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

1377016504860 & 1377015213457

E. CONTRACT/PR NO.

FD2020-25-50013

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

Airmunitions Specification

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

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

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 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 only CTI & Export Controlled [date of determination]. Other requests must be referred to AFLCMC/EBHJ.

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 10,12,13: Submit after successful Lot Acceptance Test and prior to delivery of each production lot.

BLK 14: A sample ADC or "draft" will be generated and submitted for each part number/NSN produced under this contract 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.

FOB DESTINATION

EBH 24-270-001

Editha Miller, AFLCMC/EBHI, 775-4389

WAWF 0 1 0

AFLCMC/EBHJ 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/09/26

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/09/26

18. ESTIMATED

TOTAL PRICE

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

17. PRICE GROUP

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

1377016504860 & 1377015213457

E. CONTRACT/PR NO.

FD2020-25-50013

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Engineering Change Proposal (ECP)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80639E

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

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 8: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer 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 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).

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

Government agencies only CTI & Export Controlled [date of determination]. Other requests must be referred to AFLCMC/EBHJ.

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

(AFLCMC/EBHKB).

robert.morgan.27@us.af.mil (AFLCMC/EBHI) kendra.reese.1@us.af.mil (AFLCMC/EBHI) zachary.kelly.8@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 24-270-001

Editha Miller, AFLCMC/EBHI, 775-4389

AFLCMC/EBHJ 0 1 0

AFLCMC/EBHI 0 1 0

AFLCMC/EBHKB 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

2024/09/26

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/09/26

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

1377016504860 & 1377015213457

E. CONTRACT/PR NO.

FD2020-25-50013

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Notice of Revision (NOR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80642E

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

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.

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 8: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer 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 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 NOR shall be by signed contract modification (AFLCMC/EBHKB).

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

Government agencies only CTI & Export Controlled [date of determination]. Other requests must be referred to AFLCMC/EBHJ.

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

(AFLCMC/EBHKB).

robert.morgan.27@us.af.mil (AFLCMC/EBHI) kendra.reese.1@us.af.mil (AFLCMC/EBHI) zachary.kelly.8@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 24-270-001

Editha Miller, AFLCMC/EBHI, 775-4389

AFLCMC/EBHJ 0 1 0

AFLCMC/EBHI 0 1 0

AFLCMC/EBHKB 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

2024/09/26

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/09/26

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

1377016504860 & 1377015213457

E. CONTRACT/PR NO.

FD2020-25-50013

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Request for Variance (RFV)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80640E

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

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 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 8: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer 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 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 RFV shall be by signed contract modification (AFLCMC/EBHKB).

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

Government agencies only CTI & Export Controlled [date of determination]. Other requests must be referred to AFLCMC/EBHJ.

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

(AFLCMC/EBHKB).

robert.morgan.27@us.af.mil (AFLCMC/EBHI) kendra.reese.1@us.af.mil (AFLCMC/EBHI) zachary.kelly.8@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 24-270-001

Editha S Miller, AFLCMC/EBHI, 775-4389

AFLCMC/EBHJ 0 1 0

AFLCMC/EBHI 0 1 0

AFLCMC/EBHKB 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

2024/09/26

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/09/26

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

1377016504860 & 1377015213457

E. CONTRACT/PR NO.

FD2020-25-50013

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Lot Acceptance Test Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-80553A

5. CONTRACT REFERENCE

Airmunitions Specification

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

A

11. AS OF DATE

ASREQ

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

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 8: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer 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 only CTI & Export Controlled [date of determination]. Other requests must be referred to AFLCMC/EBHJ.

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: The contractor shall provide an Acceptance Test Plan after contract award and at least 90 days prior to Lot Acceptance Testing allowing for 30-day approval time. No changes to previously approved government Acceptance Test Plans shall be made without prior notification of AFLCMC/EBHJ. Engineering approval in accordance with Airmunitions Specification.

