15-R-0052_CDRLs.pdf

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:

A TDP TM OTHER: MISC

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Storage Containers N68936-15-R-0052

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A001 Certificate of Compliance

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

DI-MISC-81356 SOW Para. 4.1.2 NAWCWD Code 663100D

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

LT ASREQ ASREQ b. COPIES

8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

N/A N/A ASREQ

Reg

Repro

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, 27 August 2014. Other requests shall be referred to Naval Air Warfare Center Weapons Division, Code 663100D, 1 Administration Circle, China Lake, CA 93555-6100.

Blocks 10, 12 & 13: Submit to the Government along with each hardware delivery.

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.

Code 663100D 0 1 0 Code 254200D 0 LTR ONLY

15. TOTAL 0 1 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

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

150225

DRRB Chairperson

DD Form 1423-1, 1 Jun 1990

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:

A TDP TM OTHER: MISC

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

Storage Containers N68936-15-R-0052

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A002 Request for Deviation (RFD)

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

DI-CMAN-80640C SOW Para. 4.1.1 NAWCWD Code 663100D

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

LT ASGEN ASGEN b. COPIES

8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

N/A N/A ASGEN

Reg

Repro

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, 27 August 2014. Other requests shall be referred to Naval Air Warfare Center Weapons Division, Code 663100D, 1 Administration Circle, China Lake, CA 93555-6100.

Blocks 10, 12 & 13: Submit for each proposed change to the engineering requirements. Submit NLT 5 days after change is identified.

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.

Code 663100D 0 1 0 Code 254200D 0 LTR ONLY

15. TOTAL 0 1 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

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

DRRB Chairperson

DD Form 1423-1, 1 Jun 1990