SPMYM2-22-Q-1826 (CDRLS FOR CLINS 0016 - 0024) - BUSHINGS.pdf
PDF 563 KB Posted
- Attached to
- BEARINGS, CARRIER LLT Federal contract opportunity
- Solicitation number
- SPMYM2-22-Q-1826
About this file
This document package includes contract data requirements lists (CDRLs) and a federal contract opportunity notice. The CDRLs specify testing and inspection reporting requirements for bearings to be procured under solicitation number SPMYM2-22-Q-1826. Required reports include those for chemical/mechanical properties, liquid penetrant testing, visual testing, radiographic testing, and associated personnel qualifications and test procedures. Distribution of the reports is restricted to the Department of Defense and its contractors. The federal contract opportunity is for the procurement of carrier LLT bearings by the Defense Logistics Agency for delivery to Puget Sound Naval Shipyard by August 6, 2022. The anticipated 100% small business set-aside solicitation will be issued under simplified acquisition procedures with a closing date of May 25, 2022. Questions must be submitted in writing to the identified point of contact.
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M tjeajCONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services 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 TM OTHER
MISC
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
CERTIFICATION/DATA REPORT CHEMICAL AND MECHANICAL
(PHYSICAL) PROPERTIES
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MISC-80678 PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
SD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.1, 10.3, 10.3.1-Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, 10.5.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 4/7/2022. Other U.S. requests must be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.
Document No. 2048-1270 15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ STERBENTZ, ERIK G 4/7/2022 /s/ LEACH, WILLIE 4/7/2022
DD FORM 1423-1, FEB 2001
A
AA01
0049AA
CONTRACT DATA REQUIREMENTS LIST Form Approved
The 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 the burden, to the Department of Defense, Executive Services 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 TM OTHER
NDTI
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
TEST/INSPECTION REPORT LIQUID PENETRANT TEST REPORT
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-NDTI-80809B TDP: Section 3 PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
SD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
Block 4: Tailored to allow the vendor to only provide 10.2.1c, d, f, and g (excluding the need for a separate cover sheet and title page). 10.2.3.2a, b (when applicable), and e. 10.2.3.3a and b. 10.2.5b. 10.2.6.1a, b, c. e, and g.
10.2.7.1. 10.2.7.3
Ensure certs provided are traceable to material via unique markings as specified in contract/purchase order.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 4/7/2022. Other U.S.
requests must be referred to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, must be submitted and approved before testing unless otherwise specified in contract.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.
Document No.: 2048-1270 15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ STERBENTZ, ERIK G. 4/7/2022 /s/ LEACH, WILLIE 4/7/2022
DD FORM 1423-1, FEB 2001 Page 1 of 1 Pages
B
AB01
0049AB
The 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 the burden, to the Department of Defense, Executive Services 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 TM OTHER
NDTI
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
TEST/INSPECTION REPORT VISUAL TEST (VT) INSPECTION
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-NDTI-80809B PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
SD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
Block 4: Tailored to allow the vendor to only provide 10.2.1c, d, f, and g (excluding the need for a separate cover sheet and title page). 10.2.3.2a, b (when applicable), and e. 10.2.3.3a and b. 10.2.5b. 10.2.6.1a, b, c. e, and g.
10.2.7.1. 10.2.7.3
Ensure certs provided are traceable to material via unique markings as specified in contract/purchase order.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 4/7/2022. Other U.S.
requests shall be referred to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.
Document No.: 2048-1270 15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ STERBENTZ, ERIK G 4/7/2022 /s/ LEACH, WILLIE 4/7/2022
DD FORM 1423-1, FEB 2001 Page 1 of 1 Pages
C
AC01
0049AC
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page _1___ of __1__ Pages
CONTRACT DATA REQUIREMENTS LIST
(2 Data Items)
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 o ther aspect of th is co l lect ion of in format ion, inc lud ing suggest ions fo r reduc ing the burden, to the Depar tment of Defense, Execut ive Serv ices Di rec torate (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 ______ TM ________ OTHER___MISC_________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
LIQUID PENETRANT (PT) PERSONNEL
QUALIFICATIONS REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
15DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft Final
Reg Repro
16. REMARKS
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to
COMNAVSEASYSCOM.
