Attachment_1_CDRL.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 0MB No. 0704-0188

The public reporting burden for thio 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 10701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law no oerxon shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid 0MB control number. Please DO NOT RE1'URN your form to the above addreos. 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

A

C. CATEGORY:

MISC

TDP TM OTHER

D. SYSTEM/ITEM (GUB-18-084)

Control Panel, Test

E. CONTRACT/PR NO.

FD2020- 19-00409

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Contractor's Counterfeit Prevention Plan

3. SUBTITLE

CPP

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81832/T

5. CONTRACT REFERENCE

CLIN for Data

6. REQUIRING OFFICE

416 SCMS/GUEAA

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

r

10. FREQUENCY

OTIME

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

Reg Repro

16. REMARKS

1. NOTE:

a. Changes to office symbols andlor e-mail addresses when necessary shall be made by letter through the Government CO/ACO without ftirther revision to this CDRL.

b. All data deliveries shall be submitted in the English language.

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

a. The contractor shall submit the DD Form 250 (Material Inspection and Receiving Report) via e-mail to the addressee identified in BLK 14a using the following U.S. Government CDRL Workflow e-mail addresses:

416SCMS.CDRL.Workflow@us.af.mil

b. The contractor shall submit the Counterfeit Prevention Plan (CPP) via e-mail to the following e-mail address: timothy.lucas.3@us.af.mil

3. 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 conspicuous location.

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use). (2 November 2018). Other requests for this document shall be referred to (416 SCMS/GUEAA, Hill AFB, UT 84056-5826).

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

b. 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 JAW provisions of DoD Directive 5230.25.

416 SCMS/

GUEAA

6070 Gum LN

Bldg. 1213 Hill AFB, UT

84056-5825

SEE BLK 16

15.TOTAL 0 1

G. PREPARED BY7 4/ -

Nila Dagsen (Contractor DataI)

H. DATE

2 Nov 2018

I. AP V

'thsgineer)

J.DATE

2 Nov 2018

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

0.00

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages

DD FORM 1423-1, FEB 2001 Page 2 of 2 Pages