CDRL_N68335-13-R-0278.doc
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- N68335-13-R-0278
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Exhibit C
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| N68335-13-R-0278-0001.doc | DOC document | |
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| Attachment_2_N68335-13-R-0278.doc | DOC document | |
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CONTRACT DATA REQUIREMENTS LIST (1 Data Item) FORM APPRVD 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 HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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
CA
C. Category: TDP ( ) TM( ) Other ( XX )
D. System/Item
O&I Level PSE Combo #2 (Comp) E. Contract/PR No.
F. Contractor
1. Data Item No.
CA01
2. Title of Data Item
Engineering Change Proposal (ECP)
3. Subtitle
4. Authority (Data ID No.)
DI-CMAN-80639
5. Contract Reference
SOW Para. 3.4, 3.4.1
6. Requiring Office
NAVAIR LKE Code 1327KO
7. DD 250 REQ
DD
9. Dist. Statement Req.
D
10. Frequency
AS REQ
12. Date of first submission
AS REQ
14. Distribution
See Block 16
8. APPCODE
N/A
11. As of Date
AS REQ
13. Date of Subsequent Submission
AS REQ
| Address |
| Draft |
| Reg |
| Repr |
| 16. Remarks |
| 1327KO |
1327LO
4864 *
| MIL-HDBK-61 referenced in the DATA Item Description (DID) associated with the CDRL |
| 6761 |
| is for guidance only. |
| 7812 |
Block 8: Approval/disapproval shall be: 30 days after receipt for no cost ECP.
Block 14: Disbribution will be made via email to:
1327KO – William.deeley@navy.mil Karl.werner1.ctr@navy.mil 1327LO – gary.andrews@navy.mil 4864 – david.e.carlson@navy.mil 6761 – marybeth.bruno@navy.mil William.corrigan.ctr@navy.mil 7812 – helen.brockway@navy.mil
*has final Acceptance
TOTAL
G. Prepared By
William Corrigan W. Corrigan
H. Date
12 May 2011 I. Approved By
Scott E. Dolin
S.E. Dolin J. Date
12 May 2011
| 17. Price Group |
| 18. Estimated Total Price: |
DD FORM 1423-1, JUN 90 PREVIOUS EDITIONS ARE OBSOLETE PAGE ( 1 ) OF ( 1)
12 May 2011
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 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 |
| CB |
| TDP ______________ TM ___________ OTHER _____XX________ |
| D. SYSTEM/ITEM |
| E. CONTRACT / PR NO. |
| F. CONTRACTOR |
O&I PSE Combo #2
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| CB01 |
| Request for Deviation |
| 4. AUTHORITY (Data Acquisition Documentation No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-CMAM-80640 (see 16) |
| SOW Paragraph 3.4, 3.4.1 |
| NAVAIRLKE CODE 1327KO |
TOTAL PRICE
| 7. D0 250 REQ. |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
DISTRIBUTION
REQUIRED
DD
ASREQ
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
Final
| SUBMISSION |
| a. ADDRESSEE |
| Draft |
| Reg |
| Repro |
| See Blk 16 |
| D |
| ASREQ |
| 1327KO |
| 0 |
| 1 |
| 0 |
| 16. REMARKS |
| 1327LO |
| 0 |
| 1 |
| 0 |
| Block 4: Used for guidance only |
| 4864 * |
| 0 |
| 1 |
| 0 |
| Block 8: Approval/Disapproval shall be 30 days after receipt |
| 6761 |
| 0 |
| 1 |
| 0 |
| 7812 |
| 0 |
| 1 |
| 0 |
Block 14: Disbribution will be made via email to:
1327KO – scott.dolin@navy.mil Karl.werner1.ctr@navy.mil 1327LO – william.deeley@navy.mil 4864 – david.e.carlson@navy.mil
6761 – marybeth.bruno@navy.mil
| 15. TOTAL |
| 0 |
| 5 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
William Corrigan
Scott Dolin
| William Corrigan |
| 12 May 2011 |
| Scott Dolin |
| 12 May 2011 |
DD Form 1423-2 Jun 90 Previous editions are obsolete
| CONTRACT DATA REQUIREMENTS LIST (1 Data Item) |
| FORM APPRVD 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 HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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
CC
C. Category: TDP ( ) TM( ) Other ( XX )
D. System/Item
O&I Level PSE Combo #2 E. Contract/PR No.
F. Contractor
1. Data Item No.
CC01
2. Title of Data Item
Request for Waiver
3. Subtitle
4. Authority (Data ID No.)
DI-CMAN-80640
5. Contract Reference
SOW Para. 3.4, 3.4.1
6. Requiring Office
NAVAIR LKE Code 1327KO
7. DD 250 REQ
DD
9. Dist. Statement Req.
D
10. Frequency
AS REQ
12. Date of first submission
AS REQ
14. Distribution
See Block 16
8. APPCODE
N/A
11. As of Date
AS REQ
13. Date of Subsequent Submission
AS REQ
| Address |
| Draft |
| Reg |
| Repr |
| 16. Remarks |
| 1327KO |
1327LO
4864 *
| MIL-HBDK-61 referenced in the DATA Item Description (DID) |
| 6761 |
| associated with this CDRL is for guidance only. |
| 7812 |
Block 8: Approval/disapproval shall be 30 days after receipt.
Block 14: Disbribution will be made via email to:
1327KO – scott.dolin@navy.mil Karl.werner1.ctr@navy.mil 1327LO – william.deeley@navy.mil 4864 – david.e.carlson@navy.mil
6761 – marybeth.bruno@navy.mil
*has final acceptance
TOTAL
G. Prepared By
William Corrigan
W. Corrigan
H. Date
12 May 2011 I. Approved By
Scott E. Dolin
S.E. Dolin J. Date
12 May 2011
| 17. Price Group |
| 18. Estimated Total Price: |
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