CDRL_CB01_RFD.doc

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Peculiar Support Equipment (PSE) for V-22 Aircraft
Solicitation number
N68335-16-R-0003
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Exhibit CB - CDRL CB01 RFD

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Text version

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
0021
CB
TDP ______________ TM ___________ OTHER _____XX________
D. SYSTEM/ITEM
E. CONTRACT / PR NO.
F. CONTRACTOR

MV-22 CV-22

N68335-16-D-TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

CB01
Request for Deviation (RFD)

N/A

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

18. ESTIMATED

DI-CMAN-80640C (See Block 16)
SOW Paragraph 3.4
NAVAIRLKE CODE 1327LO

TOTAL PRICE

7. D0 250 REQ.
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14.

DISTRIBUTION

REQUIRED

DD

ASREQ
ASREQ

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT

Final

SUBMISSION
a. ADDRESSEE
Draft
Reg
Repro

A

See Block 16

D – See Block 16
ASREQ
ASREQ
16. REMARKS
1327LO
0
1
0
Block 4: Used for guidance only
4863
0
1
0
67612
0
1
0
Block 8: Approval/Disapproval shall be 30 days after receipt
4813
0
1
0

Block 9: Distribution Statement D

(DoD Instruction 5230.24 paragraph E4.2.d)

The following Distribution Statement is authorized for use on CDRL data items to be delivered under this contract.

“Distribution Statement D (DoD Instruction 5230.24 paragraph E4.2.d) Distribution authorized to Department of Defense and U.S. DoD Contractors only to be used for critical technology as determined in October, 1992. Other requests for this document shall be referred to the Naval Systems Command, PMA-275, Patuxent River, MD.”

Additionally, all printed and electronic, including digital, technical documents that are determined to contain export-controlled technical data shall be marked with the following EXPORT CONTROL WARNING:

“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 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.”

V22 Data Mgmt
0
1
0
15. TOTAL
0
5
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

Cindy J Stransky

William E. Deeley

CJStransky
26 June 2015
W.E. Deeley
26 June 2015

DD Form 1423-2 Jun 90 Previous editions are obsolete

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