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OMB Control Number: 0694-0119
Expiration Date:

DEFENSE INDUSTRIAL BASE ASSESSMENT:
Critical Facilities Survey

SCOPE OF ASSESSMENT
The U.S. Department of Commerce, Bureau of Industry and Security (BIS), Office of Technology Evaluation (OTE), in coordination with the U.S. Department of Defense (DOD),
Defense Security Service (DSS) is conducting a survey and assessment of organizations responsible for the research, design, engineering, development, manufacture, test, and
integration of defense and high-technology products, components, and related services. The resulting data will provide a baseline understanding of the structure and
interdependencies of organizations that participate in DOD acquisition programs and their associated supply chains. This survey will cover all operations at respondents' locations,
including but not limited to the DSS-cleared areas. This effort will also assist DSS in its mission to provide security oversight and education on behalf of the DOD and other U.S.
Government departments and agencies.
RESPONSE TO THIS SURVEY IS REQUIRED BY LAW
A response to this survey is required by law (50 U.S.C. App. Sec. 2155). Failure to respond can result in a maximum fine of $10,000, imprisonment of up to one year, or both.
Information furnished herewith is deemed confidential and will not be published or disclosed except in accordance with Section 705 of the Defense Production Act of 1950, as amended
(50 U.S.C App. Sec. 2155). Section 705 prohibits the publication or disclosure of this information unless the President determines that its withholding is contrary to the national
defense. Information will not be shared with any non-government entity, other than in aggregate form. The information will be protected pursuant to the appropriate exemptions from
disclosure under the Freedom of Information Act (FOIA), should it be the subject of a FOIA request.
Notwithstanding any other provision of law, no person is required to respond to nor shall a person be subject to a penalty for failure to comply with a collection of information subject to
the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number.
BURDEN ESTIMATE AND REQUEST FOR COMMENT
Public reporting burden for this collection of information is estimated to average 10 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 to BIS Information Collection Officer, Room 6883, Bureau of Industry and Security, U.S. Department of Commerce, Washington, D.C. 20230, and to the Office
of Management and Budget, Paperwork Reduction Project (OMB Control No. 0694-0119), Washington, D.C. 20503.
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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TABLE OF CONTENTS

I
II
III
1
2
3
4
5
6
7
8
9
10
11
12
13
14

General Instructions
Definitions
Reporting Level / Multiple Facility Instructions
Location and Organization Information
Mergers, Acquisitions, Divestitures, and Joint Ventures
Products and Services
U.S. Government Support
Critical Suppliers
Employment
Sales
Customers
Security Procedures
Classified Contract Information
Research and Development
Financial Information
Organizational Challenges and Outreach Information
Certification

Important Note:
The drop-down menus in several later sections
are based on your responses in Section 3.
In order for all menus to work properly, you must
complete these sections in order.

BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Section I: GENERAL INSTRUCTIONS

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Your organization is required to complete this survey using an Excel template, which can be downloaded from the U.S. Department of
A. Commerce, Census Bureau website: https://respond.census.gov/criticalfacility/download. For your convenience, a PDF version of the
survey is available to aid your internal data collection. DO NOT submit the PDF version of your organization’s response to BIS.
This survey has been distributed on a CAGE/facility basis, but should be completed at the location level. A location includes but is not
limited to the DSS cleared area. A major goal of this assessment is to benchmark the operations, practices, and interdependencies of
B.
locations that contain DSS cleared facilities. For the purpose of this survey, a location is a single contiguous site. Locations may--and
often will--contain multiple facilities.
Respond to every question. Surveys that are not fully completed will be returned for completion. Use the comment boxes to provide any
information to supplement responses provided in the survey form. Make sure to record a complete answer in the cell provided, even if the
cell does not appear to expand to fit all the information.
C.
DO NOT COPY AND PASTE RESPONSES WITHIN THIS SURVEY. Survey inputs should be completed manually, by typing in responses
or by use of a drop-down menu. The use of copy and paste can corrupt the survey template. If your survey response is corrupted as a
result of copy and paste responses, a new survey will be sent to you for immediate completion.
D. Do not disclose any classified information in this survey form.
E.

Estimates are often acceptable (and in some sections encouraged), but in sections that do not explicitly allow estimates you must contact
BIS survey support staff before including estimates.
Questions related to this Excel survey should be directed to:

F. [email protected]. (E-mail is the preferred method of contact).
You may also speak with a member of BIS survey support staff by calling (202) 482-7808.
After completing, reviewing, and certifying the Excel survey, submit the survey via our Census Bureau web portal:
G. https://respond.census.gov/criticalfacility
Do not submit the survey via email.
For questions related to the overall scope of this Defense Industrial Base assessment, contact:
Brad Botwin, Director, Industrial Studies
Office of Technology Evaluation, Room 1093
U.S. Department of Commerce
1401 Constitution Avenue, NW
H. Washington, DC 20230
To contact Mr. Botwin, please call (202) 482-7808.
DO NOT submit completed surveys to Mr. Botwin's postal or personal e-mail address; all surveys must be submitted electronically via our
Census Bureau web portal:
https://respond.census.gov/criticalfacility
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Section II: Definitions
Term

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Definition

Applied Research

Systematic study to gain knowledge or understanding necessary to determine the means by which a recognized and
specific need may be met. This activity includes work leading to the production of useful materials, devices, and
systems or methods, including design, development, and improvement of prototypes and new processes.

Authorizing Official

Executive officer of the organization or business unit or other individual who has the authority to execute this survey
on behalf of the organization.
Systematic, scientific study directed toward greater knowledge or understanding of the fundamental aspects of
phenomena and of observable facts.
Any contract that requires access to classified U.S. Government information. Not to be confused with a contract
whose existence may be classified, i.e. a Special Access Program.

Basic Research
Classified Contract

A facility possessing a facility clearance (FCL) under the National Industrial Security Program (NISP).

Cleared Facility/Cleared CAGE
Commercial and Government Entity
(CAGE) Code

Commercially Sensitive Information (CSI)

Commercial and Government Entity (CAGE) Code identifies companies doing or wishing to do business with the
U.S. Federal Government. The code is used to support mechanized government systems and provides a
standardized method of identifying a given facility at a specific location. Find CAGE codes at
https://cage.dla.mil/search/.
Privileged or proprietary information which, if compromised through alteration, corruption, loss, misuse, or
unauthorized disclosure, could cause serious harm to the information's owners.

Customer

An entity to which an organization directly delivers the product or service that the facility produces. A customer may
be another company or another facility owned by the same parent organization. The customer may be the end user
for the item but often will be an intermediate link in the supply chain, adding additional value before transferring the
item to yet another customer.

Cyber Security

The body of technologies, processes, and practices designed to protect networks, computers, programs, and data
from attack, damage, or unauthorized access.

Data Universal Numbering System
(DUNS)

A nine-digit numbering system that uniquely identifies an individual business. Find DUNS numbers at
http://fedgov.dnb.com/webform.
For the purpose of this survey, a facility is an area within an organization defined by a single CAGE code. An
organization's physical location may contain multiple facilities.

Facility
Full Time Equivalent (FTE) Employees

Employees who work for 40 hours in a normal work week. Convert part-time employees into "full time equivalents"
by taking their work hours as a fraction of 40 hours.

Location

For the purpose of this survey, a location is a single contiguous site. Locations may--and often will--contain multiple
facilities. Additionally, all off-site activities associated with a location should be reported as part of that location. For
instance, employees who work at a client site should be considered as part of their employing location.

North American Industry Classification
System (NAICS) Code
Product/Process Development
Service

North American Industry Classification System (NAICS) codes identify the category of product(s) or service(s)
provided by an organization. Find NAICS codes at http://www.census.gov/epcd/www/naics.html
Conceptualization and development of a product prior to the production of the product for customers.
An intangible product (contrasted to a good, which is a tangible product). Services typically cannot be stored or
transported, are instantly perishable, and come into existence at the time they are bought and consumed.

