DCRL_Combined.pdf

LEAD OCUMENT: 8078B475

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Public reporting burden for 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 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 Government issuing Contracting Officer for the Contract Officer for the Contract/PR No. listed in block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP _ __ TM ______ OTHER _Cert Data ___

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

MAIN SHAFT ASEMBLY JML# 80781B475

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

A0001 Chemical and Mechanical Analysis

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

TOTAL PRICE

DI-MISC-80678 NNSY CODE 266

7. DO 258 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD 1 TIME WITH MATERIAL

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

Reg Repro

16. REMARKS

The Contractor shall prepare and submit a certificate of compliance certifying that the Material for Parts Requiring Certification - Quantitative chemical and mechanical analysis is required for the parts listed and items/components furnished under this contract comply with the requirements of the procurement document, including any/all invoked specifications and drawings.

One copy shall be supplied to Code 266 at: zachary.d.webster@navy.mil

15. TOTAL

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

Brian E. Hartman 03/14/2018 Brian E. Hartman 03/14/2018

DD Form 1423-1, JUN. 90 Previous editions are obsolete Page __1_ of _1_ Page

S/N 0102-LF-010-5500

Public reporting burden for 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 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 Government issuing Contracting Officer for the Contract Officer for the Contract/PR No. listed in block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP _ __ TM ______ OTHER _Cert Data ___

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

MAIN SHAFT ASEMBLY JML# 8078B475

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

A0003 WELDABILITY CERTIFICATION

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

TOTAL PRICE

DI-MISC-80678 NNSY CODE 266

7. DO 258 REQ 9. DIST STATEMENT

REQUIRED

SUBMISSION

The Contractor shall prepare and submit a certificate of compliance certifying that the Material for Parts Requiring Certification - WELDABILITY CERTIFICATION is required for the parts listed and items/components furnished under this contract comply with the

Public reporting burden for 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 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 Government issuing Contracting Officer for the Contract Officer for the Contract/PR No. listed in block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP _ __ TM ______ OTHER _Cert Data ___

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

MAIN SHAFT ASEMBLY JML# 8078B475

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

A0005 Test certifications

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

TOTAL PRICE

DI-MISC-80678 NNSY CODE 266

7. DO 258 REQ 9. DIST STATEMENT

REQUIRED

SUBMISSION

16.

Written test certifications shall be supplied for the following test:

Test - Dye Penetrant Inspection Item - Drawing 4678497 Pc 15 (after final machining) Performance - T9074-AS-GIB-010/271 Acceptance - S9074-AR-GIB-010A/278

One copy shall be supplied to Code 133 RI with the material

See remarks

Public reporting burden for 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 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 Government issuing Contracting Officer for the Contract Officer for the Contract/PR No. listed in block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP ______ TM ______ OTHER _CERT. DATA___

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

JML# 8078B475

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

A0002 Certification/Data Report Test certifications

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

TOTAL PRICE

DI-MISC-80678 NNSY CODE 266

7. DO 258 REQ 9. DIST STATEMENT

REQUIRED

SUBMISSION

Written test certifications shall be supplied for the following test:

The Contractor or activity performing the radiography shall be responsible for preparing the radiographic shooting sketches (RSS) in accordance with T9074-AS-GIB- 010/271. Shooting sketches are not required for radiography of weldments. The radiographic standard shooting sketches (RSSS) referenced on the applicable drawing may be used, however, since T9074-ASGIB- 010/271 permits a variety of processes, the RSSS may not be applicable as they will not necessarily depend only on the coverage requirements, but also on the equipment and procedures of the particular radiographic facility. Approval of these shooting sketches or radiographic standard shooting sketches is required per S9074-AR-GIB- 010A/278. If this data has been previously approved by one of the Navy activities listed below, the original approval letter shall be submitted to NNSY via WAWF at the same time as RT film and reader sheet submittal.

- Naval Ship Systems Engineering Station (NAVSSES) Philadelphia

- Carderock Division Naval Surface Warfare Center (CDNSWC), Philadelphia

- Norfolk Naval Shipyard (Code 135.3)

All pieces radiographed shall be permanently marked with "RT" and a unique RT serial number. (The unique RT serial number must be directly traceable to the RT film.)

(Production Radiography) - Production Radiography requires final acceptance by Norfolk Naval Shipyard. The items listed below shall be sent to Norfolk Naval Shipyard for final acceptance, cataloging, file, and retention. They must be submitted and approved by Norfolk Naval Shipyard prior to shipment of the applicable hardware. However, when the source certification clause is invoked, they must be submitted to Norfolk Naval Shipyard a minimum of forty-five (45) working days prior to the date of source certification inspection.

(a) Film

(b) RSS/RSSS

(c) RS

(d) DD250 (with unique RT serial numbers traceable to the RT film)

One copy shall be supplied to Code 266 QA at: zachary.d.webster@navy.mil

CODE 266 0 1 0

0 1 0

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

Public reporting burden for 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 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 Government issuing Contracting Officer for the Contract Officer for the Contract/PR No. listed in block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP _ __ TM ______ OTHER _Cert Data ___

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

MAIN SHAFT ASEMBLY JML# 8078B475

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

A0004 Special Emphasis C of C

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

TOTAL PRICE

DI-MISC-80678 NNSY CODE 266

7. DO 258 REQ 9. DIST STATEMENT

REQUIRED

SUBMISSION

The Contractor shall prepare and submit a certificate of compliance certifying that the items/components furnished under this contract comply with the requirements of the procurement document, including any/all invoked specifications and drawings.

