12_35936_CDRLs1.pdf

Contract Data Requirements List (CDRL)

(DD Form 1423)

Supplemental Section

Data Request Control Number SCMG-12-11-403 Revision F

DISTRIBUTION ADDRESSES

423 SCMS/GUMB

3001 Staff Dr., Ste. 1AD2 100A Tinker AFB OK 73145-3033

SCMG-12-11-403

C O N T R A C T D A T A R E Q U I R E M E N T S L I S T

(1 Data Item) Form Approved OMB No. 0704-0188

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:

TDP ______ TM ______ OTHER _X (MISC)_____________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

B-2/Servo Actuator FD2030-12-35936

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A001 COMMERCIAL ASSET VISIBILITY AIR FORCE (CAV AF) END ITEM

REPORTING

CAV AF

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL PRICE

DI-MGMT-81634B PWS/SOW 423 SCMG/GUMB

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

SEE BLOCK 16 SEE BLOCK 16 SEE BLOCK 16 b. COPIES

8. APP CODE N/A 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBM.

a. ADDRESSEE Draft

Final

N/A SEE BLOCK 16 SEE BLOCK 16

Reg Repro

16. REMARKS:

1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF CFM SOW.

This information will be accessed by the program office PMS and by 448 SCMW/FMA in order to ascertain production status.

2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0 or higher. The Contractor shall obtain a valid DoD PKI certificate to log into CAV AF.

Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.

3. Training will be provided by 428 SCMS/GULA, (405) 739-3229.

4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.

Block 7: Enter the applicable code as listed in DoD 5010.12-M, Chapter 3.

Block 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hrs of a supply or maintenance action occurrence IAW Contractor Users Guide.

b. The method of communication from the contractor to the Air Logistics Complex (ALC) will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.

Block 11: Data shall be current within 24 hours of last End Item maintenance occurrence.

Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide.

Block 13: Same as remarks regarding Block 10 above.

OC-ALC

(SEE APPENDIX B)

15. TOTAL -----------> 0 1 0

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

Shauna Taylor/848 SCMG Data Management Officer 13 Mar 13

DD Form 1423-1, 1 Jun 90 Previous Editions are Obsolete Page _1_ of _7_ Pages

28-Mar-13DONAHOO.MELISS

A.KAY.1258024318

Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=DONAHOO.MELISSA.KAY.1258024318 Date: 2013.08.28 13:55:30 -05'00'

(1 Data Item) Form Approved OMB No. 0704-0188

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:

TDP ______ TM ______ OTHER _X (MISC)_____________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

B-2/Servo Actuator FD2030-12-35936

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A002 DEPOT MAINTENANCE PRODUCTION REPORT N/A

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL PRICE

DI-ALSS-80728A N/A 423 SCMS/GUMB

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

SD MTHLY SEE BLOCK 16 b. COPIES

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

SUBM.

a. ADDRESSEE Draft

Final

N/A 0 SEE BLOCK 16

Reg Repro

16. REMARKS:

BLOCK 11: LAST DAY OF THE MONTH.

BLOCKS 12 AND 13: First report shall be submitted for the month initial delivery order or assets are received after contract award. All reports shall be mailed so as to arrive at 423 SCMS/GUMB no later than the tenth (10th) calendar day of the month following the reporting period.

Block 14a: Email copies to addressees per attached Distribution Matrix.

423 SCMS/GUMB

ACO

(SEE BLOCK 16)

15. TOTAL -----------> 0 2 0

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

Donna D. Lovern/848 SCMG Data Management Officer 13 Feb 12

DD Form 1423-1, 1 Jun 90 Previous Editions are Obsolete Page _2_ of _7_ Pages

28-Mar-13

DONAHOO.MELISS

A.KAY.1258024318

Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2013.08.28 13:56:00 -05'00'

(1 Data Item) Form Approved OMB No. 0704-0188

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:

TDP ______ TM ______ OTHER _X (MISC)_____________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

B-2/Servo Actuator FD2030-12-35936

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A003 TEARDOWN DEFICIENCY REPORT Preliminary Findings Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL PRICE

DI-ALSS-81534 N/A 423 SCMS/GUMA

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

NO SEE BLOCK 16 SEE BLOCK 16 b. COPIES

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

SUBM.

a. ADDRESSEE Draft

Final

N/A SEE BLOCK 16 SEE BLOCK 16

Reg Repro

16. REMARKS:

Block 7: All inspection and acceptance shall be at destination utilizing WAWF. A combination of an invoice and receiving shall be submitted through WAWF in order to receive payment for data reports.

