CDRLs.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 0MB No. 0704-0 188

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 or 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 9MB control number. Please DO NOT RE1URN 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

A

C. CATEGORY:

MG T

TDP TM OTHER

M

D. SYSTEM/ITEM

Speed Brake, Aircraft

E. CONTRACT/PR NO.

FD2020-19-00266

F. CONTRACTOR

1. DATA ITEM NO.

AOO1

2. TITLE OF DATA ITEM

Management Plan

3. SUBTITLE

Integrated Master Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80004A/T

5. CONTRACT REFERENCE

SOW 2.1.1

6. REQUIRING OFFICE

416 SCMS/GUMBA

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

Iteg

Repro

16. REMARKS

Note: Changes to office symbols and/or email addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this

CDRL.

I. Block 4: Contractor format is acceptable using Microsoft Office 2013 compatible products or Portable Document Format (PDF).

2. Blocks 7, 8, 10, 11, 12, 13, 14:

a. The Contractor shall submit the DD Form 250 in conjunction with the Integrated Master Plan (IMP), to the following e-mail address:

travis.garnerus.af.mil

b. The Integrated Master Plan (IMP) shall be submitted no later than ninety (90) calendar days after contract award.

c. The U.S. Government will have ten (10) business days after receipt, to review and sign the DD Form 250 with approval or disapproval.

3. Block 9: The Distribution Statement, Export Control warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use. (May 2019). Other requests for this document shall be referred to (416 SCMS/GUMBA, Hill AFB, Ut. 84056-5826).

416 SCMS/ 1

GUMBA

602 iGum LN

Bldg. 1228 Hill AFB, UT 84056-5825

SEE BLK 16

15.TOTAL 0 1 0

G. PREPARED B:)Contraor D aManag

Kristin O'Dell )

H. DATE

I2'i I. APPROVED BY: g. Mgt. Specialist)

Travis Garner/j, J.DATE

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

0.00

DD FORM 1423-1, FEB 2001 PRES7IOUS EDITION MAY BE USED. Page 1 of 2 Pages

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

GA TOP TM OTHER M MT

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

Speed Brake, Aircrafl FD2020-19-00266

16. REMARKS (Continued)

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 JAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

LII) WKM 14Z-1, IIIS ZUU1 Page 2 of 2 Pages

Form Approved 0MB No. 0704-0 188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions searcjing existing data sources, gathering and maintaining the date needed, and completing and reviewing the collection of information. Send comments regarding thin 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 10701-01881, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 2220243O2. Respondents should be aware that notwithstanding any other provision of law no nerson shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid 0MB control number. Please DO NOT RE1'URI'J 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

A

C. CATEGORY: MGMT

TDP TM OTHER _____________________________

D. SYSTEM/ITEM

Speed Brake, Aircraft

E. CONTRACT/PR NO.

FD2020-19-00266

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Integrated Program Management Report (]IPMR)

3. SUBTITLE

Integrated Master Schedule (IMS)

4. AUTHORITY (Data Acquisit/on Document No.)

DI-MGMT-81861A/T

5. CONTRACT REFERENCE

sow 2.1.1

6. REQUIRING OFFICE

416 SCMS/GUMBA

7. DD 250 REQ

LT

9. 01ST STATEMENT

REQUIRED

j-

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

Reg

Repro

16. REMARKS

Note: Changes to office symbols and/or email addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this

CDRL.

1.Block4:

a. Contractor format is acceptable using Microsoft project format.

b. Only Paragraphs 3.7.1.3.1 and 3.7.1.3.3 of the Data Item Description (DID) DI-MGMT-81861A apply.

2. Blocks 7,8,10,11,12,13,14:

a. The Contractor shall submit a Letter of Transmittal and the Integrated Master Schedule (IMS), to the following e-mail address: travis.garner@us.af.mil

b. The Integrated Master Schedule (IlviS) shall be submitted no later than ninety (90) calendar days after contract award.

c. The U.S. Government will have ten (10) business days after receipt, to review and reply with approval or disapproval.

d. Subsequent updates to the IMS shall be submitted no later than the fifth (5) calendar day of the month, throughout the life of the delivery order.

3. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

416 SCMS/ 1

GUMBA

6021 Gum LN

Bldg. 1228 Hill AFB, UT 84056-5825

SEE BLK 16

15.TOTAL 0 1 0

G. PREPARED BY: (Contractor Data Manager)

Kristin O'DD'

H. DATE

Oi'1 I. APPROVED BY Log. M . Specialist)

Travis

J. DATE

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DDFORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 2' Pages

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

A TDP TM OTHER MGMT

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

Speed Brake, Aircraft FD2020- 19-00266

16. REMARKS (Continued)

a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use. (May 2019)). Other requests for this document shall be referred to (416 SCMS/GUMBA, Hill AFB, Ut. 84056-5826).

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 lAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200. 1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

LII) WKM 14Z-1, t ZOU1 Page 2 of 2 Pages

Form Approved 0MB No. 0704-0 188

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 arid reviewing the collection of information. Send comments regarding this burden estimate or any other aspect or 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, Sufte 1204, Arlington, VA 222Q2-4302. 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 0MB control number. Please DO NOT RE1'URN 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

A

C. CATEGORY: MGMT

TDP TM OTHER ______________________________

D. SYSTEMIITEM

Speed Brake, Aircraft

E. CONTRACT/PR NO.

FD2020-19-00266

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Monthly Status Report/Program Activities

4. AUTHORITY (Data Acqu/s/t/on Document No.)

DI-MGMT-80368A

5. CONTRACT REFERENCE

SOW 2.1.3/2.2.2

6. REQUIRING OFFICE

416 SCMS/GUMBA

7. DD 250 REQ

LT

9. 01ST STATEMENT

REQUIRED

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

Beg Repro

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: Contractor format is acceptable.

2. Blocks 7, 8, 14: The contractor shall submit a Letter ofTransmittal (LT) and the Monthly Status Report via e-mail to the following e-mail address:

travis.gamer@us.af.mil@us.af.mil

3. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administration or Operational Use). (May 2019). Other requests for this document shall be referred to (416 SCMS/GUMBA, Hill AFB, UT 84056-5826).

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:

b. EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 275 1, 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 lAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200. 1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

416 SCMS/ 1

GUMBA

6021 Gum Lane

Bldg. 1228 Hill AFB, UT

84056-5826

SEE BLK 16

15.TOTAL P 0 1 0

G. PREPARED BY ontractorDataMa

Kristin O'Dell ager) H. DATE iS yft Ii. APPROVED BY: (Log. Mgt. Specialist)

Travis Garner

J. DATE

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1', FEB 2001 PREViOUS EDITION MAY BE USED. Page 1 of 2 Pages

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

A TOP TM OTHER MGMT

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

Speed Brake, Aircraft FD2020-19-00266

16. REMARKS (Continued)

4. Blocks: 10,11, 12, 13:

a. The first Monthly Status Report shall be submitted 90 calendar days after Delivery Order award.

b. Subsequent reports shall be submitted on the 5th of the month with the as of date the last day of the proceeding month.

uu 1UM1V1 i'L-i, FLb ZOU1 Page 2 of 2 Pages

Form Approved 0MB No. 0704-0 188

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, includino suggestions for reducing the burden, to Department of Defense, Washinqton Headquarters Services, Directorate for Information Operations and Reports (0701-01881, T215 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 doesnot display a currently valid 0MB control number. Please DO NOT REfURN 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

A

C. CATEGORY:

TDP TM OTHER

MN

D. SYSTEM/ITEM

Speed Brake, Aircraft

E. CONTRACT/PR NO.

FD2020-19-00266

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Conference Agendas

3. SUBTITLE

Agendas

4. AUTHORITY (Data Acquisit/on Document Noj

DI-ADMN-81249B

5. CONTRACT REFERENCE

SOW 2.1.4.1

6. REQUIRING OFFICE

416 SCMS/GUMBA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

Reg Repro

16. REMARKS

Note: Changes to office symbols and/or email addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this

CDRL.

