Attachment_3_DIDs.pdf

DATA ITEM DESCRIPTION

Title: COMMERCIAL ASSET VISIBILITY (CAV) REPORTING

Number: DI-MGMT-81838 Approval Date: 20110914 AMSC Number: N9211 Limitation: N/A DTIC Applicable: N/A GIDEP Applicable: N/A Office of Primary Responsibility: SA/WSS 071.02 Applicable Forms: N/A

Use/relationship:

The Commercial Asset Visibility (CAV) application provides a web-based, automated method of tracking Government owned reparable assets as they flow through the repair cycle at the contractor's repair facility. The main purpose of CAV is to provide an inventory management system for reparable assets while they are at commercial repair vendors. CAV on the World Wide Web allows the contractor to report transactions as they occur. These transactions automatically update the CAV database. An integrated, relational database allows the commercial repair vendors to access their repair data to produce all of the required status and activity reports.

This Data Item Description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete task requirement, as delineated in the contract.

Requirements:

1. Format. The CAV System transactions are processed via the World Wide Web. Input formats and methodology are defined in the Contract Statement of Work.

2. Content. The Contractor reporting shall contain the following transactions, status code changes and report types, as described in the Contract Statement of Work:

A. Receipt of Asset

1) On Contract

2) Not on Contract

3) Procurement

4) "A" Condition

5) Rotable Pool

6) Loaned Asset

B. Inductions C. Items Awaiting Parts D. Re-inductions E. Completions F. Shipments

DI-MGMT-81838

G. Bulk Shipments H. Proof of Shipment I. Items that are Beyond Economic Repair (BER) J. Survey/Scrap Items K. Reversals L. Report of Discrepancies M. Print DD Form 1348's N. Print Material Movement Documents O. Print CAV Inventory Labels P. Print Item Action Reports Q. Print Repair History Reports R. Print Condition Code Reports S. Print Awaiting Parts Report T. Print Proof of Shipment Reports U. Perform Item Maintenance V. Print Report of Discrepancies (RODs) W. Add and Delete Carriers

3. End of DI-MGMT-81838.

Title: CONTRACT DEPOT MAINTENANCE (CDM) PRODUCTION REPORT

Number: DI-PSSS-81995 Approved Date: 20150904

AMSC Number: 9576 Limitation: N/A

DTIC Applicable: No GIDEP Applicable: No

Preparing Activity: 11 (AFMC/A4) Project Number: PSSS-2015-009

Applicable Forms: N/A

Use/Relationship: The Contract Depot Maintenance (CDM) Production Report is a two-part report which provides the Government with monthly maintenance production figures, status and accountability of assets at the contractor facility, performance to schedule, anticipated production for the next month, and a summary of unresolved problems at the end of the report period.

a. This Data Item Description (DID) contains the format, content and preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.

b. This DID may be used on any depot level maintenance contract.

Requirements:

1. Format. This report shall be provided in the format of Table I.

2. Content. The report shall consist of two parts and contain the following information:

a. Part I:

(1) As of date: The year, month and day applicable to the report. Data must be through the end of the month.

(2) Block 1, Issuing/Procuring Agency. Include address and Point of Contact.

(3) Block 2, Contractor and activity address code (AAC). The name of the business and the DoDAAC assigned to your business for shipment of material.

(4) Block 3, Contract number and Program or Weapon System supported.

(5) Block 4, Government item manager or technical Point of Contact.

(6) Block A, Item identification. The National Stock Number (NSN), A-1 is the Federal Supply Class (FSC) and A-2 is the National Item Identification Number (NIIN) of the item being reported.

(7) Block B, Delivery/Call Order number. When the awarded contract is a call/delivery order type, this is the applicable order number. When an item is awarded on more than one order, it is repeated for each order until completed. If the current report completes the call, the word “completed” will be added.

(8) Block C, The contract line item number (CLIN). The CLIN assigned to the NSN in the contract.

DISTRIBUTION STATEMENT A. Approved for public release; distribution is unlimited.

