CDRL.pdf

CONTRACT DATA REQUIREMENTS LIST

/1 Data Item)

Form Approved

0MB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time far 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 0MB 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.

D. SYSTEM/ITEM

AN/TSQ-TlO, JTE

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

B. EXHIBIT

C

C. CATEGORY:

TDP TM

I E. CONTRACT/PR NO.

FD20201901498

AOOl First Article Qualification Test Plan

4. AUTHORITY (Data Acquisition Document No.}

OTHER MISC

F.CONTRACTOR

3. SUBTITLE

First Article Test Procedure

6. REQUIRING OFACE DI-NDTI-81307A 15. CONTRACT REFERENCE 415 SCMS/GUMAA

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

LT

8. APP CODE

A D

ONE/R

11. AS OF DATE

NIA

60DAC

13. DATE OF SUBSEQUENT

SUBMISSION 15DARC

a. ADDRESSEE

16. REMARKS 415 SCMS

Draft

b. COPIES

Final

Reg Repro

1----------+---1----+---t Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter 415 SCMS/EN 1 1----------+---1----t---t through the CO/ACO without further revision to this CDRL.

Block 9: Data submittal shall be marked with the following on the cover page:

Destruction Notice: Destroy by any means that will prevent disclosure of the contents or reconstruction of the document.

Block 14a: Document submission shall be made electronically using MS Office 2007 format or Portable Document Format (PDF). Addresses are:

valerie. faulkner. l@us.af.mil 415SCMS.EN@us.af.milt.

G. PREPARED BY I. APPROVED BY

15. TOTAL

H.DATE

11/28/2018 Bryson Kent KENT.BRYSON.C.13855179 0,,,,,,11, '''""' by Engineer 415 SCMS/GUMBB

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

0 J. DATE

01/17/2018 of Pages

Adobe Professional 8.0

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

levi.allery@us.af.mil

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB 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 (0704M0188). 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 0MB 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:

C TDP TM OTHER MISC

D. SYSTEM/ITEM

I

E. CONTRACT/PR NO. F.CONTRACTOR

AN/TSQ-TlO, JTE FD20201901498

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A002 Test Inspection/Report First Article Test Report

4. AUTHORITY (Data Acquisition Document No.}

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DINDTI-80809B 415 SCMS/GUMAA

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

ONE/R 180DAC LT b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D SUBMISSION Draft A NIA 15DARC Reg Repro

16. REMARKS 415 SCMS

Changes to names and office symbols, when necessary, shall be made by letter through the 415 SCMS/EN CO/ACO without revision to this CDRL.

Block 9: Data submittal shall be marked with the following on the cover page:

Destruction Notice: Destroy by any means that will prevent disclosure of the contents or reconstruction of the document.

Block 12: Date of first submission shall be 180 DAC or 60 days after the approval of the First Article Test Procedure (AOOl), whichever is later.

Block 14a: Electronic submission is acceptable. Addresses are:

levi.allery@us.af.mil valerie.faulkner. l@us.af mil

15.TOTAL

G. PREPARED BY H.DATE I. APPROVED BY

Engineer 415 SCMS/GUMBB Bryson Kent FONG .ROGER. l 525517507 :���!1,"�t�-�·t�'i:�i-=R 15215i1:o7 11/28/2018 KENT.BRYSON C 13855179 n,,,,a11y ''''"" hy

DD FORM 1423-1, FEB 2001

KENT.BRYSON .C.1385517986

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0 1 1

J. DATE

01/17/2018 of Pages

Adobe Professional 8.0

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117. PRICE GROUP

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18. ESTIMATED

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB 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 (07Cl+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 0MB 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:

C TOP TM OTHER MISC --- --

D.SYSTEMnTEM

I

E. CONTRACT/PR NO. F.CONTRACTOR

FD20201901498

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A005 Counterfeit Prevention Plan

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-81832 415 SCMS

7.DD250REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT

REQUIRED

lTIME 30DAC b. COPIES

8.APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

D SUBMISSION Draft A NIA NIA Reg Repro

16. REMARKS 415 SCMS 1

Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter 415SCMS/EN I

748 SCMG/PKA I through the CO/ ACO without further revision to this CDRL.

Block 4: Plan shall include all items from section 4 of SAE AS5553.

Block 12: Contractor shall deliver the Counterfeit Prevention Plan within 30 days of contract award. Government comments provided to the contractor within 14 days after receipt, with contractor re-submittal due 7 days after receipt of comments.

Block 14: Document submission shall be made electronically using MS Office 2010 or newer format or Portable Document Format (PDF).

Address e-mail submissions to: USAF AFMC 415 SCMS/EN, 415SCMS.en@us.af.mil 415 SCMS engineer levi.allery@us.af.mil 748 SCMG/PKA, PCO (TBD) @us.af.mil (For PCO name see contract) DODAAC (if applicable): FY2073 Address Line 1: FY2073 GLSC 415 SCMS Address Line 2: BLDG 1239 CP 801 586 1368 Address Line 3: 6012 FIR AVE Address Line 4: HILL AFB UT 84056-5820

Block 9:

DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administration and operational purposes, contains limited access information, 21 Nov 2008. Other requests for this document shall be referred to 00-ALC/ AFMC 415 SCMS/GUMBB.

DESTRUCTION NOTICE: Destroy by any means that will prevent disclosure of the contents or reconstruction of the document.

15.TOTAL 0 1 2

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

Engineer 415 SCMS/GUMBB Bryson Kent 01/17/2018 KENT.BRYSON.C.13855179 rn,.1o11,,;gnodby

Rfi ��.BR��·?.: l��I���.

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

Adobe Professional 8.0

17. PRICE GROUP

18. ESTIMATED