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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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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

16. REMARKS (Continued)

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER:

DSYSTEMITEM:

E_CONTRACTPR_NO:

FCONTRACTOR:

16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

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1_DATA_ITEM_NO: A001

2_TITLE_OF_DATA_ITEM: Counterfeit Prevention Plan

3_SUBTITLE: CPP

4_AUTHORITY_Data_Acquisit: DI-MISC-81832

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: 408 SCMS/GUEA

7_DID_250_REQ: WAWF

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: SEE BLK 16

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

addressee1: 408 SCMS/GUEA draft1: 0 reg1: 1 repro1: 0 addressee2: 280 Byron St.

draft2:

reg2:

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addressee3: Bldg 229 draft3:

reg3:

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reg5:

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16_REMARKS: BLK 4: Contractor format is acceptable. Counterfeit Prevention Plan shall be type written in Microsoft Word with support files in Microsoft Excel and Microsoft Project. Counterfeit Prevention Plan shall be formatted for printing on standard 8.5" x 11" paper. Submission shall be delivered as hardcopy and electronically via email to the following people:

Prevention Plan shall be delivered electronically via E-mail to the following addresses:

Dan Gochenaur, 408 SCMS/GUEA ALQ-161 Engineer, daniel.gochenaur.4@us.af.mil

Wes Stinehelfer, AFLCMC/WNYEAA, AN/ALQ-161 HW Engineer, clarance.stinehelfer.1@us.af.mil

Roland Adams, AFLCMC/WNYEAA, AN/ALQ-161 SW Engineer, edward.adams.11@us.af.mil

BLK 7: Submit invoice in WAWF after submittal of final report to account for all previously submitted.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only due to operational use as of May 24th, 2023. Other requests shall be referred to 408 SCMS/GUEA or higher DoD authority.

Block 10-12: Contractor shall deliver a Counterfeit Prevention Plan (CPP) within 30 days after contract award. Government comments will be provided to the contractor within 14 days after receipt, with contractor re-submittal due 7 days after receipt of comments. Updates to the CPP shall be provided to the Government within twenty (20) calendar days after the initial counterfeit part(s) identification/notification.

Block 13: Updates to the CPP shall be provided within twenty (20) calendar days after each additional counterfeit part(s) identification/notification.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Daniel Gochenaur

H_DATE: 8/9/2024

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

xTDP: Off

OTHER:

DSYSTEMITEM: AN/ALQ-161

E_CONTRACTPR_NO: FD2060-25-00034

FCONTRACTOR:

of_pages:

Reset:

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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER:

DSYSTEMITEM:

E_CONTRACTPR_NO:

FCONTRACTOR:

16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

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1_DATA_ITEM_NO: A002

2_TITLE_OF_DATA_ITEM: Test Procedure

3_SUBTITLE: Qualification Test Procedures

4_AUTHORITY_Data_Acquisit: DI-NDTI-80603A

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: 408 SCMS/GUEA

7_DID_250_REQ: WAWF

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: SEE BLK 16

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

addressee1: 408 SCMS/GUEA draft1: 0 reg1: 1 repro1: 0 addressee2: 280 Byron St.

draft2:

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16_REMARKS: Blk 4: Contractor format is acceptable. Qualification Test Procedure shall be type written in Microsoft Word with support files in Microsoft Excel and Microsoft Project. Qualification Test Procedure shall be formatted for printing on standard 8.5" x 11" paper. Qualification Test Procedure shall prove the requirements listed in drawing 4246317. Submission shall be delivered as hardcopy and electronically via email to the following people:

Dan Gochenaur, 408 SCMS/GUEA ALQ-161 Engineer, daniel.gochenaur.4@us.af.mil

Wes Stinehelfer, AFLCMC/WNYEAA, AN/ALQ-161 HW Engineer, clarance.stinehelfer.1@us.af.mil

Roland Adams, AFLCMC/WNYEAA, AN/ALQ-161 SW Engineer, edward.adams.11@us.af.mil

Block 9: Distribution D. Distribution authorized to Department of Defense and U.S. DoD contractors only. Reason for Determination: Critical Technology. Information of this type may be classified or unclassified; when classified, it is export-controlled and subject to the provisions of DoD Directive 5230.24 (reference (c)). Date of determination: 30 Sept 2021. Other requests for this document shall be referred to AFLCMC/WNYEAA.