1. Block 4: Contractor format is acceptable.

2. Blocks: 7,10,11,12,13: The Contractor shall submit the Letter of Transmittal and Conference Agendas via e-mail no later than ten (10) business days prior to any meeting or conference: travis.garner@us.af.mil

3. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTATION STATEMENT 'D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use. (May 2019). Other requests for this document shall be referred to (416 SCMS/GTJMBA, Hill AFB, Ut. 84056-5826).

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:

416 SCMS/ 1

GUMBA

602 iGum LN Bldg. 1228

Hill AFB, UT

84056-5825

SEE BLK 16

15,TOTAL 0 1 0

G. PREPARED BY (Contr ctor Data Manager) stin O'Dell

H. DATE I. APPROVED BY: Log. Mgt. Specialist)

Travis Garnek(

J. DATE

f

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PR'EVIOUS EDITION MAY BE USED. Page 1 of 2' Pages

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

A TDP TM OTHER MN

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

Speed Brake, Aircraft FD2020- 19-00266

16. REMARKS (Continued)

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 JAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

LII) 10KM 14LJ-1, I-US ZOU1 Page 2 of 2 Pages

Form Approved 0MB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewinginStruCtions 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 (0701-01881, 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 sublect to any penalty for fatling to comply with a collection of information if t does not display a currently valid 0MB control number. Please DO NOT RE1'URN 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

A

C. CATEGORY:

ADMN

TOP TM OTHER _____________________________

D. SYSTEM/ITEM

Speed Brake, Aircraft

E. CONTRACT/PR NO.

FD2020-19-00266

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Presentation Material

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-8 1373

5. CONTRACT REFERENCE

SOW 2.1.4.1

6. REQUIRING OFFICE

416 SCMS/GUMBA

7. DO 250 REQ

LT

9. 01ST STATEMENT

REQUIRED

D

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

Reg

Repro

16.REMARKS

Note: Changes to office symbols and/or email addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this

CDRL.

1. Block 4: Contractor format is acceptable.

2. Blocks 7, 10,11,12,13: The Contractor shall submit the Letter of Transmittal and Presentation Material via e-mail no later than ten (10) business days prior to any meeting or conference: travis.garner@us.af.mil

3. Block 9: The Distribution Statement, Export Control warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use. (May 2019). Other requests for this document shall be referred to (416 SCMS/GUMBA, Hill AFB, Ut. 84056-5826).

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:

416 SCMS/ 1

GUMBA

602 iGum LN

Bldg. 1228

Hill AFB, UT

84056-5825

SEE BLK 16

15. TOTAL 0 1 0

G. PREPARED BY: (Cont actor Data Manager)

Kñstin O'Dell \j_)jj ' Q9

H. DATE

1VJg I. APPROVED BY7og. Mgt. Specialist)

Travis Garner

J.DATE

I

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREttJUS EDITION MAY BE USED. Page 1 of 2 Pages

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

A TDP TM OTHER ADMN

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

Speed Brake, Aircraft FD2020-19-00266

16. REMARKS (Continued)

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 JAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

uu ruiiivi i4L-i, Itb ZUUI Page 2 of 2 Pages

Form Approved 0MB No. 0704-0 188

The public reporting burden for this collection of information is estimated to average 110 hours per respopse, 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 regaroing 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 0701-01881, 1215 Jefferson Davis Highway. Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of aw no person shall be subject to any penalty for failing to comply with a collection of information if t does not display a currently valid 0MB control number. Please DO NOT RE1'URN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/FR No.

listed in Block B.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER __________________________________

