NOR 001 for CE-ECP20160516.pdf

Page 1 of 4 DD FORM 1695, JUN 2015 PREVIOUS EDITION IS OBSOLETE

DISTRIBUTION STATEMENT: C. Distribution authorized to U. S. Government agencies and their contractors. Reason: Export Controlled.

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 the 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 ACQUIRER ISSUING CONTRACTING OFFICER FOR THE CONTRACT/PROCURING ACTIVITY NUMBER LISTED IN ITEM 3

OF THIS FORM.

1. DATE: (DD-Mon-YYYY)

15 Nov 2016

a. ECP NO.:

CE-ECP20160516

3. PROCURING ACTIVITY NO. (PAN):

80063

4. NOR NO.:

5. ORIGINATOR

a. CAGE CODE:

80063

b. NAME: (First, Middle Initial, Last)

Stanley U. Chan

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

6010 Frankford Street APG, MD 21005-1848 d. TELEPHONE:

443-395-6233

e. E-MAIL:

stanley.u.chan.civ@mail.mil

6. TITLE OF AFFECTED DOCUMENT:

Cable Assembly, Special Purpose, Electrical CX-13292/VRC ( FT. IN.)

7. DOCUMENT CAGE CODE:

80063

8. DOCUMENT NO.:

A3014038

9. REVISION

a. CURRENT REVISION:

M

b. OTHER UNINCORPORATED PAN/ECP:

No

c. NOR SHEET:

10. SYSTEM/CONFIGURATION ITEM NOMENCLATURE:

SINCGARS Installation Kit, Electronic Equipment

11. DESCRIPTION OF REVISION:

Sheet 1:

1) Delete the phrase "SOURCE CONTROL DRAWING".

2) Add statement "HARDNESS VERIFIED BY COMPLIANCE TO A3014056, PARAGRAPH 3.3.1.4 (SHIELDING EFFECTIVENESS)" to Note 3.

3) Delete Note 5.

4) Change from "APPROVED SOURCE(S)" to "SUGGESTED SOURCE(S)" for Note 6. Add "FEDERAL PRISON INDUSTRIES INC." as the suggested source(s) of supply to Note 6.

5) Add Distribution Statement" and "Warning" markings.

6) Delete Vendors' Part numbers information on the "Source" table.

7) Update the "SHEET REVISION RECORD" table.

12. REMARKS/RATIONALE:

13. THIS SECTION COMPLETED BY THE CONFIGURATION APPROVAL AUTHORITY

(X one)

(1) Existing document supplemented by this NOR may be used in manufacture.

(2) Revised document is to be received before manufacturer may incorporate this change.

14a. CONFIGURATION APPROVAL AUTHORITY:

RDER-PRC-TR

b. NAME: (First, Middle Initial, Last)

Stanley U. Chan

c. TITLE:

Electronics Engineer

d. SIGNATURE:

e. DATE SIGNED:

(DD-Mon-YYYY)

15 Nov 2016

15. THIS SECTION COMPLETED BY THE ACTIVITY IMPLEMENTING REVISION UPON RELEASE

a. NAME: (First, Middle Initial, Last)

Stanley U. Chan

b. TITLE:

Electronics Engineer

c. REVISION COMPLETED: (Signature) d. DATE SIGNED:

(DD-Mon-YYYY)

15 Nov 2016

Page 2 of 4 DD FORM 1695 INSTRUCTIONS, JUN 2015

INSTRUCTIONS FOR PREPARATION OF

NOTICE OF REVISION DD FORM 1695

GENERAL

SCOPE. This Instruction establishes uniform requirements for the preparation of the DD Form 1695, “Notice of Revision”.

APPLICATION. The provisions of DD Form 1695 apply when required by contract and an Engineering Change Proposal (ECP) is submitted under standard change process. Submittal of a NOR is not required when submitting changes under the alternate change process unless contractually required.

APPLICABLE DOCUMENTS. DI-SESS-80642

GENERAL REQUIREMENTS. Use of DD Form 1695. Prepare and submit DD Form 1695 together with copies of the affected document(s).

An alternative to this DD Form 1695 is allowable if approved by Acquirer.

