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CONTRACT DATA REQUIREMENTS LIST (CDRL)
(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 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 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
a. ADDRESSEE
b. COPIES
8. APP CODE
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final
Reg Repro
16. REMARKS
15. TOTAL ▬▬▬▬►
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages
A CONTRACT LINE ITEM NO: 0001
B EXHIBIT: A
D SYSTEMITEM: ORTS DISPLAY CONSOLE DTS-4
E CONTRACTPR NO: PR 1300499810
F CONTRACTOR: TBD
1 DATA ITEM NO: A001
2 TITLE OF DATA ITEM: Test Plan
3 SUBTITLE: Environmental Test Plan
17 PRICE GROUP: N/A
4 AUTHORITY Data Acquisition Document No: DI-NDTI-80566A
5 CONTRACT REFERENCE: SOW Para 3.6.1
6 REQUIRING OFFICE: NSWC PHD Code A43
7 DD 250 REQ: LT
8 APP CODE: A (See BLK 16)
9 DIST STATEMENT REQUIRED: D (See BLK 16)
10 FREQUENCY: See BLK 16
12 DATE OF FIRST SUBMISSION: 90 DAC
11 AS OF DATE: N/A
H DATE: March 24, 2016 a ADDRESSEE16 REMARKS: NSWC PHD COR
Draft16 REMARKS: 1
Reg16 REMARKS: 1
Repro16 REMARKS:
a ADDRESSEE16 REMARKS_2: See BLK 16
Draft16 REMARKS_2:
Reg16 REMARKS_2:
Repro16 REMARKS_2:
a ADDRESSEE16 REMARKS_3:
Draft16 REMARKS_3:
Reg16 REMARKS_3:
Repro16 REMARKS_3:
a ADDRESSEE16 REMARKS_4:
Draft16 REMARKS_4:
Reg16 REMARKS_4:
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a ADDRESSEE16 REMARKS_5:
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Draft16 REMARKS_6:
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Draft15 TOTAL: 1
Reg15 TOTAL: 1
J DATE: 3/24/16
18 ESTIMATED TOTAL PRICE: NSP
Repro15 TOTAL:
Pages: 6
Page: 1
2016-03-24T13:00:59-0700
KOHLER.STEVEN.ANDRE.1231448671
2016-03-24T13:33:45-0700
PERKINS.STEPHEN.RICHARD.1210044805
13 DATE IF SUBSEQUENT SUBM: See BLK 16
Remarks: BLK 8 and 13: Government will have 10 working days to review/redline draft to ensure compliance with SOW Para 3.6.1. Contractor shall have 10 working days to incorporate changes. Government will have 10 working days to approve final plan.
BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to DOD and U. S. DOD contractors only; administrative or operational use; July 2015. Other requests for this document shall be referred to Port Hueneme Division Naval Surface Warfare Center, Code A41.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 -19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON COMPLETION OF THE CONTRACT, PURCHASE ORDER, ETC., USE OF GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS FORBIDDEN.
BLK 10: ASREQ - Contractor shall submit final Environmental Test Plan 10 business days prior to test event.
BLK 14: Media and Format: - The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be provided as an electronic mail attachment. If for any reason contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or DVD-ROM.
C CATEGORY TDP TM OTHER: NDTI
TM:
TDP:
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.
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
A CONTRACT LINE ITEM NO: 0001
B EXHIBIT: A
D SYSTEMITEM: ORTS DISPLAY CONSOLE DTS-4
E CONTRACTPR NO: PR 1300499810
F CONTRACTOR: TBD
1 DATA ITEM NO: A002
2 TITLE OF DATA ITEM: Technical Report - Study/Services
3 SUBTITLE: Environmental Test Report
17 PRICE GROUP: N/A
4 AUTHORITY Data Acquisition Document No: DI-MISC-80508B (See BLK 16)
5 CONTRACT REFERENCE: SOW Para 3.6.1
6 REQUIRING OFFICE: NSWC PHD Code A43
7 DD 250 REQ: LT
8 APP CODE: A (See BLK 16)
9 DIST STATEMENT REQUIRED: D (See BLK 16)
10 FREQUENCY: ONE/R
12 DATE OF FIRST SUBMISSION: See BLK 16
11 AS OF DATE: N/A
H DATE: March 24, 2016 a ADDRESSEE16 REMARKS: NSWC PHD COR
Draft16 REMARKS: 1
Reg16 REMARKS: 1
Repro16 REMARKS:
a ADDRESSEE16 REMARKS_2: See BLK 16
Draft16 REMARKS_2:
Reg16 REMARKS_2:
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Draft15 TOTAL: 1
Reg15 TOTAL: 1
J DATE: 3/24/16
18 ESTIMATED TOTAL PRICE: NSP
Repro15 TOTAL:
Pages: 6
Page: 2
2016-03-24T13:00:10-0700
KOHLER.STEVEN.ANDRE.1231448671
2016-03-24T13:37:46-0700
PERKINS.STEPHEN.RICHARD.1210044805
13 DATE IF SUBSEQUENT SUBM: See BLK 16
Remarks:
BLK 4: Paragraphs 2 and 3 do not apply. Contractor format is acceptable.
