Attachment_4_Exhibit_A_CDRLs.pdf

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 organization. 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:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Blank Page

1_DATA_ITEM_NO: A00D

2_TITLE_OF_DATA_ITEM: REQUEST FOR DEVIATION/WAIVER (RFD/RFW)

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: NUWC DRAWING 50225-00266MN

5_CONTRACT_REFERENCE: SOW 4.5

6_REQUIRING_OFFICE: NUWCDIVNPT, CODE 1535

7_DID_250_REQ: LT

8_APP_CODE: A (BLK 16)

DIST_STATEMENT: D (SEE BLK 16)

10_FREQUENCY: SEE BLOCK 16

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16

13_DATE_OF_SUBSEQUENT_SUB: 10 DARC (SEE BLK 16)

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16_REMARKS: ALL DAYS ARE BUSINESS DAYS

BLK 8: GOVERNMENT WILL REVIEW WITHIN 20 DAYS. APPROVAL

REQUIRED FOR MAJOR AND MINOR DEVIATIONS.

BLK 9: SEE ATTACHED ADDENDUM.

BLKS 10 & 12: SUBMIT NO LATER THAN 10 DAYS AFTER NEED

FOR CHANGE IS KNOWN.

BLK 13: RESUBMISSION SHALL INCORPORATE ALL REVIEW

COMMENTS AND CORRECTIONS.

BLK 16: DELIVER FINAL RFD/RFW ON GFI FORM IN .PDF FORMAT

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Michael Wasilewski

H_DATE: 3/7/2017

1_APPROVED_BY: Martha Merriwether

J_DATE: 3/8/2017

Page: 12 reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: TR-338D TRANSDUCER

E_CONTRACTPR_NO: N6660417R0642/1300608611

FCONTRACTOR:

of_pages: 13

Reset:

N66604-17-R-0642

DD FORM 1423

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.

CDRLs : A001 – A004, A006 - A009, A00A - A00D

Distribution Statement D: Distribution authorized to DoD and DoD Contractors only; Critical Technology; (date data generated). Other requests for this document shall be referred to NUWCDIVNPT Code 1535.

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.

The 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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 organization. Send completed form to the

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1_DATA_ITEM_NO: A001

2_TITLE_OF_DATA_ITEM: CONFERENCE AGENDA

3_SUBTITLE: SEE BLOCK 16

4_AUTHORITY_Data_Acquisit: DI-ADMN-81249A

5_CONTRACT_REFERENCE: SOW 4.1.1, 4.2.8, 4.4

6_REQUIRING_OFFICE: NUWCDIVNPT, CODE 1535

7_DID_250_REQ: LT

8_APP_CODE: A

DIST_STATEMENT: D (SEE BLK 16)

10_FREQUENCY: SEE BLOCK 16

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16

13_DATE_OF_SUBSEQUENT_SUB: 3 DARC

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16_REMARKS: ALL DAYS ARE BUSINESS DAYS

BLK 3: SOW 4.1.1 - KICK-OFF MEETING, SOW 4.2.8 - FCA/PCA, SOW 4.4 - PRODUCTION PROGRAM REVIEWS

BLK 8: GOVERNMENT WILL REVIEW WITHIN THREE (3) DAYS.

BLK 9: SEE ATTACHED ADDENDUM.

BLKS 10, 12: SUBMIT FOR REVIEW 10 DAYS PRIOR TO SCHEDULED REVIEW MEETING OR AUDIT OR AS SOON AS MEETING IS SCHEDULED, WHICHEVER IS LATER.

