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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

16. REMARKS (Continued)

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER:

DSYSTEMITEM:

E_CONTRACTPR_NO:

FCONTRACTOR:

16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

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1_DATA_ITEM_NO: A001

2_TITLE_OF_DATA_ITEM: Commercial Asset Visibility Air Force (CAV) Reporting

3_SUBTITLE: CFM End Item Reporting

4_AUTHORITY_Data_Acquisit: DI-MGMT-81838

5_CONTRACT_REFERENCE: PWS Paragraph:8.1

6_REQUIRING_OFFICE: 415 SCMS

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: N/A

10_FREQUENCY: SEE BLK 16

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

addressee1: 415 SCMS draft1:

reg1: 1 repro1:

addressee2: 6041 Gum LN draft2:

reg2:

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addressee3: Bldg. 1226 draft3:

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16_REMARKS: 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.

1. Block 4: All reporting shall be submitted in the English Language.

2. Block 5: Contract Reference: PWS and CAV AF Reporting Requirements Document.

3. Blocks 7, 8, 14:

a. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF website or CICA XML.

b. A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address:

415SCMS.C.MONITOR@us.af.mil

4. Blocks 10, 11, 12, 13:

a. Date of first submission shall be within 24 hours following a supply or maintenance transaction, after the contract award date.

b. Contractor reporting requirements to CAV AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence IAW the CAV AF Reporting Requirements Document.

c. Data shall be current within 24 hours of the last End Item maintenance occurrence.

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE: 0.00

H_DATE:

J_DATE:

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0005

B_EXHIBIT: A

xTDP: Off

OTHER: MGMT

DSYSTEMITEM: Essential Repair

E_CONTRACTPR_NO: FA825026R0003

FCONTRACTOR: TBD

of_pages: 1

Reset:

2024-01-11T09:59:53-0700

NIELSEN.BECKY.ADELE.1297815160

2025-10-28T10:53:26-0600

VIRGIL.CHASE.AARON.1584166602

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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER:

DSYSTEMITEM:

E_CONTRACTPR_NO:

FCONTRACTOR:

16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

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1_DATA_ITEM_NO: A002

2_TITLE_OF_DATA_ITEM: Contract Depot Maintenance (CDM) Monthly Production Report

3_SUBTITLE: CDM Production Monthly Status Report

4_AUTHORITY_Data_Acquisit: DI-PSSS-81995A

5_CONTRACT_REFERENCE: PWS Paragraph: 8.1

6_REQUIRING_OFFICE: 415 SCMS

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: MTHLY

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

addressee1: 415 SCMS draft1:

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addressee2: 6041 Gum Ln.

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16_REMARKS: 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.

1. Block 4:

a. All reporting shall be submitted in the English Language.

b. The Contractor's CAV AF Reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities); shop floor, bond room and/or receiving/shipping docks, etc. for each repair.

c. The Contractor shall report by contract delivery order on all applicable categories, totals and on-hand balances, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for the contracts maintenance occurrence actions during the reporting period.

d. The Contractor shall report on production, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period.

2. Block 7, 14: Submit the CDM Production Monthly Status Reports to the following email address:

415SCMS.C.MONITOR@us.af.mil

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Reason for Use). (Date of Determination). Other requests for this document shall be referred to (DoD Controlling Office)

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE: 0.00

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0005

B_EXHIBIT: A

xTDP: Off xTM: Off

OTHER: PSSS

DSYSTEMITEM: Essential Repair

E_CONTRACTPR_NO: FA825026R0003

FCONTRACTOR: TBD

16_REMARKS_Continued:

EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE : For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17. For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3 Paragraph 17.

4. Blocks 10, 11, 12, 13:

a. The reports shall be provided monthly within 10 (ten) business days of the previous month's last calendar date.

b. Reports shall continue to be submitted by the contractor unless the requirement is terminated by the assigned Contracting Officer at the request of the Program Manager (PM) and the Production Management Specialist (PMS),

c. The Final Report submitted following the final reporting period on the contract shall be annotated "Final Report"

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2024-01-11T10:01:13-0700

NIELSEN.BECKY.ADELE.1297815160

2025-10-28T10:54:07-0600

VIRGIL.CHASE.AARON.1584166602

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, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

1231517401C

Highlight

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT:

xTDP: Off xTM: Off

OTHER:

DSYSTEMITEM:

E_CONTRACTPR_NO:

FCONTRACTOR:

16_REMARKS_Continued: s. Original drawings are not required. If applicable, reproducible stable base copies of unidimensional drawings and master pattern drawings are required. See Block 14.

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xtm: Off

1_DATA_ITEM_NO: A003

2_TITLE_OF_DATA_ITEM: Government Property Inventory Report

3_SUBTITLE: Annual Government Property Physical Inventory Report

4_AUTHORITY_Data_Acquisit: DI-MGMT-80441D

5_CONTRACT_REFERENCE: PWS Paragraph: 8.1

6_REQUIRING_OFFICE: 415 SCMS

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: ANNLY

11_AS_OF_DATE: SEE BLK 16

12_DATE_OF_FIRST_SUBMISSI: SEE BLK 16

13_DATE_OF_SUBSEQUENT_SUB: SEE BLK 16

addressee1: 415 SCMS draft1:

reg1: 1 repro1:

addressee2: 6041 Gum Ln.

draft2:

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addressee3: Bldg. 1226 draft3:

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16_REMARKS: 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.

