PR_1300583386_Att_26_1423_1030_017F_1of2_R1_2-13-17.doc
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- N66604-16-R-2982
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Contract Data Requirements List, 1 of 2
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CONTRACT DATA REQUIREMENTS LIST
(2 Data Items) Form Approved
OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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, (0704-0188) 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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: |
| 0002 |
| A |
| TDP |
| TM |
| OTHER |
| See B-16 |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| MK 30 MOD 1 |
| 1300583386 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A001 |
| Government Furnished Material (GFM) CONSUMPTION r |
| CERTIFICATE OF SILVER |
| REPORT |
| QUANTITY |
| 4. AUTHORITY (Date Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-MGMT-80438B |
| NUWCDIVNPT |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
REQUIRED
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
| 8. APP CODE |
| B |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
a. ADDRESSEE
Final
| N/A |
| NA |
| N/A |
| Draft |
| Reg |
| Repro |
16.
REMARKS
BLOCK 9: DISTRIBUTION STATEMENT B: DISTRIBUTION TO US GOVERNMENT ONLY; CRITICAL TECHNOLOGY; DATE DATA GENERATED. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NUWCDIVNPT, CODE 8533.
BLOCKS 10, 12, 13: SUBMIT WITHIN 14 DAYS FOLLOWING DELIVERY OF EACH PRODUCTION LOT.
ESTIMATED SUBMITTALS BASED ON NUMBER OF LOTS ORDERED.
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 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 PROVISISIONS OF DOD DIRECTIVE 5230.25.
BLOCK C – CATEGORY – OTHER - MGMT
| 15. TOTAL |
| 2 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A002 |
| Test Procedure |
| PERIODIC PRODUCTION TEST |
| PROCEDURE |
| 4. AUTHORITY (Date Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
DI-NDTI-80603A
NUWCDIVNPT
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
REQUIRED
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ONE/R |
| See Block 16 |
b. COPIES
| 8. APP CODE |
| B |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
a. ADDRESSEE
Final
| A |
| NA |
| See Block 16 |
| Draft |
| Reg |
| Repro |
16.
REMARKS:
BLOCK 9: DISTRIBUTION STATEMENT B: DISTRIBUTION TO US GOVERNMENT ONLY; CRITICAL TECHNOLOGY; DATE DATA GENERATED. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NUWCDIVNPT, CODE 8533.
BLOCKS 10, 12, 13: Submit within 60 days following contract award and within 10 days following each revision of the test procedures. The Government shall approve or disapprove within 15 days of receiving the proposed changes. The contractor shall resubmit the test procedure within 10 days following receipt of Government comments.
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 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 PROVISISIONS OF DOD DIRECTIVE 5230.25.
| BLOCK C – CATEGORY – OTHER - NDTI |
| 15. TOTAL |
| 2 |
| 2 |
G. PREPARED BY:
GREGORY TSIALAS
H. DATE
4/13/16
I. APPROVED BY
J. DATE
DD FORM 1423-2, AUG 96 (EG)
| PREVIOUS EDITION MAY BE USED |
| Page |
| 1 |
| of |
| 2 |
| Pages |
ENCLOSURE
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