CDRL_B004_RECEIPT_REPORT_H-53.pdf

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H-53E Aircraft Maintenance and Repair Services
Solicitation number
N6264920R0003
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This document contains a draft Contract Data Requirements List (CDRL) and related draft federal solicitation for H-53 aircraft maintenance and repair services. The CDRL outlines a receipt report contractors must submit on a weekly basis to document all government-furnished materials received. The report must be in Microsoft Excel and include the document number, suffix, national item identification number, quantity, date of receipt, material condition, and comments. For aircraft resets, a separate tab is required to distinguish reset items from planned maintenance induction items. The report is due every Friday via email. The related draft solicitation indicates the Fleet Readiness Center Western Pacific and Naval Supply Systems Command Fleet Logistics Center Yokosuka are seeking maintenance, repair, and overhaul services for U.S. Navy and Marine Corps H-53 aircraft. Interested parties must submit a non-disclosure agreement to obtain the full specification and provide feedback on the draft documents and CDRL by the specified deadlines.

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N6264920R0003 DRAFT CDRL B004

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DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1 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.

B004

2. TITLE OF DATA ITEM

RECEIPT REPORT

3. SUBTITLE

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: Contractor shall submit a list of all Government Furnished Materials (GFM) received in the previous week.

(2) Purpose: To document receipt of all Government Furnished Materials (GFM)

(3) Format: The Receipt Report shall be submitted in Microsoft Excel or compatible software.

The following information shall be represented:

- Document Number

- Suffix

- NIIN

- Quantity (QTY)

- Date of Receipt

- Material Condition (RFI or NRFI)

- Comments

For PMID/Reset Concurrent inductions, Reset reports shall be on a separate worksheet from the PMID reports and clearly distinguishable: add RESET tab to mirror A004 Tab; add nomenclature and P/N columns; include BUNO number preceding the document number in Column A.

(4) Frequency: every week on Friday.

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

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

mailto:usn.atsugi.frcwp.mbx.h53-contract@mail.mil

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