BLK 13: FINAL SHALL INCORPORATE ALL REVIEW COMMENTS AND

CORRECTIONS.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Michael Wasilewski

H_DATE: 3/7/2017

1_APPROVED_BY:

J_DATE: 3/8/2017

Page: 1 reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: TR-338D TRANSDUCER

E_CONTRACTPR_NO: N6660417R0642/1300608611

FCONTRACTOR:

of_pages: 13

Reset:

2017-03-08T08:38:10-0500

MERRIWETHER.MARTHA.L.1231773726

The 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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 organization. Send completed form to the

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1_DATA_ITEM_NO: A002

2_TITLE_OF_DATA_ITEM: CONFERENCE MINUTES

3_SUBTITLE: SEE BLOCK 16

4_AUTHORITY_Data_Acquisit: DI-ADMN-81250A

5_CONTRACT_REFERENCE: SOW 4.1.1, 4.2.8, 4.4

6_REQUIRING_OFFICE: NUWCDIVNPT, CODE 1535

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D (SEE BLK 16)

10_FREQUENCY: SEE BLOCK 16

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16

13_DATE_OF_SUBSEQUENT_SUB: 5 DARC

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16_REMARKS:

ALL DAYS ARE BUSINESS DAYS

BLK 3: SOW 4.1.1 - KICK-OFF MEETING, SOW 4.2.8 - FCA/PCA, SOW 4.4 - PRODUCTION PROGRAM REVIEWS

BLK 9: SEE ATTACHED ADDENDUM.

BLKS 10 & 12: SUBMIT NO LATER THAN 15 DAYS AFTER

COMPLETION OF EACH PROGRAM/TECHNICAL REVIEW, CONFERENCE, OR AUDIT.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Michael Wasilewski

H_DATE: 3/7/2017

1_APPROVED_BY: Martha Merriwether

J_DATE: 3/8/2017

Page: 2 reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: TR-338D TRANSDUCER

E_CONTRACTPR_NO: N6660417R0642/1300608611

FCONTRACTOR:

of_pages: 13

Reset:

The 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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 organization. Send completed form to the

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1_DATA_ITEM_NO: A003

2_TITLE_OF_DATA_ITEM: CONTRACTOR’S PROGRESS, STATUS AND MANAGEMENT REPORT

3_SUBTITLE: STATUS REPORTS, DD375 PRODUCTION PROGRESS

4_AUTHORITY_Data_Acquisit: DD FORM 375

5_CONTRACT_REFERENCE: SOW 4.1.2

6_REQUIRING_OFFICE: NUWCDIVNPT, CODE 1535

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D (SEE BLK 16)

10_FREQUENCY: SEE BLOCK 16

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLOCK 16

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16_REMARKS:

BLK 9: SEE ATTACHED ADDENDUM.

BLKS 10, 12 & 13: SUBMISSION DUE BY THE FIFTEENTH (15TH) OF EACH MONTH, STARTING FIFTEEN (15) DAYS AFTER THE FIRST FULL MONTH AFTER CONTRACT AWARD AND DUE MONTHLY THROUGHOUT THE LIFE OF THE CONTRACT.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Michael Wasilewski

H_DATE: 3/7/2017

1_APPROVED_BY: Martha Merriwether

J_DATE: 3/8/2017

Page: 3 reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: TR-338D TRANSDUCER

E_CONTRACTPR_NO: N6660417R0642/1300608611

FCONTRACTOR:

of_pages: 13

Reset:

The 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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 organization. Send completed form to the

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1_DATA_ITEM_NO: A004

2_TITLE_OF_DATA_ITEM: FAILURE SUMMARY AND ANALYSIS REPORT

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: DI-RELI-80255A

5_CONTRACT_REFERENCE: SOW 4.1.3

6_REQUIRING_OFFICE: NUWCDIVNPT, CODE 1535

7_DID_250_REQ: LT

8_APP_CODE: A

DIST_STATEMENT: D (SEE BLK 16)

10_FREQUENCY: SEE BLOCK 16

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16

13_DATE_OF_SUBSEQUENT_SUB: 10 DARC (SEE BLK 16)

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addressee38:

draft38:

reg38x:

repro38:

total_draft: 2 total_repro: 0

16_REMARKS: ALL DAYS ARE BUSINESS DAYS

BLK 8: GOVERNMENT WILL REVIEW WITHIN 10 DAYS.

BLK 9: SEE ATTACHED ADDENDUM.

BLKS 10 & 12: CONTRACTOR SHALL SUBMIT REPORTS NO LATER THAN 10 DAYS AFTER EACH FAILURE IS IDENTIFIED.

