11_FD2020-24-50060 CDRLs.pdf
PDF 438 KB Posted
- Attached to
- F-15 Initiators Federal contract opportunity
- Solicitation number
- FA8213-24-R-3016
About this file
This document is a Contract Data Requirements List (CDRL) outlining nine required data items for a federal contract to produce F-15 initiators. The contract is solicitation number FA8213-24-R-3016 between the Department of the Air Force Materiel Command Lifecycle Management Center at Hill Air Force Base and an undisclosed contractor.
The nine data items include an Ammunition Data Card, Engineering Change Proposal, Notice of Revision, Request for Variance, Acceptance Test Plan, Test/Inspection Report, Failure Summary and Analysis Report, Obsolescence Alert Notice, and a Diminishing Manufacturing Sources and Material Shortages Health Assessment Report. Submittal dates, distribution statements, and points of contact are provided for each required data item. The CDRL also specifies formats for electronic submission through the Wide Area Workflow system and requires distribution statements restricting export of technical data.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 4_CADPAD Item Marking Instruction - Ver 1.6.pdf | ||
| 7_ReworkandRepairofnonconformingmaterial.pdf | ||
| 10_EDLs_combined.pdf | ||
| 8_Item Descriptions_combined.pdf | ||
| 6_SPI Combined.pdf | ||
| 9_JFQR 01-203-1961 (F-15 Gas to SMDC).pdf | ||
| 1_FD2020-24-50060 Air Specs.pdf | ||
| 9_JQRS F-15 Ext Canopy Jett Init_ 4264_2198.pdf | ||
| 3_ADC SOW Jan 2018.pdf | ||
| 5_PHST SOW _HILL_2023.pdf | ||
| FA8213-24-R-3016.pdf | ||
| 9_JFQR 01-262-0521 (F-15 Gas to SMDC).pdf | ||
| 2_REPSHIP.pdf |
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Text version
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
1377-01-063-2198ES*
E. CONTRACT/PR NO.
FD2020-24-50060
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
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
Draft
Final
Reg Repro
16. REMARKS
BLK 4: Follow format and preparation requirements listed in paragraph 2 of the Data Item Description.
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 9: DISTRIBUTION STATEMENT B: Distribution authorized to U.S.
Government agencies (CTI) (Date of Contract Award). Other requests for this document 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, U.S.C.) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50 U.S.C). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.
BLK 10,12,13: 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. For the final submittals, two hard copies of ADCs shall be generated from the WARP. One copy shall accompany items shipped; second copy submitted with the electronic receiving report via WAWF to AFLCMC/EBHJ. The ADC shall be uploaded in WAWF under DoDAAC, FA8213.
*1377-01-166-4264ES,1377-01-262-0521ES, 1377-01-203-1961ES.
FOB DESTINATION
EBH 23-298-001
Terry McCurdy, AFLCMC/EBHEC, 586-0535
WAWF 0 1 0
DoDAAC, FA8213
Included with item(s) shipped
Sample ADC via
WARP sys only 0 1 0
15. TOTAL 0 2 0
G. PREPARED BY
MCCURDY.TERRY.D.1075978215
H. DATE
2023/10/25
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2023/10/26
18. ESTIMATED
TOTAL PRICE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 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 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 SESS
D. SYSTEM/ITEM
1377-01-063-2198ES*
E. CONTRACT/PR NO.
FD2020-24-50060
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
Engineering Change Proposal (ECP)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80639E
5. CONTRACT REFERENCE
Airmunitions Specification
6. REQUIRING OFFICE
AFLCMC/EBHJ
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
Draft
Final
Reg Repro
16. REMARKS
BLK 4: Data delivery description for content of engineering change proposal via applicable DD Form 1692 shall be in accordance with para. 3.3.2.(1) of EIA-649-1A and the principles of EIA-649-C.
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 8: Within 30 days of receipt, the Government Engineer thru the Government Contracting Officer will respond with notification of approval/disapproval. If disapproved, Government Engineer response thru the Government Contracting Officer will include instruction for remediation. Notification of approval of the proposed engineering change shall be by signed contract modification.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.
