CDRLFATR.pdf
PDF 115 KB Posted
- Attached to
- ICBM - Cable Assembly
- Solicitation number
- SPRHA2-26-R-0076
- Issued by
-
Defense Logistics Agency Aviation
About this file
This is a Contract Data Requirements List (DD Form 1423) for a federal contract, specifically documenting data deliverables required under contract FD20202600076 with the United States Air Force (USAF), 414 SCMS at Hill Air Force Base, Utah.
The contract requires submission of a First Article Test Report (Data Item A001) for a Lead Test - W4 of Cable Assembly Set (NSN/NIIN: 6150013093001; P/N: 25-63375-4). The report must be submitted 120 days after contract award on a one-time basis using contractor format, with all dimensions, tolerances, and actual inspection readings organized in parallel columns. The contractor must identify and certify all materials used in manufacturing the first article, including copies of material purchase requirements, and must document all material processing and finish requirements (plating, heat treatment, welding, anodizing, painting, etc.) with certification of conformance to applicable requirements. Physical copies are to be mailed to 809 MXSS/MXDEB (DODAAC: FB2029), Building 849, Hill AFB, UT 84056-5713, marked "First Article Do Not Post," while electronic copies must be emailed to Naomi Strickler, Khalid Snounou, and Nathan Rieske. The data is classified as unclassified with Distribution Statement D (DoD and U.S. DoD contractors only), marked as Controlled Technical Information/Export Controlled, subject to Arms Export Control Act restrictions, with a CUI marking requirement on all pages. The estimated total price for this data item is $0.00. The form was prepared by Naomi Strickler and approved by Nathan Rieske, updated as of June 17, 2025.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| SPRHA226R0076.pdf | ||
| CDRLCPP.pdf | ||
| EDL.pdf | ||
| SOW.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
PREVIOUS EDITION MAY BE USED.
DD FORM 1423, FEB 2024 Page 1 of 3
(Updated 20250617)UNCLASSIFIED
UNCLASSIFIED
Show Attachment Bar
CONTRACT DATA REQUIREMENTS LIST
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
A
C. CATEGORY:
TDP TM OTHER X-NDTI
D. SYSTEM/ITEM
NIIN: See Block 16; P/N: See Block 16
E. CONTRACT/PR NO.
FD20202600076
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Test/Inspection Report
3. SUBTITLE
First Article Test Report
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
414 SCMS GUMAB
7. DD 250 REQ
LT
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
One/R
11. AS OF DATE
N/A
12. DATE OF FIRST SUBMISSION
120DAC
13. DATE OF SUBSEQUENT
SUBMISSION
N/A
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
16. REMARKS
Block 4: Contractor format acceptable.
Paragraph 10.2 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: Per DoDI 5200.48 CUI markings for unclassified DoD documents will include the acronym “CUI” in the banner and footer of every page of the document. Data submittal shall be marked with the following on the cover page:
Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only CTI & Export Controlled 19-Dec-2025. Other requests for this document must be referred to 414 SCMS/GUEA, 6031 Gum Lane, Bldg. 1227, Hill AFB, UT 84056-5826.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.
DESTRUCTION NOTICE: For classified documents follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program, Chapter 6. For unclassified documents destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Controlled by: USAF Controlled by: 414 SCMS CUI Category: Controlled Technical Information/ Export Controlled Distribution/Dissemination Control: Distribution Statement D POC: Naomi Strickler, naomi.strickler@us.af.mil delete continuation
Email electronic copies to the following list:
naomi.strickler@ 1 us.af.mil khalid.snounou@ 1 us.af.mil nathan.rieske.1@ 1 us.af.mil
Mail physical copy to the following address:
809 MXSS/MXDEB 1
(DODAAC: FB2029)
Bldg 849, Attn:
Non-Accountable Bay Mark for: First Article Do Not Post Hill, AFB, UT 84056-
15.TOTAL 0 4 0
17. PRICE GROUP
NSP
18. ESTIMATED
TOTAL PRICE
0.00
DD FORM 1423, FEB 2024 Page 2 of 3
(Updated 20250617)UNCLASSIFIED
UNCLASSIFIED
Show Attachment Bar
16. REMARKS (Continuation)
NSN/NIIN: 6150013093001; P/N: 25-63375-4; LEAD, TEST - W4 OF CABLE ASSEMBLY SET
G. PREPARED BY
Naomi Strickler
H. SIGNATURE I. APPROVED BY
Nathan Rieske
J. SIGNATURE + -
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024 Page 3 of 3
(Updated 20250617)
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s rights to use the data shall be governed by the pertinent provisions of the contract.
