CDRL-DD1423-1_A001_thru_A009.pdf

1 of 1DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page Pages Adobe Professional 7.0Reset

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACTDATAREQUIREMENTSLIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 IssuingContracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B.EXHIBIT

A

C.CATEGORY:

TDP TM OTHER MGMT

SYSTEM/ITEM E. CONTRACT/PR NO.

FD2060-20-00

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Plan

3. SUBTITLE

IUID Marking Plan

AUTHORITY (Data Acquisition Document No.)

MGMT-81803

5. CONTRACT REFERENCE

PWS Paragraph

6. REQUIRING OFFICE

AFSC 409 SCMS/GUME

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

See BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

See BLK 16

Draft Final

Reg Repro

16. REMARKS

Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the PCO/ACO without further revision to this CDRL.

BLK 7 :

Submit invoice in WAWF, DoDAAC FA8554 <https://wawf.eb.mil/>, submittal of final Marking Plan

BLK 9: DISTRIBUTION . Distribution authorized to U.S. Government Agencies due to critical technology as . Other requests for this document shall be referred to , 235 Byron Street, Suite

19A, RAFB, GA 31098-1670.

BLK 14:

1 0 0

0 1 1 See BLK 16

15. TOTAL 1 1

G. PREPARED BY

Ronald Brigmond

H. DATE

I. APPROVEDBY

TraceeSealy

J. DATE

BRIGMOND.RONALD.L.138186443

Digitally signed by

BRIGMOND.RONALD.L.1381864436

Date: 2020.07.01 09:49:38 -04'00'

SEALY.TRACEE.A.1229963

Digitally signed by

SEALY.TRACEE.A.1229963011

Date: 2020.07.01 11:04:27 -04'00'

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACTDATAREQUIREMENTSLIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 IssuingContracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B.EXHIBIT

A

C.CATEGORY:

TDP TM OTHER MGMT

SYSTEM/ITEM E. CONTRACT/PR NO.

FD2060-20-00

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Activity, Validation and Verification Report

3. SUBTITLE

Validation and Verification Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81804A

5. CONTRACT REFERENCE

PWS Paragraph

6. REQUIRING OFFICE

AFSC 409 SCMS/GUME

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

See BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

See BLK 16

Draft Final

Reg Repro

16. REMARKS

Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the PCO/ACO without further revision to this CDRL.

BLK 12 and 13: Initial submission shall be due at 90 days prior to the end of the Contract Period of Performance. The government has 15 days to accept/reject and provide comments. The contractor shall have 10 days to incorporate changes.

1 0 0

WAWF 0 1 1

See BLK 16

15. TOTAL 1 1

G. PREPARED BY

Ronald Brigmond

H. DATE

I. APPROVEDBY

TraceeSealy

J. DATE

See BLK 16

SEALY.TRACEE.A.122996301

Digitally signed by

SEALY.TRACEE.A.1229963011

Date: 2020.07.01 10:54:44 -04'00'

BRIGMOND.RONALD.L.138

1864436

Digitally signed by

BRIGMOND.RONALD.L.1381864436

Date: 2020.07.01 09:50:33 -04'00'

Page 1 of 1DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Pages

Reset

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACTDATAREQUIREMENTSLIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 and Communications 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

A

C.CATEGORY: QCIC

TDP TM OTHER

SYSTEM/ITEM E. CONTRACT/PR NO.

FD2060-20-00

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Government Industry Data Exchange Program (GIDEP) Alert/Safe-Alert Report

3. SUBTITLE

Alert/Safe-Alert Report

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-80125B

5. CONTRACT REFERENCE

PWS Paragraph

6. REQUIRING OFFICE

AFSC 409 SCMS/GUME

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

See BLK 16

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the PCO/ACO without further revision to this CDRL.

BLK 7: The contractor shall submit each report with a letter of transmittal.

Submit invoice in WAWF, DoDAAC FA8554 <https://wawf.eb.mil/>, after submittal of final report to account for all previously submitted.

BLK 8: WAWF requirement for inspection and acceptance is applicable only to the first addressee in Block 14. A letter of transmittal will be used to send to other addressees.

