First Article Test Report .pdf
PDF 237 KB Posted
- Attached to
- Electronics Component Federal contract opportunity
- Solicitation number
- SPRHA524Q0750
- Issued by
- Defense Logistics Agency Aviation
About this file
This document is a Contract Data Requirements List (CDRL) for a First Article Test Report related to Contract FD20202400750 for the AN/FPS-117 system. The report is required to be submitted within 15 days after the first article test, with any re-submittals due within 15 days of receiving government comments. The report is considered Controlled Unclassified Information (CUI) and has distribution restrictions. The related federal contract opportunity is for 10 units of NSN 5998-01-176-5358 and is restricted to qualified sources including Lockheed Martin, US Technologies, and US Dynamics. Contractors must submit a qualification package to become an approved source. Access to the technical data package is required and can be requested through the point of contact.
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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 the Department of Defense, Executive Services (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 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 I. APPROVED BY J. DATE
Page of Pages
NDTI
AN/FPS-117 / 5998-01-176-5358 FD20202400750 TBD
A002 Test/Inspection Report First Article Test Report
DI-NDTI-80809B USAF AFMC 260 Block 9E 415 SCMS/GUEA
DD
A D
ONE/R
NA
See 16
NA
FY2073 1
415 SCMS/EN 1
415 SCMS/GUEA 1
0 1 2
Changes to names and office symbols, when necessary, shall be made by letter through the CO/ACO without revision to this CDRL.
Block 9: Data submittal shall be marked with the following on the cover page:
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administration and operational purposes, contains limited access information, 7 May 2020. Other requests for this document shall be referred to OO-ALC/ AFMC 415 SCMS/GUEA.
WARNING: Export Controlled Destruction Notice: Destroy by any means that will prevent disclosure of the contents or reconstruction of the document.
Block 12: The Contractor shall deliver the First Article Test Report NLT 15 days after first article test. The contractor shall make any re-submittal NLT 15 days after receipt of government comments..
Block 14a: Electronic submission is acceptable. Addresses are:
DODAAC: FY2073
val.klemm@us.af.mil 415SCMS.EN@us.af.mil
CUI
CONTROLLED UNCLASSIFIED INFORMATION (CUI) Requirements:
Mark the top and bottom of the first page with CUI.
Include the CUI block below the Destruction Notice.
CUI Block:
"Controlled By: 415 Supply Chain Management Squadron CUI Categories: CTI, CUI EXPT Distribution/Dissemination Control: Distribution Statement D POC: STINFO Manager: 415SCMS.en@us.af.mil"
NSP
0.00
KLEMM.VAL.REID.1286909821
Digitally signed by
KLEMM.VAL.REID.1286909821
Date: 2024.05.10 15:02:19 -06'00'
5/10/2024 HORNSBY.KENDRIC.R.138
7611564
Digitally signed by
HORNSBY.KENDRIC.R.1387611564
Date: 2024.05.10 15:12:30 -06'00'
5/10/2024
Adobe Professional 8.0
B0001AC
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)
DD FORM 1423-1, FEB 2001 Page of Pages
NDTI
AN/FPS-117 / 5998-01-176-5358 FD20202400750 TBD
File details come from the government source that posted it. Updated .