CDRLS.pdf

PDF 276 KB Posted

Attached to
AN/DSM-157 Guided Missile Test Set Television Monitor
Solicitation number
FA8212-21-R-1164
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About this file

This document contains two Contract Data Requirements Lists (CDRLs) for a federal contract. The CDRLs require the submission of a Test/Inspection Report and Counterfeit Prevention Plan (CPP). The Test/Inspection Report CDRL requires the contractor to submit lot acceptance test reports within 30 calendar days of completion for each lot test. The reports must be submitted electronically through the Wide Area Workflow system and the Worldwide Ammunition-Data Repository Program. The CPP CDRL requires the contractor to submit its CPP following the content preparation instructions and requirements in the associated Data Item Description. The CPP must also be submitted electronically through WAWF. Both CDRLs are classified as Distribution Statement D documents and have a frequency of submission of "As Required."

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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

4935-01-532-1694JB

E. CONTRACT/PR NO.

FD2020-20-01164-00

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

Lot Acceptance Test

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

CLIN for Data

6. REQUIRING OFFICE

AFLCMC/EBHGA

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor format is acceptable.

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. The electronic receiving report shall be used only for that data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to 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/EBHGA.

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 10,12,13: Submit within 30 calendar days after completion of each Lot Acceptance Test.

BLK 14: Report shall be in Microsoft Office software or PDF format.

Submit through WAWF, DoDAAC, FA8213 as well as the Worldwide Ammunition-Data Repository Program (WARP) system.

FOB DESTINATION

EBH 20-350-002(20-279-001)

Terry McCurdy, AFLCMC/EBHEC, 586-0535

WARP 0 1 0

WAWF 0 1 0

DoDAAC, FA8213

15. TOTAL 0 2 0

G. PREPARED BY

mccurdy.terry.d.1075978215

H. DATE

2020/10/05

I. APPROVED BY

hargrove.eric.v.1167016843

J. DATE

2020/10/06

18. ESTIMATED

TOTAL PRICE

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

17. PRICE GROUP

A

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 MISC

D. SYSTEM/ITEM

4935-01-532-1694JB

E. CONTRACT/PR NO.

FD2020-20-01164-00

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Contractors Counterfeit Prevention Plan (CPP)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81832

5. CONTRACT REFERENCE

CLIN for Data

6. REQUIRING OFFICE

AFLCMC/EBHGA

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable. Follow content preparation instruction and requirements listed in the Data Item Description.

BLK 7: Receiving report shall be submitted electronically via the internet through Wide Area Work Flow (WAWF)at: https://wawf.eb.mil under DoDAAC FA8213.

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/EBHGA.

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 14: Submit reports electronically via email in Microsoft Office or PDF format to the email recipients listed below. Refer to contract for email address of the government contracting officer.

alex.matesen@us.af.mil (AFLCMC/EBHGA)

FOB DESTINATION

EBH 20-279-001

Terry McCurdy, AFLCMC/EBHEC, 586-0535

WAWF 0 1 0

DoDAAC FA8213 0 1 0

AFLCMC/EBHGA 0 1 0

AFLCMC/EBHKA 0 1 0

15. TOTAL 0 4 0

G. PREPARED BY

mccurdy.terry.d.1075978215

H. DATE

2020/10/05

I. APPROVED BY

hargrove.eric.v.1167016843

J. DATE

2020/10/06

18. ESTIMATED

TOTAL PRICE

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

17. PRICE GROUP

A

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