FATR.pdf
PDF 128 KB Posted
- Attached to
- F-16 Gyroscope
- Solicitation number
- SPRHA4-26-Q-0469
- Issued by
-
Defense Logistics Agency Aviation
About this file
This is a Contract Data Requirements List (CDRL) on DD Form 1423-1 for a single data item related to a Grip Assembly contract.
The contract is FD2020-26-00469 with the system/item identified as 5BJXBO (Grip Assembly, Contr FD2020-26-00469). The required data item is B001, a Test/Inspection Report subtitle "First Article Test Report," with data item number DI-NDTI-80809B/T under the NDTI category. The requiring office is 416 SCMS/GUEAA at Hill AFB, UT 84056-5825. The report is classified as Distribution Statement "B" authorized to U.S. Government agencies for Test & Evaluation purposes through March 2026. The submission frequency is OTIME (one-time), with submissions to occur as of and by March 3, 2026. The estimated total price for this data requirement is $0.00, with NSP (non-standard pricing group) designation.
The contractor's format for submission is acceptable, with specific clarifications outlined: all manufacturing dimensions and tolerances must be listed with corresponding inspection readings; materials used in the First Article must be identified and certified with material purchase requests; material processing and finish requirements must be documented and certified; and other requirements per Hill AFB Form 462 must be included. The Test/Inspection Report shall be submitted concurrently with the First Article item and delivered via email to alan.christenson.1@us.af.mil, with physical shipment to Non-Accountable Bay Transportation Officer, Building 849 West, Hill AFB, UT 84056-5999, marked for 809 MXSS/MXDEB. Export control warnings and DoD distribution statement markings are required on all documentation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| MQR.pdf | ||
| Pkg_SOW.pdf | ||
| SPRHA426Q0469.pdf | ||
| Unmarked Eng Data 2022.pdf | ||
| CPP.pdf | ||
| EDL.pdf | ||
| EDR.pdf |
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Text version
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 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
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 I. APPROVED BY J. DATE
Page of Pages
B NDTI
Grip Assembly, Contr FD2020-26-00469
B001 Test/Inspection Report First Article Test Report
DI-NDTI-80809B/T CLIN for Data 416 SCMS/GUEAA
SD
N/A B
OTIME
SEE BLK 16
SEE BLK 16
SEE BLK 16
416 SCMS/ 1
GUEAA
6071 Gum LN Bldg. 1213 Hill AFB, UT 84056-5825
SEE BLK 16 1
0 2 0
NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the CO/ACO without further revision to this CDRL.
NSN: 6615-01-104-7834WF
1. Block 4: Contractor's format is acceptable. Paragraph 10.2 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 part listed in another column.
b. Materials utilized in the manufacture of "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 "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 on Engineering Data Requirement (HILL AFB Form 462).
2. Block 9: Distribution Statement and Export Control Warning shall be IAW DoD Instruction 5230.24.
The following Distribution Statement shall be placed on the first sheet of each document and/or Associated Lists.
DISTRIBUTION STATEMENT "B" Distribution authorized to U.S. Government agencies. (Test & Evaluation) (Mar 2026). Other requests for this document shall be referred to (416 SCMS/GUEAA, Hill AFB, UT 84056-5825).
NSP
0.00
3 Mar 26 3 Mar 2026
1 2
PINNEGAR.STEPH
ANIE.A.1102660737
Digitally signed by
PINNEGAR.STEPHANIE.A.110266073
Date: 2026.03.03 09:03:41 -07'00'
CHRISTENSON.AL
AN.W.1591287687
Digitally signed by
CHRISTENSON.ALAN.W.15912876
Date: 2026.03.03 09:41:57 -07'00'
0001AA
DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
Page of Pages
B NDTI
Grip Assembly, Contr FD2020-26-00469
EXPORT CONTROL WARNING: All printed and electronic, including digital, technical documents that are determined to contain export-controlled technical data shall be marked with the following statement:
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code).
Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive
5230.25 and DoD Instruction 2040.02.
3. Blocks 10, 11, 12, 13, 14:
a. For Government Testing - Report to assist in "First Article" testing by the Air Force shall be submitted concurrently with the "First Article" item either in the packaging of the shipping container or separately if the report will not fit within the container packaging unfolded. When shipped in the "First Article" container, the report shall be enclosed in a paper or plastic envelope.
b. SHIP TO: Non-Accountable Bay Transportation Officer Building 849 West Hill AFB, UT 84056-5999
MARK FOR: 809 MXSS/MXDEB
7278 4th Street (Bldg. 100, Bay D) Hill AFB, UT 84056-5205
NOTE: If report is shipped separate from "First Article" item, send report to "MARK FOR" address listed above.
c. Contractor shall deliver the Test/Inspection Report via e-mail to the following e-mail address: alan.christenson.1@us.af.mil
2 2
| FD2020-26-00469 CPP 6615010427834WF for Rachelle Sexton Signed Print.pdf |
| FD2020-26-00469 FAT 6615014277834WF for Rachelle Sexton Signed Print.pdf |
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