CDRL_A002.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

0002 TDP TM OTHER

ENVR

X

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

AN/APX-100 FD2060-13-01852 Raytheon

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A002 Counterfeit Prevention Plan

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-81832 PWS 4.3.12 407 SCMS/GUEAN

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A SEE BLK 16 SEE BLK 16

Reg Repr

16. REMARKS 470

SCMS/GUEA

Block 7: The plan shall be delivered in electronic PDF format through the Wide Area Workflow (WAWF) system no later 90 calendar days after contract award.

See Block 16

15. Total 3

0 5

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

12 March 2014

DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page 1 of 2 Pages