CDRLs.pdf

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Arm Fire Initiator Remanufacture
Solicitation number
FA821326R3030
Issued by

About this file

This document is a Contract Data Requirements List (DD Form 1423-1) specifying eleven data items required under contract FD2020-26-50007 for ammunition production systems.

The contract, administered by AFLCMC/EBHJ at Hill Air Force Base, requires the contractor to deliver the following data items: (A001) Ammunition Data Cards prepared using the Worldwide Ammunition Data Repository Program (WARP) in compliance with MIL-STD-1168, submitted after successful Lot Acceptance Test and prior to delivery of each production lot; (A002) Obsolescence Alert Notices in contractor format, submitted within 90 days of obsolescence identification; (A003) DMSMS Health Assessment Reports in Microsoft Excel format, submitted within 180 days of contract award and every 180 days thereafter, detailing predicted impact of known and projected diminishing manufacturing sources issues; (A004) Lot Acceptance Test/Inspection Reports in Microsoft Office or PDF format, submitted within 30 days of test completion; (A005) Lot Acceptance Test Plans submitted at least 90 calendar days prior to testing allowing 30 days for approval; (A006) Failure Summary & Analysis Reports submitted within 15 calendar days of each failure identification; (A007) Contractor Possessed Munitions Report in XML or CSV format showing on-hand inventory balances, with excess serviceable items reported within 10 days of LAT and condemned items within 5 days of identification; (A008) Government Furnished Materials and End Items Report in XML or CSV format, submitted as required with discrepancy reporting within 5 days; (A009) Engineering Change Proposals via DD Form 1692 submitted within 10 days of identification, with AFLCMC/EBHJ Configuration Control Board providing final approval; (A010) Notice of Revision via DD Form 1695 submitted within 30 days following ECP approval; and (A011) Requests for Variance via DD Form 1694 submitted within 10 days of discovery, with final approval from AFLCMC/EBHJ Technical Engineering Review Board. All submissions require electronic delivery through Wide Area Work Flow (WAWF) with Distribution Statement B authorization for U.S. Government agencies and export-controlled recipients. The document establishes specific approval timelines ranging from 30 to 90 calendar days for routine reviews, with expedited 30-day and 48-hour windows for urgent and emergency changes respectively.

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Solicitation.pdf PDF
CADPAD Item Marking Instruction - Ver 1.6.pdf PDF
Item_Description.pdf PDF
REPSHIP.doc DOC document
SOW ADC.docx DOCX document
Appendix_A_SOW.docx DOCX document
Section M.pdf PDF
Statement of Objectives.pdf PDF
ES7034.pdf PDF
Section L.pdf PDF
SPI.pdf PDF
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Text version

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

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Ammunition Data Card (ADC)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80043B

5. CONTRACT REFERENCE

SOW para 4.3.6.9.

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK D: * 1377-01-382-0670ES ALT 1377-01-560-1521ES, 1377-01-382-

0647ES ALT 1377-01-560-1520ES.

BLK 4: Ammunition Data Cards (ADC) shall be prepared in the World- Wide Ammunition Data Repository Program (WARP) in accordance with the requirements of MIL-STD-1168 and the on-line WARP User’s Manual.

Manufacturer’s Identification Symbols used in lot numbering must be registered per MIL-HDBK-1461 ‘Ammunition Manufacturers and Their Symbols’.

BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. The electronic receiving report shall also be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The electronic receiving report shall be used only for this data item; do not combine other data item submittals with this requirement. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at: https://wawf.eb.mil.

BLK 8: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer (AFLCMC/EBHKB) will respond with notice of approval/disapproval. Failure to comment/approve/disapprove within 30 calendar days does not constitute full/final acceptance by the Government.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ, Hill AFB, UT 84056.

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.

BLK 11 & 12: Submit after successful Lot Acceptance Test and prior to delivery of each production lot.

Continuation on page 002...

Contr. Officer 1 1 0

AFLCMC/EBHJ 1 1 0

15. TOTAL 2 2 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2026/02/19

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2026/02/19

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 2 Pages

17. PRICE GROUP

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER MISC

D. SYSTEM/ITEM

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

16. REMARKS (Continued) Page 002 (A001):

BLK 14: A sample ADC or "draft" will be generated and submitted for each lot of propellants, explosive, and chemicals as specified in the contract or specification using the Worldwide Ammunition-data Repository Program (WARP) system to ensure general format and content is acceptable prior to final ADC submittals.

