Contract_Data_Requirements_List_(CDRLs).pdf

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 Service, 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

A

C. CATEGORY

TDP_________ TM___________ OTHER_____MISC____________

D. SYSTEM/ITEM

Raytheon CBASS Weapon Variant: PMC Connectors

E. CONTRACT / PR NO.

PR 1300652144

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM:

Technical Report-Study/Services

3. SUBTITLE

FastCF PMC Connector Test and Analysis Report

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW para 4.3.1

6. REQUIRING OFFICE

NUWCDIVNPT CODE 8524

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ

LT

9. DIST STATEMNT

REQUIRED

10. FREQUENCY

1 TIME

12. DATE OF FIRST

SUBMISSION

EOC

14. DISTRIBUTION

D b. COPIES

8. APP CODE (see Blk 16) 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS CODE 8524

Block 10,12, A technical Report providing test results, compatibility matrix and analysis shall be delivered after all tests and evaluations are completed for each of the 35 Fast-CF PM boards (18 modified, 17 unmodified)PMC Conntectors.

R.

Hernandez

0 1 0

Block 9 Distribution Statement and Export Warning Statement

Distribution Statement D. Distribution authorized to the Department of Defense and U.S. DoD contractors only Critical Technology (5/9/2017). Other requests shall be referred to NUWCDIVNPT Code The following 'EXPORT CONTROL WARNING NOTICE' must be used in conjunction with DISTRIBUTION STATEMENTS identified the CDRL:

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.

15. TOTAL

______> 0 1 0

G. PREPARED BY:

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page __1__ of __ 1 Pages v1.0_NOVEMBER2007

DD FORM 1423

CONTRACT DATA REQUIREMENTS LIST

BLOCK 16 ADDENDUM

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

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

CDRL A001

BLOCK 9:

Distribution Statement B: Distribution to US Government agencies only; Proprietary Information; (date data generated). Other requests for this document shall be referred to NUWCDIVNPT Code 8524 (Requesting Code)

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.