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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

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.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

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. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work 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, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 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.

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

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 right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: A001 title: Commercial Asset Visibility Air Force (CAV) Reporting sub: CFM End Item Reporting auth: DI-MGMT-81838/T ref: PWS req_ofc: 419 SCMS/GUMB dd250: LT appcode: N/A dist: N/A freq: Block 16 asof: Block 16 firstsub: Block16 subsub: Block 16 addressee1: 419 SCMS draft1:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4: All reporting shall be submitted in the English Language.

2. Block 5: Contract Reference: PWS Paragraph and CAV AF Reporting Requirements Document

3. Blocks 7, 8, 14:

a. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF website or CICA XML.

b. A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address:

julie.hess@us.af.mil cira.chavez@us.af.mil

4. Blocks 10, 11, 12, 13:

a. Date of first submission shall be within 24 hours following a supply or maintenance transaction, after the contract award date.

b. Contractor reporting requirements to CAV AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence IAW the CAV AF Reporting Requirements Document.

c. Data shall be current within 24 hours of the last End Item maintenance occurrence.

group:

total_price:

prep_name:

line_item: 0011 exhibit: A xtdp: Off xtm: Off othercat: Technical Management system: F-16 ADG and JFS ctr_no: FD20202000812-00 contr: TBD remarksb:

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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A002 title: Contract Depot Maintenance (CDM) MonthlyProduction Report sub: CDM Production Monthly Status Report auth: DI-PSSS-81995/T ref: PWS req_ofc: 419 SCMS/GUMB dd250: LT appcode: N/A dist: D freq: Monthly asof: BLK 16 firstsub: BLK 16 subsub: BLK 16 addressee1: 419 SCMS draft1:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: Note: Changes to office symbols and/or email addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this

CDRL.

1. Block 4: Data Item Description (DID) is tailored as follows:

a. All reporting shall be submitted in the English Language.

b. The Contractor's CAV AF Reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities) shop floor, bond room and/or receiving/shipping docks, etc. for each repair.

c. The Contractor shall report by contract delivery order on all applicable categories, totals and on-hand balances, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for the contracts maintenance occurrence actions during the reporting period.

d. The Contractor shall report on production, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period.

2. Block 7, 14: Submit the CDM Production Monthly Status Reports to the following email address:

julie.hess@us.af.mil cira.chavez@us.af.mil

3. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use. (February 2019). Other requests for this document shall be referred to 419 SCMS/GUMB).

group:

total_price:

prep_name:

line_item: 0011 exhibit: A xtdp: Off xtm: Off othercat: Program Management system: F-16 ADG and JFS ctr_no: FD20202000812-00 contr: TBD remarksb: b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

EXPORT CONTROL 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 IAW provisions of DoD Directive 5230.25.

c. 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 VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

4. Blocks 10, 11, 12, 13:

a. The reports shall be provided monthly within 5 (five) business days of the previous month's last calendar date.

b. Reports shall continue to be submitted by the contractor unless the requirement is terminated by 419 SCMS/GUMB, Program Manager (PM) or the Production Management Specialist (PMS)

c. The Final Report submitted following the final reporting period on the contract shall be annotated "Final Report"

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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A003 title: Government Property Inventory Report sub: Annual Government Property Physical Inventory Report auth: DI-MGMT-80441/T ref: PWS req_ofc: 419 SCMS/GUMB dd250: LT appcode: N/A dist: D freq: ANNLY asof: BLK 16 firstsub: BLK 16 subsub: BLK 16 addressee1: 419 SCMS draft1:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4:

a. All reports shall be submitted in the English Language.

2. Block 7, 14: The Contractor shall submit a letter of Transmittal (LT) and the Annual Government Property Physical Inventory Report via email to the following:

julie.hess@us.af.mil cira.chavez@us.af.mil

3. Block 9: The Distribution Statement , Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use). (February 2019). Other requests for this document shall be referred to 419 SCMS/GUMB.

EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

b. EXPORT CONTROL 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 IAW provisions of DoD Directive 5230.25.

group:

total_price:

prep_name:

line_item: 0011 exhibit: A xtdp: Off xtm: Off othercat: Engineering Management system: F-16 ADG and JFS ctr_no: FD20202000812-00 contr: TBD remarksb: c. 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 VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

4. Blocks 10, 11, 12, 13:

a. This report will be provided annually. Reporting Period is one year.

b. The data is representative of the Contractor's Internal Property Control System and shall be current as the last day of the annual reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.

c. The report shall be delivered within seven (7) calendar days of the end of the first reporting period and annually thereafter, or within seven (7) calendar days of government request.

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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A004 title: Significant Historical Data sub: AFTO Form 95, Significant Historical Data auth: DI-MGMT-81564A ref: PWS req_ofc: 419 SCMS/GUMB dd250: NA appcode: NA dist: B freq: BLK 16 asof: BLK 16 firstsub: BLK 16 subsub: BLK 16 addressee1: 419 SCMS draft1:

reg1: 1 repro1:

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reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee29:

draft29:

reg29:

repro29:

addressee30:

draft30:

reg30:

repro30:

addressee31:

draft31:

reg31:

repro31:

addressee32:

draft32:

reg32:

repro32:

addressee33:

draft33:

reg33:

repro33:

addressee34:

draft34:

reg34:

repro34:

addressee35:

draft35:

reg35:

repro35:

addressee36:

draft36:

reg36:

repro36:

addressee37:

draft37:

reg37:

repro37:

addressee38:

draft38:

reg38x:

repro38:

total_draft: 0 total_reg: 1 total_repro: 0 remarks: NOTE: Changes to office symbol and/or email addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this

CDRL.

1. Block 4: Contractor must provide AFTO 95 with repaired end item.

2. Block 9: DISTRIBUTION STATEMENT B: Distribution authorized to U.S.

Government Agencies only, Administrative or Operational Use (5 Oct 2016).

Other requests for this document, shall be referred to 419 SCMS/GUMB.

Export Control Warning. All technical documents that are determined to contain export-controlled technical data shall be marked "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2851, et seq.), or the Export Administrative Act of 1979, as amended, title 50, U.S.S., App. 2401, et seq.). Violations of these exports laws are subject to serve criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25."

The above Distribution Statement and Warning Notice shall be displayed or affixed to the data in a conspicuous position. When it is technically infeasible to use the entire Warning Statement, an abbreviated marking may be used and copy of the full statement added to the "Notice to Accompany Release of Export-Controlled Data" required by DoD Directive 5230.25 (reference (c)).

3. Blocks 10, 11, 12, 13: Provide AFTO 95 inside box/crate with completed repaired end item.

group:

total_price:

prep_name:

line_item: 0011 exhibit: A xtdp: Off xtm: Off othercat: Technical Management system: F-16 ADG and JFS ctr_no: FD20202000812-00 contr: TBD remarksb:

Page2:

Reset:

2020-04-21T12:44:11-0600

WILLIAMS.TEVA.LYNN.1258493504

prep_date: 21 Apr 2020 app_by:

2020-04-21T17:41:55-0600

FRANKE.ROBERT.RICHARD.JR.1102766640

app_date: 21 Apr 2020

Page:

of_pages:

app: Adobe Professional 8.0

G. PREPARED BY

C. CATEGORY:

A. CONTRACT LINE ITEM NO. B. EXHIBIT

9. STATEMENT

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

DIST

22202-4302.

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

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of 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 right to use the data shall be governed by the pertinent provisions of the contract.

1_DATA_ITEM_NO: A005

2_TITLE_OF_DATA_ITEM: Quality Deficiency Reporting

3_SUBTITLE: Quality Deficiency Report

4_AUTHORITY_Data_Acquisit: DI-QCIC-80736/T

5_CONTRACT_REFERENCE: PWS

6_REQUIRING_OFFICE: 419 SCMS/GUMB

7_DID_250_REQ: NA

8_APP_CODE: N/A

10_FREQUENCY: See Block 16

12_DATE_OF_FIRST_SUBMISSI: See Block 16

13_DATE_OF_SUBSEQUENT_SUB: See Block 16

DIST_STATEMENT: D

11_AS_OF_DATE: See Block 16 addressee1:

draft1:

reg1:

repro1:

draft2:

addressee2: 419 SCMS reg2: 1 repro2:

addressee3: 6014 Gum Lane draft3:

reg3:

repro3:

addressee4: Bldg 1226 draft4:

reg4:

repro4:

