CDRLS.doc

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Attached to
Exploding Foil Initiators Federal contract opportunity
Solicitation number
N6893614R0111
Issued by
Department of the Navy Naval Air Systems Command Naval Air Warfare Center

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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, 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 it 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:
A
TDP
TM

OTHER MGMT

D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AGM-154C-1 EFI
N68936-14-R-0111
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

A001
Contractor’s Progress and Status Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

DI-MGMT-80227 (See 16)
SOW Para 3.7
AIR-4.1.1.6-JSOW

TOTAL PRICE

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

REQUIRED

LT

MTHLY
See 16

b. COPIES

8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

Final

N/A

N/A
See 16
Draft
Reg.
Repro
16. Remarks:
Web Distribution

Block 4: Contractor format is authorized, content must be in accordance with DI-MGMT-80227.

Block 9: Use Distribution Statement D: Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, 7 April 2014. Other requests for this document shall be referred to Commander, Program Executive Office, Unmanned Aviation and Strike Weapons (PEO (U&W)), PMA201, RADM William A. Moffet Bldg., 47123 Buse Rd, Bldg 1172, Patuxent River, MD 20670-1547 or higher DoD authority.

Blocks 12 and 13: The first submission is due NLT 30 DACA or the 10th of the month following the month of contract award, whichever is longer, then NLT the 10th of the month thereafter.

Block 14:*

1. Upload to the JSOW Web Site for electronic distribution.

2. Digital files shall be PDF.

AIR-4.1.1.6-
0
1

JSOW*

NAWCWD-

47L600D*
0
1
252000D
0
1
0
15. TOTAL
0
3
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

Naval Air Warfare Center Weapons Division China Lake, CA 93555-6100 140407

140407

DD FORM 1423-1, FEB 2001

PREVIOUS EDITONS MAY BE USED

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, 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 it 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:
A
TDP
TM

OTHER MISC

D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AGM-154C-1 EFI
N68936-14-R-0111
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

A002
Failure Report Serialized Controlled
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

DI-MISC-81483 (See 16)
SOW para 3.10.1
AIR-4.1.1.6-JSOW

TOTAL PRICE

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

REQUIRED

LT

ASREQ
See 16

b. COPIES

8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

Final

N/A

N/A
See 16
Draft
Reg.
Repro
16. Remarks:
Web Distribution

Block 4: Contractor format is authorized, content must be in accordance with DI-MISC-81483.

Block 9: Use Distribution Statement D: Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, 7 April 2014. Other requests for this document shall be referred to Commander, Program Executive Office, Unmanned Aviation and Strike Weapons (PEO (U&W)), PMA201, RADM William A. Moffet Bldg., 47123 Buse Rd, Bldg 1172, Patuxent River, MD 20670-1547 or higher DoD authority.

Blocks 10, 12 and 13: Submit report NLT 30 DA failure Block 14:*

1. Upload to the JSOW Web Site for electronic distribution

2. Digital files shall be PDF.

AIR-4.1.1.6-
0
1

JSOW*

NAWCWD-

47L600D*
0
1

252000D

LTR
ONLY
15. TOTAL
0
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

Naval Air Warfare Center

140407

140407

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, 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 it 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:
A
TDP
TM

OTHER QCIC

D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AGM-154C-1 EFI
N68936-14-R-0111
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

A003
Acceptance Test Report (ATR)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

DI-QCIC-81891 (See 16)
SOW Para 3.15
AIR-4.1.1.6-JSOW

TOTAL PRICE

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

REQUIRED

LT

ASREQ
SEE BLK 16

b. COPIES

8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

Final

N/A

N/A
SEE BLK 16
Draft
Reg.
Repro
16. Remarks:
Web Distribution

Block 4: Contractor format is authorized, content must be in accordance with DI-QCIC-81891.

Block 9: Use Distribution Statement D: Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, 7 April 2014. Other requests for this document shall be referred to Commander, Program Executive Office, Unmanned Aviation and Strike Weapons (PEO (U&W)), PMA201, RADM William A. Moffet Bldg., 47123 Buse Rd, Bldg 1172, Patuxent River, MD 20670-1547 or higher DoD authority.

Blocks 10, 12, and 13: Submit each Lot Acceptance Test Report NLT 21 DA completion of Lot Acceptance Test Block 14:*

1. Upload to the JSOW Web Site for electronic distribution

2. Digital files shall be PDF.

AIR-4.1.1.6-
0
1

JSOW*

NAWCWD-

47L600D*
0
1

252000D

LTR
ONLY
15. TOTAL
0
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

Naval Air Warfare Center

140407

140407

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, 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 it 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:
A
TDP
TM

OTHER MISC

D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
AGM-154C-1 EFI
N68936-14-R-0111
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

A004
Certification/Data Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

DI-MISC-80678 (See 16)
SOW Para 3.16
AIR-4.1.1.6-JSOW

TOTAL PRICE

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

REQUIRED

LT

ASREQ
SEE BLK 16

b. COPIES

8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

Final

N/A

N/A
SEE BLK 16
Draft
Reg.
Repro
16. Remarks:
Web Distribution

Block 4: Contractor format is authorized, content must be in accordance with DI-MISC-80678.

Block 9: Use Distribution Statement D: Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, 7 April 2014. Other requests for this document shall be referred to Commander, Program Executive Office, Unmanned Aviation and Strike Weapons (PEO (U&W)), PMA201, RADM William A. Moffet Bldg., 47123 Buse Rd, Bldg 1172, Patuxent River, MD 20670-1547 or higher DoD authority.

Blocks 10, 12, and 13: Submit a Certification/Data Report with each serialized device delivery.

Block 14:*

1. Upload to the JSOW Web Site for electronic distribution

2. Digital files shall be PDF.

AIR-4.1.1.6-
0
1

JSOW*

NAWCWD-

47L600D*
0
1

252000D

LTR
ONLY
15. TOTAL
0
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

Naval Air Warfare Center

China Lake, CA 93555-6100 140407

140407

Sandra K. Passwater

DRRB Chairperson

File details come from the government source that posted it. Updated .