Single Source

An organization that is designated as the only accepted source for the supply of parts, components, materials, or
services, even though other sources with equivalent technical know-how and production capability may exist.

Sole Source

An organization that is the only source for the supply of parts, components, materials, or services. No alternative
U.S. or non-U.S. based suppliers exist other than the current supplier.

Supplier

An entity from which your organization obtains inputs. A supplier may be another firm with which you have a
contractual relationship, or it may be another facility owned by the same parent organization. The inputs may be
goods or services.

United States

The "United States" or "U.S." includes the 50 states, Puerto Rico, the District of Columbia, the island of Guam, the
Trust Territories, and the U.S. Virgin Islands.
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Section III: Reporting Level

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This survey is intended to cover all operations at a single location, including but not limited to the DSS cleared area. Your answers to
this survey should address all operations at this location. Contact survey support staff with any questions.
Does your organization have more than one DSS-cleared facility (CAGE)?
A.
If yes, contact survey support staff immediately to ensure consistent reporting.
Identify all CAGE codes covered by this location's response:
DSS Cleared CAGE(s) at location

All Other CAGEs at location, if applicable

B.

Comments:

BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Section 1a: Location Information

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Provide the following information for your location (see definitions).
Location Name
Organization Name
Street Address
City
A.
State
Zip Code
Website
Phone Number
Is this the only location your organization currently operates?
Does your organization have a parent company?

If Yes, provide the following information on your parent organization(s):
Parent Organization 1

Parent Organization 2

Organization Name
Street Address
B. City
State/Province
Country
Postal Code/Zip Code
Primary CAGE Code
If your organization is publicly traded, identify its stock ticker
symbol.

C. Is your organization publicly traded or privately held?

Are any of the areas in your location that are authorized to store classified information or to perform on a classified contract
shared and/or operated by another organization? If yes, provide the information below.
Other Organization Name

Purpose of Shared Area

D.

E.

Point of Contact regarding this survey:
Name

Title

Phone Number

E-mail Address

Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

Critical Facility Survey - OMB - 0694-0119

State

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Section 1b: Location Information (Cont.)
Select the option that most closely describes your location's primary business, and indicate any "Additional Business Lines" that are applicable
below.
Academic institution
Distribution/brokerage/reseller/retail
Holding company
Inspection and quality control
Information technology (software, hardware, installation)
Integration (product, systems integration)
Maintenance/aftermarket/repair/refurbishing services
A. Manufacturing (including assembly)
Manufacturing systems development and management
Material finishing (machining, coating, plating, heat treating, etc.)
Material preparation (casting, forming, molding, forging, etc.)
Product and design engineering (tooling, new processes, etc.)
Professional services (legal, accounting, consulting, etc.)
Raw materials provider
Research and development
Testing/evaluation/validation
Other
(specify here)
Please provide the following identification codes, as applicable, for your location.
*Find your location's North American Industry Classification System (NAICS) codes at http://www.census.gov/epcd/www/naics.html.
Data Universal Numbering
System (DUNS) Code(s)

NAICS (6-digit) Code(s)*

B.
Find DUNS numbers at:
http://fedgov.dnb.com/webform

Find NAICS codes at:
http://www.census.gov/epcd/www/n
aics.html

Does your organization qualify as any of the following types of business?

C.

A small business enterprise (as defined by the Small Business Administration)
8(a) Firm (as defined by the Small Business Administration)
A historically underutilized business zone (HUBZone)
A minority-owned business
A woman-owned business
A veteran-owned or service-disabled veteran owned business
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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If Yes, indicate which types:

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Section 2: Mergers, Acquisitions, Divestitures, and Joint Ventures

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Mergers, Acquisitions, Divestitures
How many mergers, acquisitions, and divestitures has your organization been involved in over the past 10 years?
Identify your organization's ten most recent mergers, acquisitions, and divestitures, if applicable.
Organization Name

Type of Activity

Country

Primary Objective

Year

Explain

1.
A. 2.
3.
4.
5.
6.
7.
8.
9.
10.
Joint Ventures
How many joint ventures does your organization currently participate in?
Identify your organization's current joint venture relationships, including public/private R&D partnerships, if applicable. Be sure to provide a description of the joint venture's purpose (e.g. patent licensing, co-production,
product integration, after-market support, etc.):
Year
Organization/Entity Name
Country
Primary Purpose of Relationship
Explain
Initiated
1.
2.
3.
4.
B.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Section 3: Products and Services

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In Section 3 you will be asked to identify the products and services your location manufactures, distributes, researches, and/or provides. For the purpose of this
survey, products and services have been divided into 25 general categories, as detailed below.
Identify each general category in which your location has capabilities. In the next five pages you will select the individual type of products or services within these
categories in which your location participates.
The list below contains links that can move you to a particular product and/or service segment. After completing this page you may skip to the sections with the
products/services that pertain to your location, but be sure to review all segments to ensure you do not omit any required information.
Part
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y

Product and Service Category
Raw Materials (Ores, Alloys, Chemicals, etc.)
Electronics (Circuits, Processors, Diodes, etc.)
Manufacturing Equipment and Processes (Machinery, Lathes, etc.)
Lasers
Directed Energy
Optics (Optics, Coatings, Lenses, etc.)
Acoustic Sensors (Sonar, other acoustic sensors, etc.)
Positioning, Navigation, and Timing (Gyroscopes, Accelerometers, GPS, etc.)
Radars
Signature Control (Materials, Chemicals, and Processes for Signature Control)
Aeronautic Systems (Aircraft, Airframes, Structural Components, etc.)
Space Systems (Launch Vehicles, Satellites, Rocket Motors, Survivability Systems, etc.)
Marine Systems (Ships, Landing Vessels, Submarines, etc.)
Ground Vehicle Systems (Vehicles, Tanks, Unmanned Ground Systems, etc.)
Armaments, Explosives, and Survivability (Munitions, Armor, Missiles, Launchers, etc.)
Energy Systems & Energetics (Engines, Catapults, Batteries, Propellants, etc.)
Nuclear (Reactors, Design, Protection, Detection, Storage, etc.)
Biological (Biological research, Biological Agent Detection/Destruction/Readiness, etc.)
Chemical (Chemical research, Chemical Agent Detection/Destruction/Readiness, etc.)
Emerging Technology (Nanotechnology, Synthetic Biology, Quantum Systems, Cognitive Neuroscience, etc.)
Agricultural (Agricultural Machinery and Technology)
Medical (MRI machinery, X-Radiation Machinery, Disease Research, Medicinal Distribution Technology, etc.)
Command, Control, Communication, and Computer (C4)
Software
Services and Other Products (Services and products not included above)
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Participation

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Section 3b: Product and Service List

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For each area in which your location provides a product or service (including R&D), indicate the type of participation, whether your location performs R&D, and provide a description of the products or services. Then, identify the
expected end usage of your product/service, and whether the product/service is subject to U.S. export control regulations. Finally, state whether the product/service has supported a classified contract within the past three years.
While many specific product/service areas are listed, not every possible product and service has been included. If the product or service your location provides is not listed, use the "other" listing within the relevant category.
Do not disclose any classified information in this survey form.
A: Raw Materials
Participation
Type

Conduct R&D?

Participation
Type

Conduct R&D?

Product/Service Description

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

A1 - Ores
A2 - Rare earth minerals
A3 - Alloys
A4 - Chemicals
A5 - Fiber-based materials
A6 - Other raw materials
B: Electronics
Product/Service Description

B1 - Integrated circuits
B2 - Application specific integrated circuits (ASICs)
B3 - Radiation hardened integrated circuits
B4 - Field programmable gate arrays (FPGAs)
B5 - Programmable memory
B6 - Optical filters
B7 - Micro-sensors
B8 - Vacuum tubes
B9 - Capacitors
B10 - Microprocessors
B11 - Microcontrollers
B12 - Digital signal processors
B13 - Diodes
B14 - Wafers (any molecular composition)
B15 - Circuit boards
B16 - Flexible circuit boards
B17 - Other electronic products
C: Manufacturing Equipment and Processes
Participation
Type

Conduct R&D?