Sufficient hard copies of final version ADCs shall be generated for each individual production lot from the Worldwide Ammunition-data Repository Program (WARP) such that at least one hard copy per production lot shall be provided with each individual CLIN shipment/destination. An electronic copy for each production lot shall be submitted/uploaded with the electronic receiving report through WAWF to AFLCMC/EBHJ using DoDAAC FA8213. No changes to previously approved Acceptance and Description sheets shall be made without prior notification of and approval from AFLCMC/EBHJ.

FOB DESTINATION

EBH 26-027-001

Editha Miller, AFLCMC/EBHX, 775-4389

DD FORM 1423-1, FEB 2001 Page 2 of 2 Pages

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 MGMT

D. SYSTEM/ITEM

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Obsolescence Alert Notice

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81941/T

5. CONTRACT REFERENCE

SOW para 4.1.9.

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

BLK16

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

BLK16

Draft

Final

Reg Repro

16. REMARKS

BLK D: * 1377-01-382-0670ES ALT 1377-01-560-1521ES, 1377-01-382-

0647ES ALT 1377-01-560-1520ES.

BLK 4: The Obsolescence Alert Notice shall be in contractor’s format.

Follow content and requirements preparation instructions as listed in the Data Item Description. Omit requirement in letter 2g (affected Dual Band Radar System).

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ, Hill AFB, UT 84056.

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.

BLK 10, 11, 12, 13: Submission shall be completed no later than 90 calendar days after obsolescence issue is identified.

BLK 14: Submit report electronically in Microsoft Office software or PDF format to the email recipient listed below. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKB).

Submit through WAWF under DoDAAC FA8213.

melanie.leroy@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 26-027-001

Editha Miller, AFLCMC/EBHX, 775-4389

AFLCMC/EBHJ 0 1 0

Contr. Officer 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2026/02/19

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2026/02/19

18. ESTIMATED

TOTAL PRICE

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

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 MGMT

D. SYSTEM/ITEM

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Diminishing Manufacturing Sources and Material Shortages (DMSMS) Health Assessment Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-82273

5. CONTRACT REFERENCE

SOW para 4.1.9.

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

SEMIA

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

BLK16

Draft

Final

Reg Repro

16. REMARKS

BLK D: * 1377-01-382-0670ES ALT 1377-01-560-1521ES, 1377-01-382-

0647ES ALT 1377-01-560-1520ES.

BLK 4: The DMSMS Health Assessment Report shall contain a health assessment of the systems or end item deliverables specified by the contract using the Data Elements in Table 1 of the Data item Description (DID). The information shall be included to the lowest indenture level (component level) for all items, including subcontractor items, which are not commercial items. Commercial items are defined in 48 CFR 2.101 – Definitions. Follow format and content preparation and requirements listed in the DID.

**The contractor shall deliver DMSMS impact assessment reports in accordance with this DID, for all assemblies, line replaceable units, and weapon replaceable assemblies and their related software used on the end item deliverables. The report will detail the predicted impact of known DMSMS issues and projected DMSMS issues. It will use the most accurate forecasting data available to the contractor. The report will detail the date the assembly and its related higher assemblies will most likely become unsupportable considering inventories, usage, repair capability, funded upgrades, redesigns, and similar attributes or actions. The Contractor should provide sufficient reports to the government to enable government oversight if the contractor is tasked to manage DMSMS.

BLK 7: The Letter of Transmittal (LT) shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal. The LT shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 8: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer will respond with notice of approval/disapproval for technical content and completeness.

Failure to comment/approve/disapprove within 30 calendar days does not constitute full/final acceptance by the Government. The Contractor will resubmit for approval or provide final copy of the plan within 30 days of Government disposition.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ, Hill AFB, UT 84056.

Continuation on page 002...

Contr. Officer 0 1 0

AFLCMC/EBHJ 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2026/02/19

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2026/02/19

18. ESTIMATED

TOTAL PRICE

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

16. REMARKS (Continued) Page 002 (A003):

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.

BLK 11, 12, & 13: Contractor shall submit report within 180 calendar days after award of contract and every 180 calendars thereafter until the completion of the contract. No changes to previously approved DMSMS Health Assessment Report shall be made without prior approval from AFLCMC/EBHJ Engineering.

