TH01_CDRLs.pdf

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1356-01-294-6889 TH01 IGNITER
Solicitation number
N0010426QK051
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This document is a Contract Data Requirements List (DD Form 1423-1) for a federal contract with the system/item number 4T-1356-01-294-6889-TH01. The form outlines five distinct data items to be submitted by the contractor: Test Procedure (A001), Test/Inspection Report (A002), Failure Analysis/Corrective Action Report (A003), Ammo Data Card (A004), and Contractor's Progress, Status and Management Report (A005). The primary requiring offices are NUWC Newport, NAVSEA PMS-404L, and NAVSUP Weapon Systems Support, with distribution to multiple naval logistics and support centers.

Each data item has specific submission requirements, including frequency (one-time, per lot, monthly), timing of first and subsequent submissions, and detailed documentation standards. For example, the Test Procedure (A001) must specify process control instructions and inspection procedures to ensure product conformance, while the Ammo Data Card (A004) must be prepared using the Worldwide Ammunition-Data Repository (WARP). The Contractor's Progress Report must be submitted via mail or email by the 5th day of each month after contract award. The documents are to be signed and dated by a government inspector and must meet various military and quality standards, including MIL-STD-1168 and ANSI/ASQC Q9000-2000.

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Solicitation Amendment N0010426QK0510002 SF 30.pdf PDF
Solicitation Amendment N0010426QK0510001 SF 30.pdf PDF
Solicitation - N0010426QK051.pdf PDF

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 JeƯerson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting OƯicer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

TDP ☐ TM ☐ OTHER ☐

D. SYSTEM/ITEM

4T-1356-01-294-6889-TH01

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Test Procedure

3. SUBTITLE

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80603A

5. CONTRACT REFERENCE

ALL DRAWINGS

6. REQUIREING OFFICE

NUWC NEWPORT

18. ESTIMATED TOTAL

PRICE

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE TIME

12. DATE OF FIRST

SUBMISSION

30 DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. ADP CODE

A

11. AS OF DATE

13. DATE OF SUBSEQUENT

Draft

Final

Reg Repro

16.REMARKS

THE PLAN IS TO SPECIFY PROCESS CONTROL INSTRUCTIONS AND INSPECTION

PROCEDURES NEEDED TO ENSURE PRODUCT CONFORMANCE TO DRAWINGS,

SPECIFICATIONS, AND CONTRACT REQUIREMENTS IAW ANSI/ASQC Q9000-2000 OR

EQUIVALENT. THE PLAN IS TO INCLUDE PRODUCTION LOT QUALITY CONFORMANCE

INSPECTION PROCEDURES IAW DI-NDTI-80603A ALONG WITH ALL APPLICABLE DATA ENTRY

SHEETS TO BE USED TO DOCUMENT PROCESS

INSPECTIONS.

BLK 14: DISTRIBUTION ADDRESS

1. NAVSUP Weapon Systems Support

2. NAVSUP Ammunition Logistics Center

3. Naval Surface Warfare Center POC Information: See Section H

SEE BLOCK 16 0 1 0

15. TOTAL 0 1 0

G. PREPARED BY

Richard Rzomp

H. DATE

11/7/2025

I. APPROVED BY

John Knecht

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 o f

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 JeƯerson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting OƯicer for the Contract/PR No. listed in Block E.

D. SYSTEM/ITEM

A002

Test/Inspection Report

3. SUBTITLE

Pre-Production & Production Test

DI-NDTI-80809B

ALL DRAWINGS

DD

PER LOT

SEE BLOCK 16

Reg Repro

16.REMARKS

THE REPORT IS TO VERIFY PRODUCTION LOT CONFORMANCE TO THE APPLICABLE

DRAWINGS, SPECIFICATIONS, AND CONTRACT REQUIREMENTS. THE REPORT

CONSISTS OF THE PLAN (A001) CONTAINING ALL REQUIRED INSPECTION

RESULTS DOCUMENTED ON THE PLAN’S DATA ENTRY SHEETS. IN ADDITION, THE

REPORT IS TO INCLUDE MATERIAL CERTIFICATIONS AND ALL OTHER PERTINENT

OBJECTIVE QUALITY EVIDENCE. THE REPORT MUST BE APPROVED BY NAVSUP

WSS CONTRACTING OFFICER BEFORE FINAL ACCEPTANCE OF THE LOT.

