Attachment 21 - MJU 76 Contract Data Requirements List.pdf

PDF 1012 KB Posted

Attached to
MJU-76B Pre-solicitation Synopsis Federal contract opportunity
Solicitation number
FA8213-25-R-B009
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Hill Air Force Base

About this file

This document is a Contract Data Requirements List (CDRL) for a federal contract related to ammunition and infrared countermeasure flares. The CDRL outlines 18 separate data items that the contractor must submit throughout the contract lifecycle, including requirements for meeting minutes, measurement system evaluations, first article testing, configuration management plans, production status reports, and various technical and administrative documentation.

Key submission requirements include a post-award conference within 30 working days of contract award, measurement system evaluation documentation within 180 calendar days, first article testing reports, monthly production status reports, and various management plans such as a Quality Assurance Program Plan and Statistical Process Control Plan. The contract is associated with the Air Force Materiel Command, has a planned award date in July 2025, and anticipates procuring approximately 500,000 replenishment spares of infrared countermeasure flares. The contract will have a 5-year basic ordering period and a 1-year optional ordering period, with work to be completed within 1 year and 180 days after the last order.

View the file

Other files for this federal contract opportunity

Other files attached to MJU-76B Pre-solicitation Synopsis, newest first.
File Type Posted
Attachment 27 - MJU-76 DD Form 254 Signed.pdf PDF
Attachment 22 - GFP Worksheet Placeholder.docx DOCX document
Attachment 20 - RFOP Worksheet - MJU-76.pdf PDF
Attachment 18 - AF Form 260 MJU-76.pdf PDF
Attachment 17 - Interim Hazard Classification Log No 23-208.pdf PDF
Attachment 14 - Performance Specification for MJU 76 Infrared Countermeasure Flare Rev B.pdf PDF
Attachment 13 - Data List for Drawing 201825310.pdf PDF
Attachment 8 - Contractor First Article Testing.pdf PDF
Attachment 25 - Section L v2 1-29-25.pdf PDF
Attachment 19 - MJU-76 Ordering Procedures.pdf PDF
Attachment 15 - Detail Specification for MJU-76B Infrared Countermeasure Flare.pdf PDF
Attachment 11 - REPSHIP.pdf PDF
Attachment 9 - ES6925 MSE.pdf PDF
Attachment 4 - ES6200 Ammunition Data Cards.pdf PDF
Draft Solicitation - FA821325RB009.pdf PDF
Attachment 24 - Justification for Qualification Requirements MJU-76.pdf PDF
Attachment 23 - Example Request for Order Proposal 5-6-25.pdf PDF
Attachment 16 - Data List for Drawing -MJU 76B 201825310_98747_DL_B.pdf PDF
Attachment 3 - ES7035 Energetic Material Description Sheets.pdf PDF
Attachment 1 - AIR SPEC IM FD2020-24-52553.pdf PDF
Attachment 26 - Section M v2 1-29-25.pdf PDF
Attachment 12 - SPI 1370015904428.pdf PDF
Attachment 10 - Report of Shipment.pdf PDF
Attachment 7 - Government First Article Testing.pdf PDF
Attachment 6 - ES7650_Oct2000 - MIL-STD-1916.pdf PDF
Attachment 5 - ES7034 Rework and Repair of Non-Conforming Material.pdf PDF
Attachment 2 - USAF Statement of Work - Ammunition Data Cards WARP 4-19-2018.pdf PDF
Interested Vendor Question and Answer.pdf PDF
JQR MJU-76.pdf PDF
JQR MJU-76.pdf PDF
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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 ADMN

D. SYSTEM/ITEM

1370016776009

E. CONTRACT/PR NO.

FD2020-24-52553

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Meeting Minutes

3. SUBTITLE

Post Award Conference

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81250C

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

NO

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

1TIME

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor format is acceptable. Follow content preparation listed in the Data Item Description.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only CTI & Export Controlled, [date of determination]. Other requests for this document must be referred to AFLCMC/EBHCC.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11 & 12: Contractor shall host a post award conference/meeting to include key personnel from contracting, management, and technical/quality no later than 30 working days after contract award.

This conference /meeting is to assure a clear and mutual understanding of the contract between the government and contractor.

The post award conference shall include discussions on contract terms, conditions, and requirements, line items and sequence of events needed for successful execution of the subject contract effort. Contractor shall submit post award conference/meeting minutes no later than 30 working days after the completion of the meeting/conference.

BLK 14: Submit report electronically via email in Microsoft Office or PDF format to the email recipient listed below. Refer to contract for email address of the Government Contracting Officer (AFLCMC/EBHKC).