1. Block 4:

a. All reports shall be submitted in the English Language.

2. Block 7, 14: Submit the Annual Government Property Physical Inventory Report to the following email address:

415SCMS.C.MONITOR@us.af.mil

3. Block 9:

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Reason for Use). (Date of Determination). Other requests for this document shall be referred to (DoD Controlling Office).

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

EXPORT CONTROL WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW provisions of DoD Directive 5230.25.

c. DESTRUCTION NOTICE : For classified documents, follow the procedures IAW DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, and DoDM 5200.01 Vol 3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17. For unclassified, destroy by any method that will prevent disclosure of contents or reconstruction of the document IAW DoDI 5230.24 Enclosure 3 Paragraph 17.

17_PRICE_GROUP: NSP

ESTIMATED_TOTAL_PRICE: 0.00

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page: 1 reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0005

B_EXHIBIT: A

xTDP: Off xTM: Off

OTHER:

DSYSTEMITEM: Essential Repair

E_CONTRACTPR_NO: FA825026R0003

FCONTRACTOR: TBD

16_REMARKS_Continued:

4. Blocks 10, 11, 12, 13:

a. This report shall be provided annually. Reporting Period is one year from Basic Contract award date and annually thereafter.

b. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the annual reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.

c. The report shall be delivered within seven (7) calendar days of the end of the first reporting period and annually thereafter, or within seven (7) calendar days of government request.

5. Content (Tailored). The following data fields are not required:

B. Agency or Service Asset Identification Number (GFP Only) C. Contractor Asset Identification Number F. Manufacturer Model Number J. Unit of Measure K. Unit Acquisition Cost L. Unique Item Identifier (if registered in the Item Unique Identification (IUID) Registry; GFP only)

NOTE: An Inventory report shall be provided.

415SCMS.SupplyPlanners@us.af.mil

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2024-01-11T09:56:15-0700

NIELSEN.BECKY.ADELE.1297815160

2025-10-28T10:54:39-0600

VIRGIL.CHASE.AARON.1584166602

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.

DD FORM 1423-1, FEB 2001 Page of Pages

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 (X) 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

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.

DD FORM 1423-1 (BACK), FEB 2001

data_item: B001 title: Repairable Item Inspection Report sub:

auth: DI-PSSS-80386A ref: PWS 8.2 req_ofc: Maintenance Data Collection dd250: DD appcode: N/A dist: D freq: 1TIME asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: FY2073 draft1:

reg1: 1 repro1:

addressee2: 415 SCMS/EN draft2:

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total_draft: 0 total_reg: 1 total_repro: 1 remarks: Changes to names and office symbols, when necessary, shall be made by letter through the CO/ACO without revision to this CDRL.

Block 4: Paragraph 3 Shall be modified to remove items a, and h.

Paragraph 3 items e, f, and g refer to the assembly submitted for repair.

Paragraph 3 item j and k refers to the part(s) that were replaced, repaired, calibrated, cleaned, etc. to return the assembly to operational condition. Reportable data includes (1) NSN and part number (if available) of failed part, (2) description or name of failed part, (3) location of failed part in the assembly (sufficient to uniquely identify the specific part when the failed part exists in multiple locations in the assembly).

An electronic template containing the preferred format for submitting the data is available. If it is not attached to the solicitation, it may be obtained from the 415 SCMS/GUEA engineer through the CO/ACO.

Blocks 10, 11, 12 & 13: Contractor shall deliver the Repairable Item Inspection report within 7 days after the completion of the contract or delivery order.

Block 14: Document submission shall be made electronically using MS Office 2016 or newer format or Portable Document Format (PDF).

Address e-mail submissions to: 415SCMS.en@us.af.mil

DODAAC: FY2073

Address Line 1: FY2073 GLSC 415 SCMS Address Line 2: BLDG 1226 CP 801 586 1368 Address Line 3: 6041 GUM LANE Address Line 4: HILL AFB UT 84056-5820

Block 9:

DISTRIBUTION STATEMENT D: Distribution is limited to DoD and U.S. DoD contractors only for administrative or operational use only. Other requests for this data shall be referred to 415 SCMS/GUEA, HILL AFB, UT 84056.

WARNING: Export Controlled DESTRUCTION NOTICE: Destroy by any means that will prevent disclosure of the contents or reconstruction of the document

CUI

CONTINUED

group: NSP total_price: 0.00 prep_name:

line_item: 0006 exhibit: B xtdp: Off xtm: Off othercat: PSSS system: AN/TSQ-T10 ctr_no: FA825026R0003 contr: TBD remarksb: CONTROLLED UNCLASSIFIED INFORMATION (CUI) Requirements:

Mark the top and bottom of the first page with CUI.

