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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 |
| BQM-74E AFT SECTION REPAIR |
| N68936-14-R-0114 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A001 |
| TECHNICAL REPORT – STUDY/SERVICES |
| Certificate of Conformance |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-MISC-80508 b |
| SOW Paragraphs 3.1.1, 3.2.4 |
| NAWCWD 663200E |
| 7. DD 250 REQ |
| 9.DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
DISTRIBUTION
| LT |
| See Block |
| ASREQ |
| SEE BLK 16 |
b. COPIES
| 8. APP CODE |
| 16 |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
NA
16. Remarks
Block 4: Report may be in contractor format as long as DID is used for guidance.
Block 9: Distribution Statement B: Distribution is to U.S. Government agencies only: Administrative/Operational Use (29 May 98). Other requests for this document shall be referred to Naval Air Warfare Center, Code 663200E, 575 I Ave Suite 1, Bld 333 RM 224, Point Mugu, CA 93042-5049.
Blocks 10, 12 & 13: Shall be submitted within 2 working days after Aft Section delivery.
Block 14: Report shall be submitted in an electronic format agreed upon by both Government and Contractor prior to first submittal.
See contract clause 5252.247-9505, Technical Data and Information for addressee email addresses.
SEE BLK 16
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| D. Evans, Naval Air Warfare Center, Weapons Division |
| 20140303 |
DRRB Chairperson 20140619
DD Form 1423-1, 1 Jun 90
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 |
| BQM-74E AFT SECTION REPAIR |
| N68936-14-R-0114 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A002 |
| TEST/INSPECTION REPORT |
| Oil Tank Leak Test |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-NDTI-80809B |
| SOW Paragraphs 3.1.1, 3.2.4 |
| NAWCWD 663200E |
| 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
A
16. Remarks
Block 4: Report may be in contractor format as long as DID is used for guidance.
Block 9: Distribution Statement B: Distribution is to U.S. Government agencies only: Administrative/Operational Use (29 May 98). Other requests for this document shall be referred to Naval Air Warfare Center, Code 450000E, 575 I Ave Suite 1, Bld 333 RM 224, Point Mugu, CA 93042-5049.
Blocks 10, 12 & 13: Shall be submitted within 2 working days after Aft Section delivery.
Block 14: Report shall be submitted in an electronic format agreed upon by both Government and Contractor prior to first submittal.
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| D. Evans, Naval Air Warfare Center, Weapons Division |
| 20140303 |
20140619
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 |
| BQM-74E AFT SECTION REPAIR |
| N68936-14-R-0114 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A003 |
| CONTRACTOR’S PROGRESS, STATUS AND MANAGEMENT REPORT |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-MGMT-80227 |
| SOW Paragraph 3.2.5 |
| NAWCWD 663200E |
| 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
Block 16 Remarks
Block 4: Contractor format is accepted as long as DID is used for guidance.
Block 9: Distribution Statement B: Distribution is to U.S. Government agencies only: Administrative/Operational Use (29 May 98). Other requests for this document shall be referred to Naval Air Warfare Center, Code 450000E, 575 I Ave Suite 1, Bld 333 RM 224, Point Mugu, CA 93042-5049.
Block 14: Report shall be submitted 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 |
| D. Evans, Naval Air Warfare Center, Weapons Division |
| 20140303 |
20140619
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 |
| BQM-74E AFT SECTION REPAIR |
| N68936-14-R-0114 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A004 |
| QUALITY PROGRAM PLAN |
| Quality Control Plan |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-QCIC-81722 |
| SOW Paragraph 4.1 |
| NAWCWD 663200E |
| 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
Block 16 Remarks
Block 4: Contractor format is accepted as long as DID is used for guidance.
Block 9: Distribution Statement B: Distribution is to U.S. Government agencies only: Administrative/Operational Use (29 May 98). Other requests for this document shall be referred to Naval Air Warfare Center, Code 450000E, 575 I Ave Suite 1, Bld 333 RM 224, Point Mugu, CA 93042-5049.
Block 14: Report shall be submitted 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 addressee email addresses.
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| D. Evans, Naval Air Warfare Center, Weapons Division |
| 20140303 |
20140619