CDRL_B007_FINAL_MATERIAL_CONSUMPTION_REPORT_H-53.pdf

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

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 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

A

C. CATEGORY: X

TDP TM OTHER

D. SYSTEM/ITEM

H-53 PMID AIRCRAFT

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

B007

2. TITLE OF DATA ITEM

FINAL MATERIAL CONSUMPTION REPORT

3. SUBTITLE

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

PWS

6. REQUIRING OFFICE

FRCWP

7. DD 250 REQ

YES

9. DIST STATEMENT

REQUIRED

NONE

10. FREQUENCY

EACH AIRCRAFT

12. DATE OF FIRST SUBMISSION

NOTE 4

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

NO

11. AS OF DATE

NOTE 4

13. DATE OF SUBSEQUENT

SUBMISSION

NOTE 4 Draft

Final

Reg Repro

16. REMARKS

(1) Description: Contractor shall submit a Final Material Consumption Report will list all Hazardous Material, Consumable, and Local Purchase Items purchased for each aircraft. The Contractor shall provide separate worksheets for Reset data.

(2) Purpose: For Government use in the audit, review and documentation of the total material cost per aircraft.

(3) Format: Final Material Consumption Report shall be submitted in Microsoft Excel or compatible software.

First Tab shall include: Cover Page showing date, CDRL Number, Aircraft Type and model, Production number, BUNO number, and total amounts for Hazardous Materials, Consumable Items, Local Purchase Items, and Fuel.

Hazardous Materials shall include the following:

Work Order (W/O) number, BUNO, Cognizance Code (COG), Class, NIIN, Nomenclature, Part Number (P/N), Unit of Issue (UI), Quantity (QTY), Unit Price, and, Total Price.

Consumable Purchases shall include the following information: Work Order number (W/O), BUNO , Cognizance Code (COG), Class, NIIN, Nomenclature, Part Number (P/N), Unit of Issue (UI), Quantity (QTY), Unit Price, and Total Price.

Local Purchases shall include the following information: Work Order number, BUNO, Nomenclature, Part Number (P/N), Unit of Issue (UI), Quantity (QTY), Unit Price, and Total Price.

Fuel shall include: Work Order number (W/O), BUNO, NIIN, Nomenclature, Quantity (QTY), Unit Price, and Total Price.

(4) Frequency: Shall be submitted within 30 calendar days of aircraft completion.

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

FRCWP Prod 1 FRCWP Supp 1 FRCWP Bus Ops 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