Block 9:

BLK 12: The contractor shall prepare an ALERT (DD Form 1938) to notify the Government of Material Deficiencies which have adversely impacted or have the potential to adversely impact the program during the duration of the contract.

0 1 0

GIDEP OPS CT 0 1 0

P.O. Box 8000 Corona, CA 91718-8000

WAWF 0 1 0

See BLK 16

15. TOTAL 0 3 0

G. PREPARED BY

Ronald Brigmond

H. DATE

I. APPROVED BY

Tracee Sealy

J. DATE

See BLK 16

SEALY.TRACEE.A.122996301

Digitally signed by

SEALY.TRACEE.A.1229963011

Date: 2020.07.01 11:07:56 -04'00'

BRIGMOND.RONALD.L.13818

64436

Digitally signed by

Date: 2020.07.01 09:51:31 -04'00'

Page 1 of 1DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Pages

Reset

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACTDATAREQUIREMENTSLIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 and Communications 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

A

C.CATEGORY: QCIC

TDP TM OTHER

SYSTEM/ITEM E. CONTRACT/PR NO.

FD2060-20-00

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Government Industry Data Exchange Program (GIDEP) Alert/Safe-Alert Response

3. SUBTITLE

Alert/Safe-Alert Response

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-80126B

5. CONTRACT REFERENCE

PWS Paragraph .1

6. REQUIRING OFFICE

AFSC 409 SCMS/GUME

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

BLK 16

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft Final

Reg Repro

16. REMARKS

Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the PCO/ACO without further revision to this CDRL.

Block 7: The contractor shall submit each report with a letter of transmittal.

Submit invoice in WAWF, DoDAAC FA8554 <https://wawf.eb.mil/>, after submittal of final report to account for all previously submitted.

BLK 8: WAWF requirement for inspection and acceptance is applicable only to the first addressee in Block 14. A letter of transmittal will be used to send to other addressees.

BLK 12: The contractor shall prepare an ALERT/SAFE-ALERT to provide the Government with information on the applicability, impact, and corrective action or disposition of Alerted parts, assemblies, and units containing Alerted parts.

0 1 0

GIDEP OPS CT 0 1 0

P.O. Box 8000 Corona, CA 91718-8000

WAWF 0 1 0

See BLK 16

15. TOTAL 0 3 0

G. PREPARED BY

Ronald Brigmond

H. DATE

I. APPROVED BY

Tracee Sealy

J. DATE

SEALY.TRACEE.A.1229963011

Digitally signed by

SEALY.TRACEE.A.1229963011

Date: 2020.07.01 10:52:43 -04'00'

BRIGMOND.RONALD.L.1381864436 Digitally signed by BRIGMOND.RONALD.L.1381864436 Date: 2020.07.01 09:51:14 -04'00'

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACTDATAREQUIREMENTSLIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 IssuingContracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B.EXHIBIT

A

C.CATEGORY:

TDP TM OTHER MGMT

SYSTEM/ITEM E. CONTRACT/PR NO.

FD2060-20-00

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Commercial Asset Visibility Air Force (CAVAF)/Government Furnished Material Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81634C

5. CONTRACT REFERENCE

PWS Paragraphs

6. REQUIRING OFFICE

AFSC 409 SCMS/GUME

7. DD 250 REQ

LT**

9. DIST STATEMENT

REQUIRED

N/A

10. FREQUENCY

See BLK 16

12. DATE OF FIRST SUBMISSION

See BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

See BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

See BLK 16

Draft Final

Reg Repro

16. REMARKS

** Block 7: DD Form 250 shall be required for Price Data. When required, DD Form 250 will be submitted to

Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the PCO/ACO without further revision to this CDRL.

Blocks 7 and 14: The contractor shall submit each report with a letter of transmittal. Submit invoice in WAWF, DoDAAC FA8554 <https://wawf.eb.mil/>, after submittal of final report to account for all previously submitted.

