AISCDRL.docx

DOCX document 146 KB Posted May 18, 2017

Attached to: Maintenance, Repair, and Rebuilding of Equipment
Solicitation number: FA8251-17-R-0055
Issued by: Department of the Air Force Materiel Command Lifecycle Management Center Hill Air Force Base

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File	Type	Posted
FA825117R0055_______0001.pdf	PDF	Nov 14, 2017
AIS_Section_M_Amed_01.pdf	PDF	Nov 14, 2017
AIS_Section_L_Amend_01.pdf	PDF	Nov 14, 2017
Question_and_Answers_Post_RFP_Release_19_Oct.pdf	PDF	Oct 19, 2017
Question_and_Answers_Post_RFP_Release.pdf	PDF	Oct 4, 2017
FA825117R0055.pdf	PDF	Sep 21, 2017
Question_and_Answers_Posted_to_FBO_17_Aug_2017.pdf	PDF	Aug 17, 2017
Question_and_Answers_-_Posted_to_FBO_24_July_2017.pdf	PDF	Jul 25, 2017
Question_and_Answers_Posted_to_FBO_11_July_2017.pdf	PDF	Jul 11, 2017
Question_and_Answers_Posted_to_FBO_15_June_2017_V2.pdf	PDF	Jun 15, 2017
Question_and_Answers_Posted_to_FBO_15_June_2017.pdf	PDF	Jun 15, 2017
Quality_Assurance_Surveillance_Plan_Final_1.pdf	PDF	Jun 6, 2017
Question_and_Answers.pdf	PDF	Jun 6, 2017
FA825117R0055.pdf	PDF	May 18, 2017
AISSectionL.docx	DOCX document	May 18, 2017
USAFSampleTask.docx	DOCX document	May 18, 2017
F16AISProductSupportIntegrationPWS.docx	DOCX document	May 18, 2017
AISLaborMaterialRatesWorksheet.xlsx	XLSX spreadsheet	May 18, 2017
APPENDIXC.docx	DOCX document	May 18, 2017
AISSectionM.docx	DOCX document	May 18, 2017
FMSSampleTask.docx	DOCX document	May 18, 2017

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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 _MGMT_______

D. SYSTEM / ITEM

AIS / PSI

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Contractor’s Progress, Status and Management Report

3. SUBTITLE

Contract Performance Report

17.PRICE GROUP

18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80227/T

5. CONTRACT REFERENCE

PWS 4.1.1.1, 4.2.1.2, 4.2.4.4, 4.2.6.2, 4.2.6.4, 4.2.6.5, 4.2.6.6, 4.2.6.7

6. REQUIRING OFFICE

416 SCMS/GUMAA

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

FINAL

BLK 16

DRAFT

Reg

Repro

16. REMARKS

416 SCMS/GUMAA

Block 4: Delete block 7 and paragraphs 10.2, 10.3(a, c, d, g-k) of DI-MGMT-80227. Reports shall be submitted and exchanged electronically, in Microsoft ® Office 2000 product suite or later and/or Microsoft ® Project format. The Requiring Office identified in Item 6 may specify alternate or additional formats.

Block 11: Status shall be reported from the 16th to the 15th of each following month.

Blocks 12 and 13: Submit NLT the 15th of each following month for duration of contract. First submission due after first full month of activity.

Block 14: Deliver to addressees via electronic transmission.

* - each submission

6070 Gum Lane

Bldg. 1213

Hill AFB, UT

84056-5825

AFMC OL:H/PZBB

6070 Gum Lane

Bldg. 1215

Hill AFB, UT

84056-5825

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 16 Page(s)

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP ________ TM ________ OTHER _SESS_______

D. SYSTEM / ITEM

AIS / PSI

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Product Drawings and Associated Lists

3. SUBTITLE

Engineering Drawings

17.PRICE GROUP

18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81000E

5. CONTRACT REFERENCE

PWS 4.1.1.1, 4.2.2.2, 4.2.6.8

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

FINAL

N/A

BLK 16

DRAFT

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16. REMARKS

416 SCMS/GUMAA

Drawings shall be IAW ASME Y14.100 (including Appendices B, C, D, E), ASME Y14.3M, ASME Y14.34M, ASME Y14.35M.

