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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 Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| AMTD MACHINE SHOP |
| N68936-14-R-0042 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A001 |
| CONTRACTORS PROGRESS, STATUS, AND MANAGEMENT REPORT |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-MGMT-80227 |
| SOW Para. 4.2 |
| NAWCWD Code 475000D |
| 7. DD 250 REQ |
| 9.DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
DISTRIBUTION
lt
b. COPIES
| 8. APP CODE |
| see blk 16 |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
N/A
16. Remarks
Block 4: Contractor format is acceptable as long as DID is used for guidance.
Block 9: Use Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only, Critical Technology, 20 February 2014. Other requests shall be referred to Naval Air Warfare Center Weapons Division, Code 475000D, 1 Administration Circle, China Lake, CA 93555-6100.
Block 14: Submit in an electronic format agreed upon by both Government and Contractor prior to 1st submittal.
See Contract Clause 5252.247-9505, Technical Data and Information for distribution addresses.
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100 |
| 140321 |
DRRB Chairperson 140321
DD Form 1423-1, 1 Jun 1990
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item) Form Approved
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 Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| AMTD MACHINE SHOP |
| N68936-14-R-0042 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-MGMT-80368A |
| SOW Para. 3.2.1 |
| NAWCWD Code 475000D |
| 7. DD 250 REQ |
| 9.DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
DISTRIBUTION
lt
b. COPIES
| 8. APP CODE |
| see blk 16 |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
N/A
16. Remarks
Block 4: Contractor format is acceptable as long as DID is used for guidance.
Block 9: Use Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only, Critical Technology, 20 February 2014. Other requests shall be referred to Naval Air Warfare Center Weapons Division, Code 475000D, 1 Administration Circle, China Lake, CA 93555-6100.
Block 14: Submit in an electronic format agreed upon by both Government and Contractor prior to 1st submittal.
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100 |
| 140321 |
140321
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item) Form Approved
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 Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| AMTD MACHINE SHOP |
| N68936-14-R-0042 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A003 |
| Daily Site Activity SCHEDULE |
| MAINTENANCE SCHEDULE |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-MGMT-80721 |
| SOW Para. 3.2.1 |
| NAWCWD Code 475000D |
| 7. DD 250 REQ |
| 9.DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
DISTRIBUTION
lt
b. COPIES
| 8. APP CODE |
| see blk 16 |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
N/A
16. Remarks
Block 4: Contractor format is acceptable as long as DID is used for guidance.
Block 9: Use Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only, Critical Technology, 20 February 2014. Other requests shall be referred to Naval Air Warfare Center Weapons Division, Code 475000D, 1 Administration Circle, China Lake, CA 93555-6100.
Block 14: Submit in an electronic format agreed upon by both Government and Contractor prior to 1st submittal.
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100 |
| 140321 |
140321
Sandra K. Passwater