AFLCMC.EBHC.CMFlares@us.af.mil

FOB DESTINATION

EBH 25-051-001

Editha S Miller, AFLCMC/EBHI, 775-4389

Contr. Officer 0 1 0

15. TOTAL 0 1 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2025/02/20

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2025/02/20

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 QCIC

D. SYSTEM/ITEM

1370016776009

E. CONTRACT/PR NO.

FD2020-24-52553

F. CONTRACTOR

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

Measurement System Evaluation (MSE) - Documentation for Acceptance of Product

3. SUBTITLE

MSE Administrative Efforts and Theory of Operations

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81960/T

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

BLK16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor devised format must conform to preparation instructions and the content requirements listed in the Data Item Description. Paragraph 3.6.d sub-paragraph ii part b and sub-paragraph iii do not apply.

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

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only CTI & Export Controlled [date of determination]. Other requests for this document must be referred to AFLCMC/EBHCC.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801- 4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11, 12, & 13: The contractor shall submit an MSE in accordance with DI-QCIC-81960 excluding paragraph 3.6.d AAIE & Complex Designs, sub-paragraph ii part b and sub-paragraph iii in 180 calendar days after Delivery Order award. If further revisions are necessary, the contractor shall have 30 calendar days to generate changes, and the government shall have 30 calendar days to review and respond to them.

If Contractor revises a previously Government accepted MSE for this contract, the revised MSE must be submitted to the Government for review and approval. Approval must be granted before MSE is used for acceptance of product. The government will respond within 30 calendar days.

BLK 14: Report shall be submitted electronically in Microsoft Office software or PDF format to the email recipient listed below. Refer to contract for email address of the Government Contracting Officer

(AFLCMC/EBHKC).

AFLCMC.EBHC.CMFlares@us.af.mil

FOB DESTINATION

EBH 24-205-001

Editha S Miller, AFLCMC/EBHI, 775-4389

DCMA /QAR 0 1 0

Contr. Officer 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/10/08

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/10/09

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

1370016776009

E. CONTRACT/PR NO.

FD2020-24-52553

F. CONTRACTOR

1. DATA ITEM NO.

C001

2. TITLE OF DATA ITEM

First Article Test/Inspection Procedures and Report

(FAT/IPR)

3. SUBTITLE

Procedures and Report

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-82326

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

1TIME

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Follow format, content & preparation instructions 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-130N 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 CTI & Export Controlled [date of determination]. Other requests must be referred to AFLCMC/EBHCC.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11, 12: Submit no later than 30 calendar days after completion of First Article Acceptance Testing. Submit through Worldwide Ammunition-data Repository Program (WARP) and WAWF under DoDAAC

FA8213.

BLK 14: Report shall be in Microsoft Office software or PDF format to the email recipient listed below. Submit through Worldwide Ammunition-data Repository Program (WARP) and WAWF under DoDAAC FA8213 and DCMA/QAR.

AFLCMC.EBHC.CMFlares@us.af.mil

WAWF 0 1 0

DCMA/QAR 0 1 0

WARP 0 1 0

15. TOTAL 0 3 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/10/08

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/10/09

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:

TDP TM OTHER NDTI

D. SYSTEM/ITEM

1370016776009

E. CONTRACT/PR NO.

FD2020-24-52553

F. CONTRACTOR

16. REMARKS (Continued)

FOB DESTINATION

EBH 24-205-001

Editha S Miller, AFLCMC/EBHI, 775-4389 Editha Miller, AFLCMC/EBHI, 775-4389

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

1370016776009

E. CONTRACT/PR NO.

FD2020-24-52553

F. CONTRACTOR

1. DATA ITEM NO.

D001

2. TITLE OF DATA ITEM

Measurement System Evalutation (MSE) - Documentation for Acceptance of Product

3. SUBTITLE

MSE Verification Testing

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81960

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

BLK16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor devised format must conform to preparation instructions and the content requirements listed in the Data Item Description.

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

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only CTI & Export Controlled [date of determination]. Other requests for this document must be referred to AFLCMC/EBHCC.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801- 4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11, 12, & 13: The Contractor shall submit a completed MSE package no later than 180 calendar days after delivery order award and no later than 60 calendar days prior to First Article Testing (if FAT is required), production, and/or all acceptance of product under the contract. The Government will furnish disposition within 30 calendar days of final MSE package receipt. If further revisions are necessary, the Contractor shall have 30 calendar days to generate them, and the Government shall have 30 calendar days to review and respond to them. The approved MSE shall be available for First Article Testing (if FAT is required), production, and/or all acceptance of product under the contract. If Contractor revises a previously Government accepted AIE for this contract, the revised MSE must be submitted to the Government for review and approval. Approval must be granted before MSE is used for acceptance of product. The Government will respond within 30 calendar days.

