Exhibit_A_-_Contract_Data_Requirements_List_(CDRLs).pdf
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DRAFT
1. DATA ITEM NO.
17. PRICE
GROUP
A001
18. ESTIMATED
TOTAL PRICE
LT
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 01 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
The contractor shall electronically submit a ROD within 24 hours of discovering the discrepancy to Carrie.B.Lansing.civ@mail.mil, Bridget.L.Kramer.civ@mail.mil, and DCMA ACO.
AMSJM-LID
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
N/A
ASREQ ASREQ
a. ADDRESSEE
A N/A
ASREQ
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
SOW paragraph 1.0 AMSJM-LID
Record of Discrepancy (ROD)
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
OMB No. 0704-0188
0 04
17. PRICE
GROUP
A002
18. ESTIMATED
TOTAL PRICE
XX
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 02 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Submit Electronically within 90 days after award to Carrie.B.Lansing.civ@mail.mil and Bridget.L.Kramer.civ@mail.mil. Allow for 30 days for U.S. Government review.
AMSJM-LID
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
N/A
ASREQ 90 DAC
a. ADDRESSEE
A N/A When Revised
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80004A SOW, Paragraph 4.2 AMSJM-LID
Management Plan
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
OMB No. 0704-0188
Quality Assurance Program Plan (QAPP)
17. PRICE
GROUP
A003
18. ESTIMATED
TOTAL PRICE
XX
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 03 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Plan shall be submitted 30 days after award of the contract to Carrie.B.Lansing.civ@mail.mil and Bridget.L.Kramer.civ@mail.mil. Allow 30 days for U.S.
Government review.
AMSJM-LID
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
N/A
ASREQ 30 DAC
a. ADDRESSEE
N/A N/A When Revised
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-SAFT-81066 SOW paragraphs 3.1 & 5.3.1 AMSJM-LID
Saefty Studies Plan
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
OMB No. 0704-0188
Safety Site Plan (SSP)
17. PRICE
GROUP
A004
18. ESTIMATED
TOTAL PRICE
NO
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 04 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Report via telephone NLT 3 hours after the accident/incident to Carrie Lansing, 309-782-7636. Telephone notification shall be followed with an email notification to Carrie.B.Lansing.civ@mail.mil, Bridget.L.Kramer.civ@mail.mil, DCMA ACO, and the Cognizant DCMA Safety Specialist.
AMSJM-LID
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
A
ASREQ ASREQ
a. ADDRESSEE
N/A N/A
ASREQ
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-SAFT-81563 SOW Paragraph 5.4 CCRC-AC
Accident/Incident Report
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
17. PRICE
GROUP
A005
18. ESTIMATED
TOTAL PRICE
NO
8. APP CODE
0 1 0
0 0 0
0 1 0
Page: 5 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Report via telephone and email within 8 business hours, Monday through Friday, and no later than 0900 Central Standard Time on the first work day of the week for weekend event to Carrie Lansing, 309-782-736 and Carrie.B.Lansing.civ@mail.mil, Bridget.L. Kramer.civ@mail.mil, DCMA ACO, and the Cognizant DCMA Safety Specialist.
AMSJM-LID
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
N/A
ASREQ ASREQ
a. ADDRESSEE
A N/A
ASREQ
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-SAFT-81563 SOW Paragraph 5.5 CCRC-AC
Energetic Events
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
17. PRICE
GROUP
A006
18. ESTIMATED
TOTAL PRICE
DD
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 06 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Submit electronically within 45 days after award to Carrie.B.Lansing.civ@mail.mil and Bridget.L.Kramer.civ@mail.mil.
AMSJM-QAP
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
N/A
ANNUALLY 45 DAC
a. ADDRESSEE
N/A N/A
ASREQ
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-SAFT-81640 SOW Paragraphs 3.1 & 6.1 AMSJM-LID
Ammunition Demilitarization & Dispostion Plan (ADDP)
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
17. PRICE
GROUP
A007
18. ESTIMATED
TOTAL PRICE
NO
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 07 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Submit electronically to Carrie.B.Lansing.civ@mail.mil and Bridget.L.Kramer within 10 days of completed testing.
