FD2030_21_31256_CDRL_Status_Report.docx

CONTRACT DATA REQUIREMENTS LIST

Form Approved CMB 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 this 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 222202-2302, 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 A

C. Category

D. System/Item.

E. Contract/PR NO.

F. Contractor

1. Data Item No.

A008

2. Title of Data Item:

Status Report for Contractor Receipt/Shipment of FMS R/R

3. Subtitle:

4. Authority (Data Acquisition Document No.)

DI-MISC-80915

5. Contract Reference

6. Requiring Office

AFLCMC/LPSIB

7. DD 250 Req N/A

1. Dist Statement Required N/A

10. Frequency Monthly

12. Date of First Submission See Block 16

14. Distribution

8. APP Code N/A

11. As of Date See Block 16

13. Date of Subsequent Submission See Block 16

16. REMARKS

BLOCK 4: DID IS TAILORED AS FOLLOWS:

THIS CDRL WILL SERVER FOR BASIC YEAR AND ALL OPTION YEARS

THE CONTRACTOR SHALL PREPARE AND FURNISH A MONTHLY CUMULATIVE STATUS REPORT FOR ALL ITEMS THAT HAVE BEEN RECEIVED FOR REPAIR. THE REPORT SHALL BE PREPARED AS OF THE LAST WORKING DAY OF EACH MONTH AND FORWARDED BY E-MAIL OR FAXED NO LATER THAN THE 5TH WORKING DAY OF THE FOLLOWING MONTH. THE INITIAL REPORT WILL BE PREPARED FOR THE MONTH DURING WHICH THE CONTRACT ASSETS ARE RECEIVED. REPORTS WILL CONTINUE TO BE FORWARDED UNTIL ALL END ITEMS ARE REPAIRED. THE LAST REPORT WILL BE ANNOTATED “FINAL REPORT”. NEGATIVE REPORTS ARE REQUIRED.

CONTRACTOR’S FORMAT IS ACCEPTABLE.

NOTE: THIS REPORT SHOULD REFLECT THE APPLICABLE COUNTRY, ITEM PART NUMBER, NATIONAL STOCK NUMBER, SERIAL NUMBER, NOMENCLATURE, DATE RECEIVED, DOCUMENT NUMBER, DATE INPUT INTO WORK, EXHIBIT LINE ITEM NUMBER, FORECAST COMPLETION DATE AND SHIP DATE OF SERVICEABLE ASSET. REPORT IS TO BE FURNISHED IN EITHER NATIONAL STOCK NUMBER OR PART NUMBER SEQUENCE. SCRAPPED ITEMS REQUIRE REASON FOR SCRAP AND T.O. REFERENCE.

CALL FOR E-MAIL ADDRESS: 405-582-5308 (LPSIB).

AFLCMC/LPSIB

DCMA/ACO

G. PREPARED BY

Atueayu Wilson/582-5308

H. DATE

22 Feb 21

I. APPROVED BY

Anna Mroz/734.4629

J. DATE

22 Feb 21

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 1 Pages