BLK 14: Report shall be submitted electronically in Microsoft Office software or PDF format to the email recipient listed below. Refer to contract for email address of the Government Contracting Officer

(AFLCMC/EBHKC).

AFLCMC.EBHC.CMFlares@us.af.mil

FOB DESTINATION

EBH 24-205-001

Editha S Miller, AFLCMC/EBHI, 775-4389

Contr. Officer 0 1 0

DCMA/QAR 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/10/08

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/10/09

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 MGMT

D. SYSTEM/ITEM

1370016776009

E. CONTRACT/PR NO.

FD2020-24-52553

F. CONTRACTOR

1. DATA ITEM NO.

E001

2. TITLE OF DATA ITEM

Government Furnished Material (GFM) Consumption Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80438B

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

BLK16

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

BLK16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor format required.

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. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only CTI & Export Controlled [date of determination]. Other requests for this document must be referred to AFLCMC/EBHCC.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 10,12,13: Reporting to commence upon receipt of GFM and continue monthly until end of contract.

BLK14: Submit report electronically via email in Microsoft Office software or PDF format to the email recipient listed below. Refer to contract for email address of the Government Contracting Officer.

AFLCMC.EBHC.CMFlares@us.af.mil

FOB DESTINATION

EBH 24-205-001

Editha S Miller, AFLCMC/EBHI, 775-4389

Contr. Officer 0 1 0

DCMA/QAR 0 1 0

DCMA/ACO 0 1 0

15. TOTAL 0 3 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/10/08

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/10/09

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 MISC

D. SYSTEM/ITEM

1370016776009

E. CONTRACT/PR NO.

FD2020-24-52553

F. CONTRACTOR

1. DATA ITEM NO.

E002

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

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

BLK16

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 through the Government Contracting Officer will respond with notice of approval/disapproval. If disapproved, Government Engineer response will include instruction for remediation.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only CTI & Export Controlled [date of determination]. Other requests for this document must be referred to AFLCMC/EBHCC.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11, 12, & 13: Submit after successful Lot Acceptance Test and prior to delivery of each production lot. Submit within 14 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, one hard copy of ADCs shall be generated from the WARP and submitted with the electronic receiving report via WAWF to AFLCMC/EBHCC. The final ammo data card shall be uploaded in WAWF under DoDAAC FA8213. Notify AFLCMC/EBHCC upon submission to WARP.

FOB DESTINATION

EBH 24-205-001

Editha S Miller, AFLCMC/EBHI, 775-4389

WAWF 1 1 0

WARP 1 1 0

15. TOTAL 2 2 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/10/08

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/10/09

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 PACK

D. SYSTEM/ITEM

1370016776009

E. CONTRACT/PR NO.

FD2020-24-52553

F. CONTRACTOR

1. DATA ITEM NO.

E003

2. TITLE OF DATA ITEM

Performance Oriented Packaging (POP) Test Report

3. SUBTITLE

POP Test Reports Hazardous Material

4. AUTHORITY (Data Acquisition Document No.)

DI-PACK-81059C

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

BLK16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Format and submission of the Performance Oriented Packaging Test Report shall be in accordance with requirements stated in DID.

BLK 7: Acceptance/Rejection of final report will be within 7 days from date of receipt. Electronic receiving report required via internet Wide Area Work Flow (WAWF, DoDAAC FA8213) at http://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 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S.

Government agencies only CTI & Export Controlled [date of determination]. Other requests for this document must be referred to

AFLCMC/EBHCC.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11, 12, & 13: Test report due 30 days prior to shipment. For Multi-year contracts, the contractor shall re-perform the POP testing at a U.S Government approved Performance-Oriented Packaging (POP) test laboratory IAW CFR 49 if:

(a) The initial POP test report expires before the end of the contract (single pack certification is valid for a period of 1 year;

combination pack POP certification is valid for a period of 2 years).

(b) There is a change in container manufacturer, design, or manufacturing processes of the container.

EXCEPTION TO POP MARKINGS: If the container is manufactured outside the USA, the contractor/container manufacturer shall be responsible to perform the POP certification tests IAW the United Nations Recommendations on the Transport of Dangerous Goods and apply the marking authorized by the Transportation Competent Authority of the country of manufacture.

FOB DESTINATION

EBH 24-205-001

Editha S Miller, AFLCMC/EBHI, 775-4389

AFLCMC/EBHCC 0 1 0

WAWF 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/10/08

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/10/09

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

1370016776009

E. CONTRACT/PR NO.

FD2020-24-52553

F. CONTRACTOR

1. DATA ITEM NO.

E004

2. TITLE OF DATA ITEM

Engineering Change Proposal (ECP)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80639E

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

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 EIA- 649-1A and the principles of EIA-649C.

