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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

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 the 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 C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001

data_item: A001 title: Government Property Inventory Report sub: GFP Inventory Report auth: DI-MGMT-80441C ref: PWS Para 4.2.3.1 req_ofc: 408 SCMS/GULB dd250: LT appcode: N/A dist: D freq: ANNLY asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: patti.campbell@us.af.m draft1: 0 reg1: 1 repro1: 0 addressee2: lisa.mays@us.af.mil draft2: 0 reg2: 1 repro2: 0 addressee3:

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total_draft: 0 total_reg: 2 total_repro: 0 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.

BLK 4: DI-MGMT-80441C, Government Property Inventory Report, prescribes the format, content, and preparation instructions for the data product required to meet this requirement. Report shall be formatted using Microsoft Excel and may utilize Adobe PDF. Submission shall be delivered electronically via email to the following people:

patti.campbell@us.af.mil and lisa.mays@us.af.mil The contractor shall conduct an annual 100% physical inventory over the course of a year’s time of each NIIN as not to impede maintenance operations. Upon completion of each NIINs 100% physical inventory, the contractor shall provide the AF government an inventory listing of the result of all AF Government Furnished Property (GFP) in the contractor's possession, by contract, and by National Stock Number (NSN). The Contractor shall submit a Table for each designated repair facility / DoDAAC location for which the contractor has received inventory during the reporting period, including Subcontractor facilities. The report should include all AF Government Furnished Property in possession of the Contractor.

The contractor's CAV AF reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities); shop floor, bond room and/or receiving/shipping docks, etc. for each NIIN.

BLK 9: Distribution authorized to Department of Defense and U.S. DoD contractors only (Administrative or Operational Use 12 February 2018). Other request for this document shall be referred to 408 SCMS/GULB.

BLK 10: This report will be provided annually, at a minimum, but also shall be provided upon request by the Government.

BLK 11. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the annual reporting period (if period of performance begins on 15 September 18, first annual reporting period ends 14 September 19). If requested outside of an annual cadence, the data shall be current as of the date requested.

BLK 12 & 13. The report shall be delivered within seven (7) calendar days of the end of the first reporting period and annually thereafter, or within seven (7) calendar days of government request.

group:

total_price:

prep_name:

prep_sign: Patti Campbell prep_date: 28 Mar 19 app_by:

app_sign: Doug Mitchell / Data Manager app_date: 29 Mar 19

Page:

app: Adobe Professional 7.0 line_item:

exhibit: A xtdp: Off xtm: Off othercat: X system: AN/ALQ-172 ctr_no: FD2060-20-00006 contr: Harris Corporation remarksb: Block 7&14: Submit electronic copies via email (preferred) to patti.campbell@us.af.mil and lisa.mays@us.af.mil on any PC based formatted media such as CDROM. Submissions will be addressed to the designated and alternate points of contact as identified by the PCO.

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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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A002 title: Parts Management sub:

auth: MIL-STD-3018 ref: PWS Para. 4.2.3.2 req_ofc: 408 SCMS dd250: DD appcode: A dist: B freq: MTHLY asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: 408 SCMS draft1: 1 reg1: 0 repro1: 0 addressee2: Attn:Patti Campbell draft2:

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total_draft: 2 total_reg: 0 total_repro: 0 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.

Block 4: Contractor format is acceptable. Delivery shall be in electronic format and shall be compatible with PC-based versions of Microsoft Office software.

Block 9: DISTRIBUTION STATEMENT B: Distribution authorized to US Government agencies only (Administrative or Operational Use 12 February 2018). Other request for this document shall be referred to 408 SCMS/GULB. patti.campbell@us.af.mil & dae.lee@us.af.mil

Block 7: Submit final with DD250 to account for all previously submitted. Submit DD250 to first addressee.

Blocks 8, 11, 12 and 13:

The submission shall be by the 20th of the month with the first submittal by the 20th of the month following the first full month of production or repair. The Government will have 30 working days to approve/disapprove the request and provide any feedback.