Block 4 – Tailored to allow vendor to provide only 10.2.2.
Block 10 - Submit Personnel Qualifications unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.
Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.
Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:
ddpw_wawf_group.fct@navy.mil
N4523A 0 1 0
15. TOTAL 0 1 0
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
LIQUID PENETRANT (PT) PERSONNEL
QUALIFICATIONS PRIOR ACCEPTANCE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
07DAC 14. DISTRIBUTION
a. ADDRESSEE b COPIES
8. APP CODE
N/A D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft
Final
Reg Repro
16. REMARKS
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to
COMNAVSEASYSCOM.
Block 4 - Tailored to allow vendor to provide only 10.2.4.
Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Personnel Qualifications Report prior to performance of any test.
Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.
Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:
ddpw_wawf_group.fct@navy.mil
Document number: 2048-1271
N4523A
0 1 0
16. TOTAL 0 1 0
G. PREPARED BY
/S/ STERBENTZ, ERIK G.
H. DATE
4/7/2022
I. APPROVED BY
/S/ LEACH, WILLIE
J. DATE
4/7/2022
17. PRICE GROUP
19. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
19. ESTIMATED
TOTAL PRICE
D
AD01
AD01
0049AD
mailto:ddpw_wawf_group.fct@navy.mil
(2 Data Items)
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 o ther aspect of th is co l lect ion of in format ion, inc lud ing suggest ions fo r reduc ing the burden, to the Depar tment of Defense, Execut ive Serv ices Di rec torate (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 ______ TM ________ OTHER___NDTI/MISC_________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
LIQUID PENETRANT (PT) TEST PROCEDURES
REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80603A
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
15DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
Draft
Final
Reg Repro
16. REMARKS
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to
COMNAVSEASYSCOM.
Block 10 - Submit Test Procedure Report unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.
Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.
Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:
ddpw_wawf_group.fct@navy.mil
N4523A 0 1 0
15. TOTAL 0 1 0
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
LIQUID PENETRANT (PT) TEST PROCEDURES
REPORT PRIOR ACCEPTANCE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
07DAC 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
Draft Final
Reg Repro
16. REMARKS
Block 4 - Tailored to allow vendor to provide only 10.2.4.
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to
COMNAVSEASYSCOM.
Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Test Procedure Report prior to performance of any test.
Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.
Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:
ddpw_wawf_group.fct@navy.mil
Document number: 2048-1272
15. TOTAL
0 1 0
G. PREPARED BY
/S/ STERBENTZ, ERIK G.
H. DATE
7-Apr-22
I. APPROVED BY
/S/ LEACH, WILLIE
J. DATE
7-Apr-22
17. PRICE GROUP
19. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
19. ESTIMATED
TOTAL PRICE
N/ A
AE01
E
AE01
0049AE
(2 Data Items)
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 o ther aspect of th is co l lect ion of in format ion, inc lud ing suggest ions fo r reduc ing the burden, to the Depar tment of Defense, Execut ive Serv ices Di rec torate (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 ______ TM ________ OTHER___MISC_________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
RADIOGRAPHY TEST (RT) PERSONNEL
QUALIFICATIONS REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
15DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft Final
Reg Repro
16. REMARKS
Block 4 – Tailored to allow vendor to provide only 10.2.2.
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to
COMNAVSEASYSCOM.
Block 10 - Submit Personnel Qualifications unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.
Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to material shipment
Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:
ddpw_wawf_group.fct@navy.mil
N4523A 0 1 0
15. TOTAL 0 1 0
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
RADIOGRAPHY TEST (RT) PERSONNEL
QUALIFICATIONS PRIOR ACCEPTANCE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
07DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft Final
Reg Repro
16. REMARKS
Block 4 - Tailored to allow vendor to provide only 10.2.4.
