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DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages

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18. ESTIMATED

TOTAL PRICE

0.00

17. PRICE GROUP

NSP

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 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

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

First Article

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Test/Inspection Reports

3. SUBTITLE

Government Testing

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

417 SCMS/CL

7. DD 250 REQ

Y

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

Per contract reqs

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE

Per contract reqs

13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

1. BLOCK 4: Contractor format acceptable. Paragraph 10.2.3.3 of DI-NDTI-80809B is clarified as follows:

a. All dimensions and tolerances specified on the manufacturing data shall be listed in one column with the actual corresponding reading obtained from the inspection of the parts listed in another column.

b. Materials utilized in the manufacture of the "First Article" item shall be identified and certified along with a copy of material purchase requests as conforming to applicable data requirements.

c. Material processing, including finish requirements (plating, heat treatment, welding, inspecting, anodize, painting, etc.) utilized in the manufacture of the "First Article" item shall be identified and certified as conforming to applicable requirements. A copy of the purchase order certifying the process accomplished at other than contractor facility shall be included.

d. Other requirements as called out with the Technical Data Package.

2. BLOCK 9: Distribution authorized to U.S. Government Agencies only, test and evaluation, 11 March 2016. Other requests for this document shall be referred to

417 SCMS.

3. BLOCKS 10, 11, 12, and 13: Report to assist in the "First Article" testing by the Air Force shall be submitted concurrently with the "First Article" item.

FOB: DESTINATION

INSPECTION/ACCEPTANCE: DESTINATION

Preferred method of 1 shipping to include test report in First Article container:

FB2029

809 MXSS/MXDEB

Bldg. 849 Attn:

Non Accountable Bay

Hill AFB, UT

84056-5713

15. TOTAL 0 1 0

G. PREPARED BY

Lori Grygier Lead IM, 417 SCMS/GUMD

H. DATE

20170308

I. APPROVED BY

MARTIN.BRAD.H.1 Digitally signed by MARTIN.BRAD.H.1256609564 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, 256609564 ou=USAF, cn=MARTIN.BRAD.H.1256609564 Date: 2017.03.08 08:31:48 -07'00'

J. DATE

20170308

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