CDRL_FATR-All_NSNs.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 PREVIOUS EDITION MAY BE USED.

See Block 16

See Blk 16 FD20202400055

A001 Test/Inspection Report First Article Test Report

DI-NDTI-80809B/T 414 SCMS/GUEA

SD

A See Blk 16

See Blk 16

See Blk 16

See Blk 16

See Blk 16

809 MXSS/MXDEB 1

See Block 16

0 1 0

BLOCK A: CLINs 0001AA, 0002AA, 0003AA, 0004AA, 0005AA, 0006AA, 0007AA, 0008AA, 0009AA, 0010AA, 0011AA, 0012AA

Block D: NIIN:00-004-5438/39/40/41/42/43/44/45/46/47/48/49; PN:

71E45347G10/G11/G12/G13/G14/G2/G3/G4/G5/G6/G7/G9; Description: PANEL, THERMAL - AFT SHROUD

Block 4: Contractor format acceptable.

Paragraph 10.2 of DI-NDTI-80809B 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 part listed in another column.

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

c. Material processing, including finish requirements (plating, heat treatment, welding, anodizing, painting, etc.) utilized in the manufacture of "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.

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

DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only for Controlled Technical Information & Export Controlled:

determined 11/03/2023. Other requests for this document shall be referred to MMIII Systems Directorate, Hill AFB, UT. 84056.

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 Administration 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 DoD Directive 5230.25.

DESTRUCTION: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

NSP

0.00

Ryan Koch KOCH.RYAN.C.1470776265 Digitally signed by KOCH.RYAN.C.1470776265

Date: 2023.11.03 13:19:14 -06'00'

03 NOV 2023

Ray Dean Murrison

MURRISON.RAY.D.JR.1513

506828

Digitally signed by

MURRISON.RAY.D.JR.1513506828

Date: 2023.11.07 11:00:15 -07'00'

07 NOV 2023

1 2 Adobe Professional 8.0

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

See Block 16

See Blk 16 FD20202400055

Block 10: ONE/R, Report shall be submitted concurrently with the "First Article" item either in the shipping container or separately if the report will not fit within the container unfolded. When shipped in the "First Article" container, report shall be enclosed in a paper or plastic envelope.

Block 11, 12, and 13: Defined in Contract

Block 14: Complete mailing address is:

809 MXSS/MXDEB (DODAAC: FB2029)

Bldg 849, Attn: Non-Accountable Bay Mark For: First Article Do Not Post Hill AFB, UT 84056-5713

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