D. SYSTEM/ITEM

Speed Brake, Aircraft

E. CONTRACT/PR NO.

FD2020- 19-00266

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Conference Minutes

3. SUBTITLE

Meeting Minutes

4. AUTHORITY (Date Acquisition Document No.)

DI-ADMN-81250B

5. CONTRACT REFERENCE

SOW 2.1.4.2

6. REQUIRING OFFICE

416 SCMS/GUMBA

7. DD 250 REQ

LT

9. 01ST STATEMENT

REQUIRED

rs

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

Rag Repro

16. REMARKS

Note: Changes to office symbols and/or email addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this

CDRL.

1. Block 4: Contractor format is acceptable.

2. Blocks: 7,10,11,12,13: The Contractor shall submit the Letter of Transmittal and Conference Minutes via e-mail no later than ten (10) business days following each meeting or conference: travis.garner@us.af.mil

3. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department ofDefense and U.S. DoD contractors only (Administrative or Operational Use. (May 2019). Other requests for this document shall be referred to (416 SCMS/GUMBA, Hill AFB, Ut. 84056-5826).

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:

416 SCMS/ 1

GUMBA

602 iGum LN

Bldg. 1228 Hill AFB, UT

84056-5825

SEE BLK 16

15.TOTAL 0 1 0

G. PREPARED BY: Contr ctor Data Manager)

Kristin O'Dell 0 H. DATE I. APPROVED BY: g. Mgt. Specialist)

Travis Gamer((

J. DATE

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PRE'IOUS EDITION MAY BE USED. Page 1 of 2 Pages

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

A TDP TM OTHER

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

Speed Brake, Aircraft FD2020- 19-00266

16. REMARKS (Continued)

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 lAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NTSPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

uu ruruvi iq.i- I, r uu I lage oT 2 h'ages

Form Approved 0MB 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, inc1uding suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports 10701-0188), 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 t does not display a currently valid 0MB control number. Please DO NOT RE1'URN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block B.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY: SESS

TDP TM OTHER ______________________________

D. SYSTEM/ITEM

Speed Brake, Aircraft

E. CONTRACT/PR NO.

FD2020-19-00266

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Configuration Audit Summary Report and Certification

3. SUBTITLE

Physical Configuration Audit (PCA)

4. AUTHORITY (Data Acqu/sition Document No.)

DI-SESS-81022D

5. CONTRACT REFERENCE

SOW 2.1.4.3

6. REQUIRING OFFICE

416 SCMS/GUMBA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

rs

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

Reg

Repro

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: Contractor format is acceptable.

2. Blocks 7, 8, 10, 11, 12, 13, 14: The contractor shall submit a Letter of Transmittal (LT) along with each Physical Configuration Audit (PCA) report no later than fifteen (15) calendar days after completion of the individual event.

Deliver via e-mail address: travis.gamer@us.af.mil

3. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTION STATEMENT "D': Distribution authorized to the Department ofDefense and U.S. DoD contractors only (Administration or Operational Use). (May 2019). Other requests for this document shall be referred to (416 SCMS/GUMBA, Hill AFB, UT 84056-5826).

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

416SCMS/ 1

GUMBA

6021 Gum Lane

Bldg. 1228 Hill AFB, UT 84056-5 826

SEE BLK 16

15.TOTAL 0 1 0

G. PREPARED BY: ( ontra or Data Manager)

Knstin O'Dell D H. DATE I. APPROVED BY: (Log. Mgt. Specialist)

Travis GarneJ

J. DATE

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of 2' Pages

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

A TOP TM OTHER SESS

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

Speed Brake, Aircraft FD2020-19-00266

16. REMARKS (Continued)

b. 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 JAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200. 1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

DD FORM 1423-1, FEB 2001 Page 2 of 2 Pages

Form Approved 0MB 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, qathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regaraing this burden estimate or any other aspect ol this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-01881, 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 t does not display a currently valid 9MB control number. Please DO NOT REtURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/FR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY:

SESS

TDP TM OTHER _____________________________

D. SYSTEM/ITEM

Speed Brake, Aircraft

E. CONTRACT/PR NO.

FD2020-19-00266

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Configuration Audit Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81646B

5. CONTRACT REFERENCE

SOW 2.1.4.3.1

6. REQUIRING OFFICE

416 SCMS/GUMBA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

Reg Repro

16. REMARKS

Note: Changes to office symbols and/or email addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this

CDRL.

