CDRLS_0008.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302.

Please DO NOT RETURN your form to either of these address. 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

I

C. CATEGORY

TDP TM Other MISC

D. SYSTEM/ITEM

I

E. CONTRACT/PR NO. F. CONTRACTOR

1 DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

CERTIFICATE OF COMPLIANCE COMPLIANCE

4. AUTHORITY (Data Acquisffion Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-81356A PER CONTRACT PURCHASING ACTIVITY

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQUIRED SUBMISSION

DD D* ONE/R SEE BLOCK 16* b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT A. ADDRESSEE Final SUBMISSION

N/A N/A N/A Draft Reg Repr

16. REMARKS

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors N4523A 0 1 0 only. Administration and operations only, effective 5/30/2018. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12 - Certification/Data Report documentation shall be attached to the Invoice/Receiving Report located in Wide Area Workflow (YVAWF) e-Business Suite:

Invoice, Receipt, Acceptance, and Property Transfer (iRAPT).

Upon submission in iRAPT send email notifications to:

PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.

TOTAL 0 1 0

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

/s/ Ray, Jessica R. 5/30/2018 /s/ Gilger, Frank R. 5/30/2018

DD Form 1423-1, JUN 90

SIN 0102-LF-010-5600

Page 1 of 2 Page(s)

For Document no: 81150158

17. PRICE GROUI

18. ESTIMATED

TOTAL PRICE

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R001

0008AB S

S001

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T001

0008AC

0008AD U

U001

V001

V0008AE