Block 10: Frequency shall be based upon each unit that is inspected IAW basic contract requirements of the Test, Teardown & Evaluate Line Item.

Block 11: Date of contract Award

Block 12: Shall begin upon completion of first unit inspected IAW basic contract requirements of the Test, Teardown and Evaluate Line Item.

Block 13: Shall continue on a per unit basis till contract has been fulfilled

Contractor format must be compatible with Microsoft Office. Report must include receipt date, inducted unit information (NSN, part number, serial number, description), discussion of overhaul and anticipated part replacement by part number, quantity, description and reason for replacement.

In addition to the Preliminary Findings Report, an additional Teardown Deficiency Report may be requested separately on an as needed basis.

Blocks 10, 11, 12, and 13: To be negotiated on call by demand.

423 SCMS/GUMB 1

15. TOTAL -----------> 0 1 0

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

Dale Zilar/848 SCMG Data Management Officer 22 Aug 13

DD Form 1423-1, 1 Jun 90 Previous Editions are Obsolete Page _3_ of _7_ Pages

28-Mar-13DONAHOO.MELISS

A.KAY.1258024318

Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2013.08.28 13:56:09 -05'00'

(1 Data Item) Form Approved OMB No. 0704-0188

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:

TDP ______ TM ______ OTHER _X (MISC)_____________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

B-2/Servo Actuator FD2030-12-35936

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A004 50/50 REQUIREMENTS REPORT N/A

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL PRICE

DI-MGMT-81749A N/A A4DC/HQ

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

NO SEE BLOCK 16 SEE BLOCK 16 b. COPIES

8. APP CODE N/A 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBM.

a. ADDRESSEE Draft

Final

N/A SEE BLOCK 16 SEE BLOCK 16

Reg Repro

16. REMARKS:

BLOCK 10-13:

Frequency: 50/50 Reporting is a requirement that has two parts and shall require two reports to fulfill the requirement. 50/50 Reporting is required ever government fiscal year; October and January.

Same detailed information will be required however, report one of the year shall be submitted by the end of October detailing, by task, the distribution of dollars obligated to the contractor in the previous fiscal year (October through September). Report two shall be submitted by the end of the following January detailing all projected tasks for the following 5 fiscal years, to include the current fiscal year. See attached spreadsheet for required information. Contractor format is acceptable.

Report will be due to the Program Office PMS.

BLOCK 12: Date of first submission shall be the first October or January after award.

423 SCMS/GUMB 1

15. TOTAL -----------> 0 1 0

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

Shauna Taylor/848 SCMG Data Management Officer 22 Jan 13

DD Form 1423-1, 1 Jun 90 Previous Editions are Obsolete Page _4_ of _7_ Pages

28-Mar-13DONAHOO.MELISS

A.KAY.1258024318

Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2013.08.28 13:56:19 -05'00'

(1 Data Item) Form Approved OMB No. 0704-0188

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:

TDP ______ TM ______ OTHER _X (MISC)_____________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

B-2/Servo Actuator FD2030-12-35936

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A005 END ITEM (EI) AND COMPONENT ITEM (CI) CONSUMPTION REPAIR

HISTORY DATA

N/A

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL PRICE

DI-ALSS-81220A N/A 423 SCMS/GUMB

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

NO QTLY SEE BLOCK 16 b. COPIES

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

SUBM.

a. ADDRESSEE Draft

Final

N/A SEE BLOCK 16 SEE BLOCK 16

Reg Repro

16. REMARKS:

1. Contractor Format Acceptable

2. The reporting period shall match the government quarterly reporting cycle.

BLOCK 11: Last day of the quarter.

BLOCKS 12 AND 13: First report shall be submitted for the quarter initial order or assets are received after contract award. All reports shall be mailed so as to arrive at 423 SCMS/GUMB no later than the first business day of the fourth week of the quarter following the reporting period.

BLOCK 14a: Email copies to addressees per attached Distribution Matrix.

