CDRL.pdf
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- Guided Missiles
- Solicitation number
- FA8119--1-6--R-0034
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Contract Data Requirements List
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| File | Type | Posted |
|---|---|---|
| PWSupdated.pdf | ||
| FA811916R0034_______0002.pdf | ||
| FA811916R0034_______0001.pdf | ||
| DID81832.pdf | ||
| FA811916R0034.pdf | ||
| CAVAFstatementOfWork.pdf | ||
| DIDS.pdf | ||
| DID81634C.pdf | ||
| DID81534.pdf | ||
| PACKAGING.pdf | ||
| DID80798B.pdf | ||
| PWS.pdf | ||
| ItemDescription.pdf | ||
| TRANSPORTATION.pdf | ||
| GFPAttachment.pdf |
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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
ALCM / Inertial Measurement
E. CONTRACT / PR NO.
FD20301700005
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Calibration Certification
3. SUBTITLE
N/A
4. AUTHORITY
DI-QCIC-80798B
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS paragraph 1.7.4
6. REQUIRING OFFICE
424 SCMS/GUMA
7. DD 250 REQ
NO
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
11. AS OF DATE
N/A
12. DATE OF FIRST
SUBMISSION
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Zilar, Dale NNAME: 18 MAR 2016DATE:
Block 10: Upon ACO request.
Support equipment calibration requirements. The Contractor shall ensure documentation certifying the accuracy of all calibrated SE is made available to the ACO prior to work performed. The Contractor shall ensure SE calibration is maintained throughout performace of this contract. Upon request, the Contractor shall provide certification documents to the ACO for each SE item as follows:
a. SE part number and serial number
b. Date calibrated
c. Calibration due date
d. Calibration source
e. Calibration procedure used
f. Before and after calibration data
g. Facsimile of the current stamped calibration sticker affixed to SE item
h. Verification of full performance compliance IAW this PWS for SE items not requiring calibration.
i. Traceability to the National Institute of Standards and Technology
Block 14A: 424SCMS.Workflow@us.af.mil , Attention: 424 SCMS/GUMA
COORDINATORS:
424 SCMS/GUMA 0 1 0
0 1 015. TOTAL
G. PREPARED BY
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
H. DATE
21 MAR 2016
I. APPROVED BY
//DIGITALLY SIGNED//
BARROW.DANAE.L.1473526073
424 SCMS / GUMA 405-739-2243 / 339-2243
J. DATE
18 MAR 2016
Page 1 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 May 2016
PREVIOUS EDITION MAY BE USED.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
ALCM / Inertial Measurement
E. CONTRACT / PR NO.
FD20301700005
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
Commercial Asset Visibility AF (CAV AF) End Item Reporting
3. SUBTITLE
CAV AF
4. AUTHORITY
DI-MGMT-81634C
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS/SOW
6. REQUIRING OFFICE
424 SCMS/GUMA
7. DD 250 REQ
NO
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
N/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: 18 MAR 2016DATE:
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 421 SCMS/GUNA in order to ascertain production status.
2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0.1 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 848 SCMG/SRM, (405) 734-7171.
4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.
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.
COORDINATORS:
OC-ALC 0 1 0
0 1 015. TOTAL
G. PREPARED BY
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
H. DATE
21 MAR 2016
I. APPROVED BY
//DIGITALLY SIGNED//
BARROW.DANAE.L.1473526073
424 SCMS / GUMA 405-739-2243 / 339-2243
J. DATE
18 MAR 2016
Page 2 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 May 2016
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
ALCM / Inertial Measurement
E. CONTRACT / PR NO.
FD20301700005
F. CONTRACTOR
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
Engineering Change Proposal (ECP)
3. SUBTITLE
ECP
4. AUTHORITY
DI-SESS-80639D
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS paragraph 1.10.2
6. REQUIRING OFFICE
424 SCMS/GUMA
7. DD 250 REQ
NO
8. APP CODE
A
9. DIST STATEMENT
REQUIRED
C
10. FREQUENCY
ASREQ
11. AS OF DATE
N/A
12. DATE OF FIRST
SUBMISSION
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A
a. ADDRESSEE
Draft Final
ReproReg
b. COPIES
14. DISTRIBUTION
16. REMARKS
Zilar, Dale NNAME: 18 MAR 2016DATE:
Block 7: All inspection and acceptance shall be at destination utilizing iRAPT (formerly WAWF). A combination of an invoice and receiving report shall be submitted through iRAPT in order to receive payment for data reports.
Block 8: The Government will have 10 days after receipt for approval or disapproval. The contractor shall have 5 days after receipt of the Government comments to resubmit.
Block 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors.
Other requests for this document shall be referred to 424 SCMS/GUMA.
