2599232_CDRL1_REPORT.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188(1 Data Item)

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 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

B-52 / Indicator Assembly

E. CONTRACT / PR NO.

FD20301900301

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Engineering Change Proposal (ECP)

3. SUBTITLE

NSN: 6340-00-861-5282RK Part Number: R1188

4. AUTHORITY

DI-SESS-80639D

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

422 SCMS/GUEA

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

11. AS OF DATE

N/A

12. DATE OF FIRST

SUBMISSION

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 28 SEP 2018DATE:

NSN: 6340-00-861-5282RK Part Number: R1188

Block 7: All inspection and acceptance shall be at destination utilizing iRAPT (formerly WAWF). A combination of an invoice and receiving report shall be submitted through iRAPT in order to receive payment for data reports.

Block 8: The Government will have 20 days after receipt for approval or disapproval. The contractor shall have 10 days after receipt of the Government comments to resubmit.

Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only, Critical Technology, 28 Apr 2017. Refer other requests for this document to 422 SCMS/GUEA, Tinker

AFB, OK 73145.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.

Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

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

The above Distribution Statement, Warning, Destruction Notice shall be displayed or affixed to each page of the report in a conspicuous position.

Block 14A: All submission shall be provided as an electronically editable, machine-readable Comma Separated Values (CSV) text file with alphanumeric fields enclosed in double quotation marks made available via electronic-mail to:

422SCMS.Workflow@us.af.mil Attention: 422 SCMS/GUEA

Contract Format Acceptable

Delivery Cannot Be Deferred

NSN: 6340-00-861-5282RK Part Number: R1188

COORDINATORS:

422 SCMS/GUEA 0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

01 OCT 2018

I. APPROVED BY

//DIGITALLY SIGNED//

HENDRY.BRIAN.J.1231299587

422 SCMS / GUEA 405-582-5345 / 852-5345

J. DATE

01 OCT 2018

Page 1 of 5DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Nov 2018

PREVIOUS EDITION MAY BE USED.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator Assembly

E. CONTRACT / PR NO.

FD20301900301

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Test Procedures

3. SUBTITLE

Acceptance Test Procedure

4. AUTHORITY

DI-NDTI-80603A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

422 SCMS/GUEA

7. DD 250 REQ

DD

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

1 XTIME

11. AS OF DATE

Test Day

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

As Required

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 27 SEP 2018DATE:

BLOCK 7: ALL INSPECTION AND ACCEPTANCE SHALL BE AT DESTINATION UTILIZING WAWF. A

COMBINATION OF AN INVOICE AND RECEIVING REPORT SHALL BE SUBMITTED THROUGH WAWF IN

ORDER TO RECEIVE PAYMENT FOR DATA REPORTS.

BLOCK 8: GOVERNMENT WRITTEN NOTICE OF APPROVAL/DISAPPROVAL IS DUE 60 DAYS AFTER

RECEIPT OF CONTRACTOR'S REPORT.

BLOCK 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only, Critical Technology, 28 Apr 2017.

Refer other requests for this document to 422 SCMS/GUEA, Tinker AFB, OK 73145.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.

Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

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

The above Distribution Statement, Warning, Destruction Notice shall be displayed or affixed to each page of the report in a conspicuous position.

BLOCK 12: DUE 120 DAYS AFTER CONTRACT AWARD.

BLOCK 14: Deliveries shall be submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat Portable Document Format.

Contractor format acceptable unless otherwise defined by applicable Data Item Description (DID).

COORDINATORS:

422 SCMS/GUEA

3001 Staff Drive Tinker AFB, OK 73145

0 1 0

0 1 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

01 OCT 2018

I. APPROVED BY

//DIGITALLY SIGNED//

HENDRY.BRIAN.J.1231299587

422 SCMS / GUEA 405-582-5345 / 852-5345

J. DATE

01 OCT 2018

Page 2 of 5DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Nov 2018

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator Assembly

E. CONTRACT / PR NO.

FD20301900301

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

First Article Qualification Test Plan and Procedures

3. SUBTITLE

NSN: 6340-00-861-5282RK Part Number: R1188

4. AUTHORITY

DI-NDTI-81307A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

AFLCMC/LZPED

7. DD 250 REQ

NO

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

1 XTIME

11. AS OF DATE

N/A

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 28 SEP 2018DATE:

NSN: 6340-00-861-5282RK Part Number: R1188

BLOCK 7: ALL INSPECTION AND ACCEPTANCE SHALL BE AT DESTINATION UTILIZING WAWF. A

COMBINATION OF AN INVOICE AND RECEIVING REPORT SHALL BE SUBMITTED THROUGH WAWF IN

ORDER TO RECEIVE PAYMENT FOR DATA REPORTS.

