CDRL_Marking_Instructions_RFV.pdf

PDF 662 KB Posted Jun 12, 2019

Attached to: M867, M3A3 Cartridge Actuated Thruster
Solicitation number: N0010419RK122
Issued by: Department of the Navy Naval Supply Systems Command

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Written by GovTribe AI · Dec 27, 2023

This solicitation requests offers for 26 each NSN 1377-00-953-5567, M867 M3A3 Cartridge Actuated Thruster units. Delivery is required 465 days after award, with an option for up to 139% more units. First article testing, lot acceptance testing, and contractor data requirement lists apply. The solicitation will be available for viewing on FBO no earlier than the response date noted in the synopsis. This is an unrestricted procurement open to all responsible sources, with deliverables FOB origin and other items FOB destination. The Navy will not provide paper copies of the solicitation.

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19RK122_amend7.pdf	PDF	Oct 28, 2019
19RK122_amend6.pdf	PDF	Oct 17, 2019
19RK122_amend5.pdf	PDF	Sep 23, 2019
19RK122_amend4.pdf	PDF	Sep 10, 2019
19RK122_amend3.pdf	PDF	Sep 5, 2019
19RK122_amend2.pdf	PDF	Sep 5, 2019
19RK122_amend1.pdf	PDF	Aug 1, 2019
ADC_MASTER_ADC_SOW_together.pdf	PDF	Jun 12, 2019
19NB109__M867__SGFP_(Scheduled_GFM)_from_PDREP_May_27.pdf	PDF	Jun 12, 2019
19RK122_solicitation.pdf	PDF	Jun 12, 2019

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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 I. APPROVED BY J. DATE

Page of Pages milton.reese Highlight

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

CAD/PAD Item Marking Instruction, V 1.4

CAD/PAD Item Marking Instruction

Prepared By CAD/PAD Joint Program Office

NSWC IHEODTD

Version 1.4 Dated 16 Mar 2018

Purpose

Table of Contents

2. Scope Page 5

3. Marking Requirements Page 6

4. Placement of UID Markings Page 8

5. Items delivered in kit format Page 9

6. Waivers Page 9

References

NOTE: Use latest revision of all reference documents.

1. MIL-STD-130 Department of Defense Standard Practice Identification Marking of U.S.

Military Property

2. MIL- STD-1168 (current revision) Ammunition Lot Numbering and Ammunition Data

Card (Note section 3.1 for new lot assignment for “remanufactured CAD/PAD Components”)

3. ISO/IEC 16022 Information technology - International symbology specification - Data

Matrix

4. ISO/IEC 15434 Information technology - International symbology specification - Syntax for high capacity ADC media

5. ISO/IEC 15418 Information technology - International symbology specification -

EAN/UCC Application Identifiers and FACT Data Identifiers and Maintenance (Note: Data

Identifier dictionary with technical content is contained in ANS MH10.8.2)

6. UNDER SECRETARY OF DEFENSE FOR ACQUISITION POLICY AND

TECHNOLOGY Department of Defense Guide to Uniquely Identifying Items version 1.6

(this document is available on line at http://www.acq.osd.mil/dpap/pdi/uid/index.html or from Defense Procurement & Acquisition Policy, 3060 Defense Pentagon, Room 3E1044, Washington, DC 20301-3060)

7. DEFENSE FEDERAL ACQUISITION REGULATION SUPPLEMENT 252.211-7003

Item Identification and Valuation (Copies of this document are available on line at http://farsite.hill.af.mil/ or from the Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954)

8. AFSCM 21-556 Vol. 2 Julian Date format

9. ANS MH10.8.2 - 2006 Data Identifier and Application Identifier Standard

10. ANS MH10.8.7 - 2005 Labeling and Direct Product Marking with Linear Bar Code and

Two-Dimensional Symbols http://www.acq.osd.mil/dpap/pdi/uid/index.html http://farsite.hill.af.mil/ http://farsite.hill.af.mil/

Figures

1. Determining IUID requirement

2. Sample UID Data Stream

3. Sample CAD/PAD Data Plate/Label

4. Sample of Etched Data

5. Sample CAD/PAD Small Item Data Plate/Label

1. Purpose.

The Under Secretary of Defense has implemented policy requiring DoD components meeting the requirements identified in Figure 1 to be marked with Item Unique Identifiers

(IUID). Cartridge Actuated Devices and Propellant Actuated Devices (CAD/PAD) items, regardless of dollar value, are typically serially managed in aircraft maintenance data systems and therefore are applicable to the IUID requirement.

Additionally, the Air Force Aircrew Escape System Executive Working Group (AESEWG) and the egress system maintenance community has requested that CAD/PAD items be marked with Data Matrix ECC 200 on item data plates or items to enhance accuracy of aircraft maintenance data.