BLK 8 and 13: Government will have 10 working days to review/redline draft to ensure compliance with SOW Para 3.6.1. Contractor shall have 10 working days to incorporate changes. Government will have 10 working days to approve final report.
BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to DOD and U. S. DOD contractors only; administrative or operational use; July 2015. Other requests for this document shall be referred to Port Hueneme Division Naval Surface Warfare Center, Code A41.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 -19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON COMPLETION OF THE CONTRACT, PURCHASE ORDER, ETC., USE OF GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS FORBIDDEN.
BLK 12: Environmental Test Report shall be provided NLT 30 working days after successful completion of environmental test events.
BLK 14: Media and Format: - The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be provided as an electronic mail attachment. If for any reason contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or DVD-ROM.
C CATEGORY TDP TM OTHER: MISC
TM:
TDP:
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.
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
A CONTRACT LINE ITEM NO: 0001
B EXHIBIT: A
D SYSTEMITEM: ORTS DISPLAY CONSOLE DTS-4
E CONTRACTPR NO: PR 1300499810
F CONTRACTOR: TBD
1 DATA ITEM NO: A003
2 TITLE OF DATA ITEM: High-Impact Shock Test Procedures
3 SUBTITLE: High-Impact Shock Test Plan
17 PRICE GROUP: N/A
4 AUTHORITY Data Acquisition Document No: DI-ENVR-80709
5 CONTRACT REFERENCE: SOW Para 3.6.3
6 REQUIRING OFFICE: NSWC PHD Code A43
7 DD 250 REQ: LT
8 APP CODE: A (See BLK 16)
9 DIST STATEMENT REQUIRED: D (See BLK 16)
10 FREQUENCY: See BLK 16
12 DATE OF FIRST SUBMISSION: 90 DAC
11 AS OF DATE: N/A
H DATE: March 24, 2016 a ADDRESSEE16 REMARKS: NSWC PHD COR
Draft16 REMARKS: 1
Reg16 REMARKS: 1
Repro16 REMARKS:
a ADDRESSEE16 REMARKS_2: See BLK 16
Draft16 REMARKS_2:
Reg16 REMARKS_2:
Repro16 REMARKS_2:
a ADDRESSEE16 REMARKS_3:
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Draft15 TOTAL: 1
Reg15 TOTAL: 1
J DATE: 3/24/16
18 ESTIMATED TOTAL PRICE: NSP
Repro15 TOTAL:
Pages: 6
Page: 3
2016-03-24T13:02:59-0700
KOHLER.STEVEN.ANDRE.1231448671
2016-03-24T13:40:15-0700
PERKINS.STEPHEN.RICHARD.1210044805
13 DATE IF SUBSEQUENT SUBM: See BLK 16
Remarks:
BLK 8 and 13: Government will have 10 working days to review/redline draft to ensure compliance with MIL-S-901D. Contractor shall have 10 working days to incorporate changes. Government will have 10 working days to approve final plan.
BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to DOD and U. S. DOD contractors only; administrative or operational use; July 2015. Other requests for this document shall be referred to Port Hueneme Division Naval Surface Warfare Center, Code A41.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 -19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON COMPLETION OF THE CONTRACT, PURCHASE ORDER, ETC., USE OF GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS FORBIDDEN.
BLK 10: ASREQ - Contractor shall submit final High-Impact Shock Test Plan 10 business days prior to test event.
BLK 14: Media and Format: - The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be provided as an electronic mail attachment. If for any reason contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or DVD-ROM.
