Attachment 0009 DD1695 NOTICE OF REVISION.docx
DoD Form DOCX document 46 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 a Notice of Revision (NOR) template for revising Defense Department technical documents. The NOR template requests information on the original document being revised such as the title, CAGE code, document number, revision number, and configuration item or system to which the revision applies. It also requests a description of the revision and rationale. The template includes signature blocks for the originator and approving activity. Upon approval and release of the new revision, signature blocks are provided for the revising activity to sign off and date the completed revision.
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| NOTICE OF REVISION (NOR) |
| OMB No. 0704-0188 |
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 22 OF THIS FORM.
1. DATE PREPARED (DD-MON-YYYY)
2. PROCURING ACTIVITY NO. (PAN)
3. ECP NO.
4. NOR NO. OF
5. ORIGINATOR
a. CAGE CODE
b. TYPED NAME (First, Middle Initial, Last)
c. ADDRESS (Street, City, State, Zip Code):
d. TELEPHONE (Incl. Area Code)
e. E-MAIL ADDRESS
6. TITLE OF AFFECTED DOCUMENT:
| 7. DOCUMENT CAGE CODE |
| 8. DOCUMENT NO. |
| 9. REVISION |
| 10. NOR SHEET |
OF
a. CURRENT
b. OTHER UNINCORPORATED NORs
11. CONFIGURATION ITEM (OR SYSTEM) TO WHICH ECP APPLIES
12. DESCRIPTION OF REVISION
13. REMARKS/RATIONALE
14. TO BE COMPLETED BY THE APPROVING ACTIVITY
| a. (X one) |
| |_| |
| (1) Existing document supplemented by this NOR may be used in manufacture. |
(2) Revised document must be received before manufacturer may incorporate this change.
15.a. ACTIVITY AUTHORIZED TO APPROVE CHANGE
b. NAME (First, Middle Initial, Last)
c. TITLE
d. SIGNATURE
e. DATE SIGNED (DD-MON-YYYY)
16. THIS SECTION COMPLETED BY THE ACTIVITY ACCOMPLISHING REVISION UPON NEW REVISION RELEASE
a. NAME (First, Middle Initial, Last)
b. TITLE
c. REVISION COMPLETED (Signature):
d. DATE SIGNED
(DD-MON-YYYY):
DD FORM 1695, AUG 2019 (US ARMY CCDC-Armament Center VERSION) Microsoft Office WORD
DISTRIBUTION STATEMENT:
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