11_CDRLs.pdf

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B-1 Fire Carts
Solicitation number
FA8213-26-Q-3001
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About this file

This is a Contract Data Requirements List (DD Form 1423-1) for federal contract FD2020-25-50608, issued by the Air Force Life Cycle Management Center (AFLCMC). The contract pertains to ammunition production for system/item NSNs 1377013366648, 1377016319582, and 1377016319588, with the requiring office designated as AFLCMC/EBHJ. The primary contracting officer is Editha Miller (AFLCMC/EBHI, 775-4389), and the contract is dated April 23, 2025.

The document specifies nine data items required throughout contract performance: (1) Ammunition Data Card (A001) submitted as-required after successful lot acceptance testing via the Worldwide Ammunition-data Repository Program (WARP) system and WAWF; (2) Engineering Change Proposal (A002) per EIA-649-1A standards with 90-day government review for routine changes; (3) Notice of Revision (A003) per DD Form 1695 with similar approval timelines; (4) Request for Variance (A004) per DD Form 1694 requiring government approval; (5) Acceptance Test Plan (A005) submitted 90 days prior to lot acceptance testing; (6) Test/Inspection Report (A006) submitted within 30 days of test completion; (7) Failure Summary & Analysis Report (A007) with preliminary submission within 7 calendar days of failure; (8) Obsolescence Alert Notice (A008) submitted within 90 business days of identification; and (9) DMSMS Health Assessment Report (A009) in Microsoft Excel format. All submissions carry Distribution Statement B restrictions and export control warnings under ITAR and EAR. Total distribution requirements across all items total 29 copies to multiple recipients including the contracting officer, AFLCMC/EBHJ, DCMA Quality Assurance Representatives, and WAWF.

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File Type Posted
FA8213-26-Q-3001.pdf PDF
FA8213-26-Q-3001 0002.pdf PDF
FA8213-26-Q-3001 0001.pdf PDF
4_CADPAD_Item_Marking_Instruction.pdf PDF
1_AIR_SPEC.pdf PDF
9_Item_Description_Combined.pdf PDF
5_Packaging_SOW.pdf PDF
10_EDL_COMBINED.pdf PDF
3_ADC_SOW.pdf PDF
7_ES7035.pdf PDF
6_SPI_Combined.pdf PDF
8_JFQR_B1.pdf PDF
13_Section_L_CADPAD.pdf PDF
12_Section_M_CADPAD.pdf PDF
2_REPSHIP.pdf PDF
FA8213-26-Q-3001.pdf PDF
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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 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 MISC

D. SYSTEM/ITEM

1377013366648, 1377016319582, & 1377016319588

E. CONTRACT/PR NO.

FD2020-25-50608

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Ammunition Data Card (ADC)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80043B

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Manufacturer’s Identification Symbols used in lot numbering must be registered per MIL-HDBK-1461 ‘Ammunition Manufacturers and Their Symbols’.

BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. The electronic receiving report shall also be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The electronic receiving report shall be used only for this data item; do not combine other data item submittals with this requirement. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at: https://wawf.eb.mil.

BLK 8: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer (AFLCMC/EBHKB) will respond with notice of approval/disapproval. Failure to comment/approve/disapprove within 30 calendar days does not constitute full/final acceptance by the Government.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11 & 12: Submit after successful Lot Acceptance Test and prior to delivery of each production lot.

BLK 14: A sample ADC or "draft" will be generated and submitted for each part number/NSN produced under this contract using the Worldwide Ammunition-data Repository Program (WARP) system to ensure general format and content is acceptable prior to final ADC submittals.

Sufficient hard copies of final version ADCs shall be generated for each individual production lot from the Worldwide Ammunition-data Repository Program (WARP) such that at least one hard copy per production lot shall be provided with each individual CLIN shipment/destination. An electronic copy for each production lot shall be submitted/uploaded with the electronic receiving report through WAWF to AFLCMC/EBHJ using DoDAAC FA8213.

