FACDRL.pdf

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 J. DATE

Page of Pages

A

First Article

A001 Test/Inspection Reports Government Testing

DI-NDTI-80809B 417 SCMS/CL

LT

B

Per contract reqs

Per contract reqs

Preferred method of 1

0 1 0

1. BLOCK 4: Contractor format acceptable. Paragraph 10.2.3.3 of DI-NDTI-80809B is clarified as follows:

a. All dimensions and tolerances specified on the manufacturing data shall be listed in one column with the actual corresponding reading obtained from the inspection of the parts listed in another column.

b. Materials utilized in the manufacture of the "First Article" item shall be identified and certified along with a copy of material purchase requests as conforming to applicable data requirements.

c. Material processing, including finish requirements (plating, heat treatment, welding, inspecting, anodize, painting, etc.) utilized in the manufacture of the "First Article" item shall be identified and certified as conforming to applicable requirements. A copy of the purchase order certifying the process accomplished at other than contractor facility shall be included.

d. Other requirements as called out with the Technical Data Package.

2. BLOCK 9: Distribution authorized to U.S. Government Agencies only, test and evaluation, 21 Jun 2021. Other requests for this document shall be referred to 417

SCMS.

3. BLOCKS 10, 11, 12, and 13: Report to assist in the "First Article" testing by the Air Force shall be submitted concurrently with the "First Article" item.

FOB: DESTINATION

INSPECTION/ACCEPTANCE: DESTINATION

NSP

0.00

Lori Grygier Lead IM, 417 SCMS/GUMD

1 1 shipping to include test report in First Article container:

FB2029

809 MXSS/MXDEB

Bldg. 849 Attn:

Non Accountable Bay Hill AFB, UT 84056-5713

01/17/2023 01/17/2023

MARTIN.BRAD

.H.1256609564

Digitally signed by

MARTIN.BRAD.H.1256609564

Date: 2023.01.17 13:56:12 -07'00'

FD20202400293-00