CDRLS

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 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 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

A

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

1377-01-591-8912ES

FD2020-25-51836

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

A001

Ammunition Data Card (ADC)

TM

OTHER

MISC

F. CONTRACTOR

COLLINS AEROSPACE

17. PRICE GROUP

3. SUBTITLE

FFP

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

DI-MISC-80043B

Airmunitions Specification

AFLCMC/EBHJ

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

ASREQ

BLK 16

8. APP CODE

11. AS OF DATE

A

BLK16

13. DATE OF SUBSEQUENT

SUBMISSION

SD

B

14.

18. ESTIMATED

TOTAL PRICE

315000.00

DISTRIBUTION

b. COPIES

a. ADDRESSEE

ASREQ

Final

Draft

Reg

Repro

16. REMARKS

WAWF

BLK 4: Manufacturer’s Identification Symbols used in lot numbering must be registered per MIL-HDBK-1461 ‘Ammunition Manufacturers and Their Symbols’.

Contr. Officer

WAWF

AFLCMC/EBHJ

BLK 7: The electronic receiving report shall be annotated with the Lot Number, National Stock Number and Nomenclature. The electronic receiving report shall also be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The electronic receiving report shall be used only for this data item; do not combine other data item submittals with this requirement. Electronic receiving report required via internet Wide Area Work Flow (WAWF) at: https://wawf.eb.mil.
BLK 8: Within 30 calendar days of receipt, Government Engineer through the Government Contracting Officer (AFLCMC/EBHKB) will respond with notice of approval/disapproval. Failure to