DI-MISC-81807_SoftwareFirmwareChangeRequest_for_A004.pdf

Data Item Description

Title: Software/Firmware Change Request Approval Date: 20100420 Number: DI-MISC-81807 Limitation: N/A AMSC Number: N9130 GIDEP Applicable: N/A DTIC Applicable: N/A Office of Primary Responsibility: SH/PMS-408 Applicable Forms: N/A

Use/relationship: The Software/ Firmware Change Request will be used to alert or inform the government about changes to software and firmware and also to provide detailed information to the government about the changes and the estimated cost of the software/firmware changes.

This DID contains the format, content and preparation instructions for the data product generated by the specific and discrete work task requirement as delineated in the contract.

Requirements:

1. Reference Documents. The applicable issue of the documents cited herein, including their approval dates and dates of any applicable amendments, notices, and revisions shall be as specified in the contract.

2. Format. The Software/Firmware Change Request shall be presented in the Contractor’s format.

3. Content. The Software/Firmware Change Request shall contain all the information identified in Figures 1-7.

4. End of DI-MISC-81807.

Page 1 of 8 Pages

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DI-MISC-81807

SOFTWARE CHANGE REQUEST (SCR), PAGE 1

2. DATE

3. JUSTIFICATION CODE

1. ORIGINATOR NAME AND ADDRESS (include e-mail address and telephone number)

Name:

Organization:

Street 1:

Street 2:

City, State, Zip Code:

Telephone Number: ( ) ext:: E-mail address:

4. TYPE OF SCR

Class I Class II

5. PRIORITY

Emergency Urgent Routine

6. SCR DESIGNATION 7. BASELINE AFFECTED

a. CI/CSCI AFFECTED

b. CAGE CODE

c. SYSTEM DESIGNATION

FUNCTIONAL ALLOCATED PRODUCT

d. SCR No.

e. REVISION

f. TYPE Preliminary Final

8. OTHER SYS/CONFIG ITEMS AFFECTED

YES NO

9. IN PRODUCTIO N

YES NO

10. DOCUMENTS AFFECTED

CAGE CODE SPEC/DOC NO. REVISION SCN/NOR/ECN/ECO NO.

11. TITLE OF CHANGE

12. CONTRACT NO. & LINE ITEM

13. CONFIGURATION ITEM NOMENCLATURE

14. PROCURING CONTRACTING OFFICER

15. LOWEST ASSEMBLY AFFECTED

a. NOMENCLATURE

b. PART NO.

16. DESCRIPTION OF CHANGE

17. NEED FOR CHANGE

18. PRODUCTION EFFECTIVITY BY SERIAL NUMBER

19. EFFECT ON PRODUCTION DELIVERY

SCHEDULE

20. RETROFIT

a. RECOMMENDED ITEM EFFECTIVITY

b. ESTIMATED KIT DELIVERY SCHEDULE

c. PLATFORMS AFFECTED

21. ESTIMATED COST or (SAVINGS) UNDER CONTRACT

No Additional Cost/Savings – In Scope of the Contract

22. SUBMITTING ACTIVITY AUTHORIZING SIGNATURE

22a. TITLE

23. APPROVAL/DISAPPROVAL

a. LCCB CHAIRMAN

DATE :

RECOMMEND APPROVAL

RECOMMNED DISAPPROVAL

b. CCB CHAIRMAN

DATE :

APPROVED

DISAPPROVED

Figure 1 Page 2 of 8 Pages

SOFTWARE CHANGE REQUEST (SCR), Figure 2

SCR NUMBER & REV:

EFFECT ON FUNCTIONAL/ALLOCATED CONFIGURATION IDENTIFICATION

24. OTHER SYSTEMS AFFECTED

25. OTHER CONTRACTORS/ACTIVITIES AFFECTED

26. CONFIGURATION ITEMS AFFECTED

27. EFFECTS ON PERFORMANCE ALLOCATIONS AND INTERFACES IN SYSTEM SPECIFICATION

28. EFFECTS ON EMPLOYMENT, INTEGRATED LOGISTICS SUPPORT, TRAINING, OPERATIONAL, EFFECTIVENESS, OR SOFTWARE

29. EFFECTS ON CONFIGURATION ITEM SPECIFICATIONS

30. DEVELOPMENTAL REQUIREMENTS AND STATUS

31. TRADE-OFFS AND ALTERNATIVE SOLUTIONS

32. DATE BY WHICH CONTRACTUAL AUTHORITY IS NEEDED

Figure 2 Page 3 of 8 Pages

SOFTWARE CHANGE REQUEST (SCR), Figure 3

SCR NUMBER & REV:

EFFECTS ON PRODUCT CONFIGURATION IDENTIFICATION, LOGISTICS, AND OPERATIONS

(X) FACTOR ENCL. PAR. (X) FACTOR ENCL. PAR.

33. EFFECT ON PRODUCT CONFIGURATION

IDENTIFICATION OR CONTRACT

35. EFFECT ON OPERATIONAL

EMPLOYMENT

a. PERFORMANCE a. SAFETY

b. WEIGHT-BALANCE STABILITY (Aircraft) N/A N/A b. SURVIVABILITY

c. WEIGHT-MOMENT (Other equipment) N/A N/A c. RELIABILITY

d. CDRL, TECHNICAL DATA d. MAINTAINABILITY

e. NOMENCLATURE e. SERVICE LIFE

f. OPERATING PROCEDURES

g. ELECTROMAGNETIC INTERFERENCE 34. EFFECT ON INTEGRATED LOGISTICS

SUPPORT (ILS) ELEMENTS

h. ACTIVATION SCHEDULE

a. ILS PLANS i. CRITICAL SINGLE POINT FAILURE ITEMS

b. MAINTENANCE CONCEPT, PLANS, PROCEDURES j. INTEROPERABILITY c LOGISTICS SUPPORT ANALYSIS

d. INTERIM SUPPORT PROGRAMS 36. OTHER CONSIDERATIONS

e. SPARES AND REPAIR PARTS N/A N/A a. INTERFACE

f. TECH MANUALS/PROGRAMMING TAPES b. OTHER AFFECTED EQUIPMENT/GFE/GFP N/A N/A

g. FACILITIES N/A N/A c. PHYSICAL CONSTRAINTS N/A N/A P h. SUPPORT EQUIPMENT N/A N/A d. COMPUTER PROGRAMS AND RESOURCES

i. OPERATOR TRAINING e. REWORK OF OTHER EQUIPMENT N/A N/A

j. OPERATING TRAINING EQUIPMENT f. SYSTEM TEST PROCEDURES

k. MAINTENANCE TRAINING g. WARRANTY/GUARANTEE

l. MAINTENANCE TRAINING EQUIPMENT h. PARTS CONTROL N/A N/A

m. CONTRACT MAINTENANCE i. ENVIRONMENTAL

n. PACKAGING , HANDLING, STORAGE, AND

TRANSPORTABILITY

N/A N/A j. FMS RELEASE

37. ALTERNATE SOLUTIONS

38. DEVELOPMENTAL STATUS

39. RECOMMENDATIONS FOR RETROFIT

40. WORK-HOURS PER UNIT TO INSTALL RETROFIT KITS

a. ORGANIZATION

b. INTERMEDIATE

c. DEPOT

d. OTHER

41. WORK-HOURS TO CONDUCT SYSTEM TESTS AFTER RETROFIT

42. THIS CHANGE MUST BE ACCOMPLISHED

BEFORE WITH AFTER THE FOLLOWING CHANGES:

43. IS CONTRACTOR FIELD

SERVICE ENGINEERING

REQUIRED?

