12_CDRL_FD2020-26-50014_DD1423Pkg_2025Jun12-Signed.pdf
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- Attached to
- F-16 Canopy Jettison Rocket Motors
- Solicitation number
- FA821326R3000
About this file
This document is a Contract Data Requirements List (DD Form 1423-1) for federal contract FD2020-26-50014, issued by the Air Force Life Cycle Management Center (AFLCMC). The contract pertains to ammunition production for National Stock Number 1377-01-620-3027ES, with an estimated total contract price of $4,074,000. The requiring office is AFLCMC/EBHJ, and the contracting officer is based at FOB Destination EBH 25-162-001.
The contract specifies ten data item submissions required from the contractor throughout the contract performance period. These include: Ammunition Data Cards (A001) to be submitted after successful lot acceptance testing using the Worldwide Ammunition-data Repository Program (WARP) system; Engineering Change Proposals (A002), Notices of Revision (A003), and Requests for Variance (A004), all submitted as required with 30-90 day government review periods; a Lot Acceptance Test Plan (A005) due 90 days prior to testing; Lot Acceptance Test/Inspection Reports (A006) due within 30 days of test completion; Failure Summary & Analysis Reports (A007) with preliminary submissions within 7 days of failure; an Obsolescence Alert Notice (A008) due within 90 business days of identification; a DMSMS Health Assessment Report (A009) in Microsoft Excel format; and monthly Production Status Reports (A010) beginning within 14 days of First Article Test approval. All submissions must be made electronically via WAWF (Wide Area Work Flow) under DoDAAC FA8213 to designated AFLCMC/EBHJ personnel. All data is marked Distribution Statement B and contains export-controlled technical data subject to the Arms Export Control Act and Export Control Reform Act, with dissemination restricted to U.S. Government agencies.
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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
1377-01-620-3027ES*
E. CONTRACT/PR NO.
FD2020-26-50014
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
D. *ALT 1377-01-517-5499ES, 1377-01-619-6871ES ALT 1377-01-517-
5493ES.
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.
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
2025/06/11
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2025/06/11
18. ESTIMATED
TOTAL PRICE
4074000.00
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 2 Pages
17. PRICE GROUP
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER MISC
D. SYSTEM/ITEM
1377-01-620-3027ES*
E. CONTRACT/PR NO.
FD2020-26-50014
F. CONTRACTOR
16. REMARKS (Continued)
FOB DESTINATION
EBH 25-162-001
Editha Miller, AFLCMC/EBHI, 775-4389
DD FORM 1423-1, FEB 2001 Page 2 of 2 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 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
1377-01-620-3027ES*
E. CONTRACT/PR NO.
FD2020-26-50014
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
N/A
11. AS OF DATE
BLK16
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
Draft
Final
Reg Repro
16. REMARKS
D. *ALT 1377-01-517-5499ES, 1377-01-619-6871ES ALT 1377-01-517-
5493ES.
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) eric.sauer.1@us.af.mil (AFLCMC/EBHJ)
FOB DESTINATION
EBH 25-162-001
Editha Miller, AFLCMC/EBHI, 775-4389
WAWF 0 1 0
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 6 0
G. PREPARED BY
MILLER.EDITHA.S.1040031797
H. DATE
2025/06/11
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2025/06/11
18. ESTIMATED
TOTAL PRICE
4074000.00
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 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 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
1377-01-620-3027ES*
E. CONTRACT/PR NO.
FD2020-26-50014
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
N/A
11. AS OF DATE
BLK16
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
Draft
Final
Reg Repro
16. REMARKS
D. *ALT 1377-01-517-5499ES, 1377-01-619-6871ES ALT 1377-01-517-
5493ES.
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 only; 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) kendra.reese.1@us.af.mil (AFLCMC/EBHI) eric.sauer.1@us.af.mil (AFLCMC/EBHJ)
FOB DESTINATION
EBH 25-162-001
Editha Miller, AFLCMC/EBHI, 775-4389
WAWF 0 1 0
AFLCMC/EBHJ 0 1 0
AFLCMC/EBHI 0 1 0
Contr. Officer 0 1 0
DCMA/QAR 0 1 0
DCMA/ACO 0 1 0
15. TOTAL 0 6 0
G. PREPARED BY
MILLER.EDITHA.S.1040031797
H. DATE
2025/06/11
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2025/06/11
18. ESTIMATED
TOTAL PRICE
4074000.00
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
1377-01-620-3027ES*
E. CONTRACT/PR NO.
FD2020-26-50014
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
N/A
11. AS OF DATE
BLK16
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
Draft
Final
Reg Repro
16. REMARKS
D. *ALT 1377-01-517-5499ES, 1377-01-619-6871ES ALT 1377-01-517-
5493ES.
