CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, 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 X

D. SYSTEM / ITEM

B-2 Electro-Mechanical Rotary Actuators

E. CONTRACT / PR NO.

FD20302301677

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Commercial Asset Visibility (CAV) Reporting

3. SUBTITLE

CFM End Item Reporting

4. AUTHORITY

DI-MGMT-81838

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

See Block 16

6. REQUIRING OFFICE

423 SCMS/GUME

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

N/A

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

Seee Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 10 MAY 2024DATE:

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

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

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

3. Blocks 10, 11, 12, 13:

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

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

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

4. Blocks 7, 8, 14:

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

b. The contractor shall submit a DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil, using DODAAC FA8251. MARK FOR: Address in block 14A.

c. A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address: Justin.Oakley.2@us.af.mil

COORDINATORS:

See Block 16 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Caffey, Brittany R

423 SCMS / GUME

405-582-9733

H. DATE

16 APR 2026

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Briggs, Ebony N

423 SCMS / GUMB 405-734-6866 / 582-6866

J. DATE

16-APR-26

Page 1 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Sep 2026

PREVIOUS EDITION MAY BE USED.

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-2 Electro-Mechanical Rotary Actuators

E. CONTRACT / PR NO.

FD20302301677

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Contract Depot Maintenance (CDM) Monthly Production Report

3. SUBTITLE

CDM Production Monthly Status Report

4. AUTHORITY

DI-PSSS-81995A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

423 SCMS/GUME

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

MTHLY

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 10 MAY 2024DATE:

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

1. Block 4:

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

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

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

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

2. Blocks 10, 11, 12, 13:

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

b. Reports shall continue to be submitted by the contractor unless the requirement is terminated by the assigned Contracting Officer at the request of the Program Manager (PM) and the Production Management Specialist (PMS).

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

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only, critical technology. Other requests for this document shall be referred to 848 SCMG/EN, Tinker Air Force Base, Oklahoma. (1 April 2024)

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

EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App.

2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17.

For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3, Paragraph 17.

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

Justin.Oakley.2@us.af.mil

See Block 16 0 1 0

0 1 015. TOTAL

Page 2 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Sep 2026

COORDINATORS:

G. PREPARED BY

Caffey, Brittany R

423 SCMS / GUME

405-582-9733

H. DATE

16 APR 2026

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Briggs, Ebony N

423 SCMS / GUMB 405-734-6866 / 582-6866

J. DATE

16-APR-26

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-2 Electro-Mechanical Rotary Actuators

E. CONTRACT / PR NO.

FD20302301677

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Government Property (GP) Inventory Report

3. SUBTITLE

Annual Government Property Physical Inventory Report

4. AUTHORITY

DI-MGMT-80441D

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

423 SCMS/GUME

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ANNLY

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 10 MAY 2024DATE:

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

1. Block 4:

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

2. Blocks 10, 11, 12, 13:

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

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

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

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only, critical technology. (1 April 2024) Other requests for this document shall be referred to 848 SCMG/EN, Tinker Air Force Base, Oklahoma.

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

EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App.

2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17.

For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3, Paragraph 17.

4. Block 7, 14: Submit the Annual Government Property Physical Inventory Report to the following email address:

Justin.Oakley.2@us.af.mil

COORDINATORS:

See Block 16 0 1 0

0 1 015. TOTAL

Page 3 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Sep 2026

G. PREPARED BY

Caffey, Brittany R

423 SCMS / GUME

405-582-9733

H. DATE

16 APR 2026

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Briggs, Ebony N

423 SCMS / GUMB 405-734-6866 / 582-6866

J. DATE

16-APR-26

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-2 Electro-Mechanical Rotary Actuators

E. CONTRACT / PR NO.

FD20302301677

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Production Surge Plan

3. SUBTITLE

Capability Analysis Plan (CAP)

4. AUTHORITY

DI-MGMT-80969

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

423 SCMS/GUME

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 10 MAY 2024DATE:

In the event that the DoD experiences an unplanned spike or sudden increase in demand, due to major theater warfare or a national emergency (also known as surge, reference DFARs 217.208-70 and DFARs 252.217.7001), and invokes surge: The Contractor is willing to work to meet and sustain this demand for quantity levels above and beyond normal peacetime requirements.

Block 9: Approved for Unlimited Public and Foreign Distribution. Other requests shall be referred to 848 SCMG/EN, Tinker Air Force Base, Oklahoma.

Block 10, 11, 12, 13: The Capability Analysis Plan (CAP) shall be prepared IAW DI-MGMT-80969 and shall be submitted 30 days after the contract award.

This Plan shall include a delivery schedule showing the maximum sustainable rate of delivery for items in this contract.

This delivery schedule shall provide acceleration by month up to the maximum sustainable rate of delivery achievable within the Contractor's existing facilities, equipment, and subcontracting structure. This Plan will address the surge capacity possible at no increase to the contract prices as well as the surge capacity possible at an additional cost. Based on this Plan, a mutually agreed to increase the quantity of supplies or services called for under this contract by no more than x % percent; and the accelerate the rate of delivery may be established for this contract, at a price or cost established after contract award or to be established by negotiation.