Notice of Revision (NOR). A NOR is used to document and define revisions to configuration documentation which require revision after Engineering Change Proposal approval. A NOR may be submitted in one of the following formats:

a. Block 11 describes the current and proposed change(s) to affected document(s).

b. Block 11 describes an overview of the current and proposed change(s) and the actual changes described in the affected document(s) described in the attachment(s).

Attachments to the NOR may be in the form of redlined drawings, “from”-“to” drawings or other documents. Regardless of the method used to document the proposed change, the description of the proposed change is to be clear, complete, and unambiguous, with both the original information and the proposed information clearly discernible.

DETAILED REQUIREMENTS. Detailed instructions for completion of the DD Form 1695 are as follows. Confirm each applicable block of DD Form 1695 is filled or marked appropriately in accordance with the instructions provided herein. Failure to complete all applicable fields may result in rejection from the Approving Authority.

Block 1. Date Prepared. Enter the submittal, preparation or revision date of the NOR in the format DD-Mon-YYYY (e.g. 01 Jan 2015).

Block 2. ECP No. Enter the ECP number, and if required, a revision indicator.

Block 3. Procuring Activity No. (PAN). To be entered by the procuring activity for internal processing number if required.

Block 4. NOR No. Enter the NOR number. Number is to be entered in an `X of Y' format (e.g. 1 of 3), with `X' being the current NOR, and `Y' the total number of NORs in the ECP submittal.

Block 5.a-e. Originator Information. Enter the CAGE Code, name, address, telephone number and email address of the originator of the

NOR.

Block 6. Title of Affected Document. Enter the formal title of the affected document.

Block 7. Document CAGE Code. Enter the CAGE Code of the affected document.

Block 8. Document No. Enter the document number of the affected document.

Block 9.a. Current Revision. Enter the current revision information of the document changed by the ECP and addressed by the NOR.

Block 9.b. Other Unincorporated PAN/ECP. Enter any outstanding approved, concurrent or unincorporated PAN(s) and/or ECP(s) for the current revision of the document. PAN(s) and/or ECP(s) approved against this revision of the document but not yet incorporated should be listed here.

Block 9.c. NOR Sheet No. Enter the NOR sheet number(s) of the NORs for the approved PAN(s)/ECP(s) against this revision. When multiple NORs are written against the same document use continuation sheets.

Block 10. System/Configuration Item Nomenclature. Enter the item or system nomenclature to which the ECP applies (e.g. Rifle, Torpedo, Fighter, etc.).

Block 11. Description of revision. Describe the intended change. The description of change is to be clear, complete and explicit and be in a CHANGE FROM “original data” to CHANGE TO:

“recommended data” format.

Block 12. Remarks/Rationale. Indicate any remarks or rationale for this change information as necessary.

Block 13. This Section Completed by the Configuration Approval Authority. The Configuration Approval Authority selects Box (1) if the approved NOR may be used for production before the affected document

(s) is revised or Box (2) if the affected document(s) are to be revised before being used for production.

Block 14.a-e. Configuration Approval Authority. These blocks are to be completed by the Configuration Approval Authority after ECP approval. The dated signature of the Configuration Approval Authority (Block 14.d.) constitutes authority to change NOR identified affected documentation.

Block 15.a-d. This Section Completed by the Activity Implementing Revision Upon Release. These blocks are to be completed by the activity accomplishing a revision to the NOR affected documents after the documents have been revised and released in accordance with the instructions of the NOR.

Distribution Statement. Use this block to insert the appropriate Distribution Statement and/or Export Control Warning for this form in accordance with Block 9 of the applicable DD Form 1423, “Contract Data Requirements List” which this document is being delivered against and/or DODI 5230.24, Distribution Statements on Technical Documents.

Page 3 of 4 DD FORM 1695, (Continuation Page), JUN 2015

NOTICE OF REVISION (NOR)

(Continuation Page)

2. ECP NO.:

CE-ECP20160516

3. PAN:

80063

BLOCK(S) CONTINUED (Specify by block number)

N/A

4. NOR NO.:

Page 4 of 4 DD FORM 1695 (Continuation Page INSTRUCTIONS, JUN 2015

INSTRUCTIONS FOR PREPARATION OF

REQUEST FOR VARIANCE UTILIZING DD FORM 1694

Instructions associated with Notice of Revision Continuation Page. Use of the Continuation Page should be limited to instances when there is inadequate space provided on the parent Notice of Revision, DD Form 1695.

