B08 - EXHIBIT A - CONTRACT DATA REQUIREMENTS LIST (CDRL) - MK76-5.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) 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

BOMB, PRACTICE, MK 76 MOD 5,

TWIN PACK (LEVEL B PACK)

R16A06RQHI

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A001 AMMUNITION DATA CARD

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80043B SECTION C, MIL-STD-1168 AMSJM-QAP

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

NO ASREQ (SEE 16) ASREQ (SEE 16)

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft Final

N/A N/A ASREQ (SEE 16) Reg Repro

16. REMARKS DCMA-MCWB (QAR) 0 1 0

BLK 10, 12, 13: AMMUNITION DATA CARDS (ADC) SHALL BE

PREPARED IAW MIL-STD-1168, SECTION C, AND BY ACCESSING THE

WORLDWIDE AMMUNITION DATA REPOSITORY PROGRAM (WARP),

WHICH IS LOCATED AT https://mhp.redstone.army.mil.

BLK 14: SUBMIT VIA THE INTERNET OR MAIL A CD ROM (PC FORMAT)

IN ACCORDANCE WITH CDRL DISTRIBUTION LIST.

*HARD COPY ADC PROVIDED WITH LOT SHIPMENTS SHALL BE

GENERATED FROM THE WARP PROGRAM AND SIGNED AND DATED

BY THE GOVERNMENT AGENCY RESPONSIBLE FOR ACCEPTANCE

(GARA).

**WHEN BALLISTIC TESTS ARE REQUIRED, ONE HARD COPY

GENERATED FROM THE WARP PROGRAM SIGNED AND DATED BY THE

GARA SHALL BE SENT TO THE PROVING GROUND WITH SAMPLE

SHIPMENT, PLUS AN ADDITIONAL SIGNED HARD COPY PROVIDED TO

THE PROVING GROUND BY MAIL.

WARP 0 1 0

LOT SHIPMENT* 0 2 0

MAIL TO DEST** 0 2 0

(SEE BLK 16)

15. TOTAL 0 6 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _______ of _______ Pages

MISC

Jennifer Diaz

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

BOMB, PRACTICE, MK 76 MOD 5,

TWIN PACK (LEVEL B PACK)

R16A06RQHI

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A002 QUALITY PROGRAM PLAN (QPP)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-QCIC-81722 SECTION E (SEE BLK 16) AMSJM-QAP

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT ONE/R (SEE 16) 150 DAC (SEE 16)

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft Final

A N/A ASREQ (SEE 16) Reg Repro

AMSJM-QAP 0 1 0 16. REMARKS

BLK 5: THE QUALITY PROGRAM PLAN (QPP) SHALL DOCUMENT THE

CONTRACTOR'S IMPLEMENTATION OF A QUALITY SYSTEM IN

ACCORDANCE WITH THE QUALITY ASSURANCE PROVISION (QAP).

BLK 10, 12: THE QPP SHALL BE SUBMITTED NO LATER THAN 150

CALENDAR DAYS AFTER CONTRACT AWARD. THE GOVERNMENT

REQUIRES 30 DAYS FOR REVIEW. DISPOSITION OF THE QPP WILL BE

PROVIDED THROUGH THE PROCURING CONTRACTING OFFICER (PCO).

IF FURTHER REVISIONS ARE NECESSARY, THE CONTRACTOR SHALL

HAVE 15 DAYS TO PROVIDE REVISIONS AND THE GOVERNMENT

SHALL REVIEW AND PROVIDE DISPOSITION WITHIN 15 DAYS OF

RECEIPT. THE QPP SHALL BE APPROVED PRIOR TO FAT, IF FAT IS

REQUIRED, OR PRIOR TO INITIATION OF PRODUCTION.

BLK 13: SUBMIT UPDATES/REVISIONS FOR REVIEW AND APPROVAL

PRIOR TO IMPLEMENTATION.

BLK 14: SUBMIT VIA EMAIL IN ACCORDANCE WITH CDRL

DISTRIBUTION LIST OR DOD SAFE (https://Secure.apps.mil/).

