CDRL_A005.pdf

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

TDP TM OTHER

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

1730-01-061-4444 Towbar

FD2060-15-90002

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

A005 Test Report Inspection and Test Reports

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

TOTAL PRICE

DI-NDTI-80809B SOW PARAGRAPH 3.6 AFLCMC/WNZEA

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

14. DISTRIBUTION

DD REQUIRED ASREQ BLK 16

C a. ADDRESSEE

b. COPIES

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

Draft Final

A N/A SUBMISSION

N/A Reg Repro

16. REMARKS

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

Contractor shall invoice in Wide Area Workflow.

BLK 8: The Government shall have 14 days* after receipt of each test report for approval/disapproval. The contractor shall have 14 days after receipt of the Government comments to resubmit the report.

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

BLK 12: An inspection and test report shall be submitted to the Government for each towbar repaired.

The contractor shall submit each inspection and test report no later than 14 days following completion of assembly and verification (see SOW paragraph 3.4) of each towbar. The government shall approve/disapprove each report within 14 days of receipt by WNZEA.

BLK 14: For each review and any subsequent resubmission, soft copy shall be provided via electronic media utilizing standard Microsoft Office applications to the e-mail addresses below.

AFLCMC/WNZBA: Vincent.Stewart@robins.af.mil (PM) AFLCMC/WNZEA: Jeffrey.Lee@robins.af.mil (ENG) AFLCMC/WNKABA: Donna.Pallini@robins.af.mil (PCO)

*Days are calendar days.

See BLOCK 16

AFLCMC/WNZEA

Supt Equip & Veh Division

Attn: Jeffrey Lee

235 Byron Street, Ste 19A Robins AFB GA 31098-

15. TOTAL 0 2 0

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

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