Attachment 0010 DD1695-1 NOTICE OF REVISION TABULATED.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) form used to document changes to technical specifications for defense contracts. The NOR form provides fields to identify the original contracting agency and document, describe the proposed revision, and obtain approval signatures. The associated federal contract opportunity is a solicitation from the Department of the Army Materiel Command Contracting Command Rock Island Arsenal seeking propelling charges for 60mm, 81mm, and 120mm ammunition in M204, M235, M236, M218, M219, M220, M658, and M234A1 configurations. The solicitation includes these specific propelling charge types and calibers but provides no further details on response dates, pricing terms, or other contract requirements.
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DIDs associated with
DRAFT
NOTICE OF REVISION (NOR)
(TABULATED)
1. DATE PREPARED
(DD-MON-YYYY)
2. PROCURING ACTIVITY NO. (PAN):
4. NOR NO.
THRU
OMB No. 0704-0188
3. ECP NO.:
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.
5. ORIGINATOR
INFORMATION
a. CAGE CODE:
b. NAME:
c. ADDRESS (Street, City, State, Zip Code):
d. TELEPHONE:
e. E-MAIL:
6.
TITLE OF AFFECTED DOCUMENT:
7.
DOCUMENT CAGE CODE:
8.
DOCUMENT NO.:
9.
CURRENT REVISION:
10.
NOR NO.:
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 manufacturing may incorporate this change.
15.a. ACTIVITY AUTHORIZED TO APPROVE CHANGE:
b. NAME AND TITLE (Config. Change Authority):
c. SIGNATURE:
d. DATE SIGNED:
(DD-MON-YYYY)
16. THIS SECTION COMPLETED BY THE ACTIVITY ACCOMPLISHING REVISION UPON NEW REVISION RELEASE
a. NAME and TITLE:
b. REVISION COMPLETED (Signature):
c. DATE SIGNED:
(DD-MON-YYYY)
DD FORM 1695-1 (Tabulated NOR), AUG 2019 (US ARMY CCDC-Armament Center VERSION) Microsoft Office WORD DISTRIBUTION STATEMENT:
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