Blks 8, 10, 11, 12, & 13: Submit procedures within 90 days of award of contract. Government comments / approval will be provided within 30 days after receipt. Revisions with comments incorporated shall be submitted no later than 15 days after receipt of Government comments.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Daniel Gochenaur

H_DATE: 8/9/2024

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

xTDP: Off

OTHER:

DSYSTEMITEM: AN/ALQ-161

E_CONTRACTPR_NO: FD2060-25-00034

FCONTRACTOR:

of_pages:

Reset:

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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER:

DSYSTEMITEM:

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FCONTRACTOR:

16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

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1_DATA_ITEM_NO: A003

2_TITLE_OF_DATA_ITEM: Test/Inspection Report

3_SUBTITLE: Qualification Test Report

4_AUTHORITY_Data_Acquisit: DI-NDTI-80809B/T

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: 408 SCMS/GUEA

7_DID_250_REQ: WAWF

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: SEE BLK 16

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

addressee1: 408 SCMS/GUEA draft1: 0 reg1: 1 repro1: 0 addressee2: 280 Byron St.

draft2:

reg2:

repro2:

addressee3: Bldg 229 draft3:

reg3:

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addressee4: Robins AFB, GA draft4:

reg4:

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addressee5: 31098-1813 draft5:

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16_REMARKS: Blk 4: Contractor format is acceptable. Qualification Test Report shall be type written in Microsoft Word with support files in Microsoft Excel and Microsoft Project. Qualification Test Report shall be formatted for printing on standard 8.5" x 11" paper. Qualification Test Report shall document the resulting test data from the contractor execution of the government approved Qualification Test Procedure. DI-NDTI-80809B has been tailored to include Distribution D. Submission shall be delivered as hardcopy and electronically via email to the following people:

Dan Gochenaur, 408 SCMS/GUEA ALQ-161 Engineer, daniel.gochenaur.4@us.af.mil

Wes Stinehelfer, AFLCMC/WNYEAA, AN/ALQ-161 HW Engineer, clarance.stinehelfer.1@us.af.mil

Roland Adams, AFLCMC/WNYEAA, AN/ALQ-161 SW Engineer, edward.adams.11@us.af.mil

Block 9: Distribution D. Distribution authorized to Department of Defense and U.S. DoD contractors only. Reason for Determination: Critical Technology. Information of this type may be classified or unclassified; when classified, it is export-controlled and subject to the provisions of DoD Directive 5230.24 (reference (c)). Date of determination: 15 August 2024. Other requests for this document shall be referred to AFLCMC/WNYEAA.

Blks 8, 10, 11, 12, & 13: Submit draft no later than 30 days after completion of Qualification Testing. Government comments / approval will be provided within 30 days after receipt. Revisions with comments incorporated shall be submitted no later than 15 days after receipt of Government comments.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Daniel Gochenaur

H_DATE: 8/9/2024

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

xTDP: Off

OTHER:

DSYSTEMITEM: AN/ALQ-161

E_CONTRACTPR_NO: FD2060-25-00034

FCONTRACTOR:

of_pages:

Reset:

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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER:

DSYSTEMITEM:

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FCONTRACTOR:

16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

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Reset:

xtm: Off

1_DATA_ITEM_NO: A004

2_TITLE_OF_DATA_ITEM: Test Procedure

3_SUBTITLE: Acceptance Test Procedures

4_AUTHORITY_Data_Acquisit: DI-NDTI-80603A

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: 408 SCMS/GUEA

7_DID_250_REQ: WAWF

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: ASREQ

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

addressee1: 408 SCMS/GUEA draft1: 0 reg1: 1 repro1: 0 addressee2: 280 Byron St.

