CDRL's_Meltable_Fuze_Plug__Exhibit_A.docx
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- Contract Multiple Award Meltable Fuze Plug
- Solicitation number
- W15QKN17R0004
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Exhibit A CDRLs MFP
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CDRL’s Exhibit A
For Meltable Fuze Plug
Document image3.emf
DD1423 A002 RFVs MFP.pdf
Jack Kurtz Product Quality Manager
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 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
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION Draft
Final
Reg Repro
16. REMARKS
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages
RDAR-EIQ-PE
Meltable Fuze Plug
A002 Request for Variance (RFVs)
DI-SESS-80640D SOW Para. C.3.2.1 RDAR-EIQ-PE
LT
A
ASREQ ASREQ
RDAR-EIQ-MA
SFAE-AMO-CAS
1DCMA QAR
The Government will respond within 30 days of receipt.
The Contractor shall respond within 7 calendar days of Government comments.
Electronic submission is requested with email as the preferred format. The file used should be compatible with Microsoft Office.
Block 14: SUBMIT ELECTRONICALLY TO:
wendy.balashummers.civ@mail.mil denise.m.okeefe.civ@mail.mil brian.p.lagoe.civ@mail.mil jack.g.kurtz.civ@mail.mil
8 July 2016
0 5
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page of Pages
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoD 5010.12-M for detailed instructions.)
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.
DD FORM 1423-1 (BACK), FEB 2001
DD Form 1423-1, Contract Data Requirements List (1 data item), February 2001
WHS/ESD/IMD
9.0.0.2.20120627.2.874785
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 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
D.
SYSTEM/ITEM
E.
CONTRACT/PR
NO.
F.
CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6.
REQUIRING
OFFICE
7. DD 250 REQ
9.
DIST
STATEMENT
REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
11. AS OF DATE
13.
DATE
OF
SUBSEQUENT
SUBMISSION
Draft
Final
Reg
Repro
16. REMARKS
15. TOTAL
G.
PREPARED
BY
H.
DATE
I.
APPROVED
BY
J.
DATE
17.
PRICE GROUP
18. ESTIMATED
TOTAL
PRICE
DD FORM 1423-1,
FEB
PREVIOUS
EDITION MAY BE USED.
Page of
Pages
CONTRACT DATA
REQUIREMENTS
LIST
(1 Data Item)
A.
CONTRACT
LINE
ITEM
NO.
B.
EXHIBIT
C.
CATEGORY:
TDP
TM
OTHER
D.
SYSTEM/ITEM
E.
CONTRACT/PR
NO.
F.
CONTRACTOR
16.
REMARKS
(Continued)
DD FORM 1423-1,
FEB
Page of
Pages
INSTRUCTIONS
FOR COMPLETING
DD FORM 1423
(See DoD 5010.12-M for detailed instructions.)
FOR
GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as
"Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item
4.
Item 3. Enter subtitle of data item for further definition of data item
(optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in
Item 14.; Desired medium for delivery of the data item.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort
(production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to
Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.
