CDRL_FATP.pdf

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 (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 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

0001AA AA NDTI

MILSTAR FD20202400213

A001 First Article Qualification Test Plan First Article Test Procedure

DI-NDTI-81307A USAF AFMC 260 Block 9C 415 SCMS/GUEA

DD

A D

ONE/R

NA

See 16

NA

415 SCMS/GUEA 1

FY2073 1

415 SCMS/EN 1

0 1 2

Changes to names and office symbols, when necessary, shall be made by letter through the CO/ACO without revision to this CDRL.

Block 9: Data submittal shall be marked with the following on the cover page:

DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administration and operational purposes, contains limited access information, 21 NOV 2023. Other requests for this document shall be referred to OO-ALC/ AFMC 415 SCMS/GUEA.

WARNING: Export Controlled Destruction Notice: Destroy by any means that will prevent disclosure of the contents or reconstruction of the document.

Block 12: The Contractor shall deliver the First Article Test Plan a minimum of 30 days prior to first article test. The contractor shall make any re-submittal NLT 15 days after receipt of government comments.

Block 14a: Electronic submission is acceptable. Addresses are:

DODAAC: FY2073

andrew.webb.17@us.af.mil 415SCMS.EN@us.af.mil

CUI

CONTROLLED UNCLASSIFIED INFORMATION (CUI) Requirements:

Mark the top and bottom of the first page with CUI.

Include the CUI block below the Destruction Notice.

CUI Block:

"Controlled By: 415 Supply Chain Management Squadron CUI Categories: CTI, CUI EXPT Distribution/Dissemination Control: Distribution Statement D POC: STINFO Manager: 415SCMS.en@us.af.mil"

NSP

0.00

Engineer 415 SCMS/GUEA

WEBB.ANDREW.JASON.1009596

Digitally signed by

WEBB.ANDREW.JASON.1009596263

Date: 2023.11.21 13:43:57 -07'00'

11/21/2023

415 SCMS/GUEA

DYE.ERIC.R.1286171954 Digitally signed by DYE.ERIC.R.1286171954

Date: 2023.11.21 13:31:33 -07'00'

11/21/2023

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