Blk 4: DI-SESS-81000E and Technical Data Package Option Worksheet (Defined in MIL-STD-31000) are applicable. Tailoring to DID per TDP Option Selection Worksheet.

Blocks 10, 12, and 13:

If changes to the drawings previously submitted to OO-ALC under the AIS development program occur, the contractor shall submit these drawings to the Government and the first submission of the Product Drawings and Associated Lists shall occur no later than days after delivery of the first production unit and quarterly thereafter.

The contractor shall include a Metadata spreadsheet formatted in accordance with instructions provided by OO-ALC/TIEDA with all Product Drawing and Associated List submittals.

Block 14:

Product Drawings and Associated Lists and the Metadata spreadsheet shall be submitted on CD-ROM disk to:

418 SCMS/GULABA

Attn: Ms. Denise Hunt 6032 Fir Avenue, Bldg 1237 Hill AFB, UT 84056-5820

Submit Letter of Transmittal for Product Drawings electronically to 416 SCMS/GUMAA

6070 Gum Lane

Bldg. 1213

Hill AFB, UT

84056-5825

418 SCMS/GULABA

See Block 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 16 Page(s)

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP ________ TM ________ OTHER _ALSS_______

D. SYSTEM / ITEM

AIS / PSI

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Supplemental Data for Provisioning

3. SUBTITLE

17.PRICE GROUP

18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-ALSS-81557/T

5. CONTRACT REFERENCE

PWS 4.1.1.1, 4.2.6.2

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

O-Time

BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

FINAL

N/A

BLK 16

DRAFT

Reg

Repro

16. REMARKS

416 SCMS/GUMAA

Blocks 10, 12, and 13:

The contractor shall submit these data to the Government not later than 60 days after the design has been released and concurrent with submission of provisioning data to the Government. If changes to the design are implemented that impact assignment of NSN or SMR codes after initial submission, the new data shall be submitted at the earliest opportunity consistent with good business practice. Coordinate method of delivery for Supplemental Data for Provisioning with OO-ALC/LGMPB prior to shipping data.

Submit Letter of Transmittal for Supplemental Data for Provisioning electronically to 416 SCMS/GUMAA

6070 Gum Lane

Bldg. 1213

Hill AFB, UT

84056-5825

OO-ALC/LGMPB

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 16 Page(s)

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP ________ TM ________ OTHER _QCIC_______

D. SYSTEM / ITEM

AIS / PSI

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Calibration and Measurement Requirements Summary (CMRS)

3. SUBTITLE

17.PRICE GROUP

18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-80278B

5. CONTRACT REFERENCE

PWS 4.1.1.1, 4.2.6.4

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

FINAL

N/A

BLK 16

DRAFT

Reg

Repro

16. REMARKS

416 SCMS/GUMAA

Reports shall be submitted and exchanged electronically in Microsoft ® Office 2000 product suite or later and/or Microsoft ® Project format.

Block 4: A CMRS will be submitted for new equipment designs and changes to existing equipment designs that impact calibration requirements.

Block 8: The Government will review and approve the CMRS within 30 days of submittal. If the Government does not notify the contractor of CMRS defects within 30 days of submittal, the CMRS will be considered acceptable.

Blocks 12 and 13:

First submission of the CMRS shall occur at the earliest opportunity but no later than 180 days after identification of the need for change. Changes to CMRS will be submitted within 15 days of receipt of comments from the Government.