YES NO

44. OUT-OF-SERVICE TIME

45. EFFECT OF THIS SCR AND PREVIOUSLY APPROVED SCRs

46. DATE CONTRACTUAL AUTHORITY NEEDED

FOR PRODUCTION:

FOR RETROFIT:

Figure 3 Page 4 of 8 Pages

Figure 4 Page 5 of 8 Pages

SOFTWARE CHANGE REQUEST (SCR), Figure 5 SCR NUMBER and REV:

48. ESTIMATED COSTS SAVINGS/SUMMARY, RELATED SCRs (Use parentheses for savings)

FACTOR

CAGE CODE

(a)

SCR NUMBER

(b)

COSTS/SAVINGS

UNDER CONTRACT

(c)

OTHER COSTS/

SAVINGS

(d)

a. PRODUCTION COST/SAVING (Subtotal of Costs/Savings Elements from block 51a applicable to aircraft, ship, tank, vehicle, missile, or its subsystem)

SUBTOTAL PRODUCTION COSTS/SAVINGS

b. RETROFIT COSTS (Applicable to aircraft, ship, tank, vehicle, missile, or its subsystem)

SUBTOTAL RETROFIT COSTS

c. INTEGRATED LOGISTICS SUPPORT COSTS/SAVING REVISED

REQUIREMENTS

(1) ITEM RETROFIT (If not covered under “b”) (Applicable to aircraft, ship tank, vehicle, missile, or its subsystem)

(2) ILS SUBTOTAL (Applicable to aircraft, ship, tank, vehicle, missile or its subsystem)

(3) OPERATOR TRAINER (Net total cost/saving from each SCR covering operator trainer)

(4) MAINTENANCE TRAINER (Net total cost/saving from each SCR covering maintenance trainer)

(5) OTHER TRAINING EQUIPMENT

(6) SUPPORT EQUIPMENT (Net total cost/saving from each SCR on support equipment)

(7) ILS PLANS

(8) MAINTENANCE CONCEPT, PLANS, SYSTEM DOCUMENTS

(9) INTERIM SUPPORT PLAN

RECURRING COSTS

NEW REQUIREMENTS

PROCURIN

G

ACTIVITY

CODE

NON-

RECURRING

COSTS UNIT QTY TOTAL

(10) PROVISIONING DOCUMENTATION

(11) OPER TRNR/TRNG DEVICES/EQUIP

(12) MANUALS/PROGRAMMING TAPES, SPARES,

REPAIR PARTS (For 11)

(13) MAINTENANCE TRNR/TRNG DEVICES/

EQUIPMENT

(14) MANUALS/PROGRAMMING TAPES, SPARES,

REPAIR PARTS (For 13)

(15) SUPPORT EQUIPMENT

(16) MANUALS/PROGRAMMING TAPES (For 15)

(17) PROVISIONING DOCUMENTATION (For 15)

(18) REPAIR PARTS (For 15) N/A N/A N/A N/A N/A N/A N/A

(19) SUBTOTAL ILS COSTS/SAVINGS (Sum of c. 1 through c. 18)

CAGE CODE SCR NUMBER

d. OTHER COSTS/SAVINGS (Total from block 48d of related SCRs)

TOTAL OTHER COSTS/SAVINGS

SUBTOTALS OF COLUMNS

SUBTOTAL UNDER CONTRACT

Figure 5 Pages 6 of 8 Pages

SOFTWARE CHANGE REQUEST (SCR), Figure 6

SCR NUMBER and REV:

49. TITLE OF CHANGE

50. DATE AUTHORIZATION TO PROCEED

RECEIVED BY CONTRACTOR (YYMMDD)

S START DELIVERY C COMPLETED DELIVERY PROGRESS POINT

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36

Figure 6 Page 7 of 8 Pages a.

C O

(1) Software Engineering

N F I

(2) Software Documentation

G U R

(3) Software Engineering Test

A T

(4) Update TDP b.

S

(1) Software Engineering Environment Upgrade

P

(2) Software Test Environment Upgrade

E Q

M c.

(1) Operator

A

(2) Maintenance

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2

26 27 28 29 30 31 32 33 34 35 36

SOFTWARE CHANGE REQUEST (SCR), Continuation Sheet, Figure 7

TITLE OF CHANGE

SCR NUMBER and REV:

PARAGRAPH# BLOCK/LINE NO. BLOCK TITLE AND SUPPLEMENTARY INFORMATION

Figure 7 Page 8 of 8 Pages