DD FORM 1423-1 (BACK),
FEB
3. SUBTITLE:
TextField1: Jack Kurtz
TextField1: Product Quality Manager
17. PRICE GROUP:
18. ESTIMATED TOTAL PRICE:
Draft_16. REMARKS:
a. ADDRESSEE_16. REMARKS: RDAR-EIQ-PE
a. ADDRESSEE_16. REMARKS:
Draft_16. REMARKS:
Reg_16. REMARKS:
Repro_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
A. CONTRACT LINE ITEM NO.:
B. EXHIBIT:
TDP:
TM:
OTHER:
D. SYSTEM/ITEM: Meltable Fuze Plug
E. CONTRACT/PR NO.:
F. CONTRACTOR:
1. DATA ITEM NO.: A002
2. TITLE OF DATA ITEM: Request for Variance (RFVs)
4. AUTHORITY (Data Acquisition Document No.): DI-SESS-80640D
5. CONTRACT REFERENCE: SOW Para. C.3.2.1
6. REQUIRING OFFICE: RDAR-EIQ-PE
7. DD 250 REQ: LT
9. DIST STATEMENT REQUIRED: A
10. FREQUENCY: ASREQ
12. DATE OF FIRST SUBMISSION: ASREQ
14. DISTRIBUTION:
8. APP CODE:
11. AS OF DATE: ASREQ
13. DATE OF SUBSEQUENT SUBMISSION: ASREQ
a. ADDRESSEE_16. REMARKS: RDAR-EIQ-MA
a. ADDRESSEE_16. REMARKS: SFAE-AMO-CAS
Repro_16. REMARKS:
Reg_16. REMARKS:
Draft_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS:
Draft_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
Repro_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS:
Draft_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS: 1
Draft_16. REMARKS:
a. ADDRESSEE_16. REMARKS: DCMA QAR
Repro_16. REMARKS:
Reg_16. REMARKS: 1
Draft_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS: 1
Draft_16. REMARKS:
Reg_16. REMARKS: 2
Repro_16. REMARKS:
REMARKS:
The Government will respond within 30 days of receipt.
The Contractor shall respond within 7 calendar days of Government comments.
Electronic submission is requested with email as the preferred format. The file used should be compatible with Microsoft Office.
Block 14: SUBMIT ELECTRONICALLY TO:
wendy.balashummers.civ@mail.mil denise.m.okeefe.civ@mail.mil brian.p.lagoe.civ@mail.mil jack.g.kurtz.civ@mail.mil
Reg_16. REMARKS:
Repro_16. REMARKS:
15. TOTAL:
H. DATE: 8 July 2016
Signature3:
Repro_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS:
Repro_16. REMARKS:
Draft_16. REMARKS:
Reg_16. REMARKS:
Repro_16. REMARKS:
Draft_16. REMARKS:
Reg_16. REMARKS:
Draft_16. REMARKS:
Reg_16. REMARKS:
Draft_16. REMARKS:
Draft_15. TOTAL: 0
Repro_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS:
Reg_15. TOTAL: 5
Repro_15. TOTAL:
Repro_16. REMARKS:
J. DATE:
Page:
of:
A. CONTRACT LINE ITEM NO.:
B. EXHIBIT:
TDP:
TM:
OTHER:
D. SYSTEM/ITEM:
16. REMARKS (Continued):
E. CONTRACT/PR NO.:
F. CONTRACTOR:
Page:
of:
image4.emf
DD1423 A003 NORs MFP.pdf
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
A003 Notice of Revision (NOR)
DI-CMAN-80642D SOW Para. C.3.2.1 RDAR-EIQ-PE
Electronic submission is requested with email as the preferred format. The file used should be compatible with Microsoft Office.
Block 14: SUBMIT ELECTRONICALLY TO:
wendy.balashummers.civ@mail.mil denise.m.okeefe.civ@mail.mil
0 5 0 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any
9.0.0.2.20120627.2.874785
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 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
D.
SYSTEM/ITEM
E.
CONTRACT/PR
NO.
F.
CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6.
REQUIRING
OFFICE
7. DD 250 REQ
9.
DIST
STATEMENT
REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
11. AS OF DATE
13.
DATE
OF
SUBSEQUENT
SUBMISSION
Draft
Final
Reg
Repro
16. REMARKS
15. TOTAL
G.
PREPARED
BY
H.
DATE
I.
APPROVED
BY
J.
DATE
17.
PRICE GROUP
18. ESTIMATED
TOTAL
PRICE
DD FORM 1423-1,
FEB
PREVIOUS
EDITION MAY BE USED.
Page of
Pages
CONTRACT DATA
REQUIREMENTS
LIST
(1 Data Item)
A.
CONTRACT
LINE
ITEM
NO.
B.
EXHIBIT
C.