6070 Gum Lane

Bldg. 1213

Hill AFB, UT

84056-5825

See Block 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 4 of 16 Page(s)

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP ________ TM ________ OTHER _MCCR___

D. SYSTEM / ITEM

AIS / PSI

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Computer Product End Items

3. SUBTITLE

17.PRICE GROUP

18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-MCCR-80700/T

5. CONTRACT REFERENCE

PWS 4.1.1.1, 4.2.2.6, 4.2.6.7, 4.2.7.2

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

O-Time

BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

FINAL

N/A

DRAFT

Reg

Repro

16. REMARKS

416 SCMS/GUMAA

See

BLOCK 4: Contractor shall provide source and executable TPS and OFP object code as required. Source and executable code shall be delivered on separate disks and marked with the appropriate CPIN number and classification of the software.

BLOCK 12: If required, submittal shall not be later than five days after shipment of the TPS ITA and ancillary equipment. The submission shall be made using media, procedures, and processes compatible with previous AIS-series software submissions.

BLOCK 14: Letters of Transmittal to 516 SMXS/MXDEE shall be submitted electronically. Software media shall be delivered (hand-carried or mailed) to the office symbol identified in Block 14 and in the quantity indicated below. For Ogden-managed software, the delivery shall include 2 executable disks and one source code disk. For Oklahoma City or Warner Robins-managed software, the delivery shall include 3 executable disks and two source code disks.

6070 Gum Lane

Item

Bldg. 1213

Hill AFB, UT

84056-5825

516 SMXS/MXDEE

See Block 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 5 of 16 Page(s)

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP ________ TM ________ OTHER _ATTS______

D. SYSTEM / ITEM

AIS / PSI

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Test Requirements Document

3. SUBTITLE

System Test Specification (STS)

17.PRICE GROUP

18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-ATTS-8004A/T

5. CONTRACT REFERENCE

PWS 41.1.1, 4.2.7.2

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

FINAL

N/A

BLK 16

DRAFT

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16. REMARKS

416 SCMS/GUMAA

BLOCK 4:

a. STS(s) Volume I and Volume II shall be submitted for each new or modified Line Replaceable Unit (LRU) and Interface Test Adapter (ITA).

b. STS(s) Volume I for modified LRUs, ITAs, and ATE shall be consistent with the original STS format.

c. STS(s) Volume II for new or modified LRUs and STS(s) Volume I for new LRUs shall be prepared in accordance with the General Development Specification for F-16 Test Program Sets, document 16FWSEA01.

d. STS(s) Volume II for new or modified ITAs and STS(s) Volume I for new ITAs shall be prepared in accordance with the General Development Specification for F-16 Test Program Sets, document 16FWSEA01.

e. STS(s) Volume I and II shall be submitted and exchanged electronically in Microsoft ® Office 2000 product suite or later.

BLOCK 8:

Government approval/comments will be provided by 516 SMXS/MXDEE.

a. Government comments will be provided within 30 days of receipt of the initial submittal. If no comments are received within 30 days, the contractor shall consider the submittal to be approved.

b. If Government comments are received, the contractor shall incorporate the comments within 30 days of receipt.

BLOCKS 10 and 12:

a. For LRU/ITA/ATE software which requires System Compatibility Test (SCT):

1. STS(s) Volume I only shall be submitted no later than 30 calendar days prior to SCT.

2. STS(s) Volume II shall be submitted for approval concurrent with release of associated test program.

b. For LRU/ITA/ATE software which does not require SCT; STS(s) Volume I and/or Volume II shall be submitted for approval concurrent with unlimited release of associated test program.

BLOCK 13:

Final approved copies shall be distributed not later than 30 calendar days after Government approval. If approved as written and originally submitted, previous distribution will not be duplicated.

BLOCK 14:

Letters of Transmittal to 516 SMXS/MXDEE shall be submitted electronically. Copies of the STS shall be mailed to the office symbol identified in Block 14 and in the quantity indicated.

