CDRL_20-50055.pdf
PDF 680 KB Posted
- Attached to
- Initiator Federal contract opportunity
- Solicitation number
- FA821320R3031
About this file
This document contains a Contract Data Requirements List (CDRL) and related federal contract opportunity. The CDRL outlines seven data items required under the contract, including an Ammunition Data Card, Engineering Change Proposal, Notice of Revision, Request for Variance, Lot Acceptance Test Plan, Test/Inspection Report, and Failure Summary & Analysis Report. Submittals are due at various stages of the contract and must follow specified formats and distribution requirements.
The related federal contract opportunity involves the procurement of various ballistic devices and initiators for aircraft ejection systems. It includes nine line items with national stock numbers, part numbers, and descriptions. Informational CLINs are provided for foreign military sales of the items to multiple countries. Delivery dates are listed as December 31, 2021 or earlier for most items, with some deliveries to Hill Air Force Base by September 30, 2021. The Department of the Air Force Materiel Command Lifecycle Management Center at Hill Air Force Base is the agency conducting the solicitation using an electronic procedure.
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Text version
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
1377-01-137-6040ES*
E. CONTRACT/PR NO.
FD2020-20-50055
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.
*1377-01-137-6039ES, 1377-01-494-0468ES, 1377-01-494-0471ES.
FOB DESTINATION
EBE 20-115-007
Robert W. Morgan, Jr., AFLCMC/EBHTC, 777-5126
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
morgan.robert.wesley.jr.1158190040
H. DATE
2019/04/25
I. APPROVED BY
hargrove.eric.v.1167016843
J. DATE
2019/04/25
18. ESTIMATED
TOTAL PRICE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 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 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 SESS
D. SYSTEM/ITEM
1377-01-137-6040ES*
E. CONTRACT/PR NO.
FD2020-20-50055
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
Engineering Change Proposal (ECP)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80639D
5. CONTRACT REFERENCE
Airmunitions Specification
6. REQUIRING OFFICE
AFLCMC/EBHJ
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
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 4: Data delivery description for content of engineering change proposal via applicable DD Form 1692 shall be in accordance with para. 3.3.1(1) of EIA-649-1and the principles of EIA-649-B.
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.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.
Government agencies only, (Administrative/Operational Use) (Date of Contract Award). Other requests for this document 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 (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.
DESTRUCTION NOTICE--Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
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/EBHTC)
*1377-01-137-6039ES, 1377-01-494-0468ES, 1377-01-494-0471ES.
FOB DESTINATION
EBE 20-115-007
Robert W. Morgan, Jr., AFLCMC/EBHTC, 777-5126
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
G. PREPARED BY
morgan.robert.wesley.jr.1158190040
H. DATE
2019/04/25
I. APPROVED BY
hargrove.eric.v.1167016843
J. DATE
2019/04/25
18. ESTIMATED
TOTAL PRICE
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 SESS
D. SYSTEM/ITEM
1377-01-137-6040ES*
E. CONTRACT/PR NO.
FD2020-20-50055
F. CONTRACTOR
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
Notice of Revision (NOR)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80642D
5. CONTRACT REFERENCE
Airmunitions Specification
6. REQUIRING OFFICE
AFLCMC/EBHJ
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
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 4: Data delivery description for content of Notice of Revision via applicable DD Form 1695 shall be in accordance with para.
3.3.4(2) of EIA-649-1 and principles of EIA-649-B.
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.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.
Government agencies only, (Administrative/Operational Use) (Date of Contract Award). Other requests for this document 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 (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.
DESTRUCTION NOTICE--Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
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/EBHTC)
*1377-01-137-6039ES, 1377-01-494-0468ES, 1377-01-494-0471ES.
FOB DESTINATION
EBE 20-115-007
Robert W. Morgan, Jr., AFLCMC/EBHTC, 777-5126
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
G. PREPARED BY
morgan.robert.wesley.jr.1158190040
H. DATE
2019/04/25
I. APPROVED BY
hargrove.eric.v.1167016843
J. DATE
2019/04/25
18. ESTIMATED
TOTAL PRICE
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 SESS
D. SYSTEM/ITEM
1377-01-137-6040ES*
E. CONTRACT/PR NO.
FD2020-20-50055
F. CONTRACTOR
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Request for Variance (RFV)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80640D
5. CONTRACT REFERENCE
Airmunitions Specification
6. REQUIRING OFFICE
AFLCMC/EBHJ
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
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 4: Data delivery description for content of Request for Variance via applicable DD Form 1694 shall be in accordance with para.
