0002AA_CDRL_REVISION.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 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 C. CATEGORY

TDP TM OTHER MISC

D. SYSTEM/ITEM

CHS Enclosure

E. CONTRACT/PR NO. F. CONTRACTOR

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

CERTIFICATION/DATA REPORT

3. SUBTITLE

FINAL FABRICATION DRAWING

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

D*

10. FREQUENCY

ONE/R

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16*

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

A. ADDRESSEE

Final

N/A Draft Reg Repr

16. REMARKS

Block 3: Provide manufacturer’s standard approval drawings in accordance with specification paragraph 1.3

Block 8: Data from specification paragraph 1.3 shall be submitted for government approval. Data shall be provided via e-mail to government P.O.C. Mark Shamion, code 2370 at mark.shamion@navy.mil. The government shall have 10 business days for review. The contractor shall have 10 business days to revise (if required) and resubmit for a new review.

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 8/12/2019. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12 - Allow 10 Days from date of entry in WAWF for certification acceptance prior to fabrication is performed

Block 14 – Final Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite.

Upon submission in WAWF send email notifications to:

PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data Report documentation will be accomplished prior to any fabrications is performed.

N4523A 0 1 0

TOTAL 0 1 0

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

/s/ Mike Baker 8/12/2019 /s/ Jim Byrnes 8/12/2019

Document no.: 92053000

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

0002AA A

A001