draft2:

reg2:

repro2:

addressee3: Bldg 229 draft3:

reg3:

repro3:

addressee4: Robins AFB, GA draft4:

reg4:

repro4:

addressee5: 31098-1813 draft5:

reg5:

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16_REMARKS: Blk 4: Contractor format is acceptable. Acceptance Test Procedure shall be type written in Microsoft Word with support files in Microsoft Excel and Microsoft Project. Acceptance Test Procedure shall be formatted for printing on standard 8.5" x 11" paper. Acceptance Test Procedures shall be developed in accordance with drawing specifications 4246317. Submissions shall be electronically submitted to the following e-mail addresses:

Dan Gochenaur, 408 SCMS/GUEA ALQ-161 Engineer, daniel.gochenaur.4@us.af.mil

Wes Stinehelfer, AFLCMC/WNYEAA, AN/ALQ-161 HW Engineer, clarance.stinehelfer.1@us.af.mil

Roland Adams, AFLCMC/WNYEAA, AN/ALQ-161 SW Engineer, edward.adams.11@us.af.mil

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only due to operational use as of Sept 30, 2021. Other requests shall be referred to AFLCMC/WNYEAA or higher DoD authority.

BLKS 11 & 12: First submission shall be no later than 90 days after contract award. Approval/Disapproval of subsequent submissions will be furnished within 30 days of receipt.

BLK 13: Revisions shall be furnished to personnel mentioned above within 30 days after receipt of AFLCMC/WNYEAA comments.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Daniel Gochenaur

H_DATE: 8/9/2024

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

xTDP: Off

OTHER:

DSYSTEMITEM: AN/ALQ-161

E_CONTRACTPR_NO: FD2060-25-00034

FCONTRACTOR:

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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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

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16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

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1_DATA_ITEM_NO: A005

2_TITLE_OF_DATA_ITEM: Test/Inspection Report

3_SUBTITLE: Acceptance Test Report (ATR)

4_AUTHORITY_Data_Acquisit: DI-NDTI-80809B/T

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: 408 SCMS/GUEA

7_DID_250_REQ: WAWF

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: ASREQ

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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16_REMARKS: Blk 4: Contractor format is acceptable. Acceptance Test Report shall be type written in Microsoft Word with support files in Microsoft Excel and Microsoft Project. Acceptance Test Report shall be formatted for printing on standard 8.5" x 11" paper. Acceptance Test Report shall be formatted for printing on standard 8.5" x 11" paper. Acceptance Test Report shall document the resulting test data from the contractor execution of the government approved Acceptance Test Procedure. DI-NDTI-80809B has been tailored to include Distribution D. Submission shall be delivered as hardcopy and electronically via email to the following people: First submission shall be delivered as hardcopy and electronically via e-mail to the following addresses:

Dan Gochenaur, 408 SCMS/GUEA ALQ-161 Engineer, daniel.gochenaur.4@us.af.mil

Wes Stinehelfer, AFLCMC/WNYEAA, AN/ALQ-161 HW Engineer, clarance.stinehelfer.1@us.af.mil

Roland Adams, AFLCMC/WNYEAA, AN/ALQ-161 SW Engineer, edward.adams.11@us.af.mil

BLK 8: Approval/Disapproval of first submission will be furnished within 45 days after receipt by AFLCMC/WNYEAA. Approval/Disapproval of subsequent submissions will be furnished within 30 days of receipt.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only due to operational use as of 15 August 2024. Other requests shall be referred to AFLCMC/WNYEAA or higher DoD authority.