COORDINATORS:

423 SCMS/GUME

3001 Staff Drive, Annex 4

Tinker Air Force Base, Oklahoma 73145

Attention: Justin W. Oakley

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Caffey, Brittany R

423 SCMS / GUME

405-582-9733

H. DATE

16 APR 2026

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Briggs, Ebony N

423 SCMS / GUMB 405-734-6866 / 582-6866

J. DATE

16-APR-26

Page 4 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Sep 2026

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

TDP X TM OTHER

D. SYSTEM / ITEM

B-2 Electro-Mechanical Rotary Actuators

E. CONTRACT / PR NO.

FD20302301677

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Technical Data Package (TDP)

3. SUBTITLE

N/A

4. AUTHORITY

DI-SESS-80776B

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

423 SCMS/GUEA

7. DD 250 REQ

DD

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

1 XTIME

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Caffey, Brittany RNAME: 16 APR 2026DATE:

THIS CDRL WILL SERVE BASIC YEARS AND ALL OPTION YEARS.

Block 9, Distribution Statement D: Distribution authorized to the Department of Defense and US DOD contractors only, critical technology (1 Jan 2026). Other requests shall be referred to 848 SCMG/EN, Tinker Air Force Base, Oklahoma.

Control Warning Notice: Warning - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, USC, Sec 2751 Et Seq) or the Export Administration Act of 1979, Title 50, USC, App 240 I Et Seq, as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DOD Directive 5230.25.

Destruction Notice for Unclassified documents, destroyed by any method that will prevent disclosure of contents or reconstruction of the document.

Destruction Notice for Classified Documents: Follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5220.0 I M, Information Security Program, Vol 3, Protection of Classified Information.

Block 11, 12, & 13: Due 18 months after contract award.

Blk 14: Shipping Address:

3001 Staff Dr. Ste. 1AB1 100B Tinker AFB, OK 73145 Attn: Dwight Caras

All technical data drawings and reports shall be in a PDF format and delivered electronically. All 3D files shall be in a STEP format and delivered electronically.

See PWS for more details.

COORDINATORS:

COORDINATORS:

423 SCMS/GUEA

3001 Staff Drive, Post 1AD2 l00A Tinker Air Force Base, Oklahoma 73145 Attention: Dwight Caras

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Caffey, Brittany R

423 SCMS / GUME

405-582-9733

H. DATE

16 APR 2026

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Briggs, Ebony N

423 SCMS / GUMB 405-734-6866 / 582-6866

J. DATE

16-APR-26

Page 5 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Sep 2026

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-2 Electro-Mechanical Rotary Actuators

E. CONTRACT / PR NO.

FD20302301677

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Report of Shipping (Item) and Packaging Discrepancy

3. SUBTITLE

SF-364 (ROD)

4. AUTHORITY

DI-MGMT-80503

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

423 SCMS/GUME

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

As Required

13. DATE OF SUBSEQUENT

SUBMISSION

As Required

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Caffey, Brittany RNAME: 16 APR 2026DATE:

THIS CDRL WILL SERVE BASIC YEARS AND ALL OPTION YEARS.

Changes to the office symbols shall be made by letter through the PCO/ACO without revision to this CDRL.

Contractor will use WEBSDR to submit an electronic SF-364 (Standard Form) IAW TO 00-35D-54 upon discovery of discrepancies for items of supply received for: overage, wrong item, duplication of shipment, misdirected shipment, nonreceipt, damage, and/or improperly packaged shipment. If the contractor submits a SF-364, Block 12 of the SF-364 must contain the following information for the missing items:

1.) NSN

2.) Part Number 3.) Nomenclature 4.) Quantity missing 5.) Price for part replacement to include all administrative and labor costs.

Additionally, all tags that accompanied the component, (i.e., shipping labels, repairable tags, and condition tags will be scanned and attached to the ROD request.

DCMA/QAR and/or Plant Clearance Officer must validate the discrepancy upon unpacking of the component.

SDR/ROD must be submitted to the PCO/PMS within unpacking 48 hours of inventory receipt/induction.

BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DOD Contractors only, Critical Technology. Other requests shall be referred to 848 SCMG/EN, Tinker Air Force Base, OK. (1 JAN 2026)

Control Warning Notice: Warning - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, USC, Sec 2751 Et Seq) or the Export Administration Act of 1979, Title 50, USC, App 240 I Et Seq, as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DOD Directive 5230.25.

DESTRUCTION NOTICE: For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17.

For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3, Paragraph 17.

BLOCK 11: Within 5 working days of discovery of discrepancy.

BLOCK 14: E-mail copies to addressees per attached Distribution Matrix. Report of Discrepancy shall be submitted to the material originator.

Note: It is permissible to submit paper SF 364s until access to WEBSDR is attained.