BLK 13: CONTRACTOR SHALL INCORPORATE ALL REVIEW COMMENTS AND CORRECTIONS IN FINAL SUBMITTAL.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Michael Wasilewski

H_DATE: 3/7/2017

1_APPROVED_BY: Martha Merriwether

J_DATE: 3/8/2017

Page: 4 reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: TR-338D TRANSDUCER

E_CONTRACTPR_NO: N6660417R0642/1300608611

FCONTRACTOR:

of_pages: 13

Reset:

The 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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 organization. Send completed form to the

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1_DATA_ITEM_NO: A006

2_TITLE_OF_DATA_ITEM: TEST PROCEDURE

3_SUBTITLE: FIRST ARTICLE ACCEPTANCE TEST PROCEDURE

4_AUTHORITY_Data_Acquisit: DI-NDTI-80603A

5_CONTRACT_REFERENCE: SOW 4.2.5

6_REQUIRING_OFFICE: NUWCDIVNPT, CODE 1535

7_DID_250_REQ: LT

8_APP_CODE: A (BLK 16)

DIST_STATEMENT: D (SEE BLK 16)

10_FREQUENCY: ONE/R

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16

13_DATE_OF_SUBSEQUENT_SUB: 10 DARC

addressee1: A. TRASK draft1: 1 reg1: 1 repro1:

addressee2: A. AINSWORTH draft2: 1 reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

addressee5:

draft5:

reg5:

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draft6:

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draft38:

reg38x:

repro38:

total_draft: 2 total_repro: 0

16_REMARKS: ALL DAYS ARE BUSINESS DAYS

BLK 8: GOVERNMENT WILL REVIEW WITHIN 10 DAYS.

BLK 9: SEE ATTACHED ADDENDUM.

BLK 12: SUBMIT FOR REVIEW NO LATER THAN 20 DAYS

PRIOR TO START OF FIRST ARTICLE TESTING.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Michael Wasilewski

H_DATE: 3/7/2017

1_APPROVED_BY: Martha Merriwether

J_DATE: 3/8/2017

Page: 5 reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: TR-338D TRANSDUCER

E_CONTRACTPR_NO: N6660417R0642/1300608611

FCONTRACTOR:

of_pages: 13

Reset:

The 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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 organization. Send completed form to the

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1_DATA_ITEM_NO: A007

2_TITLE_OF_DATA_ITEM: TECHNICAL REPORT – STUDY/SERVICES

3_SUBTITLE: FIRST ARTICLE BASELINE REPORT

4_AUTHORITY_Data_Acquisit: DI-MISC-80508B

5_CONTRACT_REFERENCE: SOW 4.2.6

6_REQUIRING_OFFICE: NUWCDIVNPT, CODE 1535

7_DID_250_REQ: LT

8_APP_CODE: A (BLK 16)

DIST_STATEMENT: D (SEE BLK 16)

10_FREQUENCY: ONE/R

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16

13_DATE_OF_SUBSEQUENT_SUB: 5 DARC

addressee1: A. TRASK draft1: 1 reg1: 1 repro1:

addressee2: A. AINSWORTH draft2: 1 reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

reg4:

repro4:

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draft5:

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draft38:

reg38x:

repro38:

total_draft: 2 total_repro: 0

16_REMARKS: ALL DAYS ARE BUSINESS DAYS

BLK 8: GOVERNMENT WILL REVIEW WITHIN 5 DAYS.

BLK 9: SEE ATTACHED ADDENDUM.

BLK 12: FIRST ARTICLE BASELINE REPORT SHALL BE SUBMITTED 10 DAYS PRIOR TO FIRST ARTICLE TESTING.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Michael Wasilewski

H_DATE: 3/7/2017

1_APPROVED_BY: Martha Merriwether

J_DATE: 3/8/2017

Page: 6 reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: TR-338D TRANSDUCER

E_CONTRACTPR_NO: N6660417R0642/1300608611

FCONTRACTOR:

of_pages: 13

Reset:

The 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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 organization. Send completed form to the

