CDRL_00226.pdf

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CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 11 O 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 at intormation. Send comments regarding this burden estimate or any other aspect at this collection of information, including suggestions tor reducing this burden, to: Department of Defence, Washington Headquarters Services, Directorate for intormation Operations and Reports, 1215 Jetterson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office at Management and Budget, Paperwork Reduction Project (0704-0188), Washington. DC 20503. Please 00 NOT RETURN your term to either at these addresses, Send completed term to the Goverment-lssuing Contracting Officer for the Contract/PR No. listed in Block E.

B. EXHIBIT

I

C. CATEGORY

A TDP

E. CONTRACT/ PR NO.

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ ITEM

CIRCUIT CARD ASSEMBLY

(GUB-17-108) FD2020-18-00226

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

Contractor's Counterfeit Prevention A001 Plan

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

DI-MISC-81832/T

TM OTHER MISC

F. CONTRACTOR

3 SUBTITLE

6. REQUIRING OFFICE

416 SCMS/GUEAA

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION

REQUIRED 14. DISTRIBUTION

DD OTIME BLK 16

D b. COPIES

B. APP CODE 11 . AS OF DA TE 13. DATE OF SUBSEQUENT

SUBMISSION a. ADDRESSEE Final A 16 16

Draft BLK BLK Reg Repro

16. REMARKS

DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 5220_22-M, National Industrial Security Program Operating Manual (NISPOM}, Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Blocks 7: DD Form 250 shall be submitted through Wide Area Workflow (WAWF} using DODAAC FA8251 and MARK FOR:

416 SCMS/GUEAA.

Block 14: Contractor's Counterfeit Prevention Plan (CPP) shall be submitted via e-mail to the following e-mail address: timothy.lucus.3@us.af.mil

15. TOT AL ------>

G. PREPARED BY

M

H. DATE I. APPROVED BY J. DATE

NILA DAGSEN � 20 Nov 17 TIMOTHY LUCAS

20 Nov 17

'l . �:::ie----

ENGINE� DATA MANAGER #

DD Form 1423-1, JUN 90 Computer Generated Previou�r¥obsolete

Page�of ___£ Pages

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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