Block 14:

Submit electronic copies via email (preferred) or on any PC based formatted media such as CDROM. Submissions will be addressed to the designated and alternate points of contact as identified by the PCO.

group:

total_price:

prep_name:

prep_sign: Patti Campbell prep_date: 28 Mar 19 app_by:

app_sign: Doug Mitchell / Data Manager app_date: 29 Mar 19

Page:

app: Adobe Professional 7.0 line_item:

exhibit: A xtdp: Yes xtm: Off othercat:

system: AN/ALQ-172 ctr_no: FD2060-19-00043 contr: Harris Corporation remarksb:

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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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A003 title: TEST PLAN sub: QUALIFICATION TEST PLAN auth: DI-NDTI-80566A ref: PWS Para 4.2.3.4 req_ofc: AFLCMC/WNY dd250: DD appcode: A dist: D freq: SEE BLK 16 asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: 408 SCMS draft1: 1 reg1: 1 repro1: 1 addressee2: Attn: Patti Campbell draft2:

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total_draft: 2 total_reg: 2 total_repro: 2 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.

Block 4: Contractor format is acceptable; however, content of document shall address all areas outlined in the data item description. Document changes are not allowed without Government approval. In addition to the hard copy of document, the contractor shall deliver electronic document in an approved format.

Block 7: Submit final with DD250. Submit DD250 through WAWF to first addressee in block 14. Approval/Comments will be submitted within 30 working days of receipt of submission.

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only due to critical technology. Date determined was 15 Mar 2019. Other requests shall be referred to the AFLCMC/WNY, Dae Lee, dae.lee@us.af.mil.

Blocks 8, 10, 11, 12 and 13: First submission shall be no later than 60 calendar days prior to start of any testing. Comments/Corrections will be provided within 30 working days of receipt.

Block 14a: Initial and final documents shall also be delivered electronically via e-mail to the AFLCMC/WNY engineer, currently Dae Lee:

dae.lee@us.af.mil

Block 14b: A document shall be delivered separately for each NSN under the contract.

group:

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prep_name:

prep_sign: Patti Campbell prep_date: 25 Mar 19 app_by:

app_sign: Doug Mitchell / Data Manager app_date: 29 Mar 19

Page: 1 app: Adobe Professional 7.0 line_item:

exhibit: A xtdp: Yes xtm: Off othercat:

system: AN/ALQ-172 ctr_no: FD2060-20-00006 contr: Harris Corporation remarksb:

Page2: 2 of_pages: 2

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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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A004 title: Commercial Asset Visibility Air Force (CAV) Reporting sub: GFM End Item Reporting auth: DI-MGMT-81634C ref: PWS PARA 4.14 req_ofc: 408 SCMS/GULB dd250: DD appcode: A dist: N/A freq: SEE BLK 16 asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: 408 SCMS/GULB draft1: 0 reg1: 1 repro1: 0 addressee2: ATTN: Ms. Lisa Mays draft2: 0 reg2: 0 repro2: 0 addressee3: 235 Byron Street, draft3:

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total_draft: 0 total_reg: 1 total_repro: 0 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.

Block 7: The contractor shall submit a DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil, using DODAAC FA8251. MARK FOR: Address in block 14A.

Block 9. The following information shall be included on the deliverables: DISTRIBUTION STATEMENT B: Distribution authorized to US Government agencies only; due to sensitive information. Other requests for this document shall be referred to 408

SCMS/GULB.

Block 10: Date of first submission shall be within 24 hours following a supply or maintenance transaction, after the contract award date.

Block 11: Contractor reporting requirements to CAV AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence IAW the CAV AF Reporting Requirements Document.

Block 12, 13 : Data shall be current within 24 hours of the last End Item maintenance occurrence.