NAWCWD (685200D) 0 1 0

NAWCWD (QA) 0 1 0

AFLCMC/EBHCB 0 1 0

DCMA-MCWB (QAR) 0 1 0

CCRC-AR 0 1 0

SFAE-AA-JB 0 1 0

(SEE BLK 16)

15. TOTAL 0 7 0

H. DATE I. APPROVED BY J. DATEG. PREPARED BY

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _______ of _______ Pages

QCIC

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

BOMB, PRACTICE, MK 76 MOD 5,

TWIN PACK (LEVEL B PACK)

R16A06RQHI

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A003 STATISTICAL PROCESS CONTROL (SPC) PLAN

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-81987 SECTION E AMSJM-QAP

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT ONE/R (SEE 16) 150 DAC (SEE 16)

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft Final

A N/A ASREQ (SEE 16) Reg Repro

AMSJM-QAP 0 1 0 16. REMARKS

BLK 10, 12: THE GENERAL PLAN SHALL BE SUBMITTED NO LATER

THAN 150 CALENDAR DAYS AFTER CONTRACT AWARD. THE FINAL

DETAILED PLAN SHALL BE SUBMITTED 30 DAYS AFTER FAT

APPROVAL, IF FAT IS REQUIRED, OR 30 DAYS AFTER INITIATION OF

PRODUCTION. THE GOVERNMENT REQUIRES 30 DAYS FOR REVIEW.

DISPOSITION OF THE GENERAL AND DETAILED SECTIONS WILL BE

PROVIDED THROUGH THE PROCURING CONTRACTING OFFICER (PCO).

IF FURTHER REVISIONS ARE NECESSARY, THE CONTRACTOR SHALL

HAVE 15 DAYS TO PROVIDE REVISIONS AND THE GOVERNMENT

SHALL REVIEW AND PROVIDE DISPOSITION WITHIN 15 DAYS OF

RECEIPT.

BLK 13: SUBMIT UPDATES/REVISIONS FOR REVIEW AND APPROVAL

PRIOR TO IMPLEMENTATION.

BLK 14: SUBMIT VIA EMAIL IN ACCORDANCE WITH CDRL

DISTRIBUTION LIST OR DOD SAFE (https://Secure.apps.mil/).

NAWCWD (685200D) 0 1 0

NAWCWD (QA) 0 1 0

AFLCMC/EBHCB 0 1 0

DCMA-MCWB (QAR) 0 1 0

CCRC-AR 0 1 0

SFAE-AA-JB 0 1 0

(SEE BLK 16)

15. TOTAL 0 7 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _______ of _______ Pages

MGMT

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

BOMB, PRACTICE, MK 76 MOD 5,

TWIN PACK (LEVEL B PACK)

R16A06RQHI

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A004 MEASUREMENT SYSTEM EVALUATION (MSE) –

MEASUREMENT AND INSPECTION EQUIPMENT

SYSTEM DESIGN DOCUMENTATION FOR

ACCEPTANCE OF PRODUCT

ACCEPTANCE INSPECTION EQUIPMENT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-QCIC-81960 SECTION E (MSE CLAUSE) NSWC (MS-21)

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY 14. DISTRIBUTION

LT ONE/R (SEE 16)

12. DATE OF FIRST SUBMISSION

120 DAC (SEE 16)

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft Final

A N/A ASREQ (SEE 16) Reg Repro

NSWC (MS-21) 0 1 0 16. REMARKS

BLK 10, 12: THE CONTRACTOR SHALL SUBMIT A COMPLETED

ACCEPTANCE INSPECTION EQUIPMENT (AIE) PACKAGE NO LATER

THAN 120 CALENDAR DAYS AFTER CONTRACT AWARD. THE

GOVERNMENT WILL PROVIDE DISPOSITION WITHIN 45 DAYS AFTER

FINAL AIE PACKAGE RECEIPT.

BLK 13: IF FURTHER REVISIONS ARE NECESSARY, THE CONTRACTOR

SHALL HAVE 30 DAYS TO GENERATE REVISIONS AND THE

GOVERNMENT SHALL HAVE 30 DAYS TO REVIEW AND RESPOND.