3.3.2(1)-(6) of EIA- 649-1 and the principles of EIA-649-B.
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: 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).
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.
Government agencies only, (Administrative/Operational Use) (Date of Contract Award). Other requests for this document 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 (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.
DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
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/EBHTC)
*1377-01-137-6039ES, 1377-01-494-0468ES, 1377-01-494-0471ES.
FOB DESTINATION
EBE 20-115-007
Robert W. Morgan, Jr., AFLCMC/EBHTC, 777-5126
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
G. PREPARED BY
morgan.robert.wesley.jr.1158190040
H. DATE
2019/04/25
I. APPROVED BY
hargrove.eric.v.1167016843
J. DATE
2019/04/25
18. ESTIMATED
TOTAL PRICE
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 QCIC
D. SYSTEM/ITEM
1377-01-137-6040ES*
E. CONTRACT/PR NO.
FD2020-20-50055
F. CONTRACTOR
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
Lot Acceptance Test Plan
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-QCIC-80553A
5. CONTRACT REFERENCE
Airmunitions Specification
6. REQUIRING OFFICE
AFLCMC/EBHJ
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
B
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
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.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.
Government agencies (Administrative/Operational Use) (Date of Contract Award). Other requests for this document 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(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.
DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
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.
*1377-01-137-6039ES, 1377-01-494-0468ES, 1377-01-494-0471ES.
FOB DESTINATION
EBE 20-115-007
Robert W. Morgan, Jr., AFLCMC/EBHTC, 777-5126
WAWF 0 1 0
DoDAAC,FA8213
15. TOTAL 0 1 0
G. PREPARED BY
morgan.robert.wesley.jr.1158190040
H. DATE
2019/04/25
I. APPROVED BY
hargrove.eric.v.1167016843
J. DATE
2019/04/25
18. ESTIMATED
TOTAL PRICE
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 NDTI
D. SYSTEM/ITEM
1377-01-137-6040ES*
E. CONTRACT/PR NO.
FD2020-20-50055
F. CONTRACTOR
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM
Test/Inspection Report
3. SUBTITLE
Lot Acceptance Test
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
Airmunitions Specification
6. REQUIRING OFFICE
AFLCMC/EBHJ
7. DD 250 REQ
LT
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 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 with this requirement.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.
Government agencies only (Administrative/Operational Use) (Date of Contract Award). Other requests for this document 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 (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.
DESTRUCTION NOTICE--Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
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.
*1377-01-137-6039ES, 1377-01-494-0468ES, 1377-01-494-0471ES.
FOB DESTINATION
EBE 20-115-007
Robert W. Morgan, Jr., AFLCMC/EBHTC, 777-5126
WAWF 0 1 0
DoDAAC, FA8213
15. TOTAL 0 1 0
G. PREPARED BY
morgan.robert.wesley.jr.1158190040
H. DATE
2019/04/25
I. APPROVED BY
hargrove.eric.v.1167016843
J. DATE
2019/04/25
18. ESTIMATED
TOTAL PRICE
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 SESS
D. SYSTEM/ITEM
1377-01-137-6040ES*
E. CONTRACT/PR NO.
FD2020-20-50055
F. CONTRACTOR
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM
Failure Summary & Analysis Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80255A
5. CONTRACT REFERENCE
Airmunitions Specification
6. REQUIRING OFFICE
AFLCMC/EBHJ
7. DD 250 REQ
LT
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 4: Contractor's format required for both the Preliminary and Final report.
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: Comments/approval/disapproval will be submitted within 30 calendar days after receipt by AFLCMC/EBHJ.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.
Government agencies only, (Administrative/Operational Use) (Date of Contract Award). Other requests for this document 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 (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.
DESTRUCTION NOTICE--Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
BLK 14: Report shall be in Microsoft Office software or PDF format.
Submit via e-mail to cognizant Hill AFB Contracting Officer.
*1377-01-137-6039ES, 1377-01-494-0468ES, 1377-01-494-0471ES.