In accordance with MIL-STD-130, this marking instruction identifies marking requirements that meet the above objectives by tailoring Unique Identification (UID) requirements to include aircraft maintenance data requirements for both free text Human Readable Information (HRI) and Machine Readable Information (MRI), which are both mandated requirements for CAD/PAD items.

Figure 1. Determining UID Requirement

2. SCOPE.

This instruction identifies marking requirements applicable to suppliers/manufacturers of

CAD/PAD components. It is applicable to both production of new CAD/PAD components and remanufacture of service returned, over-aged components. It identifies marking methods applicable to the various sizes and shapes of CAD/PAD components.

As of this writing, guidance regarding mandated transfer of data to the IUID registry can be found at “http://www.acq.osd.mil/dpap/pdi/uid/index.html”. Go to Training and Communication link, select IUID Toolkit (www.IUIDtoolkit.com), and select “Defense

Suppliers”, then under “Submit”, select subsection “Registration of IUID Data11”, under Support Tools select “Data Submission”.

http://www.acq.osd.mil/dpap/pdi/uid/index.html http://www.acq.osd.mil/dpap/pdi/uid/index.html http://www.iuidtoolkit.com/

3. Marking Requirements.

Both Human Readable Information (HRI) and Machine Readable Information (MRI) are required (see section 4). In accordance with the Defense Federal Acquisition Regulation Supplement (DFARS), DoD has mandated the use of Data Matrix ECC 200 as the standard format for UID MRI markings. Guidance for the construct and application of Data Matrix markings is contained in MIL-STD-130 and the DoD UID Guide located at http://www.acq.osd.mil/dpap/pdi/uid/index.html, select Guides link.

3. 1. HRI Marking Requirements. The following HRI data is required (as a minimum):

- Item Nomenclature; Per applicable manufacturer drawing

- Manufacturer’s Commercial and Government Entity (CAGE); Five (5) alpha/numeric characters.

- Item Lot Number; Lot numbers shall be assigned IAW MIL-STD-1168 (current revision), unless otherwise directed. A new lot number and serial number shall also be assigned for “remanufactured” CAD/PAD components as opposed to adding a suffix to the original lot number for a “rework, overhaul or renovation” effort.

NOTE: The requirement for unique lot number has been deleted.

DOM is NOT required if the lot number contains the DOM as identified in MIL-STD-1168

- Item Serial Number; Serial number shall be up to eight (8) numeric characters.

The serial numbers shall be sequentially assigned and shall not be repeated until serial number 99,999,999 has been reached.

- Item manufacturer’s Part Number

NOTE: The weapon system Specification Number does not meet this requirement

- Optional markings: Additional markings (such as manufacturer’s name, logo, contract number) are acceptable, provided that space is available on the item/data label. Date of

Manufacture (DOM); DOM shall be MM/YYYY and be the same date that is coded into the lot number.

NOTE: Markings and/or attachments shall make no reference to item installation requirements/procedures or shelf/service lives http://www.acq.osd.mil/dpap/pdi/uid/index.html

S S S S S o

3.2. MRI Data Construct.

Data Matrix ECC200 markings shall be developed based on UID Data Construct #2 using Data Identifiers (DIs) in accordance with MIL-STD-130 and the DoD UID Guide (see Figure

2). To facilitate durability throughout the scanning life cycle, the largest symbol size, including quiet zone, shall be fitted within the available marking real estate. The symbol’s internal module (cell) sizes shall be no smaller than 0.0075 inch (0.19 mm) and no larger than 0.025 inch (0.64 mm). Marks shall contain only the data elements identified below:

NOTE: The actual UII will be comprised of CAGE, Part Number, and Serial

Number data. The parenthesis surrounding the Data Identifiers are NOT encoded in the 2D symbol

(17V) Manufacturer’s Commercial and Government Entity (CAGE) code, 5 alpha/numeric characters

- (1P) Manufacturer’s Item Part Number, 18 alpha/numeric characters maximum

NOTE: The weapon system specification numbers do not meet this requirement

- (S) Item Serial Number, IAW HRI requirement, up to eight (8) numeric characters

- (30T) Item production Lot Number, IAW HRI requirement, 15 alpha/numeric characters maximum

NOTE: The data identifier for Lot Number has been changed from 1T to 30T

- (4D) Date of Manufacture (DOM), in Julian Date format, five (5) numeric characters:

Example: 08151 = 31 May 2008

The first two positions are the last two digits of the year, the last three positions are the Julian Date (001 through 366)

17V 12345 G

1P 123456789-ABCDEFGH

S 12345678 G

30T ABC06D123-001

4D 08151 R E

Figure 2. Sample UID Data Stream

S S T

4. Placement of UID Marking. CAD/PAD items vary considerably in size and shape. A large percentage of these items are currently marked with HRI printed on data plates or labels permanently affixed to the item. The preferred method for incorporating the UID required MRI is to include it on the current data plate/label and, wherever possible, the supplier is to incorporate this concept. The following identifies known variations in marking and preferred MRI incorporation methods.

