CDRL_E001_FCP_DesignAnalysisV0_CDM_Cert_062416.doc

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Force Calibration Press
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N64267-16-R-0113
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CDRL E001 FCP Design Analysis

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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:
TBD
E
TDP________
TM _______
OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
Force Calibration Press
N64267-16-R-XXXX
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

E001
SUBSYSTEM DESIGN ANALYSIS REPORT
Design Analysis Report

II

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

18. ESTIMATED

DI-SESS-80567B

(See Block 16) SOW Paragraph: 4.9 (See Block 16)

NAVAIRLKE 41L400B

TOTAL PRICE

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

LT

(See Block 16)

(See Block 16)

C

30DAC

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

Final

A

N/A
(See Block 16)
Draft
Reg.
Repro
16. REMARKS
Pat Brannick 41L400B
1
1
0

Block 4/5: DI-SESS-80567B shall be used as guidance and is provided as reference. Calibration Standards Specification (CSS) 06-2175, 24 February 2016, paragraph 3.9.1.2 and SOW specification paragraph 4.9 are mandatory to this requirement and are provided for reference.

Block 8: Design Analysis Report (CDRL E001 subtitle) for the Force Calibration Press system requires government approval. Submit draft for approval no later than 30 days after contract award. Government will approve/disapprove within 15 days after receipt. Submit final copy 30 days after receipt of Government approval of the draft.

Block 9: DISTRIBUTION STATEMENT “C” will be added. DISTRIBUTION STATEMENT C: DISTRIBUTION AUTHORIZED TO U. S. GOVERNMENT AGENCIES AND THEIR CONTRACTORS TO PROTECT PUBLICATIONS REQUIRED FOR OFFICIAL USE OR FOR ADMINISTRATIVE OR OPERATIONAL PURPOSES ONLY. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO MEASUREMENT SCIENCE DIRECTORATE, NAVAL SURFACE WARFARE CENTER, CORONA DIVISION, P.O. BOX 5000, CORONA.

Block 10/13: Frequency and subsequent submissions shall be NLT 30 days prior to initial operating capability (IOC) of system procured on first delivery order.

Block 12: First submission shall be NLT 30 days after contract award.

Block 14: Submission in contractor format is acceptable. Electronic format is preferred if in a widely available commercial document format such as MS-Excel or MS Word. Electronic submission of data is also accepted on CD-ROM. Quantity and copies shall be provided IAW CDRL distribution (Block 14). Addressee's POC information provided on CDRL supplemental page 2.

Jeff Trajano MS 33
1
1
0
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
P. Brannick, NAVAIRLKE 4.1.12.4
05/23/2016
//s//K. Bergland, NSWC Corona Div MSD CDM
06/24/2016

DD Form 1423-1 JUN 90 Previous editions are obsolete.

Page 1 of 2 Pages DD FORM 1423 (CDRL) Supplemental

BLOCK 14 ENTRY COMPLETE ADDRESS

Patrick Brannick, patrick.brannick@navy.mil

NAWCAD 4.1.12.4

JB MDL

Highway 547, Building 120-3, Rm. 269

Lakehurst, NJ 08733 Jefferson Trajano, NSWC, Corona MS33, jefferson.trajano@navy.mil NSWC Corona Division

MS Department (Attn: Jefferson Trajano, MS33)

PO Box 5000

Corona CA 92878-5000

Page 2 of 2 Pages

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