FOB DESTINATION
EBE 20-115-007
Robert W. Morgan, Jr., AFLCMC/EBHTC, 777-5126
Contr. Officer 0 1 0
Hill AFB, UT
15. TOTAL 0 1 0
G. PREPARED BY
morgan.robert.wesley.jr.1158190040
H. DATE
2019/04/25
I. APPROVED BY
hargrove.eric.v.1167016843
J. DATE
2019/04/25
18. ESTIMATED
TOTAL PRICE
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 NDTI
D. SYSTEM/ITEM
1377-01-137-6040ES*
E. CONTRACT/PR NO.
FD2020-20-50055
F. CONTRACTOR
1. DATA ITEM NO.
B001
2. TITLE OF DATA ITEM
TEST PROCEDURE
3. SUBTITLE
FIRST ARTICLE INSPECTION REPORT, CONTRACTOR
TEST
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80603A
5. CONTRACT REFERENCE
Airmunition Specification
6. REQUIRING OFFICE
AFLCMC/EBHJ
7. DD 250 REQ
SD
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
1TIME
12. DATE OF FIRST SUBMISSION
BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
BLK 16
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
Draft
Final
Reg Repro
16. REMARKS
BLK 4: Follow format per DID. Incorporate the following applicable requirements:
a. Dimension and tolerances specified on the manufacturing data shall be listed in one column with the actual corresponding reading obtained from inspection of the part, listed in another column.
b. Material utilized in the manufacture of "First Article" item shall be identified and certified as conforming to applicable data requirements.
c. Certification that identification markings, i.e. part number per MIL-STD-130 and Federal Supply manufacturer (FSCM) per H4-1 Cataloging Handbook (if applicable) have been complied with.
e. The test report will be certified by the responsible DCMA/QAR.
(Authorization for any deviations from the requirements specified by the manufacturing data must be obtained from the procuring agency prior to inclusion in the test report).
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.
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. Violations 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 disclosure of contents or reconstruction of the document.
BLK 12: Submit no later than 30 days after completion of First Article Acceptance Testing. Submit through WAWF under DoDAAC FA8213.
*1377-01-137-6039ES, 1377-01-494-0468ES, 1377-01-494-0471ES.
FOB DESTINATION
EBE 20-115-007
Robert W. Morgan, Jr., AFLCMC/EBHTC, 777-5126
WAWF 0 1 0
DoDAAC, FA8213
15. TOTAL 0 1 0
G. PREPARED BY
morgan.robert.wesley.jr.1158190040
H. DATE
2019/04/25
I. APPROVED BY
hargrove.eric.v.1167016843
J. DATE
2019/04/25
18. ESTIMATED
TOTAL PRICE
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 NDTI
D. SYSTEM/ITEM
1377-01-137-6040ES*
E. CONTRACT/PR NO.
FD2020-20-50055
F. CONTRACTOR
1. DATA ITEM NO.
B002
2. TITLE OF DATA ITEM
First Article Qualification Test Plan and Procedures
3. SUBTITLE
Qualification Test Plan
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-81307A
5. CONTRACT REFERENCE
Airmunitions Specification
6. REQUIRING OFFICE
AFLCMC/EBHJ
7. DD 250 REQ
DD
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
BLK 16
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. 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.
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 (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 Directives 5230.25.
DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
BLK 10, 11, 12, 13: The contractor shall provide a Qualification Test Plan/Procedures 30 days after contract award, allowing for 30 days approval time. No changes to previously approved government Test Plans shall be made without prior approval from AFLCMC/EBHJ Engineering approval, IAW Airmunitions Specification.
BLK 14: Submittals shall be in Microsoft Office software or PDF format. Submit through WAWF, DoDAAC, FA8213.
*1377-01-137-6039ES, 1377-01-494-0468ES, 1377-01-494-0471ES.
FOB DESTINATION
EBE 20-115-007
Robert W. Morgan, Jr., AFLCMC/EBHTC, 777-5126
WAWF 0 1 0
DoDAAC, FA8213
15. TOTAL 0 1 0
G. PREPARED BY
morgan.robert.wesley.jr.1158190040
H. DATE
2019/04/25
I. APPROVED BY
hargrove.eric.v.1167016843
J. DATE
2019/04/25
18. ESTIMATED
TOTAL PRICE
File details come from the government source that posted it. Updated .