18Q0107_CDRL.docx

DOCX document 41 KB Posted Mar 14, 2018

Attached to: Shock Tune Assembly Federal contract opportunity
Solicitation number: N6893618Q0107
Issued by: Department of the Navy Naval Air Systems Command Naval Air Warfare Center

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18Q0107 CDRL

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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 if 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:

TDP

OTHER MGMT

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

Shock Tube

TBD

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

17. PRICE GROUP

A001

Certificate of Compliance

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

18. ESTIMATED

DI-MISC-81356A

NAWCWD Code 477400D

TOTAL PRICE

7. DD 250 REQ

9. DIST STATEMENT

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

REQUIRED

1TIME

30DATC

b. COPIES

8. APP CODE

SEE BLK 16

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

Final

N/A

Draft

Reg.

Repro

16. Remarks:

Code 477400D

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, 1 March 2018. Other requests shall be referred to Naval Air Warfare Center Weapons Division, Code 477400D, 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.

Code 254200D

LTR

ONLY

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

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

180305 Jennifer Ambrecht DRRB Chairperson

180305

DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED

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