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NEW CDRL A003, B003, C003, D003, E003

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

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-1 / Multiple Items

E. CONTRACT / PR NO.

FD20301700657

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Failure Summary and Analysis Report

3. SUBTITLE

N/A

4. AUTHORITY

DI-SESS-80255A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

423 SCMS/GUMF

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

N/A

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: 04 FEB 2019DATE:

1. End Item and Component failure data shall be collected and recorded for each overhauled Gear Sweep Actuators. 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 replacement item Transducers, NSN 6685-01-182-8835SX, P/N 41SG16-5, minimum data requirements shall include:

a. Failed Item Serial or Lot number (if applicable)

b. Date of failure discovery

c. Failure Mode

d. Parts replaced

3. Additional failure data 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 e-mailed so as to arrive at 423 SCMS/GUMF no later than the tenth (10th) calendar day of the month following the reporting period.

BLOCK 14: E-mail to: edwin.mitchell@us.af.mil melodee.sharbutt.1@us.af.mil

COORDINATORS:

423 SCMS/GUEA 0 1 0

423 SCMS/GUMF 0 1 0

0 2 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

05 FEB 2019

I. APPROVED BY

//DIGITALLY SIGNED//

SHARBUTT.MELODEE.RENEE.1038750468

423 SCMS / GUMF 405-582-9055 / 852-9055

J. DATE

04 FEB 2019

Page 3 of 3DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 06 Feb 2019

PREVIOUS EDITION MAY BE USED.

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-1 / Multiple Items

E. CONTRACT / PR NO.

FD20301700657

F. CONTRACTOR

1. DATA ITEM NO.

B003

2. TITLE OF DATA ITEM

Failure Summary and Analysis Report

3. SUBTITLE

N/A

4. AUTHORITY

DI-SESS-80255A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

423 SCMS/GUMF

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

N/A

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: 04 FEB 2019DATE:

1. End Item and Component failure data shall be collected and recorded for each overhauled Gear Sweep Actuators. 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 replacement item Transducers, NSN 6685-01-182-8835SX, P/N 41SG16-5, minimum data requirements shall include:

a. Failed Item Serial or Lot number (if applicable)

b. Date of failure discovery

c. Failure Mode

d. Parts replaced

3. Additional failure data 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 e-mailed so as to arrive at 423 SCMS/GUMF no later than the tenth (10th) calendar day of the month following the reporting period.

BLOCK 14: E-mail to: edwin.mitchell@us.af.mil melodee.sharbutt.1@us.af.mil

COORDINATORS:

423 SCMS/GUEA 0 1 0

423 SCMS/GUMF 0 1 0

0 2 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

05 FEB 2019

I. APPROVED BY

//DIGITALLY SIGNED//

SHARBUTT.MELODEE.RENEE.1038750468

423 SCMS / GUMF 405-582-9055 / 852-9055

J. DATE

04 FEB 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-1 / Multiple Items

E. CONTRACT / PR NO.

FD20301700657

F. CONTRACTOR

1. DATA ITEM NO.

C003

2. TITLE OF DATA ITEM

Failure Summary and Analysis Report

3. SUBTITLE

N/A

4. AUTHORITY

DI-SESS-80255A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

423 SCMS/GUMF

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

N/A

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: 04 FEB 2019DATE:

1. End Item and Component failure data shall be collected and recorded for each overhauled Gear Sweep Actuators. 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 replacement item Transducers, NSN 6685-01-182-8835SX, P/N 41SG16-5, minimum data requirements shall include:

a. Failed Item Serial or Lot number (if applicable)

b. Date of failure discovery

c. Failure Mode

d. Parts replaced

3. Additional failure data 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 e-mailed so as to arrive at 423 SCMS/GUMF no later than the tenth (10th) calendar day of the month following the reporting period.

BLOCK 14: E-mail to: edwin.mitchell@us.af.mil melodee.sharbutt.1@us.af.mil

COORDINATORS:

423 SCMS/GUEA 0 1 0

423 SCMS/GUMF 0 1 0

0 2 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

05 FEB 2019

I. APPROVED BY

//DIGITALLY SIGNED//

SHARBUTT.MELODEE.RENEE.1038750468

423 SCMS / GUMF 405-582-9055 / 852-9055

J. DATE

04 FEB 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-1 / Multiple Items

E. CONTRACT / PR NO.

FD20301700657

F. CONTRACTOR

1. DATA ITEM NO.

D003

2. TITLE OF DATA ITEM

Failure Summary and Analysis Report

3. SUBTITLE

N/A

4. AUTHORITY

DI-SESS-80255A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

423 SCMS/GUMF

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

N/A

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: 04 FEB 2019DATE:

1. End Item and Component failure data shall be collected and recorded for each overhauled Gear Sweep Actuators. 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 replacement item Transducers, NSN 6685-01-182-8835SX, P/N 41SG16-5, minimum data requirements shall include:

a. Failed Item Serial or Lot number (if applicable)

b. Date of failure discovery

c. Failure Mode

d. Parts replaced

3. Additional failure data 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 e-mailed so as to arrive at 423 SCMS/GUMF no later than the tenth (10th) calendar day of the month following the reporting period.

BLOCK 14: E-mail to: edwin.mitchell@us.af.mil melodee.sharbutt.1@us.af.mil

COORDINATORS:

423 SCMS/GUEA 0 1 0

423 SCMS/GUMF 0 1 0

0 2 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

05 FEB 2019

I. APPROVED BY

//DIGITALLY SIGNED//

SHARBUTT.MELODEE.RENEE.1038750468

423 SCMS / GUMF 405-582-9055 / 852-9055

J. DATE

04 FEB 2019

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

TDP TM OTHER X

D. SYSTEM / ITEM

B-1 / Multiple Items

E. CONTRACT / PR NO.

FD20301700657

F. CONTRACTOR

1. DATA ITEM NO.

E003

2. TITLE OF DATA ITEM

Failure Summary and Analysis Report

3. SUBTITLE

N/A

4. AUTHORITY

DI-SESS-80255A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

423 SCMS/GUMF

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

N/A

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: 04 FEB 2019DATE:

1. End Item and Component failure data shall be collected and recorded for each overhauled Gear Sweep Actuators. 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 replacement item Transducers, NSN 6685-01-182-8835SX, P/N 41SG16-5, minimum data requirements shall include:

a. Failed Item Serial or Lot number (if applicable)

b. Date of failure discovery

c. Failure Mode

d. Parts replaced

3. Additional failure data 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 e-mailed so as to arrive at 423 SCMS/GUMF no later than the tenth (10th) calendar day of the month following the reporting period.

BLOCK 14: E-mail to: edwin.mitchell@us.af.mil melodee.sharbutt.1@us.af.mil

COORDINATORS:

423 SCMS/GUEA 0 1 0

423 SCMS/GUMF 0 1 0

0 2 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

05 FEB 2019

I. APPROVED BY

//DIGITALLY SIGNED//

SHARBUTT.MELODEE.RENEE.1038750468

423 SCMS / GUMF 405-582-9055 / 852-9055

J. DATE

04 FEB 2019

UPDATEDCDRLA003
UPDATEDCDRLB003
UPDATEDCDRLC003
UPDATEDCDRLD003
UPDATEDCDRLE003

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