FOB DESTINATION

COORDINATORS:

423 SCMS/GUME

3001 Staff Drive Tinker Air Force Base, Oklahoma 73145 Attention: Missy Goodin Email:

missy.goodin@us.af.mil

0 1 0

0 1 015. TOTAL

Page 6 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Sep 2026

G. PREPARED BY

Caffey, Brittany R

423 SCMS / GUME

405-582-9733

H. DATE

16 APR 2026

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Briggs, Ebony N

423 SCMS / GUMB 405-734-6866 / 582-6866

J. DATE

16-APR-26

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-2 Electro-Mechanical Rotary Actuators

E. CONTRACT / PR NO.

FD20302301677

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Teardown Deficiency Report

3. SUBTITLE

TDR

4. AUTHORITY

DI-PSSS-81534A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

423 SCMS/GUME

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Caffey, Brittany RNAME: 16 APR 2026DATE:

BLOCKS 10, 11, 12, and 13: To be negotiated upon government's request.

COORDINATORS:

423 SCMS/GUME 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Caffey, Brittany R

423 SCMS / GUME

405-582-9733

H. DATE

16 APR 2026

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Briggs, Ebony N

423 SCMS / GUMB 405-734-6866 / 582-6866

J. DATE

16-APR-26

Page 7 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Sep 2026

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-2 Electro-Mechanical Rotary Actuators

E. CONTRACT / PR NO.

FD20302301677

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

Test Report

4. AUTHORITY

DI-NDTI-80809B/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

AFLCMC/LPSEB

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ASREQ

11. AS OF DATE

N/A

12. DATE OF FIRST

SUBMISSION

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 10 MAY 2024DATE:

Block 9: Distribution Statement A: Approved for public release; distribution is unlimited. Controlling DoD office is 848 SCMG/EN, Tinker Air Force Base, Oklahoma. (1 April 2024)

Disposal and destruction notices: Dispose of by putting it in a recycle container or regular trash receptacle.

Report:

Ref Block 10 - As Required Ref Block 12 - 5 Days After Test Completed

BLOCK 14: Deliveries shall be submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat Portable Document Format.

Contractor format acceptable unless otherwise defined by applicable Data Item Description (DID).

DI-NDTI-80809B/T is tailored as follows:

Title Changed to: "TEST REPORT" Change Para 3.1 to read: The test report is used to document test results, findings and analyses that will enable the government or contracting agency to evaluate compliance with system requirements and performance objectives.

Delete Para 7.2 & 7.3 Add to Para 10.1 Title: Format/Content. Electronic Submission is acceptable.

Para 10.2, 10.2.1, 10.2.2, 10.2.3, 10.2.3.1, Delete entirely.

Para 10.2.3.2 First Sentence, delete "inspected" Para 10.2.3.2 Delete sub-paragraphs d, f & g.

Para 10.2.3.3, 10.2.4 Delete all instances of the word "inspection" in both paragraphs.

Para 10.2.5 Delete all instances of the word "inspection" in the paragraph and delete sub-paragraph "d."

Para 10.2.6 through 10.2.8 are deleted entirely.

Ref Block 14 - Distribution e-mail Test Report to Patrick CdeBaca, Engineer at:

patrick.cdebaca@us.af.mil

AFLCMC/LPSEB

Attn: Patrick CdeBaca 3001 Staff Drive Tinker AFB, OK 73145 Telephone: (405) 734-5340

COORDINATORS:

AFLCMC/LPSEB (See Block 16)

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Caffey, Brittany R

423 SCMS / GUME

405-582-9733

H. DATE

16 APR 2026

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Briggs, Ebony N

423 SCMS / GUMB 405-734-6866 / 582-6866

J. DATE

16-APR-26

Page 8 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Sep 2026

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-2 Electro-Mechanical Rotary Actuators

E. CONTRACT / PR NO.

FD20302301677

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

CPP

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

423 SCMS/GUME

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Caffey, Brittany RNAME: 18 MAR 2026DATE:

Blk 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DOD Contractors only, Critical Technology. (1 March 2026) Other requests shall be referred to 848 SCMG/EN, Tinker Air Force Base, Oklahoma.

Control Warning Notice: Warning - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, USC, Sec 2751 Et Seq) or the Export Administration Act of 1979, Title 50, USC, App 240 I Et Seq, as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DOD Directive 5230.25.

DESTRUCTION NOTICE: For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17.

For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3, Paragraph 17.

The plan shall be delivered in electronic PDF format through the Wide Area Workflow (WAWF) system no later than 90 calendar days after contract award. (FA8122)

Contractor format acceptable unless otherwise defined by applicable Data Item Description (DID).

DID Requirements are NOT tailored.

Delivery CANNOT be deferred.

COORDINATORS:

423 SCMS/GUME

3001 Staff Drive Tinker Air Force Base, Oklahoma 73145

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Caffey, Brittany R

423 SCMS / GUME

405-582-9733

H. DATE

16 APR 2026

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Briggs, Ebony N

423 SCMS / GUMB 405-734-6866 / 582-6866

J. DATE

16-APR-26

Page 9 of 9DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 23 Sep 2026