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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: A0002

2_TITLE_OF_DATA_ITEM: Contract Depot Maintenance (CDM) Monthly Production Report

3_SUBTITLE: CDM Production Monthly Status Report

4_AUTHORITY_Data_Acquisit: DI-PSSS-81995

5_CONTRACT_REFERENCE: PWS 10.1

6_REQUIRING_OFFICE: 414 SCMS/GUMCA

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: MTHLY

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: NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4:

a. All reporting shall be submitted in the English Language.

b. The Contractor's CAV AF Reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities); shop floor, bond room and/or receiving/shipping docks, etc. for each repair.

c. The Contractor shall report by contract delivery order on all applicable categories, totals and on-hand balances, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for the contracts maintenance occurrence actions during the reporting period.

d. The Contractor shall report on production, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period.

2. Block 7, 14: Submit the CDM Production Monthly Status Reports to the following email address:

414SCMS.GUMC.Repaircontracts@us.af.mil

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Reason for Use). (Date of Determination). Other requests for this document shall be referred to (DoD Controlling Office)

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE: 0.00

G_PREPARED_BY:

H_DATE: 16 Mar 22

1_APPROVED_BY:

J_DATE: 16 Mar 22

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER:

DSYSTEMITEM: ICBM GROUND

E_CONTRACTPR_NO: FD2020-21-00983

FCONTRACTOR:

16_REMARKS_Continued:

EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

4. Blocks 10, 11, 12, 13:

a. The reports shall be provided monthly within 10 (ten) business days of the previous month's last calendar date.

b. Reports shall continue to be submitted by the contractor unless the requirement is terminated by the assigned Contracting Officer at the request of the Program Manager (PM) and the Production Management Specialist (PMS),

c. The Final Report submitted following the final reporting period on the contract shall be annotated "Final Report"

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2022-03-16T14:04:00-0600

STEPHENS.DAVID.J.1157943258

2022-03-16T14:20:21-0600

TIPPY.DAVID.JANSON.1153947690

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.

1231517401C

Highlight

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER:

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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: A0003

2_TITLE_OF_DATA_ITEM: Government Property Inventory Report

3_SUBTITLE: Annual Government Property Physical Inventory Report

4_AUTHORITY_Data_Acquisit: DI-MGMT-80441/T

5_CONTRACT_REFERENCE: PWS 10.1

6_REQUIRING_OFFICE: 414TH SCMS/GUMCA

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: ANNLY

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: NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4:

a. All reports shall be submitted in the English Language.

2. Block 7, 14: Submit the Annual Government Property Physical Inventory Report to the following email address:

414SCMS.GUMC.Repaircontracts@us.af.mil

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Reason for Use). (Date of Determination). Other requests for this document shall be referred to (DoD Controlling Office).

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE: 0.00

G_PREPARED_BY:

H_DATE: 16 Mar 22

1_APPROVED_BY:

J_DATE: 16 Mar 22

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER:

DSYSTEMITEM: ICBM GROUND

E_CONTRACTPR_NO: FD2020-21-00983

FCONTRACTOR:

16_REMARKS_Continued:

4. Blocks 10, 11, 12, 13:

a. This report shall be provided annually. Reporting Period is one year from Basic Contract award date and annually thereafter.

b. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the annual reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.

c. The report shall be delivered within seven (7) calendar days of the end of the first reporting period and annually thereafter, or within seven (7) calendar days of government request.

5. Content (Tailored). The following data fields are not required:

B. Agency or Service Asset Identification Number (GFP Only) C. Contractor Asset Identification Number F. Manufacturer Model Number J. Unit of Measure K. Unit Acquisition Cost L. Unique Item Identifier (if registered in the Item Unique Identification (IUID) Registry; GFP only)

NOTE: An Inventory report shall be provided.

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STEPHENS.DAVID.J.1157943258

2022-03-16T14:22:16-0600

TIPPY.DAVID.JANSON.1153947690

CONTRACT DATA REQUIREMENTS LIST (CDRL)

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 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 TDP ____ TM _____ OTHER X________________________

D. SYSTEM/ITEM F. CONTRACTOR

ICBM/ NIIN 0

E. CONTRACT/PR NO.

02100983-00

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

REPAIRABLE ITEN INSPECTION REPORT

5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

4. AUTHORITY (Data Acquisition Document No.)

DI-ILSS-80386

DII-

414 SCMS/GUEA

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD REQUIRED ASREQ SEE BLK 16

D

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

A SEE BLK 16 SEE BLK 16 Reg Repro

ORG 1 (SEE BLOCK 16) 1 016. REMARKS

BLOCK 4: PARAGRAPH 10.1 OF DI-ILSS-80386 CLARIFIED AS FOLLOWS:

ALL DIMENSIONS AND TOLERANCES SPECIFIED ON THE MANUFACTURING DATA SHALL BE

LIST IN ONE COLUMN, WITH THE ACTUAL CORRESPONDING READING OBTAINED FROM THE

INSPECTION OF THE PART LISTED IN ANOTHER COLUMN.