CATEGORY:
TDP
TM
OTHER
D.
SYSTEM/ITEM
E.
CONTRACT/PR
NO.
F.
CONTRACTOR
16.
REMARKS
(Continued)
DD FORM 1423-1,
FEB
Page of
Pages
INSTRUCTIONS
FOR COMPLETING
DD FORM 1423
(See DoD 5010.12-M for detailed instructions.)
FOR
GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as
"Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item
4.
Item 3. Enter subtitle of data item for further definition of data item
(optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in
Item 14.; Desired medium for delivery of the data item.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort
(production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to
Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.
DD FORM 1423-1 (BACK),
FEB
3. SUBTITLE:
TextField1: Jack Kurtz
TextField1: Product Quality Manager
17. PRICE GROUP:
18. ESTIMATED TOTAL PRICE:
Draft_16. REMARKS:
a. ADDRESSEE_16. REMARKS: RDAR-EIQ-PE
a. ADDRESSEE_16. REMARKS:
Draft_16. REMARKS:
Reg_16. REMARKS:
Repro_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
Draft_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
Draft_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
Draft_16. REMARKS:
Reg_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
Draft_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
Draft_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
Draft_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
A. CONTRACT LINE ITEM NO.:
B. EXHIBIT:
TDP:
TM:
OTHER:
D. SYSTEM/ITEM: Meltable Fuze Plug
E. CONTRACT/PR NO.:
F. CONTRACTOR:
1. DATA ITEM NO.: A003
2. TITLE OF DATA ITEM: Notice of Revision (NOR)
4. AUTHORITY (Data Acquisition Document No.): DI-CMAN-80642D
5. CONTRACT REFERENCE: SOW Para. C.3.2.1
6. REQUIRING OFFICE: RDAR-EIQ-PE
7. DD 250 REQ: LT
9. DIST STATEMENT REQUIRED: A
10. FREQUENCY: ASREQ
12. DATE OF FIRST SUBMISSION: ASREQ
14. DISTRIBUTION:
8. APP CODE:
11. AS OF DATE: ASREQ
13. DATE OF SUBSEQUENT SUBMISSION: ASREQ
a. ADDRESSEE_16. REMARKS: RDAR-EIQ-MA
a. ADDRESSEE_16. REMARKS: SFAE-AMO-CAS
Repro_16. REMARKS:
Reg_16. REMARKS:
Draft_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
Repro_16. REMARKS:
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Draft_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS: 1
Draft_16. REMARKS:
a. ADDRESSEE_16. REMARKS: DCMA QAR
Repro_16. REMARKS:
Reg_16. REMARKS: 1
Draft_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS: 1
Draft_16. REMARKS:
Reg_16. REMARKS: 2
Repro_16. REMARKS:
REMARKS:
Electronic submission is requested with email as the preferred format. The file used should be compatible with Microsoft Office.
Block 14: SUBMIT ELECTRONICALLY TO:
wendy.balashummers.civ@mail.mil denise.m.okeefe.civ@mail.mil brian.p.lagoe.civ@mail.mil jack.g.kurtz.civ@mail.mil
Reg_16. REMARKS:
Repro_16. REMARKS:
15. TOTAL:
H. DATE: 8 July 2016
Signature3:
Repro_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS:
Repro_16. REMARKS:
Draft_16. REMARKS:
Reg_16. REMARKS:
Repro_16. REMARKS:
Draft_16. REMARKS:
Reg_16. REMARKS:
Draft_16. REMARKS:
Reg_16. REMARKS:
Draft_16. REMARKS:
Draft_15. TOTAL: 0
Repro_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS:
Reg_15. TOTAL: 5
Repro_15. TOTAL: 0
Repro_16. REMARKS:
J. DATE:
Page:
of:
A. CONTRACT LINE ITEM NO.:
B. EXHIBIT:
TDP:
TM:
OTHER:
D. SYSTEM/ITEM:
16. REMARKS (Continued):
E. CONTRACT/PR NO.:
F. CONTRACTOR:
Page:
of:
image5.emf
DD1423 A004 Data Item Descriptions MFP.pdf
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
A004 Data Item Descriptions (DIDs)
DI-MISC-80000C SOW Para. C.3.3 RDAR-EIQ-PE
DID contents shall be in accordance with MIL-STD-963.