BLK 14: The DMSMS Health Assessment Report shall be in an electronic Microsoft Excel (.xls or .xlsx) file.

Submit report via email to the to the email recipient listed below. Refer to contract for email address of the Government Contracting Officer. Submit through WAWF under DoDAAC FA8213.

melanie.leroy@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 26-027-001

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

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

Lot Acceptance Test/Inspection Report

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

SOW para 4.1.2.1.

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

BLK16

Draft

Final

Reg Repro

16. REMARKS

BLK D: * 1377-01-382-0670ES ALT 1377-01-560-1521ES, 1377-01-382-

0647ES ALT 1377-01-560-1520ES.

BLK 4: Contractor format is acceptable, provided the information content of para 10.2 and its subparas of this Data Item Description (DID) is met.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ, Hill AFB, UT 84056.

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.

BLK 11,12, & 13: Submit within 30 calendar days after completion of each Lot Acceptance Test.

BLK 14: Test/Inspection report shall be in Microsoft Office software or PDF format to the email recipient listed below. Submit through WAWF under DoDAAC FA8213. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKB).

matthew.tanner.7@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 26-027-001

Editha Miller, AFLCMC/EBHX, 775-4389

Contr. Officer 0 1 0

AFLCMC/EBHJ 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2026/02/19

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2026/02/19

18. ESTIMATED

TOTAL PRICE

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 QCIC

D. SYSTEM/ITEM

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Acceptance Test Plan

3. SUBTITLE

Lot Acceptance Test Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-80553A

5. CONTRACT REFERENCE

SOW para 4.3.4.6.2.

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK D: * 1377-01-382-0670ES ALT 1377-01-560-1521ES & 1377-01-382-

0647ES ALT 1377-01-560-1520ES.

BLK 4: The plan shall be in contractor’s format. Follow content preparation instructions and requirements listed in the Data Item Description.

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 this data item, do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ, Hill AFB, UT 84056.

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.

BLK 11 & 12: The contractor shall provide a Lot Acceptance Test Plan (with NO updated Gross Leak Check procedures) after contract award and at least 90 calendar days prior to Lot Acceptance Testing allowing for 30-calendar day approval time after submission. No changes to previously approved government Lot Acceptance Test Plans shall be made without prior notification of AFLCMC/EBHJ Engineering approval.

BLK 14: Test Plan shall be in Microsoft Office software or PDF format to the email recipient listed below. Submit through WAWF under DoDAAC, FA8213. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKB).

matthew.tanner.7@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 26-027-001

Editha Miller, AFLCMC/EBHX, 775-4389

Contr. Officer 0 1 0

DCMA/QAR 0 1 0

AFLCMC/EBHJ 0 1 0

15. TOTAL 0 3 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2026/02/19

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2026/02/19

18. ESTIMATED

TOTAL PRICE

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 SESS

D. SYSTEM/ITEM

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Failure Summary & Analysis Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80255B

5. CONTRACT REFERENCE

SOW para 4.1.2.2.

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

BLK16

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

BLK16

Draft

Final

Reg Repro

16. REMARKS

BLK D: * 1377-01-382-0670ES ALT 1377-01-560-1521ES & 1377-01-382-

0647ES ALT 1377-01-560-1520ES.

BLK 4: Contractor's format required. Follow content and requirements preparation instructions listed in the Data Item Description (DID).

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ, Hill AFB, UT 84056.

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.

BLK 10, 11, 12, & 13: Contractor to notify AFLCMC/EBHJ Engineering of failure of lot acceptance testing or failure to complete lot acceptance testing within 1 business day every time a failure is identified. Submit a report with proposed corrective actions/recommendations within 15 calendar days of each failure. If a revision is needed to the report after submission, submit a revision or final report within 30 calendar days after receipt of AFLCMC/EBHJ revised or final comments. Extensions can be requested and approved by the Government Contracting Officer (AFLCMC/EBHKB) via letter.

BLK 14: Submit reports electronically via email in Microsoft Office or PDF format to the following email recipient listed below. Refer to contract for email address of the Government Contracting Officer.

Sumit through WAWF under DoDAAC FA8213.

melanie.leroy@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 26-027-001

Editha Miller, AFLCMC/EBHX, 775-4389

DCMA/QAR 0 1 0

AFLCMC/EBHJ 0 1 0

Contr. Officer 0 1 0

15. TOTAL 0 3 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2026/02/19

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2026/02/19

18. ESTIMATED

TOTAL PRICE

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 MGMT

D. SYSTEM/ITEM

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Report of Receipts, Inventory, Adjustments and Shipments of Government Property

3. SUBTITLE

Contractor Possessed Munitions (CPM) Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80442/T

5. CONTRACT REFERENCE

SOW para 4.3.6.12.

