CDRL_A002_Weld_Inspection_Report.docx

DD FORM 1423, FEB 2001

CONTRACT DATA REQUIREMENT LIST, PREVIOUS EDITION MAY BE USED Form Approval 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 this burden, to 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.: 0001-0004

B. EXHIBIT: A

C. CATEGORY:

TDP ____ TM ____ OTHER __X__ Weld Inspection

D. SYSTEM/ITEM: N/A

E. CONTRACT/PR NO.: W56HZV-19-R-L817

F. CONTRACTOR:

1. DATA ITEM NO: A002

2. TITLE: Technical Report – Study/Services

3. SUBTITLE: Weld Inspection Report

4. AUTHORITY: DI-MISC-80508B(T)

5. CONTRACT REFERENCE: C.3.5

6. REQUIRING OFFICE: FCDD-GVS-IEC

7. DD250 REQ: Y

8. APP CODE: N

9. DIST. STATEMENT REQ: D

10. FREQUENCY: See Block 16

11. AS OF DATE: See Block 16

12. DATE OF FIRST SUBMISSION: See Block 16

13. DATE OF SUBS. SUBMISSION: See Block 16

14. DISTRIBUTION:

A. ADDRESSEE: COR

B. COPIES: 1

DRAFT:

FINAL:

REG REPRO: 1

15. TOTAL COPIES: 1

16. REMARKS:

Block 4: Omit Paragraph 3 – Contents.

Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative and Operational use, date of determination is 11 July 2018. Other requests for this document shall be referred to the attention of the Ground Vehicle System Center (GVSC) CSI COR at: Ground Vehicle System Center (GVSC) Center for System Integration (CSI), ATTN: FCDD-GVS-IEC, 6501, East Eleven Mile Road, Warren, MI 48397-5000.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq) or the Export Administration Act of 1979, (Title 50, U.S.C., App. 2401 et seq) as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

Blocks 10-13: The contractor will be requested to perform this deliverable through a delivery order, as needed.

Block 14: Reproducible = electronic copy. Deliver the electronic copy to the COR.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Eric G. Miller H: DATE: 4 March 2019

I: APPROVED BY:

J: DATE: