CDRLs.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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

MHU-196A/204A

NSN: 1740-01-621-1713

NSN: 1740-01-620-7092

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A001 Contractor’s Progress, Status, and Management Report Monthly Status Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-80227 PWS Services Summary AFLCMC/WNZEA

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Monthly 5th day of NEXT month of the contract started

b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A End of month 5th day of each month Reg Repr o

16. REMARKS AFLCMC/

WNKAAB 0 1 0

BLK 4: Contract format acceptable. Shall be submitted by the 5th of the first month after receipt of order for approval. Approval required for first submittal only.

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use) (1 June 2002). Other requests for this document shall be referred to 406 SCMS/GUEE, Robins AFB, GA 31098. Questions concerning technical content shall be referred to AFLCMC/WNZEA.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications to:

ATTN: AFLCMC/WNKAAB

Ms. Donna Pallini e-mail: donna.pallini@us.af.mil

Notification of submission shall be provided to the PCO via e-mail.

15. Total 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

T. Shoman June 1, 2015

DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page 1 of 11 Pages mailto:donna.pallini@us.af.mil

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A002 Conference Agenda

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-ADMN-81249A SOW PARAGRAPH 4.3.1 AFLCMC/WNZEA

7. DD 250 REQ 9. DIST STATEMENT 10 FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

DD REQUIRED ASREQ BLOCK 16

C a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

Draft Final

A N/A SUBMISSION

BLOCK 16 Reg Repro

16. REMARKS

BLK 4: Contractor format acceptable.

BLK 7: Acceptance is at Destination, Robins AFB GA.

Contractor shall invoice in Wide Area Workflow.

BLK 12: Conference Agenda shall be provided at least 14 days* in advance of meeting.

BLK 8, 13: The Government shall have 5 days after receipt of the agenda for approval/disapproval. The contractor shall have 5 days after receipt of the Government comments to resubmit the agenda.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to WNZBA.

BLK 14: Documents shall be developed using standard Microsoft Office applications. The Conference Agenda shall be submitted electronically to the e-mail addresses below.

AFLCMC/WNZEA: e.shoman@us.af.mil (ENG) AFLCMC/WNKABA: Donna.Pallini@robins.af.mil (PCO)

*Days are calendar days.

See BLOCK 16

15. TOTAL 0 2 0

T. Shoman 08/14/2015

DD FORM 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1 of 1 Page(s) mailto:e.shoman@us.af.mil mailto:Donna.Pallini@robins.af.mil

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.

A003 Integrated Master Schedule (IMS)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-81861 PWS Services summary AFLCMC/WNZEA

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD ONE/R 15DAC b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A N/A Reg Repr o

16. REMARKS AFLCMC/

WNKAAB 0 1 0

BLK 4: In accordance with Format 6. See DI-MGMT-81861 para 1.1.6.

BLK 8: The Government will have 10 days after the receipt of plan to review and provide comments. The contractor shall have 5 days after the receipt of the Government comments to resubmit the schedule.

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use) (1 June 2002). Other requests for this document shall be referred to 406 SCMS/GUEE, Robins AFB, GA 31098. Questions concerning technical content shall be referred to AFLCMC/WNZEA.

T. Shoman June 1, 2015

DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page 3 of 11 Pages

(2 Data Items)

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A005 Conference Minutes

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-ADMN-81250A SOW PARAGRAPH 4.3.1 AFLCMC/WNZEA

7. DD 250 REQ 9. DIST STATEMENT 10 FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

DD REQUIRED ASREQ BLOCK 16

C a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

Draft Final

A N/A SUBMISSION

BLOCK 16 Reg Repro

16. REMARKS

BLK 4: Contractor format acceptable.

BLK 7: Acceptance is at Destination, Robins AFB GA.

Contractor shall invoice in Wide Area Workflow.

BLK 12: Conference Minutes shall be provided no later than 10 days* after the meeting.

BLK 8, 13: The Government shall have 10 days after receipt of the minutes for approval/disapproval. The contractor shall have 10 days after receipt of the Government comments to resubmit the minutes.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to WNZBA.

BLK 14: Documents shall be developed using standard Microsoft Office applications. The Conference Minutes shall be submitted electronically to the e-mail addresses below.

AFLCMC/WNZEA: e.shoman@us.af.mil (ENG) AFLCMC/WNKBB: Donna.Pallini@robins.af.mil (PCO)

*Days are calendar days.

See BLOCK 16

15. TOTAL 0 2 0

T. Shoman 08/14/2015

DD FORM 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1 of 1 Page(s) mailto:e.shoman@us.af.mil mailto:Donna.Pallini@robins.af.mil

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.

A006 PROTOTYPE TEST PLAN

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-NDTI-81307A PWS para 4.2.7 AFLCMC/WNZEA

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD 1 TIME BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A N/A Reg Repr o

16. REMARKS AFLCMC/

WNKAAB 0 1 0

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use) (1 June 2002). Other requests for this document shall be referred to 406 SCMS/GUEE, Robins AFB, GA 31098. Questions concerning technical content shall be referred to AFLCMC/WNZEA.

BLK 12: Plan shall be submitted electronically in Microsoft Word format to PCO no later than 90 days after contract award. The Government will have 10 days after the receipt of plan to review and provide comments. The contractor shall have 10 days after the receipt of the Government comments to resubmit the plan.

T. Shoman June 1, 2015

DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page 6 of 11 Pages

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.

A007 Prototype Test/Inspection Report Test Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-NDTI-80809B PWS para 4.2.7 AFLCMC/WNZEA

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD 1 TIME BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A N/A Reg Repr o

16. REMARKS AFLCMC/

WNKAAB 0 1 0

NSN 1740-01-621-1713 and 1740-01-620-7092 "The test report shall document all testing performed, including results of any unsuccessful test attempts.”