Product/Service Description

C1 - Additive manufacturing (3D printing)
C2 - Computer Numerical Control (CNC) machines
C3 - Lathes, grinding machines, planers, shapers
C4 - Die press lines
C5 - Robot work cells
C6 - Bearings
C7 - Transmission equipment (gears, pulleys, sprockets,
belts, torque converters, etc.)
C8 - Welding, soldering, and brazing equipment
C9 - Other manufacturing equipment
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Section 3c: Product and Service List

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For each area in which your location provides a product or service (including R&D), indicate the type of participation, whether your location performs R&D, and provide a description of the products or services. Then, identify
the expected end usage of your product/service, and whether the product/service is subject to U.S. export control regulations. Finally, state whether the product/service has supported a classified contract within the past three
years. While many specific product/service areas are listed, not every possible product and service has been included. If the product or service your location provides is not listed, use the "other" listing within the relevant
category.
Do not disclose any classified information in this survey form.
D: Lasers
Participation
Type

Conduct R&D?

Participation
Type

Conduct R&D?

Product/Service Description

Participation
Type

Conduct R&D?

Product/Service Description

Participation
Type

Conduct R&D?

Participation
Type

Conduct R&D?

Product/Service Description

Participation
Type

Conduct R&D?

Product/Service Description

Participation
Type

Conduct R&D?

Product/Service Description

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

D1 - Gas lasers
D2 - Solid state lasers
D3 - Chemical lasers
D4 - Excimer lasers
D5 - Fiber lasers
D6 - Photonic crystal lasers
D7 - Semiconductor lasers
D8 - Dye lasers
D9 - Free electron lasers
D10 - Bio lasers
D11 - Other laser products
E: Directed Energy

E1 - Directed electromagnetic radiation (not lasers)
E2 - Directed particles with mass
E3 - Directed sound
E4 - Other directed energy products
F: Optics

F1 - Optics
F2 - Fiber optics
F3 - Polarization
F4 - Reflective coatings
F5 - Refractive coatings
F6 - Lenses
F7 - Other optics products
G: Acoustic Sensors
Product/Service Description

G1 - Active sonar
G2 - Passive sonar
G3 - Sonobouys
G4 - Commercial off-the-shelf sonar equipment
G5 - Other acoustic sensor products
H: Positioning, Navigation, and Timing

H1 - Inertial measuring units
H2 - Gyroscopes
H3 - Global Positioning Systems
H4 - Atomic clocks
H5 - Accelerometers
H6 - Other positioning, navigation, or timing products
I: Radars

I1 - Mechanically steered radars
I2 - Electronically steered radars
I3 - Phase adaptive radars
I4 - Pulse radars
I5 - Continuous wave radars
I6 - Other radar products
J: Signature Control
Product/Service Description

J1 - Compounds or materials engineered to reduce or
eliminate a signature
J2 - Chemical compositions of signature control
compounds
J3 - Processes used to apply signature control
compounds
J4 - Other signature control products
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Section 3d: Product and Service List

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For each area in which your location provides a product or service (including R&D), indicate the type of participation, whether your location performs R&D, and provide a description of the products or services. Then, identify
the expected end usage of your product/service, and whether the product/service is subject to U.S. export control regulations. Finally, state whether the product/service has supported a classified contract within the past three
years. While many specific product/service areas are listed, not every possible product and service has been included. If the product or service your location provides is not listed, use the "other" listing within the relevant
category.
Do not disclose any classified information in this survey form.
K: Aeronautic Systems
Participation
Type

Conduct R&D?

Product/Service Description

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

K1 - Fixed wing combat aircraft
K2 - Other fixed wing aircraft, including cargo and
transport
K3 - Rotary wing aircraft (including helicopters)
K4 - Unmanned aerial vehicles and drones
K5 - Airframes and structural components (including
rotor blades, landing gear, hydraulics, etc.)
K6 - Other aeronautic system products
L: Space Systems
Participation
Type

Conduct R&D?

Product/Service Description

L1 - Space launch vehicles
L2 - Satellites and satellite buses
L3 - Space survivability systems and equipment
L4 - Solid rocket motors and related equipment
L5 - Liquid rocket motors and related equipment
L6 - Other space system products
M: Marine Systems
Participation
Type

Conduct R&D?

Participation
Type

Conduct R&D?

Participation
Type

Conduct R&D?

Product/Service Description

M1 - Combat ships and landing vessels
M2 - Transport vessels
M3 - Cargo and tanker vessels
M4 - Submarines
M5 - Other marine system products
N: Ground Vehicle Systems
Product/Service Description

N1 - Light armored vehicles & designs
N2 - Medium tactical vehicles & designs
N3 - M1 Abrams variations of heavy tanks & designs
N4 - Transport vehicles & designs
N5 - Wheeled or tracked vehicles not specified above
N6 - Unmanned ground systems
N7 - Other ground system products
O: Armaments, Explosives, and Survivability
Product/Service Description

O1 - Conventional small arms (5.56mm to .50 cal)
O2 - Automatic and semi-automatic weapons
O3 - Mortar rounds
O4 - Artillery rounds
O5 - Rockets (endo and exoatmospheric)
O6 - Missiles
O7 - Hypervelocity weapons
O8 - Launchers (missile, torpedo, rocket, etc.)
O9 - Underwater explosives (mines, torpedos, etc.)
O10 - Fire control systems and components
O11 - Body armor
O12 - Other armor
O13 - Other armaments, explosives, or survivability
products
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Section 3e: Product and Service List

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For each area in which your location provides a product or service (including R&D), indicate the type of participation, whether your location performs R&D, and provide a description of the products or services. Then, identify the
expected end usage of your product/service, and whether the product/service is subject to U.S. export control regulations. Finally, state whether the product/service has supported a classified contract within the past three years.
While many specific product/service areas are listed, not every possible product and service has been included. If the product or service your location provides is not listed, use the "other" listing within the relevant category.
Do not disclose any classified information in this survey form.
P: Energy Systems & Energetics
Participation
Type

Conduct R&D?

Participation
Type

Conduct R&D?

Participation
Type

Conduct R&D?

Participation
Type

Conduct R&D?

Participation
Type

Conduct R&D?

Participation
Type

Conduct R&D?

Participation
Type

Conduct R&D?

Product/Service Description

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

P1 - Gas turbine engines
P2 - Rocket engines
P3 - Generators
P4 - Combustion engines
P5 - Turbo fan engines
P6 - Catapults
P7 - Batteries
P8 - Propellants
P9 - Other energy systems products
Q: Nuclear
Product/Service Description

Q1 - Nuclear reactors
Q2 - Nuclear weapon design and capabilities
Q3 - Nuclear weapon destruction and demilitarization
technology
Q4 - Protective clothing
Q5 - Radiation detective devices (e.g. Geiger counters)
Q6 - Radioactive material storage
Q7 - Nuclear disaster response equipment
Q8 - Other nuclear products
R: Biological
Product/Service Description

R1 - DNA research
R2 - RNA research
R3 - Biological or physiological research
R4 - Biological weapons destruction and demilitarization
technology
R5 - Biological agent detection equipment
R6 - Biological disaster response equipment
R7 - Other biological products
S: Chemical
Product/Service Description

S1 - Chemical research
S2 - Chemical weapons destruction and demilitarization
technology
S3 - Chemical agent detection equipment
S4 - Chemical disaster response equipment
S5 - Other chemical products
T: Emerging Technology
Product/Service Description

T1 - Nanotechnology
T2 - Synthetic biology
T3 - Energetic materials
T4 - Quantum systems
T5 - Computational modeling of human behavior
T6 - Cognitive neuroscience
T7 - Other emerging technology products
U: Agricultural
Product/Service Description

U1 - Soil cultivation machinery
U2 - Planting machinery
U3 - Irrigation machinery
U4 - Produce sorters
U5 - Harvesting technology
U6 - Other agricultural products
V: Medical
Product/Service Description

V1 - Electron microscopes
V2 - Sonograms
V3 - Magnetic Resonance Image (MRI) machines
V4 - X-radiation machines
V5 - Medicine distribution technology
V6 - Disease and vector research
V7 - Other medical products
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Table of Contents

Previous Page
Section 3f: Product and Service List

Next Page

For each area in which your location provides a product or service (including R&D), indicate the type of participation, whether your location performs R&D, and provide a description of the products or services. Then, identify
the expected end usage of your product/service, and whether the product/service is subject to U.S. export control regulations. Finally, state whether the product/service has supported a classified contract within the past three
years. While many specific product/service areas are listed, not every possible product and service has been included. If the product or service your location provides is not listed, use the "other" listing within the relevant
category.
Do not disclose any classified information in this survey form.
W: Command, Control, Communication, and Computer (C4)
Participation
Type

Conduct R&D?

