CDRL's_New_TWT_5_24_13.docx

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Q Band Travelling Wave Tube Amplifier Module (Sole Source)
Solicitation number
N66604-14-R-0044
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Submarine High Data Rate (HDR) Q Band TWT Amplifier Module Production Efforts Contract Data Requirements List (CDRL)

In support of:

CLIN
DESCRIPTION
0001
Support for CLIN 0001 (SubHDR Q Band TWT Amplifier Module TI&E)
0002
Support for CLIN 0002 (SubHDR Q Band TWT Amplifier Module Fabrication)

CDRL INDEX

Submarine High Data Rate Q Band TWT Amplifier Module Fabrication/TI&E

EXHIBIT “C”

CDRL Number
SOW Para
Title
DID
A001
3.1
TI&E Reports
DI-MISC-80508B
A001
3.2
Fabrication Status Report
DI-MISC-80508B

Unless otherwise defined all days are considered calendar days.

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 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 NO.
C. CATEGORY:
A
TDP__ ___ TM _____ OTHER X
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
Submarine HDR
N66604-XXXX-XXXX
L3
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
17. PRICE GROUP
A001
Technical Report-Study/Services
TI&E Reports
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
16. ESTIMATED
DI-MISC-80508B
SOW PARA. 3.1
NUWC/NPT, Code 3433
TOTAL PRICE
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

LT

ASREQ/R
See Block 16

b. COPIES

8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
Draft
Final

A

N/A
N/A
Reg
Repro

16. REMARKS

NUWCDIVNPT

.
K. Fonseca Code 3411
0
1
0
Blk.9: See Attachment 1 to Exhibit A
NESP data Center
0
1
0

Blk.10: Twelve (12) submission are anticipated per year

Blk: 12: TI&E Reports shall be submitted five (5) working days after completion of the

TI&E activity on a unit or units. Reports shall be provided in electronic format via e-mail

15. TOTAL
0
2
0
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

Fabrication Status Report

17. PRICE GROUP

A002
Technical Report-Study/Services
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
16. ESTIMATED
DI-MISC-80508B
SOW PARA 3.2
NUWC/NPT, Code 3433
TOTAL PRICE
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

LT

ASREQ/R
See Block 16

b. COPIES

8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
Draft
Final

A

N/A
N/A
Reg
Repro

NUWC/NPT

K. Fonseca Code 3411
0
1
0

16. REMARKS

Blk 9: See Attachment 1 to Exhibit A.
NESP Data center
0
1
0

Blk 10: Twelve (12) submission are anticipated per year

Blk12: Reports shall be submitted no later than 15 working days after government acceptance of the repaired unit and shall provide detailed information relative to the repair actives performed, updated Serial Assembly Records, and Test data. Reports shall be provided in electronic format via e-mail

15. TOTAL
0
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
C. Flynn, Code 3433
2/14/13
Data Manager
DD FORM 1423-2, JUN 90
Previous editions are obsolete
Page 1 of 4 Pages

ATTACHMENT 1 TO EXHIBIT C

ADDITIONAL CONTRACT DATA REQUIREMENTS INFORMATION

BLOCK 14 ADDRESSEE LIST

DD Form 1423 (CDRL) Block 14 Entry
Complete Address
NUWCDIVNPT 3433
Commanding Officer

Naval Undersea Warfare Center Division, Newport, RI 02841-1708 Attn: Code 3433

NUWCDIVNPT 3433
Commanding Officer

Naval Undersea Warfare Center Division, Newport, RI 02841-1708 Attn: Code 3433 , . XXXXXX

CERTIFYING ACTIVITY Code 962

Defense Contract Management (DCM)
To be determined at contract award

BLOCK 16 ADDENDUM

Block 9: The following information is specifically included in amplification of the Block 9 Distribution Statement selected:

Distribution Statement paragraphs is in addition to CLASSIFICATION markings of the data.

Distribution Statement D. Distribution authorized to US Government agencies only; Critical Technology;_ (Date: Date Generated)_. Other requests for this document shall be referred to NUWCDIVNPT Code 3492 or higher DoD authority.

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 provision of DoD Directive 5230.25.

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