BLOCK 14: SUBMIT ELECTRONICALLY TO:
wendy.balashummers.civ@mail.mil denise.m.okeefe.civ@mail.mil conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any
9.0.0.2.20120627.2.874785
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 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
D.
SYSTEM/ITEM
E.
CONTRACT/PR
NO.
F.
CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6.
REQUIRING
OFFICE
7. DD 250 REQ
9.
DIST
STATEMENT
REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
11. AS OF DATE
13.
DATE
OF
SUBSEQUENT
SUBMISSION
Draft
Final
Reg
Repro
16. REMARKS
15. TOTAL
G.
PREPARED
BY
H.
DATE
I.
APPROVED
BY
J.
DATE
17.
PRICE GROUP
18. ESTIMATED
TOTAL
PRICE
DD FORM 1423-1,
FEB
PREVIOUS
EDITION MAY BE USED.
Page of
Pages
CONTRACT DATA
REQUIREMENTS
LIST
(1 Data Item)
A.
CONTRACT
LINE
ITEM
NO.
B.
EXHIBIT
C.
CATEGORY:
TDP
TM
OTHER
D.
SYSTEM/ITEM
E.
CONTRACT/PR
NO.
F.
CONTRACTOR
16.
REMARKS
(Continued)
DD FORM 1423-1,
FEB
Page of
Pages
INSTRUCTIONS
FOR COMPLETING
DD FORM 1423
(See DoD 5010.12-M for detailed instructions.)
FOR
GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as
"Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item
4.
Item 3. Enter subtitle of data item for further definition of data item
(optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in
Item 14.; Desired medium for delivery of the data item.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort
(production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to
Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.
DD FORM 1423-1 (BACK),
FEB
3. SUBTITLE:
TextField1: Jack Kurtz
TextField1: Product Quality Manager
17. PRICE GROUP:
18. ESTIMATED TOTAL PRICE:
Draft_16. REMARKS:
a. ADDRESSEE_16. REMARKS: RDAR-EIQ-PE
a. ADDRESSEE_16. REMARKS:
Draft_16. REMARKS:
Reg_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
Draft_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
a. ADDRESSEE_16. REMARKS:
A. CONTRACT LINE ITEM NO.:
B. EXHIBIT:
TDP:
TM:
OTHER:
D. SYSTEM/ITEM: Meltable Fuze Plug
E. CONTRACT/PR NO.:
F. CONTRACTOR:
1. DATA ITEM NO.: A004
2. TITLE OF DATA ITEM: Data Item Descriptions (DIDs)
4. AUTHORITY (Data Acquisition Document No.): DI-MISC-80000C
5. CONTRACT REFERENCE: SOW Para. C.3.3
6. REQUIRING OFFICE: RDAR-EIQ-PE
7. DD 250 REQ: LT
9. DIST STATEMENT REQUIRED: A
10. FREQUENCY: ASREQ
12. DATE OF FIRST SUBMISSION: ASREQ
14. DISTRIBUTION:
8. APP CODE:
11. AS OF DATE: ASREQ
13. DATE OF SUBSEQUENT SUBMISSION: ASREQ
a. ADDRESSEE_16. REMARKS: RDAR-EIQ-MA
a. ADDRESSEE_16. REMARKS: SFAE-AMO-CAS
Repro_16. REMARKS:
Reg_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
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a. ADDRESSEE_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS: 1
Draft_16. REMARKS:
a. ADDRESSEE_16. REMARKS: DCMA QAR
Repro_16. REMARKS:
Reg_16. REMARKS: 1
Draft_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS: 1
Draft_16. REMARKS:
Reg_16. REMARKS: 2
Repro_16. REMARKS:
REMARKS:
DID contents shall be in accordance with MIL-STD-963.