Participation
Type

Conduct R&D?

Participation
Type

Conduct R&D?

Product/Service Description

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

Primary
End Use

Export
Controlled?

Associated with a Classified
Program (DD-254 Contract)?

W1 - Common data links
W2 - Monitors
W3 - Printers
W4 - Telecommunication devices (phones, cell phones,
radios, radio mounts)
W5 - Commercial off-the-shelf equipment used for C4
W6 - Computers and CPUs
W7 - Antennas
W8 - Beyond the line of sight C2
W9 - Line of sight C2
W10 - Other C4 products and IT equipment
X: Software
Product/Service Description

X1 - Computer aided design (CAD) software
X2 - Modeling and simulation software
X3 - Artificial intelligence software
X4 - Swarm software
X5 - Microelectronic design software
X6 - System development kits (SDK)
X7 - Software algorithms
X8 - Correlation software
X9 - Database
X10 - Computer language software
X11 - Operating systems
X12 - Finance and accounting software
X13 - Other software products
Y: Services and Other Products
Product/Service Description

Y1 - Analytic services
Y2 - Canine training
Y3 - Construction
Y4 - Consulting services
Y5 - Delivery and freight services
Y6 - Education and training services
Y7 - Engineering
Y8 - Financial and banking services
Y9 - General contracting
Y10 - Graphic arts, video, digital production
Y11 - Information technology services
Y12 - Internet service provision
Y13 - Janitorial services
Y14 - Legal services
Y15 - Logistical services
Y16 - Marketing services
Y17 - Medical services
Y18 - Professional services
Y19 - Property management
Y20 - Security and protection services
Y21 - Staffing services
Y22 - Telecommunication services
Y23 - Translation services
Y24 - Transportation services
Y25 - Other services
Y26 - Products not listed
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Previous Page
Section 3g: Primary Product/Service

Table of Contents

Select your location's primary product or service, based on total sales.
Is your location's viability dependent on this product or service?
Explain:
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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16
Previous Page
Table of Contents
Next Page
Section 4a: Support of U.S. Government (USG) Agencies
Indicate all USG departments and agencies your location has supported, directly or indirectly, in the past three years. Estimate the percentage of
your location's total sales that supported each agency over the past three years. Percentages will only sum to 100% if all of your location's sales are
to USG agencies.
Agency Name

Type of Support

Estimated Percent of Your Location's Total
Sales Attributable to USG Agency

U.S. Navy
U.S. Army
U.S. Air Force
U.S. Marine Corps
DOD Defense Advanced Research Projects Agency (DARPA)
DOD Missile Defense Agency (MDA)
Department of Homeland Security (DHS)
National Aeronautics and Space Administration (NASA)
U.S. Intelligence Community (such as CIA, NGA, NRO, NSA, DNI, etc.)
Department of Energy (DOE)
A. Department of State
Other Agency
(Select from list)
Other Agency
(Select from list)
Other Agency
(Select from list)
Other Agency
(Select from list)
Other Agency
(Select from list)
Other Agency
(Select from list)
Other Agency
(Select from list)
Other Agency
(Select from list)
Other Agency
(Select from list)
Other Agency
(Select from list)
Unlisted Agency
(Write-in)
Unlisted Agency
(Write-in)
Unlisted Agency
(Write-in)
DMSMS: the loss or impending loss of manufacturers or
suppliers of items that may cause material shortages
which endanger a weapon system's or equipment's
development, production, or post-production support
capability.

Does your facility engage in Diminishing Manufacturing Sources &
Materials Shortages (DMSMS) or obsolescence activities?
If yes, who is the point of contact for DMSMS/obsolescence at your location?
Name
Title
B.

Phone

Email

If yes, estimate how much (in thousands of dollars) your location spent in each of the last three years on finding, managing, and/or resolving
DMSMS/obsolescence problems on DOD systems or projects, including parts, components, materials, and software:
Record $ in Thousands, e.g. $12,000.00 = survey input of $12
2013
2014

DMSMS
comments/
explanations:

2015
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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17
Previous Page
Section 4b: Participation in USG Programs
A.

Table of Contents

Next Page

Estimate the total number of USG programs your location has directly or indirectly supported in the past three years (including those not listed below):
From the list of select U.S. Government programs provided below, identify each program your location has directly or indirectly supported in the past three years. Then, select the top five product/services your location provides for each program supported.
The product/service drop-down list is based on your responses to Section 3. If your product or service does not appear in the drop-down, ensure that you have indicated in Section 3 that your location provides the product or service.
If you participate in a USG program that is not listed below, you may enter it manually at the bottom of this page (entries 211-230). In these cases, identify the relevant agency in the 'U.S. Government Agency' column and then identify the program name in the 'Program Name' column. If you would like to
list more programs than space allows, contact survey support staff at [email protected] for instructions.

B.

If your location does not support any of the listed U.S. Government programs, indicate this in the box to the right:
Note: For your convenience, you may utilize the built-in filters to isolate particular U.S. Government agencies or programs from the list (press the down facing arrow in the top right corner of the relevant column below).
USG Program Identification
Do not disclose any classified information in this survey form.
U.S. Government Agency

Program Name

Participation

1
2
3

Air Force
Air Force
Air Force

Advanced Extremely High Frequency Satellite (AEHF)
Advanced Pilot Trainer (APT)
AIM-120 Advanced Medium Range Air-to-Air Missile (AMRAAM)

4

Air Force

Air and Space Operations Center-Weapon System Increment 10.2 (AOC-WS Inc 10.2)

5
6

Air Force
Air Force

Air Force Integrated Personnel and Pay System (AF IPPS)
Air Force Intercontinental Ballistic Missile Fuze Modernization (ICBM Fuze Mod)

7

Air Force

Airborne Warning and Control System Block 40/45 Upgrade (AWACS Blk 40/45 Upgrade)

8

Air Force

B-2 Defensive Management System Modernization (B-2 DMS Mod)

9

Air Force

B-2 Extremely High Frequency SATCOM and Computer Increment 1 (B-2 EHF Inc 1)

10
11
12
13
14
15
16
17

Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force

B61 Mod 12 Life Extension Program Tailkit Assembly (B61 Mod 12 LEP TKA)
Base Information Transport Infrastructure Wired (BITI Wired)
Business Systems Modernization - Energy (BSM-E)
C-130J Hercules Transport Aircraft (C-130J)
C-27J (C-27J)
C-5 Reliability Enhancement and Re-engining Program (C-5 RERP)
Combat Identification/Identification Friend or Foe (CID/IFF)
Combat Rescue Helicopter (CRH)

18

Air Force

Defense Enterprise Accounting and Management System-Increment 1 (DEAMS Inc 1)