addressee5: Hill AFB, UT draft5:

reg5:

repro5:

addressee6: 84056 draft6:

reg6:

repro6:

addressee7: Attn:Cira Chavez draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

addressee12:

addressee13:

addressee14:

addressee15:

addressee16:

addressee17:

addressee18:

addressee19:

addressee20:

addressee29:

addressee30:

draft20:

draft19:

draft18:

draft17:

draft16:

draft15:

draft14:

draft13:

draft12:

draft11:

draft29:

draft30:

reg11:

reg12:

reg13:

reg14:

reg15:

reg16:

reg17:

reg18:

reg19:

reg20:

reg29:

reg30:

repro11:

repro12:

repro13:

repro14:

repro15:

repro16:

repro17:

repro18:

repro19:

repro20:

repro29:

repro30:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee31:

addressee32:

addressee33:

addressee34:

addressee35:

addressee36:

addressee37:

addressee38:

draft31:

reg31:

repro31:

draft32:

draft33:

draft34:

draft35:

draft36:

draft37:

reg32:

reg33:

reg34:

reg35:

reg36:

reg37:

repro32:

repro33:

repro34:

repro35:

repro36:

repro37:

draft38:

repro38:

total_draft: 0 total_repro: 0

16_REMARKS: NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1.Block 3: Report specific to repaired Government Furnished Property (GFP) and submitted no later than 10 calendar days after each deficiency is addressed

2. Block 10: Quality Deficiency Report report prepared upon receipt of GFP.

DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use. (February 2019). Other requests for this document shall be referred to (419 SMCS, Hill AFB, UT. 84056).

A_CONTRACT_LINE_ITEM_NO: 0011

B_EXHIBIT: A

TDP:

TM:

OTHER: QCIC

DSYSTEMITEM: F-16 ADG and JFS

E_CONTRACTPR_NO: FD20202000812-00

FCONTRACTOR: TBD

16_REMARKS_Continued:

of_pages:

Reset:

Page2:

ADN:

send_to:

17_1:

17_b:

17_c:

17_d:

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

2020-04-21T12:46:42-0600

WILLIAMS.TEVA.LYNN.1258493504

H_DATE: 21 Apr 2020

2020-04-21T17:31:46-0600

FRANKE.ROBERT.RICHARD.JR.1102766640

J_DATE: 21 Apr 2020

Page:

reg38x:

reg38t: 1 title:

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of 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

1_DATA_ITEM_NO: A006

2_TITLE_OF_DATA_ITEM: Teardown Deficiency Reporting

3_SUBTITLE: Teardown Deficiency Report

4_AUTHORITY_Data_Acquisit: DI-PSSS-81534A

5_CONTRACT_REFERENCE: PWS

6_REQUIRING_OFFICE: 419 SCMS/GUMB

7_DID_250_REQ: NA

8_APP_CODE: N/A

10_FREQUENCY: See Block 16

12_DATE_OF_FIRST_SUBMISSI: See Block 16

13_DATE_OF_SUBSEQUENT_SUB: See Block 16

DIST_STATEMENT: D

11_AS_OF_DATE: See Block 16 addressee1:

draft1:

reg1:

repro1:

draft2:

addressee2: 419 SCMS reg2: 1 repro2:

addressee3: 6014 Gum Lane draft3:

reg3:

repro3:

addressee4: Bldg 1226 draft4:

reg4:

repro4:

addressee5: Hill AFB, UT draft5:

reg5:

repro5:

addressee6: 84056 draft6:

reg6:

repro6:

addressee7: Attn:Cira Chavez draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

addressee12:

addressee13:

addressee14:

addressee15:

addressee16:

addressee17:

addressee18:

addressee19:

addressee20:

addressee29:

addressee30:

draft20:

draft19:

draft18:

draft17:

draft16:

draft15:

draft14:

draft13:

draft12:

draft11:

draft29:

draft30:

reg11:

reg12:

reg13:

reg14:

reg15:

reg16:

reg17:

reg18:

reg19:

reg20:

reg29:

reg30:

repro11:

repro12:

repro13:

repro14:

repro15:

repro16:

repro17:

repro18:

repro19:

repro20:

repro29:

repro30:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee31:

addressee32:

addressee33:

addressee34:

addressee35:

addressee36:

addressee37:

addressee38:

draft31:

reg31:

repro31:

draft32:

draft33:

draft34:

draft35:

draft36:

draft37:

reg32:

reg33:

reg34:

reg35:

reg36:

reg37:

repro32:

repro33:

repro34:

repro35:

repro36:

repro37:

draft38:

repro38:

total_draft: 0 total_repro: 0

16_REMARKS: NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4: Content of report shall include the information specified in referenced Data Item Description (DID) authority.

