RFV_FY18-V030__Approved.pdf

Page 1 of 3 DD FORM 1694, MAY 2015 PREVIOUS EDITION IS OBSOLETE

DISTRIBUTION STATEMENT:

REQUEST FOR VARIANCE

(RFV)

1. DATE PREPARED:

(DD-Mon-YYYY)

2. RFV NUMBER:

3. PROCURING ACTIVITY NO. (PAN):

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 the collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Executive Services Directorate, Directives 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 ACQUIRER ISSUING CONTRACTING OFFICER FOR THE CONTRACT/PROCURING ACTIVITY NUMBER LISTED IN ITEM 23 OF THIS FORM.

4. TITLE OF VARIANCE:

5. VARIANCE PRE OR POST-PRODUCTION:

Pre-Production Post-Production

6. BASELINE AFFECTED:

Functional Allocated Product

7. SYSTEM

INFORMATION

a. MODEL/TYPE DESIGNATION: b. SYSTEM/CONFIG. ITEM NOMENCLATURE: c. END ITEM CAGE CODE:

8. AFFECTED ITEM NOMENCLATURE: 9. PART NUMBER(S) OF AFFECTED ITEM(S):

10a. OTHER EXTERNAL SYSTEM AFFECTED?:

Yes No

b. IF BLOCK 10a IS YES, LIST OTHER SYSTEMS OR CONFIGURATION ITEMS AFFECTED:

11. IDENTIFICATION

OF DEFECT

a. VARIANCE CLASSIFICATION:

Critical Major Minor

b. DEFECT NO.: c. DOCUMENT DEFINING DEFECT NO./CLASS:

12. DESCRIPTION OF VARIANCE:

13. NEED FOR VARIANCE:

14. CORRECTIVE ACTION TAKEN:

15. EFFECT ON PERFORMANCE, FUNCTION, RELIABILITY, DURABILITY, INTEGRATED LOGISTICS SUPPORT, INTERFACE OR SOFTWARE:

16. RECURRENCE a. RECURRING VARIANCE?:

Yes No

b. IF BLOCK 16a IS YES, PROVIDE RATIONALE:

17. EFFECTIVITY: (Quantity Affected, Lot Numbers Affected, Serial Numbers, Dates)

18. PER UNIT COST IMPACT: 19. TOTAL COST IMPACT: 20. EFFECT ON SCHEDULE IF APPROVED/DISAPPROVED:

21. CONTRACT

INFORMATION

a. SUPPLIER: b. CONTRACT NO. AND LINE ITEM:

22. CONTRACTING

OFFICER

a. NAME: b. TELEPHONE: c. E-MAIL:

23. ORIGINATING

ACTIVITY

a. NAME:

c. TELEPHONE:

b. ADDRESS: (Street, City, State, Zip Code)

e. E-MAIL: d. CAGE CODE:

24a. SUBMITTING AUTHORITY: b. NAME AND TITLE: c. SIGNATURE:

BELOW TO BE COMPLETED BY THE APPROVING ACTIVITY

25a. RECOMMENDATION: Approval Approval with Modification Disapproval

b. NAME AND TITLE: c. SIGNATURE: d. DATE: (DD-Mon-YYYY)

26a. DISPOSITION: (Configuration Approval Authority) Approved Approved with Modification Disapproved

b. NAME AND TITLE: c. SIGNATURE: d. DATE: (DD-Mon-YYYY)

13-MAR-2018

FY18-V030

N00104

M28 (M699) SPI Change

M28 (M699) B-52 14083

Initiator, Cartridge Actuated 10520555 Rev G or Rev H

N/A N/A

MIL-I-60281A, Paragraph 5.2 From: "5.2 Air Force Packaging. Air Force packaging shall be in accordance with TPO 00-724-9886."

To: General packaging statement in accordance with with the guiding spec for program-unique items (MIL-STD-961).

TPO 00-724-9886 is the NIIN of the item. The item spec, MIL-I-60281, and the contract have contradictory packaging requirements. The contract uses the most up to date SPI (TPO F01-271-7161) and will be in line with the customer expectations. Packaging requirements are to be specified in the contract.

An ECP will be generated to update the specification, MIL-I-60281A, with the general packaging requirement to be compliant wit hthe guiding spec for program-unique items (MIL-STD-961).

Shipping containers will be in accordance with the SPI the Air Force is expecting.

Variance will recur until the specification can be updated.

N0010418NB092, N0010418NB094

N/A N/A N/A

TBD N0010418NB092, N0010418NB094

Michelle Butler 301-744-2338 michelle.butler@navy.mil

Richard J Nemeth 301-744-2200

14083 richard.nemeth@navy.mil

4393 Benson Rd Suite 120 Indian Head MD 20640

NSWC IHEODTD Edgardo Hernandez, Manager In-Service Engineering ANDINO.MELINA.M.1 376531968

Digitally signed by ANDINO.MELINA.M.1376531968 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=ANDINO.MELINA.M.1376531968 Date: 2018.03.26 10:45:08 -04'00'

Robert Hastings CAD/PAD Senior Engineer

HASTINGS.ROBERT.C.JR.12

28788097

Digitally signed by HASTINGS.ROBERT.C.JR.1228788097 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USN, cn=HASTINGS.ROBERT.C.JR.1228788097 Date: 2018.03.28 14:52:34 -04'00'

28-Mar-2018