22 2 2 2

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within 10 days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 12: Initial submittals are due within 10 days after completion of each test/inspection.

Blk 13: “DARC” means “Days After Receipt of Government Comments”.

Blk 14: Reproducible copy shall be submitted as Microsoft Word 2010 files via e-mail to: Leah.Dunham@navy.mil;

Angel.Sarraga@navy.mil

LT ONLY:

NSWC PCD Code 022

15. TOTAL 2 2 2

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

Mark T. Gibbons, NSWC PCD Code A22 25 February 2019 Tommy Chatman 26 February 2019

DD Form 1423-2, JUN 90 Previous editions are obsolete Page 1 of 1 Pages 1161/183