Attachment_0012_R12A2016.pdf

ENGINEERING CHANGE PROPOSAL (ECP)

1. DATE SUBMITTED

(DD-MON-YYYY):

2. PROCURING ACTIVITY NO. (PAN):

3. ECP NUMBER:

4. TITLE OF CHANGE: –

5. CLASS OF ECP: 6. PRIORITY:

7. ECP TYPE:

8. JUSTIFICATION CODE:

9. DESCRIPTION OF CHANGE:

10. NEED FOR CHANGE:

11. MODEL/TYPE: 12. SYSTEM DESIGNATION:

13. ITEM NOMENCLATURE:

14. OTHER EXTERNAL SYSTEM AFFECTED?: 14a. IF BLK 12 IS YES, LIST OTHER SYSTEMS OR CONFIGURATION ITEMS AFFECTED:

15. ALL LOWER OR HIGHER

ITEMS AFFECTED

15a. NOMENCLATURE: 15b. PART NO. : 15c. NSN:

16. DOCUMENTS AFFECTED 16d.

CUR.

REV

16e.

NEW

REV

16f.

NOR

NO.

16g. REV.

DOC.

ATTACHED 16a. CAGE 16b. DOCUMENT NO. 16c. NOMENCLATURE

17. BASELINE AFFECTED: 18. IN PRODUCTION? 19. EFFECTIVITY (Lot Number, Serial Number, Date)

20. EFFECT ON PRODUCTION

DELIVERY SCHEDULE:

21. RECOMMEND RETROFIT TO EXISTING

ASSETS?

21a. IF BLK 21 IS YES, DESCRIBE RETROFIT REQUIREMENTS:

22. CONTRACT INFORMATION 22a. CONTRACTOR: 22b. CONTRACT NO./LINE ITEM:

23. CONTRACTING OFFICER 23a. NAME: 23b. PHONE NO.: 23c. E-MAIL:

24. ORIGINATOR 24a. NAME: 24b. ADDRESS (Street, City, State, Zip Code):

24e. ECP ORIGINATOR

CAGE CODE:

24c. PHONE NO.:

24d. E-MAIL:

24f. SUBMITTING ACTIVITY: 24g. AUTHORIZED SIGNATURE: 24h. NAME and TITLE:

25. BELOW TO BE COMPLETED BY THE APPROVING ACTIVITY

25a. RECOMMENDATIONS 25b. NAME and TITLE: 25c. SIGNATURE: 25d. DATE SIGNED (DD-MON-YYYY):

ECP, sheet 1 of 2

DISTRIBUTION STATEMENT C: Distribution Authorized to U.S. Government Agencies and their Contractors.

ACKERMAN.EDWI

N.R.III.1228835966

Digitally signed by

ACKERMAN.EDWIN.R.III.1228835966

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=ACKERMAN.EDWIN.R.III.1228835966

Date: 2012.07.05 15:07:15 -04'00'

LOREN L. MORSE

Chief, Artillery & Mortar Sys Br for/ WIAND.DARRE

LL.F.123124604

Digitally signed by

WIAND.DARRELL.F.1231246041

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=WIAND.DARRELL.F.1231246041 Date: 2012.08.16 14:57:25 -05'00'

16 August 2012

ENGINEERING CHANGE PROPOSAL (ECP)

(DD-MON-YYYY):

2. PROCURING ACTIVITY NO. (PAN):

3. ECP NUMBER:

26. DISPOSITION (Configuration Change Authority)

26a. NAME and TITLE: 26b. SIGNATURE: 26c. DATE APPROVED (DD-MON-YYYY):

27. BELOW TO BE COMPLETED BY THE ACTIVITY ACCOMPLISHING REVISION UPON NEW REVISION RELEASE 27a. NAME and TITLE: 27b. SIGNATURE: 27c. DATE NEW REV(S) RELEASED

(DD-MON-YYYY):

DD Form 1692, 24 Jun 2011

ECP, sheet 2 of 2

DISTRIBUTION STATEMENT C: Distribution Authorized to U.S. Government Agencies and their Contractors.

Raymond F. Colon COLON.RAYMON D.F.1181469346

Digitally signed by

COLON.RAYMOND.F.1181469346

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=COLON.RAYMOND.F.1181469346 Date: 2012.08.29 08:31:52 -04'00'

20120829

NOTICE OF REVISION (NOR)

(DD-MON-YYYY):

2. PAN: 4. NOR NO.

OF 3

3. ECP NO. :

5. ORIGINATOR

INFORMATION

5a. ORIGINATOR

CAGE CODE:

5b. NAME: 5c. ADDRESS (Street, City, State, Zip Code):

5d. PHONE NO.: 5e. E-MAIL:

6. TITLE OF AFFECTED DOCUMENT: 7. DOCUMENT CAGE

CODE: 19200

8. DOCUMENT NO.:

9. REVISION 9a. CURRENT: 9b. NEW: 9c. OTHER UN-INCORPORATED NORs: 10. NOR SHEET

OF

11. CONFIGURATION ITEM (OR SYSTEM) TO WHICH ECP APPLIES: 12. NOT USED:

13. DESCRIPTION OF REVISION:

From: “ANSI X12.3”

To: “DISA X12.3”

13a. REMARKS/RATIONALE:

BELOW TO BE COMPLETED BY THE APPROVING ACTIVITY

14.

