CDRL 82128 GFM Monthly Req Inventory Report.pdf

PDF 167 KB Posted

Attached to
F-15 Shimmy Damper Actuator Remanufacture
Solicitation number
FA8203-24-R-0004
Issued by

About this file

This document is a Contract Data Requirements List (CDRL) that specifies the monthly reporting requirements for the Contract Government Furnished Material (GFM) Requisition and Inventory Report. The report must be submitted within 10 business days after the end of each month, providing current data as of the last day of the reporting period. The report should be distributed to the specified email addresses at the 417th Supply Chain Management Squadron (SCMS) and the Government Contracting Officer/Administrative Contracting Officer. The report is Distribution Statement D, limited to the Department of Defense and DoD contractors. Pricing for this CDRL item is not separately priced.

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

Page of Pages

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER:

DSYSTEMITEM:

E_CONTRACTPR_NO:

FCONTRACTOR:

16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

Page2: 2 of_pages:

Reset:

xtm: Off
1_DATA_ITEM_NO: A/B/C/D/E009
2_TITLE_OF_DATA_ITEM: Contract Government Furnished Material (GFM) Monthly Requisition and Inventory Report
3_SUBTITLE: Requisition and Inventory Report
4_AUTHORITY_Data_Acquisit: DI-MGMT-82128
5_CONTRACT_REFERENCE: SOW
6_REQUIRING_OFFICE:
7_DID_250_REQ: LT
8_APP_CODE: N/A
DIST_STATEMENT: D
10_FREQUENCY: MONTHLY
11_AS_OF_DATE: SEE BLK 16
12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16
13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16
addressee1: 417 scms
draft1:
reg1: 1
repro1:
addressee2: 6040 gum lane
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addressee3: bldg 1216
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addressee4: hill afb UT
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addressee5: 84056-5689
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addressee6: Attn: Tawny Gallegos
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total_draft: 0
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16_REMARKS: NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

1. Block 4: All reporting shall be in the English Language.

2. Block 7, 14: Submit the Requisition and Inventory Reports to the following email address:

julie.hess@us.af.mil; darin.price.2@us.af.mil tawny.gallegos@us.af.mil

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only Administrative or Operational Use. (February 2019). Other requests for this document shall be referred to (417 SCMS/GUMD.

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE : For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17. For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3 Paragraph 17.

4. Blocks 10, 11, 12, 13:

a. Data shall be current as of the last date of the reporting period (end of the month)

b. The first report shall be submitted no later than ten (10) business days after the close of the first reporting period (previous month's last calendar date).

c. Subsequent reports shall be submitted no later than ten (10) business days of the close of the reporting period (previous month's last calendar date).

17_PRICE_GROUP: NSP
ESTIMATED_TOTAL_PRICE: 0.00
H_DATE:
J_DATE: 5-Sept-2024
Page: 1
reg38t: 1
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT: A/B/C/D/E
xTDP: Off
OTHER:
DSYSTEMITEM:
E_CONTRACTPR_NO:
FCONTRACTOR:
of_pages: 1
Reset:
2024-09-05T13:39:41-0600
GALLEGOS.TAWNY.JEAN.1504119501

File details come from the government source that posted it. Updated .