DI-PSSS-81995

(9) Block D, The document/voucher number the item was received under. The document number listed on the shipping documentation the item was received against.

(10) Block E, Quantity on contract or call. E-1 is the quantity of the end items to be repaired on each call/delivery order or contract quantity when orders do not apply. E-2 is the total quantity scheduled for repair cumulative to date.

(11) Block F, Reparables received. Number of reparable items received for repair. F-1 is the quantity of reparables received during the report month. F-2 is the quantity of reparables received cumulative from the start of the contract through report month.

(12) Block G, Reparables inducted into repair during report month.

(13) Block H, Reparables on hand. Number of reparables on hand waiting induction into repair.

(14) Block I, Quantity produced. The quantity produced during the month.

(15) Block J, Serviceables shipped. Serviceables shipped from repair facility. J-1 is the serviceables shipped through report month. J-2 is serviceables shipped cumulative from start of contract.

(16) Block K, Serviceables on hand. The quantity of serviceables on hand awaiting shipping action.

(17) Block L, Quantity condemned. The quantity condemned. L-1 is the quantity condemned during report month. L-2 is the quantity condemned cumulative from start of contract.

(18) Block M, Forecast to complete. The quantity of items scheduled to be produced next month.

(19) Block N, Report date. Enter date of report.

b. Part II, Production problems. Report shall be in narrative format and only required if:

(1) Previous reports production forecast was not shipped.

(2) Current forecast does not equal contract scheduled quantity.

(3) Contract anticipates a problem in the near future.

D I-

P S

S S

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DI-PSSS-81995

End of DI-PSSS-81995.

Title: GOVERNMENT PROPERTY INVENTORY REPORT

Number: DI-MGMT-80441C Approval Date: 20171101 AMSC Number: 9865 Limitation:

DTIC Applicable: No GIDEP Applicable: No Preparing Activity: MDA Project Number: MGMT-2017-059 Applicable Forms: None

Use/Relationship: This report enables the contractor to periodically provide to the DoD Service/Agency an inventory listing of Government Property (i.e., both Government Furnished Property (GFP) and Contractor Acquired Property (CAP)) in the contractor’s possession (to include subcontractors) by contract.

This DID is applicable to all contracts where Government Property will be furnished by the Government (i.e., GFP) or acquired, fabricated, or otherwise provided by a contractor (i.e., CAP) in performance of a contract.

This DID contains the format and content preparation instructions for the data deliverable resulting from the work task described in the solicitation.

This DID supersedes DI-MGMT-80441B.

Requirements:

1. Format. The report shall be electronic .xls or .xlsx compatible.

2. Content. The report shall contain the following columns/data fields:

A. Contract Number B. Manufacturer CAGE Code (if known) C. Item Name D. Item Description E. Manufacturer Name F. Manufacturer Part Number G. Manufacturer Model Number H. Material Control Number (MCN) (if applicable) I. Serial Number J. National Stock Number (NSN) K. Quantity L. Unit of Measure M. Unit Acquisition Cost N. Location O. Sub Location (if applicable) P. Unique Item Identifier (as registered in the IUID Registry) Q. Type of Government Property (i.e., Government Furnished Property (GFP) or

Contractor Acquired Property (CAP) R. Classification of Government Property (i.e., Communication Security (COMSEC), Equipment (EQP), Material (MAT), Special Test Equipment (STE), or Special Tooling

(ST))

DI-MGMT-80441C

S. Posting Reference T. Date of Transaction / Date of Acquisition U. Date Placed in Service V. Date of Last Physical Inventory W. Condition Code

END OF DI-MGMT-80441C

Title: COMPREHENSIVE ENGINE MANAGEMENT SYSTEM (CEMS) REPORTING Number: DI-MGMT-81324C Approval Date: 20150505 AMSC Number: F9543 Limitation: N/A DTIC Applicable: No GIDEP Applicable: No Preparing activity: 71 Project Number: MGMT-2015-018

Applicable Forms: CEMS Event Reporting Document, DD Form 2875 (GCSS), DD Form 2875 (CEMS), and Non- Disclosure Statement.

