Attachment 0005 DD1692 ENGINEERING CHANGE PROPOSAL.docx
DoD Form DOCX document 27 KB Posted
- Attached to
- 60mm (M204, M235, M236); 81mm (M218, M219, M220, M658); and 120mm (M234A1) Propelling Charges
- Solicitation number
- W519TC-24-R-0003
About this file
This document is an Engineering Change Proposal (ECP) form template used to request modifications to engineering documents for defense equipment. Key details include: the ECP is for procuring activity number W519TC-24-R-0003 and proposes changes to engineering documents related to 60mm, 81mm, and 120mm propelling charges for munitions. The ECP form requests information on the type and priority of the proposed change, justification for the change, description of what is affected, need for the change, documents impacted, baseline affected, production status, retrofitting requirements, cost impacts, originating contractor and contracting officer details. Approval or modification of the ECP requires recommendation and signature from the approving activity as well as final disposition and signature from the configuration change authority.
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Text version
ENGINEERING CHANGE PROPOSAL
(ECP)
1. DATE PREPARED
(DD-MMM-YYYY)
2. PROCURING ACTIVITY NO. (PAN):
OMB No. 0704-0188
3. ECP NUMBER:
The public reporting burden for this collection of information is estimated to average 2 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, Executive Services Directorate, Information Management Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (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 COMPLETED FORM TO THIS ADDRESS. RETURN COMPLETED FORM TO THE GOVERNMENT ISSUING CONTRACTING OFFICER FOR THE CONTRACT/PROCURING ACTIVITY NUMBER LISTED IN ITEM 2 OF THIS FORM.
4. TITLE OF CHANGE:
5. CLASS OF ECP:
|_| Major (Class I) |_| Minor (Class II) |_| Administrative
6. PRIORITY:
|_| E - Emergency |_| U - Urgent |_| R - Routine
7. ECP TYPE:
|_| P - Preliminary |_| F - Formal
8. JUSTIFICATION CODE: |_| B - Interface |_| C - Compatibility |_| D - Correction of Deficiency |_| L - Logistics Support |_| O - Operational or Product Improvement |_| P - Production Stoppage |_| R - Cost Reduction |_| S - Safety |_| V - Value Engineering
9. DESCRIPTION OF CHANGE:
10. NEED FOR CHANGE:
11. MODEL/TYPE DESIGNATION:
(e.g., M16)
12. SYSTEM/CONFIGURATION ITEM NOMENCLATURE:
(e.g., Rifle)
13. AFFECTED ITEM NOMENCLATURE:
(e.g., Bracket)
| 14.a. OTHER EXTERNAL SYSTEM AFFECTED? | |
| |_| Yes | |_| No |
| b. IF BLOCK 14.a. IS YES, LIST OTHER SYSTEMS OR CONFIGURATION ITEMS AFFECTED: |
15. ALL LOWER OR HIGHER
ITEMS AFFECTED
a. NOMENCLATURE:
b. PART NO.:
c. NSN:
| 16. DOCUMENTS AFFECTED (Add continuation page if necessary) |
| d. |
CURRENT
REVISION
e.
NOR
NO.
f. REVISED
DOCUMENT
ATTACHED
| a. CAGE |
| b. DOCUMENT NO. |
| c. NOMENCLATURE |
17. BASELINE AFFECTED:
|_| Functional |_| Allocated |_| Product
18. IN PRODUCTION:
|_| Yes |_| No
19. EFFECTIVITY (Lot No., Serial No., Date):
20. EFFECT ON DELIVERY SCHEDULE:
| 21.a. RECOMMEND RETROFIT TO EXISTING ASSETS? |_| Yes |_| No |
| b. IF BLOCK 21.a. IS YES, DESCRIBE RETROFIT REQUIREMENTS: |
| c. COST IMPACT FROM ECP? |_| Yes |_| No |
d. IF 21.c. IS YES, DESCRIBE:
| 22. CONTRACT |
| a. CONTRACTOR: |
| b. CONTRACT NO./LINE ITEM: |
| 23. CONTRACTING OFFICER |
| a. NAME: |
b. TELEPHONE:
c. E-MAIL:
| 24. ORIGINATOR |
| a. NAME (submitter): |
| b. ADDRESS (Street, City, State, Zip Code:): |
e. ECP ORIGINATOR
CAGE CODE:
c. TELEPHONE:
d. E-MAIL:
f. SUBMITTING ACTIVITY:
g. NAME AND TITLE (Authorizing Official):
h. AUTHORIZED SIGNATURE:
25. BELOW TO BE COMPLETED BY THE APPROVING ACTIVITY
a. RECOMMENDATIONS: |_| Approval |_| Disapproval |_| Approval with Modification
b. NAME and TITLE:
| c. SIGNATURE: |
| d. DATE SIGNED (DD-MMM-YYYY): |
26.a. DISPOSITION (Configuration Change Authority): |_| Approval |_| Disapproval |_| Approval with Modification
b. NAME and TITLE:
| c. SIGNATURE: |
| d. DATE SIGNED (DD-MMM-YYYY): |
27. TO BE COMPLETED BY THE ACTIVITY ACCOMPLISHING REVISION UPON NEW REVISION RELEASE
a. NAME and TITLE:
| b. SIGNATURE: |
| c. DATE NEW REVISION(S) RELEASED: |
DD FORM 1692, AUG 2019 (US ARMY CCDC-Armament Center VERSION) Microsoft Office WORD
DISTRIBUTION STATEMENT:
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