BLK 14: Report shall be in Microsoft Office software or PDF format to the email recipient listed below. Submit through WAWF under DoDAAC, FA8213.

zachary.kelly.8@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 24-270-001

Editha S Miller, AFLCMC/EBHI, 775-4389

WAWF 0 1 0

AFLCMC/EBHJ 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/09/26

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/09/26

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 NDTI

D. SYSTEM/ITEM

1377016504860 & 1377015213457

E. CONTRACT/PR NO.

FD2020-25-50013

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

Lot Acceptance Test

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

BLK16

12. DATE OF FIRST SUBMISSION

BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

BLK16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable.

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

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

BLK 8: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer will respond with notice of approval/disapproval. If disapproved, Government Engineer response through the Government Contracting Officer will include instruction for remediation.

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

Government agencies only; CTI & Export Controlled; [date of determination]. Other requests must be referred to AFLCMC/EBHJ.

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

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.

zachary.kelly.8@us.af.mil (AFLCMC/EBHJ)

FFOB DESTINATION

EBH 24-270-001

Editha S Miller, AFLCMC/EBHI, 775-4389

WAWF 0 1 0

AFLCMC/EBHJ 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/09/26

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/09/26

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

1377016504860 & 1377015213457

E. CONTRACT/PR NO.

FD2020-25-50013

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Failure Summary & Analysis Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80255B

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

BLK16

12. DATE OF FIRST SUBMISSION

BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

BLK16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor's format required for both the Preliminary and Final report.

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 8: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer will respond with notice of approval/disapproval. If disapproved, Government Engineer response through the Government Contracting Officer will include instruction for remediation.

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

Government agencies only CTI & Export Controlled [date of determination]. Other requests must be referred to AFLCMC/EBHJ.

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, 12, 13: Notify AFLCMC/EBHJ Engineering of failure of lot acceptance testing or failure to complete lot acceptance testing within 1 business day. Submit a preliminary report within 7 calendar days of each failure. Submit a revision or final report within 15 calendar days after receipt of AFLCMC/EBHCC revised or final comments.

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

zachary.kelly.8@us.af.mil (AFLCMC/EBHJ) jason.sayre.2@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 24-270-001

Editha S Miller, AFLCMC/EBHI, 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

2024/09/26

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/09/26

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

1377016504860 & 1377015213457

E. CONTRACT/PR NO.

FD2020-25-50013

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Diminishing Manufacturing Sources and Material Shortages (DMSMS) Management Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81948

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

1TIME

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft

Final

Reg Repro

16. REMARKS

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

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

BLK 8: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer 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 only CTI & Export Controlled [date of determination]. Other requests must be referred to AFLCMC/EBHJ.

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 14: The DMSMS Plan shall be in PDF format or as specified in the contract. Submit plan via email to the email recipient listed below.

jason.sayre.2@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 24-270-001

Editha S Miller, AFLCMC/EBHI, 775-4389

WAWF 0 1 0

AFLCMC/EBHJ 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/09/26

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/09/26

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

1377016504860 & 1377015213457

E. CONTRACT/PR NO.

FD2020-25-50013

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Obsolescence Alert Notice

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81941/T

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

SD

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 4: Contractor's format required. Follow content and preparation instructions as listed in the Data Item Description (DID). Omit requirement in letter 2g (affected Dual Band Radar System).

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

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

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

Government agencies only CTI & Export Controlled [date of determination]. Other requests must be referred to AFLCMC/EBHJ.

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: Submissions shall be completed no later than 90 business days after obsolescence issue is identified.

BLK 14: Submit report electronically in Microsoft Office software or PDF format to the email recipient listed below. Submit through WAWF under DoDAAC FA8213.

jason.sayre.2@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 24-270-001

Editha Miller, AFLCMC/EBHI, 775-4389

WAWF 0 1 0

AFLCMC/EBHJ 0 1 0

AFLCMC/EBHKB 0 1 0

15. TOTAL 0 3 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/09/26

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/09/26

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

1377016504860 & 1377015213457

E. CONTRACT/PR NO.

FD2020-25-50013

F. CONTRACTOR

1. DATA ITEM NO.

A010

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

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft

Final

Reg Repro

16. REMARKS

BLK 4: Follow format, content preparation 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 that 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. 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 only CTI & Export Controlled [date of determination]. Other requests must be referred to AFLCMC/EBHJ.

