CDRLs.docx

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AIM 9L Gyro Repair
Solicitation number
N6893617R0031
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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:
0001
A
TDP TM OTHER: NDTI
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
GYRO SUBASSEMBLY
1300620026
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A001
TEST/INSPECTION REPORT
Data Sheets
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-NDTI-80809B
SOW Para. 3.5.1, 3.8
NAWCWD Code 471L00D
7. DD 250 REQ
9.DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14.DISTRIBUTION

LT

ASREQ
SEE BLK 16

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
SEE BLK 16

Reg

Repro

16. Remarks

Block 4: Contractor format is acceptable as long as DID is used for guidance.

Block 9: Distribution Statement F: Further dissemination only as directed by the Naval Air systems Command (PMA-259). Determined on 12 June 1986 or Higher DoD Authority.

Blocks 12 and 13: Submit one completed Data Sheet with each unit shipped showing all test results.

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 distribution addresses.

Code 471L00D
0
1
0
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

070315

DRRB Chairperson

170315

DD Form 1423-1, 1 Jun 90 image2.png image1.wmf

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