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

BLK16

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

BLK16

Draft

Final

Reg Repro

16. REMARKS

BLK D: * 1377-01-382-0670ES ALT 1377-01-560-1521ES & 1377-01-382-

0647ES ALT 1377-01-560-1520ES.

BLK 4: Data Item Description (DID) DI-MGMT-80442 will be used to report on-hand inventory only. Receipt and shipment transactions, and adjustments will not be reported. In reference to DID para 10.1, format as follows:

Column 1(NSN Rec'd): Report the on-hand NSN Column 2(Related NSN): Report Lot Number if applicable Column 3(Document Number): Report the Contract Number Column 4(Serial Number): Report Serial Number if applicable Column 5(Qty Received): Do Not Use Column 6(Date Received): Do Not Use Column 7(Balance On-Hand): Report the on-hand balance quantity Column 8(Condition Code): Report the condition code of the on-hand balance Column 9(NSN Shipped): Do Not Use Column 10(Qty Shipped): Do Not Use Column 11(Date Shipped): Do Not Use Column 12(Shipment Number): Do Not Use Column 13(Adjustment Qty): Do Not Use Column 14(Explanation): Do Not Use Column 15(Remarks): Report the DODAAC of the contractor facility where inventory is located.

DID para 10.2: Do not report assets shipped or received during reporting period. Only report the on-hand balances.

DID para 10.2.2.1: Stock numbered components removed from items that will not be re-installed and/or are designated as spares will be reported in the format outlined above for DID para 10.1.

DID para 10.2.2.2: Stock numbered components that will be re-installed to the parent assembly should not be reported.

DID para 10.2.3: Do not report adjustments following physical inventories. Only report the resulting on-hand balance.

DID para 10.2.4: No dates should be reported.

BLK 7: Electronic receiving report required via internet WAWF at:

https://wawf.eb.mil. The electronic receiving report shall be used only for this data item; do not combine other data item submittals with this requirement.

Continuation on page 002...

Contr. Officer 0 1 0

DCMA ACO 0 1 0

AFLCMC/EBHJ 0 1 0

15. TOTAL 0 3 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2026/02/19

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2026/02/19

18. ESTIMATED

TOTAL PRICE

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

16. REMARKS (Continued) Page 002 (A007):

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies; CTI & Export Controlled [date of determination]. Other requests must be referred to AFLCMC/EBHJ, Hill AFB, UT 84056.

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.

BLK 10, 11, 12, & 13: Submission requirements per SOW.

- Excess build quantities for attrition (assurance items) that are in serviceable (Condition Code-A*) or excess serviceable (Condition code F*) shall be reported within 10 calendar days of LAT on the Contractor Possessed Munitions Report (CPM).

- Condemned F condition Government Furnished Property (GFP) carcasses shall be reported on the CPM Report in WAWF, within 5 calendar days of identification of discrepancy.

BLK 14: Submittals shall be in .XML (preferred) or .CSV format in accordance with DID. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKB). Submit through WAWF, DODAAC, FA8213.

melanie.leroy@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 26-027-001

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 MGMT

D. SYSTEM/ITEM

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Report of Receipts, Inventory, Adjustments and Shipments of Government Property

3. SUBTITLE

GFM and End Items

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80442/T

5. CONTRACT REFERENCE

SOW para 4.3.4.9.

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

ASREQ

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK D: * 1377-01-382-0670ES ALT 1377-01-560-1521ES & 1377-01-382-

0647ES ALT 1377-01-560-1520ES.

BLK 4: Data Item Description (DID) DI-MGMT-80442 will be used to report on-hand inventory only. Receipt and shipment transactions, and adjustments will not be reported. In reference to DID para 10.1, format as follows:

Column 1(NSN Rec'd): Report the on-hand NSN Column 2(Related NSN): Report Lot Number if applicable Column 3(Document Number): Report the Contract Number Column 4(Serial Number): Report Serial Number if applicable Column 5(Qty Received): Do Not Use Column 6(Date Received): Do Not Use Column 7(Balance On-Hand): Report the on-hand balance quantity Column 8(Condition Code): Report the condition code of the on-hand balance Column 9(NSN Shipped): Do Not Use Column 10(Qty Shipped): Do Not Use Column 11(Date Shipped): Do Not Use Column 12(Shipment Number): Do Not Use Column 13(Adjustment Qty): Do Not Use Column 14(Explanation): Do Not Use Column 15(Remarks): Report the DODAAC of the contractor facility where inventory is located.

