CDRLFATR.pdf

CONTRACT DATA REQUIREMENTS LIST

(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 NDTI

D. SYSTEM/ITEM

6150015736548NM (Paveway II TTU-595)

E. CONTRACT/PR NO.

FD20202200770-00

F. CONTRACTOR

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

Test Procedure

3. SUBTITLE

First Article Inspection Report

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80603A

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

AFLCMC/EBHTB

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

1TIME

12. DATE OF FIRST SUBMISSION

BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Follow format per DID. Incorporate the following applicable requirements:

a. Dimension and tolerances specified on the manufacturing data shall be listed in one column with the actual corresponding reading obtained from inspection of the part, listed in another column.

b. Material utilized in the manufacture of "First Article" item shall be identified and certified as conforming to applicable data requirements.

c. Certification that identification markings, i.e. part number per MIL-STD-130 and Federal Supply manufacturer (FSCM) per H4-1 Cataloging Handbook (if applicable) have been complied with.

e. The test report will be certified by the responsible DCMA/QAR.

(Authorization for any deviations from the requirements specified by the manufacturing data must be obtained from the procuring agency prior to inclusion in the test report).

BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number, and Nomenclature. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at https://wawf.eb.mil.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only (Critical Technology)(Date of Contract Award). Other requests for this document shall be referred to AFLCMC/EBHTB.

WARNING -This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.) as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

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

BLK 12: Submit prior to shipping First Article to Hill AFB through Worldwide Ammunition-data Repository Program (WARP) and WAWF under DoDAAC FA8213 for First Article Test.

FOB DESTINATION

EBH 22-143-001

Terry McCurdy, AFLCMC/EBHEC, 586-0535

WAWF 0 1 0

DoDAAC, FA8213

WARP 0 1 0

DCMA/QAR 0 1 0

15. TOTAL 0 3 0

G. PREPARED BY

mccurdy.terry.d.1075978215

H. DATE

2022/05/23

I. APPROVED BY

hargrove.eric.v.1167016843

J. DATE

2022/05/23

18. ESTIMATED

TOTAL PRICE

0.00

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

17. PRICE GROUP

NSP