CDRL 62781220.pdf
PDF 173 KB Posted
- Attached to
- SCREW, CAP, HEXAGON, HEAD
- Solicitation number
- SPMYM227Q1114
About this file
This is a DD Form 1423-1, Contract Data Requirements List, specifying a single data item requirement for a federal contract.
The contractor is required to submit a Certification Data Report (Data Item Number A001) documenting the chemical and mechanical (physical) properties of hexagon head cap screws (Document No. 6278-1220). The data acquisition document authority is DI-MISC-82386, with submission accomplished through the Wide Area Workflow (WAWF) e-Business Suite. The report shall be submitted one time per requirement (ONE/R frequency) with documentation attached prior to or concurrent with material shipment; acceptance or rejection will occur with the corresponding material and not prior to shipment. The contractor must tailor the report to provide only specific requirements: actual values in accordance with the procurement specification, certifications traceable to material via unique markings, and ensure requirements 2, 3, 4, 5, and 9 are addressed. The distribution statement restricts distribution to DoD and DoD contractors only for administration and operations, effective October 28, 2026, with other U.S. requests referred to COMNAVSEASYSCOM. The form was prepared by William J. Seiler and approved by Willie Leach, both dated October 28, 2026. One final copy of the certification data report is required, with no draft copies specified.
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Other files
| File | Type | Posted |
|---|---|---|
| Solicitation - SPMYM227Q1114.pdf | ||
| MATERIAL ORDERING DATA 2.pdf | ||
| CDRL 62781221.pdf | ||
| MATERIAL ORDERING DATA.pdf |
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Text version
CONTRACT 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
X
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-82386 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 requirements: 2, 3, 4-Provide actual values IAW procurement specification, 5-Ensure certs provided are traceable to material via unique markings and 9.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 10/28/2026. Other U.S. requests shall 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.: 6278-1220 15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ SEILER, WILLIAM J 10/28/2026 /s/ LEACH, WILLIE 10/28/2026
DD FORM 1423-1, FEB 2001 Page 1 of 1 Pages
0002AA
SCREW, CAP, HEXAGON, HEAD
A001
A
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