CPP.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

ICBM PR# FD20202200010-00

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

A001 COUNTERFEIT PROTECTION PLAN (CPP) CPP - GMLEC Cable Set

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

DI-MISC-81832 414 SCMS/GUEA

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT ONE/R SEE BLK 16 b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a.

ADDRESSEE Draft

Final

A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS: Changes to office symbols, when necessary, shall be made by the CO/ACO without revisions to the CDRL.

BLOCK 4: Contractor format acceptable.

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

DISTRIBUTION STATEMENT D: "Distribution authorized to DOD and U.S. DOD contractors only for Intercontinental Ballistic Missiles (ICBM) administrative or operational use determined as of 08/02/2021. Other requests for this document shall be referred to 414 SCMS/GUEA, 6031 Gum Lane, Building 1227, 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., Sec 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, USE, App. 2401 et seq. Violations of these export control laws is subject to severe criminal penalties. Dissemination of this document is controlled under DOD Directive 5230.25.

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of content or reconstruction of the document.

BLOCKS 10, 11, 12, & 13: Contractor shall submit initial draft Counterfeit Protection Program (CPP) no later than (NLT) 60 calendar days following award of contract.

Subsequent Submittals: Government will be allowed 30 calendar days after receipt from the contractor to review the draft CPP for approval/disapproval/comment. Contractor shall submit final CPP NLT 30 calendar days following receipt of government comments.

BLOCK 14: Contractor shall submit a CPP to ORG 1 as defined below:

ORG1: 414 SCMS/GUEA, 6031 GUM LANE, BUILDING 1227, HILL AFB, UT 84056

ORG 1 1

15. TOTAL 1

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

X Wayne C. Lofthouse, NH-03 Electronics Engineer

See digital signature X

Christian Flygare, GS-12 Logistic Management Specialist

See digital signature

DD Form 1423-1, FEB 2001 Page___1__of__2_ Page

LM 18-09

Christian Flygare

NSP

0.00

LOFTHOUSE.

WAYNE.C.153

9868299

Digitally signed by

LOFTHOUSE.WAYNE.C.

1539868299 Date: 2021.08.09 15:25:52 -06'00'