A010 FAT Inspection Report LFI Strips.pdf
PDF 90 KB Posted
- Attached to
- Manufacturing of LFI Strips
- Solicitation number
- W911SR-23-R-0005
About this file
This document is a Contract Data Requirements List (CDRL) template for a First Article Test Report. The CDRL requires submission of a FAT report within 10 days of test completion, including raw data, compiled and calculated data, and conclusions. The Government will respond with comments or approval within 15 days of receiving the report. The contractor must submit a final report within 10 days of receiving Government comments. Reports are to be submitted via email in Microsoft Office format to two specified Government email addresses. The related solicitation seeks offers for the manufacturing of LFI strips under Solicitation Number W911SR-23-R-0005 from the Department of the Army Materiel Command Army Contracting Command Aberdeen Proving Ground.
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DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
| A_CONTRACT_LINE_ITEM_NO: TBD |
| B_EXHIBIT: |
| TDP: |
| TM: |
| OTHER: x |
| DSYSTEMITEM: |
| E_CONTRACTPR_NO: TBD |
| FCONTRACTOR: TBD |
| 1_DATA_ITEM_NO: A010 |
| 2_TITLE_OF_DATA_ITEM: Test/Inspection Report |
| 3_SUBTITLE: First Article Test Report |
| 4_AUTHORITY_Data_Acquisit: DI-NDTI-80809B |
| 5_CONTRACT_REFERENCE: TBD |
| 6_REQUIRING_OFFICE: JPL CBRND EB-DBPAO |
| 7_DID_250_REQ: |
| 8_APP_CODE: A |
| DIST_STATEMENT: |
| 10_FREQUENCY: ASREQ |
| 11_AS_OF_DATE: award date |
| 12_DATE_OF_FIRST_SUBMISSI: see blk 16 |
| 13_DATE_OF_SUBSEQUENT_SUB: see blk 16 |
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| 16_REMARKS: Blk 4. DID can be obtained from https://quicksearch.dla.mil/qsSearch.aspx. |
Blk 10. and Blk 12. The Contractor shall submit FAT report 10 days after test completion, including raw data, compiled and calculated data, and conclusions.
Blk 8. The Government will respond with comments or approval 15 days following receipt of report.
Blk 13. Submit final report 10 days after receipt of Government comments.
Blk 14. and Blk 15. Submit via e-mail in Microsoft Office format to:
susan.e.ruzicka2.civ@army.mil and bryan.d.necciai.civ@army.mil
| 17_PRICE_GROUP: | |
| ESTIMATED_TOTAL_PRICE: | |
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| H_DATE: 1/6/2023 | |
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| reg38t: 2 | |
| 2023-01-06T14:01:27-0500 | |
| REDMOND.BRADY.WAYNE.1280051590 |
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