19

Air Force

20

Air Force

21
22
23
24
25
26
27
28
29
30
31
32
33

Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force

Deliberate and Crisis Action Planning and Execution Segments Increment 2A (DCAPES
Inc 2A)
Deliberate and Crisis Action Planning and Execution Segments Increment 2B (DCAPES
Inc 2B)
Enhanced Polar System (EPS)
Evolved Expendable Launch Vehicle (EELV)
F-15 Eagle Passive Active Warning Survivability System (F-15 EPAWSS)
F-22 Increment 3.2B Modernization (F-22 Inc 3.2B Mod)
Family of Advanced Beyond Line-of-Sight - Terminals (FAB-T)
Global Broadcast Service (GBS)
Global Positioning System III (GPS III)
Ground Based Strategic Deterrent (GBSD)
Hard Target Munition (HTM)
HC/MC-130 Recapitalization Aircraft (HC/MC-130 Recap)
Integrated Strategic Planning and Analysis Network Increment 4 (ISPAN Inc 4)
Joint Air-to-Surface Standoff Missile (JASSM)
Joint Direct Attack Munition (JDAM)

34

Air Force

Joint Space Operations Center (JSpOC) Mission System Increment 2 (JMS Inc 2)

35
36
37

Air Force
Air Force
Air Force

KC-46A Tanker Modernization (KC-46A)
Long Range Stand Off Weapon (LRSO)
Military Global Positioning System (GPS) User Equipment (MGUE Inc 1)

38

Air Force

Military Global Positioning System (GPS) User Equipment Increment 2 (MGUE Inc 2)

39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66

Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Air Force
Army
Army
Army
Army
Army
Army
Army
Army
Army
Army
Army
Army

67

Army

68
69
70
71

Army
Army
Army
Army

Mission Planning System Increment 4 (MPS Inc 4)
MQ-9 Reaper Unmanned Aircraft System (MQ-9 Reaper)
Next Generation Long Range Strike (NGLRS) (NGLRS)
Next Generation Operational Control System (OCX)
North Atlantic Treaty Organization Alliance Ground Surveillance (NATO AGS)
Nuclear Detonation Detection System (NDS)
Presidential Aircraft Recapitalization (PAR)
Protected Satellite Communication Services (PSCS)
RQ-4A/B Global Hawk Unmanned Aircraft System (RQ-4A/B Global Hawk)
Small Diameter Bomb Increment II (SDB II)
Space Based Infrared System Follow-On (SBIRS Follow-On)
Space Based Infrared System High (SBIRS High)
Space Fence Ground-Based Radar System Increment 1 (Space Fence Inc 1)
Three-Dimensional Expeditionary Long-Range Radar (3DELRR)
Weather Satellite Follow-on (WSF)
Wideband Global SATCOM (WGS)
AH-64E Apache New Build (AH-64E New Build)
AH-64E Apache Remanufacture (AH-64E Remanufacture)
Airborne & Maritime/Fixed Station Joint Tactical Radio System (AMF JTRS)
Armored Multi-Purpose Vehicle (AMPV)
Biometrics Enabling Capability Increment 1 (BEC Inc 1)
CH-47F Improved Cargo Helicopter (CH-47F)
Common Infrared Countermeasure (CIRCM)
Distributed Common Ground System - Army Increment 2 (DCGS-A Inc 2)
Distributed Common Ground System-Army Increment 1 (DCGS-A Inc 1)
Excalibur Precision 155mm Projectiles (Excalibur)
Global Combat Support System - Army Increment 2 (GCSS-A Inc 2)
Global Combat Support System - Army Increment 1 (GCSS-A Inc 1)
Guided Multiple Launch Rocket System/Guided Multiple Launch Rocket System
Alternative Warhead (GMLRS/GMLRS AW)
Improved Turbine Engine Program (ITEP)
Indirect Fire Protection Capability Increment 2 - Intercept (IFPC Inc 2 - I)
Integrated Air and Missile Defense (IAMD)
Integrated Personnel and Pay System-Army Increment 1 (IPPS-A Inc 1)

1

Product/Service List Area (from Survey Section 3b-3f) Supporting USG Programs
2
3
4

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18

B.

U.S. Government Agency

Program Name

Participation

72
73
74
75

Army
Army
Army
Army

Integrated Personnel and Pay System-Army Increment 2 (IPPS-A Inc 2)
Joint Air-to-Ground Missile (JAGM)
Joint Personnel Identification Version 2 (JPI V2)
Joint Tactical Networks (JTN)

76

Army

Joint Tactical Radio System Handheld, Manpack, and Small Form Fit Radios (JTRS HMS)

77
78
79
80
81
82
83
84

Army
Army
Army
Army
Army
Army
Army
Army

85

Army

86
87
88
89
90
91
92
93
94
95
96
97
98
99
100

Army
Army
Army
Army
Army
DOD
DOD
DOD
DOD
DOD
DOD
DOD
DOD
DOD
DOD

101

DOD

102
103

DOD
DOD

Logistics Modernization Program Increment 2 (LMP Inc 2)
Long Range Precision Fires (LRPF)
Mid-Tier Networking Vehicular Radio (MNVR)
MQ-1C Gray Eagle Unmanned Aircraft System (MQ-1C Gray Eagle)
NETT WARRIOR (NETT WARRIOR)
Non-Standard Rotary Wing Aircraft (NSRWA)
Paladin Integrated Management (PIM)
Patriot Advanced Capability-3 Missile Segment Enhancement (PAC-3 MSE)
Patriot/Medium Extended Air Defense System Combined Aggregate Program
(Patriot/MEADS CAP)
RQ-7B Shadow Tactical Unmanned Aircraft System (RQ-7B Shadow)
Tactical Mission Command (TMC)
UH-60M Black Hawk Helicopter (UH-60M Black Hawk)
Warfighter Information Network-Tactical Increment 2 (WIN-T Inc 2)
Warfighter Information Network-Tactical Increment 3 (WIN-T Inc 3)
Advanced Anticonvulsant Systems (CBDP-MEDSYS - AAS)
Analytical Laboratory System (CBDP-GUARD - ALS)
Anthrax Vaccine Adsorbed (CBDP-MEDSYS - AVA)
Ballistic Missile Defense System (BMDS)
Ballistic Missile Technical Collection (BMTC)
Bioscavenger I (CBDP-MEDSYS - pBSCAV)
Bioscavenger Increment II (CBDP-MEDSYS - BSCAV II)
CBDP-GUARD-CALS (CBDP-GUARD - CALS)
Chemical and Biological Protective Shelter (CBPS) (CBDP-CP - CBPS)
Chemical Biological Defense Small Project Acquisition (CBDP-GUARD - CSPA)
Chemical Demilitarization-Assembled Chemical Weapons Alternatives (Chem DemilACWA)
Collectively Protected Field Hospital (CBDP-CP - CPFH)
Defense Agencies Initiative Increment 2 (DAI Inc 2)

104

DOD

Department of Defense Healthcare Management System Modernization (DHMSM)

105
106
107
108

DOD
DOD
DOD
DOD

F-35 Joint Strike Fighter Aircraft (F-35)
Global Combat Support System - Joint Increment 8 (GCSS-J Inc 8)
Global Combat Support System - Joint Increment 7 (GCSS-J Inc 7)
Human Remains Decontamination System (CBDP-DECON - HRDS)

109

DOD

Improved Nerve Agent Identification and Diagnositc System (CBDP-MEDSYS - INATS)

110
111
112

DOD
DOD
DOD

Installation Protection Program (CBDP-GUARD - IPP)
integrated Electronic Health Record Increment 1 (iEHR Inc 1)
Joint Aerial Layer Network (JALN)

113

DOD

Joint Biological Agent Identification and Diagnostic System (CBDP-MEDSYS - JBAIDS)

114

DOD

Joint Biological Point Detection System (JBPDS) (CBDP-BD - JBPDS)

115

DOD

Joint Biological Standoff Detection System Increment 1 (CBDP-BD - JBSDS Inc 1)

116

DOD

Joint Biological Standoff Detection System Increment 2 (CBDP-BD - JBSDS Inc 2)

117

DOD

Joint Biological Tactical Detection System Increment 1 (CBDP-BD - JBTDS Inc 1)