DID para 10.2: Do not report assets shipped or received during reporting period. Only report the on-hand balances.

DID para 10.2.2.1: Stock numbered components removed from items that will not be re-installed and/or are designated as spares will be reported in the format outlined above for DID para 10.1.

DID para 10.2.2.2: Stock numbered components that will be re-installed to the parent assembly should not be reported.

DID para 10.2.3: Do not report adjustments following physical inventories. Only report the resulting on-hand balance.

DID para 10.2.4: No dates should be reported.

BLK 7: Electronic receiving report required via internet WAWF at:

https://wawf.eb.mil. The electronic receiving report shall be used only for this data item; do not combine other data item submittals with this requirement.

Continuation on page 002...

Contr. Officer 0 1 0

DCMA ACO 0 1 0

AFLCMC/EBHJ 0 1 0

15. TOTAL 0 3 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2026/02/19

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2026/02/19

18. ESTIMATED

TOTAL PRICE

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

16. REMARKS (Continued) Page 002 (A008):

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies; CTI & Export Controlled [date of determination]. Other requests must be referred to AFLCMC/EBHJ, Hill AFB, UT 84056.

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.

BLK 10, 11, 12, & 13: Submission requirements per SOW.

- Discrepancy reporting will be submitted within 5 calendar days of identification.

BLK 14: Submittals shall be in .XML (preferred) or .CSV format in accordance with DID to the email recipient listed below. Refer to contract for the email address of the Government Contracting Officer (AFLCMC/EBHKB). Submit through WAWF under DoDAAC FA8213.

melanie.leroy@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 26-027-001

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 SESS

D. SYSTEM/ITEM

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Engineering Change Proposal (ECP)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80639E

5. CONTRACT REFERENCE

SOW para 4.3.4.8.

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK D: * 1377-01-382-0670ES ALT 1377-01-560-1521ES & 1377-01-382-

0647ES ALT 1377-01-560-1520ES.

BLK 4: Data delivery description for content of Engineering Change Proposal (ECP) via applicable DD Form 1692 shall be in accordance with EIA-649-1A and the principles of EIA-649C.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ, Hill AFB, UT 84056.

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.

BLK 11 & 12: Contractor shall submit Engineering Change Proposal (ECP) via DD Form 1692 NLT 10 calendar days after identification/discovery of needed change proposal. Within 30 calendar days of receipt, Government Engineer (AFLCMC/EBHJ) through the Government Contracting Officer (AFLCMC/EBHKB) will respond with notice of receipt. Government Engineer will perform review of the ECP and will respond with approval/disapproval within 90 calendar days for routine, 30 calendar days for urgent, and within 48 hours for emergency changes. If disapproved, Government Engineer’s response through the Government Contracting Officer will include instruction for remediation. Notification of approval of the proposed engineering change shall be by signed contract modification (AFLCMC/EBHKB).

*ECP APPROVAL: AFLCMC/EBHJ Configuration Control Board (CCB) shall have the final approval for all ECPs.

Continuation on page 002...

AFLCMC/EBHJ 0 1 0

AFLCMC/EBHX 0 1 0

Cont. Officer 0 1 0

DCMA/QAR 0 1 0

DCMA/ACO 0 1 0

15. TOTAL 0 5 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2026/02/19

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2026/02/19

18. ESTIMATED

TOTAL PRICE

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER SESS

D. SYSTEM/ITEM

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

16. REMARKS (Continued) Page 002 (A009):

BLK 14: Submit report(s) 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 (AFLCMC/EBHKB).

robert.morgan.27@us.af.mil (AFLCMC/EBHX) kendra.reese.1@us.af.mil (AFLCMC/EBHX) matthew.tanner.7@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 26-027-001

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 SESS

D. SYSTEM/ITEM

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

Notice of Revision (NOR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80642E

5. CONTRACT REFERENCE

SOW para 4.3.4.8.