BLK 8: The government will have 20 days after the receipt of the test report for approval or disapproval. The contractor shall have 10 days after the receipt of the Government comments to resubmit the report.

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use) (1 June 2002). Other requests for this document shall be referred to 406 SCMS/GUEE, Robins AFB, GA 31098. Questions concerning technical content shall be referred to AFLCMC/WNZEA.

BLK 12: Test report shall be submitted electronically in Microsoft Word format to PCO no later than 45 days after the completion of testing. The Government will have 10 days after the receipt of test report to review and provide comments. The contractor shall have 10 days after the receipt of the Government comments to resubmit the test report.

T. Shoman June 1, 2015

DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page 7 of 11 Pages

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.

A008 Technical report – Study/Services Final Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-80508B PWS para 4.2.1 AFLCMC/WNZEA

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD 1 TIME BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A N/A Reg Repr o

16. REMARKS AFLCMC/

WNKAAB 0 1 0

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use) (1 June 2002). Other requests for this document shall be referred to 406 SCMS/GUEE, Robins AFB, GA 31098. Questions concerning technical content shall be referred to AFLCMC/WNZEA.

BLK 12: Final report shall be submitted electronically in Microsoft Word format to PCO no later than 30 days after the completion of testing. The Government will have 30 days after the receipt of final report to review and provide comments. The contractor shall have 10 days after the receipt of the Government comments to resubmit the final report.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications to:

T. Shoman June 1, 2015

DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page 8 of 11 Pages

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.

A009 Notice of Revision (NOR)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-CMAN-80642C PWS para 4.3 AFLCMC/WNZEA

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ASREQ ASREQ b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A N/A Reg Repr o

16. REMARKS AFLCMC/

WNKAAB 0 1 0

A Notice of Revision (NOR) shall be submitted with each ECP. Should the Government approve an ECP, the contractor shall be responsible for submitting updated TOs to reflect the changes made in the ECP.

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use) (1 June 2002). Other requests for this document shall be referred to 406 SCMS/GUEE, Robins AFB, GA 31098. Questions concerning technical content shall be referred to AFLCMC/WNZEA.

T. Shoman 1 June, 2015

DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page 9 of 11 Pages

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.

A010 Engineering Change Proposal (ECP)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-CMAN-80639C PWS para 4.3 AFLCMC/WNZEA

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ASREQ ASREQ b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A N/A Reg Repr o

16. REMARKS AFLCMC/

WNKAAB 0 1 0

Notwithstanding any other provision, no contractor or subcontractor's change in design, fabrication, assembly, part, material, process, or source of supply shall be made to the allocated or product baseline unless such change is submitted in writing by ECP and approved by the procuring activity. Any request for change shall be accompanied by complete documentation supporting the need for the change.

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use) (1 June 2002). Other requests for this document shall be referred to 406 SCMS/GUEE, Robins AFB, GA 31098. Questions concerning technical content shall be referred to AFLCMC/WNZEA.

T. Shoman 1 June, 2015

DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page 10 of 11 Pages

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract|PR No. listed in Block E.

A012 Trip/Travel Report N/A

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-81943 PWS para 4.6 AFLCMC/WNZEA

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD ASREQ BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A N/A Reg Repr o

16. REMARKS AFLCMC/

WNKAAB 0 1 0

BLK 9: DISTRIBUTION STATEMENT D - Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use) (1 June 2002). Other requests for this document shall be referred to 406 SCMS/GUEE, Robins AFB, GA 31098. Questions concerning technical content shall be referred to AFLCMC/WNZEA.

BLK 12: Trip/Travel report shall be submitted electronically in Microsoft Word format to PCO no later than 30 days after the completion of travel.

The Government will have 30 days after the receipt of final report to review and provide comments. The contractor shall have 10 days after the receipt of the Government comments to resubmit the Trip report.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications to:

T. Shoman June 1, 2015 DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page 8 of 11 Pages

(1 Data Item)

Form Approved QMB 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 either of these addresses. 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 XXXX TM OTHER

D. SYSTEM / ITEM E. CONTRACT / PR NO. F. CONTRACTOR

20MM Linkless Ammunition Loading System

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

PRODUCT DRAWINGS/MODELS AND ASSOCIATED LISTS

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-81000E/T (PWS) PARAGRAPH 4.3 AFLCMC/LZPEM

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED 10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

DD QRTLY SEE BLK 16 b. COPIES

8. APP CODE SEE BLOCK 16 11. AS OF DATE 13. DATE OF

SUBSEQUENT

SUBMISSION

a. ADDRESSEE

FINAL

A SEE BLOCK

SEE BLK 16 Draft Reg Repro

16. REMARKS AFLCMC/LZPEM

285 Cochran Street

1. Air Force drawings 9626025 rev F, 9579776 rev L and 9579777 rev A (CAGE 98752) are a part of this CDRL ROBINS AFB, GA.

A copy of the drawings may be requested through the Procurement Contracting officer. 31098-1669

2. METADATA SHALL BE IN ACCORDANCE WITH 9579776 PARAGRAPH 10 OPTION

ONE

3. Please reference EDATS control number 2015-35 on all correspondence related to this effort.

PAPER COPY 1

SEE CONTINUATION SHEETS DIGITAL DATA 1

(CLASSIFIED)

Vendor Item Control Drawings shall be used to specify the requirements for purchased items when such items have been approved for use in the design and are used without alteration, selection or source qualification (testing of an item prior to procurement action to ensure that it satisfies the specified requirements). Reference paragraph 7.1 of DI-SESS-81000E.

DIGITAL 1

15. TOTAL 1 0 2

Joseph Mower 10 April 2015