118
119

DOD
DOD

120

DOD

121
122
123
124
125
126
127
128
129
130
131

DOD
DOD
DOD
DOD
DOD
DOD
DOD
DOD
DOD
DOD
DOD

132

DOD

133

DOD

134

DOD

Joint Chemical Agent Detector Increment 2 (CBDP-CA - JCAD Inc 2)
Joint Chemical Agent Detector M4/M4E1 (CBDP-CA - JCAD M4/M4E1)
Joint Chemical, Biological and Radiological Agent Water Monitor (CBDP-CA JCBRAWM)
Joint Command and Control Capability Area (Joint C2)
Joint Effects Model (CBDP-IS - JEM)
Joint Expenditionary Collective Protection (CBDP-CP - JECP)
Joint Light Tactical Vehicle (JLTV)
Joint Material Decontamination System (CBDP-DECON - JMDS)
Joint Operations Effects Federation (CBDP-IS - JOEF)
Joint Protective Aircrew Ensemble (CBDP-IP - JPACE )
Joint Service Aircrew Mask Apache (CBDP-IP - JSAM Apache)
Joint Service Aircrew Mask Fixed Wing (CBDP-IP - JSAM FW)
Joint Service Aircrew Mask Rotary Wing (CBDP-IP - JSAM RW)
Joint Service General Purpose Mask (JSGPM) (CBDP-IP - JSGPM)
Joint Service Lightweight Integrated Suit Technology - AFS/IFS (CBDP-IP - JSLIST
AFS/IFS)
Joint Service Lightweight Integrated Suit Technology - JB2GU FR (CBDP-IP - JSLIST
JB2GU FR)
Joint Service Lightweight Integrated Suit Technology - JB2GU nFR (CBDP-IP - JSLIST
JB2GUnFR)

135

DOD

Joint Service Lightweight Integrated Suit Technology - JC3 (CBDP-IP - JSLIST JC3)

136

DOD

Joint Service Lightweight Integrated Suit Technology - SUITS (CBDP-IP - JSLIST SUITS)

137

DOD

Joint Service Lightweight Standoff Chemical Agent Detector (CBDP-CA - JSLSCAD)

138
139
140
141
142
143
144
145
146
147
148
149
150

DOD
DOD
DOD
DOD
DOD
DOD
DOD
DOD
DOD
DOD
DOD
DOD
DOD

Joint Service NBC Reconnaissance System (CBDP-CA - JNBCRS)
Joint Service Personnel Decon System (CBDP-DECON - JSPDS)
Joint Service Transportable Decon System (CBDP-DECON - JSTDS - SS)
Joint Warning and Reporting Network (CBDP-IS - JWARN)
Key Management Infrastructure Increment 2 (KMI Inc 2)
M93/M93A1/M93A1P1 Fox NBC Reconnaissance Vehicle (CBDP-CA - FOX)
Medical Radiation Countermeasures (CBDP-MEDSYS - MRADC)
Nuclear, Biological, Chemical Reconnaissance Vehicle (CBDP-CA - NBCRV)
Plague Vaccine (CBDP-MEDSYS - Plague )
Product Director, Test Equipment, Stragety and Support (CBDP-CA - PD-TESS)
Public Key Infrastructure Increment 2 (PKI Inc 2)
Recombinant Botulinum Vaccine (CBDP-MEDSYS - rBV A/B)
Shipboard Collective Protection System Backfit (CBDP-CP - CPS BKFT)

1

Product/Service List Area (from Survey Section 3b-3f) Supporting USG Programs
2
3
4

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19

B.

U.S. Government Agency
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175

DOD
DOD
DOD
DOD
DOE
DOE
DOE
DOE
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy

176

Navy

177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210

Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy
Navy

211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230

(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)
(Identify Agency)

Program Name

Participation

1

Product/Service List Area (from Survey Section 3b-3f) Supporting USG Programs
2
3
4

Smallpox Vaccine System (CBDP-MEDSYS - Smallpox)
Teleport Generation 3 (Teleport Gen 3)
Theater Medical Information Program-Joint Increment 2 (TMIP-J Inc 2)
Unified Command Suite (CBDP-GUARD - UCS)
B61 Mod 12 Life Extension Program (B61-12 LEP)
W76 Mod 1 Life Extension Program (W76-1 LEP)
W78/88 Mod 1 Life Extension Program (W78/88-1 LEP)
W88 Alteration 370 (W88 ALT 370)
AGM-88E Advanced Anti-Radiation Guided Missile (AGM-88E AARGM)
AIM-9X Block II Sidewinder (AIM-9X Blk II)
Air and Missile Defense Radar (AMDR)
Amphibious Combat Vehicle (ACV)
Amphibious Ship Replacement (LX(R))
CH-53K Heavy Lift Replacement Helicopter (CH-53K)
Common Aviation Command and Control System Increment 1 (CAC2S Inc 1)
Consolidated Afloat Network Enterprise Services (CANES)
Cooperative Engagement Capability (CEC)
CVN 78 Gerald R. Ford Class Nuclear Aircraft Carrier (CVN 78)
DDG 1000 Zumwalt Class Destroyer (DDG 1000)
DDG 51 Arleigh Burke Class Guided Missile Destroyer (DDG 51)
Dept of the Navy-Large Aircraft-Infrared Counter Measures (DoN-LAIRCM)
Distributed Common Ground System-Navy Increment 1 (DCGS-N Inc 1)
Distributed Common Ground System-Navy Increment 2 (DCGS-N Inc 2)
E-2D Advanced Hawkeye Aircraft (E-2D AHE)
EA-18G Growler Aircraft (EA-18G)
Global Combat Support System-Marine Corps Logistics Chain Management Increment 1
(GCSS-MC LCM Inc 1)
Global Command and Control System-Maritime Increment 2 (GCCS-M Inc 2)
Ground/Air Task Oriented Radar (G/ATOR)
H-1 Upgrades (4BW/4BN) (H-1 Upgrades)
Integrated Defensive Electronic Countermeasures (IDECM)
Joint and Allied Threat Awareness System (JATAS)
Joint Precision Approach and Landing System Increment 1A (JPALS Inc 1A)
Joint Standoff Weapon - Baseline Variant and Unitary Warhead Variant (JSOW)
KC-130J Transport Aircraft (KC-130J)
LHA 6 America Class Amphibious Assault Ship (LHA 6)
Littoral Combat Ship (LCS)
Littoral Combat Ship Mission Modules (LCS MM)
LPD 17 San Antonio Class Amphibious Transport Dock (LPD 17)
MH-60R Multi-Mission Helicopter (MH-60R)
Mobile Landing Platform (MLP)
Mobile User Objective System (MUOS)
MQ-4C Triton Unmanned Aircraft System (MQ-4C Triton)
MQ-8 Fire Scout Unmanned Aircraft System (MQ-8 Fire Scout)
Multifunctional Information Distribution System (MIDS)
Navy Multiband Terminal (NMT)
Next Generation Enterprise Network Increment 1 (NGEN Inc 1)
Next Generation Jammer (NGJ)
Offensive Anti-Surface Warfare (OASuW)
Ohio Class Submarine Replacement (Ohio Replacement)
P-8A Poseidon Multi-Mission Maritime Aircraft (P-8A)
Remote Minehunting System (RMS)
Ship to Shore Connector Amphibious Craft (SSC)
SSN 774 Virginia Class Submarine (SSN 774)
Standard Missile-6 (SM-6)
Tactical Tomahawk RGM-109E/UGM-109E Missile (TACTOM)
T-AO(X) Fleet Replenishment Oiler (T-AO(X))
Trident II (D-5) Sea-Launched Ballistic Missile UGM 133A (Trident II Missile)
Unmanned Carrier Launched Airborne Surveillance & Strike (UCLASS)
V-22 Osprey Joint Services Advanced Vertical Lift Aircraft (V-22)
VH-92A Presidential Helicopter (VH-92A)
Do not disclose any classified information in this survey form.
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
(Write-In Program Here)
Do not disclose any classified information in this survey form.

Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Table of Contents
Section 5: Suppliers
For each type of input provided to your location by a key supplier:
- First, in column 1, select the general category of the input supplied (Raw Materials, Electronics, Manufacturing Equipment, etc.). Then, select in column 2 the specific type of input and provide a description of the input in column 3.
- Next, in columns 4-6, provide supplier information, and select in column 7 the primary product/service area (earlier specified in Section 3) in which your location uses the input.
- Finally, indicate in columns 8-13 whether the supplier/input is critical for any reason.

Next Page

Note: Provision of supplier information is mandatory . Per Section 705(d) of the Defense Production Act, all data contained in this survey response remains business confidential and is exampt from Freedom of Information Act (FOIA) requests.
Input Details - Inputs to Your Products/Services

Example

Supplier Information - Your Supplier

1: General Category Provided
By Supplier

2: Input Area Provided
By Supplier

3: Input Description

4: Supplier Name

5: Supplier
State
(if applicable)

P: Energy Systems & Energetics

P4 - Combustion engines

Truck engines

Sara's Engine Works

Alabama

Criticality

Input Utilization

6: Supplier
Country

7: Primary Product/Service at Your
Location in Which the Input is Utilized

United States

N1 - Light armored vehicles & designs

9:
10:
8: Supports
Single/Sole
Contributes
Multiple USG
Supplier (see Significantly
Programs
definitions) to End Value
Yes

Neither

Yes

11: Long
Lead Time
No

12: Obsolete 13: Other Critical Measure
Part
(if applicable)
No

1.

(specify)

2.

(specify)

3.

(specify)

4.

(specify)

5.

(specify)

6.

(specify)

7.

(specify)

8.

(specify)

9.

(specify)

10.

(specify)

11.

(specify)

12.

(specify)

13.

(specify)

14.

(specify)

15.

(specify)

16.

(specify)

17.

(specify)

18.

(specify)

19.

(specify)

20.

(specify)

21.

(specify)

22.

(specify)

23.

(specify)

24.

(specify)

25.

(specify)
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Previous Page
Section 6: Employment

Table of Contents

Next Page

Record the total number of full time equivalent (FTE) employees and contractors employed by this location for the past three years.
This may include employees who work off-site but report to this location.
2013

2014

2015

Green Card

Other

FTE Employees

A.

FTE Contractors
How many non-U.S. citizens work at your location?
If yes, identify the number of each type of non-U.S. citizen worker currently employed at your location.
H-1B

H-2B

F-1

FTE Employees
FTE Contractors
List each country (other than the U.S.) from which your location has non-U.S. citizen workers (employees or contractors), and identify the number
of each type of visa or green card holder associated with each country.
Country

H-1B

H-2B

F-1

Green Card

Other

Top Secret

Secret

Confidential

B.

C.

Provide the number of FTE employees and contractors employed by this
location that hold active security clearances at the following levels:
Does your location have difficulty hiring and/or retaining any parts of its workforce?
If yes, identify which occupations and explain your selection.
Occupation
Difficulty

Explanation

Engineers, Scientists, and R&D Staff

D.

Information Technology Professionals
Production Line Workers
Testing Operators and Quality Control Technicians
Other

(specify here)
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Next Page
Section 7: Sales
Provide your location's total sales information for the past three years to U.S. and non-U.S. customers. If location level data is not available, contact survey support staff
at [email protected] before entering higher level data.
In Part B, indicate your location's total sales for defense-related purposes (including commercial and government sales).
In Part C, indicate your location's total sales from classified contracts.
In Part D, indicate your location's total sales to all governments.
Note: "U.S." means U.S. domestic sales; "Non-U.S." means export sales from U.S. locations.
Source of Sales Data:
Reporting Schedule:

U.S.

Record in $ Thousands, e.g. $12,000.00 = survey input $12
2013
2014
2015*
Non-U.S.
U.S.
Non-U.S.
U.S.
Non-U.S.

A. Total Sales, all Customers (in $)
Lines B-D need not sum to 100%. Estimates are acceptable. Ensure you complete lines B-D for all years with sales.
Do not disclose any classified information in this survey form.
B.

Total Defense-Related Sales (as a % of A)

C.

Total Sales from Classified Contracts (as a % of A)

D.

Total Sales from all Government Contracts (as a % of A)

* Furnish full year estimates for 2015 if data is unavailable.
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Table of Contents
Next Page
Section 8: Top Customers
Identify your location's top U.S. and non-U.S. direct customers by sales for the past three years. A direct customer is the immediate entity to which you
sell your products/services. Customers can include other business units/divisions within your parent organization. Indicate the type of customer and their
location.
Location's Top U.S.-Based Customers
Estimated total number of U.S.-based customers in past three years:
Customer Name

Type of Customer

Customer City

Customer State

Customer City

Customer Country

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Location's Top Non-U.S.-Based Customers
Estimated total number of non-U.S.-based customers in past three years:
Customer Name

Type of Customer

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Previous Page
Section 9a: Physical and Cyber Security Procedures

Table of Contents

Next Page

In the event of a suspected/confirmed security incident at your location, do you know what authorities to contact?
Indicate which organizations your location would notify in response to a suspected/confirmed security incident by briefly describing the type of incident(s) for which you would contact the organization.
Defense Security Service (DSS)
Defense Logistics Agency (DLA)
Defense-Related Investigative Services (e.g. DCIS, NCIS, etc.)
A.
Department of Commerce, Bureau of Industry and Security (BIS)
Department of Energy (DOE)
Department of Homeland Security (DHS)
Department of Justice (DOJ)
Federal Bureau of Investigation (FBI)
Federal Communications Commission (FCC)
Federal Trade Commission (FTC)

Government-Industry Data Exchange Program (GIDEP)
National Aeronautics & Space Administration (NASA)
National Security Agency (NSA)
Nuclear Regulatory Commission (NRC)
Secret Service Electronic Crimes Task Force
State & Local Authorities
US-CERT
None at All
(specify here)
Other
(specify here)
Other
Year

B. State the number of security incidents your location has recorded in each year:

Physical
Incidents

2013
2014
2015

Indicate which of the following security measures are in place at this location:
Physical Security
After hours inspections of cleared areas
CCTV monitoring
Control of facility points of entry
C. Intrusion alarms
Perimeter barriers around facility
Personnel physical access cards
Physical separation of cleared areas
Security guards
(specify here)
Other
(specify here)
Other
(specify here)
Other

Cyber Security
Account Monitoring and Control
Application Software Security
Boundary Defense
Continuous Vulnerability Assessment
Controlled Access Based on Need to Know
Controlled Use of Administrative Privileges
Data Protection
Data Recovery Capability
Incident Response and Management
Inventory of Authorized/Unauthorized Devices
(specify here)
Other

Inventory of Authorized/Unauthorized Software
Limitation/Control of Network Ports and Services
Maintenance, Monitoring, & Analysis of Audit Logs
Malware Defenses
Penetration Tests and Red Team Exercises
Secure Configurations on Hardware
Secure Configurations of Network Devices
Secure Network Engineering
Security Skills Assessments and Training
Wireless Access Control
(specify here)
Other

Is this location familiar with the National Institute of Standards and Technology's (NIST) Cyber Security Framework? (http://www.nist.gov/cyberframework/):
Does this location employ any of the NIST Cyber Security Framework's recommended controls?
D. Provide any explanations of the controls your location has in place or feedback you may have on potential improvements, clarifications, or other changes:

Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Cyber
Incidents

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Table of Contents
Section 9b: Physical and Cyber Security Procedures (Cont.)
Is this location a possessing (has access to on-site classified information) or non-possessing (employees only access classified information off-site) facility?

Next Page

ALL LOCATIONS (possessing and non-possessing) should complete this section, based on their on-site systems.
Estimate your location's spending on physical and cyber security, in thousands of dollars.

A.

