CDRL_A002_InteractiveTraining_RuggedizedConnector_CDM_Cert_060116.doc
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- Ruggedized Connectors
- Solicitation number
- N64267-17-R-0115
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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 |
| A |
| TDP________ |
| TM |
| OTHER SESS |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| FSMR26-N Input Connector Replacement |
| N64267-16-R-XXX |
| Rohde and Schwarz USA, Inc. |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A002 |
| Instructional Media Package |
| Interactive Training Media |
II
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
DI-SESS-81526C
(See Block 16) SOW Paragraph 4.7 (See Block 16)
NAVAIRLKE 41L400B
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| DD |
| C |
(See Block 16)
| (See Block 16) |
| (See Block 16) |
| (See Block 16) |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
Final
N/A
| N/A |
| (See Block 16) |
| Draft |
| Reg. |
| Repro |
| 16. REMARKS |
| With each unit shipped |
| 0 |
| 1 |
| 0 |
Block 4/5: DI-SESS-81526C and SOW paragraph 4.7 shall be used as guidance and are provided for reference. Requirement items listed in DI-SESS-81526C that are not relevant to this procurement need not be included in the format.
Block 9: DISTRIBUTION STATEMENT “C” shall 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: Frequency of submissions of Interactive Training Media (CDRL A002 subtitle) shall be provided in accordance with (IAW) each new ruggedized 3.5 mm input connector installed on an FSMR26-N that is shipped.
Block 12: First submission shall be provided IAW the first unit shipped.
Block 13: Date of subsequent submissions shall be provided IAW every new ruggedized 3.5 mm input connector installed on each FSMR26-N that is shipped.
Block 14: Submission in contractor format is acceptable. Electronic format is required in a widely available commercial media format. Quantity and copies shall be provided IAW CDRL A002 distribution (Block 14). Qty. (1) Interactive Training Media shall be shipped with each unit to the “ship to” address specified in each order.
Block 16: The US Government reserves all data rights included in DFARS SUBPART 227.71-Rights in Technical data, for the posting of technical manual and related information in total or in part, to limited access websites for use by US Government personnel and US Government Support Contractors for the purposes of operation and/or maintenance of the FSMR26-N.
| 15. TOTAL |
| 0 |
| 1 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| P. Brannick, NAVAIRLKE 41L4 |
| 04 May 2016 |
| //s//K. Bergland, NSWC Corona Div MSD CDM |
| 06/01/2016 |
DD Form 1423-1 JUN 90 Previous editions are obsolete.
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