CDRL_B002_AVDLR_TRACKER_H-53.pdf

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages Adobe Professional 8.0

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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 X

D. SYSTEM/ITEM

H-53 PMID AIRCRAFT

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

B002

2. TITLE OF DATA ITEM

AVDLR TRACKER REPORT

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

FRCWP Supply

7. DD 250 REQ

No

9. DIST STATEMENT

REQUIRED

No

10. FREQUENCY

Block 16

12. DATE OF FIRST SUBMISSION

Block 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

Block 16 Draft

Final

Reg Repro

16. REMARKS

(1) Description: AVDLR Tracker Report for the ordering, receipt and turn-in of Aviation Depot Level Repairables (AVDLR)

(2) Purpose: AVDLR Tracker Report will be used to track the ordering and receipt of Aviation Depot Level Repairables (AVDLR) from the squadron of each aircraft and the turn-in of each associated carcass to the supply system.

(3) Format: This report shall be submitted in Microsoft Excel or compatible software.

Report shall include the following:

First Tab:

- Title: Requirements (Example) "BUNO 123456 UIC: N12345"

- Document Number (To be filled in by MALS)

- NIIN, Nomenclature

- Cognizance Code (COG)

- Status (To be filled in by MALS)

- BUNO, Date Shipped (To be filled in by MALS)

- Tracking Number (To be filled in by MALS)

- Julian Date Received by Contractor.

Second Tab:

Title: Carcass (Example) "BUNO: 123456 UIC: N12345"

- Document Number (To be filled in by MALS)

- NIIN (To be filled in by MALS)

- Nomenclature (To be filled in by MALS)

- Ship Date (To be filled in by FRCWP)

- Tracking Number/Manifest (To be filled in by FRCWP)

- Date Cleared from IOU Report, Remarks (To be filled in by MALS)

For PMID/Reset Concurrent inductions, Report shall be on a separate worksheet from the PMID report and clearly distinguishable: add a P/N column to the Requirements Tab; add P/N and S/N columns after the NIIN column to the Carcass Tab.

FRCWP Supply 1 FRCWP Production 1 FRCWP Bus Off 1

15. TOTAL 0 4 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

17. PRICE GROUP

DCMA 1

Reset

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO.

B. EXHIBIT C. CATEGORY: X

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

16. REMARKS (Continued)

(4) Frequency: weekly, on Fridays, or as AVDLR parts are ordered, shipped, processed for turn-in or received.

Shall be emailed to FRCWP at: usn.atsugi.frcwp.mbx.h53-contract@mail.mil

DD FORM 1423-1, FEB 2001 Page of 2 Pages mailto:usn.atsugi.frcwp.mbx.h53-contract@mail.mil