If the format or space provided in the Continuation Page is insufficient, the submitter may instead attach the necessary information to the NOR form.

Distribution Statement. Use this block to insert the appropriate Distribution Statement and/or Export Control Warning for this form in accordance with Block 9 of the applicable DD Form 1423, “Contract Data Requirements List” which this document is being delivered against and/or DODI 5230.24, Distribution Statements on Technical Documents.

Page of

DD FORM 1695, JUN 2015

FORM WILL NOT WORK CORRECTLY WITHOUT JAVASCRIPT

** PLEASE ENABLE JAVASCRIPT **

PREVIOUS EDITION IS OBSOLETE

Page of

DD FORM 1695 INSTRUCTIONS, JUN 2015

FORM WILL NOT WORK CORRECTLY WITHOUT JAVASCRIPT

** PLEASE ENABLE JAVASCRIPT **

Page of DD FORM 1695, (Continuation Page), JUN 2015

FORM WILL NOT WORK CORRECTLY WITHOUT JAVASCRIPT

** PLEASE ENABLE JAVASCRIPT **

Page of DD FORM 1695 (Continuation Page INSTRUCTIONS, JUN 2015

FORM WILL NOT WORK CORRECTLY WITHOUT JAVASCRIPT

** PLEASE ENABLE JAVASCRIPT **

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 the 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 ACQUIRER ISSUING CONTRACTING OFFICER FOR THE CONTRACT/PROCURING ACTIVITY NUMBER LISTED IN ITEM 3 OF THIS FORM.

4. NOR NO.:

OF

5. ORIGINATOR

9. REVISION

c. NOR SHEET:

OF

13. THIS SECTION COMPLETED BY THE CONFIGURATION APPROVAL AUTHORITY

(X one)

15. THIS SECTION COMPLETED BY THE ACTIVITY IMPLEMENTING REVISION UPON RELEASE

INSTRUCTIONS FOR PREPARATION OF NOTICE OF REVISION DD FORM 1695

GENERAL

SCOPE. This Instruction establishes uniform requirements for the preparation of the DD Form 1695, “Notice of Revision”.

APPLICATION. The provisions of DD Form 1695 apply when required by contract and an Engineering Change Proposal (ECP) is submitted under standard change process. Submittal of a NOR is not required when submitting changes under the alternate change process unless contractually required.

APPLICABLE DOCUMENTS. DI-SESS-80642

GENERAL REQUIREMENTS. Use of DD Form 1695. Prepare and submit DD Form 1695 together with copies of the affected document(s). An alternative to this DD Form 1695 is allowable if approved by Acquirer.

Notice of Revision (NOR). A NOR is used to document and define revisions to configuration documentation which require revision after Engineering Change Proposal approval. A NOR may be submitted in one of the following formats:

a. Block 11 describes the current and proposed change(s) to affected document(s).

b. Block 11 describes an overview of the current and proposed change(s) and the actual changes described in the affected document(s) described in the attachment(s).

Attachments to the NOR may be in the form of redlined drawings, “from”-“to” drawings or other documents. Regardless of the method used to document the proposed change, the description of the proposed change is to be clear, complete, and unambiguous, with both the original information and the proposed information clearly discernible.

DETAILED REQUIREMENTS. Detailed instructions for completion of the DD Form 1695 are as follows. Confirm each applicable block of DD Form 1695 is filled or marked appropriately in accordance with the instructions provided herein. Failure to complete all applicable fields may result in rejection from the Approving Authority.

Block 1. Date Prepared. Enter the submittal, preparation or revision date of the NOR in the format DD-Mon-YYYY (e.g. 01 Jan 2015).

Block 2. ECP No. Enter the ECP number, and if required, a revision indicator.

Block 3. Procuring Activity No. (PAN). To be entered by the procuring activity for internal processing number if required.