B MATERIAL PROCESSING, INCLUDING FINISH REQUIREMENTS (PLATING, HEAT TREATMENT,

WELDING ANODIZING, PAINTING, ETC.) UTILIZED IN THE MANUFACTURE OF “FIRST ARTICLE”

ITEMS 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.

BLOCK 11:

DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND

U.S. DOD CONTRACTORS ONLY FOR ADMINISTRATIVE AND OPERATIONAL USE DETERMINED

[DATE OF DOCUMENT]. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO ICBM

SYSTEMS DIRECTORATE, 6014 DOGWOOD AVE BLDG 1258, HILL AFB, UT 84056-5826.

WARNING: THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT IS RESTRICTED BY

THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C. 2751 ET SEQ.) OR THE EXPORT

ADMINISTRATIVE ACT OF 1979, AS AMENDED, TITLE 50, U.S.C., APP. 2401, ET SEQ. VIOLATION OF

THESE EXPORT-CONTROL LAWS IS SUBJECT TO SEVERE CRIMINAL PENALTIES.

DISSEMINATION OF THIS DOCUMENT IS CONTROLLED UNDER DODD 5230.25 AND AFI 61-204.

DESTRUCTION NOTICE: FOR CLASSIFIED DOCUMENTS, FOLLOW THE PROCEDURES IN DOD

5220.22-M, NATIONAL INDUSTRIAL SECURITY PROGRAM OPERATING MANUAL (NISPOM),

SECTION 5-705, OR DOD 5200.1-R, INFORMATION SECURITY PROGRAM REGULATIONS, CHAPTER

VI. FOR UNCLASSIFIED, LIMITED DOCUMENTS, DESTROY BY ANY METHOD THAT WILL PREVENT

DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCK 10, 11, 12 & 13

INITIAL SUBMITTAL:

CONTRACTOR SHALL SUBMIT MEASUREMENT DATA NLT 45 DAYS AFTER COMPLETION OF

WORK. GOVERNMENT WILL BE ALLOWED 30 DAYS AFTER RECEIPT FROM CONTRACTOR TO

REVIEW FOR APPROVAL/ DISAPPROVAL/COMMENTS. CONTRACTOR SHALL SUBMIT REVISED

QUALIFICATION TEST REPORT INCORPORATING GOVERNMENT COMMENTS, IF APPLICABLE, NLT

15 DAYS AFTER RECEIPT FROM GOVERNMENT.

COMPLETE MAILING ADDRESS IS:

414 SCMS RICH HOWE

6031 GUM LANE

BLDG 1227

HILL AFB UT 84056

POC: RICH HOWE Cell Phone 801-391-1471 Office Phone 801-586-5998

NOMENCLATURE: P/N 1133-1001-1 ADAPTER RING ASSY. VB NSN: 1440-01-631-1182

15. TOTAL ▬▬▬▬► 0 1 0

13 AUG 2021 13 AUG 2021

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

0001AB

NSP

$0.00

2021-08-15T11:17:36-0600

SHUPE.KARL.M.1514874944

2021-08-13T11:49:17-0600

HOWE.RICHARD.W.1574025490

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: A001

2_TITLE_OF_DATA_ITEM: Commercial Asset Visibility Air Force (CAV) Reporting

3_SUBTITLE: CFM End Item Reporting

4_AUTHORITY_Data_Acquisit: DI-MGMT-81838

5_CONTRACT_REFERENCE: PWS 10.1

6_REQUIRING_OFFICE: 414TH SCMS/GUMCA

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: N/A

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: NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4: All reporting shall be submitted in the English Language.

2. Block 5: Contract Reference: PWS 10.1 and CAV AF Reporting Requirements Document.

3. Blocks 7, 8, 14:

a. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF website or CICA XML.

b. A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address:

414SCMS.GUMC.Repaircontracts@us.af.mil

4. Blocks 10, 11, 12, 13:

a. Date of first submission shall be within 24 hours following a supply or maintenance transaction, after the contract award date.

b. Contractor reporting requirements to CAV AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence IAW the CAV AF Reporting Requirements Document.

c. Data shall be current within 24 hours of the last End Item maintenance occurrence.

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE: 0.00

G_PREPARED_BY:

H_DATE: 16 Mar 22

1_APPROVED_BY:

J_DATE: 16 Mar 22

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

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