M250_Test_Report_CDRL_A002.docx
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- Chaparral Missile Class V Components
- Solicitation number
- W31P4Q15R0163
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M250 WARHEAD TEST AND INSPECTION REPORT
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NAVAIRINST 5200.39
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 220 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. EXHIBIT |
| C. CATEGORY: |
| A |
| TDP TM OTHER X |
| D. SYSTEM / ITEM |
| E. CONTRACT / PR NO. |
| F. CONTRACTOR |
| M250 Warhead |
| W31P4Q-15-R-XXXX |
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
Test / Inspection Report
3. SUBTITLE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-NDTI-80809B |
| SOW, Para 4.4.2 |
| AMSAM-SAT-MS |
| 7. DD 250 REQ | |
| 9. DIST STATEMENT | REQUIRED |
| 10. FREQUENCY | |
| 12. DATE OF FIRST SUBMISSION | |
| 14. | DISTRIBUTION |
LT
F
| As Required |
| As Required |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| SUBMISSION |
| a. ADDRESSEE |
Draft Final
A
| N/A |
| N/A |
| Reg |
| Repro |
| 16. REMARKS |
| AMSAM-SAT-MS |
| 0 |
| 1 |
| 0 |
Block 4: Contractor format permitted; format specified in section 2 Format is not applicable. Content specified in section 3 Contents is not required. Content shall reflect the conduct and results of testing being reported.
BLK 8 and 13: Government will approve/disapprove within 30 working days of receipt. If disapproved, the contractor shall resubmit within 10 working days after receipt of the Government’s comments.
BLK 9: Distribution Statement F: Further dissemination only as directed by Commander, US Army Aviation and Missile Command ATTN: AMSAM-SAT-MS, Redstone Arsenal, AL 35898-5000 or Higher DoD Authority. Date of Determination: 03 Feb 2011.
BLK 12: 30 days following the completion of testing.
BLK 14: Submissions shall be transmitted as agreed by the USG and the contractor.
Other: Submissions shall be in Microsoft Word or Adobe Acrobat. Contractor format is acceptable.
| 15. TOTAL |
| 0 |
| 1 |
| 0 |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
DD Form 1423-2, Feb 01 Previous editions are obsolete Page 1 of 1 Page
Enclosure (9)
File details come from the government source that posted it. Updated .