THE APPROVED AIE SHALL BE AVAILABLE FOR FAT, IF FAT IS

REQUIRED, PRODUCTION, AND/OR ALL ACCEPTANCE OF PRODUCT

UNDER THE CONTRACT. IF CONTRACTOR REVISES A PREVIOUSLY

GOVERNMENT-ACCEPTED AIE FOR THIS CONTRACT, THE REVISED

AIE MUST BE SUBMITTED TO THE GOVERNMENT FOR REVIEW AND

APPROVAL. GOVERNMENT APPROVAL MUST BE GRANTED BEFORE

AIE IS USED FOR ACCEPTANCE OF PRODUCT. THE GOVERNMENT

WILL RESPOND WITHIN 30 DAYS AFTER RECEIPT OF AIE.

THE CONTRACTOR SHALL NOTIFY THE RESPONSIBLE GOVERNMENT

TECHNICAL AGENCY WITHIN A MINIMUM OF 30 DAYS PRIOR

TO ACCEPTANCE (PROVE OUT) TESTING.

BLK 14: SUBMIT VIA EMAIL IN ACCORDANCE WITH CDRL

DISTRIBUTION LIST OR DOD SAFE (https://Secure.apps.mil/).

AMSJM-QAP 0 1 0

NAWCWD (685200D) 0 1 0

NAWCWD (QA) 0 1 0

AFLCMC/EBHCB 0 1 0

DCMA-MCWB (QAR) 0 1 0

CCRC-AR 0 1 0

SFAE-AA-JB 0 1 0

(SEE BLK 16)

15. TOTAL 0 8 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _______ of _______ Pages

G. PREPARED BY

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

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

BOMB, PRACTICE, MK 76 MOD 5,

TWIN PACK (LEVEL B PACK)

R16A06RQHI

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A006 TEST/INSPECTION REPORT FIRST ARTICLE TEST REPORT (FATR)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80809B SECTION E AMSJM-QAP

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT ONE/R (SEE 16) 270 DAC (SEE 16)

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft Final

A N/A ASREQ (SEE 16) Reg Repro

AMSJM-QAP 0 1 0 16. REMARKS

BLK 10, 12: THE FIRST ARTICLE TEST (FAT) REPORT SHALL BE

SUBMITTED WITH QAR FINDINGS ON DD FORM 1222. FAT REPORT

SHALL BE SUBMITTED 270 DAYS AFTER CONTRACT AWARD. THE

GOVERNMENT REQUIRES 30 DAYS FOR REVIEW. DISPOSITION OF THE

FAT REPORT WILL BE PROVIDED THROUGH THE PCO. FAT MUST BE

APPROVED PRIOR TO PRODUCTION.

BLK 13: IF FURTHER REVISIONS ARE NECESSARY, THE CONTRACTOR

SHALL HAVE 15 DAYS TO GENERATE REVISIONS AND THE

GOVERNMENT SHALL HAVE 15 DAYS TO REVIEW AND RESPOND.

BLK 14: SUBMIT VIA EMAIL IN ACCORDANCE WITH CDRL

DISTRIBUTION LIST OR DOD SAFE (https://Secure.apps.mil/).

NAWCWD (685200D) 0 1 0

NAWCWD (QA) 0 1 0

AFLCMC/EBHCB 0 1 0

DCMA-MCWB (QAR) 0 1 0

CCRC-AR 0 1 0

SFAE-AA-JB 0 1 0

(SEE BLK 16)

15. TOTAL 0 7 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _______ of _______ Pages

NDTI

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

BOMB, PRACTICE, MK 76 MOD 5,

TWIN PACK (LEVEL B PACK)

R16A06RQHI

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A007 TEST/INSPECTION REPORT LOT ACCEPTANCE TEST REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80809B (SEE BLK 16) SECTION E DCMA-MCWB (QAR)

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT ASREQ (SEE 16) ASREQ (SEE 16)

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft Final

A N/A ASREQ (SEE 16) Reg Repro

16. REMARKS DCMA-MCWB (QAR) 0 1 0

BLK 4: LOT ACCEPTANCE TEST (LAT) REPORTS SHALL CONTAIN ALL

INSPECTION RECORDS OF CLASSIFIED CHARACTERISTIC SAMPLES

AND ANY OTHER TESTS REQUIRED FOR EACH LOT PER THE

CONTRACT.