Government agencies (CTI) (Date of Contract Award). Other requests for this document 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, U.S.C.) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50 U.S.C). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.
BLK 14: Submit reports electronically via e-mail in Microsoft Office or PDF format to the following e-mail recipients listed below. Refer to contract for e-mail address of the Government Contracting Officer (AFLCMC/EBHKB).
robert.morgan.27@us.af.mil (AFLCMC/EBHEC)
*1377-01-166-4264ES,13771-01-262-0521ES, 1377-01-203-1961ES.
FOB DESTINATION
EBH 23-298-001
Terry McCurdy, AFLCMC/EBHEC, 586-0535
AFLCMC/EBHJ 1 1 0
AFLCMC/EBHEC 1 1 0
AFLCMC/EBHKB 1 1 0
DCMA/QAR 1 1 0
DCMA/ACO 1 1 0
15. TOTAL 5 5 0
G. PREPARED BY
MCCURDY.TERRY.D.1075978215
H. DATE
2023/10/25
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2023/10/26
18. ESTIMATED
TOTAL PRICE
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 SESS
D. SYSTEM/ITEM
1377-01-063-2198ES*
E. CONTRACT/PR NO.
FD2020-24-50060
F. CONTRACTOR
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
Notice of Revision (NOR)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80642E
5. CONTRACT REFERENCE
Airmunitions Specification
6. REQUIRING OFFICE
AFLCMC/EBHJ
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
Draft
Final
Reg Repro
16. REMARKS
BLK 4: Follow format requirements listed under paragraph 2 of Data Item Description. Data deliverable contents of Notice of Revision shall contain all information required by DD Form 1695.
BLK 8: Within 30 days of receipt, the Government Engineer thru the Government Contracting Officer will respond with notification of approval/disapproval. If disapproved, Government Engineer response thru the Government Contracting Officer will include instruction for remediation. Notification of approval of the proposed notice of revision shall be by signed contract modification (AFLCMC/EBHKB).
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.
Government agencies (CTI) (Date of Contract Award). Other requests for this document 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, U.S.C.) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50 U.S.C). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.
BLK 14: Submit reports electronically via email in Microsoft Office or PDF format to the e-mail recipients listed below. Refer to contract for email address of the Government Contracting Officer
(AFLCMC/EBHKB).
robert.morgan.27@us.af.mil (AFLCMC/EBHEC)
EBH 23-298-001
Terry McCurdy, AFLCMC/EBHEC, 586-0535
AFLCMC/EBHJ 1 1 0
AFLCMC/EBHEC 1 1 0
AFLCMC/EBHKB 1 1 0
DCMA/QAR 1 1 0
DCMA/ACO 1 1 0
15. TOTAL 5 5 0
G. PREPARED BY
MCCURDY.TERRY.D.1075978215
H. DATE
2023/10/25
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2023/10/26
18. ESTIMATED
TOTAL PRICE
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 SESS
D. SYSTEM/ITEM
1377-01-063-2198ES*
E. CONTRACT/PR NO.
FD2020-24-50060
F. CONTRACTOR
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Request for Variance (RFV)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80640E
5. CONTRACT REFERENCE
Airmunitions Specification
6. REQUIRING OFFICE
AFLCMC/EBHJ
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
Draft
Final
Reg Repro
16. REMARKS
BLK 4: Follow format requirements listed under paragraph 2 of Data Item Description. Data deliverable contents of Request for Variance shall contain all information required by DD Form 1694.
BLK 7: Government engineer will perform review of the RFV.
Notification of approval shall be signed contract modification
(AFLCMC/EBHKB).
BLK 8: Within 30 days of receipt, the Government Engineer thru the Government Contracting Officer will respond with notification of approval/disapproval. If disapproved, Government Engineer response thru the Government Contracting Officer will include instruction for remediation.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.
Government agencies (CTI)(Date of Contract Award). Other requests for this document 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, U.S.C.) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50 U.S.C). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.
BLK 14: Submit reports electronically via e-mail in Microsoft Office or PDF format to the following e-mail recipients listed below. Refer to contract for e-mail address of the Government Contracting Officer (AFLCMC/EBHKB).
robert.morgan.27@us.af.mil (AFLCMC/EBHEC)
*1377-01-166-4264ES,1377-01-262-0521ES, 1377-01-203-1961ES.