The contractor will report end item and Government-Furnished Material (GFM) data through electronic submission in CAV II using the CAV II web site IAW CAV II SOW. This information will be accessed by the program office PMS and by 409 SCMS/GUBA in order to ascertain production status and GFM inventories.

Data will be submitted by the contractor daily IAW CAV II User's Guide, Version 6.0. and Appendix B for GFM contracts.

Training will be provided by 409 SCMS/GUBA.

This DD Form 1423-1 applies to both Contractor-Furnished Material (CFM) and

Government-Furnished Material (GFM) type contracts.

NOTE: DELIVERY ORDER REPORTING APPLIES.

Blocks 10 13:

1. Updates to the CAV II system shall be accomplished daily or when a supply or maintenance transaction occurs. IAW CAV II Contractor User's Guide, Version 6.0. and Appendix B for GFM contracts.

2. The method of communication from the contractor to the Air Logistics Center (ALC) will be mechanized, IAW CAV II Contractor User's Guide, Version 6.0. and Appendix B for GFM contracts.

3. The contractor will use CAV II for reporting all end item GFM transactions on day the specific action occurred. Weekends are exceptions. (NOTE: Certain actions such as receipts, inductions to work, production, shipments, issues, etc., require a transaction to be input to CAV II. However when there is no action it is not necessary to access the system.

Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified IAW CAV II User's Guide, Version 6.0. and Appendix B for GFM contracts.

WAWF

See BLK 16

15. TOTAL 0 0

G. PREPARED BY

Ronald Brigmond

H. DATE

I. APPROVEDBY

Tracee Sealy

J. DATE

SEALY.TRACEE.A.1229963011 Digitally signed by SEALY.TRACEE.A.1229963011

Date: 2020.07.07 14:25:41 -04'00'

BRIGMOND.RONALD.L.138186443

Digitally signed by

Date: 2020.07.01 11:36:16 -04'00'

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACTDATAREQUIREMENTSLIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 IssuingContracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B.EXHIBIT

A

C.CATEGORY:

TDP TM OTHER MGMT

SYSTEM/ITEM E. CONTRACT/PR NO.

FD2060-20-00

F. CONTRACTOR

1. DATA ITEM NO.

A00

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Monthly Status Report (MSR)

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A (See BKL 16)

5. CONTRACT REFERENCE

PWS Paragraph .1

6. REQUIRING OFFICE

AFSC 409 SCMS/GUME

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

See BLK 16

12. DATE OF FIRST SUBMISSION

See BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

See BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

See BLK 16

Draft Final

Reg Repro

16. REMARKS

Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the PCO/ACO without further revision to this CDRL.

Block 4: At a minimum the following data shall be included in each MSR:

Contract #, CLIN, DO #, P/N, NSN, Serial #, Contract Repair $, Date in for Repair, Ship Data, Status/Comments, and the activities of the subject month

Block 7: The contractor shall submit each report with a letter of transmittal. Submit invoice in WAWF, DoDAAC FA8554 <https://wawf.eb.mil/>, after submittal of final report to account for all previously submitted.

lock 9:

Blocks 10-13: After receipt of first delivery order, the Contractor shall submit the first MSR no later than the 15th of the next month. For the life of the contract, for all months with active delivery order(s) a MSR is due no later than the 15th of the following month.

1 0 0

WAWF 0 1 0

See BLK 16

15. TOTAL 1 0

G. PREPARED BY

Ronald Brigmond

H. DATE

I. APPROVEDBY

TraceeSealy

J. DATE

See BLK 16

SEALY.TRACEE.A.12299630

Digitally signed by

SEALY.TRACEE.A.1229963011

Date: 2020.07.01 11:12:49 -04'00'

BRIGMOND.RONALD.L.138186

Digitally signed by

Date: 2020.07.01 09:51:48 -04'00'

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACTDATAREQUIREMENTSLIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 IssuingContracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B.EXHIBIT

A

C.CATEGORY:

TDP TM OTHER SAFT

SYSTEM/ITEM E. CONTRACT/PR NO.

