Exhibit A CDRL A007 Foreign Interest.pdf

Appendix D

D-1

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

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 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 (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 it does not display a currently valid OMB control number. Please DO

NOT RETURN your form to the above address. 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 X OTHER

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

VOSS LRU Repair

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

A007 FOREIGN INFLUENCE REPORT

Technical Report–Study/Services

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

TOTAL PRICE

DI-MISC-80508B PARA 5.0 CECOM ILSC, PM GS, C5ISR

CENTER PRD

INSERT IN

SECTION B

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT

ASREQ SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

SEE BLK 16

Reg

Repro

16. Remarks:

DID tailoring: Format shall be contractor format and electronically delivered.

Blocks 12 and 13: Submit once and modified if there are any changes over the contract period of performance.

Provide a completed Standard Form 328 Certificate Pertaining to

Foreign Interests OMB No. 0704-0579 if your organization has completed one.

CECOM ILSC:

ATUL.S.AMIN.CIV@M

AIL.MIL

PM GS:

BEVERLY.C.STEFFEN2.

CIV@MAIL.MIL

C5ISR CENTER PRD:

KEITH.D.HARVEY2.CI

V@MAIL.MIL

15. TOTAL 0 3 0

G. PREPARED BY

Keith Harvey, C5ISR CENTER PRD

Industrial Engineer 443-861-2967

H. DATE I. APPROVED BY

John Padre

Chief, NV/RSTA & ASE Branch, 443861-2749

J. DATE

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page # of #