SEMTEXCDRL.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 MISC

D. SYSTEM/ITEM

1375-01-486-9430

E. CONTRACT/PR NO.

FD2020-18-50265

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Ammunition Data Card (ADC)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80043B

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 7: The electronic receiving report shall be annotated with Lot Number, National Stock Number and Nomenclature. The electronic receiving report shall also be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The electronic receiving report shall be used only for this data item; do not combine other data item submittals with this requirement. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at: https://wawf.eb.mil

BLK 8: Within 30 calendar days of receipt, Government Engineer thru the Government Contracting Officer will respond with notice of approval/disapproval. If disapproved, Government Engineer response thru the Government Contracting Officer will include instruction for remediation.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only (Critical Technology)(Date of Contract Award). Other requests shall be referred to AFLCMC/EBHCC.

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, as amended (Title 50, U.S.C, App 2401 et seq.). Violations of these export laws are subject to severe criminal penalties. Dissemination of this document is controlled under DoD Directive 5230.25.

DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 10, 12, 13: Submit after successful Lot Acceptance Test and prior to delivery of each production lot. Submit within 30 calendar days after completion of each Lot Acceptance Test.

BLK 14: A sample ADC or "draft" will be generated and submitted using the Worldwide Ammunition-data Repository Program (WARP) system to ensure general format and content is acceptable. For the final submittals, two hard copies of ADCs shall be generated from the WARP.

One copy shall accompany items shipped, and the second copy submitted with the electronic receiving report via WAWF to AFLCMC/EBHCC. The final ammo data card shall be uploaded in WAWF under DoDAAC FA8213.

FOB DESTINATION

EBE 18-179-002(15-294-002)

Robert W. Morgan, Jr., AFLCMC/EBHEC, 777-5126

WAWF (BLK 16) 0 1 0

DoDAAC FA8213

Included with item(s) shipped

Sample ADC via

WARP sys only 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

morgan.robert.wesley.jr.1158190040

H. DATE

2018/06/28

I. APPROVED BY

hargrove.eric.v.1167016843

J. DATE

2018/06/28

18. ESTIMATED

TOTAL PRICE

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

17. PRICE GROUP