CDRLpkg.pdf

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 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.

FD20602101177

F. CONTRACTOR

1. DATA ITEM NO.

a001

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

N/A

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

IAW Line Item 0005

6. REQUIRING OFFICE

407 SCMS/GULC

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

See Block 16

11. AS OF DATE

See block 16

12. DATE OF FIRST

SUBMISSION

See block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Crowley, Amanda LNAME: 08 FEB 2022DATE:

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

Block 7: The Government will accept the receiving report through WAWF. The contractor shall submit the receiving report upon final submission to DODAAC FB2065, Attention: chetaun.smith@us.af.mil (Program Manager) to account for data previously submitted by letters of transmittal. The Government will approve/disapprove within 30 calendar days after receipt.

Block 9: DISTRIBUTATION STATEMENT "B": Distribution authorized to U.S. Government agencies only for Administrative or Operational Use, 8 FEB 2022. Other requests for this document shall be referred to 407

SCMS/GULB.

Block 10-13: The contractor shall submit a complete Counterfeit Prevention Plan within 30 calendar days after contract award. The Government will review and determine acceptance or rejection and notify contractor within 10 calendar days of receipt. If rejected, the contractor shall have 10 calendar days to correct any error and return a corrected Counterfeit Prevention Plan to the Government for review.

Block 14: Forward one electronic copy in PDF format to the following email address:

Engineer: Josh Russell (joshua.russell@us.af.mil)

COORDINATORS:

15. TOTAL

G. PREPARED BY

Smith, Chetaun R

407 SCMS / GULC

478-926-7425

H. DATE

01 AUG 2022

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Adams, Andrew C

407 SCMS / GUBA 478-926-5480 / 468-5480

J. DATE

01-AUG-22

Page 1 of 4DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 19 Aug 2022

PREVIOUS EDITION MAY BE USED.

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

TDP TM OTHER X

D. SYSTEM / ITEM E. CONTRACT / PR NO.

FD20602101177

F. CONTRACTOR

1. DATA ITEM NO.

a002

2. TITLE OF DATA ITEM

First Article Testing Report

3. SUBTITLE

N/A

4. AUTHORITY

DI-NDTI-80809B

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

IAW Line Item 0002

6. REQUIRING OFFICE

407 SCMS/GUEA

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

1 XTIME

11. AS OF DATE

N/A

12. DATE OF FIRST

SUBMISSION

See block 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Crowley, Amanda LNAME: 08 FEB 2022DATE:

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 8: The Government has 45 calendar days to approve.

Block 12: 45 days after first article testing.

BLK 14: Electronic delivery of Draft copies via e-mail to the following Distribution Addresses shall be delivered in PDF format.

407 SCMS/GUEA

Joshua Russell, Engineer (1 each) joshua.russell@us.af.mil

407 SCMS/GULC

Chetaun Smith, Program Manager (1 each) chetaun.smith@us.af.mil

DLA/ABW

Russell MCGAHA, PCO (1 each) russell.mcgaha@us.af.mil

COORDINATORS:

See block 16 3 1 0

3 1 015. TOTAL

G. PREPARED BY

Smith, Chetaun R

407 SCMS / GULC

478-926-7425

H. DATE

01 AUG 2022

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Adams, Andrew C

407 SCMS / GUBA 478-926-5480 / 468-5480

J. DATE

01-AUG-22

Page 2 of 4DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 19 Aug 2022

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

TDP TM OTHER X

D. SYSTEM / ITEM E. CONTRACT / PR NO.

FD20602101177

F. CONTRACTOR

1. DATA ITEM NO.

a003

2. TITLE OF DATA ITEM

First Article Testing Plan

3. SUBTITLE

N/A

4. AUTHORITY

DI-NDTI-81307A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

IAW Line Item 002

6. REQUIRING OFFICE

407 SCMS/GUEA

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

1 XTIME

11. AS OF DATE

N/A

12. DATE OF FIRST

SUBMISSION

See block 16

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Crowley, Amanda LNAME: 08 FEB 2022DATE:

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 8: The Government has 45 calendar days to approve.

Block 12: 45 days ARO contract.

BLK 14: Electronic delivery of Draft copies via e-mail to the following Distribution Addresses shall be delivered in PDF format.

407 SCMS/GUEA

Joshua Russell, Engineer (1 each) joshua.russell@us.af.mil

407 SCMS/GULC

Chetaun Smith, Program Manager (1 each) chetaun.smith@us.af.mil

DLA/ABW

Russell MCGAHA, PCO (1 each) russell.mcgaha@us.af.mil

COORDINATORS:

See block 16 3 1 0

3 1 015. TOTAL

G. PREPARED BY

Smith, Chetaun R

407 SCMS / GULC

478-926-7425

H. DATE

01 AUG 2022

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Adams, Andrew C

407 SCMS / GUBA 478-926-5480 / 468-5480

J. DATE

01-AUG-22

Page 3 of 4DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 19 Aug 2022

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

TDP TM OTHER X

D. SYSTEM / ITEM E. CONTRACT / PR NO.

FD20602101177

F. CONTRACTOR

1. DATA ITEM NO.

a004

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Activity and Verification Report

3. SUBTITLE

N/A

4. AUTHORITY

DI-MGMT-81804A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

407 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

F

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Russell, Joshua ANAME: 27 JUL 2022DATE:

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

COORDINATORS:

15. TOTAL

G. PREPARED BY

Smith, Chetaun R

407 SCMS / GULC

478-926-7425

H. DATE

01 AUG 2022

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Adams, Andrew C

407 SCMS / GUBA 478-926-5480 / 468-5480

J. DATE

01-AUG-22

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

TDP TM OTHER X

D. SYSTEM / ITEM E. CONTRACT / PR NO.

FD20602101177

F. CONTRACTOR

1. DATA ITEM NO.

a005

2. TITLE OF DATA ITEM

IUID Marking Plan

3. SUBTITLE

N/A

4. AUTHORITY

DI-MGMT-81803

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS

6. REQUIRING OFFICE

407 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

F

10. FREQUENCY

See Block 16

11. AS OF DATE

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Russell, Joshua ANAME: 27 JUL 2022DATE:

Distribution Statement F: Further dissemination ONLY as directed

COORDINATORS:

15. TOTAL

G. PREPARED BY

Smith, Chetaun R

407 SCMS / GULC

478-926-7425

H. DATE

01 AUG 2022

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Adams, Andrew C

407 SCMS / GUBA 478-926-5480 / 468-5480

J. DATE

01-AUG-22

Page 4 of 4DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 19 Aug 2022