(X ONLY ONE)

14a. EXISTING DOCUMENT SUPPLEMENTED BY THIS NOR MAY BE USED IN MANUFACTURE.

14b. REVISED DOCUMENT MUST BE RECEIVED BEFORE MANUFACTURING MAY INCORPORATE THIS CHANGE.

15a. ACTIVITY AUTHORIZED TO APPROVE CHANGE:

15b. NAME AND TITLE (Config. Change Authority): 15c. SIGNATURE: 15d. DATE SIGNED (DD-MON-YYYY):

16. THIS SECTION COMPLETED BY THE ACTIVITY ACCOMPLISHING REVISION UPON NEW REVISION RELEASE 16a. NAME and TITLE: 16b. REVISION COMPLETED (Signature): 16c. DATE SIGNED (DD-MON-YYYY):

DD FORM 1695, 24 Jun 2011 sheet 1 of 2

DISTRIBUTION STATEMENT A: Approved for Public Release; Distribution is Unlimited.

Raymond F. Colon

SFAE-AMO-CAS

COLON.RAYMO

ND.F.1181469346

Digitally signed by

COLON.RAYMOND.F.1181469346

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=COLON.RAYMOND.F.1181469346 Date: 2012.08.29 08:32:10 -04'00'

INFORMATION ONLY

NOR 1

sheet 2 of 2

DISTRIBUTION STATEMENT A: Approved for Public Release; Distribution is Unlimited.

NOTICE OF REVISION (NOR)

(DD-MON-YYYY):

2. PAN: 4. NOR NO.

OF 3

3. ECP NO. :

5. ORIGINATOR

INFORMATION

5a. ORIGINATOR

CAGE CODE:

5b. NAME: 5c. ADDRESS (Street, City, State, Zip Code):

5d. PHONE NO.: 5e. E-MAIL:

6. TITLE OF AFFECTED DOCUMENT: 7. DOCUMENT CAGE

CODE: 19200

8. DOCUMENT NO.:

9. REVISION 9a. CURRENT: 9b. NEW: 9c. OTHER UN-INCORPORATED NORs: 10. NOR SHEET

OF

11. CONFIGURATION ITEM (OR SYSTEM) TO WHICH ECP APPLIES: 12. NOT USED:

13. DESCRIPTION OF REVISION:

From: “12961016”

To: “12961016 2”

13a. REMARKS/RATIONALE:

BELOW TO BE COMPLETED BY THE APPROVING ACTIVITY

14.

(X ONLY ONE)

14a. EXISTING DOCUMENT SUPPLEMENTED BY THIS NOR MAY BE USED IN MANUFACTURE.

14b. REVISED DOCUMENT MUST BE RECEIVED BEFORE MANUFACTURING MAY INCORPORATE THIS CHANGE.

15a. ACTIVITY AUTHORIZED TO APPROVE CHANGE:

15b. NAME AND TITLE (Config. Change Authority): 15c. SIGNATURE: 15d. DATE SIGNED (DD-MON-YYYY):

16. THIS SECTION COMPLETED BY THE ACTIVITY ACCOMPLISHING REVISION UPON NEW REVISION RELEASE 16a. NAME and TITLE: 16b. REVISION COMPLETED (Signature): 16c. DATE SIGNED (DD-MON-YYYY):

DD FORM 1695, 24 Jun 2011 sheet 1 of 2

DISTRIBUTION STATEMENT C: Distribution Authorized to U.S. Government Agencies and their Contractors.

Raymond F. Colon

SFAE-AMO-CAS

COLON.RAYMON

D.F.1181469346

Digitally signed by

COLON.RAYMOND.F.1181469346

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=COLON.RAYMOND.F.1181469346 Date: 2012.08.29 12:50:05 -04'00'

INFORMATION ONLY

NOR 2

sheet 2 of 2

1 1

DESIGN ACTIVITY APPROVAL FORM 1. PAN: R12A2016

2. CONFIGURATION ITEM: 3. PART NUMBER: 4. TYPE OF ACTION: 5. ACTION CLASS:

6. ORIGINATOR NAME: 7. ORIGINATOR ORGANIZATION:

8. ORIGINATOR DATE:

9. SYNOPSIS OF CHANGE: 9a. COST IMPACT:

10. DESIGN ACTIVITY EVALUATION AND ANALYSIS (ATTACHED TEST REPORTS/ANALYSIS/DATA AS REQUIRED):

11. RECOMMENDATION ON ACTION:

12. APPLICATION:

13a. REVIEWING ENGINEER NAME AND ORGANIZATION: 13b. DATE:

13c. TELEPHONE:

14a. DESIGN ACTIVITY APPROVAL:

Rob Blum, RDAR-MEM-C

PRINTED/TYPED NAME, OFFICE SYMBOL AND SIGNATURE

14b. DATE:

14c. TELEPHONE:

BLUM.ROBERT.N

EIL.1386321929

Digitally signed by

BLUM.ROBERT.NEIL.1386321929

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=BLUM.ROBERT.NEIL.1386321929

Date: 2012.07.03 15:26:14 -04'00'