One copy shall be supplied to code 266 at: zachary.d.webster@navy.mil

Code 266 0 1 0

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

Brian E. Hartman 03/14/2018 Brian E. Hartman 03/14/2018

LEAD OCUMENT: 8078B474

Public reporting burden for 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 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 Government issuing Contracting Officer for the Contract Officer for the Contract/PR No. listed in block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP _ __ TM ______ OTHER _Cert Data ___

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

MAIN SHAFT ASEMBLY JML# 80781B474

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

A0001 Chemical and Mechanical Analysis

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

TOTAL PRICE

DI-MISC-80678 NNSY CODE 266

7. DO 258 REQ 9. DIST STATEMENT

REQUIRED

SUBMISSION

The Contractor shall prepare and submit a certificate of compliance certifying that the Material for Parts Requiring Certification - Quantitative chemical and mechanical analysis is required for the parts listed and items/components furnished under this contract comply with the

Public reporting burden for 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 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 Government issuing Contracting Officer for the Contract Officer for the Contract/PR No. listed in block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP _ __ TM ______ OTHER _Cert Data ___

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

MAIN SHAFT ASEMBLY JML# 8078B474

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

A0003 WELDABILITY CERTIFICATION

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

TOTAL PRICE

DI-MISC-80678 NNSY CODE 266

7. DO 258 REQ 9. DIST STATEMENT

REQUIRED

SUBMISSION

The Contractor shall prepare and submit a certificate of compliance certifying that the Material for Parts Requiring Certification - WELDABILITY CERTIFICATION is required for the parts listed and items/components furnished under this contract comply with the

Public reporting burden for 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 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 Government issuing Contracting Officer for the Contract Officer for the Contract/PR No. listed in block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP _ __ TM ______ OTHER _Cert Data ___

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

MAIN SHAFT ASEMBLY JML# 8078B474

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

A0005 Test certifications

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

TOTAL PRICE

DI-MISC-80678 NNSY CODE 266

7. DO 258 REQ 9. DIST STATEMENT

REQUIRED

SUBMISSION

Written test certifications shall be supplied for the following test:

Test - Dye Penetrant Inspection Item - Drawing 4678497 Pc 15 (after final machining) Performance - T9074-AS-GIB-010/271 Acceptance - S9074-AR-GIB-010A/278

One copy shall be supplied to Code 133 RI with the material

See remarks

Public reporting burden for 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 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 Government issuing Contracting Officer for the Contract Officer for the Contract/PR No. listed in block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP ______ TM ______ OTHER _CERT. DATA___

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

JML# 8078B474

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

A0002 Certification/Data Report Test certifications

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

TOTAL PRICE

DI-MISC-80678 NNSY CODE 266

7. DO 258 REQ 9. DIST STATEMENT

REQUIRED

SUBMISSION

Written test certifications shall be supplied for the following test:

The Contractor or activity performing the radiography shall be responsible for preparing the radiographic shooting sketches (RSS) in accordance with T9074-AS-GIB- 010/271. Shooting sketches are not required for radiography of weldments. The radiographic standard shooting sketches (RSSS) referenced on the applicable drawing may be used, however, since T9074-ASGIB- 010/271 permits a variety of processes, the RSSS may not be applicable as they will not necessarily depend only on the coverage requirements, but also on the equipment and procedures of the particular radiographic facility. Approval of these shooting sketches or radiographic standard shooting sketches is required per S9074-AR-GIB- 010A/278. If this data has been previously approved by one of the Navy activities listed below, the original approval letter shall be submitted to NNSY via WAWF at the same time as RT film and reader sheet submittal.

- Naval Ship Systems Engineering Station (NAVSSES) Philadelphia

- Carderock Division Naval Surface Warfare Center (CDNSWC), Philadelphia

- Norfolk Naval Shipyard (Code 135.3)

All pieces radiographed shall be permanently marked with "RT" and a unique RT serial number. (The unique RT serial number must be directly traceable to the RT film.)

(Production Radiography) - Production Radiography requires final acceptance by Norfolk Naval Shipyard. The items listed below shall be sent to Norfolk Naval Shipyard for final acceptance, cataloging, file, and retention. They must be submitted and approved by Norfolk Naval Shipyard prior to shipment of the applicable hardware. However, when the source certification clause is invoked, they must be submitted to Norfolk Naval Shipyard a minimum of forty-five (45) working days prior to the date of source certification inspection.

(a) Film

(b) RSS/RSSS

(c) RS

(d) DD250 (with unique RT serial numbers traceable to the RT film)

One copy shall be supplied to Code 266 QA at: zachary.d.webster@navy.mil

CODE 266 0 1 0

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

Public reporting burden for 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 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 Government issuing Contracting Officer for the Contract Officer for the Contract/PR No. listed in block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP _ __ TM ______ OTHER _Cert Data ___

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

MAIN SHAFT ASEMBLY JML# 8078B474

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

A0004 Special Emphasis C of C

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

TOTAL PRICE

DI-MISC-80678 NNSY CODE 266

7. DO 258 REQ 9. DIST STATEMENT

REQUIRED

SUBMISSION

The Contractor shall prepare and submit a certificate of compliance certifying that the items/components furnished under this contract comply with the requirements of the procurement document, including any/all invoked specifications and drawings.

One copy shall be supplied to code 266 at: zachary.d.webster@navy.mil

Code 266 0 1 0

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

Brian E. Hartman 03/14/2018 Brian E. Hartman 03/14/2018