FOB DESTINATION
EBH 23-298-001
Terry McCurdy, AFLCMC/EBHEC, 586-0535
AFLCMC/EBHJ 1 1 0
AFLCMC/EBHEC 1 1 0
DCMA/QAR 1 1 0
DCMA/ACO 1 1 0
15. TOTAL 4 4 0
G. PREPARED BY
MCCURDY.TERRY.D.1075978215
H. DATE
2023/10/25
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2023/10/26
18. ESTIMATED
TOTAL PRICE
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 QCIC
D. SYSTEM/ITEM
1377-01-063-2198ES*
E. CONTRACT/PR NO.
FD2020-24-50060
F. CONTRACTOR
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
Acceptance Test Plan
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-QCIC-80553A
5. CONTRACT REFERENCE
Airmunitions Specification
6. REQUIRING OFFICE
AFLCMC/EBHJ
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
BLK16
12. DATE OF FIRST SUBMISSION
BLK16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
BLK16
13. DATE OF SUBSEQUENT
SUBMISSION
BLK16
Draft
Final
Reg Repro
16. REMARKS
BLK 4: Contractor format required.
BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at:
https://wawf.eb.mil. The electronic receiving report shall be used only for this data item, do not combine other data item submittals with this requirement.
BLK 8: Comments/approval/disapproval will be submitted within 30 working days of receipt by AFLCMC/EBHJ.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.
Government agencies (CTI) (Date of Contract Award). Other requests for this document 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, U.S.C.) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50 U.S.C). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.
BLK 10,11, 12, 13: The contractor shall provide a Acceptance Test Plan after contract award and at least 90 days prior to Lot Acceptance Testing allowing for 30 day approval time. No changes to previously approved government Acceptance Test Plans shall be made without prior notification of AFLCMC/EBHJ. Engineering approval in accordance with Airmunitions Specification.
BLK 14: Report shall be in Microsoft Office or PDF format. Submit through WAWF, DoDAAC, FA8213.
EBH 23-298-001
Terry McCurdy, AFLCMC/EBHEC, 586-0535
WAWF 0 1 0
DoDAAC, FA8213
15. TOTAL 0 1 0
G. PREPARED BY
MCCURDY.TERRY.D.1075978215
H. DATE
2023/10/25
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2023/10/26
18. ESTIMATED
TOTAL PRICE
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 NDTI
D. SYSTEM/ITEM
1377-01-063-2198ES*
E. CONTRACT/PR NO.
FD2020-24-50060
F. CONTRACTOR
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM
Test/Inspection Report
3. SUBTITLE
Lot Acceptance Test
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
Airmunitions Specification
6. REQUIRING OFFICE
AFLCMC/EBHJ
7. DD 250 REQ
DD
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
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
Draft
Final
Reg Repro
16. REMARKS
BLK 4: Contractor format is acceptable.
BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at:
https://wawf.eb.mil. The electronic receiving report shall be used only for that 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) (Date of Contract Award). Other requests for this document 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, U.S.C.) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50 U.S.C). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.
BLK 10,12,13: Submit within 30 calendar days after completion of each Lot Acceptance Test.
BLK 14: Report shall be in Microsoft Office software or PDF format.
Submit through WAWF, DoDAAC, FA8213.
*1377-01-166-4264ES,1377-01-262-0521ES, 1377-01-203-1961ES.
FOB DESTINATION
EBH 23-298-001
Terry McCurdy, AFLCMC/EBHEC, 586-0535
WAWF 1 0 1
DoDAAC, FA8213
15. TOTAL 1 0 1
G. PREPARED BY
MCCURDY.TERRY.D.1075978215
H. DATE
2023/10/25
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2023/10/26
18. ESTIMATED
TOTAL PRICE
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 SESS
D. SYSTEM/ITEM
1377-01-063-2198ES*
E. CONTRACT/PR NO.
FD2020-24-50060
F. CONTRACTOR
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM
Failure Summary and Analysis Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80255B
5. CONTRACT REFERENCE
Airmunitions Specification
6. REQUIRING OFFICE
AFLCMC/EBHJ
7. DD 250 REQ
LT
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
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
Draft
Final
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 8: Comments/approval/disapproval will be submitted within 30 calendar days after receipt by AFLCMC/EBHJ.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.
