CDRL.pdf

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(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 Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP ____ TM _____ OTHER __________X_______________

D. SYSTEM/ITEM F. CONTRACTOR

ICBM/ NIIN 016772856

E. CONTRACT/PR NO.

FD20202200726-00

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 COUNTERFEIT PROTECTION PLAN

MAGNETIC LEVITATION MODULE ASSEMBLY-

COUNTERFEIT PROTECTION PLAN NSP

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

$0.00

DI-MISC-81832 414 SCMS/GUEA

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD REQUIRED ANNLY SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

D

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final

A SEE BLK 16 SEE BLK 16 Reg Repro

ORG 1 (SEE BLK 16) 0 1 0 16. REMARKS

BLOCK 8: LENGTH OF TIME FOR GOVERNMENT APPROVAL SHALL BE 90 CALENDAR DAYS.

LENGTH OF TIME FOR CONTRACTOR RESUBMITTAL SHALL BE 30 CALENDAR DAYS.

BLOCK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE AND U.S. DOD CONTRACTORS ONLY, ADMINISTRATIVE AND OPERATIONAL USE:

[DATE OF DOCUMENT]. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO

MINUTEMAN III SYSTEMS DIRECTORATE, HILL AFB, UT 84056.

WARNING: THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT IS RESTRICTED BY

THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C. 2751 ET SEQ.) OR THE EXPORT

ADMINISTRATIVE ACT OF 1979, AS AMENDED. VIOLATION OF THESE EXPORT-CONTROL LAWS

ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATEOF IN ACCORDANCE WITH

PROVISIONS OF DOD 5230.25.

DESTRUCTION NOTICE: DESTROY BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF

CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCKS 10, 12, AND 13: CONTRACTOR SHALL DELIVER THE COUNTERFEIT PREVENTION PLAN

WITHIN 30 DAYS OF CONTRACT AWARD. GOVERNMENT COMMENTS WILL BE PROVIDED TO THE

CONTRACTOR WITHIN 14 DAYS AFTER RECEIPT, WITH CONTRACTOR RE-SUBMITTAL WITHIN 15

DAYS AFTER RECEIPT OF COMMENTS.

ELECTRONIC SUBMISSIONS AUTHORIZED TO:

NICHOLAS.CLIFFORD@US.AF.MIL

BRYAN.NEILSON@US.AF.MIL

414 SCMC/GUEAB

6031 GUM LANE

HILL AFB, UT 84067-5826

NOMENCLATURE:

P/N FRU-MLM-G, MAGNETIC LEVITATION MODULE ASSEMBLY

NSN: 5998-01-677-2856

15. TOTAL ▬▬▬▬►

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

02 May 2022

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

02 May 2022