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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. B. EXHIBIT

a

C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

PLM-4

E. CONTRACT / PR NO.

FD20601701196

F. CONTRACTOR

1. DATA ITEM NO.

A0XX

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

NONE

4. AUTHORITY

DI-MISC-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

PWS, PARA. X.X.X

6. REQUIRING OFFICE

408 SCMS/GULA

7. DD 250 REQ

DD

8. APP CODE

See Block 16

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

See Block 16

11. AS OF DATE

SEE BLK. 16

12. DATE OF FIRST

SUBMISSION

SEE BLK. 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK. 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Brooks, Bryant KNAME: 01 DEC 2017DATE:

Block 8: Approval Code LT Block 10-12: Contractor shall deliver a Counterfeit Prevention Plan (CPP) within 30 days after contract award. Government comments will be provided to the contractor within 14 days after receipt, with contractor re-submittal due 7 days after receipt of comments.

Updates to the CPP shall be provided to the Government within twenty (20) calendar days after the initial counterfeit part(s) identification/notification.

Block 13: Updates to the CPP shall be provided within twenty (20) calendar days after each additional counterfeit part(s) identification/notification.

Block 14. Submittal shall be made using Wide Area WorkFlow (WAWF) and accepted by the Government. When notification is submitted in WAWF the contractor shall provide email notification to Jonathan.Hill.15@us.af.mil. Document submission shall be provided electronically via Microsoft Office word format (doc) or Portable Document Format (PDF).

Changes to office symbols and/or e-mail addresses, shall be made by letter to the PCO & ACO without further revision to this Contract Data Requirements List (CDRL). POC information for CDRL Delivery is listed in Block 16 (continued) next page.

COORDINATORS:

15. TOTAL

G. PREPARED BY

Hill, Jonathan D

408 SCMS / GULA

478-327-9805

H. DATE

08 DEC 2017

I. APPROVED BY

//DIGITALLY SIGNED//

BROOKS.BRYANT.KEITH.1065979175

408 SCMS / GULA 478-926-1531 / 468-1531

J. DATE

08 DEC 2017

Page 1 of 1DD FORM 1423-1, FEB 2001 Version 2Generated by PRPS using Jasper Reports on 15 Dec 2017

PREVIOUS EDITION MAY BE USED.

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