Include the CUI block below the Destruction Notice.

CUI Block:

"Controlled By: 415 Supply Chain Management Squadron CUI Categories: CTI, CUI EXPT Distribution/Dissemination Control: Distribution Statement D POC: STINFO Manager: 415SCMS.en@us.af.mil"

Page2: 2

Reset:

2025-10-27T10:55:26-0600

CHEN.CHAO.1636030437

prep_date: 10/27/2025 app_by: Jackson Andrasko

2023-10-26T12:30:56-0600

ANDRASKO.JACKSON.1258051030

app_date: 10/26/2023

Page: 1 of_pages: 2 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: C001 title: Counterfeit Prevention Plan sub: CPP auth: DI- MISC-81832 ref: PWS 8.3 req_ofc: 415 SCMS/GUEA dd250: DD appcode: A dist: D freq: 1TIME asof: N/A firstsub: 30DAC subsub: N/A addressee1: FY2073 draft1:

reg1: 1 repro1:

addressee2: 415 SCMS/EN draft2:

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total_draft: 0 total_reg: 1 total_repro: 1 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, 415SCMS.en@us.af.mil

DODAAC: FY2073

Address Line 1: FY2073 GLSC 415 SCMS Address Line 2: BLDG 1226 CP 801 586 1368 Address Line 3: 6041 GUM LANE Address Line 4: HILL AFB UT 84056-5820 Block 9:

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 of the document.

group: NSP total_price: 0.00 prep_name: Engineer 415 SCMS/GUEA line_item: 0007 exhibit: C xtdp: Off xtm: Off othercat: MISC system: AN/TSQ-T10 ctr_no: FA825026R0003 contr: TBD remarksb:

Page2:

Reset:

2025-10-27T10:57:22-0600

CHEN.CHAO.1636030437

prep_date: 10/27/2025 app_by: Jackson Andrasko 415 SCMS/GUEA

2022-05-11T09:05:19-0600

ANDRASKO.JACKSON.1258051030

app_date: 5/11/2022

Page:

of_pages:

app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: D001 title: ENGINEERING CHANGE PROPOSAL (ECP) sub: Engineering Change Proposal auth: DI- SESS-80639E ref: PWS 8.4 req_ofc: 415 SCMS/GUEA dd250: DD appcode: A dist: D freq: ASREQ asof: See Blk16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: FY2073 draft1:

reg1: 1 repro1:

addressee2: 415 SCMS/EN draft2:

reg2:

repro2: 1 addressee3: 415 SCMS/GUEA draft3:

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total_draft: 0 total_reg: 1 total_repro: 2 remarks: Changes to names and office symbols, when necessary, shall be made by letter through the CO/ACO without revision to this CDRL.

Block 4:

Paragraph 2a Shall be modified to Form AFMC3925 Paragraph 2b: removed.

Paragraph 2c: removed.

Paragraph 3 Shall be modified to Form AFMC3925

Block 8: Government approval is required. The government will require 20 days to review the document and provide comments or approval. Approval is contingent on incorporation or reconciliation of comments.

Block 9:

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, 7 May 2020. Other requests for this document shall be referred to OO-ALC/ AFMC 415 SCMS/GUEA.

WARNING: Export Controlled

Blocks 10, 11, 12 & 13: Contractor shall deliver all applicable ECOs within 14 days after the completion of Test, Tear-down, And Evaluation.

Block 14: Document submission shall be made electronically using MS Office 2016 or newer format or Portable Document Format (PDF).

Address e-mail submissions to:

Engineering Group Email Box, 415SCMS.en@us.af.mil

415 SCMS/GUEA,

DODAAC: FY2073

Address Line 1: FY2073 GLSC 415 SCMS Address Line 2: BLDG 1226 CP 801 586 1368 Address Line 3: 6041 GUM LANE Address Line 4: HILL AFB UT 84056-5820

CUI

CONTINUED

group: NSP total_price: 0.00 prep_name: Engineer 415 SCMS/GUEA line_item: 0008 exhibit: D xtdp: Off xtm: Off othercat: SESS system: AN/TSQ-T10 ctr_no: FA825026R0003 contr: TBD remarksb: CONTROLLED UNCLASSIFIED INFORMATION (CUI) Requirements:

Mark the top and bottom of the first page with CUI.

Include the CUI block below the Destruction Notice.

CUI Block:

"Controlled By: 415 Supply Chain Management Squadron CUI Categories: CTI, CUI EXPT Distribution/Dissemination Control: Distribution Statement D POC: STINFO Manager: 415SCMS.en@us.af.mil"

Page2: 2

Reset:

2025-10-30T12:40:48-0600

CHEN.CHAO.1636030437

prep_date: 10/30/2025 app_by: Jackson Andrasko 415 SCMS/GUEA

2022-05-11T08:57:54-0600

ANDRASKO.JACKSON.1258051030

app_date: 5/11/2022

Page: 1 of_pages: 2 app: Adobe Professional 8.0