C CATEGORY TDP TM OTHER: ENVR
TM:
TDP:
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.
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
A CONTRACT LINE ITEM NO: 0001
B EXHIBIT: A
D SYSTEMITEM: ORTS DISPLAY CONSOLE DTS-4
E CONTRACTPR NO: PR 1300499810
F CONTRACTOR: TBD
1 DATA ITEM NO: A004
2 TITLE OF DATA ITEM: Shock Test Report
3 SUBTITLE: High-Impact Shock Test Report
17 PRICE GROUP: N/A
4 AUTHORITY Data Acquisition Document No: DI-ENVR-80708
5 CONTRACT REFERENCE: SOW Para 3.6.3
6 REQUIRING OFFICE: NSWC PHD Code A43
7 DD 250 REQ: LT
8 APP CODE: A (See BLK 16)
9 DIST STATEMENT REQUIRED: D (See BLK 16)
10 FREQUENCY: ONE/R
12 DATE OF FIRST SUBMISSION: See BLK 16
11 AS OF DATE: N/A
H DATE: March 24, 2016 a ADDRESSEE16 REMARKS: NSWC PHD COR
Draft16 REMARKS: 1
Reg16 REMARKS: 1
Repro16 REMARKS:
a ADDRESSEE16 REMARKS_2: See BLK 16
Draft16 REMARKS_2:
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a ADDRESSEE16 REMARKS_3:
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Draft15 TOTAL: 1
Reg15 TOTAL: 1
J DATE: 3/24/16
18 ESTIMATED TOTAL PRICE: NSP
Repro15 TOTAL:
Pages: 6
Page: 4
2016-03-24T13:05:29-0700
KOHLER.STEVEN.ANDRE.1231448671
2016-03-24T13:42:59-0700
PERKINS.STEPHEN.RICHARD.1210044805
13 DATE IF SUBSEQUENT SUBM: See BLK 16
Remarks:
BLK 8 and 13: Government will have 10 working days to review/redline draft to ensure compliance with MIL-S-901D. Contractor shall have 10 working days to incorporate changes. Government will have 10 working days to approve final report.
BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to DOD and U. S. DOD contractors only; administrative or operational use; July 2015. Other requests for this document shall be referred to Port Hueneme Division Naval Surface Warfare Center, Code A41.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 -19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON COMPLETION OF THE CONTRACT, PURCHASE ORDER, ETC., USE OF GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS FORBIDDEN.
BLK 12: High-Impact Shock Test Report shall be provided NLT 30 working days after successful completion of high-impact shock test event.
BLK 14: Media and Format: - The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be provided as an electronic mail attachment. If for any reason contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or DVD-ROM.
C CATEGORY TDP TM OTHER: ENVR
TM:
TDP:
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.
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
A CONTRACT LINE ITEM NO: 0001
B EXHIBIT: A
D SYSTEMITEM: ORTS DISPLAY CONSOLE DTS-4
E CONTRACTPR NO: PR 1300499810
F CONTRACTOR: TBD
1 DATA ITEM NO: A005
2 TITLE OF DATA ITEM: Mechanical Vibrations of Shipboard Equipment Measurement Test Data
3 SUBTITLE: Mechanical Vibration Test Plan
17 PRICE GROUP: N/A
4 AUTHORITY Data Acquisition Document No: DI-ENVR-81647
5 CONTRACT REFERENCE: SOW Para 3.6.2
6 REQUIRING OFFICE: NSWC PHD Code A43
7 DD 250 REQ: LT
8 APP CODE: A (See BLK 16)
9 DIST STATEMENT REQUIRED: D (See BLK 16)
10 FREQUENCY: See BLK 16
12 DATE OF FIRST SUBMISSION: 90 DAC
11 AS OF DATE: N/A
H DATE: March 24, 2016 a ADDRESSEE16 REMARKS: NSWC PHD COR
Draft16 REMARKS: 1
Reg16 REMARKS: 1
Repro16 REMARKS:
a ADDRESSEE16 REMARKS_2: See BLK 16
Draft16 REMARKS_2:
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a ADDRESSEE16 REMARKS_3:
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Draft15 TOTAL: 1
Reg15 TOTAL: 1
J DATE: 3/24/16
18 ESTIMATED TOTAL PRICE: NSP
Repro15 TOTAL:
Pages: 6
Page: 5
2016-03-24T13:07:38-0700
KOHLER.STEVEN.ANDRE.1231448671
2016-03-24T13:45:23-0700
PERKINS.STEPHEN.RICHARD.1210044805
13 DATE IF SUBSEQUENT SUBM: See BLK 16
Remarks:
BLK 8 and 13: Government will have 10 working days to review/redline draft to ensure compliance with MIL-STD-810F. Contractor shall have 10 working days to incorporate changes. Government will have 10 working days to approve final plan.
BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to DOD and U. S. DOD contractors only; administrative or operational use; July 2015. Other requests for this document shall be referred to Port Hueneme Division Naval Surface Warfare Center, Code A41.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 -19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON COMPLETION OF THE CONTRACT, PURCHASE ORDER, ETC., USE OF GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS FORBIDDEN.
BLK 10: ASREQ - Mechanical Vibration Test Plan shall be provided 10 working days prior to test event.
BLK 14: Media and Format: - The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be provided as an electronic mail attachment. If for any reason contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or DVD-ROM.
C CATEGORY TDP TM OTHER: ENVR
TM:
TDP:
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.
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
A CONTRACT LINE ITEM NO: 0001
B EXHIBIT: A
D SYSTEMITEM: ORTS DISPLAY CONSOLE DTS-4
E CONTRACTPR NO: PR 1300499810
F CONTRACTOR: TBD
1 DATA ITEM NO: A006
2 TITLE OF DATA ITEM: Mechanical Vibrations of Shipboard Equipment Measurement Test Data
3 SUBTITLE: Mechanical Vibration Test Report
17 PRICE GROUP: N/A
4 AUTHORITY Data Acquisition Document No: DI-ENVR-81647
5 CONTRACT REFERENCE: SOW Para 3.6.2
6 REQUIRING OFFICE: NSWC PHD Code A43
7 DD 250 REQ: LT
8 APP CODE: A (See BLK 16)
9 DIST STATEMENT REQUIRED: D (See BLK 16)
10 FREQUENCY: ONE/R
12 DATE OF FIRST SUBMISSION: See BLK 16
11 AS OF DATE: N/A
H DATE: March 24, 2016 a ADDRESSEE16 REMARKS: NSWC PHD COR
Draft16 REMARKS: 1
Reg16 REMARKS: 1
Repro16 REMARKS:
a ADDRESSEE16 REMARKS_2: See BLK 16
Draft16 REMARKS_2:
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a ADDRESSEE16 REMARKS_3:
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Draft15 TOTAL: 1
Reg15 TOTAL: 1
J DATE: 3/24/16
18 ESTIMATED TOTAL PRICE: NSP
Repro15 TOTAL:
Pages: 6
Page: 6
2016-03-24T13:09:18-0700
KOHLER.STEVEN.ANDRE.1231448671
2016-03-24T13:47:03-0700
PERKINS.STEPHEN.RICHARD.1210044805
13 DATE IF SUBSEQUENT SUBM: See BLK 16
Remarks:
BLK 8 and 13: Government will have 10 working days to review/redline draft to ensure compliance with MIL-STD-810F. Contractor shall have 10 working days to incorporate changes. Government will have 10 working days to approve final report.
BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to DOD and U. S. DOD contractors only; administrative or operational use; July 2015. Other requests for this document shall be referred to Port Hueneme Division Naval Surface Warfare Center, Code A41.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE - For classified documents, follow the procedures in DoD 5220.22-M, Industrial Security Manual, Section 11 -19 or DoD 5200.1-R, Information Security Program Regulation, Chapter IX. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
GOVERNMENT DOCUMENTATION SHALL BE DESTROYED UPON COMPLETION OF THE CONTRACT, PURCHASE ORDER, ETC., USE OF GOVERNMENT DOCUMENTATION FOR COMMERCIAL PURPOSES IS FORBIDDEN.
BLK 12: Mechanical Vibration Test Report shall be provided NLT 30 working days after successful completion of mechanical vibration test event.
BLK 14: Media and Format: - The deliverable shall be created using the latest NMCI compatible version of Microsoft Office. Deliverable shall be provided as an electronic mail attachment. If for any reason contractor determines the deliverable cannot be provided via electronic mail, the deliverable shall be provided on CD-ROM or DVD-ROM.
C CATEGORY TDP TM OTHER: ENVR
TM:
TDP:
File details come from the government source that posted it. Updated .