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

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only CTI & Export Controlled [date of determination]. Other requests for this document must be referred to AFLCMC/EBHCC.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer will respond with notice of receipt. Government Engineer will perform review of the ECP and will respond with approval/disapproval within 90 calendar days for routine, 30 days for urgent, and within 48 hours for emergency changes. If disapproved, Government Engineer’s response through the Government Contracting Officer will include instruction for remediation. Notification of approval of the proposed engineering change shall be by signed contract modification (AFLCMC/EBHKC).

BLK 14: Submit reports electronically via email in Microsoft Office or PDF format to the email recipients listed below. Refer to contract for email address of the Government Contracting Officer

(AFLCMC/EBHKC).

robert.morgan.27@us.af.mil (AFLCMC/EBHI) kendra.reese.1@us.af.mil (AFLCMC/EBHI)

FOB DESTINATION

EBH 24-205-001

Editha S Miller, AFLCMC/EBHI, 775-4389

AFLCMC/EBHCC 0 1 0

Contr. Officer 0 1 0

DCMA/QAR 0 1 0

AFLCMC/EBHI 0 1 0

DCMA/ACO 0 1 0

15. TOTAL 0 5 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/10/08

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/10/09

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

1370016776009

E. CONTRACT/PR NO.

FD2020-24-52553

F. CONTRACTOR

1. DATA ITEM NO.

E005

2. TITLE OF DATA ITEM

Notice of Revision (NOR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80642E

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

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 EIA-649-1A and the principles of EIA-649C. Must be submitted with an ECP request.

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

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only CTI & Export Controlled [date of determination]. Other requests for this document must be referred to AFLCMC/EBHCC.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer will respond with notice of receipt. Government Engineer will perform review of the NOR and will respond with approval/disapproval within 90 calendar days for routine, 30 days for urgent, and within 48 hours for emergency changes. If disapproved, Government Engineer’s response through the Government Contracting Officer will include instruction for remediation. Notification of approval of the notice of revision shall be by signed contract modification (AFLCMC/EBHKC).

BLK 14: Submit reports electronically via e-mail in Microsoft Office or PDF format to the email recipients listed below. Refer to contract for email address of the Government Contracting Officer

(AFLCMC/EBHKC).

robert.morgan.27@us.af.mil (AFLCMC/EBHI) kendra.reese.1@us.af.mil (AFLCMC/EBHI)

FOB DESTINATION

EBH 24-205-001

Editha S Miller, AFLCMC/EBHI, 775-4389

AFLCMC/EBHCC 0 1 0

Contr. Officer 0 1 0

DCMA/QAR 0 1 0

AFLCMC/EBHI 0 1 0

DCMA/ACO 0 1 0

15. TOTAL 0 5 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/10/08

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/10/09

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

1370016776009

E. CONTRACT/PR NO.

FD2020-24-52553

F. CONTRACTOR

1. DATA ITEM NO.

E006

2. TITLE OF DATA ITEM

Request for Variance (RFV)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80640E

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

NA

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

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 EIA-649-1A and the principles of EIA-649C.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only CTI & Export Controlled [date of determination]. Other requests for this document must be referred to AFLCMC/EBHCC.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer will respond with notice of receipt. Draft RFV submissions maybe submitted directly to AFLCMC/EBHCC, however, this is not required. Government Engineer will perform review of the RFV and will respond with approval/disapproval within 90 calendar days for routine, 30 days for urgent, and within 48 hours for emergency changes. If disapproved, Government Engineer’s response through the Government Contracting Officer will include instruction for remediation. Notification of approval of the request for variance shall be by signed contract modification (AFLCMC/EBHKC).

BLK 14: Submit reports electronically via email in Microsoft Office or PDF format to the email recipients listed below. Refer to contract for email address of the Government Contracting Officer

(AFLCMC/EBHKC).

robert.morgan.27@us.af.mil (AFLCMC/EBHI) kendra.reese.1@us.af.mil (AFLCMC/EBHI)

FOB DESTINATION

EBH 24-205-001

Editha S Miller, AFLCMC/EBHI, 775-4389

Contr. Officer 0 1 0

AFLCMC/EBHI 0 1 0

AFLCMC/EBHCC 0 1 0

DCMA/QAR 0 1 0

DCMA/ACO 0 1 0

15. TOTAL 0 5 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/10/08

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/10/09

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

1370016776009

E. CONTRACT/PR NO.

FD2020-24-52553

F. CONTRACTOR

1. DATA ITEM NO.

E007

2. TITLE OF DATA ITEM

Supplier's Configuration Management (CM) Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80858D

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Supplier's format is acceptable, provided the information content of para. 3 of this DID is met. The Supplier's Configuration Management Plan shall be prepared in accordance with EIA-649-1A and the principles of EIA-649C.