AMSJM-LID
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
N/A
ASREQ ASREQ
a. ADDRESSEE
N/A N/A
ASREQ
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-NDTI-80809B SOW paragraph 6.2.3 AMSJM-LID
Test/Inspection Report
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
OMB No. 0704-0188
Effective Stabilizer Lot Report
17. PRICE
GROUP
A008
18. ESTIMATED
TOTAL PRICE
NO
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 08 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Submit immediately after initial notification to Carrie.B.Lansing.civ@mail.mil, Bridget.L.Kramer.civ@mail.mil, and the appropriate DSS office.
AMSJM-LID
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
A
ASREQ ASREQ
a. ADDRESSEE
N/A N/A
ASREQ
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
SOW paragraph 7.4.2 CCRC-AC
Facility Security Violations
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
17. PRICE
GROUP
A009
18. ESTIMATED
TOTAL PRICE
XX
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 09 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Contractor shall submit OPSEC plan 30 calendar days after the Contracting Officer provides the list of known Critical Information (CI)/Threat Information. Allow 10 calendar days required for U.S.
Government review and approval. If revisions are required, resubmit 10 calendar days after receipt of U.S. Government comments. Submit electronically to usarmy.ria.jmc.mbx.opsec-Fd@mail.mil, Carrie.B.Lansing.civ@mail.mil, and bridget.l.kramer.civ@mail.mil.
Annual self-assessment and checklist are due on the anniversary of the contract award date.
AMSJM-FP/G2
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
D
One/R ASREQ
a. ADDRESSEE
A ASREQ
ASREQ
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80934C PADDS Clause HS7001 and SOW Paragraph 7.5 AMSJM-FP/G2
Operations Security (OPSEC) Plan
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
OMB No. 0704-0188
OPSEC Program
17. PRICE
GROUP
A010
18. ESTIMATED
TOTAL PRICE
NO
8. APP CODE
0 1 0
0 0 0
0 1 0
Page: 10 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Submit within 24 hours to Carrie.B.Lansing.civ@mail.mil and Bridget.L.Kramer.civ@mail.mil. AMSJM-LID
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
N/A
ASREQ ASREQ
a. ADDRESSEE
A N/A
ASREQ
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
SOW Paragraph 8.3 CCRC-AC
Environmental Notifications
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
17. PRICE
GROUP
A011
18. ESTIMATED
TOTAL PRICE
LT
8. APP CODE
0 1 0
0 1 0
0 1 0
0 1 0
Page: 11 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Submit electronically with WAWF invoice. AMSJM-QAP
PCO
ESED JXMPN
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
N/A
ASREQ ASREQ
a. ADDRESSEE
A N/A
ASREQ
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80678 SOW Paragraph 10.3.1 AMSJM-LID
Certificate of Demilitarization (COD)
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
17. PRICE
GROUP
A012
18. ESTIMATED
TOTAL PRICE
NO
8. APP CODE
0 1 0
0 0 0
0 1 0
Page: 12 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Contractor shall submit electonically within 45 days to Carrie.B.Lansing.civ@mail.mil and Bridget.L.Kramer.civ@mail.mil.