FD2060-20-00

F. CONTRACTOR

1. DATA ITEM NO.

A00

2. TITLE OF DATA ITEM

Accident/Incident Report

3. SUBTITLE

Mishap Notification

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-81563

5. CONTRACT REFERENCE

PWS Paragraph 1

6. REQUIRING OFFICE

AFSC 409 SCMS/GUME

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

See BLK 16

12. DATE OF FIRST SUBMISSION

See BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

See BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

See BLK 16

Draft Final

Reg Repro

16. REMARKS

Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the PCO/ACO without further revision to this CDRL.

Block 4: Contractor shall submit a report on ALL mishaps, damage to DoD property, and employee injury, to the Installation Safety Office by telephone within four (4) hours after initial notification. Written report shall be submitted within three (3) calendar days of mishap.

Electronic submissions are acceptable. Information that is not available at the time of the initial notification shall be provided within 20 calendar days of mishap.

Block 7: The contractor shall submit each report with a letter of transmittal. Submit invoice in WAWF, DoDAAC FA8554 <https://wawf.eb.mil/>, after submittal of final report to account for all previously submitted.

1 0 0

See BLK 16

WAWF 0 1 0

See BLK 16

15. TOTAL 1 0

G. PREPARED BY

Ronald Brigmond

H. DATE

I. APPROVEDBY

TraceeSealy

J. DATE

BRIGMOND.RONALD.L.138186443

Digitally signed by

BRIGMOND.RONALD.L.1381864436

Date: 2020.07.01 09:50:14 -04'00'

SEALY.TRACEE.A.122996301

Digitally signed by

SEALY.TRACEE.A.1229963011

Date: 2020.07.01 11:09:56 -04'00'

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACTDATAREQUIREMENTSLIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 IssuingContracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B.EXHIBIT

A

C.CATEGORY:

TDP TM

SYSTEM/ITEM E. CONTRACT/PR NO.

FD2060-20-

F. CONTRACTOR

1. DATA ITEM NO.

A00

2. TITLE OF DATA ITEM 3. SUBTITLE

AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.8.2

6. REQUIRING OFFICE

AFSC 409 SCMS/GUME

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

See BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

See BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

See BLK 16

Draft Final

Reg Repro

15. TOTAL 0

G. PREPARED BY

Ronald Brigmond

H. DATE

I. APPROVEDBY

TraceeSealy

J. DATE

OTHER

RINGLEY.JONATHAN.R.126

4500881

Digitally signed by

RINGLEY.JONATHAN.R.1264500881

Date: 2020.08.18 13:01:18 -04'00'

BRIGMOND.RONALD.L.138186

Digitally signed by

BRIGMOND.RONALD.L.1381864436

Date: 2020.08.17 10:13:53 -04'00'

FISKE.ROBERT.R.

1260632872

Digitally signed by

FISKE.ROBERT.R.1260632872

Date: 2020.08.17 10:43:01 -04'00'

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACTDATAREQUIREMENTSLIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 IssuingContracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B.EXHIBIT

A

C.CATEGORY:

TDP TM

SYSTEM/ITEM E. CONTRACT/PR NO.

FD2060-20-

F. CONTRACTOR

1. DATA ITEM NO.

A00

2. TITLE OF DATA ITEM 3. SUBTITLE

AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS Paragraph 4.8.3

6. REQUIRING OFFICE

AFSC 409 SCMS/GUME

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

See B 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

See B 16

13. DATE OF SUBSEQUENT

SUBMISSION

See B 16

Draft Final

Reg Repro

15. TOTAL 0

G. PREPARED BY

Ronald Brigmond

H. DATE

I. APPROVEDBY

TraceeSealy

J. DATE

OTHER

RINGLEY.JONATHAN.R.126

4500881

Digitally signed by

RINGLEY.JONATHAN.R.1264500881

Date: 2020.08.18 13:05:24 -04'00'

BRIGMOND.RONALD.L.138186

Digitally signed by

BRIGMOND.RONALD.L.1381864436

Date: 2020.08.17 10:15:03 -04'00'

FISKE.ROBERT.

R.1260632872

Digitally signed by

FISKE.ROBERT.R.1260632872

Date: 2020.08.17 10:41:52 -04'00'