BLK 10, 12, 13: SUBMISSION OF LAT REPORTS AND PRODUCTION

ACCEPTANCE TEST REPORTS SHALL BE NO LATER THAN 30 DAYS

AFTER LAT. THE QAR WILL PROVIDE DISPOSITION OF

LOT/PRODUCTION ACCEPTANCE TEST REPORTS.

BLK 14: LAT REPORTS SHALL BE SUBMITTED BY ACCESSING THE

WORLDWIDE AMMUNITION DATA CARD REPOSITORY PROGRAM

(WARP) WHICH IS LOCATED ON THE MUNITIONS HISTORY PROGRAM

(MHP) WEBSITE AT: https://mph.redstone.army.mil/. SUBMIT

ELECTRONICALLY UNLESS OTHERWISE SPECIFIED.

WARP 0 1 0

(SEE BLK 16)

15. TOTAL 0 2 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _______ of _______ Pages

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

BOMB, PRACTICE, MK 76 MOD 5,

TWIN PACK (LEVEL B PACK)

R16A06RQHI

1. DATA ITEM NO. 3. SUBTITLE

A008

2. TITLE OF DATA ITEM

FAILURE SUMMARY AND ANALYSIS REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80255A SECTION C (SEE BLK 16) AMSJM-QAP

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT ASREQ (SEE 16) ASREQ (SEE 16)

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft Final

A N/A ASREQ (SEE 16) Reg Repro

AMSJM-QAP 0 1 0 16. REMARKS

BLK 5: THE FAILURE ANALYSIS AND CORRECTIVE ACTION REPORT

(FACAR) SHALL BE IN ACCORDANCE WITH THE QUALITY ASSURANCE

PROVISION (QAP).

BLK 10, 12, 13: CONTRACTOR SHALL NOTIFY NAWCWD (QA),

NAWCWD (685200D), AMSJM-QAP, AND THE PCO VIA EMAIL WITHIN 24

HOURS AFTER THE OCCURRENCE OF A FAILURE DURING

ACCEPTANCE TESTING; INCLUDING, BUT NOT LIMITED TO, ANY

FAILURES DURING FAT/LAT AND ANY DESTRUCTIVE OR

NONDESTRUCTIVE TEST FAILURES. FORMAL SUBMITTAL SHALL BE

NO LATER THAN 10 DAYS AFTER REPORTED FAILURE. FINAL REPORT

SHALL BE SUBMITTED NO LATER THAN 30 DAYS AFTER

DETERMINING/CONDUCTING ROOT CAUSE FAILURE ANALYSIS.

BLK 14: SUBMIT VIA EMAIL IN ACCORDANCE WITH CDRL

DISTRIBUTION LIST OR DOD SAFE (https://Secure.apps.mil/).

NAWCWD (685200D) 0 1 0

NAWCWD (QA) 0 1 0

AFLCMC/EBHCB 0 1 0

DCMA-MCWB (QAR) 0 1 0

CCRC-AR 0 1 0

SFAE-AA-JB 0 1 0

(SEE BLK 16)

15. TOTAL 0 7 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _______ of _______ Pages

SESS

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

BOMB, PRACTICE, MK 76 MOD 5,

TWIN PACK (LEVEL B PACK)

R16A06RQHI

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A009 INSPECTION AND TEST PLAN

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-QCIC-81110 SECTION E (SEE BLK 16) AMSJM-QAP

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT ONE/R (SEE 16) 150 DAC (SEE 16)

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft Final

A N/A ASREQ (SEE 16) Reg Repro

AMSJM-QAP 0 1 0 16. REMARKS

BLK 5: THE INSPECTION AND TEST PLAN (ITP) SHALL BE IN

ACCORDANCE WITH THE QUALITY ASSURANCE PROVISION (QAP).