Block 14A: All submission shall be provided as an electronically editable, machine-readable Comma Separated Values (CSV) text file with alphanumeric fields enclosed in double quotation marks made available via electronic-mail to:
424SCMS.Workflow@us.af.mil Attention: 424 SCMS/GUMA
COORDINATORS:
424 SCMS/GUMA 0 1 0
0 1 015. TOTAL
G. PREPARED BY
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
H. DATE
21 MAR 2016
I. APPROVED BY
//DIGITALLY SIGNED//
BARROW.DANAE.L.1473526073
424 SCMS / GUMA 405-739-2243 / 339-2243
J. DATE
18 MAR 2016
Page 3 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 May 2016
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
ALCM / Inertial Measurement
E. CONTRACT / PR NO.
FD20301700005
F. CONTRACTOR
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Bill Of Material (BOM) for Diminishing Manufacturing Sources and Material Shortages (DMSMS) Management
3. SUBTITLE
N/A
4. AUTHORITY
DI-PSSS-81656A
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS paragraph 1.10.4
6. REQUIRING OFFICE
424 SCMS/GUMA
7. DD 250 REQ
NO
8. APP CODE
N/A
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
SEMIA
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: 18 MAR 2016DATE:
Block 7: All inspection and acceptance shall be at destination utilizing iRAPT (formerly WAWF). A combination of an invoice and receiving report shall be submitted through iRAPT in order to receive payment for data reports.
Block 10. Frequency: Every 6 months.
Blocks 11-13: The first report shall be submitted within 5 calendar days of the contractor's discovery that one or more of the components or materials intended to be incorporated directly into an end item specified to be delivered under the delivery order or contract is a DMSMS component, the contractor shall notify the contracting officer in writing.
Block 14A: All submission shall be provided as an electronically editable, machine-readable Comma Separated Values (CSV) text file with alphanumeric fields enclosed in double quotation marks made available via electronic-mail to:
424SCMS.Workflow@us.af.mil Attention: 424 SCMS/GUMA
COORDINATORS:
424 SCMS/GUMA 0 1 0
0 1 015. TOTAL
G. PREPARED BY
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
H. DATE
21 MAR 2016
I. APPROVED BY
//DIGITALLY SIGNED//
BARROW.DANAE.L.1473526073
424 SCMS / GUMA 405-739-2243 / 339-2243
J. DATE
18 MAR 2016
Page 4 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 May 2016
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
ALCM / Inertial Measurement
E. CONTRACT / PR NO.
FD20301700005
F. CONTRACTOR
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
Counterfeit Prevention Plan (CPP)
3. SUBTITLE
N/A
4. AUTHORITY
DI-MISC-81832
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS paragragh 1.11.2
6. REQUIRING OFFICE
424 SCMS/GUMA
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
Zilar, Dale NNAME: 18 MAR 2016DATE:
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 (FA8119)
CONTRACTOR FORMAT ACCEPTABLE UNLESS OTHERWISE DEFINED BY APPLICABLE DATA ITEM
DESCRIPTION (DID).
DID Requirements are NOT tailored.
Delivery CANNOT be deferred.
COORDINATORS:
424 SCMS/GUEA 0 1 0
0 1 015. TOTAL
G. PREPARED BY
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
H. DATE
21 MAR 2016
I. APPROVED BY
//DIGITALLY SIGNED//
BARROW.DANAE.L.1473526073
424 SCMS / GUMA 405-739-2243 / 339-2243
J. DATE
18 MAR 2016
Page 5 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 May 2016
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
ALCM / Inertial Measurement
E. CONTRACT / PR NO.
FD20301700005
F. CONTRACTOR
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM
Conference Agenda
3. SUBTITLE
N/A
4. AUTHORITY
DI-ADMN-81249A
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS paragraph 1.4.3
6. REQUIRING OFFICE
424 SCMS/GUMA
7. DD 250 REQ
NO
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: 18 MAR 2016DATE:
Block 7: All inspection and acceptance shall be at destination utilizing iRAPT (formerly WAWF). A combination of an invoice and receiving report shall be submitted through iRAPT in order to receive payment for data reports.
BLOCK 11: To be determined
Block 12: Once meetings/reviews are scheduled, Contractor to provide agenda within 5 days of event.
Blocks 13: To be determined
Block 14A: All submission shall be provided as an electronically editable, machine-readable Comma Separated Values (CSV) text file with alphanumeric fields enclosed in double quotation marks made available via electronic-mail to:
424SCMS.Workflow@us.af.mil Attention: 424 SCMS/GUMA
COORDINATORS:
424 SCMS/GUMA 0 1 0
0 1 015. TOTAL
G. PREPARED BY
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
H. DATE
21 MAR 2016
I. APPROVED BY
//DIGITALLY SIGNED//
BARROW.DANAE.L.1473526073
424 SCMS / GUMA 405-739-2243 / 339-2243
J. DATE
18 MAR 2016
Page 6 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 May 2016
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
ALCM / Inertial Measurement
E. CONTRACT / PR NO.
FD20301700005
F. CONTRACTOR
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM
Presentation Material
3. SUBTITLE
N/A
4. AUTHORITY
DI-ADMN-81373
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS paragraph 1.4.3
6. REQUIRING OFFICE
424 SCMS/GUMA
7. DD 250 REQ
NO
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: 18 MAR 2016DATE:
Block 7: All inspection and acceptance shall be at destination utilizing iRAPT (formerly WAWF). A combination of an invoice and receiving report shall be submitted through iRAPT in order to receive payment for data reports.
