Contract Data Requirements List

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:

A

D. SYSTEM/ITEM

TDP

TM

E. CONTRACT/PR NO.

See Blk 16
1. DATA ITEM NO.

PR# FD20202600989

2. TITLE OF DATA ITEM

A001

OTHER

F. CONTRACTOR

17. PRICE GROUP

3. SUBTITLE

Test/Inspection Report

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

SD

9. DIST STATEMENT

REQUIRED

8. APP CODE

A

See Blk 16

18. ESTIMATED

TOTAL PRICE

6. REQUIRING OFFICE

DI-NDTI-80809B/T

7. DD 250 REQ

NSP

First Article Test Report

414 SCMS/GUEA

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

See Blk 16

14.

b. COPIES

13. DATE OF SUBSEQUENT

SUBMISSION

11. AS OF DATE

See Blk 16

a. ADDRESSEE

Block D:
NIIN: 010818892; PN: 76D41637P1; Description: Packing, Preformed

Final

Draft

See Blk 16

16. REMARKS

$0

DISTRIBUTION

See Blk 16

Reg

809 MXSS/MXDEB

Repro

SEE BLOCK 16

Block 4: Contractor format acceptable.
Paragraph 10.2 of DI-NDTI-80809B clarified as follows:
a. All dimensions and tolerances specified on the manufacturing data shall be listed in one column, with the actual corresponding reading obtained from the inspection of the part listed in another column.
b. Materials used in the manufacture of the "First Article" shall be identified and certified along with a copy of material purchase requirements as conforming to applicable data requirements.
c. Material processing, including finish requirements (plating, heat treatment, welding, anodizing, painting, etc.) utilized in the manufacture of "First Article" item shall be identified and certified as conforming to applicable requirements. A copy of