BLOCK 14: SUBMIT ELECTRONICALLY TO:
wendy.balashummers.civ@mail.mil denise.m.okeefe.civ@mail.mil brian.p.lagoe.civ@mail.mil jack.g.kurtz.civ@mail.mil
Reg_16. REMARKS:
Repro_16. REMARKS:
15. TOTAL:
H. DATE: 8 July 2016
Signature3:
Repro_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS:
Repro_16. REMARKS:
Draft_16. REMARKS:
Reg_16. REMARKS:
Repro_16. REMARKS:
Draft_16. REMARKS:
Reg_16. REMARKS:
Draft_16. REMARKS:
Reg_16. REMARKS:
Draft_16. REMARKS:
Draft_15. TOTAL: 0
Repro_16. REMARKS:
Repro_16. REMARKS:
Reg_16. REMARKS:
Reg_15. TOTAL: 5
Repro_15. TOTAL: 0
Repro_16. REMARKS:
J. DATE:
Page:
of:
A. CONTRACT LINE ITEM NO.:
B. EXHIBIT:
TDP:
TM:
OTHER:
D. SYSTEM/ITEM:
16. REMARKS (Continued):
E. CONTRACT/PR NO.:
F. CONTRACTOR:
Page:
of:
image6.emf
DD1423 A005 ADCs MFP.pdf
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
DCMA QAR
A005 Ammunition Data Card (ADC)
DI-MISC-80043B (Tailored) SOW Para. C.3.4 RDAR-EIQ-PE
ASREQ SEE BLK 16
ESED
1*With shipment
BLOCK 4: *Ammunition Data Cards (ADC) shall be prepared in accordance with MIL-STD-1168B and electronic submission shall be accomplished by accessing the Worldwide Ammunition Data Repository Program (WARP) at the Munitions History Program (MHP) website located at https:// mhpwarp.redstone.army.mil.
Input a sample card into WARP 30 days prior to First Article (FA), or production if FA is not applicable, for review and approval of technical content. When submitting the sample ADC for review input the words "SAMPLE CARD ONLY" in the remarks section of the ADC.
Submit an email Letter of Transmission (LT) notifying the Product Quality Manager identified below when a card has been entered into WARP.
FLBK_MCPDQA@NAVY.MIL
2 4 0 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any
9.0.0.2.20120627.2.874785
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 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
D.
SYSTEM/ITEM
E.
CONTRACT/PR
NO.
F.
CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6.
REQUIRING
OFFICE
7. DD 250 REQ
9.
DIST
STATEMENT
REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
11. AS OF DATE
13.
DATE
OF
SUBSEQUENT
SUBMISSION
Draft
Final
Reg
Repro
16. REMARKS
15. TOTAL
G.
PREPARED
BY
H.
DATE
I.
APPROVED
BY
J.
DATE
17.
PRICE GROUP
18. ESTIMATED
TOTAL
PRICE
DD FORM 1423-1,
FEB
PREVIOUS
EDITION MAY BE USED.
Page of
Pages
CONTRACT DATA
REQUIREMENTS
LIST
(1 Data Item)
A.
CONTRACT
LINE
ITEM
NO.
B.
EXHIBIT
C.
CATEGORY:
TDP
TM
OTHER
D.
SYSTEM/ITEM
E.
CONTRACT/PR
NO.
F.
CONTRACTOR
16.
REMARKS
(Continued)
DD FORM 1423-1,
FEB
Page of
Pages
INSTRUCTIONS
FOR COMPLETING
DD FORM 1423
(See DoD 5010.12-M for detailed instructions.)
FOR
GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as
"Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item
4.
Item 3. Enter subtitle of data item for further definition of data item
(optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data…
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