Contract Data Requirements List COMBINED

LICN: 3439-LL-N05-0278 L1

ITEM NAME: ROD, WELDING COPPER ALLOY

DOCUMENT NUMBER: 6275-9403

November 4, 2026

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

A

0002AA

D. SYSTEM|ITEM

1. DATA ITEM NO.

TM

X

E. CONTRACT/PR NO.

OTHER

QCIC

X

F. CONTRACTOR

2. TITLE OF DATA ITEM

17. PRICE

GROUP

3. SUBTITLE

INSPECTION AND TEST PLAN

QUALITY MANAGEMENT SYSTEMS

A001

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

DI-QCIC-81110

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

LT

8. APP CODE

TDP: Section 3

10. FREQUENCY

ONE/R

D

N/A

11. AS OF DATE

N/A

18. ESTIMATED

TOTAL PRICE

6. REQUIRING OFFICE

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

Paragraph 10.4 of DI-QCIC-81110 does not apply.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 8/18/2026. Other U.S. requests must be referred to COMNAVSEASYSCOM.
Block 12 - All suppliers of Level I/SUBSAFE (LI/SS) material are required to submit a copy of their current documented quality management systems manual to the Procurement Contracting Officer (PCO) prior to award of any contract/purchase order. Suppliers that have a copy of their current quality management systems manual on file at the Procuring Activity may request the PCO waive this requirement.

**after award no submittal in WAWF is required**

Document No.: 6275-9403

15. Total

G. PREPARED BY

/s/ RICHARD GUILFORD

DD FORM 1423-1, FEB 2001