1300633955_CDRL_R3_RFQ.pdf

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 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, 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:

0001 A TDP TM OTHER MISC

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Burn Destruction 1300633955

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 Technical Report- Study/Services Material Destruction Reports

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

DI-MISC-80508B SOW Para 4.2 NUWCDIVNPT 1072 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

N/A (see Block 16) N/A SEE BLK 16 Reg Repr

16. REMARKS NUWCDIVNPT 1072 0 1 0

BLK 3: Contractor's standard format is acceptable BLK 9: See Attached Block 16 Addendum BLK 10,12, 13: Estimated frequency is 1 to 2 times a month throughout the period of performace of the purchase order.

Contractor shall provide Material Destruction Status Reports.

C1072 PI 0

1 0

15. TOTAL 0 2 0

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 b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

Reg Repr

16. REMARKS

Intentionally Left Blank

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Darlene Libby 04/12/2017 Martha Merriwether 4-25-17

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1 1 Pages

DD FORM 1423

CONTRACT DATA REQUIREMENTS LIST

BLOCK 16 ADDENDUM

PR 1300633955

BLOCK 9: CDRL A001

Distribution Statement D: Distribution Authorized to the DoD and DoD contractors only: Critical Technology; (Date Data Generated).

Other requests shall be referred to NUWCDIVNPT Code1072, Darlene Libby.

The following "EXPORT CONTROL WARNING NOTICE" must be used in conjunction with DISTRIBUTION STATEMENTS identified in all CDRL Items.

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.