CDRL9106Final.pdf

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

Public reporting burden for this collection of information is estimated to average 220 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

OTHER - TEST PLANS AND TEST REPORTS

D. System/Item

E. Contract/PR NO.

F. Contractor

1. Data Item No.

A001

2. Title of Data Item:

First Article Qualification Test Plan and Procedures

3. Subtitle:

4. Authority (Data Acquisition Document No.)

DI-NDTI-81307A

5. Contract Reference

6. Requiring Office

409 SCMS/GUEA

7. DD 250 Req

DD

9. Dist Statement Required

10. Frequency

ONE / R

12. Date of First Submission

SEE BLK 16

14. Distribution

8. APP Code A

F 11. As of Date

SEE BLK 16

13. Date of Subsequent Submission

SEE BLK 16

a. Addressee b. Copies

Draft Final

Reg Repro

16. REMARKS SEE BLK 16 1 1 0

BLK 2. FIRST ARTICLE TEST PLAN MUST DESCRIBE WHAT REQUIREMENTS ARE TO BE TESTED

AND HOW THE TESTS ARE TO BE PERFORMED. FIRST ARTICLE TESTS MUST CONFORM TO

REQUIREMENTS IDENTIFIED IN THE ASSOCIATED AFMC FORM 260. THE TEST PLAN MUST INCLUDE

A LIST OF THE TEST EQUIPMENT USED DURING TESTING.

BLK 4. CONTRACTOR FORMAT IS ACCEPTABLE.

BLK 9. DISTRIBUTION CODE F: FURTHER DISSEMINATION ONLY AS DIRECTED BY 409 SCMS/GUEA

OR HIGHER DOD AUTHORITY.

BLK 8, 11 – 13. FIRST SUBMISSION IS DUE 60 CALENDAR DAYS AFTER CONTRACT AWARD.

409 SCMS/GUEA APPROVAL WITHIN 45 CALENDAR DAYS AFTER RECEIPT. RESUBMITTAL WITH

REVISIONS WITHIN 30 CALENDAR DAYS OF ORIGINAL SUBMISSION.

BLK 14.SUBMIT FIRST ARTICLE TEST PLAN TO 409 SCMS/GUEA (ATTENTION F-15 FIRST ARTICLE MANAGER), 235 BYRON STREET, SUITE19A, ROBINS AFB, GA., 31098-1670. ALTERNATELY, THE

TEST PLAN MAY BE EMAILED TO: 782CBSG.F15.FAT@US.AF.MIL

15. TOTAL 1 1 0

1. Data Item No.

A002

2. Title of Data Item:

TEST / INSPECTION REPORT

3. Subtitle:

4. Authority (Data Acquisition Document No.)

DI-NDTI-80809B

5. Contract Reference

6. Requiring Office

409 SCMS/GUEA

7. DD 250 Req

DD

9. Dist Statement Required

10. Frequency

ONE / R

12. Date of First Submission

SEE BLK 16

14. Distribution

8. APP Code A

F 11. As of Date

SEE BLK 16

13. Date of Subsequent Submission N/A

a. Addressee b. Copies

Draft Final

Reg Repro

16. REMARKS SEE BLK 16 1 1 0

BLK 4. CONTRACTOR FORMAT IS ACCEPTABLE.

BLK 9. DISTRIBUTION CODE F; FURTHER DISSEMINATION ONLY AS DIRECTED BY 409 SCMS/GUEA

OR HIGHER DOD AUTHORITY.

BLK 8, 11 – 13. FIRST SUBMISSION IS DUE 270 CALENDAR DAYS AFTER CONTRACT AWARD OR WITH

DELIVERY OF FIRST ARTICLE(S).

BLK 14.THE VENDOR HAS THE OPTION TO SUBMIT THE FIRST ARTICLE TEST REPORT WITH THE

FIRST ARTICLE TEST SAMPLES TO THE ADDRESS IDENTIFIED ON THE ASSOCIATED AFMC FORM

260, BLK 9.F.3. ELSE SUBMIT A SEPARATE FIRST ARTICLE TEST REPORT TO 409 SCMS/GUEA (ATTENTION F-15 FIRST ARTICLE MANAGER), 235 BYRON STREET, SUITE19A, ROBINS AFB, GA., 31098-1670. ALTERNATELY, THE TEST REPORT MAY BE EMAILED TO: 782CBSG.F15.FAT@US.AF.MIL

DMO CONTROL NUMBER DMO SIGNATURE DATE

15. TOTAL 1 1 0

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-2, JUN 90 Previous editions are obsolete Page 1 of 1 Pages