Cdrl

Form Approved

CONTRACT DATA REQUIREMENTS LIST

(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:

0002AA

A

D. SYSTEM|ITEM

TDP

TM

E. CONTRACT/PR NO.

OTHER

MISC

X

F. CONTRACTOR

Metal Bar
1. DATA ITEM NO.

2. TITLE OF DATA ITEM

CERTIFICATION DATA REPORT

A001

4. AUTHORITY (Data Acquisition Document No.)

9. DIST STATEMENT

REQUIRED

DD

8. APP CODE

N/A

11. AS OF DATE

N/A

18. ESTIMATED

TOTAL PRICE

6. REQUIRING OFFICE

PER CONTRACT

10. FREQUENCY

ONE/R

D

CHEMICAL AND MECHANICAL

(PHYSICAL) PROPERTIES

5. CONTRACT REFERENCE

DI-MISC-82386

7. DD 250 REQ

17. PRICE

GROUP

3. SUBTITLE

12. DATE OF FIRST SUBMISSION

PURCHASING ACTIVITY

14.

DISTRIBUTION

b. COPIES

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

DRAFT

a. ADDRESSEE

N/A
N4523A

16. REMARKS

FINAL

Reg

Repr
o

Block 4: Tailored to allow the vendor to only provide requirements: 2, 3, 4-Provide actual values IAW procurement specification, 5-Ensure certs provided are traceable to material via unique markings and 9.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 10/22/2026. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.

Document No.: 6292-1231

G. PREPARED BY

/s/ SCOFIELD, ZACHARY J

DD FORM 1423-1, FEB 2001

15. Total

H. DATE

10/22/2026

I. APPROVED BY

/s/ LEACH, WILLIE