423 SCMS/GUMB

ACO

(SEE BLOCK 16)

15. TOTAL -----------> 0 2 0

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

Shauna Taylor/848 SCMG Data Management Officer 13 Mar 13

DD Form 1423-1, 1 Jun 90 Previous Editions are Obsolete Page _5_ of _7_ Pages

28-Mar-13DONAHOO.MELISS

A.KAY.1258024318

Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2013.08.28 13:56:29 -05'00'

(1 Data Item) Form Approved OMB No. 0704-0188

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:

TDP ______ TM ______ OTHER _X (MISC)_____________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

B-2/Servo Actuator FD2030-12-35936

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A006 FAILURE DATA AND TRACEABILITY RECORD N/A

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL PRICE

DI-RELI-80807 N/A 423 SCMS/GUMB

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

NO MTHLY SEE BLOCK 16 b. COPIES

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

SUBM.

a. ADDRESSEE Draft

Final

N/A SEE BLOCK 16 SEE BLOCK 16

Reg Repro

16. REMARKS:

1. End Item and Component failure data shall be collected and recorded for each overhauled or repaired actuator. A failed item is defined as one that fails specific test/inspection criteria or no longer meets the requirements of the original design.

2. For all non-100% replacement items, minimum data requirements shall include:

a. Failed Item SN or Lot Number (if applicable)

b. Date of failure discovery

c. Failure Mode

d. Parts replaced

3. Additional failure data items may be added as agreed upon by the contractor and the government.

4. Contractor format is acceptable but must enable efficient Reliability and Failure Trend Analysis.

BLOCK 11: Last day of the month

BLOCKS 12 AND 13: First report shall be submitted for the month initial delivery order or assets are received after contract award. All reports shall be mailed so as to arrive at 423 SCMS/GUMB no later than the tenth (10th) calendar day of the month following the reporting period.

BLOCK 14: E-mail to: Ronald.Richwalski@tinker.af.mil Joseph.Downs@tinker.af.mil

423 SCMS/GUMB

423 SCMS/GUEA

(SEE BLOCK 16)

15. TOTAL -----------> 0 2 0

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

Shauna Taylor/848 SCMG Data Management Officer 13 Mar 13

DD Form 1423-1, 1 Jun 90 Previous Editions are Obsolete Page _6_ of _7_ Pages

28-Mar-13DONAHOO.MELISS

A.KAY.1258024318

Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2013.08.28 13:56:56 -05'00'

(1 Data Item) Form Approved OMB No. 0704-0188

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:

TDP ______ TM ______ OTHER _X (MISC)_____________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

B-2/Servo Actuator FD2030-12-35936

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A007 a) PRODUCTION STATUS REPORT

b) REPORT, PRODUCTION OR DELIVERY PROBLEMS

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL PRICE

a) DI-MGMT-81255/T

b) DI-MGMT-81178/T

423 SCMG/GUMB

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

LT WEKLY SEE BLOCK 16 b. COPIES

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

SUBM.

a. ADDRESSEE Draft

Final

N/A SEE BLOCK 16 SEE BLOCK 16

Reg Repro

16. REMARKS:

Blocks 11 & 13: To be determined prior to contract award.

Block 12: First report shall be submitted 1 week after receipt of initial delivery order, or assets are received, after contract award.

Block 14: Electronic distribution to the 423 SCMS PMS via email, melissa.donahoo@tinker.af.mil

This CDRL combines parts of Data Item Description (DID) DI-MGMT-81255 and DID DI-MGMT- 81178 to describe the requirements for this single report.

Data Item Description (DID) DI-MGMT-81255 is tailored as follows:

Delete all text in paragraph 10, except paragraphs 10.1, 10.2, 10.2.1, 10.2.1a through 10.2.1e, 10.2.4, 10.2.6, 10.2.7, and 10.2.8.

Delete all occurrences of the word “build” from paragraph 10.2.4. Delete the remainder of the paragraph following the line beginning with the word “CLIN#”, except those lines beginning with the code “F”.

Paragraph 10.2.7: delete all text following the paragraph title, except the portion in the 2nd sentence after the semicolon, so that the paragraph reads as follows: “10.2.7 Contract deliveries status. If not on schedule, state reasons for delinquencies and recommendations for recovery.” This section will be arranged by serial number of the item being reported.

The type of information requested by DID DI-MGMT-81255 is clarified as follows:

The “SHIP DATE” in paragraph 10.2.6 will reflect the actual shipment date, as well as an estimate. The “SHIP QUANTITY” shall be a cumulative quantity.

DID DI-MGMT-81178 is tailored as follows:

Delete all text in paragraph 10, except paragraphs 10.1, 10.2, 10.2.1, 10.2.1d, 10.2.2, and 10.2.2e.