BLK 10, 12: THE ITP SHALL BE SUBMITTED NO LATER THAN 150

CALENDAR DAYS AFTER CONTRACT AWARD. THE GOVERNMENT

REQUIRES 30 DAYS FOR REVIEW. DISPOSITION OF THE ITP WILL BE

PROVIDED THROUGH THE PROCURING CONTRACTING OFFICER (PCO).

IF FURTHER REVISIONS ARE NECESSARY, THE CONTRACTOR SHALL

HAVE 15 DAYS TO PROVIDE REVISIONS AND THE GOVERNMENT

SHALL REVIEW AND PROVIDE DISPOSITION WITHIN 15 DAYS. THE ITP

SHALL BE APPROVED PRIOR TO FAT, IF FAT IS REQUIRED, OR PRIOR

TO INITIATION OF PRODUCTION.

BLK 13: SUBMIT UPDATES/REVISIONS FOR REVIEW AND APPROVAL

PRIOR TO IMPLEMENTATION.

BLK 14: SUBMIT VIA EMAIL IN ACCORDANCE WITH CDRL

DISTRIBUTION LIST OR DOD SAFE (https://Secure.apps.mil/).

NAWCWD (685200D) 0 1 0

NAWCWD (QA) 0 1 0

AFLCMC/EBHCB 0 1 0

DCMA-MCWB (QAR) 0 1 0

CCRC-AR 0 1 0

SFAE-AA-JB 0 1 0

(SEE BLK 16)

15. TOTAL 0 7 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _______ of _______ Pages

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

BOMB, PRACTICE, MK 76 MOD 5,

TWIN PACK (LEVEL B PACK)

R16A06RQHI

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A010 REQUEST FOR VARIANCE (RFV)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80640D (SEE BLK 16) SECTION C NAWCWD (685200D)

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT ASREQ ASREQ

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft Final

A N/A ASREQ Reg Repro

NAWCWD (685200D) 0 1 0 16. REMARKS

BLK 4: DELETE PARAGRAPH 2B AND 2C AND INCLUDE ADEQUATE

DATA/ANALYSIS/TESTING TO SUPPORT THE REQUEST IN THE

CONTENT OF THE RFV. THE CONTRACTOR SHALL PREPARE AND

SUBMIT A RFV FOR EACH VARIANCE ON DD FORM 1694, LOCATED AT:

http://www.dtic.mil/whs/directives/forms/dd/ddforms1500-1999.htm

BLK 14: SUBMIT VIA EMAIL IN ACCORDANCE WITH CDRL

DISTRIBUTION LIST OR DOD SAFE (https://Secure.apps.mil/).

NAWCWD (QA) 0 1 0

AFLCMC/EBHCB 0 1 0

CCRC-AR 0 1 0

SFAE-AA-JB 0 1 0

(SEE BLK 16)

15. TOTAL 0 5 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _______ of _______ Pages

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

BOMB, PRACTICE, MK 76 MOD 5,

TWIN PACK (LEVEL B PACK)

R16A06RQHI

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A011 ENGINEERING CHANGE PROPOSAL (ECP)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80639D (SEE BLK 16) SECTION C NAWCWD (685200D)

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT ASREQ ASREQ

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft Final

A N/A ASREQ Reg Repro

NAWCWD (685200D) 0 1 0 16. REMARKS

BLK 4: DELETE PARAGRAPH 2B AND 2C. SUBMIT TEXT FILES IN

GOVERNMENT COMPATIBLE MICROSOFT WORD AND VIEW FILES IN

GOVERNMENT COMPATIBLE ADOBE ACROBAT. FOR DRAWINGS,

SUBMIT PDF VIEW FILES IN GOVERNMENT COMPATIBLE ADOBE

ACROBAT.