BLK 7: 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 D. Distribution authorized to the Department of Defense and U.S. DoD contractors only CTI & Export Controlled [date of determination]. Other requests for this document must be referred to AFLCMC/EBHCC.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801- 4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11 &12: The contractor shall provide a configuration management plan 30 days after contract award, allowing government 30 days approval/disapproval time. No changes to previously approved Configuration Management Plan shall be made without prior approval from AFLCMC/EBHCC Engineering in accordance with Airmunitions Specification.

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

Submit through WAWF under DoDAAC FA8213.

FOB DESTINATION

EBH 24-205-001

Editha S Miller, AFLCMC/EBHI, 775-4389

AFLCMC/EBHCC 0 1 0

WAWF 0 1 0

AFLCMC/EBHI 0 1 0

15. TOTAL 0 3 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/10/08

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/10/09

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 MGMT

D. SYSTEM/ITEM

1370016776009

E. CONTRACT/PR NO.

FD2020-24-52553

F. CONTRACTOR

1. DATA ITEM NO.

E008

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/EBHCC

7. DD 250 REQ

SD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

BLK16

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor 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 D. Distribution authorized to the Department of Defense and U.S. DoD contractors only CTI & Export Controlled [date of determination]. Other requests for this document must be referred to AFLCMC/EBHCC.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 11, 12, & 13: Submit within 14 calendar days after completion of each Lot Acceptance Test.

BLK 14: Report shall be in Microsoft Office software or PDF format and must be submitted through WAWF under DoDAAC FA8213, as well as the Worldwide Ammunition-Data Repository Program (WARP) system. If file size is too large, submit the cover page (including signatures) in WAWF and the full report in WARP. Notify AFLCMC/EBHCC (AFLCMC.EBHC.CMFlares@us.af.mil) upon submission.

FOB DESTINATION

EBH 24-205-001

Editha S Miller, AFLCMC/EBHI, 775-4389

WARP 0 1 0

WAWF 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/10/08

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/10/09

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

1370016776009

E. CONTRACT/PR NO.

FD2020-24-52553

F. CONTRACTOR

1. DATA ITEM NO.

E009

2. TITLE OF DATA ITEM

Failure Summary and Analysis Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80255B

5. CONTRACT REFERENCE

Airmunitions Specification

6. REQUIRING OFFICE

AFLCMC/EBHCC

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

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 (LT) shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The LT shall be used only for this data item; do not combine other data item submittals with this requirement.

BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only CTI & Export Controlled [date of determination]. Other requests for this document must be referred to AFLCMC/EBHCC.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties.

Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

BLK 12 & 13: Notify AFLCMC/EBHCC Engineering of failure of lot acceptance testing, or failure to complete lot acceptance testing within 1 business day. Submit a preliminary report within 15 calendar days of each failure. Submit a revision or final report within 30 calendar days after receipt of AFLCMC/EBHCC revised or final comments. Extensions can be requested and approved by the Government Contracting Officer via letter.

BLK 14: Submit reports electronically via email in Microsoft Office or PDF format to the email recipient listed below. Refer to contract for email address of the Government Contracting Officer.

AFLCMC.EBHC.CMFlares@us.af.mil

FOB DESTINATION

EBH 24-205-001

Editha S Miller, AFLCMC/EBHI, 775-4389

Contr. Officer 0 1 0

DCMA/QAR 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

MILLER.EDITHA.S.1040031797

H. DATE

2024/10/08

I. APPROVED BY

HARGROVE.ERIC.V.1167016843

J. DATE

2024/10/09

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 MGMT

D. SYSTEM/ITEM

1370016776009

E. CONTRACT/PR NO.

FD2020-24-52553

F. CONTRACTOR

1. DATA ITEM NO.

E010

2. TITLE OF DATA ITEM

Acceptance and Description Sheets

3. SUBTITLE

Propellants and Explosives

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81978

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

BLK16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Format and content shall be in accordance with MIL-STD-1171B and the WARP User's Manual. This manual can be accessed at https://mphwarp.redstone.army.mil.

BLK 7: Electronic receiving report required via internet Wide Area Work Flow (WAWF, DoDAAC FA8213) at: https://wawf.eb.mil.The electronic receiving report shall be used only…

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