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) kendra.reese.1@us.af.mil (AFLCMC/EBHI) eric.sauer.1@us.af.mil (AFLCMC/EBHJ)
FOB DESTINATION
EBH 25-162-001
Editha Miller, AFLCMC/EBHI, 775-4389
WAWF 0 1 0
AFLCMC/EBHJ 0 1 0
AFLCMC/EBHI 0 1 0
Contr. Officer 0 1 0
DCMA/QAR 0 1 0
DCMA/ACO 0 1 0
15. TOTAL 0 6 0
G. PREPARED BY
MILLER.EDITHA.S.1040031797
H. DATE
2025/06/11
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2025/06/11
18. ESTIMATED
TOTAL PRICE
4074000.00
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
1377-01-620-3027ES*
E. CONTRACT/PR NO.
FD2020-26-50014
F. CONTRACTOR
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
Acceptance Test Plan
3. SUBTITLE
Lot Acceptance Test Plan
4. AUTHORITY (Data Acquisition Document No.)
DI-QCIC-80553A
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
BLK16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
BLK16
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
Draft
Final
Reg Repro
16. REMARKS
D. *ALT 1377-01-517-5499ES, 1377-01-619-6871ES ALT 1377-01-517-
5493ES.
BLK 4: The plan shall be in contractor’s format. Follow content and requirements preparation instructions 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 only; 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 IAW Airmunitions Specification.
BLK 14: Test Plan shall be in Microsoft Office software or PDF format to the email recipient listed below. Submit through WAWF under DoDAAC, FA8213. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKB).
eric.sauer.1@us.af.mil (AFLCMC/EBHJ)
FOB DESTINATION
EBH 25-162-001
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
G. PREPARED BY
MILLER.EDITHA.S.1040031797
H. DATE
2025/06/11
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2025/06/11
18. ESTIMATED
TOTAL PRICE
4074000.00
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
1377-01-620-3027ES*
E. CONTRACT/PR NO.
FD2020-26-50014
F. CONTRACTOR
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM
Test/Inspection Report
3. SUBTITLE
Lot Acceptance Test/Inspection Report
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
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
BLK16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
BLK16
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
Draft
Final
Reg Repro
16. REMARKS
D. *ALT 1377-01-517-5499ES, 1377-01-619-6871ES ALT 1377-01-517-
5493ES.
BLK 4: Contractor's format is acceptable. Follow content and requirements preparation instructions 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: 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. Submit through WAWF under DoDAAC FA8213. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKB).
eric.sauer.1@us.af.mil (AFLCMC/EBHJ)
FOB DESTINATION
EBH 25-162-001
Editha Miller, AFLCMC/EBHI, 775-4389
Contr. Officer 0 1 0
WAWF 0 1 0
AFLCMC/EBHJ 0 1 0
15. TOTAL 0 3 0
G. PREPARED BY
MILLER.EDITHA.S.1040031797
H. DATE
2025/06/11
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2025/06/11
18. ESTIMATED
TOTAL PRICE
4074000.00
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
1377-01-620-3027ES*
E. CONTRACT/PR NO.
FD2020-26-50014
F. CONTRACTOR
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM
Failure Summary & 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
BLK16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
BLK16
13. DATE OF SUBSEQUENT
SUBMISSION
BLK16
Draft
Final
Reg Repro
16. REMARKS
D. *ALT 1377-01-517-5499ES, 1377-01-619-6871ES ALT 1377-01-517-
5493ES.
BLK 4: Contractor's format required for both the Preliminary and Final report. Follow content and requirements preparation instructions 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: 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/EBHCC revised or final comments.
BLK 14: Submit reports electronically via email in Microsoft Office or PDF format to the following email recipient listed below. Refer to contract for email address of the Government Contracting Officer.
