A008_DI_ATTS_80283B 1 .pdf
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- Attached to
- Universal Fuel Control Test Stand Federal contract opportunity
- Solicitation number
- FA8224-15-R-0013
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Exhibit BK -- A008
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Text version
DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 and Communications 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
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
| 1_DATA_ITEM_NO: A008 |
| 2_TITLE_OF_DATA_ITEM: Test Program Set (TPS) Acceptance Test Report (ATR) |
| 3_SUBTITLE: Acceptance Test Report |
| 4_AUTHORITY_Data_Acquisit: DI-ATTS-80283B |
| 5_CONTRACT_REFERENCE: Purchase Specification 4.4 |
| 6_REQUIRING_OFFICE: AFLCMC/WNA |
| 7_DID_250_REQ: XX |
| 8_APP_CODE: A |
| DIST_STATEMENT: D |
| 10_FREQUENCY: ASREQ |
| 11_AS_OF_DATE: SEE BLK 16 |
| 12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16 |
| 13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16 |
| addressee1: AFLCMC/WNAEB |
| draft1: 1 |
| reg1: 1 |
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| addressee2: 235 Byron St. |
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| addressee3: Suite 19A |
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| addressee4: Robins AFB, Ga |
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| 16_REMARKS: BLK 4: CONTRACTOR FORMAT IS ACCEPTABLE. THE DOCUMENT NAME, CDRL NUMBER, DATE OF SUBMISSION AND DOCUMENT NUMBER SHALL APPEAR ON THE FIRST PAGE OF DELIVERABLE. |
BLK 11-13: DELIVER EACH ACCEPTANCE TEST REPORT WITHIN 15 DAYS AFTER COMPLETION OF EACH ACCEPTANCE TEST. AFLCMC/WNAEB COMMENTS TO BE PROVIDED WITHIN 10 CALENDAR DAYS AFTER SUBMITTAL RECEIPT. IF CHANGES ARE REQUIRED, SUBSEQUENT SUBMITTAL SHALL BE DELIVERED 15 CALENDAR DAYS AFTER RECEIPT OF AFLCMC/WNAEB COMMENTS. SUBMITTAL WILL BE CONSIDERED FINAL WHEN ALL REQUIRED CHANGES ON ALL ACCEPTANCE TEST REPORTS ARE COMPLETED.
BLK 14: ELECTRONIC DELIVERY VIA EMAIL IS ACCEPTABLE. ELECTRONIC DELIVERY FORMAT SHALL BE COMPATIBLE WITH MICROSOFT OFFICE 2007
ADDRESS TO THE FOLLOWING POCs:
AFLCMC/WNAEB, ATTN:
Paul Armistead, Email: paul.armistead@us.af.mil
| 17_PRICE_GROUP: | |
| ESTIMATED_TOTAL_PRICE: | |
| H_DATE: 14 Feb 2014 | |
| J_DATE: 20 Feb 2014 | |
| Page: | |
| reg38t: 1 | |
| A_CONTRACT_LINE_ITEM_NO: 0002 | |
| B_EXHIBIT: BK | |
| TDP: | |
| TM: | |
| OTHER: | |
| DSYSTEMITEM: Fuel Control Test Set | |
| E_CONTRACTPR_NO: | |
| FCONTRACTOR: | |
| of_pages: | |
| Reset: | |
| 2014-02-14T14:53:15-0500 | |
| ARMISTEAD.PAUL.W.1258023931 |
| 2014-02-20T09:17:49-0500 | |
| HARRIS.ADRIAN.DENISE.1237099130 |
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