BLKS 11, 12, & 13: Submissions shall be no later than 30 days after acceptance testing (Group A) has completed.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Daniel Gochenaur

H_DATE: 8/9/2024

1_APPROVED_BY:

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E_CONTRACTPR_NO: FD2060-25-00034

FCONTRACTOR:

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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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

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16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

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1_DATA_ITEM_NO: A006

2_TITLE_OF_DATA_ITEM: Item Unique Identification (IUID) Marking Plan

3_SUBTITLE: IUID Marking Plan

4_AUTHORITY_Data_Acquisit: DI-MGMT-81803

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: 408 SCMS/GUEA

7_DID_250_REQ: WAWF

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: SEE BLK 16

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

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16_REMARKS: BLK 4: Contractor format is acceptable. IUID Marking Plan shall be type written in Microsoft Word with support files in Microsoft Excel and Microsoft Project. IUID Marking Plan shall be formatted for printing on standard 8.5" x 11" paper. Submission shall be delivered electronically via email to the following people:

Marking Plan shall be delivered electronically via E-mail to the following addresses:

Dan Gochenaur, 408 SCMS/GUEA ALQ-161 Engineer, daniel.gochenaur.4@us.af.mil

Wes Stinehelfer, AFLCMC/WNYEAA, AN/ALQ-161 HW Engineer, clarance.stinehelfer.1@us.af.mil

Roland Adams, AFLCMC/WNYEAA, AN/ALQ-161 SW Engineer, edward.adams.11@us.af.mil

BLK 7: Submit invoice in WAWF after submittal of final report to account for all previously submitted.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only due to operational use as of June 26th 2014. Other requests shall be referred to 408 SCMS/GUEA or higher DoD authority.

BLKS 8 & 10-13: Submit NLT 30 Days after contract award. Government comments/approval will be provided within 30 days after receipt. The contractor shall resubmit within 15 days after receipt of Government comments.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Daniel Gochenaur

H_DATE: 8/9/2024

1_APPROVED_BY:

J_DATE:

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E_CONTRACTPR_NO: FD2060-25-00034

FCONTRACTOR:

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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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

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16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

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1_DATA_ITEM_NO: A007

2_TITLE_OF_DATA_ITEM: Item Unique Identification (IUID) Marking Activity and Verification Report

3_SUBTITLE: IUID Marking Activity and Verification Report

4_AUTHORITY_Data_Acquisit: DI-MGMT-81804A

5_CONTRACT_REFERENCE:

6_REQUIRING_OFFICE: 408 SCMS/GUEA

7_DID_250_REQ: WAWF

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: ASREQ

11_AS_OF_DATE: 15TH

12_DATE_OF_FIRST_SUBMISSI: 30DAC

13_DATE_OF_SUBSEQUENT_SUB: 15TH

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16_REMARKS: BLK 4: Contractor format is acceptable. 100% of the units shall be inspected, evaluated and added to the Activity and Verification Report.

Initial report during each production cycle with be delivered electronically via E-mail to the following addresses:

Dan Gochenaur, 408 SCMS/GUEA ALQ-161 Engineer, daniel.gochenaur.4@us.af.mil

Wes Stinehelfer, AFLCMC/WNYEAA, AN/ALQ-161 HW Engineer, clarance.stinehelfer.1@us.af.mil

Roland Adams, AFLCMC/WNYEAA, AN/ALQ-161 SW Engineer, edward.adams.11@us.af.mil

All subsequent reports will be stored for 3 years within the contractor's facility or until deemed no longer required by AFLCMC/WNYEAA.

BLK 7: Submit invoice in WAWF after submittal of final report to account for all previously submitted.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only due to operational use as of 15 August 2024. Other requests shall be referred to 408 SCMS/GUEA or higher DoD authority.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Daniel Gochenaur

H_DATE: 8/9/2024

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

xTDP: Off

OTHER:

DSYSTEMITEM: AN/ALQ-161

E_CONTRACTPR_NO: FD2060-25-00034

FCONTRACTOR:

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