BLOCK 8: GOVERNMENT WRITTEN NOTICE OF APPROVAL/DISAPPROVAL IS DUE 45 DAYS AFTER

RECEIPT OF CONTRACTOR'S REPORT

Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only, Critical Technology, 28 Apr 2017. Refer other requests for this document to 422 SCMS/GUEA, Tinker

AFB, OK 73145.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.

Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

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

The above Distribution Statement, Warning, Destruction Notice shall be displayed or affixed to each page of the report in a conspicuous position.

BLOCK 12: DUE 180 DAYS AFTER CONTRACT AWARD.

BLOCK 14: Deliveries shall be submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat Portable Document Format.

Contractor format acceptable unless otherwise defined by applicable Data Item Description (DID).

NSN: 6340-00-861-5282RK Part Number: R1188

COORDINATORS:

422 SCMS/GUEA 0 1 0

AFLCMC/LZPED

FA Monitor DODAAC

FA8111

3001 Staff Dr. Ste 1AB85A Tinker AFB, OK 73145-3041

0 1 0

0 2 015. TOTAL

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

01 OCT 2018

I. APPROVED BY

//DIGITALLY SIGNED//

HENDRY.BRIAN.J.1231299587

422 SCMS / GUEA 405-582-5345 / 852-5345

J. DATE

01 OCT 2018

Page 3 of 5DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Nov 2018

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

B-52 / Indicator Assembly

E. CONTRACT / PR NO.

FD20301900301

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

First Article Inspection Test Report

4. AUTHORITY

DI-NDTI-80809B/T

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

AFLCMC/LZPED

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

1 XTIME

11. AS OF DATE

Test Day

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Zilar, Dale NNAME: 28 SEP 2018DATE:

NSN: 6340-00-861-5282RK Part Number: R1188

Block 7: All inspection and acceptance shall be at destination utilizing WAWF. A combination of an invoice and receiving report shall be submitted through WAWF in order to receive payment for data reports.

Block 8: Government written notice of approval/disapproval is due 45 days after receipt of contractor's report.

Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only, Critical Technology, 28 Apr 2017. Refer other requests for this document to 422 SCMS/GUEA, Tinker

AFB, OK 73145.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.

Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

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

The above Distribution Statement, Warning, Destruction Notice shall be displayed or affixed to each page of the report in a conspicuous position.

Block 12: 180 days after contract award.

See attached DD form 1664, data item description.

Block 14: Deliveries shall be submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat portable document format.

Contractor format acceptable unless otherwise defined by applicable data item description (DID).

A. The purpose of the first article inspection is to give objective evidence that all engineering, design and specification requirements are correctly understood, accounted for, verified and recorded.

B. Show completion of inspection and results of inspection performed to demonstrate that the first article unit(s) conform to the applicable contract technical requirements.

C. Report shall delineate the specific results obtained, the witnesses, and any other pertinent observations.

D. Inspection results shall be the applicable variable & attribute data in the form of recordings, instrument readings and related data.

E. As applicable, the first article inspection test report should identify any deviations or limitations in the first article unit(s) involved.

Delete paras: 10.2.4(a), 10.2.5, 10.2.6.2, 10.2.6.3, 10.2.6.4.2(b-d), 10.2.6.5, 10.2.6.6, 10.2.7.2 & 10.2.8

422 SCMS/GUEA

3001 Staff Drive Tinker AFB OK 73145-3033

0 1 0

AFLCMC/LZPED

ATTN: FA Monitor DoDAAC

FA8111

3001 Staff Drive, Suite

1AB85A

Tinker AFB, OK 73145-3041

0 1 0

0 2 015. TOTAL

Page 4 of 5DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Nov 2018

AS 9102 format or equivalent is acceptable.

Remark applicable to hazardous items only: the tests required are as specified in chapter 9 of the United Nations transport of dangerous goods (orange book) recommendations.

NSN: 6340-00-861-5282RK Part number: R1188

COORDINATORS:

G. PREPARED BY

Zilar, Dale N

424 SCMS / GUBAB

405-736-7976

H. DATE

01 OCT 2018

I. APPROVED BY

//DIGITALLY SIGNED//

HENDRY.BRIAN.J.1231299587

422 SCMS / GUEA 405-582-5345 / 852-5345

J. DATE

01 OCT 2018

Page 5 of 5DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 02 Nov 2018