Paragraph 10.2.2, and 10.2.2e: delete the words “crisis or”. - - END OF TAILORING

CONTRACTOR FORMAT IS ACCEPTABLE

DID REQUIREMENTS ARE TAILORED

DELIVERY CANNOT BE DEFERRED

ELECTRONIC

(SEE BLOCK 16)

15. TOTAL -----------> 0 1 0

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

Shauna Taylor/848 SCMG Data Management Officer 18 Mar 13

DD Form 1423-1, 1 Jun 90 Previous Editions are Obsolete Page _7_ of _7_ Pages

28-Mar-13DONAHOO.MELISS

A.KAY.1258024318

Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2013.08.28 14:11:53 -05'00'

(1 Data Item) Form Approved OMB No. 0704-0188

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:

TDP ______ TM ______ OTHER _X (MISC)_____________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

B-2/Servo Actuator FD2030-12-35936

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

B001 COMMERCIAL ASSET VISIBILITY AIR FORCE (CAV AF) END ITEM

REPORTING

CAV AF

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL PRICE

DI-MGMT-81634B PWS/SOW 423 SCMG/GUMB

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

SEE BLOCK 16 SEE BLOCK 16 SEE BLOCK 16 b. COPIES

8. APP CODE N/A 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBM.

a. ADDRESSEE Draft

Final

N/A SEE BLOCK 16 SEE BLOCK 16

Reg Repro

16. REMARKS:

1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF CFM SOW.

This information will be accessed by the program office PMS and by 448 SCMW/FMA in order to ascertain production status.

2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0 or higher. The Contractor shall obtain a valid DoD PKI certificate to log into CAV AF.

Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.

3. Training will be provided by 428 SCMS/GULA, (405) 739-3229.

4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.

Block 7: Enter the applicable code as listed in DoD 5010.12-M, Chapter 3.

Block 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hrs of a supply or maintenance action occurrence IAW Contractor Users Guide.

b. The method of communication from the contractor to the Air Logistics Complex (ALC) will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.

Block 11: Data shall be current within 24 hours of last End Item maintenance occurrence.

Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide.

Block 13: Same as remarks regarding Block 10 above.

OC-ALC

(SEE APPENDIX B)

15. TOTAL -----------> 0 1 0

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

Shauna Taylor/848 SCMG Data Management Officer 13 Mar 13

DD Form 1423-1, 1 Jun 90 Previous Editions are Obsolete Page _1_ of _7_ Pages

28-Mar-13DONAHOO.MELISS

A.KAY.1258024318

Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2013.08.28 14:12:07 -05'00'

(1 Data Item) Form Approved OMB No. 0704-0188

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:

TDP ______ TM ______ OTHER _X (MISC)_____________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

B-2/Servo Actuator FD2030-12-35936

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

B002 DEPOT MAINTENANCE PRODUCTION REPORT N/A

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL PRICE

DI-ALSS-80728A N/A 423 SCMS/GUMB

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

SD MTHLY SEE BLOCK 16 b. COPIES

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

SUBM.

a. ADDRESSEE Draft

Final

N/A 0 SEE BLOCK 16

Reg Repro

16. REMARKS:

BLOCK 11: LAST DAY OF THE MONTH.

BLOCKS 12 AND 13: First report shall be submitted for the month initial delivery order or assets are received after contract award. All reports shall be mailed so as to arrive at 423 SCMS/GUMB no later than the tenth (10th) calendar day of the month following the reporting period.

Block 14a: Email copies to addressees per attached Distribution Matrix.

423 SCMS/GUMB

ACO

(SEE BLOCK 16)

15. TOTAL -----------> 0 2 0

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

Donna D. Lovern/848 SCMG Data Management Officer 13 Feb 12

DD Form 1423-1, 1 Jun 90 Previous Editions are Obsolete Page _2_ of _7_ Pages

28-Mar-13

DONAHOO.MELISS

A.KAY.1258024318

Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2013.08.28 14:12:19 -05'00'

(1 Data Item) Form Approved OMB No. 0704-0188

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:

TDP ______ TM ______ OTHER _X (MISC)_____________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

B-2/Servo Actuator FD2030-12-35936

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

B003 TEARDOWN DEFICIENCY REPORT Preliminary Findings Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL PRICE

DI-ALSS-81534 N/A 423 SCMS/GUMB

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

NO SEE BLOCK 16 SEE BLOCK 16 b. COPIES

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

SUBM.

a. ADDRESSEE Draft

Final

N/A SEE BLOCK 16 SEE BLOCK 16

Reg Repro

16. REMARKS:

Block 7: All inspection and acceptance shall be at destination utilizing WAWF. A combination of an invoice and receiving shall be submitted through WAWF in order to receive payment for data reports.

