4116357_CDRL1_REPORT.pdf

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POWER SUPPLY
Solicitation number
SPRTA1-25-R-0399
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About this file

This document is a Contract Data Requirements List (CDRL) for a First Article Inspection Test Report related to a Power Supply for the F-16 aircraft system. The document is associated with contract number FD20302500953 and details the requirements for a test/inspection report to be submitted 180 days after contract award. The specific item is a Power Supply with NSN 6130012099062HY and Part Number 709290-2, with the purpose of providing objective evidence that all engineering, design, and specification requirements are correctly understood, verified, and recorded.

The report must demonstrate that the first article unit(s) conform to applicable contract technical requirements, delineate specific inspection results, witnesses, and observations, and include variable and attribute data such as instrument readings. Deliverables shall be submitted on an ISO-10149 compliant CD-ROM in Adobe Acrobat PDF format. The document indicates that all inspection and acceptance will be at destination using Wide Area Workflow (WAWF), and a combination invoice and receiving report must be submitted to receive payment for data reports. The government will provide written notice of approval/disapproval within 30 days after receipt of the contractor's report.

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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

F-16 / Power Supply

E. CONTRACT / PR NO.

FD20302500953

F. CONTRACTOR

1. DATA ITEM NO.

A001

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

A

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

Hathaway, Anet MNAME: 12 MAR 2025DATE:

NSN: 6130012099062HY

P/N: 709290-2 Noun: Power Supply System: F-16

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 30 DAYS AFTER

RECEIPT OF CONTRACTOR'S REPORT.

BLOCK 9: Distribution Statement A: Approved for public release; distribution is unlimited.

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

AS 9102 FORMAT OR EQUIVALENT IS ACCEPTABLE.

422 SCMS/GUEA

3001 Staff Drive Tinker Air Force Base, Oklahoma 73145

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 1 of 2DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 06 May 2025

PREVIOUS EDITION MAY BE USED.

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

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.

COORDINATORS:

G. PREPARED BY

Hathaway, Anet M

422 SCMS / GUME

405-582-5315

H. DATE

13 MAR 2025

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Ward, Kelly K

422 SCMS / GUEA 405-582-5355 / 852-5355

J. DATE

13-MAR-25

Page 2 of 2DD FORM 1423-1, FEB 2001 Version 1Generated by PRPS using Jasper Reports on 06 May 2025

PREVIOUS EDITION MAY BE USED.

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