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 14: The DMSMS Health Assessment Report shall be in an electronic Microsoft Excel (.xls or .xlsx) file. Submit plan via email the to the email recipient below. Submit through WAWF under DoDAAC FA8213.

jason.sayre.2@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 24-270-001

Editha S Miller, AFLCMC/EBHI, 775-4389

WAWF 0 1 0

AFLCMC/EBHJ 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/09/26

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/09/26

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 NDTI

D. SYSTEM/ITEM

1377016504860 & 1377015213457

E. CONTRACT/PR NO.

FD2020-25-50013

F. CONTRACTOR

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

First Article Test/Inspection Procedures and Report

(FAT/IPR)

3. SUBTITLE

Procedures and Report

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-82326

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

1TIME

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

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Follow format, content & preparation instructions per DID.

Incorporate the following applicable requirements:

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

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

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

e. The test report will be certified by the responsible DCMA/QAR. (Authorization for any deviations from the requirements specified by the manufacturing data must be obtained from the procuring agency prior to inclusion in the test report).

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

BLK 8: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer will respond with notice of approval/disapproval. If disapproved, Government Engineer response through the Government Contracting Officer will include instruction for remediation.

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

Government agencies only CTI & Export Controlled [date of determination]. Other requests must be referred to AFLCMC/EBHJ.

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 no later than 30 calendar days after completion of First Article Acceptance Testing. Submit through Worldwide Ammunition-data Repository Program (WARP) and WAWF under DoDAAC

FA8213.

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

Submit through WAWF under DoDAAC FA8213.

WAWF 0 1 0

DCMA/QAR 0 1 0

Contr Officer 0 1 0

AFLCMC/EBHJ 0 1 0

WARP 0 1 0

15. TOTAL 0 5 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/09/26

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/09/26

18. ESTIMATED

TOTAL PRICE

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

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

TDP TM OTHER NDTI

D. SYSTEM/ITEM

1377016504860 & 1377015213457

E. CONTRACT/PR NO.

FD2020-25-50013

F. CONTRACTOR

16. REMARKS (Continued) zachary.kelly.8@us.af.mil (AFLCMC/EBHJ) jason.sayre.2@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 24-270-001

Editha Miller, AFLCMC/EBHI, 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 NDTI

D. SYSTEM/ITEM

1377016504860 & 1377015213457

E. CONTRACT/PR NO.

FD2020-25-50013

F. CONTRACTOR

1. DATA ITEM NO.

B002

2. TITLE OF DATA ITEM

First Article Test/Inspection Procedures and Plan

(FAT/IPP)

3. SUBTITLE

Procedures and Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-82327

5. CONTRACT REFERENCE

Airmunitions Specification

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

A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Follow format, content, and preparation instructions per DID.

BLK 7: The electronic receiving report shall be annotated with the 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 8: Comments/approval/disapproval will be submitted within 30 calendar days after receipt by AFLCMC/EBHGB. If disapproved, Government Engineer response through the Government Contracting Officer will include instruction for remediation.

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

Government agencies only CTI & Export Controlled [date of determination]. Other requests must be referred to AFLCMC/EBHJ.

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 First Article Qualification Test Plan/Procedures 30 calendar days after contract award. No changes to previously approved First Article Qualification Test Plans/Procedures shall be made without prior approval from AFLCMC/EBHGB Engineering, IAW Airmunitions Specification.

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

Submit through WAWF under DoDAAC, FA8213.

zachary.kelly.8@us.af.mil (AFLCMC/EBHJ) jason.sayre.2@us.af.mil (AFLCMC/EBHJ)

FOB DESTINATION

EBH 24-270-001

Editha Miller, AFLCMC/EBHI, 775-4389

WAWF 0 1 0

Contr. Officer 0 1 0

AFLCMC/EBHJ 0 1 0

15. TOTAL 0 3 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/09/26

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/09/26

18. ESTIMATED

TOTAL PRICE