Sumit through WAWF under DoDAAC FA8213.
eric.sauer.1@us.af.mil (AFLCMC/EBHJ)
FOB DESTINATION
EBH 25-162-001
Editha Miller, AFLCMC/EBHI, 775-4389
WAWF 0 1 0
DCMA/QAR 0 1 0
AFLCMC/EBHJ 0 1 0
Contr. Officer 0 1 0
15. TOTAL 0 4 0
G. PREPARED BY
MILLER.EDITHA.S.1040031797
H. DATE
2025/06/11
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2025/06/11
18. ESTIMATED
TOTAL PRICE
4074000.00
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
1377-01-620-3027ES*
E. CONTRACT/PR NO.
FD2020-26-50014
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/T
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
BLK16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
BLK16
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
Draft
Final
Reg Repro
16. REMARKS
D. *ALT 1377-01-517-5499ES, 1377-01-619-6871ES ALT 1377-01-517-
5493ES.
BLK 4: Contractor's format required. Follow content and requirements preparation instructions as listed in the Data Item Description. 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: Submission 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.
ryan.bujnoch.1@us.af.mil (AFLCMC/EBHJ)
FOB DESTINATION
EBH 25-162-001
Editha Miller, AFLCMC/EBHI, 775-4389
WAWF 0 1 0
AFLCMC/EBHJ 0 1 0
Contr. Officer 0 1 0
15. TOTAL 0 3 0
G. PREPARED BY
MILLER.EDITHA.S.1040031797
H. DATE
2025/06/11
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2025/06/11
18. ESTIMATED
TOTAL PRICE
4074000.00
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
1377-01-620-3027ES*
E. CONTRACT/PR NO.
FD2020-26-50014
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
LT
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
ASREQ
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
Draft
Final
Reg Repro
16. REMARKS
D. *ALT 1377-01-517-5499ES, 1377-01-619-6871ES ALT 1377-01-517-
5493ES.
BLK 4: The DMSMS Health Assessment Report shall be provided in an electronic Microsoft Excel (.xls or .xlsx) file as an interactive object. Follow content and requirements preparation instructions 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 electronically to the email recipient below. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKB). Submit through WAWF under DoDAAC FA8213.
ryan.bujnoch.1@us.af.mil (AFLCMC/EBHJ)
FOB DESTINATION
EBH 25-162-001
Editha Miller, AFLCMC/EBHI, 775-4389
Contr. Officer 0 1 0
WAWF 0 1 0
AFLCMC/EBHJ 0 1 0
15. TOTAL 0 3 0
G. PREPARED BY
MILLER.EDITHA.S.1040031797
H. DATE
2025/06/11
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2025/06/11
18. ESTIMATED
TOTAL PRICE
4074000.00
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
1377-01-620-3027ES*
E. CONTRACT/PR NO.
FD2020-26-50014
F. CONTRACTOR
1. DATA ITEM NO.
A010
2. TITLE OF DATA ITEM
Production Status Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81255
5. CONTRACT REFERENCE
Airmunitions Specification
6. REQUIRING OFFICE
AFLCMC/EBHJ
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
MTHLY
12. DATE OF FIRST SUBMISSION
BLK16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
BLK16
13. DATE OF SUBSEQUENT
SUBMISSION
BLK16
Draft
Final
Reg Repro
16. REMARKS
D. *ALT 1377-01-517-5499ES, 1377-01-619-6871ES ALT 1377-01-517-
5493ES.
BLK4: Contractor selected format is acceptable. Follow content and requirements preparation instructions 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: Contractor shall prepare and submit monthly production status report documenting production delivery status, production build status, quality testing status, explanation of deviations from the schedule and plans to recover schedule delays.
Initial production status report is due with planned schedule to completion of the contract order within 14 days of First Article Test approval or within 14 days of notification of waiving FAT requirement.
BLK 14: Submit report(s) electronically via email in Microsoft Office or PDF format. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKB). Submit through WAWF under DoDAAC
FA8213.
ryan.bujnoch.1@us.af.mil (AFLCMC/EBHJ)
FOB DESTINATION
EBH 25-162-001
Editha Miller, AFLCMC/EBHI, 775-4389
WAWF 0 1 0
AFLCMC/EBHJ 0 1 0
Contr. Officer 0 1 0
15. TOTAL 0 3 0
G. PREPARED BY
MILLER.EDITHA.S.1040031797
H. DATE
2025/06/11
I. APPROVED BY
HARGROVE.ERIC.V.1167016843
J. DATE
2025/06/11
18. ESTIMATED
TOTAL PRICE
4074000.00
File details come from the government source that posted it. Updated .