CDRLs.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

1377013366648ES*

E. CONTRACT/PR NO.

FD2020-19-50047

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/EBHJ

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

B

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 the

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 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies only, (Administrative/Operational Use) (Date of

Contract Award).Other requests shall be referred to AFLCMC/EBHJ.

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. Violation of these export-control laws is subject to severe criminal penalties. Dissemination of this document is controlled under DoD Directives 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.

BLK 14: A sample ADC or "draft" will be generated and submitted for each part number/NSN produced under this contract using the Worldwide

Ammunition-data Repository Program (WARP) system to ensure general format and content is acceptable prior to final ADC submittals.

Sufficient hard copies of final version ADCs shall be generated for each individual production lot from the Worldwide Ammunition-data

Repository Program (WARP) such that at least one hard copy per production lot shall be provided with each individual CLIN shipment/destination. An electronic copy for each production lot shall be submitted/uploaded with the electronic receiving report through WAWF to AFLCMC/EBHJ using DoDAAC FA8213.

*1377016319588ES, 1377016319582ES.

FOB DESTINATION

EBH 18-145-002

Terry McCurdy, AFLCMC/EBHE, 586-0535

WAWF 0 1 0

DoDAAC, FA8213

Included with item(s) shipped

Sample ADC via

WARP sys only

15. TOTAL 0 1 0

G. PREPARED BY

mccurdy.terry.d.1075978215

H. DATE

2018/05/29

I. APPROVED BY

hargrove.eric.v.1167016843

J. DATE

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 10 Pages

17. PRICE GROUP

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

TDP TM OTHER SESS

E. CONTRACT/PR NO.

A002

2. TITLE OF DATA ITEM

Engineering Change Proposal (ECP)

DI-SESS-80639D

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Format shall be in accordance with paragraph 2 of Data Item

Description. Data delivery description for content of Engineering

Change Proposal (via DD Form 1692) shall be in accordance with EIA-

649-1 and EIA-649.

BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 8: Within 30 days of receipt, the Government engineer thru the

Government contracting officer will respond with notification of approval/disapproval. If disapproved, Government engineer response thru the Government contracting officer will include instruction for remediation. Notification of approval of the proposed engineering change shall be by signed contract modification.

Contract Award). Other requests for this document shall be referred to AFLCMC/EBHJ.

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. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE--Destroy by any method that will prevent

BLK 14: Submit reports electronically via e-mail in Microsoft Office or PDF format to the following e-mail recipients listed below. Refer to contract for e-mail address of the government contracting officer

(AFLCMC/EBHKB).

robert.morgan.27@us.af.mil (AFLCMC/EBHE)

AFLCMC/EBHJ 1 1 0

AFLCMC/EBHEC 1 1 0

AFLCMC/EBHKB 1 1 0

DCMA/QAR 1 1 0

DCMA/ACO 1 1 0

15. TOTAL 5 5 0

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 10 Pages

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

E. CONTRACT/PR NO.

A003

2. TITLE OF DATA ITEM

Notice of Revision (NOR)

DI-SESS-80642D

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Format shall be in accordance with paragraph 2 of Data Item

Description. Data delivery description for content of Engineering

Change Proposal (via DD Form 1692) shall be in accordance with EIA-

649-1 and EIA-649.

submittal of data. The Letter of Transmittal shall be used only for

BLK 8: Within 30 days of receipt, the Government engineer thru the

Government contracting officer will respond with notification of approval/disapproval. If disapproved, Government engineer response thru the Government contracting officer will include instruction for remediation. Notification of approval of the proposed engineering change shall be by signed contract modification.

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

AFLCMC/EBHKB 1 1 0

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 10 Pages

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

E. CONTRACT/PR NO.

A004

2. TITLE OF DATA ITEM

Request for Variance (RFV)

DI-SESS-80640D

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Format shall be in accordance with paragraph 2 of Data Item

Description. Data delivery description for content of Request for

Variance (via DD Form 1694) shall be in accordance with EIA-649-1 and

EIA-649.

submittal of data. The Letter of Transmittal shall be used only for

BLK 8: Government engineer will perform review of the RFV. Within 30 days of receipt, the Government engineer thru the Government contracting officer will respond with notification of approval/disapproval. If disapproved, Government engineer response thru the Government contracting officer will include instruction for remediation. Notification of approval shall be signed contract modification (AFLCMC/EBHKB).

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 in accordance with provisions of DoD Directive 5230.25.

AFLCMC/EBHKB 1 1 0

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 4 of 10 Pages

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

TDP TM OTHER QCIC

E. CONTRACT/PR NO.

A005

2. TITLE OF DATA ITEM

Lot Acceptance Test Plan

DI-QCIC-80553A

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

ASREQ

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 7: The electronic receiving report shall be annotated with the

Lot Number, National Stock Number and Nomenclature. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at:

https://wawf.eb.mil. The electronic receiving report shall be used only for this data item, do not combine other data item submittals with this requirement.

BLK 8: Comments/approval/disapproval will be submitted within 30 working days of receipt by AFLCMC/EBHJ.

Government agencies (Administrative/Operational Use) (Date of 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 in accordance with provisions of DoD Directive 5230.25.

BLK 10,11, 12, 13: The contractor shall provide a Acceptance Test

Plan after contract award and at least 90 days prior to Lot

Acceptance Testing allowing for 30 day approval time. No changes to previously approved government Acceptance Test Plans shall be made without prior notification of AFLCMC/EBHJ. Engineering approval in accordance with Airmunitions Specification.

BLK 14: Report shall be in Microsoft Office software or PDF format.

Submit through WAWF, DoDAAC, FA8213.

