CDRL_A010_Test_and_Inpsection_Report_(Draft_-_24_Oct_14).doc

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War Reserve Materiels (WRM) Federal contract opportunity
Solicitation number
FA4890-15-R-0004
Issued by
Department of the Air Force Air Combat Command

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CDRL A010 - Test and Inspection Report (Draft - 24 Oct 14)

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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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
A
TDP TM OTHER eng/mgmt data
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

WRM

1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
a006
TEST PLAN
Test and Inspection Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-NDTI-81583A
PWS Para 4.1.6.5.3.1, 4.2.1.2
HQ ACC AMIC/PCE
7. DD 250 REQ
9.DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION

xx

Annly
45 DAC

b. COPIES

8. APP CODE
B
11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE
Draft
Final
15
15 Sep
Reg
Repro
16. REMARKS:
HQ ACC AMIC/PKC

Block 4: Report shall be provided using MS Office suite and posted on contractor’s website. Contractor shall notify the Government via Email once report is posted.

Block 5: The test and inspection report shall include, at a minimum, the date of the test and/or inspection, the procedures used, the facility number, the site, test/inspection results, and recommendations for future work.

Block 9: Distribution authorized to U.S. Government agencies only (administrative or operational data, 22 May 07). Other requests for this document shall be referred to HQ ACC AMIC/PKC.

Block 13: Report shall be submitted on 15 September of each year (if submittal date is on a non-business day, submit the next business day). Data shall be current as of 31 July of each submittal year.

HQ ACC AMIC/PCE

HQ ACC AMIC/PMS

15. TOTAL

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

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