Contract_Data_Requirements_List_CDRL.pdf

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-52/GEARSHAFT,MULTIPLE

E. CONTRACT / PR NO.

FD20302501082

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

First Article Inspection Test Report

4. AUTHORITY

DI-NDTI-80809B/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

AFLCMC/LZPED

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

1 XTIME

11. AS OF DATE

Test Day

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Maxfield, Jennifer LNAME: 08 APR 2025DATE:

NSN: 3040-01-435-9060FG

P/N: 9-25297-3 Noun: GEARSHAFT,MULTIPLE Application: B-52

BLOCK 7: ALL INSPECTION AND ACCEPTANCE SHALL BE AT DESTINATION UTILIZING WAWF. A

COMBINATION OF AN INVOICE AND RECEIVING REPORT SHALL BE SUBMITTED THROUGH WAWF IN

ORDER TO RECEIVE PAYMENT FOR DATA REPORTS.

BLOCK 8: GOVERNMENT WRITTEN NOTICE OF APPROVAL/DISAPPROVAL IS DUE 90 DAYS AFTER

RECEIPT OF CONTRACTOR'S REPORT.

BLOCK 9: Distribution Statement A: Approved for public release; distribution is unlimited. Controlling DoD office is

848 SCMG/422 GUEA.

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

BLOCK 12: 120 DAYS AFTER CONTRACT AWARD.

SEE ATTACHED DD FORM 1664, DATA ITEM DESCRIPTION.

A. THE PURPOSE OF THE FIRST ARTICLE INSPECTION IS TO GIVE OBJECTIVE EVIDENCE THAT ALL

ENGINEERING, DESIGN AND SPECIFICATION REQUIREMENTS ARE CORRECTLY UNDERSTOOD,

ACCOUNTED FOR, VERIFIED AND RECORDED.

B. SHOW COMPLETION OF INSPECTION AND RESULTS OF INSPECTION PERFORMED TO

DEMONSTRATE THAT THE FIRST ARTICLE UNIT(S) CONFORM TO THE APPLICABLE CONTRACT

TECHNICAL REQUIREMENTS.

C. REPORT SHALL DELINEATE THE SPECIFIC RESULTS OBTAINED, THE WITNESSES, AND ANY

OTHER PERTINENT OBSERVATIONS.

D. INSPECTION RESULTS SHALL BE THE APPLICABLE VARIABLE & ATTRIBUTE DATA IN THE FORM

OF RECORDINGS, INSTRUMENT READINGS AND RELATED DATA.

E. AS APPLICABLE, THE FIRST ARTICLE INSPECTION TEST REPORT SHOULD IDENTIFY ANY

DEVIATIONS OR LIMITATIONS IN THE FIRST ARTICLE UNIT(S) INVOLVED.

DELETE PARAS: 10.2.4(a), 10.2.5, 10.2.6.2, 10.2.6.3, 10.2.6.4.2(b-d), 10.2.6.5, 10.2.6.6, 10.2.7.2 & 10.2.8

AS 9102 FORMAT OR EQUIVALENT IS ACCEPTABLE.

423 SCMG/GUEA

3001 Staff Dr., Tinker AFB, OK 73145-3033

0 1 0

AFLCMC/LZPED

3001 Staff DR., Ste. 1AB 85A Tinker AFB, OK 73145-3041 ATTN: FA Monitor, DODAAC FA8111

0 1 0

0 2 015. TOTAL

Page 1 of 3DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 27 May 2025

PREVIOUS EDITION MAY BE USED.

REMARK APPLICABLE TO HAZARDOUS ITEMS ONLY: THE TESTS REQUIRED ARE AS

SPECIFIED IN CHAPTER 9 OF THE UNITED NATIONS TRANSPORT OF DANGEROUS GOODS (ORANGE

BOOK) RECOMMENDATIONS.