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to
COMNAVSEASYSCOM.
Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Personnel Qualifications Report prior to performance of any test.
Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.
Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:
ddpw_wawf_group.fct@navy.mil
Document number: 2048-1273
N4523A 0 1 0
15. TOTAL 0 1 0
G. PREPARED BY
/S/ STERBENTZ, ERIK G
H. DATE
4/7/2022
I. APPROVED BY
/S/ LEACH, WILLIE
J. DATE
4/7/2022
17. PRICE GROUP
19. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
19. ESTIMATED
TOTAL PRICE
F
AF01
AF01
0049AF
(2 Data Items)
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 o ther aspect of th is co l lect ion of in format ion, inc lud ing suggest ions fo r reduc ing the burden, to the Depar tment of Defense, Execut ive Serv ices Di rec torate (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 ______ TM ________ OTHER___NDTI/MISC_________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
RADIOGRAPHY (RT) TEST PROCEDURES REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80603A
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
15DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
Draft
Final
N?AReg Repro
16. REMARKS
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to
COMNAVSEASYSCOM.
Block 10 - Submit Test Procedure Report unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.
Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.
Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:
ddpw_wawf_group.fct@navy.mil
N4523A 0 1 0
15. TOTAL 0 1 0
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
RADIOGRAPHY (RT) TEST PROCEDURES
REPORT PRIOR ACCEPTANCE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
07DAC 14. DISTRIBUTION
a. ADDRESSEE b COPIES
8. APP CODE
N/A D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft
Final
Reg Repro
16. REMARKS
Block 4 - Tailored to allow vendor to provide only 10.2.4.
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to
COMNAVSEASYSCOM.
Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Test Procedure Report prior to performance of any test.
Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.
Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:
ddpw_wawf_group.fct@navy.mil
Document number: 2048-1274
N4523A 0 1 0
15. TOTAL
0 1 0
G. PREPARED BY
/S/ STERBENTZ, ERIK G
H. DATE
4/7/2022
I. APPROVED BY
/S/ LEACH, WILLIE
J. DATE
4/7/2022
17. PRICE GROUP
19. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
19. ESTIMATED
TOTAL PRICE
N/A
G
AG01
AG01
0049AG
The 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 the burden, to the Department of Defense, Executive Services 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 TM OTHER
NDTI
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
TEST/INSPECTION REPORT RADIOGRAPHY FILM AND TEST
REPORT
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-NDTI-80809B PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
Block 4: Tailored to allow the vendor to only provide 10.2.1c, d, f, and g (excluding the need for a separate cover sheet and title page). 10.2.3.2a, b (when applicable), and e. 10. 2.3.3a and b. 10.2.5b. 10.2.6.1a, b, c, e, and g. 10.2.6.2a, b, c. 10.2.6.3b. 10.2.6.4 10.2.6.4.2d
10.2.7.1. 10.2.7.3
Ensure certs provided are traceable to material via unique markings as specified in contract/purchase order
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.
Document No.: 2048-1275 15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ STERBENTZ, ERIK G 4/7/2022 /s/ LEACH, WILLIE 4/7/2022
DD FORM 1423-1, FEB 2001 Page 1 of 1 Pages
H
AH01
0049AH
The 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 the burden, to the Department of Defense, Executive Services 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 TM OTHER
NDTI
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
TEST/INSPECTION REPORT RADIOGRAPHY FILM AND TEST
REPORT
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-NDTI-80809B PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
Block 4: Tailored to allow the vendor to only provide 10.2.1c, d, f, and g (excluding the need for a separate cover sheet and title page). 10.2.3.2a, b (when applicable), and e. 10. 2.3.3a and b. 10.2.5b. 10.2.6.1a, b, c, e, and g. 10.2.6.2a, b, c. 10.2.6.3b. 10.2.6.4 10.2.6.4.2d
10.2.7.1. 10.2.7.3
Ensure certs provided are traceable to material via unique markings as specified in contract/purchase order
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.
