Contract Data Requirements List

Form Approved

OMB No. 0704-0188

CONTRACT DATA REQUIREMENTS LIST

(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

E. CONTRACT / PR NO.

F. CONTRACTOR

F100 / P/N 4081806

FD20302402106

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

A001

First Article Qualification Test Plan and Procedures

NSN: 2915-01-550-3637NZ Noun: INJECTOR

ASSEMBLY,F

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

DI-NDTI-81307A

N/A

AFLCMC/LPSAA

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST

SUBMISSION

SD

A

1 XTIME

See Block 16

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

See Block 16

N/A

16. REMARKS

NAME: Guthrie, Vicki L

DATE: 05 NOV 2024

Block 9: DIST STATEMENT REQUIRED: Distribution Statement A: Approved for public release; distribution is unlimited. Controlling DoD office is 848 SCMG/421 GUEA. Disposal and destruction notices: Dispose of by putting it in a recycle container or regular trash receptacle. Block 14: Deliveries shall be submitted on ISO-10149 compliant CD-ROM in Adobe Acrobat Portable Document Format.
Contractor must provide a plan to ensure that all drawing requirements are met on each first article. The plan should include the equipment and facilities utilized to verify all drawing requirements. As a minimum, the following information is required.
a.
A list of all drawing dimension, tolerances and the equipment utilized to verify each dimension. An actual drawing should be submitted to correlate with the dimension list. b.
A plan to verify that all non-destructive inspections are met.