Block 10: Frequency shall be based upon each unit that is inspected IAW basic contract requirements of the Test, Teardown & Evaluate Line Item.

Block 11: Date of contract Award

Block 12: Shall begin upon completion of first unit inspected IAW basic contract requirements of the Test, Teardown and Evaluate Line Item.

Block 13: Shall continue on a per unit basis till contract has been fulfilled

Contractor format must be compatible with Microsoft Office. Report must include receipt date, inducted unit information (NSN, part number, serial number, description), discussion of overhaul and anticipated part replacement by part number, quantity, description and reason for replacement.

In addition to the Preliminary Findings Report, an additional Teardown Deficiency Report may be requested separately on an as needed basis.

Blocks 10, 11, 12, and 13: To be negotiated on call by demand.

423 SCMS/GUMB 1

15. TOTAL -----------> 0 1 0

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

Dale Zilar/848 SCMG Data Management Officer 22 Aug 13

DD Form 1423-1, 1 Jun 90 Previous Editions are Obsolete Page _3_ of _7_ Pages

28-Mar-13DONAHOO.MELISS

A.KAY.1258024318

Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2013.08.28 14:12:31 -05'00'

(1 Data Item) Form Approved

OMB No. 0704-0188 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:

TDP ______ TM ______ OTHER _X (MISC)_____________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

B-2/Servo Actuator FD2030-12-35936

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

B004 50/50 REQUIREMENTS REPORT N/A

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL PRICE

DI-MGMT-81749A N/A A4DC/HQ

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

NO SEE BLOCK 16 SEE BLOCK 16 b. COPIES

8. APP CODE N/A 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBM.

a. ADDRESSEE Draft

Final

N/A SEE BLOCK 16 SEE BLOCK 16

Reg Repro

16. REMARKS:

BLOCK 10-13:

Frequency: 50/50 Reporting is a requirement that has two parts and shall require two reports to fulfill the requirement. 50/50 Reporting is required ever government fiscal year; October and January.

Same detailed information will be required however, report one of the year shall be submitted by the end of October detailing, by task, the distribution of dollars obligated to the contractor in the previous fiscal year (October through September). Report two shall be submitted by the end of the following January detailing all projected tasks for the following 5 fiscal years, to include the current fiscal year. See attached spreadsheet for required information. Contractor format is acceptable.

Report will be due to the Program Office PMS.

BLOCK 12: Date of first submission shall be the first October or January after award.

423 SCMS/GUMB 1

15. TOTAL -----------> 0 1 0

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

Shauna Taylor/848 SCMG Data Management Officer 22 Jan 13

DD Form 1423-1, 1 Jun 90 Previous Editions are Obsolete Page _4_ of _7_ Pages

28-Mar-13DONAHOO.MELISS

A.KAY.1258024318

Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2013.08.28 14:12:42 -05'00'

(1 Data Item) Form Approved OMB No. 0704-0188

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:

TDP ______ TM ______ OTHER _X (MISC)_____________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

B-2/Servo Actuator FD2030-12-35936

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

B005 END ITEM (EI) AND COMPONENT ITEM (CI) CONSUMPTION REPAIR

HISTORY DATA

N/A

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL PRICE

DI-ALSS-81220A N/A 423 SCMS/GUMB

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

NO QTLY SEE BLOCK 16 b. COPIES

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

SUBM.

a. ADDRESSEE Draft

Final

N/A SEE BLOCK 16 SEE BLOCK 16

Reg Repro

16. REMARKS:

1. Contractor Format Acceptable

2. The reporting period shall match the government quarterly reporting cycle.

BLOCK 11: Last day of the quarter.

BLOCKS 12 AND 13: First report shall be submitted for the quarter initial order or assets are received after contract award. All reports shall be mailed so as to arrive at 423 SCMS/GUMB no later than the first business day of the fourth week of the quarter following the reporting period.

BLOCK 14a: Email copies to addressees per attached Distribution Matrix.

423 SCMS/GUMB

ACO

(SEE BLOCK 16)

15. TOTAL -----------> 0 2 0

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

Shauna Taylor/848 SCMG Data Management Officer 13 Mar 13

DD Form 1423-1, 1 Jun 90 Previous Editions are Obsolete Page _5_ of _7_ Pages

28-Mar-13DONAHOO.MELISS

A.KAY.1258024318

Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2013.08.28 14:12:54 -05'00'

(1 Data Item) Form Approved OMB No. 0704-0188

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:

TDP ______ TM ______ OTHER _X (MISC)_____________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

B-2/Servo Actuator FD2030-12-35936

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

B006 FAILURE DATA AND TRACEABILITY RECORD N/A

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL PRICE

DI-RELI-80807 N/A 423 SCMS/GUMB

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

NO MTHLY SEE BLOCK 16 b. COPIES

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

SUBM.

a. ADDRESSEE Draft

Final

N/A SEE BLOCK 16 SEE BLOCK 16

Reg Repro

16. REMARKS:

1. End Item and Component failure data shall be collected and recorded for each overhauled or repaired actuator. A failed item is defined as one that fails specific test/inspection criteria or no longer meets the requirements of the original design.

2. For all non-100% replacement items, minimum data requirements shall include:

a. Failed Item SN or Lot Number (if applicable)

b. Date of failure discovery

c. Failure Mode

d. Parts replaced

3. Additional failure data items may be added as agreed upon by the contractor and the government.

4. Contractor format is acceptable but must enable efficient Reliability and Failure Trend Analysis.

BLOCK 11: Last day of the month

BLOCKS 12 AND 13: First report shall be submitted for the month initial delivery order or assets are received after contract award. All reports shall be mailed so as to arrive at 423 SCMS/GUMB no later than the tenth (10th) calendar day of the month following the reporting period.

BLOCK 14: E-mail to: Ronald.Richwalski@tinker.af.mil Joseph.Downs@tinker.af.mil

423 SCMS/GUMB

423 SCMS/GUEA

(SEE BLOCK 16)

15. TOTAL -----------> 0 2 0

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

Shauna Taylor/848 SCMG Data Management Officer 13 Mar 13

DD Form 1423-1, 1 Jun 90 Previous Editions are Obsolete Page _6_ of _7_ Pages

28-Mar-13DONAHOO.MELISS

A.KAY.1258024318

Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2013.08.28 14:13:06 -05'00'

(1 Data Item) Form Approved OMB No. 0704-0188

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:

TDP ______ TM ______ OTHER _X (MISC)_____________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

B-2/Servo Actuator FD2030-12-35936

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

B007 a) PRODUCTION STATUS REPORT

b) REPORT, PRODUCTION OR DELIVERY PROBLEMS

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL PRICE

a) DI-MGMT-81255/T

b) DI-MGMT-81178/T

423 SCMG/GUMB

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

LT WEKLY SEE BLOCK 16 b. COPIES

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

SUBM.

a. ADDRESSEE Draft

Final

N/A SEE BLOCK 16 SEE BLOCK 16

Reg Repro

16. REMARKS:

Blocks 11 & 13: To be determined prior to contract award.

Block 12: First report shall be submitted 1 week after receipt of initial delivery order, or assets are received, after contract award.

Block 14: Electronic distribution to the 423 SCMS PMS via email, melissa.donahoo@tinker.af.mil

This CDRL combines parts of Data Item Description (DID) DI-MGMT-81255 and DID DI-MGMT- 81178 to describe the requirements for this single report.

Data Item Description (DID) DI-MGMT-81255 is tailored as follows:

Delete all text in paragraph 10, except paragraphs 10.1, 10.2, 10.2.1, 10.2.1a through 10.2.1e, 10.2.4, 10.2.6, 10.2.7, and 10.2.8.

Delete all occurrences of the word “build” from paragraph 10.2.4. Delete the remainder of the paragraph following the line beginning with the word “CLIN#”, except those lines beginning with the code “F”.

Paragraph 10.2.7: delete all text following the paragraph title, except the portion in the 2nd sentence after the semicolon, so that the paragraph reads as follows: “10.2.7 Contract deliveries status. If not on schedule, state reasons for delinquencies and recommendations for recovery.” This section will be arranged by serial number of the item being reported.

The type of information requested by DID DI-MGMT-81255 is clarified as follows:

The “SHIP DATE” in paragraph 10.2.6 will reflect the actual shipment date, as well as an estimate. The “SHIP QUANTITY” shall be a cumulative quantity.

