3126437_CDRL1_REPORT.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)

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 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.

A001

B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

F-15 Heads Up Display

E. CONTRACT / PR NO.

FD20602100133

F. CONTRACTOR

Competitive

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

First ARticle Qualification Test Plan and Procedures

3. SUBTITLE

F-15 Heads Up Display

4. AUTHORITY

DI-NDTI-81307A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE n/a

6. REQUIRING OFFICE

409 SCMS/GUEA

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

See Block 16

11. AS OF DATE

see remarks

12. DATE OF FIRST

SUBMISSION

see remarks

13. DATE OF SUBSEQUENT

SUBMISSION

see remarks

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Stallworth, Peyton DNAME: 03 NOV 2020DATE:

Changes to office symbols, when necessary, shall be made by the CO/ACO without revisions to the CDRL.

Contractor shall submit First Article Qualification Test Plan and Procedures NLT 30 days after contract award.

Government will be allowed 45 days, after receipt from contractor, to review for approval/disapproval/comments.

Contractor shall submit revised First Article Qualification Test Plan and Procedures NLT 30 days after receipt from Government.

Baker, Nancy NNAME: 10 APR 2012DATE:

Changes to office symbols, when necessary, shall be made by teh CO/ACO without revisions to the CDRL.

Contractor shall submit First Aritcle Qualification Test Plan and Procedures NLT 60 days after contract award.

Government will be allowed 30 days, after receipt from contractor, to review for approval/disapproval/comments.

Contracotr shal submit revised First Article Qualificaiton Tes Plan and Procedures NLT 15 days after receipt from Government

COORDINATORS:

F-15 FAM / 409

SCMS/GUEA

235 Byron Street, Suite 19A Robins AFB, GA 31098-1813 782CBSG.F15FAT@robins.af.

mil

1 1 1

1 1 115. TOTAL

G. PREPARED BY

Stallworth, Peyton D

409 SCMS / GUMCC

478-222-5164

H. DATE

06 NOV 2020

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Moody, Jennifer A

409 SCMS / GUMCB 478-926-6749 / 468-6749

J. DATE

06-NOV-20

Page 1 of 2DD FORM 1423-1, FEB 2001 Version 3Generated by PRPS using Jasper Reports on 09 Nov 2020

PREVIOUS EDITION MAY BE USED.

CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)

A. CONTRACT LINE ITEM NO.

A001

B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

F-15 Heads Up Display

E. CONTRACT / PR NO.

FD20602100133

F. CONTRACTOR

Competitive

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

First ARticle Qualification

3. SUBTITLE

F-15 Heads Up Display

4. AUTHORITY

DI-NDTI-80809B

(Data Acquisition Document No.) 5. CONTRACT REFERENCE n/a

6. REQUIRING OFFICE

409 SCMS/GUEA

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

See Block 16

11. AS OF DATE

see remarks

12. DATE OF FIRST

SUBMISSION

see remarks

13. DATE OF SUBSEQUENT

SUBMISSION

see remarks

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Stallworth, Peyton DNAME: 03 NOV 2020DATE:

Changes to office symbols, when necessary, shall be made by the CO/ACO without revisions to the CDRL.

First Article assets will be sent within 270 Calendar days from Contractor. Contractor will notify Government 15 days prior to shipment.

Reports and Plans should be sent to F-15 FAM/409 SMCS/GUEA and First Article Units should be sent to FB2060/Special Handling

Baker, Nancy NNAME: 10 APR 2012DATE:

Changes to office symbols, when necessary, shall be made by teh CO/ACO without revisions to the CDRL.

Contractor shall submit First Aritcle Qualification Test Plan and Procedures NLT 60 days after contract award.

Government will be allowed 30 days, after receipt from contractor, to review for approval/disapproval/comments.

Contracotr shal submit revised First Article Qualificaiton Tes Plan and Procedures NLT 15 days after receipt from Government

COORDINATORS:

15. TOTAL

G. PREPARED BY

Stallworth, Peyton D

409 SCMS / GUMCC

478-222-5164

H. DATE

06 NOV 2020

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Moody, Jennifer A

409 SCMS / GUMCB 478-926-6749 / 468-6749

J. DATE

06-NOV-20

Page 2 of 2DD FORM 1423-1, FEB 2001 Version 3Generated by PRPS using Jasper Reports on 09 Nov 2020

PREVIOUS EDITION MAY BE USED.