A002_RFV_Heat_Gun_SERD_2522_(1).docx

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 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 A C. Category: TDP ( ) TM ( ) Other (XX)

D. System/Item V-22 PSE, Heat Gun Tool Set E. Contract/PR No.

N68335-XX-X-XXXX

F. Contractor

TBD

1. Data Item No.

A002

2. Title of Data Item Request For Variance (RFV)

3. Subtitle

N/A

4. Authority (Data ID No.)

DI–SESS-80640D (SEE BLK 16)

5. Contract Reference SOW Para. 3.4

6. Requiring Office NAVAIR LKE Code 1327LO

7. DD 250 REQ

DD

9. Dist. Statement Req.

D

10. Frequency

ASREQ

12. Date of first submission

ASREQ

14. Distribution

SEE BLOCK 16

8. APPCODE

A

SEE BLK 16

11. As of Date

N/A

13. Date of Subsequent Submission

ASREQ

16. Remarks

- BLOCK 4: Authority (N/A) Request for Variance (RFV) shall be prepared in contractor format. The contractor shall consult ISO 9001 Quality System Handbook for guidance regarding RFV required technical content, formatting and processing.

The government has the option to submit RFV that describes any Heat Gun part, function or assembly that in the opinion of the government is not in accordance with the quality or baseline configuration standards of the Heat Gun design.

- BLOCK 8: The government will have 15 days for review and acceptance/rejection of each submission. The contractor shall have 15 days to resubmit.

- BLOCK 10: Submission Frequency of RFV publication shall be ASREQ - as required during production.

- BLOCK 14: For each address code cited, see Contract Attachment # CDRL Address List for distribution emails and delivery addresses. (a). Contractor shall ensure that an electronic copy of the transmittal letter and the deliverable documents master copy will be deposited into the Government’s electronic storage drop box (V-22 Data MGMT) and notification of document drop shall be provided to: NAVAIR LKE (1.3.2.7LO).

1327LO

67612

V22 Data Mgmt

TOTAL

G. Prepared By Lauren Verdieck Lauren Verdieck, NAVAIR 4.8.1.2 H. Date

I. Approved By William E. Deeley W. E. Deeley, NAVAIR 1.3.2.7 J. Date 15 Jun 2016

DD FORM 1423-1, JUN 90 PREVIOUS EDITIONS ARE OBSOLETE PAGE ( 1 ) OF ( 1)

26 August 2014