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1_DATA_ITEM_NO: A008

2_TITLE_OF_DATA_ITEM: TEST/INSPECTION REPORT

3_SUBTITLE: CONTRACTOR FIRST ARTICLE TESTING

4_AUTHORITY_Data_Acquisit: DI-NDTI-80809B

5_CONTRACT_REFERENCE: SOW 4.2.7

6_REQUIRING_OFFICE: NUWCDIVNPT, CODE 1535

7_DID_250_REQ: LT

8_APP_CODE: A (BLK 16)

DIST_STATEMENT: D (SEE BLK 16)

10_FREQUENCY: ONE/R

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16

13_DATE_OF_SUBSEQUENT_SUB: 10 DARC (SEE BLK 16)

addressee1: A. TRASK draft1: 1 reg1: 1 repro1:

addressee2: A. AINSWORTH draft2: 1 reg2: 1 repro2:

addressee3:

draft3:

reg3:

repro3:

addressee4:

draft4:

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draft5:

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total_draft: 2 total_repro: 0

16_REMARKS: ALL DAYS ARE BUSINESS DAYS

BLK 8: GOVERNMENT WILL REVIEW WITHIN 10 DAYS.

BLK 9: SEE ATTACHED ADDENDUM.

BLK 12: SUBMIT INSPECTION/TEST DATA FOR FIRST ARTICLE SENSOR ASSEMBLIES 20 DAYS AFTER COMPLETION OF INSPECTION/TEST.

BLK 13: FINAL SHALL INCORPORATE ALL REVIEW COMMENTS.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Michael Wasilewski

H_DATE: 3/7/2017

1_APPROVED_BY: Martha Merriwether

J_DATE: 3/8/2017

Page: 7 reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: TR-338D TRANSDUCER

E_CONTRACTPR_NO: N6660417R0642/1300608611

FCONTRACTOR:

of_pages: 13

Reset:

The 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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 organization. Send completed form to the

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1_DATA_ITEM_NO: A009

2_TITLE_OF_DATA_ITEM: TEST PROCEDURE

3_SUBTITLE: PRODUCTION ACCEPTANCE TEST PROCEDURES

4_AUTHORITY_Data_Acquisit: DI-NDTI-80603A

5_CONTRACT_REFERENCE: SOW 4.3.2

6_REQUIRING_OFFICE: NUWCDIVNPT, CODE 1535

7_DID_250_REQ: LT

8_APP_CODE: A (BLK 16)

DIST_STATEMENT: D (SEE BLK 16)

10_FREQUENCY: ONE/R

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16

13_DATE_OF_SUBSEQUENT_SUB: 15 DARC

addressee1: A. TRASK draft1: 1 reg1: 1 repro1:

addressee2: A. AINSWORTH draft2: 1 reg2: 1 repro2:

addressee3:

draft3:

reg3:

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total_draft: 2 total_repro: 0

16_REMARKS: ALL DAYS ARE BUSINESS DAYS

BLK 8: GOVERNMENT WILL REVIEW WITHIN 10 DAYS.

BLK 9: SEE ATTACHED ADDENDUM.

BLK 12: SUBMIT NO LATER THAN 30 DAYS PRIOR TO START OF

PRODUCTION ACCEPTANCE TESTING.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Michael Wasilewski

H_DATE: 3/7/2017

1_APPROVED_BY: Martha Merriwether

J_DATE: 3/8/2017

Page: 8 reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: TR-338D TRANSDUCER

E_CONTRACTPR_NO: N6660417R0642/1300608611

FCONTRACTOR:

of_pages: 13

Reset:

The 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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 organization. Send completed form to the

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1_DATA_ITEM_NO: A00A

2_TITLE_OF_DATA_ITEM: TEST/INSPECTION REPORT

3_SUBTITLE: PRODUCTION ACCEPTANCE TEST AND INSPECTION DATA

4_AUTHORITY_Data_Acquisit: DI-NDTI-80809B

5_CONTRACT_REFERENCE: SOW 4.3.3

6_REQUIRING_OFFICE: NUWCDIVNPT, CODE 1535

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D (SEE BLK 16)

10_FREQUENCY: SEE BLOCK 16

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16

13_DATE_OF_SUBSEQUENT_SUB: N/A

addressee1: A. TRASK draft1:

reg1: 1 repro1:

addressee2: A. AINSWORTH draft2:

reg2: 1 repro2:

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draft3:

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total_draft: 0 total_repro: 0

16_REMARKS: ALL DAYS ARE BUSINESS DAYS

BLK 9: SEE ATTACHED ADDENDUM.