2. Block 9: The Distribution Statement , Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use). (February 2019). Other requests for this document shall be referred to 419 SCMS/GUMB.

EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

b. EXPORT CONTROL 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 IAW provisions of DoD Directive 5230.25.

c. 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 VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

3. Blocks 10, 11, 12, 13: Submit reports no later than 10 calendar days after each deficiency is addressed.

A_CONTRACT_LINE_ITEM_NO: 0011

B_EXHIBIT: A

TDP:

TM:

OTHER: PSSS

DSYSTEMITEM: F-16 ADG and JFS

E_CONTRACTPR_NO: FD20202000812-00

FCONTRACTOR: TBD

16_REMARKS_Continued:

of_pages:

Reset:

Page2:

ADN:

send_to:

17_1:

17_b:

17_c:

17_d:

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

2020-04-21T12:41:48-0600

WILLIAMS.TEVA.LYNN.1258493504

H_DATE: 21 Apr 2020

2020-04-21T17:24:40-0600

FRANKE.ROBERT.RICHARD.JR.1102766640

J_DATE: 21 Apr 2020

Page:

reg38x:

reg38t: 1 title:

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of 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

1_DATA_ITEM_NO: A007

2_TITLE_OF_DATA_ITEM: Conference Agenda

3_SUBTITLE: Conference Agenda

4_AUTHORITY_Data_Acquisit: DI-ADMN-81249B

5_CONTRACT_REFERENCE: PWS

6_REQUIRING_OFFICE: 419 SCMS/GUMB

7_DID_250_REQ: NA

8_APP_CODE: N/A

10_FREQUENCY: See Block 16

12_DATE_OF_FIRST_SUBMISSI: See Block 16

13_DATE_OF_SUBSEQUENT_SUB: See Block 16

DIST_STATEMENT: D

11_AS_OF_DATE: See Block 16 addressee1:

draft1:

reg1:

repro1:

draft2:

addressee2: 419 SCMS reg2: 1 repro2:

addressee3: 6014 Gum Lane draft3:

reg3:

repro3:

addressee4: Bldg 1226 draft4:

reg4:

repro4:

addressee5: Hill AFB, UT draft5:

reg5:

repro5:

addressee6: 84056 draft6:

reg6:

repro6:

addressee7: Attn:Cira Chavez draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

addressee12:

addressee13:

addressee14:

addressee15:

addressee16:

addressee17:

addressee18:

addressee19:

addressee20:

addressee29:

addressee30:

draft20:

draft19:

draft18:

draft17:

draft16:

draft15:

draft14:

draft13:

draft12:

draft11:

draft29:

draft30:

reg11:

reg12:

reg13:

reg14:

reg15:

reg16:

reg17:

reg18:

reg19:

reg20:

reg29:

reg30:

repro11:

repro12:

repro13:

repro14:

repro15:

repro16:

repro17:

repro18:

repro19:

repro20:

repro29:

repro30:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee31:

addressee32:

addressee33:

addressee34:

addressee35:

addressee36:

addressee37:

addressee38:

draft31:

reg31:

repro31:

draft32:

draft33:

draft34:

draft35:

draft36:

draft37:

reg32:

reg33:

reg34:

reg35:

reg36:

reg37:

repro32:

repro33:

repro34:

repro35:

repro36:

repro37:

draft38:

repro38:

total_draft: 0 total_repro: 0

16_REMARKS: NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 10: Conference Agenda shall be provided no later than ten work days prior to travel meetings and no later than five days prior to non-travel meetings/conferences.

DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use. (February 2019). Other requests for this document shall be referred to (419 SMCS, Hill AFB, UT. 84056).

