DD1423 (Pump).doc

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 and Communications Directorate (0704-1088). 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

A

C. CATEGORY:

TDP_____ TM ______ OTHER: MISC

D. SYSTEM/ITEM

Pump modification and demonstration

E. CONTRACT/PR NO.

W911QX-24-P-0163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

FINAL REPORT

3. SUBTITLE

High Pressure Common Rail Pump Durability Testing and Plunger Side Loading

4. AUTHORITY (Data Acquisition Document No.)

DI-FNCL-80003

5. CONTRACT REFERENCE

PWS C3.5.2 and C.3.7

6. REQUIRING OFFICE

FCDD-RLA-VA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ONCE

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14.

DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

16. REMARKS

BLOCK 4: ALL REPORTS SHALL BE IN HARD COPY AND SHOULD BE IN MICROSOFT WORD, MICROSOFT OFFICE, MICROSOFT EXCEL, OR .PDF FORMAT.

CONTRACTOR FORMAT ACCEPTABLE.

BLOCK 12: DRAFT REPORT SUBMITTED FOUR WEEKS BEFORE POP END. COR COMMENTS WILL BE PROVIDED WITHIN TWO WEEKS.

BLOCK 13: FINAL REPORT SUBMITTED BY POP END.

BLOCK 14: FCDD-RLA-VA REPORT COPY TO BE SENT TO:

U.S. ARMY RESEARCH LABORATORY

FCDD-RLA-VA

ATTN:STEPHEN BERKEBILE

6340 RODMAN ROAD

ABERDEEN PROVING GROUND, MD 21005

G. PREPARED BY

STEPHEN BERKEBILE

H. DATE

07/10/2024

I. APPROVED BY

CHRISTOPHER R MOY

J. DATE

07/16/2024

DD FORM 1423-1, FEB 2001

PREVIOUS EDITION MAY BE USED.

Page of Pages

EXHIBIT A – ATTACHMENT 1

ARMY RESEARCH LABORATORY

Report Title Goes Here

Any Subtitles Go Here

By Some Author and Another Author

Month XXXX

Prepared by

Whatever Technology Corporation

0000 Research Drive

Anywhere, ST 20006-1000

Under contract

W911QX-XX-C-XXXX

DISTRIBUTION STATEMENT GOES HERE

EXHIBIT A – ATTACHMENT 2

The findings in this report are not to be construed as an official Department of the Army position unless so designated by other authorized documents.

Citation of manufacturer's or trade names does not constitute an official endorsement or approval of the use thereof.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.