DID DI-MGMT-81178 is tailored as follows:

Delete all text in paragraph 10, except paragraphs 10.1, 10.2, 10.2.1, 10.2.1d, 10.2.2, and 10.2.2e.

Paragraph 10.2.2, and 10.2.2e: delete the words “crisis or”. - - END OF TAILORING

CONTRACTOR FORMAT IS ACCEPTABLE

DID REQUIREMENTS ARE TAILORED

DELIVERY CANNOT BE DEFERRED

ELECTRONIC

(SEE BLOCK 16)

15. TOTAL -----------> 0 1 0

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

Shauna Taylor/848 SCMG Data Management Officer 18 Mar 13

DD Form 1423-1, 1 Jun 90 Previous Editions are Obsolete Page _7_ of _7_ Pages

28-Mar-13DONAHOO.MELISS

A.KAY.1258024318

Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2013.08.28 14:13:19 -05'00'

(1 Data Item) Form Approved OMB No. 0704-0188

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:

TDP ______ TM ______ OTHER _X (MISC)_____________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

B-2/Servo Actuator FD2030-12-35936

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

C001 COMMERCIAL ASSET VISIBILITY AIR FORCE (CAV AF) END ITEM

REPORTING

CAV AF

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL PRICE

DI-MGMT-81634B PWS/SOW 423 SCMG/GUMB

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

SEE BLOCK 16 SEE BLOCK 16 SEE BLOCK 16 b. COPIES

8. APP CODE N/A 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBM.

a. ADDRESSEE Draft

Final

N/A SEE BLOCK 16 SEE BLOCK 16

Reg Repro

16. REMARKS:

1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF CFM SOW.

This information will be accessed by the program office PMS and by 448 SCMW/FMA in order to ascertain production status.

2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0 or higher. The Contractor shall obtain a valid DoD PKI certificate to log into CAV AF.

Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.

3. Training will be provided by 428 SCMS/GULA, (405) 739-3229.

4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.

Block 7: Enter the applicable code as listed in DoD 5010.12-M, Chapter 3.

Block 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hrs of a supply or maintenance action occurrence IAW Contractor Users Guide.

b. The method of communication from the contractor to the Air Logistics Complex (ALC) will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.

Block 11: Data shall be current within 24 hours of last End Item maintenance occurrence.

Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide.

Block 13: Same as remarks regarding Block 10 above.

OC-ALC

(SEE APPENDIX B)

15. TOTAL -----------> 0 1 0

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

Shauna Taylor/848 SCMG Data Management Officer 13 Mar 13

DD Form 1423-1, 1 Jun 90 Previous Editions are Obsolete Page _1_ of _7_ Pages

28-Mar-13DONAHOO.MELISS

A.KAY.1258024318

Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2013.08.28 14:13:32 -05'00'

(1 Data Item) Form Approved OMB No. 0704-0188

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:

TDP ______ TM ______ OTHER _X (MISC)_____________________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

B-2/Servo Actuator FD2030-12-35936

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

C002 DEPOT MAINTENANCE PRODUCTION REPORT N/A

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.

ESTIMATED

TOTAL PRICE

DI-ALSS-80728A N/A 423 SCMS/GUMB

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

SD MTHLY SEE BLOCK 16 b. COPIES

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

SUBM.

a. ADDRESSEE Draft

Final

N/A 0 SEE BLOCK 16

Reg Repro

16. REMARKS:

BLOCK 11: LAST DAY OF THE MONTH.

BLOCKS 12 AND 13: First report shall be submitted for the month initial delivery order or assets are received after contract award. All reports shall be mailed so as to arrive at 423 SCMS/GUMB no later than the tenth (10th) calendar day of the month following the reporting period.

Block 14a: Email copies to addressees per attached Distribution Matrix.

423 SCMS/GUMB

ACO

(SEE BLOCK 16)

15. TOTAL -----------> 0 2 0

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

Donna D. Lovern/848 SCMG Data Management Officer 13 Feb 12

DD Form 1423-1, 1 Jun 90 Previous Editions are Obsolete Page _2_ of _7_ Pages

28-Mar-13DONAHOO.MELISS

A.KAY.1258024318

Digitally signed by

DONAHOO.MELISSA.KAY.1258024318

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2013.08.28 14:13:45 -05'00'

(1 Data Item) Form Approved OMB No. 0704-0188

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.