Dd Form 1696 - Specification Change Notice (Scn) Page 2
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4INSTRUCTIONS FOR PREPARATION OF
SPECIFICATION CHANGE NOTICES UTILIZING DD FORM 1696
GENERAL
SCOPE. This Instruction establishes
uniform
requirements
for
preparing
the DD Form
1696.
"Specification Change
Notice".
The Information
contained
herein is intended for
compliance.
APPLICATION. The DD Form 1696
is to
provide
the
information
required by this
Instruction.
DD Form 1696 is
the
required form
to
be
used for processing a Specification Change
Notice
(SCN) unless a
Supplier forma
t
has been authorized
by
the
Acquirer.
The
SCN should
only
state
the
exact change proposed to the
specification.
APPLICABLE
DOCUMENTS. DI-SESS-80643
GENERAL
REQUIREMENTS. Use of DD Form
1696.
Prepare and
submit
DD Form
1696.
or an Acquirer authorized alternative.
to
request
changes to approved product
specifications.
DETAILED
REQUIREMENTS.
Detailed instructions
for
completion of the
DD
Form
1696.
Block
1.
Date
Prepared
. Enter the date
the
SCN
is
prepared or
submitted
.
Block
2.
SCN No. Enter
the
identification number
for the
SCN being
submitted
.
SCN numbers are issued sequentially for each specification
and
revision
,
starting
with
the
number
"1".
Block
3.
Procuring
Activity
No
(PAN).
To be
entered
by
the
procuring
activity for internal processing
number
if
required.
Block
4.a-b.
Originator
Name and
Address.
Enter
the
name and
address
of
the
Supplier
or
Acquirer
activity
that
is preparing the
SCN.
Block
5.
SCN
Type. Indicate by an
·x·
in the appropriate block if this is
a proposed
SCN
.
If
the
SCN is
being
submitted
to
the Acquirer for final
technical
approval,
prior to distribution according to
the
contract.
both
blocks should be left
blank.
The approved block
is
to be
marked by the
Acquirer
upon approval/contractual
implementation.
Block
6.
Design Activity CAGE
Code. Enter the CAGE Code of the
design activity for the
specification
identified in Block
7.
Block
7.
Specification
No. Enter
the
identification
number,
including
revision
letter,
of the specification being
changed.
Block
8.
Preparing Activity CAGE
Code. Enter
the
CAGE
Code
of
the
activity preparing the
SCN.
Block
9. DODAAC. Enter the Department of Defense Activity Address
Code
(DODAAC) of the procuring
activity.
Block
10.
System
Designation. Enter the
type, model,
series,
or
the
nomenclature
number
for the system
(or
major
item of
equipment,
if
it
is
not a
system)
affected
.
Block 11
.
Related ECP
No. Enter
the
complete Engineering Change
Proposal
(ECP)
number
(including dash
numbers and
revisions)
that
identifies
the related
engineering
change.
Block
12.
Contract
No.
Enter the
complete contract
number(s) affected
by this
SCN,
if
applicable.
Block 13.
Contractual
Authorization.
There
should be no entry in
this
block on a proposed
SCN.
For the approved SCN
only,
enter the
number of the contract
modification document
used to contractually
DD FORM 1696 INSTRUCTIONS,
MAY
2015
implement
the
change.
If
a
unilateral
change order is utilized for initial
authorization, its number is
to be
entered
in
this
block.
Block
14.
Configuration
Item
Nomenclature.
Enter the nomenclature
(name
and number)
of
the
Configuration
Item
(CI) affected by
the
change.
Normally,
this
is to be
different
than
Block
10.
Block
15.
Effectivity.
For hardware,
enter
the serial numbers
of
the items
for
which
this
SCN is
effective.
Usually this
is
to
include in the applicable production line items
plus
items
approved for a
retrofit or
modification
program.
For
software.
enter the
revision
or
version
of the
Computer
Software
Configuration Item
(CSCI)
to
which the change
applies.
If a new version
is
warranted by the
incorporation of
this
ECP,
the new
version number
should
be
entered
here.
Block
16.
Pages
Affected by this
SCN.
The
entries in
this section
are
to provide information about
the
pages affected by
the
SCN
being
submitted.
Enter
a
listing of
all
pages
being
changed
by this SCN and
indicate
whether the
pages are being
superseded
.
added,
or deleted by
entering an
"S",
"A",
or
"D"
respectively.
A separate line
should
be used
for
each category of page
change.
Once the SCN has been approved by
the
Acquirer,
enter the approval
date (from
Block
18)
in this
block.
Block
17.
Summary
of
Previously
Changed
Pages.
Block
17a.
SCN
Number. For
all
SCNs
previously
submitted
,
enter
the
identification number
of
each
SCN
starting with
SCN
number
1 at the
top
of
the
column.
Block
17b.
Related ECP Number.
Enter
the
identification number
(including
revision
designator
and
dash
numbers)
of each ECP effected
by
each previously issued SCN against
this
specification
revision.
Block
17c.
Pages.
List
the pages changed by each
previously
issued
SCN against this
specification.
A
separate line
should
be used for each
category of
page
change.
Block
17d.
Date Submitted.
For a
proposed
SCN,
enter
the
submittal
date for
each
previously
submitted SCN opposite the appropriate
SCN
number
in Block
17.
For the approved
SCN.
enter
the
submitted date for
each
previously
submitted SCN that has
been
approved opposite the
appropriate
SCN
number
in
Block
17.
Block
17e. Type
of
Change. Indicate whether
the
pages
are being
superseded
,
added.
or
deleted by
entering an
·s·.
"A",
or
·o·
respectively.
Block
17f.
Approval
Date.
For
each approved SCN
previously
submitted
,
enter
its
approval
date
on the same
line
as
the
SCN
number
in Block
17a.
Block
18.
Procuring
Activity. The Acquirer's contracting officer. or a
duly
appointed
representative.
is
to
affix an approval signature and the
date in
this block
as well
as
mark
the
approved box in Block 5
to
designate
approval of the
SCN.
The signature
denotes technical
concurrence
with the
contents of
the
DD Form 1696 and attached
change
pages.
\Nhen Block
18
has been signed
and
the approved box
has
been
marked
,
the status
of
the
SCN changes from a proposed
SCN
to an approved SCN
.
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.
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