AMSJM-LID
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
A
ASREQ ASREQ
a. ADDRESSEE
N/A N/A
ASREQ
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80678 SOW Paragraph 10.5.5 CCRC-AC
Hazard Assessment Test Report
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
OMB No. 0704-0188
Interim Hazard Classification (IHC)
17. PRICE
GROUP
A013
18. ESTIMATED
TOTAL PRICE
NO
8. APP CODE
0 1 0
0 0 0
0 1 0
Page: 13 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Submit electronically with WAWF invoice. AMSJM-LID
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
A
ASREQ ASREQ
a. ADDRESSEE
N/A N/A
ASREQ
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80678 SOW Paragraph 10.5.6 CCRC-AC
Certification / Data Report
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
OMB No. 0704-0188
End Use Certification (EUC)
17. PRICE
GROUP
A014
18. ESTIMATED
TOTAL PRICE
NO
8. APP CODE
0 1 0
0 0 0
0 1 0
Page: 14 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Submit electronically with WAWF invoice. AMSJM-LID
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
A
ASREQ ASREQ
a. ADDRESSEE
N/A N/A
ASREQ
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80678 SOW Paragraph 10.5.11 CCRC-AC
Certification / Data Report
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
OMB No. 0704-0188
Destruction Certificate
17. PRICE
GROUP
A015
18. ESTIMATED
TOTAL PRICE
NO
8. APP CODE
0 1 0
0 0 0
0 1 0
Page: 15 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Submit electronically with WAWF invoice. AMSJM-LID
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
N/A
ASREQ ASREQ
a. ADDRESSEE
N/A N/A
ASREQ
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-80678 SOW Paragraph 10.5.12 CCRC-AC
Disposal Certificate
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
17. PRICE
GROUP
A016
18. ESTIMATED
TOTAL PRICE
DD
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 16 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Submit 30 days prior to meeting for U.S. Government review and approval to Carrie.B.Lansing.civ@mail.mil and Bridget.L.Kramer.civ@mail.mil.
AMSJM-LID
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
N/A
ASREQ ASREQ
a. ADDRESSEE
A N/A
ASREQ
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-ADMN-81249A SOW Paragraph 13.1 AMSJM-LID
Conference Agenda
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
17. PRICE
GROUP
A017
18. ESTIMATED
TOTAL PRICE
DD
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 17 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Submit electronically NLT 10 days after meeting to Carrie.B.Lansing.civ@mail.mil and Bridget.L.Kramer.civ@mail.mil.
AMSJM-LID
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
N/A
ASREQ ASREQ
a. ADDRESSEE
N/A N/A
ASREQ
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-ADMN-81250A SOW Paragraph 13.1 AMSJM-LID
Conference Minutes
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
17. PRICE
GROUP
A018
18. ESTIMATED
TOTAL PRICE
DD
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 18 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Submit electronically within 60 days after award to Carrie.B.Lansing.civ@mail.mil and Bridget.L.Kramer.civ@mail.mil.
AMSJM-LID
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
N/A
ASREQ 60 DAC
a. ADDRESSEE
N/A N/A
ASREQ
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-81650 SOW Paragraph 13.1 AMSJM-LID
Integrated Program Management Report (IPMR)
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
OMB No. 0704-0188
Integrated Master Schedule
17. PRICE
GROUP
A019
18. ESTIMATED
TOTAL PRICE
NO
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 19 of 20DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Contractor format is acceptable. Monthly Demil Status Reports shall be emailed to:
Carrie.B.Lansing.civ@mail.mil, Bridget.L.Kramer.civ@mail.mil, and DCMA ACO. Monthly Demil Status Reports are to be submitted electronically each month by the fifth day of the following month.
AMSJM-LID
PCO
J. DATE
K. Mosher for SDMO, RDAR-EIS-PD 6/27/2016
16. REMARKS QAR
A
Monthly ASREQ
a. ADDRESSEE
N/A N/A Monthly
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
Reg Repro
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document
No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80555A SOW Paragraph 13.2 AMSJM-LID
Program Progress Report
TDP____________ TM____________ OTHER____________
F. CONTRACTORD. SYSTEM/ITEM
Navy Projectiles and Cartridges
E. CONTRACT / PR NO.
W52P1J-17-R-0066
2. TITLE OF DATA ITEM 3. SUBTITLE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
OMB No. 0704-0188
Monthly Demil Status Report
FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR
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.
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 (BACK)
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.
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.
INSTRUCTIONS FOR COMPLETING DD FORM 1423
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.
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.
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.
File details come from the government source that posted it. Updated .