Use/relationship: CEMS reporting is required by all organizations possessing and/or maintaining Air Force (AF) engines or components on behalf of the AF to maintain a complete and accurate worldwide inventory of AF engines, installed assemblies and components. The CEMS reporting data consists of aircraft engine and maintenance status information as directed by the AF propulsion community.

a) This Data Item Description (DID) contains the instructions for reporting engine, assembly and/or component status data to the AF Accountable Property System of Record (APSR), CEMS. It also contains the format and content preparation instructions for the data reporting generated by the specific and discrete task requirement as delineated in the contract.

b) This DID is applicable when contractors are required to report engine and/or component status data to

CEMS.

c) Publications referenced below are available on the CEMS web site, https://www.my.af.mil/gimmsprod/cpmo/.

d) This DID supersedes DI-MGMT-81324B.

Requirements:

1. Reference documents: The applicable issue of the documents cited herein, including their approval dates and dates of any applicable amendments, notices, and revisions, shall be as specified in the contract. Definitions and/or descriptions of the various data codes authorized for entry in the specified blocks of the CEMS Event Reporting Document are contained in United States Air Force Technical Order (TO) 00-25-254-1.

2. Format. Unless an agreed upon approved interface exists, all required input is via the reporting process known as

CEMS.

3. Content.

3.1 Access to CEMS: In order to accomplish access to government computer systems for the purpose of reporting the following is required:

a. The minimum of a favorable National Agency Check with Inquiries (NACI) is required for any contractor accessing Department of Defense (DoD) information systems. Procedures concerning Industrial Security Clearances and Investigations can be found at http://www.dss.mil/isp/index.html.

b. An DD FM 2875 must be completed and sent by fax or signed email to the AF Portal Program Office:

gcssaf.opsandsupport@gunter.af.mil, or faxed to the AF Portal Program Office (DSN 596-5771, or faxed to the AF Portal Program Office DSN 596-5771, Commercial 334-416-5771; Option 7) to obtain an AF Portal Account. DD FM 2875, as well as additional information may be obtained at https://www.my.af.mil, by accessing “View Account Requirements & Benefits.”

c. After AF Portal access is obtained, a DD Form 2875, a copy of the DoD Information Assurance Awareness Training Certificate (Course: ZZ133098) and a Nondisclosure Statement must be completed requesting access to CEMS and e-mailed to CEMS.PMO.Security@us.af.mil. The form and Nondisclosure Statement may be downloaded from https://www.my.af.mil/gimmsprod/cpmo/, by clicking on the “Forms” folder and clicking “System Access.” Instructions are included with the form. The DoD Cyber Awareness Challenge (Course: ZZ133098) may be completed:

DI-MGMT-81324C

https://golearn.csd.disa.mil/kc/login/login.asp?kc_ident=kc0001&blnAccess=TRUE for Dot-Mil Users and http://iase.disa.mil/eta/cyberchallenge/launchPage.htm for Dot-Com users.

d. You can only access CEMS via the AF Portal. The CEMS PMO, (405)734-7874, DSN: 884-7874, or Toll Free: 1-800-956-7351, should be contacted for further information.

3.2 Inputs to CEMS: Description of Entries on the CEMS Event Reporting document.

Block 1 - CII Designation. Direct reporting and mail-in enter CII as shown in the CII table.

Block 2 - S/N (10 Max Alpha Numeric characters). Enter the S/N as express below for position 1 thru 4 and using the last 6 characters listed on the data plate. CEMS does not recognize a dash (-). If dashes (-) are encountered on the engine, assembly or part data plate, the dash will be replaced with a zero for reporting purposes. If data plate contains any other special character, contact the CEMS PMO for instructions.