Note: Location level data is strongly preferred. If you do not keep this information at a location level, provide data at the next highest level available.
Record $ in Thousands, e.g. $12,000.00 = survey input of $12
Source of Security Expenditure Data:
Reporting Schedule:
2013
2014
2015*
1 Physical Security
2 Cyber Security

* Furnish full year estimates for 2015.
Provide the following information on remote network access:
Are employees and/or contractors able to access this facility's internal networks remotely?
B.

1

Explain:
Are any other organizations/companies able to access this facility's internal networks remotely?

2

Explain:

Provide the following information on data storage and sharing:
1 Does your location or parent organization operate its own data center in the U.S.?

If yes, how many?

2 Does your location or parent organization operate its own data center outside the U.S.?

If yes, how many?

3 Does your location use a U.S.-based cloud service or external data storage provider?
C.

4 Does your location use a non-U.S.-based cloud service or external data storage provider?
5 Estimate the percentage of your location's Commercially Sensitive Information that is stored with cloud services or external data storage providers:
Does your location share Commercially Sensitive Information with non-U.S. organizations in order to support business operations?
This might include the sharing of customer information, proprietary designs, R&D information, production data, etc.
6

If yes, identify both the types of CSI shared and the countries
of the organizations it is shared with:

Provide the following information on cyber threats (to all systems, both classified and unclassified):
Is your location able to detect the theft of, or unauthorized access to, Commercially Sensitive Information by cyber means?
1

If yes, has your location investigated the source of any such theft or unauthorized access in the past three years?
Explain:
If yes, estimate how many APTs your location has
encountered in the past three years:

2 Is your location able to detect an Advanced Persistent Threat (APT)?
D.

Identify any impacts or actions resulting from malicious cyber activity at your location in the past three years:
Impacts Experienced
IT downtime
Costs from damage assessment/remediation
3
Loss of sales/Business interruption
Exfiltration of Commercially Sensitive Information
Damage to IT infrastructure
Damage to company production capabilities or systems
Theft of software and/or source code

Actions Undertaken
Revised approach to international partnerships
Significant change in R&D strategy
Exit from foreign markets or market segments
Exit from product or business line
Major new investment in cyber security
(specify here)
Other
(specify here)
Other

Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Previous Page
Section 10: Classified Contract Information
Provide the following information on your classified contracts:

Table of Contents

Next Page

Do not disclose any classified information in this survey form.

A.

Number of classified prime contracts awarded to this location in the past three years
Number of classified subcontracts awarded to this location in the past three years
Number of classified subcontracts this location awarded to contractors in the past three years
Number of classified foreign contracts awarded to this location in the past three years

B. How many contracts with active DD-254s does this location manage/administer:
Identify the top ten contracts with active DD-254s your location manages, in descending order of total contract award dollars.
Do not disclose any classified information in this survey form. If any of the requested information is classified, enter "Classified" in the corresponding field.
Contract ID Number

CAGE Associated
with Contract

USG Customer

USG Program

1
2
3
4
C.
5
6
7
8
9
10
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Product/Service 1

Product/Service 2

Product/Service 3

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Section 11: Research & Development

Table of Contents

Next Page

A. Does your location conduct research and development (R&D)?

If no, proceed to Section 12.

In Question B, record your location's total R&D dollar expenditures and type of R&D expenditure for the previous three years.
In Question C, identify your location's R&D funding sources, by percent of total R&D dollars sourced.
Note: Location level data is strongly preferred. If you do not keep this information at a location level, provide data at the next highest level available.
Source of R&D data:
Reporting Schedule:
Record $ in Thousands, e.g. $12,000.00 = survey input of $12
2013
2014
2015*
1 Total R&D Expenditures
2 Basic Research (as a percent of B1)
B.
3 Applied Research (as a percent of B1)
4 Product/Process Development (as a percent of B1)
5 Total of 2 - 4 (must equal 100%)

0%

0%

0%

Record $ in Thousands, e.g. $12,000.00 = survey input of $12
2013
2014
2015*
1 Total R&D Funding Sources
2 Internal/Self-Funded/IRAD (as a percent of C1)
3 Total Federal Government (as a percent of C1)
C. 4 Total State and Local Government (as a percent of C1)
5 Universities - Public and Private (as a percent of C1)
6 U.S. Industry, Venture Capital, Non-Profit (as a percent of C1)
7 Non-U.S. Investors (as a percent of C1)
8 Other
(specify here)
9 Total of 2 - 8 (must equal 100%)
* Furnish full year estimates for 2015 if data is unavailable.

0%

0%

Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Table of Contents
Section 12: Financials
Provide the following financial line items for your location for the last three years below.

Next Page

Note: Location level data is strongly preferred. If you do not keep this information at a location level, provide data at the next
highest level available.
Source of Income Statement Items:
Reporting Schedule:
Income Statement (Select Line Items)
A.
B.
C.
D.
E.

Record $ in Thousands, e.g. $12,000.00 = survey input of $12
2013
2014
2015*

Net Sales (and other revenue)
Cost of Goods Sold
Total Operating Income (Loss)
Earnings Before Interest and Taxes
Net Income
Source of Balance Sheet Items:
Reporting Schedule:
Balance Sheet (Select Line Items)

Record $ in Thousands, e.g. $12,000.00 = survey input of $12
2013
2014
2015*

A. Cash
B. Inventories
C. Total Current Assets
D. Total Assets
E. Total Current Liabilities
F. Total Liabilities
G. Retained Earnings
H. Total Owner's Equity
* Furnish full year estimates for 2015 if data is unavailable.
Note: Total Assets must equal Total Liabilities plus Total Owner's Equity
Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Previous Page
Section 13: Challenges and Outreach

Table of Contents

Next Page

Identify the issues that have impacted your location in the past three years.
In column A, select YES/NO from the dropdown menu.
In column B, rank your top five issues (one being the most important) by selecting numbers one through five, using each rank exactly once.
In column C, provide an explanation for the relevant issues.
A

B
Rank Top
-Yes/No5

Type of Issue

C
Explanation of Issue:

Aging equipment, facilities, or infrastructure
Aging workforce
Counterfeit parts
Cyber security
Domestic competition
Environmental regulations/remediation
Export controls/ITAR & EAR
Foreign competition
Government acquisition process
A. Government purchasing volatility
Government regulatory burden
Healthcare
Input availability
Intellectual property/patent infringement
Labor availability/costs
Obsolescence
Pension costs
Proximity to customers
Proximity to suppliers
Qualifications/certifications
Quality of inputs
R&D costs
Reduction in USG demand
Taxes
Worker/skills retention
(specify here)
Other
There are many federal and state government programs and services available to assist your organization to better compete in the global marketplace. If your
organization would like more information regarding these government programs, select the specific areas of interest below. The Commerce Department will followup with your organization regarding your selections.
Continuous Improvement/
Market Expansion/Business Growth
Lean Manufacturing

B.

Cyber Security

Product Design

Design for Assembly

Prototyping

Design for Manufacturability

Quality Management and Control

Energy and Environmentally Conscious Manufacturing

Small Business Innovation Research (SBIR) and Small Business Technology
Transfer (STTR) contracts

Export Assistance

Supply Chain Optimization

Export Licensing (ITAR/EAR)

Technology Acceleration

Government Procurement Guidelines

Vendor/Material Sourcing

Comments:
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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Table of Contents
Section 14: Certification
The undersigned certifies that the information herein supplied in response to this questionnaire is complete and correct to the best of his/her knowledge. It
is a criminal offense to willfully make a false statement or representation to any department or agency of the United States Government as to any matter
within its jurisdiction (18 U.S.C.A. 1001 (1984 & SUPP. 1197))
Once this survey is complete, first save it to your computer, and then submit the document via the Census Bureau portal linked here:
https://respond.census.gov/criticalfacility
Location Name
Organization Name
Organization's Internet Address
Name of Authorizing Official
Title of Authorizing Official
E-mail Address
Phone Number and Extension
Date Certified
In the box below, provide any additional comments or any other information you wish to include regarding this survey assessment.

How many hours did it take to complete this survey?
BUSINESS CONFIDENTIAL - Per Section 705(d) of the Defense Production Act

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