Note: Unless specifically identified as a requirement in the procurement contract, subcomponents of the End Item Assembly shall not be UID marked.

4.1. CAD/PAD Items Currently Marked with Data Plates, Labels, or Flag-Tags. The data plates/labels for these items shall be modified/arranged to allow space for the MRI per paragraph 3.2. Marking shall comply with MIL-STD-130 and the DoD UID Guide (see figure 3).

Figure 3. Sample Data Plate/Label

4.2. CAD/PAD Items Currently Marked With Ink or Laser Etching Directly on the Item.

Item marking shall be modified/arranged to allow space for the incorporation of ink or laser etched MRI per paragraph 3.2. Marking shall comply with MIL-STD-130 and the DoD UID Guide (see figure 4).

CAD/PAD Builder Inc.

Acft Explosive Component Noun

CAGE: 12345

P/N: 123456789-1234

Ser No: 0001 Lot No: ABC08D001-001

DOM: 04/2008

Figure 4. Sample of Etched Data

CAD/PAD Builder Inc.

Acft Explosive Component Noun

CAGE: 12345

P/N: 123456789-1234 Ser No: 0001

4.3. CAD/PAD Items Considered to be Too Small for HRI and MRI. These items shall be physically marked using currently approved methods for HRI. A self-adhesive label shall be supplied in the item inner packaging that includes the minimum HRI (per paragraph 3.1) and the MRI Data Matrix marking (per paragraph 3.2). The label shall be as small as possible (meeting MIL-STD-130 requirements for HRI) and will include only the minimum required data (see figure 5).

Figure 5. Sample Small Item Data Plate/Label

Note: This will allow the maintainer to scan the MRI from the label and the ability to affix it to the next higher assembly.

5. Kit Marking Requirements. Individual components procured and delivered in a “kit” or

“ship-set” format shall each be marked with HRI and MRI as identified in sections 3 and 4.

The kit containers shall also be marked with HRI and MRI per sections 3 and 4.

Note: Individual components supplied in kits or ship-sets require unique item identifiers. Their markings shall not reflect those identifying the kit or ship-set.

5.1 Only the “kit “or “ship-set” will require data submission into the UID Registry. Data submission for individual components in a kit is not required, as these components were not individually priced as line items when placed on contract.

Note: To meet UID requirements, each kit will be assigned an individual serial number. Kits that are comprised of multiple containers will all be marked with the same serial number.

5.2 “Kits” or “ship sets” will typically be assigned lot numbers coinciding with the oldest individual component in the kit.

6. Waivers. Waivers to the UID requirement are not allowed. Requests for waivers to marking methods outlined in this instruction may be considered. Submit requests through appropriate contracting channels.

Acft Explosive Item Noun

CAGE: 12345

P/N: 123456789-1234 Ser No: 0001

PREVIOUS EDITION IS OBSOLETEDD FORM 1694, APR 2017 Page 1 of 2 AEM LiveCycle Designer

REQUEST FOR VARIANCE

(RFV)

1. DATE PREPARED:

(DD-MMM-YYYY)

DD-Mon-YYYY

2. RFV NUMBER:

XXXX-XXXX

3. PROCURING ACTIVITY NO. (PAN):

N00104

OMB No.

0704-0188 Exp 10/31/2019

The public reporting burden for this collection of information is estimated to average 2 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 the collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Executive Services Directorate, Directives Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (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 COMPLETED FORM TO THIS ADDRESS. RETURN COMPLETED FORM TO THE ACQUIRER ISSUING CONTRACTING OFFICER

FOR THE CONTRACT/PROCURING ACTIVITY NUMBER LISTED IN BLOCK 22 OF THIS FORM.

