A031 - Non-Accountable Engine Issue Report.pdf

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

Not later than 1200 Hours (EST) on the last working day of each month, submit a Non-Accountable Issue Engine Report that includes (at a minimum):

1. A listings of all engines received since last report to include serial number, T/S/M, Date of receipt, weight, cube, where materials was receipted from or issued to, document number, condition code, asset value, E T R, Seq #, and RCN/CCN.

2. A listing of all engines issued since last report to include serial number, T/S/M, Date of issue, weight, cube, where materials was issued to, document number, condition code, asset value, E T R, Seq #, and RCN/CCN.

3. A listing of all engines on hand at the time of the report to include serial number, T/S/M, weight, cube, condition code, asset value, date of visual inspection, and discrepancies identified during visual inspection.

Copies of all issue and receipt documentation will be available upon request.

Block 7 - Inspection and acceptance requirements:

The COR will review and accept CDRL A031.

Block 14 - Distribution - Contractor to submit original to Contract Specialist and copy to the COR.