18R0058_CDRL.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, 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:

A

TDP TM

OTHER SESS

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

Product Overflow N68936-18-R-0058

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 NOTICE OF REVISION (NOR)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-SESS-80642D (SEE BLK 16) SOW para 3.6 NAWCWPNS CODE 475000D TOTAL PRICE

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

REQUIRED

LT B ASREQ SEE BLK 16 b. COPIES

8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Final

A N/A SEE BLK 16 Draft Reg. Repro

16. Remarks: 475000D 0 1 0

Block 4: May use contractor format as long as DID is used for guidance.

Block 9: Distribution authorized to U.S. Government agencies only (Administrative and Operational use) (08/17/2017). Other requests for this document shall be referred to Naval Air Warfare Center Weapons Division, Code 475000D, 1 Administration Circle, China Lake, CA 93555- 6100.

Blocks 12 and 13: Contractor to submit 15 days after identification of need for change. Submit updates as changes occur. Subject to approval by the government. Submit in conjunction with ECP CDRL A008.

Block 14: Shall be delivered in an electronic format that is agreed upon by both Government and contractor prior to 1st submittal. Submit transmittal and all enclosures to NAWCWPNS and ACO. Submit a copy of the letter of transmittal only to the PCO.

254210D 0 LTR ONLY

SEE BLK 16

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

20180525

DRRB Chairperson

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

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4;

Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor’s performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data. These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1, (BACK), FEB 2001 PREVIOUS EDITION MAY BE USED.

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.

Product Overflow N68936-18-R-0058

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A002 REQUEST FOR WAIVERS (RFW) DEVIATIONS

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-SESS-81732 (SEE BLK 16) SOW para 3.6 NAWCWPNS CODE 475000D TOTAL PRICE

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

REQUIRED

LT B ASREQ SEE BLK 16 b. COPIES

Block 4: May use contractor format as long as DID is used for guidance.

Block 9: Distribution authorized to U.S. Government agencies only (Administrative and Operational use) (08/17/2017). Other requests for this document shall be referred to Naval Air Warfare Center Weapons Division, Code 475000D, 1 Administration Circle, China Lake, CA 93555- 6100.

Blocks 12 and 13: Contractor to submit 15 days after identification of need for change. Submit updates as changes occur. Government concurrence is required for all deviations prior to implementation.

Block 14: Shall be delivered in an electronic format that is agreed upon by both Government and contractor prior to 1st submittal. Submit

Naval Air Warfare Center

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.

OTHER QCIC

Product Overflow N68936-18-R-0058

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A003 QUALITY SYSTEM PLAN QUALITY CONTROL SYSTEM

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-QCIC-81379 (SEE BLK 16) SOW para 3.7.1 NAWCWPNS CODE 475000D TOTAL PRICE

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

REQUIRED

LT B ONE/R 30 DACA b. COPIES

16. Remarks: 475000D 1 1 0

Block 4: May use contractor format as long as DID is used for guidance.

Block 9: Distribution authorized to U.S. Government agencies only (Administrative and Operational use) (08/17/2017). Other requests for this document shall be referred to Naval Air Warfare Center Weapons Division, Code 475000D, 1 Administration Circle, China Lake, CA 93555- 6100.

Block 13: Contractor to submit 30 days after receipt of Government comments. Submit updates as changes occur.

Block 14: Shall be delivered in an electronic format that is agreed upon by both Government and contractor prior to 1st submittal. Submit

15. TOTAL 1 1 0

Naval Air Warfare Center

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.

OTHER NDTI

Product Overflow N68936-18-R-0058

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A004 TEST/INSPECTION REPORT INSPECTION AND TEST

RECORDS

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-NDTI-80809B (SEE BLK 16) SOW para 3.7.4 NAWCWPNS CODE 475000D TOTAL PRICE

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

REQUIRED

LT B ASREQ 30 DATC b. COPIES

Block 4: May use contractor format as long as DID is used for guidance.

Block 9: Distribution authorized to U.S. Government agencies only (Administrative and Operational use) (08/17/2017). Other requests for this document shall be referred to Naval Air Warfare Center Weapons Division, Code 475000D, 1 Administration Circle, China Lake, CA 93555- 6100.