DD FORM 1423, FEB 2024
Page of (Updated 20250617)
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoDM 5010.12 for detailed instructions.)
DD FORM 1423, FEB 2024
Page of (Updated 20250617)
CONTRACT DATA REQUIREMENTS LIST
C. CATEGORY:
14. DISTRIBUTION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES Draft Final Reg Repro
16. REMARKS
14. DISTRIBUTION
15.TOTAL
Image of arrow pointing towards totals
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning," "Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support (e.g., Mission Design Series (MDS) designator).
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Name of preparer of CDRL.
Item H. Date CDRL was prepared and signature of preparer of CDRL.
Item I. Name of CDRL approval authority.
Item J. Date CDRL was approved and signature of CDRL approval authority.
Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.
Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.
Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government’s rights to use the data shall be governed by the pertinent provisions of the contract.
9.0.0.2.20120627.2.874785 DD Form 1423, "Contract Data Requirements List" delete continuation
| CurrentPage: |
| PageCount: |
| Select Classification from drop-down list.: 1 |
| CUI Indicator Information: |
| Click on this button to attach a file(s).: |
| A. CONTRACT LINE ITEM NUMBER: 001 |
| exhibit: A |
| C. CATEGORY: Select for "TDP.": 0 |
| C. CATEGORY: Select for "TM.": 0 |
| C. CATEGORY: Select for "OTHER.": 1 |
| C. CATEGORY: Enter specification for "Other.": X-NDTI |
| System: NIIN: See Block 16; P/N: See Block 16 |
| ContractNum: FD20202600076 |
| Contractor: |
| 1. DATA ITEM NUMBER: A001 |
| titleDataItem: Test/Inspection Report |
| subtitle: First Article Test Report |
| 4. AUTHORITY (Data Acquisition Document Number): DI-NDTI-80809 |
| contractRef: |
| reqOffice: 414 SCMS GUMAB |
| 7. DD 250 REQUIREMENT: LT |
| 8. APPROVAL CODE : A |
| 9. DISTRIBUTION STATEMENT REQUIRED: D |
| freq: One/R |
| asOfDate: N/A |
| dateFirstSub: 120DAC |
| dateSubseqSub: N/A |
| 16. REMARKS: Block 4: Contractor format acceptable. |
Paragraph 10.2 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: Per DoDI 5200.48 CUI markings for unclassified DoD documents will include the acronym “CUI” in the banner and footer of every page of the document. Data submittal shall be marked with the following on the cover page:
Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only CTI & Export Controlled 19-Dec-2025. Other requests for this document must be referred to 414 SCMS/GUEA, 6031 Gum Lane, Bldg. 1227, Hill AFB, UT 84056-5826.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.
DESTRUCTION NOTICE: For classified documents follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program, Chapter 6. For unclassified documents destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Controlled by: USAF Controlled by: 414 SCMS CUI Category: Controlled Technical Information/ Export Controlled Distribution/Dissemination Control: Distribution Statement D POC: Naomi Strickler, naomi.strickler@us.af.mil
| Click to add continuation field for Remarks: |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: Email electronic copies |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: to the following list: |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: naomi.strickler@ |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: us.af.mil |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: khalid.snounou@ |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: us.af.mil |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: nathan.rieske.1@ |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: us.af.mil |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: Mail physical copy to |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: the following address: |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: 809 MXSS/MXDEB |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: (DODAAC: FB2029) |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: Bldg 849, Attn: |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: Non-Accountable Bay |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: Mark for: First |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: Article Do Not Post |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: Hill, AFB, UT 84056- |
| 14. DISTRIBUTION - a. ADDRESSEE, new line: 5713 |
| 15.TOTAL - Total draft copies is automatically calculated.: 0 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 1 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 1 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 1 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 1 |
| 15.TOTAL - Total final regular copies is automatically calculated.: 4 |
| 15.TOTAL - Total final reproducible copies is automatically calculated.: 0 |
| priceGrp: NSP |
| estTotalPrice: 0.00 |
| remarks: NSN/NIIN: 6150013093001; P/N: 25-63375-4; LEAD, TEST - W4 OF CABLE ASSEMBLY SET |
| preparedBy: Naomi Strickler |
| J. SIGNATURE: H. SIGNATURE |
| J. SIGNATURE: J. SIGNATURE |
| J. SIGNATURE: |
| approvedBy: Nathan Rieske |
| Click to add additional data items.: |
| Click to delete additional data items.: |
File details come from the government source that posted it. Updated .