BLK 12: DATE OF PRE-PRODUCTION TEST REPORT SUBMISSION – NLT 15 DAYS

AFTER FIRST ARTICLE TEST COMPLETION.

BLK 13: DATE OF SUBSEQUENT SUBMISSION – NLT 15 DAYS AFTER LOT

ACCEPTANCE TESTING OF SECOND LOT AND BEYOND.

Richard Rzomp

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 2 o f

5 Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 JeƯerson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting OƯicer for the Contract/PR No. listed in Block E.

D. SYSTEM/ITEM

A003

Failure Analysis/Corrective Action Report

DI-SESS-80255B

Section E

LT

Reg Repro

16.REMARKS

BLK 5: INCLUDE AND TAKE ACTION ON SECTION I IF FAT IS REQUIRED.

BLK 10: FREQUENCY - IS DETERMINED BY NUMBER OF FAT/LAT FAILURES.

BLK 12: DATE OF FIRST SUBMISSION – NLT AN INTERIM REPORT IS DUE NLT

10 DAYS AFTER NOTIFICATION OF LOT FAILURE. A FINAL REPORT IS DUE 30

DAYS AFTER NOTIFICATION OF LOT FAILURE.

BLK 13: DATE OF SUBSEQUENT SUBMISSION – NLT 10 DAYS AFTER FAT

COMPLETION OF SECOND FAILED LOT AND BEYOND.

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 3 o f

5 Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 JeƯerson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting OƯicer for the Contract/PR No. listed in Block E.

D. SYSTEM/ITEM

A004

Ammo Data Card (ADC)

DI-MISC-80043B

SD

Reg Repro

16.REMARKS

BLK 4: DATA CARD SHALL BE PREPARED IN ACCORDANCE WITH MIL-STD-1168,

AS CHANGED BY ADL EXCEPTIONS AND THE CONTRACT DOCUMENT LIST BY

ACCESSING THE WORLDWIDE AMMUNITION-DATA REPOSITORY (WARP) WHICH IS

LOCATED: https://mhpwarp.redstone.army.mil. AN ACCESS REQUEST FORM

MUST BE COMPLETED BEFORE WARP CAN BE ACCESSED. QUESTIONS SPECIFIC TO

WARP SHOULD BE ADDRESSED TO ONE OF THE RESPECTIVE POCs AS LISTED ON

THE WEBSITE.

BLK 10,12,13: DATA CARDS PROVIDED TO NAVSEA PMS-404 AND THOSE SENT

WITH SHIPMENTS SHALL BE HARDCOPY PRINTOUTS GENEREATED WITH THE WARP

PROGRAM AND SHALL BE SIGNED AND DATED BY THE GOVERNMENT INSPECTOR.

NAVSEA PMS-404 SUBMISSIONS SHALL ALSO INCLUDE HARDCOPY PRINTOUT OF

SAMPLES CARDS (SEE MIL-STD-1168, PARA 4.3.1.4)

1. NAVSUP WEAPON Systems Support

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 4 o f

5 Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 JeƯerson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting OƯicer for the Contract/PR No. listed in Block E.

D. SYSTEM/ITEM

A005

Contractor’s Progress, Status and Management Report

DI-MGMT-81928

NAVSEA PMS-404L

LT

MNTHLY

Reg Repro

16. REMARKS

BLK 11, 12,14: THE DD-375 REPORT SHALL BE SUBMITTED VIA MAIL OR EMAIL ON OR BEFORE

THE 5TH DAY OF EAC MONTH AFTER CONTRACT AWARD.

15. TOTAL

Philip Lindley

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 5 o f

5 Pages

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