DD FORM 1423_CONTRACT DATA REQUIREMENTS LIST.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.

A001

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

TH1H

E. CONTRACT / PR NO.

FD20602600045

F. CONTRACTOR

Executive Instruments, Inc.

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

CPP

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

SOW Paragraph 1.0

6. REQUIRING OFFICE

411 SCMS/GULB

7. DD 250 REQ

LT

8. APP CODE

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

Quinn, Sharon ANAME: 29 APR 2026DATE:

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.

The Data Item Description contains the format and content preparation instructions for the data product generated by the specific and discrete task requirements delineated in the statement of work. See Data Item Description at http://quicksearch.dla.mil/ for content requirements and most current version.

BLK 9: "B" Distribution authorized to U.S. Government agencies only (Administrative or Operational use) (28 April 16). Other requests shall be referred to the contract management team:

AFMC/DLA/ABW

460 Richard Ray Blvd, Suite 221 Robins AFB, GA 31098.

BLKS 7, 10-13: Draft Counterfeit Prevention Plan shall be submitted electronically within 30 workdays after contract award. Contractor shall provide quarterly updates as necessary until final at completion of program. The Government will have 15 workdays to approve, submit comments, or disapprove all submissions. The contractor shall have 15 workdays to resubmit report if changes were deemed necessary by the Government.

BLK 14: EMAIL electronic Counterfeit Prevention Plan to the following e-mail addresses:

Program Manager: Danielle Crosby (E-mail: danielle.crosby@us.af.mil) Engineer: Charles Foley (E-mail charles.foley.5 ctr@us.af.mil)

DCMA/ACO

COORDINATORS:

411 SCMS/GULBA

PROGRAM MANAGER

(PM)

DANIELLE.CROSBY@US.A

1 1 0

AFLCMC/WIH

ENGINEER: (ENG)

CHARLES FOLEY

CHARLES.FOLEY.5

CTR@US.AF.MIL

1 1 0

DCMA/ACO 0 1 0

2 3 015. TOTAL

G. PREPARED BY

Quinn, Sharon A

411 SCMS / GULBB

478-926-2525

H. DATE

30 APR 2026

I. APPROVED BY

//ELECTRONICALLY SIGNED//

Palumbo, Lindsay J

411 SCMS / GULBA 478-222-3616 / 472-3616

J. DATE

30-APR-26

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