DISTRIBUTION STATEMENT:

(Please insert the appropriate distribution statement/export control warning IAW DODI 5230.24)

4. TITLE OF VARIANCE: Housing, Firing Pin Discrepancies

5. VARIANCE PRE OR POST-PRODUCTION: 6. BASELINE AFFECTED:

Pre-Production Post-Production Functional Allocated Product

7. SYSTEM

INFORMATION

7.a. MODEL/TYPE DESIGNATION:

JAU-13 (M596)

7.b. SYSTEM/CONFIG. ITEM NOMENCLATURE:

Initiator, Cartridge Actuated JAU-13/A

7.c. END ITEM CAGE CODE:

30003

8. AFFECTED ITEM NOMENCLATURE:

Housing, Firing Pin

9. PART NUMBER(S) OF AFFECTED ITEM(S):

851AS115 Rev D

10.a. OTHER EXTERNAL SYSTEM AFFECTED?:

Yes No

11. IDENTIFICATION

OF VARIANCE

11.a. VARIANCE CLASSIFICATION:

Critical Major Minor

11.b. DEFECT NO.

(if applicable):

N/A

11.c. DOCUMENT DEFINING DEFECT NO./CLASS (if applicable):

N/A (e.g. a discrepancy record)

12. DESCRIPTION OF VARIANCE:

Three dimensional discrepancies - see block 22 of attached RFD XXXX-14.

13. NEED FOR VARIANCE:

No other parts are available for immediate use. Previously approved RFD XXXX-14 provided acceptance of the part but limited effectivity to work order M596-N-XXXX, which is not valid for this assembly.

14. CORRECTIVE ACTION TAKEN:

Resolve dimensional discrepancies with an ECP.

15. EFFECT ON PERFORMANCE, FUNCTION, RELIABILITY, DURABILITY, INTEGRATED LOGISTICS SUPPORT, INTERFACE, OR SOFTWARE:

None

16. RECURRENCE 16.a. RECURRING VARIANCE?:

Yes No

16.b. IF YES, PROVIDE RATIONALE:

Prior RFD XXXX-14 effectivity was limited to M596-N-XXXX

17. EFFECTIVITY: (Quantity Affected, Lot Numbers Affected, Serial Numbers, Dates)

Work Order M596-R-XXXX

18. PER UNIT COST IMPACT:

$100.00

19. TOTAL COST IMPACT:

$11,000.00

20. EFFECT ON SCHEDULE IF APPROVED/DISAPPROVED:

8 Months for re-manufacture

21. CONTRACT

INFORMATION

21.a. SUPPLIER:

ABC Manufacturing Inc

21.b. CONTRACT NO. AND LINE ITEM:

Contract NXXXXX-XX-X-XXXX (Line item(s) if applicable)

22. CONTRACTING

OFFICER

22.a. NAME:

John Doe

22.b. TELEPHONE:

+1 (555) 555-5555

22.c. E-MAIL:

john.doe@navy.mil jacob.appelbaum Highlight jacob.appelbaum Highlight jacob.appelbaum Highlight melina.andino-rivera Typewritten Text RFV Form 1694 Additional Guidance Revision A dated 03/16/18

PREVIOUS EDITION IS OBSOLETEDD FORM 1694, APR 2017 Page 2 of 2 AEM LiveCycle Designer

23. ORIGINATING

ACTIVITY

23.a. NAME: Jane Smith

23.c. TELEPHONE: +1 (123) 456-7890

23.d. CAGE CODE:XXXXX 23.e. E-MAIL: jane.smith@navy.mil

23.b. ADDRESS: (Street, City, State, Zip Code) XXX Red Robin Ln.

Somewhere City, STATE 12345

24.a. SUBMITTING AUTHORITY:

ABC Manufacturing Inc

24.b. NAME AND TITLE:

Jane Smith, Manufacturing Branch Manager

24.c. SIGNATURE:

BELOW TO BE COMPLETED BY THE APPROVING ACTIVITY

25.a. RECOMMENDATION: Approval Approval with Modification Disapproval

25.b. MODIFICATION DESCRIPTION:

(If a modification from the original submittal is described, an official contract correcting action must be sent back to the contractor)

25.c. NAME AND TITLE:

Joe Smith Manager, In-Service Engineering

25.d. SIGNATURE: 25.e. DATE: (DD-MMM-YYYY)

26.a. DISPOSITION: (Configuration Approval Authority) Approved Approved with Modification Disapproved

26.b. MODIFICATION DESCRIPTION:

(If a modification from the original submittal is described, an official contract correcting action must be sent back to the contractor)

26.c. NAME AND TITLE:

Jane Doe Chief Engineer

26.d. SIGNATURE: 26.e. DATE: (DD-MMM-YYYY)

27. LIST OF ATTACHMENTS

List Of Attachments (2) dd1694c.pdf dd1694-Inst.pdf jacob.appelbaum Highlight jacob.appelbaum Highlight

REDACTED 19NB109 CDRL

CADPAD Item Marking Instruction - Ver 1.4 dated 3_16_2018

Request for Variance Form 1694 Additional Guidance Rev A dated 03_16_18

File details come from the government source that posted it. Updated Dec 27, 2023.