Block 10, 12, 13: Submit updates as changes occur. Inspection and Test Records shall be available for government review.

Block 14: Shall be delivered in an electronic format that is agreed upon by both Government and contractor prior to 1st submittal. Submit

Naval Air Warfare Center

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.

Product Overflow N68936-18-R-0058

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A005 ACCEPTANCE TEST REPORT (ATR) FIRST ARTICLE TEST REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-QCIC-81891 (SEE BLK 16) SOW para 3.8 NAWCWPNS CODE 475000D TOTAL PRICE

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

REQUIRED

LT B ASREQ 30 DATC b. COPIES

Block 4: May use contractor format as long as DID is used for guidance.

Block 9: Distribution authorized to U.S. Government agencies only (Administrative and Operational use) (08/17/2017). Other requests for this document shall be referred to Naval Air Warfare Center Weapons Division, Code 475000D, 1 Administration Circle, China Lake, CA 93555- 6100.

Block 10, 12, 13: Submit updates as changes occur. Inspection and Test Records shall be available for government review.

Block 14: Shall be delivered in an electronic format that is agreed upon by both Government and contractor prior to 1st submittal. Submit transmittal and all enclosures to NAWCWPNS and ACO. Submit a copy of the letter of transmittal only to the PCO.

Naval Air Warfare Center

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.

Product Overflow N68936-18-R-0058

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A006

ACCEPTANCE TEST REPORT (ATR)

LOT ACCEPTANCE TEST

REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-QCIC-81891 (SEE BLK 16) SOW para 3.8 NAWCWPNS CODE 475000D TOTAL PRICE

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

REQUIRED

LT B ASREQ 30 DATC b. COPIES

Block 4: May use contractor format as long as DID is used for guidance.

Block 9: Distribution authorized to U.S. Government agencies only (Administrative and Operational use) (08/17/2017). Other requests for this document shall be referred to Naval Air Warfare Center Weapons Division, Code 475000D, 1 Administration Circle, China Lake, CA 93555- 6100.

Block 10, 12, 13: Submit updates as changes occur. Inspection and Test Records shall be available for government review.

Block 14: Shall be delivered in an electronic format that is agreed upon by both Government and contractor prior to 1st submittal. Submit

Naval Air Warfare Center

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.

OTHER MGMT

Product Overflow N68936-18-R-0058

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A007 CONTRACTOR’S PROGRESS, STATUS

AND MANAGEMENT REPORT

MONTHLY PROGRESS

REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-80227 (SEE BLK 16) SOW para 3.9 NAWCWPNS CODE 475000D TOTAL PRICE

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

REQUIRED

LT B MTHLY 45 DACA

b. COPIES

N/A N/A EOM+15 Draft Reg. Repro

Block 4: May use contractor format as long as DID is used for guidance.

Block 9: Distribution authorized to U.S. Government agencies only (Administrative and Operational use) (08/17/2017). Other requests for this document shall be referred to Naval Air Warfare Center Weapons Division, Code 475000D, 1 Administration Circle, China Lake, CA 93555- 6100.

Block 14: Shall be delivered in an electronic format that is agreed upon by both Government and contractor prior to 1st submittal. Submit

254210D 0 1 0

15. TOTAL 0 2 0

Naval Air Warfare Center

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.

Product Overflow N68936-18-R-0058

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A008 ENGINEERING CHANGE PROPOSAL (ECP)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-SESS-80639D (SEE BLK 16) SOW para 3.6 NAWCWPNS CODE 475000D TOTAL PRICE

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

REQUIRED

LT B ASREQ SEE BLK 16 b. COPIES

Block 4: May use contractor format as long as DID is used for guidance.

Block 9: Distribution authorized to U.S. Government agencies only (Administrative and Operational use) (08/17/2017). Other requests for this document shall be referred to Naval Air Warfare Center Weapons Division, Code 475000D, 1 Administration Circle, China Lake, CA 93555- 6100.

Blocks 12 and 13: Contractor to submit 15 days after identification of need for change. Submit updates as changes occur. Subject to approval by the government.

Block 14: Shall be delivered in an electronic format that is agreed upon by both Government and contractor prior to 1st submittal. Submit

Naval Air Warfare Center