1. DATE
Form Approved
(YYYYMMDD)
ENGINEERING CHANGE PROPOSAL (ECP), PAGE 1
OMB No. 0704-0188
2. PROCURING
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
ACTIVITY NO.
burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington
Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302.
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.
3. DODAAC
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 2 OF THIS FORM.
4. ORIGINATOR
5. CLASS OF ECP
b. ADDRESS (Street, City, State, Zip Code)
a. TYPED NAME (First, Middle Initial,
Last)
6. JUST. CODE
7. PRIORITY
8. ECP DESIGNATION
9. BASELINE AFFECTED
PRODUCT
a. MODEL/TYPE
b. CAGE CODE
c. SYSTEM DESIGNATION
FUNCTIONAL
ALLOCATED
10. OTHER SYS./CONFIG. ITEMS AFFECTED
d. ECP NO.
e. TYPE
f. REV
YES
NO
11. SPECIFICATIONS AFFECTED
12. DRAWINGS AFFECTED
CAGE Code
Specification/Document No.
Rev.
SCN
CAGE Code
Number
Rev. NOR
a. SYSTEM
b. DEVELOPMENT
c. PRODUCT
13. TITLE OF CHANGE
14. CONTRACT NO. AND LINE ITEM
15. PROCURING CONTRACTING OFFICER
a. NAME (First, Middle Initial, Last)
b. CODE
c. TELEPHONE NO.
16. CONFIGURATION ITEM NOMENCLATURE
17. IN PRODUCTION
YES
NO
18. ALL LOWER LEVEL ITEMS AFFECTED
a. NOMENCLATURE
b. PART NO.
c. NSN
19. DESCRIPTION OF CHANGE
20. NEED FOR CHANGE
21. PRODUCTION EFFECTIVITY BY SERIAL NUMBER
22. EFFECT ON PRODUCTION DELIVERY SCHEDULE
23. RETROFIT
a. RECOMMENDED ITEM EFFECTIVITY
b. SHIP/VEHICLE CLASS AFFECTED
c. ESTIMATED KIT DELIVERY SCHEDULE
d. LOCATIONS OR SHIP/VEHICLE NUMBERS AFFECTED
24. ESTIMATED COSTS/SAVINGS UNDER CONTRACT
25. ESTIMATED NET TOTAL COSTS/SAVINGS
26. SUBMITTING ACTIVITY
b. TITLE
a. AUTHORIZED SIGNATURE
27. APPROVAL/DISAPPROVAL
a. CLASS I
b. CLASS II
c. CLASS II
APPROVAL
DISAPPROVAL
CONCUR IN CLASSIFI-
DO NOT CONCUR IN CLASSI-
APPROVED
DISAPPROVED
RECOMMENDED
RECOMMENDED
CATION OF CHANGE
FICATION OF CHANGE
f. DATE SIGNED (YYYYMMDD)
d. GOVERNMENT ACTIVITY
e. SIGNATURE
g. APPROVAL
h. GOVERNMENT ACTIVITY
i. SIGNATURE
j. DATE SIGNED (YYYYMMDD)
APPROVED
DISAPPROVED
DD FORM 1692, AUG 96 (EG)
Designed using Perform Pro, WHS/DIOR, Aug 96
PREVIOUS EDITION MAY BE USED.
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