THE CONTRACTOR SHALL PREPARE AND SUBMIT AN ECP ON DD

FORM 1692, LOCATED AT:

http://www.dtic.mil/whs/directives/forms/dd/ddforms1500-1999.htm

BLK 14: SUBMIT VIA EMAIL IN ACCORDANCE WITH CDRL

DISTRIBUTION LIST OR DOD SAFE (https://Secure.apps.mil/)

NAWCWD (QA) 0 1 0

AFLCMC/EBHCB 0 1 0

CCRC-AR 0 1 0

SFAE-AA-JB 0 1 0

(SEE BLK 16)

15. TOTAL 0 5 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _______ of _______ Pages

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

BOMB, PRACTICE, MK 76 MOD 5,

TWIN PACK (LEVEL B PACK)

R16A06RQHI

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A012 NOTICE OF REVISION (NOR)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80642D (SEE BLK 16) SECTION C NAWCWD (685200D)

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT ASREQ ASREQ

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft Final

A N/A ASREQ Reg Repro

NAWCWD (685200D) 0 1 0 16. REMARKS

BLK 4: DELETE PARAGRAPH 2B AND 2C. SUBMIT IN CONJUNCTION

WITH CDRL A006 (ECP).

FOR EACH DRAWING, ASSOCIATED LIST, OR OTHER REFERENCED

DOCUMENT WHICH REQUIRES REVISION, THE CONTRACTOR SHALL

PREPARE AND SUBMIT NOR ON DD FORM 1695, LOCATED AT:

http://www.dtic.mil/whs/directives/forms/dd/ddforms1500-1999.htm

BLK 14: SUBMIT VIA EMAIL IN ACCORDANCE WITH CDRL

DISTRIBUTION LIST OR DOD SAFE (https://Secure.apps.mil/).

NAWCWD (QA) 0 1 0

AFLCMC/EBHCB 0 1 0

CCRC-AR 0 1 0

SFAE-AA-JB 0 1 0

(SEE BLK 16)

15. TOTAL 0 5 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _______ of _______ Pages

DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 1 of 3 Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-

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.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER

E. CONTRACT / PR NO.

R16A06RQHI

F. CONTRACTOR D. SYSTEM/ITEM

BOMB, PRACTICE, MK 76 MOD 5, TWIN PACK

(LEVEL B PACK)

1. DATA ITEM NO.

A013

2. TITLE OF DATA ITEM

Operations Security (OPSEC) Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Documentation No.)

DI-MGMT-80934C

5. CONTRACT REFERENCE

OPSEC SOW

6. REQUIRING OFFICE

AMSJM-FP/G2

7. DD 250 REQ.

XX

9. DIST

STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

ASREQ

13. DATE OF

SUBSEQUENT

SUBMISSION

ASREQ

Draft Final

Reg Repro

16. REMARKS:

DELETE REFERENCE 'APPLYING OPSEC TO U.S. GOVERNMENT

CONTRACTS'. REPLACE WITH REFERENCE 'SAMPLE ACQUISITIONS

OPSEC PLAN'. 10 CALENDAR DAYS REQUIRED FOR GOVERNMENT

REVIEW AND APPROVAL. *30 CALENDAR DAYS AFTER THE

CONTRACTING OFFICER PROVIDES THE LIST OF KNOWN CRITICAL

INFORMATION (CI)/THREAT INFORMATION. ** RESUBMIT 10

CALENDAR DAYS AFTER GOVERNMENT REVIEW. SUBMIT

ELECTRONICALLY TO usarmy.ria.jmc.mbx.OPSEC-FD@mail.mil.

JMC OPSEC 0 1 0

PCO 0 1 0

15. TOTAL 0 2 0

H. DATE

6/28/2018

I. APPROVED BY J. DATE

G. PREPARED BY

K. Mosher for SDMO, RDAR-EIS-PD

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

BOMB, PRACTICE MK 76 MOD 5,

TWIN PACK (LEVEL B PACK)

R16A06RQHI

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A014 TEST PROCEDURE PHOSPHATE COATING PRE-PRODUCTION

PROCEDURE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80603A SECTION E NAWCWD (QA)

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT ONE/R (SEE 16) 150 DAC (SEE 16)