FOB DESTINATION

EBH 25-113-001

Editha Miller, AFLCMC/EBHI, 775-4389

Contr. Officer 1 1 0

WAWF 1 1 0

AFLCMC/EBHJ 1 1 0

15. TOTAL 3 3 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2025/04/23

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 9 Pages

17. PRICE GROUP

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 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

TDP TM OTHER SESS

1377016319588

E. CONTRACT/PR NO.

A002

2. TITLE OF DATA ITEM

Engineering Change Proposal (ECP)

DI-SESS-80639E

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Data delivery description for content of Engineering Change Proposal (ECP) via applicable DD Form 1692 shall be in accordance with EIA-649-1A and the principles of EIA-649C.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801- 4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer will respond with notice of receipt. Government Engineer will perform review of the ECP and will respond with approval/disapproval within 90 calendar days for routine, 30 days for urgent, and within 48 hours for emergency changes. If disapproved, Government Engineer’s response through the Government Contracting Officer (AFLCMC/EBHKB) will include instruction for remediation. Notification of approval of the proposed engineering change shall be by signed contract modification.

BLK 14: Submit reports electronically via email in Microsoft Office or PDF format to the email recipients listed below. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKB). Submit through WAWF under DoDAAC, FA8213.

robert.morgan.27@us.af.mil (AFLCMC/EBHI) kendra.reese.1@us.af.mil (AFLCMC/EBHI) zachary.kelly.8@us.af.mil (AFLCMC/EBHJ)

Editha Miller, AFLCMC/EBHI, 775-4389

AFLCMC/EBHJ 0 1 0

AFLCMC/EBHI 0 1 0

Cont. Officer 0 1 0

DCMA/QAR 0 1 0

DCMA/ACO 0 1 0

15. TOTAL 0 5 0

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 9 Pages

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 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

1377016319588

E. CONTRACT/PR NO.

A003

2. TITLE OF DATA ITEM

Notice of Revision (NOR)

DI-SESS-80642E

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Data delivery description for content of Notice of Revision (NOR) via applicable DD Form 1695 shall be in accordance with EIA- 649-1A and the principles of EIA-649C.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801- 4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer will respond with notice of receipt. Government Engineer will perform review of the NOR and will respond with approval/disapproval within 90 calendar days for routine, 30 days for urgent, and within 48 hours for emergency changes. If disapproved, Government Engineer’s response through the Government Contracting Officer (AFLCMC/EBHKB) will include instruction for remediation. Notification of approval of the notice of revision shall be by signed contract modification.

BLK 14: Submit reports electronically via email in Microsoft Office or PDF format to the email recipients listed below. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKB). Submit through WAWF under DoDAAC, FA8213.

robert.morgan.27@us.af.mil (AFLCMC/EBHI)

Editha Miller, AFLCMC/EBHI, 775-4389

AFLCMC/EBHJ 0 1 0

AFLCMC/EBHI 0 1 0

Contr. Officer 0 1 0

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 9 Pages

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 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

1377016319588

E. CONTRACT/PR NO.

A004

2. TITLE OF DATA ITEM

Request for Variance (RFV)

DI-SESS-80640E

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Data delivery description for content of Request for Variance (RFV) via applicable DD Form 1694 shall be in accordance with EIA- 649-1A and the principles of EIA-649C.

BLK 7: The Letter of Transmittal (LT) shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801- 4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer will respond with notice of receipt. Government Engineer will perform review of the RFV and will respond with approval/disapproval within 90 calendar days for routine, 30 days for urgent, and within 48 hours for emergency changes. If disapproved, Government Engineer’s response through the Government Contracting Officer (AFLCMC/EBHKB) will include instruction for remediation. Notification of approval of the request for variance shall be by signed contract modification.

BLK 14: Submit reports electronically via email in Microsoft Office or PDF format to the email recipients listed below. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKB). Submit through WAWF under DoDAAC, FA8213.

robert.morgan.27@us.af.mil (AFLCMC/EBHI)

Editha Miller, AFLCMC/EBHI, 775-4389

AFLCMC/EBHJ 0 1 0

AFLCMC/EBHI 0 1 0

Contr. Officer 0 1 0

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 4 of 9 Pages

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 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

TDP TM OTHER QCIC

1377016319588

E. CONTRACT/PR NO.

A005

2. TITLE OF DATA ITEM

Acceptance Test Plan

3. SUBTITLE

Lot Acceptance Test Plan

DI-QCIC-80553A

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: The plan shall be in contractor’s format. Follow content preparation and requirements listed in the Data Item Description.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801- 4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11 & 12: The contractor shall provide a Lot Acceptance Test Plan after contract award and at least 90 days prior to Lot Acceptance Testing allowing for 30-day approval time after submission. No changes to previously approved government Lot Acceptance Test Plans shall be made without prior notification of AFLCMC/EBHJ. Engineering approval in accordance with Airmunitions Specification.