Document No.: 2048-1276 15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ STERBENTZ, ERIK G 4/7/2022 /s/ LEACH, WILLIE 4/7/2022
DD FORM 1423-1, FEB 2001 Page 1 of 1 Pages
J
AJ01
0049AJ
The 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 the burden, to the Department of Defense, Executive Services 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 TM OTHER
NDTI
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
TEST/INSPECTION REPORT RADIOGRAPHY FILM AND TEST
REPORT
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-NDTI-80809B PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
Block 4: Tailored to allow the vendor to only provide 10.2.1c, d, f, and g (excluding the need for a separate cover sheet and title page). 10.2.3.2a, b (when applicable), and e. 10. 2.3.3a and b. 10.2.5b. 10.2.6.1a, b, c, e, and g. 10.2.6.2a, b, c. 10.2.6.3b. 10.2.6.4 10.2.6.4.2d
10.2.7.1. 10.2.7.3
Ensure certs provided are traceable to material via unique markings as specified in contract/purchase order
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.
Document No.: 2048-1277 15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ STERBENTZ, ERIK G 4/7/2022 /s/ LEACH, WILLIE 4/7/2022
DD FORM 1423-1, FEB 2001 Page 1 of 1 Pages
K
AK01
0049AK
(2 Data Items)
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 o ther aspect of th is co l lect ion of in format ion, inc lud ing suggest ions fo r reduc ing the burden, to the Depar tment of Defense, Execut ive Serv ices Di rec torate (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 ______ TM ________ OTHER___MISC_________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
RADIOGRAPHIC SHOOTING SKETCHES (RSS)
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678 (RSS)
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
15DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft Final
Reg Repro
16. REMARKS
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to
COMNAVSEASYSCOM.
Block 10 - Submit Radiographic Shooting Sketches report unless proof of prior acceptance by NAVSEA Activity.
Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of RT test
Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:
ddpw_wawf_group.fct@navy.mil
N4523A 0 1 0
15. TOTAL 0 1 0
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
TEST/INSPECTION REPORT
3. SUBTITLE
RADIOGRAPHIC SHOOTING SKETCHES (RSS)
PRIOR ACCEPTANCE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678 (RSS)
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
07DAC 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A D 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft Final
Reg Repro
16. REMARKS
Block 4 - Tailored to allow vendor to provide only 10.2.4.
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 4/7/2022. Other U.S. requests shall be referred to
COMNAVSEASYSCOM.
Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Radiographic Shooting Sketches
Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of RT test.
Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:
ddpw_wawf_group.fct@navy.mil
Document number: 2048-1278
15. TOTAL
0 1 0
G. PREPARED BY
/S/ STERBENTZ, ERIK
H. DATE
4/7/2022
I. APPROVED BY
/S/ LEACH, WILLIE
J. DATE
4/7/2022
17. PRICE GROUP
19. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
19. ESTIMATED
TOTAL PRICE
L
AL01
AL01
0049AL
mailto:ddpw_wawf_group.fct@navy.mil mailto:ddpw_wawf_group.fct@navy.mil
| SEE BLOCK 16 |
| N4523A |
| 20481270 cdrl C01.pdf |
| SEE BLOCK 16 |
| N4523A |
| 20481270 cdrl B01.pdf |
| DI-NDTI-80809B |
| SEE BLOCK 16 |
| N4523A |
| 20481275 cdrl H01.pdf |
| SEE BLOCK 16 |
| N4523A |
| 20481276 cdrl J01.pdf |
| SEE BLOCK 16 |
| N4523A |
| 20481277 cdrl K01.pdf |
| SEE BLOCK 16 |
| N4523A |
File details come from the government source that posted it. Updated .