DoDAAC,FA8213

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 5 of 10 Pages

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

TDP TM OTHER NDTI

E. CONTRACT/PR NO.

A006

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

Lot Acceptance Test

DI-NDTI-80809B

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable.

BLK 7: The electronic receiving report shall be annotated with the

Lot Number, National Stock Number and Nomenclature. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at:

https://wawf.eb.mil. The electronic receiving report shall be used only for that data item; do not combine other data item submittals

Government agencies only (Administrative/Operational Use) (Date of

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

BLK 10,12,13: Submit within 30 calendar days after completion of each Lot Acceptance Test.

BLK 14: Test plan shall be in Microsoft Office software or PDF format. Submit through WAWF, DoDAAC, FA8213.

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 6 of 10 Pages

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

E. CONTRACT/PR NO.

A007

2. TITLE OF DATA ITEM

Failure Summary & Analysis Report

DI-SESS-80255A

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor's format required for both the Preliminary and

Final report.

submittal of data. The Letter of Transmittal shall be used only for requirement

BLK 8: Comments/approval/disapproval will be submitted within 30 calendar days after receipt by AFLCMC/EBHJ.

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

BLK 14: Report shall be in Microsoft Office software or PDF format.

Submit via e-mail to cognizant Hill AFB Contracting Officer.

Contr. Officer 0 1 0

Hill AFB, UT

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 7 of 10 Pages

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

TDP TM OTHER PSSS

E. CONTRACT/PR NO.

A008

2. TITLE OF DATA ITEM

Bill of Materials (BOM) for Diminishing Manufacturing

Sources & Material Shortag

DI-PSSS-81656B

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

N/A

Reg Repro

16. REMARKS

BLK 4: Format and content shall be in accordance with paragraphs 1 and 2 of the Data Item Description.

BLK 7: Receiving report shall be submitted electronically via the internet through Wide Area Work Flow (WAWF) at: https://wawf.eb.mil under DoDAAC FA 8213.

Contract Award). Other requests shall be referred to AFLCMC/EBHJ.

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

BLK 14: Submit reports electronically in Microsoft Office software or

PDF format to e-mail recipient(s) listed below. Refer to contract for e-mail address of the Government Contracting Officer

(AFLCMC/EBHKA).

michael.covert@ us.af.mil (AFLCMC/EBHJ)

WAWF 1 1 0

AFLCMC/EBHKB 0 1 0

15. TOTAL 2 3 0

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 8 of 10 Pages

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

TDP TM OTHER MGMT

E. CONTRACT/PR NO.

A009

2. TITLE OF DATA ITEM

Report of Receipts, Inventory, Adjustments and

Shipments of Government Property

3. SUBTITLE

Contractor Possessed Munitions Report

DI-MGMT-80442

AIRMUNITIONS SPECIFICATION

6. REQUIRING OFFICE

AFLCMC/EBHJ

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

BLK16

12. DATE OF FIRST SUBMISSION

BLK16

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

BLK16

Reg Repro

16. REMARKS

BLK 4: Data Item Description (DID) DI-MGMT-80442 will be used to report on-hand inventory only. Receipt and shipment transactions, and adjustments will not be reported. In reference to DID para 10.1, format as follows:

Column 1(NSN Recd): Report the on-hand NSN

Column 2(Related NSN): Report Lot Number if applicable

Column 3(Document Number): Report the Contract Number

Column 4(Serial Number): Report Serial Number if applicable

Column 5(Qty Received): Do Not Use

Column 6(Date Received): Do Not Use

Column 7(Balance On-Hand): Report the on-hand balance quantity

Column 8(Condition Code): Report the condition code of the on-hand balance

Column 9(NSN Shipped): Do Not Use

Column 10(Qty Shipped): Do Not Use

Column 11(Date Shipped): Do Not Use

Column 12(Shipment Number): Do Not Use

Column 13(Adjustment Qty): Do Not Use

Column 14(Explanation): Do Not Use

Column 15(Remarks): Report the DODAAC of the contractor facility where inventory is located.

DID para 10.2: Do not report assets shipped or received during reporting period. Only report the on-hand balances.

DID para 10.2.2.1: Stock numbered components removed from items that will not be re-installed and/or are designated as spares will be reported in the format outlined above for DID para 10.1.

DID para 10.2.2.2: Stock numbered components that will be re-installed to the parent assembly should not be reported.

DID para 10.2.3: Do not report adjustments following physical inventories. Only report the resulting on-hand balance.

DID para 10.2.4: No dates should be reported.

continued on next page:

BLK 7: Electronic receiving report required via internet WAWF at:

https://wawf.eb.mil. The electronic receiving report shall be used only for this data item; do not combine other data item submittals

Contract Award). Other requests shall be referred to AFLCMC/EBHJ.

DODAAC, FA8213

AFLCMC/EBHKA 0 1 0

(Ltr Only)

DCMA ACO 0 1 0

(Ltr Only)

AFLCMC/EBHJ 0 1 0

6044 Dogwood Av

Hill AFB UT

84056-5816

15. TOTAL 0 4 0

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 9 of 10 Pages

TDP TM OTHER MGMT

E. CONTRACT/PR NO.

16. REMARKS (Continued)

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act

(Tile 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. Violation of these export-control laws is subject to severe criminal penalties.

Dissemination in accordance with provisions of DOD Directive 5230.25.

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

BLK 10: Data for all assets on hand shall be delivered every 30 days.

BLK 12: First submission will be within 5 days of receipt of initial quantity of government assets or within 30 days of new contract if government assets are already on site.

BLK 13: Data shall be delivered by the 5th day of the month.

BLK 14: Submittals shall be in .XML (preferred) or .CSV format in accordance with DID. Submit through

WAWF, DODAAC, FA8213.

DD FORM 1423-1, FEB 2001 Page 10 of 10 Pages