BLKS 10,12: SUBMIT INSPECTION/TEST DATA FOR EACH LOT OF

TRANSDUCERS SHIPPED CONCURRENTLY WITH DELIVERY IN ELECTRONIC FORMAT (EXCEL). CONTRACTOR SHALL SUBMIT DATA VIA EMAIL IN AN ENCRYPTED FORMAT (PREFERRED) OR SHALL SEND VIA MAIL ON CD OR DVD.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Michael Wasilewski

H_DATE: 3/7/2017

1_APPROVED_BY: Martha Merriwether

J_DATE: 3/8/2017

Page: 9 reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: TR-338D TRANSDUCER

E_CONTRACTPR_NO: N6660417R0642/1300608611

FCONTRACTOR:

of_pages: 13

Reset:

The 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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 organization. Send completed form to the

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1_DATA_ITEM_NO: A00B

2_TITLE_OF_DATA_ITEM: TRANSDUCER/HYDROPHONE CERTIFICATION CARD

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: SEE BLOCK 16

5_CONTRACT_REFERENCE: SOW 4.3.4

6_REQUIRING_OFFICE: NUWCDIVNPT, CODE 1535

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D (SEE BLK 16)

10_FREQUENCY: SEE BLOCK 16

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLOCK 16

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16_REMARKS: BLK 4: NAVSEA DWG. NO. 53711- 7335246G CRITICAL ITEM PRODUCT SPECIFICATION (CIPS) TR-338D TRANSDUCER, FIGURE 4.

BLK 9: SEE ATTACHED ADDENDUM.

BLKS 10, 12 & 13: ONE TEST CERTIFICATION CARD

SHALL BE PACKED WITH ITS ASSOCIATED HARDWARE AT THE TIME

OF SHIPMENT. AN ELECTRONIC COPY (SCANNED, .PDF FORMAT) OF EACH CERTIFICATION CARD SHALL BE SENT TO EACH ADDRESSEE.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Michael Wasilewski

H_DATE: 3/7/2017

1_APPROVED_BY: Martha Merriwether

J_DATE: 3/8/2017

Page: 10 reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: TR-338D TRANSDUCER

E_CONTRACTPR_NO: N6660417R0642/1300608611

FCONTRACTOR:

of_pages: 13

Reset:

The 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 the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). 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 organization. Send completed form to the

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1_DATA_ITEM_NO: A00C

2_TITLE_OF_DATA_ITEM: ENGINEERING CHANGE PROPOSAL (ECP)

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: NUWC DRAWING 50225-00266MN

5_CONTRACT_REFERENCE: SOW 4.5

6_REQUIRING_OFFICE: NUWCDIVNPT, CODE 1535

7_DID_250_REQ: LT

8_APP_CODE: A (BLK 16)

DIST_STATEMENT: D (SEE BLK 16)

10_FREQUENCY: SEE BLOCK 16

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: SEE BLOCK 16

13_DATE_OF_SUBSEQUENT_SUB: 10 DARC (SEE BLK 16)

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16_REMARKS: ALL DAYS ARE BUSINESS DAYS

BLK 8: GOVERNMENT WILL REVIEW WITHIN 15 DAYS. APPROVAL

IS REQUIRED FOR CLASS I AND CLASS II CHANGES.

BLK 9: SEE ATTACHED ADDENDUM.

BLKS 10 & 12: SUBMIT NO LATER THAN 10 DAYS AFTER THE NEED

FOR CHANGE BECOMES KNOWN.

BLK 13: FINAL SHALL INCORPORATE ALL REVIEW COMMENTS AND

CORRECTIONS.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Michael Wasilewski

H_DATE: 3/7/2017

1_APPROVED_BY: Martha Merriwether

J_DATE: 3/8/17

Page: 11 reg38t: 2

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: TR-338D TRANSDUCER

E_CONTRACTPR_NO: N6660417R0642/1300608611

FCONTRACTOR:

of_pages: 13

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