Example: 629-1234 will be input to CEMS as “0062901234.” The standard method of structuring serial numbers in CEMS is as follows:

MM = Manufacturer’s Code (two position) Z = Zero (0) C = Engine module symbol as follows:

Basic Engine E Augmentor A Fan F Compressor C Turbine (LPT) L Turbine (HPT) H Gearbox G Turbine T

X= An alpha or numeric character

NOTE

With the exception of the F107 engine, all century series engines (i.e. F100, F101,etc.) and T56 engines use structure MMZCXXXXXX, where column 5 through 10 are the values obtained from the last 6 positions on the data plate. The field will be moved to the right and zero filled on the left.

Examples: F100-100 Engine “PW0E680092.” “T56 engine S/Ns prior to 113432 will reflect the old S/N structure in CEMS of MMZZXXXXXX. T56 gearbox S/Ns prior to S/N 33641 will reflect the old S/N structure in CEMS of ZZMCXXXXXX. T56 engine 113432 and beyond will use MMZCXXXXXX.”

Example: (AD0E113432), Gearbox 33641 and beyond will use MMZCXXXXXX.

Example: (AD0G033641), All other aircraft engines use structure MMZZXXXXXX, where column 5 through 10 are values obtained from the last 6 positions on the data plate. The field will be moved to the right and zero filled on the left.

Example: J75-17 Engine “PW00611438.” All tracked assemblies and parts and all non-F100 modules use structure 10 positions. All 10 positions are values obtained from the data plate. The field will be moved to the right and zero filled on the left. The alpha O will be converted to numeric 0 and the alpha I will be converted to numeric 1 for reporting purposes.

Block 3 - Occurrence Date and/or Hour. Enter the actual Julian date and time the status change occurred.

Block 4 - SRAN. Enter SRAN of the activity preparing report.

Block 5 - Command. Enter the applicable major and subcommand codes.

Block 6 - Organization Code. Alpha characters for local use and is one position alpha, excluding “X” or a numeric “1” to indicate engine(s) in a deployed status.

Block 7 - Engine Ownership Account. Enter the one position engine ownership account code. Account codes A, B, C, E, G, K, L, N, P, R, S, and Z are Air Force engines. Transfers between these accounts will be made on routine reports (code R, block 8). Account codes D, F, H, J, T, and W are other than Air Force engines. Transfer between Air Force and other than Air Force accounts will be made on K type report (block 8). All uninstalled engine transfers on K type reports must be documented and a copy of the document maintained as prescribed in referenced TO. If account code J is reported, see instructions (block 19). Engines transferred to classified project (L account, routine report) will not be reported thereafter until returned or until the classified project is canceled. Returns from a classified project will be reported as a receipt to the A-account on a routine report. Engines assigned to ground training (S account) require no subsequent reporting except when engines are installed, removed, or transferred, or when assignment to S account terminates. Engines installed and removed for training are to be considered as installed at all times. Engines received from other than Air Force activities for repair and return are to be retained in the activity’s account while on hand. If an exchange of engines with the Air Force is to be accomplished, the transfers between accounts will be made on K type reports.

Block 8 - Engine Type Report. Enter the appropriate report code IAW the referenced TO.

Block 9 - Part Number. Enter the part number from the data plate.

Block 10 - Transaction Code. Circle the appropriate transaction code.

Block 11 - Condition Code. Circle the appropriate engine condition code.

Block 12 - Miscellaneous System Update. Circle the appropriate system update code.

Block 13 - To-From Command and/or SRAN. Enter the shipped to-from SRAN. Report the owning command code for tenant shipments and receipts. Block will be blank for reports of transfer to or from classified projects.

Block 14 - Type of Shipping Device. Optional.

Block 15 - Engine Related How Mal Codes. Enter the engine related How Mal Code that best identifies the symptom that is causing the removal.

Block 16 - Reason for Return to Overhaul. Enter appropriate reason for return to overhaul code.

Block 17 - Reparable Engine S/N. Optional or enter the S/N of the reparable engine being replaced by the serviceable shipment. This number or the word stock will be furnished by the EIM. If a number or the word stock is not furnished by the EIM, enter “Not Furn.”