A_CONTRACT_LINE_ITEM_NO: 0011

B_EXHIBIT: A

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: F-16 ADG and JFS

E_CONTRACTPR_NO: FD20202000812-00

FCONTRACTOR: TBD

16_REMARKS_Continued:

of_pages:

Reset:

Page2:

ADN:

send_to:

17_1:

17_b:

17_c:

17_d:

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

2020-04-21T12:43:30-0600

WILLIAMS.TEVA.LYNN.1258493504

H_DATE: 21 Apr 2020

2020-04-21T17:40:49-0600

FRANKE.ROBERT.RICHARD.JR.1102766640

J_DATE: 21 Apr 2020

Page:

reg38x:

reg38t: 1 title:

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of 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

1_DATA_ITEM_NO: A008

2_TITLE_OF_DATA_ITEM: Conference Meeting Minutes & Action Items

3_SUBTITLE: Conference Minutes

4_AUTHORITY_Data_Acquisit: DI-ADMN-81250B

5_CONTRACT_REFERENCE: PWS

6_REQUIRING_OFFICE: 419 SCMS/GUMB

7_DID_250_REQ: NA

8_APP_CODE: N/A

10_FREQUENCY: See Block 16

12_DATE_OF_FIRST_SUBMISSI: See Block 16

13_DATE_OF_SUBSEQUENT_SUB: See Block 16

DIST_STATEMENT: D

11_AS_OF_DATE: See Block 16 addressee1:

draft1:

reg1:

repro1:

draft2:

addressee2: 419 SCMS reg2: 1 repro2:

addressee3: 6014 Gum Lane draft3:

reg3:

repro3:

addressee4: Bldg 1226 draft4:

reg4:

repro4:

addressee5: Hill AFB, UT draft5:

reg5:

repro5:

addressee6: 84056 draft6:

reg6:

repro6:

addressee7: Attn:Cira Chavez draft7:

reg7:

repro7:

addressee8:

draft8:

reg8:

repro8:

addressee9:

draft9:

reg9:

repro9:

addressee10:

draft10:

reg10:

repro10:

addressee11:

addressee12:

addressee13:

addressee14:

addressee15:

addressee16:

addressee17:

addressee18:

addressee19:

addressee20:

addressee29:

addressee30:

draft20:

draft19:

draft18:

draft17:

draft16:

draft15:

draft14:

draft13:

draft12:

draft11:

draft29:

draft30:

reg11:

reg12:

reg13:

reg14:

reg15:

reg16:

reg17:

reg18:

reg19:

reg20:

reg29:

reg30:

repro11:

repro12:

repro13:

repro14:

repro15:

repro16:

repro17:

repro18:

repro19:

repro20:

repro29:

repro30:

addressee21:

draft21:

reg21:

repro21:

addressee22:

draft22:

reg22:

repro22:

addressee23:

draft23:

reg23:

repro23:

addressee24:

draft24:

reg24:

repro24:

addressee25:

draft25:

reg25:

repro25:

addressee26:

draft26:

reg26:

repro26:

addressee27:

draft27:

reg27:

repro27:

addressee28:

draft28:

reg28:

repro28:

addressee31:

addressee32:

addressee33:

addressee34:

addressee35:

addressee36:

addressee37:

addressee38:

draft31:

reg31:

repro31:

draft32:

draft33:

draft34:

draft35:

draft36:

draft37:

reg32:

reg33:

reg34:

reg35:

reg36:

reg37:

repro32:

repro33:

repro34:

repro35:

repro36:

repro37:

draft38:

repro38:

total_draft: 0 total_repro: 0

16_REMARKS: NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 10: Conference Minutes and Action Items must be provided within seven days after meeting conclusion.

DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use. (February 2019). Other requests for this document shall be referred to (419 SMCS, Hill AFB, UT. 84056).

A_CONTRACT_LINE_ITEM_NO: 0011

B_EXHIBIT: A

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: F-16 ADG and JFS

E_CONTRACTPR_NO: FD20202000812-00

FCONTRACTOR: TBD

16_REMARKS_Continued:

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2020-04-21T12:45:02-0600

WILLIAMS.TEVA.LYNN.1258493504

H_DATE: 21 Apr 2020

2020-04-21T17:49:57-0600

FRANKE.ROBERT.RICHARD.JR.1102766640

J_DATE: 21 Apr 2020

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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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the

Item 14.; Desired medium f