Block 4. NOR No. Enter the NOR number. Number is to be entered in an `X of Y' format (e.g. 1 of 3), with `X' being the current NOR, and `Y' the total number of NORs in the ECP submittal.

Block 5.a-e. Originator Information. Enter the CAGE Code, name, address, telephone number and email address of the originator of the NOR.

Block 6. Title of Affected Document. Enter the formal title of the affected document.

Block 7. Document CAGE Code. Enter the CAGE Code of the affected document.

Block 8. Document No. Enter the document number of the affected document.

Block 9.a. Current Revision. Enter the current revision information of the document changed by the ECP and addressed by the NOR.

Block 9.b. Other Unincorporated PAN/ECP. Enter any outstanding approved, concurrent or unincorporated PAN(s) and/or ECP(s) for the current revision of the document. PAN(s) and/or ECP(s) approved against this revision of the document but not yet incorporated should be listed here.

Block 9.c. NOR Sheet No. Enter the NOR sheet number(s) of the NORs for the approved PAN(s)/ECP(s) against this revision. When multiple NORs are written against the same document use continuation sheets.

Block 10. System/Configuration Item Nomenclature. Enter the item or system nomenclature to which the ECP applies (e.g. Rifle, Torpedo, Fighter, etc.).

Block 11. Description of revision. Describe the intended change. The description of change is to be clear, complete and explicit and be in a CHANGE FROM “original data” to CHANGE TO:

“recommended data” format.

Block 12. Remarks/Rationale. Indicate any remarks or rationale for this change information as necessary.

Block 13. This Section Completed by the Configuration Approval Authority. The Configuration Approval Authority selects Box (1) if the approved NOR may be used for production before the affected document(s) is revised or Box (2) if the affected document(s) are to be revised before being used for production.

Block 14.a-e. Configuration Approval Authority. These blocks are to be completed by the Configuration Approval Authority after ECP approval. The dated signature of the Configuration Approval Authority (Block 14.d.) constitutes authority to change NOR identified affected documentation.

Block 15.a-d. This Section Completed by the Activity Implementing Revision Upon Release. These blocks are to be completed by the activity accomplishing a revision to the NOR affected documents after the documents have been revised and released in accordance with the instructions of the NOR.

Distribution Statement. Use this block to insert the appropriate Distribution Statement and/or Export Control Warning for this form in accordance with Block 9 of the applicable DD Form 1423, “Contract Data Requirements List” which this document is being delivered against and/or DODI 5230.24, Distribution Statements on Technical Documents.

NOTICE OF REVISION (NOR)

(Continuation Page)

4. NOR NO.:

OF

INSTRUCTIONS FOR PREPARATION OF REQUEST FOR VARIANCE UTILIZING DD FORM 1694

Instructions associated with Notice of Revision Continuation Page. Use of the Continuation Page should be limited to instances when there is inadequate space provided on the parent Notice of Revision, DD Form 1695. If the format or space provided in the Continuation Page is insufficient, the submitter may instead attach the necessary information to the NOR form.

Distribution Statement. Use this block to insert the appropriate Distribution Statement and/or Export Control Warning for this form in accordance with Block 9 of the applicable DD Form 1423, “Contract Data Requirements List” which this document is being delivered against and/or DODI 5230.24, Distribution Statements on Technical Documents.

9.0.0.2.20120627.2.874785 DD Form 1695, Notice of Revision (NOR), June 2015 C. Distribution authorized to U. S. Government agencies and their contractors. Reason: Export Controlled.

6010 Frankford Street

APG, MD 21005-1848

Sheet 1:

1) Delete the phrase "SOURCE CONTROL DRAWING".

2) Add statement "HARDNESS VERIFIED BY COMPLIANCE TO A3014056, PARAGRAPH 3.3.1.4 (SHIELDING EFFECTIVENESS)" to Note 3.

3) Delete Note 5.

4) Change from "APPROVED SOURCE(S)" to "SUGGESTED SOURCE(S)" for Note 6. Add "FEDERAL PRISON INDUSTRIES INC." as the suggested source(s) of supply to Note 6.

5) Add Distribution Statement" and "Warning" markings.

6) Delete Vendors' Part numbers information on the "Source" table.

7) Update the "SHEET REVISION RECORD" table.