Government agencies (CTI) (Date of Contract Award). Other requests for this document 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, U.S.C.) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50 U.S.C). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.
BLK 10, 12, 13: Submit within 7 calendar days of each failure.
Final with 15 calendar days after receipt of AFLCMC/EBHJ comments.
BLK 14: Report shall be in Microsoft Office or PDF format. Submit via e-mail to cognizant Hill AFB Contracting Officer.
*1377-01-166-4264ES,1377-01-262-0521ES, 1377-01-203-1961ES.
FOB DESTINATION
EBH 23-298-001
Terry McCurdy, AFLCMC/EBHEC, 586-0535
Contr. Officer 0 1 0
Hill AFB, UT
15. TOTAL 0 1 0
G. PREPARED BY
MCCURDY.TERRY.D.1075978215
H. DATE
2023/10/25
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2023/10/26
18. ESTIMATED
TOTAL PRICE
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 MGMT
D. SYSTEM/ITEM
1377-01-063-2198ES*
E. CONTRACT/PR NO.
FD2020-24-50060
F. CONTRACTOR
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM
Obsolescence Alert Notice
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81941
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
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
Draft
Final
Reg Repro
16. REMARKS
BLK 4: Contractor's format required. Follow content and preparation instructions as listed in the Data Item Description.
BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at:
https://wawf.eb.mil. The electronic receiving report 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)(Date of Contract Award). Other requests for this document 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, U.S.C.) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50 U.S.C). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.
BLK 10, 12: Submissions shall be completed no later than 90 business days after obsolescence issue is identified.
BLK 14: Report shall be in Microsoft Office software or PDF format.
Submit through WAWF, DoDAAC, FA8213.
*1377-01-166-4264ES,1377-01-262-0521ES, 1377-01-203-1961ES.
FOB DESTINATION
EBH 23-298-001
Terry McCurdy, AFLCMC/EBHEC/586-0535
AFLCMC/EBHJ 0 1 0
AFLCMC/EBHKB 0 1 0
15. TOTAL 0 2 0
G. PREPARED BY
MCCURDY.TERRY.D.1075978215
H. DATE
2023/10/25
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2023/10/26
18. ESTIMATED
TOTAL PRICE
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 MGMT
D. SYSTEM/ITEM
1377-01-063-2198ES*
E. CONTRACT/PR NO.
FD2020-24-50060
F. CONTRACTOR
1. DATA ITEM NO.
A009
2. TITLE OF DATA ITEM
Diminishing Manufacturing Sources and Material Shortages (DMSMS) Health Assessment Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-82273
5. CONTRACT REFERENCE
Airmunitions Specification
6. REQUIRING OFFICE
AFLCMC/EBHJ
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft
Final
Reg Repro
16. REMARKS
BLK 4: Follow format, content preparation and requirements listed in the Data Item Description.
BLK 7: Receiving report shall be submitted electronically via the internet through Wide Area Work Flow (WAWF) at: https://wawf.eb.mil under DoDAAC, FA8213.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.
Government agencies (CTI) (Date of Contract Award). Other requests for this document 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, U.S.C.) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50 U.S.C). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with the 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 e-mail the to the addressee(s) listed below.
quinn.tidwell@us.af.mil(AFLCMC/EBHJ)
*1377-01-166-4264ES,1377-01-262-0521ES, 1377-01-203-1961ES.
FOB DESTINATION
EBH 23-298-001
Terry McCurdy, AFLCMC/EBHEC, 586-0535
WAWF 0 1 0
DoDAAC FA8213
15. TOTAL 0 1 0
G. PREPARED BY
MCCURDY.TERRY.D.1075978215
H. DATE
2023/10/25
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2023/10/26
18. ESTIMATED
TOTAL PRICE
File details come from the government source that posted it. Updated .