COORDINATORS:

G. PREPARED BY

Maxfield, Jennifer L

423 SCMS / GUMB

405-734-3252

H. DATE

24 APR 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Stephens, Andrew B

423 SCMS / GUEAB 405-582-5400 / 852-5400

J. DATE

24-APR-25

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-52/GEARSHAFT,MULTIPLE

E. CONTRACT / PR NO.

FD20302501082

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Certification Data For Material

3. SUBTITLE

N/A

4. AUTHORITY

DI-MISC-81020A/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

AFLCMC/LZPED

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

See Block 16

11. AS OF DATE

N/A

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Maxfield, Jennifer LNAME: 22 APR 2025DATE:

NSN: 3040-01-435-9060FG

P/N: 9-25297-3

BLOCK 7: ALL INSPECTION AND ACCEPTANCE SHALL BE AT DESTINATION

UTILIZING WAWF. A COMBINATION OF AN INVOICE AND RECEIVING REPORT SHALL

BE SUBMITTED THROUGH WAWF IN ORDER TO RECEIVE PAYMENT FOR DATA

REPORTS.

BLOCKS 10 & 12: WITH FIRST ARTICLE SUBMITTAL.

1. CONTRACTOR FORMAT AUTHORIZED, MATERIAL CERTIFICATION SHALL BE

SUPPLIED WITH ALL FIRST ARTICLES. COPIES OF ORIGINAL CERTIFICATION SHALL

BE PROVIDED IF THE CONTRACT IS AWARDED TO THE ORIGINAL MANUFACTURER,

AND THE ITEM SHALL BE MADE FROM THE SAME LOT OF MATERIAL. IF A NEW LOT

OF MATERIAL IS USED TO PRODUCE THE ITEM, A NEW MATERIAL CERTIFICATION

SHALL BE REQUIRED. IF THE FIRST ARTICLE IS WAIVED, THE MATERIAL

CERTIFICATION IS ALSO WAIVED.

2. CHANGES TO THE DATA ITEM DESCRIPTION:

2.1 CHANGE TITLE (BLOCK 3) TO READ CERTIFICATION DATA FOR MATERIAL.

2.2 PARAGRAPH 3.1 (FIRST LINE) DELETE THE WORDS "FOR NON-NUCLEAR LEVEL 1"

AND (FOURTH LINE) DELETE THE WORDS "LEVEL 1".

COORDINATORS:

423 SCMS/GUEA 0 1 0

AFLCMC/LZPED 0 1 0

0 2 015. TOTAL

G. PREPARED BY

Maxfield, Jennifer L

423 SCMS / GUMB

405-734-3252

H. DATE

24 APR 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Stephens, Andrew B

423 SCMS / GUEAB 405-582-5400 / 852-5400

J. DATE

24-APR-25

Page 2 of 3DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 27 May 2025

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-52/GEARSHAFT,MULTIPLE

E. CONTRACT / PR NO.

FD20302501082

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

CERTIFICATE OF COMPLIANCE

3. SUBTITLE

N/A

4. AUTHORITY

DI-MISC-81356A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

DDOO-SOP

7. DD 250 REQ

N/A

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

See Block 16

11. AS OF DATE

N/A

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Maxfield, Jennifer LNAME: 22 APR 2025DATE:

NSN: 3040-01-435-9060FG

PART NO:9-25297-3

NOUN: GEARSHAFT, MULITPLE

APPLICATION: B-52

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only, Critical Technology, 31 Jan 2018.

Refer other requests for this document to 422 SCMS/GUEAB, Tinker AFB, OK 73145.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.

Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

The above Distribution Statement, Warning, Destruction Notice shall be displayed or affixed to each page of the report in a conspicuous position.

BLKS 10 & 12: With first article submittal.

1.Contractor format authorized, material certification shall be supplied with all first articles. Copies of original certification shall be provided if the contract is awarded to the original manufacturer, and the item shall be made from the same lot of material. If a new lot of material is used to produce the item, a new material certification shall be required.

BLK 14: Deliveries shall be submitted on CD or DVD in Portable Document Format (PDF) readable by Adobe Acrobat Reader X or later.

COORDINATORS:

423 SCMS/GUEAB 0 1 0

DDOO-SOP 0 1 0

0 2 015. TOTAL

G. PREPARED BY

Maxfield, Jennifer L

423 SCMS / GUMB

405-734-3252

H. DATE

24 APR 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Stephens, Andrew B

423 SCMS / GUEAB 405-582-5400 / 852-5400

J. DATE

24-APR-25

Page 3 of 3DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 27 May 2025