CPP_CDRL_Redacted.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 0MB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing insti-uctions. 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 Delence. Washington Headquarters Ser.rices, Directorate for infonnation Operations and Reports. 1215 Jefferson Davis Highway, Suite 1204, Mington VA 22202-4302, and to the Office of Management and Budget.

Paperwor1< Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses, Send completed form to the Goverment-lssuing Contracting Officer for the Contract/PR No. listed in Block E.

A CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY

TOP TM OTHER MISC

D. SYSTEM/ ITEM

CABLE ASSEMBLY

E. CONTRACT/ PR NO.

FD2020-18-00201

F. CONTRACTOR

GUB-17-118

AOOl Contractor's Counterfeit Prevention Plan

1. DATA ITEM NO.

I

2. TITLE OF DATA ITEM 13' SUBTITLE

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

CLIN for DATA

DI-MISC-81832/T

7. DD 250 REQ

DD

9. DIST STATEMENT 110. FREQUENCY

REQUIRED

D

OTIME

12. DATE OF FIRST SUBMISSION

SEE BLK 16

6. REQUIRING OFFICE

416 SCMS/GUEAA

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE I I Final 8. APP-C-ODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

Draft 1---�------1

SEE BLK 16

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. BLKs 8, 10, 11, 12, 13: Contractor shall deliver the Counterfeit Prevention Plan NLT thirty (30) calendar days after contract award- The Government comments shall be provided to the contractor within fourteen (14) calendar days after receipt_ The contractor shall resubmit NLT seven (7) calendar days after receipt of government comments.

2. BLK 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicous location.

a_ DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and u.s_ DoD contractors only (Administration or Operational Use)_ (14 December 2017). Other requests for this document shall be referred to (416 SCMS/GUEAA, 6071 Gum Lane, Hill AFB, UT 84056-5826).

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:

c. 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

H. DATE

20 Dec 17

Reg IRepro

416 SCMS/ 1 1

GUEAA

6070 Gum LN Bldg. 1213 Hill AFB, UT 84056-5826

SEE BLK 16

15. TOTAL ------> 1 1 0

J. DATE

20 Dec 17

DD Fo;;-m 1423-t'JUN 90 d Computer Generated Previous editions are obsolete Page _1_ of� Pages

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

NSP

$0.00