Block 14. Submit electronic copies via email (preferred) or on any PC based formatted media such as CDROM. Submissions will be addressed to the designated and alternate points of contact as identified by the PCO and a Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address:patti.campbell@us.af.mil & lisa.mays@us.af.mil group:

total_price:

prep_name:

prep_sign: Patti Campbell prep_date: 25 Mar 19 app_by:

app_sign:

app_date:

Page: 1 app: Adobe Professional 7.0 line_item:

exhibit: A xtdp: Off xtm: Off othercat: X system: AN/ALQ-172 ctr_no: FD2060-20-00006 contr: Harris Corporation remarksb:

Page2: 2 of_pages: 2

Reset:

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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A005 title: Contract Depot Maintenance Production Report sub: CDM Report auth: DI-PSSS-81995 ref: PWS Para 4.15 req_ofc: 408 SCMS/GULB dd250: LT appcode: N/A dist: D freq: MTHLY asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: patti.campbell@us.af.

draft1: 0 reg1: 1 repro1: 0 addressee2: mil draft2:

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total_draft: 0 total_reg: 2 total_repro: 0 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.

BLK 4: Contractor format acceptable. This is a two-part report for which the Contractor shall report by contract delivery order on all applicable categories, totals and on-hand balances, IAW DI-PSSS-81995, providing TABLE I for EACH repair location, including subcontractor facilities, for the contracts maintenance occurrence actions during the reporting period.

Contractor shall report on production, providing TABLE I for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period. If required, this portion of the table will be in narrative format.

The report following the final reporting period on contract will be annotated "Final Report."

The contractor's CAV AF reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities); shop floor, bond room and/or receiving/shipping docks, etc. for each repair.

BLK 7: A letter of transmitted shall be submitted in the month the delivery order is complete, covering all reports transmitted per order

BLK 9: Distribution authorized to Department of Defense and U.S. DoD contractors only (Administrative or Operational Use 12 February 2018). Other request for this document shall be referred to 408 SCMS/GULB.

BLKS 11-13: This monthly report shall be provided within 5 business days of the previous month's last calendar date. Any subsequent submission will need to address any corrective actions and will need to be made within 24 hours of notification.

BLK 14: Submission shall be delivered electronically via email to the following people: patti.campbell@us.af.mil and lisa.mays@us.af.mil group:

total_price:

prep_name:

prep_sign: Patti Campbell prep_date: 25 Mar 19 app_by:

app_sign: Doug Mitchell / Data Manager app_date: 29 Mar 19

Page:

app: Adobe Professional 7.0 line_item:

exhibit: A xtdp: Off xtm: Off othercat: X system: ALQ-172 Repair ctr_no: FD2060-20-00006 contr: Harris Corporation remarksb:

Page2:

of_pages:

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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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A007 title: CONTRACT GOVERNMENT FURNISHED MATERIAL (GFM) REQUISITION AND INVENTORY REPORT sub: Requisition and Inventory Report auth: DI-MGMT-82128 ref: PWS Para 4.14.2 req_ofc: 408 SCMS/GULB dd250: LT appcode: N/A dist: D freq: ANNLY asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: patti.campbell@us.af.m draft1: 0 reg1: 1 repro1: 0 addressee2: lisa.mays.2@us.af.mil draft2: 0 reg2: 1 repro2: 0 addressee3:

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total_draft: 0 total_reg: 2 total_repro: 0 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.

BLK 4: DI-MGMT-82128, Government Furnished Material (GFM) Requisition and Inventory Report, prescribes the format, content, and preparation instructions for the data product required to meet this requirement. Report shall be formatted using Microsoft Excel. Submission shall be delivered electronically via email to the following people: patti.campbell@us.af.mil and lisa.mays@us.af.mil

The contractor shall provide GFM Requisition and inventory report monthly for GFM balances by approved format. The contractor shall provide monthly the listing of the result of all AF Government Furnished Material (GFM) in the contractor's possession, by contract, and by National Stock Number (NSN). The Contractor shall submit a Table for each designated repair facility / DoDAAC location for which the contractor has received assets during the reporting period, including Subcontractor facilities. The report should include all AF GFM in possession of the Contractor with the above format.

BLK 9: Distribution authorized to Department of Defense and U.S. DoD contractors only (Administrative or Operational Use 12 February 2018). Other request for this document shall be referred to 408 SCMS/GULB.

BLK 10: This report will be provided annually, at a minimum, but also shall be provided upon request by the Government.

BLK 11. The data is representative of the Contractor's Internal Property Control System and shall be current as of the last day of the monthly reporting period

BLK 12 & 13. The report shall be delivered within five (5) business days of the end of the first reporting month thereafter, or within seven (5) calendar days of government request.

