FMS_CDRL_A010.pdf

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.

F100-PW-220 3rd Stage Air Seal Ring E. Contract/PR NO.

FD2030-20-32832

F. Contractor

1. Data Item No.

A010

2. Title of Data Item:

Deficiency Report (DR)

3. Subtitle:

None

4. Authority (Data Acquisition Document No.)

DI-ALSS-81535

5. Contract Reference

6. Requiring Office

AFLCMC/LPSIB

7. DD 250 Req N/A

1. Dist Statement Required

10. Frequency As Required

12. Date of First Submission See Block 16

14. Distribution

8. APP Code

11. As of Date

N/A

13. Date of Subsequent Submission See Block 16

a. Addressee b. Copies

D r a f t

Final

Reg Re pr o

16. REMARKS

As defined by T.O. 00-35D-54, submit a report whenever a material or a quality deficiency occurs utilizing SF Form 368.

THIS CDRL WILL SERVE BASIC YEAR AND ALL OPTION YEARS

Ref: Block 14a: Complete address for distribution:

AFLCMC/LPSIB

3001 Staff Dr., Ste. 2AE1107B Tinker AFB, OK. 73145-3031 endea.spears@us.af.mil 405.736.5585

DCMA/ACO (See the face contract)

AFLCMC/LPSIB 1

DCMA/ACO 1

15. TOTAL 2

G. PREPARED BY

Endea Spears/736-3345

H. DATE

6/19/2020

I. APPROVED BY

Diana Beck/736-3404

J. DATE

6/19/2020

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

CONTRACT DATA REQUIREMENTS LIST