6070 Gum Lane

Bldg. 1213

Hill AFB, UT

84056-5825

516 SMXS/MXDEE

See Block 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001		PREVIOUS EDITION MAY BE USED	Page 6 of 16 Page(s)
	CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP ________ TM ________ OTHER _MISC_______

D. SYSTEM / ITEM

AIS / PSI

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Technical Report – Study/Services

3. SUBTITLE

17.PRICE GROUP

18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B/T

5. CONTRACT REFERENCE

PWS 4.1.1.1, 4.2.2.10

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

FINAL

N/A

BLK 16

DRAFT

Reg

Repro

16. REMARKS

416 SCMS/GUMAA

BLOCK 4: Use DID as a guide. Contractor format is acceptable.

BLOCKs 10, 12, and 13: Reports and dates of submission shall be as requested by each Delivery/Task Order.

BLOCK 14: Hardcopy or electronic media is acceptable. Electronic media shall be in Microsoft Office 2000 product suite or later.

6070 Gum Lane

Bldg. 1213

Hill AFB, UT

84056-5825

See Block 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 7 of 16 Page(s)

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP ________ TM ________ OTHER _MGMT_______

D. SYSTEM / ITEM

AIS / PSI

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Activity, Validation and Verification Report

3. SUBTITLE

17.PRICE GROUP

18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81804A

5. CONTRACT REFERENCE

PWS 4.1.1.1, 4.2.4.1.6

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

FINAL

N/A

BLK 16

DRAFT

Reg

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16. REMARKS

416 SCMS/GUMAA

Block 4: Use DI-MGMT-81804A as a guide. The applicable issue of MIL-STD-130 shall be the latest version cited online at the Acquisition Streamlining and Standardization Information System (ASSIST). Other documents referenced in MIL-STD-130 shall also be applied. Contractor’s format is acceptable.

BLOCKs 10, 12, and 13: Reports and dates of submission shall be as requested by each Delivery/Task Order.

Block 11: NLT 15 days after completion of the marking effort or for data that has been compiled.

BLOCK 14: Hardcopy or electronic media is acceptable. Electronic media shall be in Microsoft Office 2000 product suite or later.

6070 Gum Lane

Bldg. 1213

Hill AFB, UT

84056-5825

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 8 of 16 Page(s)

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP ________ TM ________ OTHER _SESS_______

D. SYSTEM / ITEM

AIS / PSI

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Logistics Product Data Support Equipment Recommendation Data (SERD)

3. SUBTITLE

BLK 16

17.PRICE GROUP

18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81758A

5. CONTRACT REFERENCE

PWS 4.1.1.1, 4.2.6.5, 4.2.6.9

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

FINAL

N/A

BLK 16

DRAFT

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16. REMARKS

416 SCMS/GUMAA

1. Block 3: Support Equipment Recommendation Data (SERD) Reference Documents:

SAE-GEIA-STD-0007, Logistics Product Data GEIA-HB-0007, Logistics Product Data Handbook (Para 3.5 and 4.1.3) TA-HB-0007-1, Handbook and Guide for Logistics Product Data Reports

2. Block 4: Contractor format is acceptable

3. Block 5: PWS Paragraphs: 4.1.1.1, 4.2.6.5, 4.2.6.9

4. Block 9: DISTRIBUTION STATEMENT D: Distribution Authorized to Department of Defense and their contractors for administrative purposes. Date of determination, April 2013. Other requests for this document shall be referred to AFMC OL:H/PZBB.

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 Executive Order 12470. Violation of the export-control laws is subject to severe criminal penalties. Dissemination of this document is controlled under DoD Directive 5230.25 and AFI 61-204.

