1769770_ATTACH.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 the 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

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

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

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

7. DD 250 REQ

8. APP CODE

16. REMARKS

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE Draft

b. COPIES

Final

Reg Repro

15. TOTAL

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.

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Page of Pages Adobe Professional 7.0

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

A001 Test/Inpsection Reports Government Testing

DI-NDTI-80809B 417 SCMS/CL

Y B 1

Per Contract Reqs

Per Contract Reqs

(Refer to AFMC Form 260 for test and report delivery addresses)

1. BLOCK 4: Contractor format acceptable. Paragraph 10.2.3.3 of DI-NDTI-80809B is clarified as follows:

a. All dimensions and tolerances specified on the manufacturing data shall be listed in one column with the actual corresponding reading obtained from the inspection of the parts listed in another column.

b. Materials utilized in the manufacture of "First Article" item shall be identified and certified along with a copy of material purchase requests as conforming to applicable data requirements.

c. Material processing, including finish requirements (plating, heat treatment, welding, inspecting, anodize, painting, etc.)

utilized in the manufacture of “First Article” item shall be identified and certified as conforming to applicable requirements. A copy of the purchase order certifying the process accomplished at other than contractor facility shall be included.

d. Other requirements as called out with the Technical Data Package.

2. BLOCK 9: Distribution authorized to U.S. Government Agencies only, test and evaluation, 9 June 2015. Other requests for this document shall be referred to 417 SCMS.

3. BLOCKS 10, 11, 12, and 13: Report to assist in “First Article” testing by the Air Force shall be submitted concurrently with the “First Article” item.

1 1

1See AFMC Form 260

Lori Grygier Lead IM, 417 SCMS/GUMD 20150609 20150609

A

First Article