Block 18 - PRIMARY/SECONDARY HOW MAL INDICATOR, P (Primary) S (Secondary) (CIRCLE ONE)

Block 19 - SAP number. On K reports for engines gained to or from a SAP country, enter the six position SAP ID number contained in the supplementary address field, card columns 45 through 50, of the DD Form 1348-1A. If the SAP number is not listed in the supplementary address field, contact the prime EIM.

Block 20 - Document Number-NSN. Enter the debit or credit number from the document covering gain and loss transactions. For all shipments and receipts of uninstalled engines to-from a different SRAN reporting activity, enter the TCN from card columns 30 through 43 of the DD Form 1348-1A or block six of DD Form 1149, REQUISITION AND INVOICE/SHIPPING DOCUMENT. If not received with the engine, contact the previous SRAN EM for the TCN the engine was shipped with.

Also, if the shipment has been reported to CEMS, the TCN will appear on part 2 of the EMDL. For uninstalled reimbursable account transfer (K type report), to a non-Air Force account (SAP, Navy, Army, FAA, etc.), report the requesting activities requisition number obtained from the prime EIM.

Document numbers are constructed following the guidance in DOD 4000 25-1-M, Military Standard Requisitioning and Issue Procedures (MILSTRIP), or per instructions in AFM 23-110 and/or applicable Supply Local Operating Instructions.

Position 1-6 DOD Activity Address - Code of Activity assigning the num-ber e.g. FJ2039 (FJ suffix is used for Air Force reporting and EJ suffix is used for Contractor)

Position 7 Last digit of the calendar year

Position 8-10 Julian day of document assignment

Position 11-12 S/N assigned by activity

Position 13-14 Two digit alpha engine ID code

NSN is constructed as follows:

Position 1-4 Federal Stock Class, e.g., 2840

Position 5-6 Country Code, e.g., 01 (USA)

Position 7-13 National Item Identifier Number (NIIN) e.g., 5869746

Position 14-15 Material Management Code (MMC), e.g., RU, if applicable

Block 21 - Engine Flying Time. For non-parts tracked (status) engines, enter TSO. Time is recorded in days, hours, or minutes as required by engine TMSM. The number is right justified with a single decimal place. The fraction of hours is rounded (up or down) to the nearest tenth of an hour. Time will be reported in whole minutes for the J69- 406 engines. Time will be recorded in whole calendar days on the F107 and F112 engines.

Block 22 - Cycle Sortie Count. Enter cycle sortie count.

Block 23 - TMSM. Enter the TMSM for the engine that is being reported. TMSM is defined as a 12 position field for TMS and Modification of a given engine family.

Position 1-3 Type (alphanumeric, right justified, prefix with spaces) Position 4-7 Model (alphanumeric, right justified, prefix with zeros) Position 8-10 Series (alphanumeric, right justified, prefix with zeros) Position 11-12 Modification (alphanumeric, left justified, suffix with spaces)

Reference TMSM table.

Block 24 - NHA Designation. When entry is required and the NHA is an aircraft, enter the seven position alphanumeric MDS; or enter the NHA seven position alphanumeric CII code. When entry is required and the report initialized (TCC 6N) an uninstalled tracked item, fill all seven positions with nines.

Standard MDS structure is as follows:

Position 1-3 Mission (alphanumeric, right justified, prefix with spaces)

Position 4-6 Design (alphanumeric, right justified, prefix with zeros)

Position 7 Series (alphanumeric)

Block 25 - NHA S/N Structure. For aircraft S/N, use YYNNNNNNNN where YY is year of manufacture and NNNNNNNN is the tail number prefixed with zeros. When an initialization entry (TCC 6N) is required on an uninstalled tracked item, fill all 10 positions with nines.

Block 26 - Position Number. If the engine being reported is applicable to a single QPA, enter the digit one. For multiple engine aircraft, engines will be numbered from left to right from pilot’s position. Missiles and tracked assemblies/parts are exempt from this entry.

