CDRL_FATR.pdf

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(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 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 C. CATEGORY:

TDP ____ TM _____ OTHER ________________________

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

SEE BLK 16 FD20202000907

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

A001 TEST/INSPECTION REPORT FIRST ARTICLE TEST (FAT) REPORT NSP

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

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

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

LT REQUIRED SEE BLK 16 SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

D

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

Draft Final

A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS MICHAEL.LOVELESS.5@US.

AF.MIL 1 1

BLOCK D: NIIN: 01-120-1564 PN: WSS96000 NOUN FAN, CIRCULATING

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

LISTING 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 MATERIALS 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”

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 9: DATA SUBMITTAL SHALL BE MARKED WITH THE FOLLOWING ON THE COVER PAGE:

DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD

CONTRACTORS ONLY FOR INTERCONTINENTAL BALLISTIC MISSILES (ICBM) ADMINISTRATIVE OR

OPERATIONAL USE DETERMINED AS OF 23 JUNE 2020. OTHER REQUESTS SHALL BE REFERRED

TO AFNWC/NWIBF, HILL AFB, UT 84056-5816.

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

THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C., SEC 2778 ET SEQ.) OR THE EXPORT

ADMINISTRATION ACT OF 1979, AS AMENDED, TITLE 50, USE., APP. 2401 ET SEQ. VIOLATIONS OF

THESE EXPORT CONTROL LAWS IS SUBJECT TO SEVERE CRIMINAL PENALTIES.

DISSEMINATION OF THIS DOCUMENT IS CONTROLLED UNDER DOD DIRECTIVE 5230.25.

DESTRUCTION NOTICE: FOR CLASSIFIED DOCUMENTS, FOLLOW PROCEDURES IN DOD 5220.22-

M, NATIONAL INDUSTRY SECURITY MANUAL, CHAPTER 5, SECTION 7, PARA 5-704, OR DOD

5200.1-R, INFORMATION SECURITY PROGRAM REGULATION, CHAPTER 6, PARA C6.7. FOR

UNCLASSIFIED, LIMITED DOCUMENTS, DESTROY BY ANY METHOD THAT WILL PREVENT

DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCK 10: ONE/R, REPORT SHALL BE SUBMITTED ELECTRONICALLY 14 DAYS AFTER TESTING

HAS BEEN COMPLETED.

BLOCK 11, 12, AND 13: DEFINED IN CONTRACT

BLOCK 14: MICHAEL.LOVELESS.5@US.AF.MIL

15. TOTAL 0 1 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

23 Jun 2020

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

0001AA AA

$0.00

7 Jul 2020LOVELESS.MICHAE

L.ALAN.1519342827

Digitally signed by

LOVELESS.MICHAEL.ALAN.1519

342827 Date: 2020.07.13 12:54:14 -06'00'

SHUPE.KARL.M

.1514874944

Digitally signed by

SHUPE.KARL.M.1514874944

Date: 2020.07.13 13:10:13 -06'00'