Blocks 11: To be determined
Block 12: Once meetings/reviews are scheduled, Contractor to provide presentation material within 5 days of event.
Block 13: To be determined
Block 14A: All submission shall be provided as an electronically editable, machine-readable Comma Separated Values (CSV) text file with alphanumeric fields enclosed in double quotation marks made available via electronic-mail to:
424SCMS.Workflow@us.af.mil Attention: 424 SCMS/GUMA
COORDINATORS:
424 SCMS/GUMA 0 1 0
0 1 015. TOTAL
G. PREPARED BY
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
H. DATE
21 MAR 2016
I. APPROVED BY
//DIGITALLY SIGNED//
BARROW.DANAE.L.1473526073
424 SCMS / GUMA 405-739-2243 / 339-2243
J. DATE
18 MAR 2016
Page 7 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 May 2016
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
ALCM / Inertial Measurement
E. CONTRACT / PR NO.
FD20301700005
F. CONTRACTOR
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM
Conference Minutes
3. SUBTITLE
N/A
4. AUTHORITY
DI-ADMN-81250A
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS paragraph 1.4.3
6. REQUIRING OFFICE
424 SCMS/GUMA
7. DD 250 REQ
NO
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: 18 MAR 2016DATE:
Block 7: All inspection and acceptance shall be at destination utilizing iRAPT (formerly WAWF). A combination of an invoice and receiving report shall be submitted through iRAPT in order to receive payment for data reports.
Block 10: To be determined
Block 11: To be determined
Block 12: Contractor to provide report 5 days after meetings/reviews.
Block 13: To be determined
Block 14: All submission shall be provided as an electronically editable, machine-readable Comma Separated Values (CSV) text file with alphanumeric fields enclosed in double quotation marks made available via electronic-mail to:
424SCMS.Workflow@us.af.mil Attention: 424 SCMS/GUMA
COORDINATORS:
424 SCMS/GUMA 0 1 0
0 1 015. TOTAL
G. PREPARED BY
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
H. DATE
21 MAR 2016
I. APPROVED BY
//DIGITALLY SIGNED//
BARROW.DANAE.L.1473526073
424 SCMS / GUMA 405-739-2243 / 339-2243
J. DATE
18 MAR 2016
Page 8 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 May 2016
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
ALCM / Inertial Measurement
E. CONTRACT / PR NO.
FD20301700005
F. CONTRACTOR
1. DATA ITEM NO.
A009
2. TITLE OF DATA ITEM
Teardown Deficiency Report
3. SUBTITLE
TDR
4. AUTHORITY
DI-ALSS-81534
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
N/A
6. REQUIRING OFFICE
424 SCMS/GUMA
7. DD 250 REQ
NO
8. APP CODE
N/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: 26 JUN 2014DATE:
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, 11, 12, and 13: To be negotiated on call by demand.
COORDINATORS:
424 SCMS/GUMA 0 1 0
0 1 015. TOTAL
G. PREPARED BY
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
H. DATE
21 MAR 2016
I. APPROVED BY
//DIGITALLY SIGNED//
BARROW.DANAE.L.1473526073
424 SCMS / GUMA 405-739-2243 / 339-2243
J. DATE
18 MAR 2016
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER X
D. SYSTEM / ITEM
ALCM / Inertial Measurement
E. CONTRACT / PR NO.
FD20301700005
F. CONTRACTOR
1. DATA ITEM NO.
A010
2. TITLE OF DATA ITEM
Program Progress Report
3. SUBTITLE
N/A
4. AUTHORITY
DI-MGMT-80555A
(Data Acquisition Document No.) 5. CONTRACT REFERENCE
PWS
6. REQUIRING OFFICE
424 SCMS/GUMA
7. DD 250 REQ
NO
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: 18 MAR 2016DATE:
The Contractor shall report a work summary to include failures/ failure modes below and design/build of the INE Test Stands to the Government.
1. Failed part name
2. Failed part number (NSN)
3. Subassembly name and number
4. Major assembly name and number
5. Equipment name and number
6. Repair action (what has been removed/ replaced)
7. Failure mode description at the component level (Why the component was failed)
424 SCMS/GUMA 0 1 0
0 1 015. TOTAL
Page 9 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 May 2016
Block 11: As of End of Each Month
Block 12: First report to be submitted one (1) month after beginning of repair.
Block 14A: All submission shall be provided as an electronically editable, machine-readable Comma Separated Values (CSV) text file with alphanumeric fields enclosed in double quotation marks made available via electronic-mail to:
424SCMS.Workflow@us.af.mil Attention: 424 SCMS/GUMA
COORDINATORS:
G. PREPARED BY
Zilar, Dale N
424 SCMS / GUBAA
405-736-7976
H. DATE
21 MAR 2016
I. APPROVED BY
//DIGITALLY SIGNED//
BARROW.DANAE.L.1473526073
424 SCMS / GUMA 405-739-2243 / 339-2243
J. DATE
18 MAR 2016
Page 10 of 10DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 11 May 2016
File details come from the government source that posted it. Updated .