E009.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 of 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:

0004BK, 0012BB, X004AH,

X008AH

E TDP TM OTHER NDTI

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

Ground Power Modernization FD2060-21-31511

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

GROUP

E009 Test/Inspection Report Production Acceptance Test Report

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

TOTAL PRICE

DI-NDTI-80809B/T NOT 2 SOW para 3.6.3 AFLCMC/WNZ-SEV NSP

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

LT AS REQ See BLK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A AS REQ Reg Repro

16. REMARKS AFLCMC/ WNZ-

SEV 0 1 0

BLK 4: DI-NDTI-80809B is tailored as follows: A. Para 10.2.2: Delete in its entirety. B. Para 10.2.3.1: Delete in its entirety. C. Para 10.2.3.3: Delete in its entirety. D. Para 10.2.4: Delete in its entirety. E. Para 10.2.5: Delete in its entirety. F. Para 10.2.6.1: Delete in its entirety. G. Para 10.2.6.2: Delete in its entirety. H. Para 10.2.6.3: Delete in its entirety. I. Para 10.2.6.6: Delete in its entirety. J. Para 10.2.8: Delete in its entirety.

BLK 7: The PCO will issue approval outside iRAPT.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense (DoD) and U.S. DoD Contractors only; Critical Technology; Export Controlled; 08 July 2021. Other requests shall be referred to AFLCMC/WNZ.

BLKs 10, 12 and 13: The contractor shall include a copy of the Production Acceptance Test Report for each production unit with each end item production unit pack-up data. The Government will have 20 days per report after receipt of the test report to approve or disapprove, and provide comments to the contractor. The contractor shall have 10 business days to incorporate Government comments and redeliver the report.

BLK 12: The contractor shall prepare and enclose a production acceptance test report for each production end item with the unit pack-up data.

BLK 14: Hard copy documents ONLY shall be provided with each end item production unit.

Digital documents submitted for approval shall be provided via electronic media utilizing standard Microsoft Office applications and submitted via email to the points of contact (POC) actual name, phone, and email provided by the Procuring activity at the time of contract award:

Support Equipment & Vehicles Division

ATTN: AFLCMC/WNZ-SEV

235 Byron Street, Suite 19A Robins AFB GA 31098-1813

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

Support Equipment & Vehicles Division

ATTN: AFLCMC/WNK

235 Byron Street, Suite 19A Robins AFB GA 31098-1813

AFLCMC/WNK 0 1 0

15. Total 0 2 0

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

Relious Grant 07/26/2021

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

9/02/2021

See BLK 16