CDRLs_A001_A002_A003_00079.pdf

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 C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

ARC-190

E. CONTRACT / PR NO.

FD20601700079

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Monthly Status Report

4. AUTHORITY

DI-MGMT-80368A

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

407 SCMS/GULAA

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

See Block 16

11. AS OF DATE

See Remarks

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Jones, Amber ENAME: 23 DEC 2016DATE:

Block 4: Contractor format is acceptable.

Block 7: FINAL WILL BE SUBMITTTED WITH A DD FORM 250 to DODAAC FB2065, via Wide Area Work Flow (WAWF) attention: amber.jones.8@us.af.mil. GOVERNMENT WILL APPROVE/DISAPPROVE WITHIN 15

BUSINESS DAYS OF RECEIPT.

Block 11-13: For each awarded delivery order, the first report shall be submitted within 10 calendar days after the first full month following award. Reporting shall continue on a monthly basis to be received no later than the 10th day following the end of the report period. Monthly reports shall be submitted by email to amber.jones.8@us.af.mil

Block 16: Program Manager email address, amber.jones.8@us.af.mil

COORDINATORS:

Program Manager See Block 16 for e-mail address

1 1 0

1 1 015. TOTAL

G. PREPARED BY

Lincoln, Sandra R

407 SCMS / GULAM

478-926-1627

H. DATE

23 DEC 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BRADSHAW.DORA.FAYE.1229903701

407 SCMS / GULAM 478-327-6511 / 497-6511

J. DATE

23 DEC 2016

Page 1 of 3DD FORM 1423-1, FEB 2001 Version 7Generated by PRPS using Jasper Reports on 05 Jan 2017

PREVIOUS EDITION MAY BE USED.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

ARC-190

E. CONTRACT / PR NO.

FD20601700079

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Plan

3. SUBTITLE

N/A

4. AUTHORITY

DI-MGMT-81803

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

407 SCMS/GUEA

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

11. AS OF DATE

See Remarks

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Jones, Amber ENAME: 23 DEC 2016DATE:

Block 7: FINAL WILL BE SUBMITTTED WITH A DD FORM 250 to DODAAC FB2065, via Wide Area Work Flow (WAWF) attention: youngsun.kim@us.af.mil. GOVERNMENT WILL APPROVE/DISAPPROVE WITHIN 15

BUSINESS DAYS OF RECEIPT.

Block 10-13: Date of first submission shall be within 30 days of contract award. The Government shall provide approval/comments/corrections 10 working days after receipt of document. The contractor then has 5 working days to correct and resubmit the document.

Block 14: Engineer email address, youngsun.kim@us.af.mil

COORDINATORS:

Engineer See Block 16 for e-mail address

1 1 0

1 1 015. TOTAL

G. PREPARED BY

Lincoln, Sandra R

407 SCMS / GULAM

478-926-1627

H. DATE

23 DEC 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BRADSHAW.DORA.FAYE.1229903701

407 SCMS / GULAM 478-327-6511 / 497-6511

J. DATE

23 DEC 2016

Page 2 of 3DD FORM 1423-1, FEB 2001 Version 7Generated by PRPS using Jasper Reports on 05 Jan 2017

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP TM OTHER X

D. SYSTEM / ITEM

ARC-190

E. CONTRACT / PR NO.

FD20601700079

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan (CPP)

3. SUBTITLE

N/A

4. AUTHORITY

DI-MGMT-81832

(Data Acquisition Document No.) 5. CONTRACT REFERENCE

N/A

6. REQUIRING OFFICE

407 SCMS/GUEA

7. DD 250 REQ

LT

8. APP CODE

A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

11. AS OF DATE

See Remarks

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

a. ADDRESSEE

Draft Final

ReproReg

b. COPIES

14. DISTRIBUTION

16. REMARKS

Jones, Amber ENAME: 23 DEC 2016DATE:

Block 7: FINAL WILL BE SUBMITTTED WITH A DD FORM 250 to DODAAC FB2065, via Wide Area Work Flow (WAWF) attention: youngsun.kim@us.af.mil. GOVERNMENT WILL APPROVE/DISAPPROVE WITHIN 15

BUSINESS DAYS OF RECEIPT.

Block 10-13: Date of first submission shall be within 30 days of contract award. The Government shall provide approval/comments/corrections 10 working days after receipt of document. The contractor then has 5 working days to correct and resubmit the document.

Block 16: Engineer email address, youngsun.kim@us.af.mil

COORDINATORS:

Engineer See Block 16 for e-mail address

1 1 0

1 1 015. TOTAL

G. PREPARED BY

Lincoln, Sandra R

407 SCMS / GULAM

478-926-1627

H. DATE

23 DEC 2016

I. APPROVED BY

//DIGITALLY SIGNED//

BRADSHAW.DORA.FAYE.1229903701

407 SCMS / GULAM 478-327-6511 / 497-6511

J. DATE

23 DEC 2016

Page 3 of 3DD FORM 1423-1, FEB 2001 Version 7Generated by PRPS using Jasper Reports on 05 Jan 2017