Block 27 - Is used when additional information is required on CEMS Event Report, i.e., Reason for Delay Codes.

End of DI-MGMT-81324C

1. CII DESIGNATION 2. SERIAL NUMBER 3. OCCURRENCE 4. SRAN 5. CMD 6. ORG 7. ACCT

3a. DATE 3b. HOUR

8. Type Report 9. PART NUMBER 14. SHIPPING DEVICE 13a. CMD

12. MISC SYSTEM UPDATES

GAIN SERVICEABLE COMMAND CODE CHANGE 2C 15. ENG RELATED 16. REASON FOR 17. REPARABLE ENG

NEW PRODUCTION A BUILT-UP B ACCOUNT CODE CHANGE 2D HOW MAL CODE RETURN TO OVHL SERIAL NUMBER

REIMBURSABLE B RAW R ORG CODE CHANGE 2M

NON-REIMBURSABLE C MDS/POSITION CHANGE 2P

EXCHANGE D REVERSE SHIP/TRANS 2R 18. PRIMARY/SECONDARY HOW MAL 19. SAP NUMBER

REPARABLE ADD TIME 6A INDICATOR (CIRCLE ONE) P S

LOSS CONDEMNED C REACTIVATE CONDEMN (PARTS) 6B

ATTRITION W WITH QEC F CONDEMN (PARTS) 6C 20. DOCUMENT NUMBER/NSN

FOR PARTS X WITHOUT QEC G UPDATE TO UNKN (PARTS) 6D

SALVAGE/DPDO Y MINOR OVHL K ENGINE ID CHANGE 6E

OTHER Z MAJOR OVHL L AIRCRAFT TIME UPDATE 6F 21. ENGINE FLYING TIME 22. CYCLE/SORTIE

QUICK TURN Q MASS LOSS (PARTS) 6G

INSTALLED SINGLE ENGINE UPDATE 6H

RECEIVED R INSTALLED MASS INITIALIZATION (PARTS) 6I 23. TMSM 24. NHA DESIGNATOR

TRANSFERRED T ACTIVE A INITIALIZE/SRAN CHG (PARTS) 6N

TRANSIENT U INACTIVE Z MAINTENANCE UPDATE 6P

OTHER V SUBTRACT TIME 6S 25. NHA SERIAL NUMBER 26. POSITION

INITIALIZE WINDOW VALUES 6T

UNINSTALLED UPDATE 6U

ENMCS E EGT UPDATE (F108 ONLY) 6W 27. REMARKS

WORK COMPLETED F MANUAL TIME CHANGE 6X

TEST CELL REJECT G

WORK STOPPED H

WORK STARTED J

REMOVED TRANSIENT K

REMOVED OTHER L

CHANGE IN MAINT M

AWAIT DISPOSITION N

ISSUE MAINTENANCE P

RECEIVED R

SHIPPED S

STORAGE STORAGE

STORAGE INSTALLED 8 THREE POINT CONNECTION Z

CEMS EVENT REPORTING, Dec-14

10. TRANSACTION 11. CONDITION

CEMS EVENT REPORT

13. TO/FROM

13b. SRAN

Title: DEFICIENCY REPORT (DR)

Number: DI-PSSS-81535A Approved Date: 20160524

AMSC Number: F9660 Limitation: N/A

DTIC Applicable: No GIDEP Applicable: No

Preparing Activity: AF 11 (AFLCMC/EZSC) Project Number: PSSS-2016-013

Applicable Forms: N/A

Use/Relationship: The Deficiency Report (DR) provides complete and accurate deficiency identification on government furnished material (GFM) in repair contracts by contractors to the Government. This information is used by the Government to identify necessary corrective action in accordance with T.O. 00-35D-54, USAF Deficiency Reporting, Investigation, and Resolution.

