CDRLs.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 0MB No. 0704-0 188

The public reporting burden for this collection of infsrmstion is estimated to average 110 hours per response, including the time for reviewisg Instructions, searching existing data sources, gathering and maintaining the data needed, asd 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 07D40188). Respondenta 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 0MB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the ContractlPR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

C

C. CATEGORY:

TOP TM OTHER MISC

D. SYSTEM/ITEM

MILSTAR

E. CONTRACT/PR NO.

FD2020200666-OO

F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

CPP

4. AUTHORITY (Data Acquisition Document No,)

DI-MISC-81832

5. CONTRACT REFERENCE

PWS 10.3

6. REOUIRING OFFICE

415 SCMS/GUEA

7. 00250 REQ

DD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ITIME

12. DATE OF FIRST SUBMISSION

3ODAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

Draft Final eg Repro

16. REMARKS

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

Block 4: Plan shall include all items from section 3 of SAE AS5553, Block 12: Contractor shall deliver the Counterfeit Prevention Plan within 30 days of contract award. Government comments provided to the contractor within 14 days after receipt, with contractor re-submittal due 7 days after receipt of comments.

Block 14: Document submission shall be made electronically using MS Office 2010 or newer format or Portable Document Format (PDF).

Address e-mail submissions to: USAF AFMC 415 SCMS/EN, jackson.andrasko@us.af.mil, 4ISSCMS.en@us.af.mil

DODAAC: FY2073

Address Line I: FY2073 GLSC 415 SCMS Address Line 2: BLDG 1239 CP 801 586 1368 Address Line 3: 6012 FIR AVE Address Line 4: HILL AFB UT 84056-5820

Block9:

DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administration and operational purposes, contains limited access information, 21 Nov 2008. Other requests for this document shall be referred to OO-ALC/ AFMC 415 SCMS/GUEA.

DESTRUCTION NOTICE: Destroy by any means that will prevent disclosure of the contents or reconstruction ofthe document.

FY2073 1

415 SCMS/EN

15.TOTAL 0 1

G. PREPARED BY

Engineer 415 SCMS/GUEA ANDRASKOJACKSONi25llll51ll 5iaY

(, 0

H. DATE

3/16/2020

I. APPROVED BY

Bryson Kent 415 SCMS/GUEA KENT.BRYSON.C13855179 Di,iaIl;,g,vdb, KlN1 0011055 1185117906 86 n,. ,prs ii is 'iris .pnsr

J.DATE

11/06/2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

0.00

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 3 Iages

Adobe Professional 8.0

(1 Data Item)

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

C TOP TM OTHER MISC

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

MILSTAR FD2020200666-OO

16. REMARKS (Continued) iJu rurcivi I'+ -I, I-tb LUUI Page of 3 Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010. 12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL I FOR THE CONTRACTOR

Item A. Self-explanatory.

Item B, Self-explanatory.

Item C. Mark IX) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning, Configuration Management," etc.

Item B. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract awardl.

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L IAMSDL), or One-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

Item 10. Specify number of times data items are to be delivered

Item 11. Specify as-of date of data item, when applicable.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when Estimated Price - Group IV items should normally be shown applicable, on the DD Form 1423 at no cost.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

iR]i1$TTY1

(2 Data Items)

Form Approved 0MB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering end 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 10704-01881. 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 0MB 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:

TDP

TM___ OTHER NDTI

D. SYSTEM/ITEM

MILSTAR

E. CONTRACT/PR NO.

FD2020200666-O0

F. CONTRACTOR

1. DATA ITEM NO.

AOO i

2. TITLE OF DATA ITEM

First Article Qualification Test Plan

3. SUBTITLE

First Article Test Procedure

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-81307A

5. CONTRACT REFERENCE

USAF AFMC 260 Block 9C

6. REQUIRING OFFICE

415 SCMS/GUEA

7. DD 250 REQ

DD

9. DIST STATEMENT

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

See 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft

Final

16. REMARKS

Changes to names and office symbols, when necessary, shall be made by letter through the CO/ACO without revision to this CDRL.

Block 9: Data submittal shall be marked with the following on the cover page:

Destruction Notice: Destroy by any means that will prevent disclosure of the contents or reconstruction of the document.

Block 12: The Contractor shall deliver the First Article Test Plan a minimum of 30 days prior to first article test. The contractor shall make any re-submittal NLT 15 days after receipt of government comments.

Block 14a: Electronic submission is acceptable. Addresses are:

jackson.andrasko@us.af.mil 4l5SCMS.EN@us.af.mil

415 SCMS/GUEA

FB2073 I

415 SCMS/EN

15.TOTAL 0 1 2

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

First Article Test Report

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

USAF AFMC 260 Block 9E

6. REQUIRING OFFICE

415 SCMS/GUEA

7. DD 250 REQ

DD

9. 01ST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

See 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSIOIIN/A Draft Final eg Repro

16. REMARKS

Changes to names and office symbols, when necessary, shall be made by letter through the CO/ACO without revision to this CDRL.

Block 9: Data submittal shall be marked with tile following on the cover page:

Destruction Notice: Destroy by any means that will prevent disclosure of the contents or reconstruction of the document.

Block 12: The Contractor shall deliver the First Article Test Report NLT 15 days after first article test. The contractor shall make any re-submittal NLT 15 days after receipt of government comments.

Block 14a: Electronic submission is acceptable. Addresses are:

jackson.andraskous.af.mil 4 l5SCMS.EN@us.af.mil

415 SCMS/GUEA

FB2073 1

415 SCMS/EN

15.TOTAL 0 1 2

G. PREPARED BY

ANDRAsKo.JACKSONI2sao5lo1o CSONrz,so,ioro

H. DATE

3/12/2020

I. APPROVED BY

KENTBRY5ON,C1385517986 iiirIrsrrirre 0,0. 200r0313 0*002 -SOon

J.DATE

3/13/2020

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

15. ESTIMATED

TOTAL PRICE

DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages Adobe Professional 8.0

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010. 12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark IX) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning, "Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award>.

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL(, or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref.

DoDD 5230.24>.

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13;

Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.