BLK 14: Test Plan shall be in Microsoft Office software or PDF format to the email recipient listed below. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKB). Submit through WAWF under DoDAAC, FA8213.

Editha Miller, AFLCMC/EBHI, 775-4389

Contr. Officer 0 1 0

DCMA/QAR 0 1 0

WAWF 0 1 0

AFLCMC/EBHJ 0 1 0

15. TOTAL 0 4 0

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 5 of 9 Pages

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 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

TDP TM OTHER NDTI

1377016319588

E. CONTRACT/PR NO.

A006

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

Lot Acceptance Test/Inspection Report

DI-NDTI-80809B

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable. Follow content preparation and requirements listed in the Data Item Description.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801- 4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11,12, & 13: Submit within 30 calendar days after completion of each Lot Acceptance Test.

BLK 14: Test/Inspection report shall be in Microsoft Office software or PDF format to the email recipient listed below. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKB). Submit through WAWF under DoDAAC FA8213.

Editha Miller, AFLCMC/EBHI, 775-4389

Contr. Officer 0 1 0

15. TOTAL 0 3 0

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 6 of 9 Pages

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 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

1377016319588

E. CONTRACT/PR NO.

A007

2. TITLE OF DATA ITEM

Failure Summary & Analysis Report

DI-SESS-80255B

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor's format required for both the Preliminary and Final report.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801- 4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11, 12, & 13: Notify AFLCMC/EBHJ Engineering of failure of lot acceptance testing or failure to complete lot acceptance testing within 1 business day. Submit a preliminary report within 7 calendar days of each failure. Submit a revision or final report within 15 calendar days after receipt of AFLCMC/EBHJ revised or final comments.

BLK 14: Submit report electronically via email in Microsoft Office or PDF format to the following email recipients listed below. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKB). Sumit through WAWF under DoDAAC FA8213.

megan.godwin.3@us.af.mil (AFLCMC/EBHJ)

Editha Miller, AFLCMC/EBHI, 775-4389

WAWF 0 1 0

DCMA/QAR 0 1 0

Contr. Officer 0 1 0

15. TOTAL 0 4 0

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 7 of 9 Pages

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 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

TDP TM OTHER MGMT

1377016319588

E. CONTRACT/PR NO.

A008

2. TITLE OF DATA ITEM

Obsolescence Alert Notice

DI-MGMT-81941/T

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor's format required. Follow content and preparation instructions as listed in the Data Item Description (DID). Omit requirement in letter 2g (affected Dual Band Radar System).

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11, 12, 13: Submissions shall be completed no later than 90 business days after obsolescence issue is identified.

BLK 14: Submit report electronically in Microsoft Office software or PDF format to the email recipient listed below. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKB).

Submit through WAWF under DoDAAC FA8213.

Editha Miller, AFLCMC/EBHI, 775-4389

WAWF 0 1 0

Contr. Officer 0 1 0

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 8 of 9 Pages

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 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

TDP TM OTHER MGMT

1377016319588

E. CONTRACT/PR NO.

A009

2. TITLE OF DATA ITEM

Diminishing Manufacturing Sources and Material Shortages (DMSMS) Health Assessment Report

DI-MGMT-82273

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

ASREQ

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Follow format, content preparation and requirements listed in the Data Item Description.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801- 4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 14: The DMSMS Health Assessment Report shall be in an electronic Microsoft Excel (.xls or .xlsx) file. Submit plan via email the to the email recipient below. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKB). Submit through WAWF under DoDAAC FA8213.

Editha Miller, AFLCMC/EBHI, 775-4389

Contr. Officer 0 1 0

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 9 of 9 Pages

File details come from the government source that posted it. Updated .