(Copies of this document are available online at http://www.tinker.af.mil/technicalorders/.)

a. This Data Item Description (DID) contains the format, content, and intended use information for the data deliverable resulting from the work task described in the solicitation.

b. This DID is applicable when contractors are responsible for maintaining custodial records for government property being repaired.

c. This DID interrelates with DI-MGMT-80258, Material Improvement Project (MIP) Report.

(Copies of this document are available online at http://quicksearch.dla.mil.)

d. This DID supersedes DI-ALSS-81535.

Requirements:

1. Reference documents. The applicable issue of the documents cited herein, including their approval dates and dates of any applicable amendments, notices, and revisions, shall be as specified in the contract.

2. Format. The Contractor format is acceptable.

3. Content. The Deficiency Report content shall be as described in Table I.

TABLE I. Deficiency report content.

1. From: Address of Originating Activity

2. To: Office of Primary Responsibility (OPR) for the equipment. Refer to D043 or D086 for guidance.

Subject First Part as applicable:

a. Category I Deficiency Report (CAT I DR)

b. Category II Deficiency Report (CAT II DR)

c. Report Control Number (RCN): An RCN consists of three parts. The first part will be the DoD Activity Address Code (DoDAAC).

The second part will be the last two digits of the calendar year.

The third part will be a 4-digit sequence number that is locally assigned.

3. Description of Deficiency:

Describe in detail what is wrong, the circumstances prior to the difficulty, probable cause, any action taken, and recommendations. Attach copy of supporting documents. Continue on separate sheet if necessary. Ensure that the description answers the questions listed in the instructions on the back of this form

4. Date of Deficiency: Year, month, day deficiency was discovered.

5. National Stock Number (NSN)

NSN and applicable Material Management Aggregation Code (MMAC) of item (see D043 and D086).

6. Nomenclature Noun of item for which report is submitted. Software DRs shall provide nomenclature of programmable hardware.

7. Operating Time at Failure

Hours, cycles, days, miles rounds or others

8. Deficient Item Part Number

Complete Manufacturer part number. If Computer Identification Number (CPIN) is associated with a computer program it shall also be provided.

9a. Manufacturer’s CAGE Code

Unique code assigned to suppliers of government or defense agencies.

9b. Manufacturer/Shipper/ City/State

Complete address of manufacturer or shipper.

10. Quantity Number received, inspected, deficient, and in stock.

11. Serial, lot or batch number

Complete item serial number.

12a. Item new, repaired or overhauled

Use one to identify item as appropriate.

12b. Date Manufacturer, Repaired or Overhauled

Year/Month/Day

12c. Last Repair Facility CAGE/DoDAAC/Address

13a. Contract Number Obtain contract number from records service tag, manufacturer/container label, etc. Contract number is critical to processing reports.

13b. Requisition/Document Number

Obtain from tags/labels on item packaging.

13c. Purchase Order Number.

The Purchase Order Number associated with the defective part. This can usually be found on the attached shipping document.

14. Government Furnished Material (GFM)

Yes/No/Unknown

15a. Item Under Warranty Yes/No/Unknown

15b. Warranty Expiration Date

Provide if known.

16. End Item Enter the applicable Equipment Item Code (EIC), Work Unit Code (WUC), or Table of Authorized Material Control Number (TAMCN) for the deficient material.

17. Next Higher Assembly a. NSN – National Stock Number associated with the next higher assembly.

b. NOMENCLATURE – Item name of the next higher assembly.

c. PART NUMBER – Part number assigned to the next higher assembly.

d. SERIAL NUMBER – Serial number from the next higher assembly.

18. End Item a. NSN – National Stock Number associated with the end item.

b. NOMENCLATURE – Name of the end item.

c. TYPE/MODEL – Type or model assigned to the end item configuration.

d. SERIAL NUMBER – Serial number from the end item equipment or system.

19. Current Disposition of Deficient Item

Holding/Disposed or Destroyed/Repaired/Other

20. Location of Deficient Material

Enter the name and location or supply activity that is currently holding the exhibit/deficient material.

End of DI-PSSS-81535A.