1. Block 4: Contractor format is acceptable.

2. Blocks: 7,8,10,11,12,13,14:

a. The Configuration Audit Plan shall be submitted no later than ninety (90) calendar days after Contract award.

b. The Government will have ten (10) business days after receipt, to review and reply with approval or disapproval.

c. A Letter of Transmittal shall be sent along with the Configuration Audit Plan via e-mail address: travis.gamer@us.af.mil

3. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTATION STATEMENT 'D": Distribution authorized to the Department ofDefense and U.S. DoD contractors only (Administrative or Operational Use. (May 2019). Other requests for this document shall be referred to (416 SCMS/GUMBA, Hill AFB, Ut. 84056-5826).

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:

416 SCMS/ 1

GUMBA

6021 Gum LN

Bldg. 1228 Hill AFB, UT 84056-5825

SEE BLK 16

15.TOTAL 0 1 0

G. PREPARED BY: ( ntractor Data Mana r)

Knstin O'Dell 0' H. DATE I. APPROVED BY: (Log. Mgt. Secia1ist)

Travis Game2

J. DATE

a4tty ?c I

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS ED(TJON MAY BE USED. Page 1 of 2 Pages

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

A TDP TM OTHER SESS

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

Speed Brake, Aircraft FD2020- 19-00266

16. REMARKS (Continued)

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 JAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Form Approved 0MB 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 searc)iing existing data sources, gathering and maintaining the data needed, end completing end reviewing the collection of information. Send comments regarding this burden estimate or any other aspect or this collection of information, includinQ suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports 0701-0188), 1218 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of aw no person shall be sublect to any penalty for failing to comply with a collection of information if it does not display a currently valid 0MB control number. Please DO NOT RE1'URN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the ContractlpR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY: NDTI

TDP TM OTHER _____________________________

D. SYSTEM/ITEM

Speed Brake, Aircraft

E. CONTRACT/PR NO.

FD2020-19-00266

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

First Article Qualification Test Plan and Procedures

3. SUBTITLE

First Article Qualification Test Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-81307A1T

5. CONTRACT REFERENCE

SOW 2.2.1

6. REQUIRING OFFICE

416 SCMS/GUMBA

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

i-s if

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEEBLK16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

Reg Repro

16. REMARKS

Note: Changes to office symbols and/or email addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this

CDRL.

1.Block4:

a. Contractor format is acceptable.

b. Paragraph 3 (Content) ofDl-NDTI-81307A is clarified as follows:

1) The First Part Qualification Plan will detail how each part and assembly of the Aircraft Speed Brake will be certified for compliance with technical data requirements. The First Article Inspection (FAT) requirements for the parts shall be AS9 102 compliant. The Defense Contract Management Agency (DCMA) will provide oversight of contractor-run FAI at both the prime contractor facility and at any subcontractor facilities.

2) The First Part Qualification Plan to include procedure to performing (PCA) Reference MIL-HDBK-61A.

3) Vendor/Sub-Vendor qualification and verification process.

4) All vendors manufacturing CSI components must be approved by ESA prior to manufacture.

2. Blocks 7, 8, 10, 11, 12, 13, 14:

a. The Contractor shall submit the DD Form 250 with the First Article Qualification Test Plan via e-mail to the following address:

travis.gamer@us.af.mil

b. The First Article Qualification Test Plan shall be submitted no later than ninety (90) calendar days after contract award.

c. The Government will have ten (10) business days after receipt, to review and reply with approval or disapproval.