DISTRIBUTION NOTICE: For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Chapter 5, Section 7, Para705 or DoD 5200.1-R, Information Security Program, Chapter 6. For unclassified limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

5. Blocks 10, 11, 12, 13: Reports and dates of submission shall be as requested by each Delivery Order.

6. Block 14: Hardcopy of electronic media is acceptable. Delivery Order to devine format and media type.

FOB Destination

6070 Gum Lane

Bldg. 1213

Hill AFB, UT

84056-5825

AFMC OL:H/PZBB

6070 Gum Lane

Bldg. 1215

Hill AFB, UT

84056-5825

SEE BLK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 9 of 16 Page(s)

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP ________ TM ________ OTHER _MGMT_______

D. SYSTEM / ITEM

AIS / PSI

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A00A

2. TITLE OF DATA ITEM

Diminishing Manufacturing Sources and Material Shortages (DMSMS) Implementation Plan

3. SUBTITLE

17.PRICE GROUP

18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81949

5. CONTRACT REFERENCE

PWS 4.1.1.1, 4.2.5.1

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

SEE BLK 16

BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

FINAL

N/A

BLK 16

DRAFT

Reg

Repro

16. REMARKS

416 SCMS/GUMAA

1. Block 4: Contractor format is acceptable.

2. Block 5: PWS Paragraphs: 4.1.1.1, 4.2.5.1

WARNING: This document contains technical data whose export is restricted by Arms Export Control Act (Title 22, U.S.C., Sec 2751 et seq.) or Executive Order 12470. Violation of these export-control laws is subject to severe criminal penalties. Dissemination of this document is controlled under DoD Directive 5230.25 and AFI 61-204.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 522.22-M, National Industrial Security Program Operating Manual (NISPOM), Chapter 5, Section 7, Para 705 or DoD5200.1-R, Information Security Program, Chapter 6. For unclassified limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

4. Blocks 10, 11, 12, 13: Reports and dates of submission shall be as requested by eacy Delivery Order.

5. Block 14: Hardcopy or electronic media is acceptable. Delivery Order to define format and media type.

6070 Gum Lane

Bldg. 1213

Hill AFB, UT

84056-5825

AFMC OL:H/PZBB

6070 Gum Lane

Bldg. 1215

Hill AFB, UT

84056-5825

SEE BLK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 10 of 16 Page(s)

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP ________ TM ________ OTHER _MGMT_______

D. SYSTEM / ITEM

AIS / PSI

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A00B

2. TITLE OF DATA ITEM

Diminishing Manufacturing Sources and Material Shortages (DMSMS) Management

3. SUBTITLE

Contract Performance Report

17.PRICE GROUP

18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81948

5. CONTRACT REFERENCE

PWS 4.1.1.1, 4.2.5.3

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

SEE BLK 16

BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

FINAL

N/A

BLK 16

DRAFT

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16. REMARKS

416 SCMS/GUMAA

2. Block 5: PWS Paragraphs: 4.1.1.1, 4.2.5.3

4. Blocks 10, 11, 12, 13: Reports and dates of submission shall be as requested by each Delivery Order.

5. Block 14: Hardcopy or electronic media is acceptable. Delivery Order to define format and media type.

6070 Gum Lane

Bldg. 1213

Hill AFB, UT

84056-5825

AFMC OL:H/PZBB

6070 Gum Lane

Bldg. 1215

Hill AFB, UT

84056-5825

SEE BLK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 11 of 16 Page(s)

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP ________ TM ________ OTHER _MGMT_______

D. SYSTEM / ITEM

AIS / PSI

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A00C

2. TITLE OF DATA ITEM

Program Management Plan

3. SUBTITLE

17.PRICE GROUP

18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81797

5. CONTRACT REFERENCE

PWS 4.1.1.1, 4.2.1.2

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

SEE BLK 16

ONCE

BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

FINAL

N/A

BLK 16

N/A

DRAFT

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16. REMARKS

416 SCMS/GUMAA

1. Block 4: Contractor format is acceptable.

2. Block 5: PWS Paragraphs: 4.1.1.1, 4.2.1.2

4. Blocks 10, 11, 12, 13: Reports and dates of submission shall be as requested by eacy Delivery Order.

5. Block 14: Hardcopy or electronic media is acceptable. Delivery Order to define format and media type.

6070 Gum Lane

Bldg. 1213

Hill AFB, UT

84056-5825

AFMC OL:H/PZBB

6070 Gum Lane

Bldg. 1215

Hill AFB, UT

84056-5825

SEE BLK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 12 of 16 Page(s)

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP ________ TM ________ OTHER _MGMT_______

D. SYSTEM / ITEM

AIS / PSI

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A00D

2. TITLE OF DATA ITEM

Phase-Out Transition Plan

3. SUBTITLE

17.PRICE GROUP

18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81945

5. CONTRACT REFERENCE

PWS 4.1.1.1, 4.2.1.12

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

SEE BLK 16

ONCE

BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

FINAL

N/A

DATE SUBMITTED

N/A

DRAFT

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16. REMARKS

416 SCMS/GUMAA

2. Block 5: PWS Paragraphs: 4.1.1.1, 4.2.1.12

4. Blocks 10, 11, 12, 13: Reports and dates of submission shall be as requested by eacy Delivery Order.

5. Block 14: Hardcopy or electronic media is acceptable. Delivery Order to define format and media type.

6070 Gum Lane

Bldg. 1213

Hill AFB, UT

84056-5825

AFMC OL:H/PZBB

6070 Gum Lane

Bldg. 1215

Hill AFB, UT

84056-5825

SEE BLK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 13 of 16 Page(s)

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP ________ TM __X______ OTHER ________

D. SYSTEM / ITEM

AIS / PSI

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A00E

2. TITLE OF DATA ITEM

Technical Manual Contract Requirements (TMCR)

3. SUBTITLE

17.PRICE GROUP

18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-TMSS-80067

5. CONTRACT REFERENCE

PWS 4.1.1.1, 4.2.2.5, 4.2.3.2, 4.2.4.2, 4.2.4.3, 4.2.6.3

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

SEE BLK 16

BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

FINAL

BLK 16

DRAFT

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16. REMARKS

416 SCMS/GUMAA

1. Block 4: Use the tailored TM-86-1N as a guide and submit in contractor format.

2. Block 5: PWS Paragraphs: 4.1.1.1, 4.2.2.5, 4.2.3.2, 4.2.4.2, 4.2.4.3, 4.2.6.3

3. Block 9: DISTRIBUTION STATEMENT D: Distribution Authorized to Department of Defense and their contractors for administrative purposes. Date of determination, April 2013. Other requests for this document shall be referred to AFMC OL:H/PZBB WARNING: This document contains technical data whose export is restricted by Arms Export Control Act (Title 22, U.S.C., Sec 2751 et seq.) or Executive Order 12470. Violation of these export-control laws is subject to severe criminal penalties. Dissemination of this document is controlled under DoD Directive 5230.25 and AFI 61-204.

4. Blocks 10, 11, 12, 13: Reports and dates of submission shall be as requested by the Delivery Order.

5. Block 14: Will be delivered in electronic format. Delivery Order to define format.

6070 Gum Lane

Bldg. 1213

Hill AFB, UT

84056-5825

AFMC OL:H/PZBB

6070 Gum Lane

Bldg. 1215

Hill AFB, UT

84056-5825

SEE BLK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001		PREVIOUS EDITION MAY BE USED	Page 14 of 16 Page(s)
	CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP ________ TM ________ OTHER SESS

D. SYSTEM / ITEM

AIS / PSI

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A00F

2. TITLE OF DATA ITEM

Configuration Status Accounting (CSA) Information

3. SUBTITLE

17.PRICE GROUP

18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81253

5. CONTRACT REFERENCE

PWS 4.2.5.9, 4.2.8.2

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

SEE BLK 16

BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

FINAL

N/A

BLK 16

DRAFT

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16. REMARKS

416 SCMS/GUMAA

Blocks 4 and 14: Data Item Description (DID) is tailored to delete MIL-STD-973. Provide update information for LM Aero ACMS report of all IAIS Automatic Test Equipment (ATE) and Optical Test Bench (OTB) Configuration Items (CIs) delivered including the CI modification status and the Class I change status. Report shall contain the following elements, as applicable:

1. Part I – CI Delivery Report

(1)	CI Number		(Elec & Paper)
(2)	CI Nomenclature		(Elec & Paper)
(3)	Serial Number (CIs Only)	(Elec & Paper)
(4)	Part Number		(Elec & Paper)
(5)	Contract Number		(Paper)
(6)	Contract Line Item Number	(Paper)
(7)	Delivery Date		(Paper DD 250)
(8)	DD Form 250 Number	(Paper DD 250)
(9)	Destination of Shipment	(Paper)
(10)	Major/Critical Deviation/	(Paper)
	Waiver Data	(LM Aero-RPT 16PR1159)

1. ECPs Incorporated (Latest ECP Only (Paper)

1. Part II – CI Modification Status Report: To be provided in paper form.

1. CI Number

1. CI Nomenclature

1. CI Part Numbers

1. ECP Number

1. ECP Title

1. Retrofit Effectivity (Inclusive)

1. Serial Numbers Modified

1. Exclusion Data (By SERNO)

1. Date of Modification (Q.C. Acceptance)

1. Location of Modification

1. Delivery Date (*)

1. DD Form 250 Number (*)

1. Destination of Shipment (*)

1. Contract Number (*)

6070 Gum Lane

Bldg. 1213

Hill AFB, UT

84056-5825

AFMC OL:H/PZBB

6070 Gum Lane

Bldg. 1215

Hill AFB, UT

84056-5825

SEE BLK 16

15. TOTAL

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 15 of 16 Page(s)

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP ________ TM ________ OTHER SESS

D. SYSTEM / ITEM

AIS / PSI

E. CONTRACT / PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A00F

2. TITLE OF DATA ITEM

Configuration Status Accounting (CSA) Information

3. SUBTITLE

17.PRICE GROUP

18. ESTIMATED TOTAL PRICE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81253

5. CONTRACT REFERENCE

PWS 4.2.5.9, 4.2.8.2

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

SEE BLK 16

BLK 16

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

a. ADDRESSEE

FINAL

N/A

BLK 16

DRAFT

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16. REMARKS

416 SCMS/GUMAA

(*)Data applicable when modification/retrofit is performed at contractor’s facility and delivery of modified equipment is made via DD Form 250. NOTE: When commercial shippers are required in lieu of DD Form 250, their identifying numbers shall be used. CI Modification Status Report to contain only verifiable data as reported to the contractor.

1. Part III – Change Status Report

1. Paper, Part of Delivery Report Part I:

1. Contractor ECP Number (Submitted)

1. ECP Description

1. ECP Approval Status

1. Contractual Authorization

1. Production Effectivity (Inclusive SERNOs)

1. Retrofit Effectivity (Inclusive SERNOs)

1. Part of ECP as applicable:

1. Kits required

1. Kit Part Number (Contractor)

1. TCTO Identification (When Applicable)

1. Service Bulletin Identification (When Applicable)

1. Blocks 10, 12, 13:

1. Part I Delivery Report Information – 20 days after each equipment delivery.

1. Part II CI Modification Status Report – 20 days after completion of modification.

c. Part III Change Status Report Information – As required and incorporated in Part I Delivery Report and/or ECP information.

Submit Letters of Transmittal to 416 SCMS/GUMAA shall be submitted via e-mail to nicole.checketts@us.af.mil .

6070 Gum Lane

Bldg. 1213

Hill AFB, UT

84056-5825

AFMC OL:H/PZBB

6070 Gum Lane

Bldg. 1215

Hill AFB, UT

84056-5825

SEE BLK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 16 of 16 Page(s)

File details come from the government source that posted it. Updated Nov 14, 2017.