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

1TIME

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft

Final

Reg Repro

16. REMARKS

BLK D: * 1377-01-382-0670ES ALT 1377-01-560-1521ES & 1377-01-382-

0647ES ALT 1377-01-560-1520ES.

BLK 4: Data delivery description for content of Notice of Revision (NOR) via applicable DD Form 1695 shall be in accordance with EIA- 649-1A and the principles of EIA-649C. Must be submitted with the approval of an Engineering Change Proposal (ECP) request.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ, Hill AFB, UT 84056.

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.

BLK 11 & 12: Contractor shall submit Notice of Revision (NOR) via DD Form 1695 within 30 calendar days following approval of an ECP.

Within 30 calendar days of receipt, Government Engineer (AFLCMC/EBHJ) through the Government Contracting Officer (AFLCMC/EBHKB) will respond with notice of receipt. Government Engineer will perform review of the NOR and will respond with approval/disapproval within 90 calendar days for routine, 30 calendar days for urgent, and within 48 hours for emergency changes. If disapproved, Government Engineer’s response through the Government Contracting Officer will include instruction for remediation. Notification of approval of the notice of revision shall be by signed contract modification (AFLCMC/EBHKB).

Continuation on page 002...

AFLCMC/EBHJ 0 1 0

AFLCMC/EBHX 0 1 0

Contr. Officer 0 1 0

DCMA/QAR 0 1 0

DCMA/ACO 0 1 0

15. TOTAL 0 5 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2026/02/19

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2026/02/19

18. ESTIMATED

TOTAL PRICE

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER SESS

D. SYSTEM/ITEM

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

16. REMARKS (Continued) Page 002 (A010):

BLK 14: Submit report(s) 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 (AFLCMC/EBHKB).

Submit through WAWF under DoDAAC FA8213.

robert.morgan.27@us.af.mil (AFLCMC/EBHX) kendra.reese.1@us.af.mil (AFLCMC/EBHX) matthew.tanner.7@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 26-027-001

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 SESS

D. SYSTEM/ITEM

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

Request for Variance (RFV)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80640E

5. CONTRACT REFERENCE

SOW para 4.3.4.8.

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK D: * 1377-01-382-0670ES ALT 1377-01-560-1521ES & 1377-01-382-

0647ES ALT 1377-01-560-1520ES.

BLK 4: Data delivery description for content of Request for Variance (RFV) via applicable DD Form 1694 shall be in accordance with EIA- 649-1A and the principles of EIA-649C.

BLK 7: The Letter of Transmittal (LT) shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies; CTI & Export Controlled [date of determination].

Other requests must be referred to AFLCMC/EBHJ, Hill AFB, UT 84056.

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.

BLK 11 & 12: Contractor shall submit Request for Variance (RFV) via DD Form 1694 NLT 10 calendar days after identification/discovery of needed variance. Within 30 calendar days of receipt, Government Engineer (AFLCMC/EBHJ) through the Government Contracting Officer (AFLCMC/EBHKB) will respond with notice of receipt. Government Engineer will perform review of the RFV and will respond with approval/disapproval within 90 calendar days for routine, 30 calendar days for urgent, and within 48 hours for emergency changes. If disapproved, Government Engineer’s response through the Government Contracting Officer will include instruction for remediation.

Notification of approval of the request for variance shall be by signed contract modification (AFLCMC/EBHKB).

*RFV APPROVAL: AFLCMC/EBHJ Technical Engineering Review Board (TERB) Configuration Control Board (CCB) shall have the final approval for all RFVs.

Continuation on page 002...

AFLCMC/EBHJ 0 1 0

AFLCMC/EBHX 0 1 0

Contr. Officer 0 1 0

DCMA/QAR 0 1 0

DCMA/ACO 0 1 0

15. TOTAL 0 5 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2026/02/19

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2026/02/19

18. ESTIMATED

TOTAL PRICE

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER SESS

D. SYSTEM/ITEM

1377-01-382-0650ES ALT 1377-01-560-

2165ES*

E. CONTRACT/PR NO.

FD2020-26-50007

F. CONTRACTOR

16. REMARKS (Continued) Page 002 (A011):

BLK 14: Submit report(s) 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 (AFLCMC/EBHKB).

robert.morgan.27@us.af.mil (AFLCMC/EBHX) kendra.reese.1@us.af.mil (AFLCMC/EBHX) matthew.tanner.7@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 26-027-001

File details come from the government source that posted it. Updated .