416 SCMS/ 1

GUMBA

6021 Gum LN Bldg. 1228

Hill AFB, UT

84056-5825

SEE BLK 16

15. TOTAL 0 1 0

G. PREPARED B':(Contrac rDataManager

Kristin O'Dell QI

H. DATE

I. APPROVED BY:( .Mgt. S ecialist)

Travis Gamer

J.DATE

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DD FORM 14'3-1, FEB 2001 PRIOUS EDITION MAY BE USED. Page 1 of 2 Pages

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

DTIA TOP TM OTHER N

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

Speed Brake, Aircraft FD2020-19-00266

16. REMARKS (Continued)

3. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRJBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use. (May 2019). Other requests for this document shall be referred to (416 SCMS/GUMBA, Hill AFB, Ut. 84056-5826).

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 JAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200. 1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

1)1) WUIVI Ii-i, I-tb ZUO1 Page 2 of 2 Pages

Form Approved 0MB No. 0704-0 188

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 regaraing 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 (0701-01881, 1218 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-43u2. 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 t does not display a currently valid 0MB control number. Please DO NOT RE1'URN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the ContractluR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY: NDTI

TOP TM OTHER ______________________________

D. SYSTEM/ITEM

SEE BLK 16

E. CONTRACT/PR NO.

FD2020-19-00266

F. CONTRACTOR

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

First Article Test Report

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B/T

5. CONTRACT REFERENCE

SOW 2.2.2

6. REQUIRING OFFICE

416 SCMS/GUMBA

7. DO 250 REQ

DD

9. 01ST STATEMENT

REQUIRED

B

10. FREQUENCY

OTIME

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

Reg Repro

16. REMARKS

Note: Changes to office symbols and/or email addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this

CDRL.

1. Block D: The contractor shall provide a First Article Test/Inspection Report (FAT) for each of the following Speed Brake, Aircraft NSNs:

a. NSN: 1560-00-588-4895FJ

b. NSN: 1560-00-611 -2016FJ

c. NSN: 1560-00-6 1 1 -2020FJ

d. NSN: 1560-00-588-4892FJ

2. Block 4: Paragraph 10.1 of DI-NDTI-80809B is clarified as follows:

a. Format shall be in the same format as Forms, 1, 2 and 3 ofAS9102 Appendix A and shall contain all fields. All forms must require the same information as the forms provided and must be numbered with the same box number.

b. A59102 Form 3 Box 14 is an optional field for the user to add columns and information that are in addition to the requirements of the standard. Since it is optional and at the Contractor discretion, Contractor may add columns and title for those colunms as the Contractor sees fit. Contractor may not arrange or change any other portion of the form. All forms shall be completed either electronically or in permanent ink.

c. The Contractor may use attachments to any form if more space is needed but the same form layout must be followed.

d. All signature and date blocks must contain names and dates; references to electronic signatures and dates are not allowed.

Paragraph 10.2 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 part listed in another column.

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

SEE BLK 16 1

15.TOTAL 0 1 0

G. PREPARED BY: (Contractor Data Manager)

Knstin O'Dell

H. DATE

)5

I. APPROVED BY: g. Mgt. Specialist)

Travis Game

J. DATE

i

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

0.00

DD FORM 1431, FEB 2001 PRE'AOUS EDITION MAY BE USED. Page 1 of 2

Pages

A. CONTRACT LINE ITEM NO. B. EXI-IlBIT C. CATEGORY:

A TDP TM OTHER NDTI

D. SYSTEM/ITEM E. CONTRACTIPR NO. F. CONTRACTOR

SEE BLK 16 FD2020-19-00266

16. REMARKS (Continued)

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 on Engineering Data Requirement (OO-ALC Form 462).

e. The Inspection Report shall contain the results from the FAT and/or Partial FAT of each individual component(s) as required by AS9102. The report shall also include the following:

-Verification of the CSI Critical Characteristics and defined in A3G-20 16-185485 -All Coupon Test Results from composite Bondings and Forgings -Verification of Outer Mold Line for all Aircraft Speed Brake components -Configuration Management Verification (Physical Configuration Audit). Reference MIL-HDBK-61A

3. Blocks 7, 10,11,12,13,14:

a. For Contractor Testing- submit TAW current delivery schedule.

b. For Government Testing- Report to assist in "First Article" testing by the Air Force shall be submitted concurrently with the "First Article" item either in the packaging of the shipping container or separately if the report will not fit within the container packaging unfolded. When shipped in the "First Article" container, the report shall be enclosed in a paper or plastic envelope.

c. SHIP TO: Non-Accountable Bay Transportation Officer Building 849 West Hill AFB, UT 84056-5999

MARK FOR: 809 MXSS/MXDEB

7278 4th Street (Bldg. 100, Bay D) Hill AFB, UT 84056-5205

NOTE: If report is shipped separate from "First Article" item, send report to "MARK FOR" address listed above.

d. Contractor shall deliver the Test/Inspection Report via e-mail to the following e-mail address: travis.garner@us.af.mil

Block 9: DISTRIBUTION STATEMENT "B" Distribution authorized to U.S. Government agencies only. (Test & Evaluation) (May 2019). Other requests for this document shall be referred to (416 SCMS/GUMBA, Hill AFB, UT 84056-5825).

EXPORT CONTROL WARNTNG: 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 JAW provisions ofDoD Directive 5230.25.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200. 1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

liD FOKM 14Z-1, FEI3 ZUOl Page 2 of 2 Pages

Form Approved 0MB No. 0704-0 188

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 oerson shall be sublect to any penalty for failing to comply with a collection of information if it does not display a currently valid 0MB control number. Please DO NOT RE/URN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block B.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY: MG

TOP TM OTHER

MT

D. SYSTEM/ITEM

Speed Brake, Aircraft

E. CONTRACT/PR NO.

FD2020-19-00266

F. CONTRACTOR

1. DATA ITEM NO.

AOl 1

2. TITLE OF DATA ITEM

Manufacturing Non-Conformance Report

3. SUBTITLE

Material Review Board (MRB) Process

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81937

5. CONTRACT REFERENCE

SOW 2.4.1

6. REQUIRING OFFICE

416 SCMS/GUMBA

7. DD 250 REQ

DD

9. 01ST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

ASREQ

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft Final

Reg Repro

16. REMARKS

Note: Changes to office symbols andlor email addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to this

CDRL.

1. Block 4: Contractor format is acceptable.

2. Blocks 7, 8, 14:

a. The Contractor shall submit the DD Form 250 in conjunction with the Manufacturing Non-Conformance Report, to the following e-mail address:

travis.garnerus.af.mil

b. The U.S. Government will have five (5) business days after receipt, to review and sign the DD Form 250 with approval or disapproval.

3. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use. (May 2019). Other requests for this document shall be referred to (416 SCMS/GUMBA, Hill AFB, Ut. 84056-5826).

416 SCMS/ 1

GUMBA

602 iGum LN Bldg. 1228

Hill AFB, UT 84056-5825

SEE BLK 16

15.TOTAL P 0 1 0

G. PREPARED BY: Contr tor Data Man er)

Knstin O'Dell

H. DATE I. APPROVED BY: g. Mgt. Specialist)

Travis Garner0 J. DATE

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PRaVIOUS EDITION MAY BE USED. Page 1 of 2 Pages

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

A TDP TM OTHER MGMT

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

Speed Brake, Aircraft FD2020-19-00266

16. REMARKS (Continued)

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 lAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE: For classified documents, follow the procedures, in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

DD FORM 1423-1. FEB 2001 PaaA ') nf ') Pint

Form Approved 0MB No. 0704-0 188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewinginstructions searc!,ing existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.