Exhibit_M_-_DD1423_-_CDRL_A012_-_Acceptance_Description_Sheets.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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXH/ATCH NO. C. CATEGORY:

TDP TM OTHER

D.SYSTEM/ITEM

M739A1 PD/DLY Fuze

E. CONTRACT/PR

F. CONTRACTOR

17.PRICE

GROUP

1. DATA ITEM NO.

A012

2. TITLE OF DATA ITEM

Acceptance Description Sheets

3. SUBTITLE

18.ESTIMATED

TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81978

5. CONTRACT REFERENCE

M739A1 Fuze SOW: C.3.18

6. REQUIRING OFFICE

RDAR-EIQ-MA

7. DD 250 REQ

9.DIST STATEMENT

REQUIRED

10. FREQUENCY

As Req’d

12. DATE OF FIRST

SUBMISSION

See Block 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. ADP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

Draft

Final Reg Repro

16. REMARKS

This report shall be submitted for each lot or batch processed.

Electronic submission made by accessing the Worldwide Ammunition Data Card Repository Program (WARP) housing the acceptance and description sheet modules which are located on the Munitions History Program (MHP) website at https://mhp.redstone.army.mil

This requirement is in addition to the distribution accompanying the lots, those requested by the Quality and Technical offices in the item specifications, and any other distributions required in the contract.

BLK 14: It is preferred that the data be submitted using electronic media with email as the preferred format. Contact information will be provided as an attachment in Section J after contract award.

Government

QAR

RDAR-EIQ-MA 1

ESED: CODE

JXPMN

RDAR-MEF-F 1

RDAR-EIQ-PE 1

ACC-NJ-CA 1

G. PREPARED BY

Jason Menegus

H. DATE

11/15/16

I. APPROVED BY

5/10/2017

X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager Signed by: HEISKANEN.JEREMY.S.1367473408

J. DATE

05/10/2017