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Draft Final

A N/A ASREQ (SEE 16) Reg Repro

NAWCWD (QA) 0 1 0 16. REMARKS

BLK 10, 12: THE PHOSPHATE PROCEDURE SHALL BE SUBMITTED NO

LATER THAN 150 CALENDAR DAYS AFTER CONTRACT AWARD. THE

GOVERNMENT REQUIRES 30 DAYS FOR REVIEW. DISPOSITION IS

PROVIDED THROUGH THE PCO. IF FURTHER REVISIONS ARE

NECESSARY, THE CONTRACTOR SHALL HAVE 15 DAYS TO PROVIDE

REVISIONS AND THE GOVERNMENT SHALL REVIEW AND PROVIDE

DISPOSITION WITHIN 15 DAYS OF RECEIPT. THE TEST

PLAN/PHOSPHATE COATING PRE-PRODUCTION PROCEDURE SHALL

BE APPROVED PRIOR TO FAT, IF FAT IS REQUIRED, OR PRIOR TO

INITIATION OF PRODUCTION.

THE PREPRODUCTION VALIDATION PANELS SHALL BE

SUBMITTED PER TT-C-490 TO THE FOLLOWING ADDRESS:

NAWCWD

1900 N. KNOX RD, MS6213

BUILDING 02466, ROOM 1250

CHINA LAKE, CA 93555-6106

BLK 13: SUBMIT UPDATES/REVISIONS FOR REVIEW AND APPROVAL

PRIOR TO PRODUCTION.

BLK 14: SUBMIT IN ACCORDANCE WITH ATTACHMENT 0004 VIA

EMAIL OR DOD SAFE (https://Secure.apps.mil/).

NAWCWD (685200D) 0 1 0

AMSJM-QAP 0 1 0

AFLCMC/EBHCB 0 1 0

DCMA-MCWB (QAR) 0 1 0

CCRC-AR 0 1 0

SFAE-AA-JB 0 1 0

(SEE BLK 16)

15. TOTAL 0 7 0

H. DATE I. APPROVED BY J. DATEG. PREPARED BY

Jennifer Diaz DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages

17. PRICE

GROUP1. DATA ITEM NO.

A015

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 1 0

Page: 2 of 3DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

H. DATE

6/28/2018

I. APPROVED BY J. DATE

DUE TO BEGIN 30 DAYS AFTER PRODUCTION COMMENCES

FREQUENCY: 3 WORKING DAYS FOLLOWING REPORTING MONTH

SHALL BE SUBMITTED IN ELECTRONIC FORMAT AND INCLUDE AT A MINIMUM:

DESCRIPTION/NSN OF GFM

TOTAL OF GFM REQUIRED VS. TOTAL DELIVERED AS OF THE CURRENT MONTH

RECEIPTS: CUMULATIVE VS. CURRENT MONTH

CONSUMED: CUMULATIVE VS. CURRENT MONTH

REJECTED/DAMAGED MATERIAL: LOT NUMBERS AND SERIAL NUMBERS OF GFM

LAP CLINS: CONTRACT QUANTITY VS. DELIVERED QUANTITY

THIS INFORMATION SHOULD BE PROVIDED FOR EACH DELIVERY ORDER

SUBMIT ELECTRONICALLY TO THE PCO, OTHER DISTRIBUTION WILL BE DISCUSSED AFTER AWARD OF

REQUIREMENT.

FORMAT AND CONTENT WILL BE APPROVED THROUGH PCO

N/A N/A Reg Repro

ASREQ

16. REMARKS PRODUCTION MANAGER

PCO

N/A

MTHLY ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80438B

5. CONTRACT REFERENCE

FAR PART 45

6. REQUIRING OFFICE

AMSJM-SO

2. TITLE OF DATA ITEM 3. SUBTITLE

GOVERNMENT FURNISHED MATERIEL (GFM) CONSUMPTION REPORT CONSUMPTION REPORT

TDP____________ TM____________ OTHER____________

CONTRACT / PR NO.

R16A06RQHI

F. CONTRACTOR

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

G. PREPARED BY

M. Vetter

E. D. SYSTEM/ITEM

BOMB, PRACTICE, MK 76 MOD 5, TWIN PACK (LEVEL B

PACK)

0 2 0

0 1 0

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.

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