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CONTRACT DATA REQUIREMENTS LIST Form Approved CMB No. 0704-0188

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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

D. System/Item.

F100-PW-220 Augmentor Spray Rings E. Contract/PR NO.

FD2030-20-31502

F. Contractor

1. Data Item No.

2. Title of Data Item:

Production Report for contractor shipment of F100-PW-220 Augmentor Spray Rings

3. Subtitle:

4. Authority (Data Acquisition Document No.)

DI-MGMT-80368A

5. Contract Reference

6. Requiring Office

AFLCMC/LPSIB

7. DD 250 Req N/A

1. Dist Statement Required N/A

10. Frequency Monthly

12. Date of First Submission See Block 16

14. Distribution

8. APP Code N/A

11. As of Date See Block 16

13. Date of Subsequent Submission See Block 16

a. Addressee b. Copies D r a f t

Final

Reg Repro

16. REMARKS

BLOCK 4: DID IS TAILORED AS FOLLOWS:

THE CONTRACTOR SHALL PREPARE AND FURNISH A MONTHLY CUMULATIVE

STATUS REPORT FOR ALL ITEMS THAT HAVE BEEN PLACED ON CONTRACT. THE

REPORT SHALL INCLUDE, BUT NOT BE LIMITED TO, THE PART-NUMBER, NATIONAL

STOCK NUMBER, NOMENCLATURE, QUANTITY PLACED ON ORDER, QUANTITY

SHIPPED, QUANTITY REMAINING TO BE SHIPPED, DATE OF SHIPMENT, FORECAST

COMPLETION DATE, DOCUMENT CONTROL NUMBER AND SHIPMENT TRACKING

NUMBER. REPORT SHALL BE FURNISHED IN DELIVERY ORDER SEQUENCE. THE

REPORT SHALL BE PREPARED AS OF THE LAST WORKING DAY OF EACH MONTH

AND FORWARDED BY E-MAIL NO LATER THAN THE 5TH WORKING DAY OF THE

FOLLOWING MONTH. THE INITIAL REPORT WILL BE PREPARED FOR THE MONTH

DURING WHICH THE CONTRACT PURCHASE REQUEST IS RECEIVED. REPORTS WILL

CONTINUE TO BE FORWARDED UNTIL ALL OPEN DELIVERY ORDERS ARE SHIPPED

COMPLETE. THE LAST REPORT WILL BE ANNOTATED “FINAL REPORT”.

CONTRACTOR FORMAT IS ACCEPTABLE.

ANY DELAYS OR SLIPPAGE TO FORECAST COMPLETION DATE SHALL BE

COMMUNICATED TO LPSIB VIA DETAILED E-MAIL OR PHONE CONVERSATION.

DETAILED INFORMATION SHALL INCLUDE, BUT NOT BE LIMITED TO, CAUSE FOR

DELAY/SLIPPAGE (I.E., PARTS CONSTRAINTS, TEST-STAND ISSUES, PERSONNEL

SHORTAGE, ETC.,).

FOR E-MAIL ADDRESS & ADDITIONAL PHONE NUMBERS CALL GUY BIERWIRTH AT

405-582-5308 OR EMAIL at Atueayu.Wilson.2@us.af.mil

AFLCMC/LPSIB 1

DCMA/ACO 1

15. TOTAL 2

G. PREPARED BY

Atueayu D.Wilson DSN: 852-5308

H. DATE

28 May 20

I. APPROVED BY

Guy E. Bierwirth Jr

J. DATE

10/16/2020 mailto:Atueayu.Wilson.2@us.af.mil

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 1 Pages

CONTRACT DATA REQUIREMENTS LIST

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