Block 14: Block 7, 14: Submit the Requisition and Inventory Reports to the following email address and submit electronic copies via email (preferred) to patti.campbell@us.af.mil and lisa.mays@us.af.mil on any PC based formatted media such as CDROM. Submissions will be addressed to the designated and alternate points of contact as identified by the PCO.

group:

total_price:

prep_name:

prep_sign: Patti Campbell prep_date: 25 Mar 19 app_by:

app_sign: Doug Mitchell / Data Manager app_date: 29 Mar 19

Page:

app: Adobe Professional 7.0 line_item:

exhibit: A xtdp: Off xtm: Off othercat: MGMT system: AN/ALQ-172 ctr_no: FD2060-20-00006 contr: Harris Corporation remarksb:

Page2:

of_pages:

Reset:

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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A006 title: Commercial Asset Visibility Air Force (CAV) Reporting sub: CFM End Item Reporting auth: DI-MGMT-81838 ref: PWS PARA 4.14.1 req_ofc: 408 SCMS/GULB dd250: DD appcode: N/A dist: D freq: SEE BLK 16 asof: SEE BLK 16 firstsub: SEE BLK 16 subsub: SEE BLK 16 addressee1: patti.campbell@us.af.m draft1: 0 reg1: 1 repro1:

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total_draft: 0 total_reg: 1 total_repro: 0 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.

Block 5: Contract Reference: PWS Paragraph 4.14.1 and CAV AF Reporting Requirements Document

Block 4: All reporting shall be submitted in the English Language. Contractor is required to submit CAVAF transactions only as required in the PWS.

Block 10: Date of first submission shall be within 24 hours following a supply or maintenance transaction, after the contract award date.

Block 11: Contractor reporting requirements to CAV AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence IAW the CAV AF Reporting Requirements Document.

Blocks 12, 13: Data shall be current within 24 hours of the last End Item maintenance occurrence.

Blocks 7, 14:

Block 7: The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF website or CICA XML.

The contractor shall submit a DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address:

https://wawf.eb.mil, using DODAAC FA8A8522. MARK FOR: Address in block 14A.

BLK 9: Distribution authorized to Department of Defense and U.S. DoD contractors only (Administrative or Operational Use 12 February 2018). Other request for this document shall be referred to 408 SCMS/GULB.

Block 14: A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address: patti.campbell@us.af.mil and lisa.mays.2@us.af.mil group:

total_price:

prep_name:

prep_sign: Patti Campbell prep_date: 25 Mar 19 app_by:

app_sign: Doug Mitchell / Data Manager app_date: 29 Mar 19

Page: 1 app: Adobe Professional 7.0 line_item:

exhibit: A xtdp: Off xtm: Off othercat: X system: AN/ALQ-172 ctr_no: FD2060-20-00006 contr: Harris Corporation remarksb:

Page2: 2 of_pages: 2

Reset:

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 the 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A00A title: Counterfeit Prevention Plan sub: NONE auth: DI-MISC-81832 ref: PWS, PARA. 4.16 req_ofc: 408 SCMS/GUEA dd250: DD appcode: A dist: D freq: SEE BLK. 16 asof: SEE BLK. 16 firstsub: SEE BLK. 16 subsub: SEE BLK. 16 addressee1: SEE BLK 16 draft1:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: BLK 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only due to operational use as of June 26th, 2014. Other requests shall be referred to 408 SCMS/GUEA or higher DoD authority.

Block 8, 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 patti.campbell@us.af.mil, Contracting Officer Representative (COR) or Lead Engineer, dae.lee@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).

group:

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line_item:

exhibit: A xtdp: Off xtm: Off othercat: X system: ALQ-172 ctr_no: FD2060-20-00006 contr: Harris remarksb:

Page2:

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2014-08-28T10:24:29-0400

MARTIN.CHRISTINA.G.1386988940

prep_date:

app_by: Doug Mitchell / Data Manager app_date: 11 Apr 2019

Page:

of_pages:

app: Adobe Professional 8.0