Detailed instructions for completion of the DD Form
E.5.1 Block 1. Date. Enter the submittal date.
E.5.2 Block 2. Procuring activity number. To be used by Government for
entry of internal processing number if desired.
E.5.3 Block 3. DODAAC. Enter the DODAAC of the procuring activity.
E.5.4 Block 4. Originator name and address. Enter the name and address of
the contractor or Government activity submitting the request.
E.5.5 Block 5. Deviation or waiver. Enter an "X" in the appropriate
E.5.6 Block 6. Classification. The deviation or waiver shall be designated
minor, major, or critical in accordance with the definitions in 18.104.22.168 or
22.214.171.124 by entering an "X" in the appropriate box. When short form procedure
is specified by contract, the Government will make this
E.5.7 Block 7. Designation for deviation/waiver.
E.5.7.1 Block 7a. Model/Type. Enter model or type designation of the CI for
which this request is being submitted. For CSCIs. enter the CSCI
E.5.7.2 Block 7b. CAGE Code. Enter the CAGE Code for the activity
originating the deviation/waiver.
E.5.7.3 Block 7c. System designation. The system or top level CI
designation or nomenclature assigned by the Government shall be entered, if
E.5.7.4 Block 7d. Deviation/Waiver number. Deviation/ waiver identification
numbers shall be unique for each CAGE Code identified activity. Contractors
shall include the letter "D" as part of the deviation number or the letter "W"
as part of the waiver number. Once a number is assigned, that number shall be
retained for all subsequent submissions. Unless otherwise authorized by the
Government, deviations and waivers shall be separately and consecutively
numbered commencing with number one. As an alternative, numbers may be
assigned from a separate series for each system that.the contractor is
producing. The number of characters in the deviation/waiver number, dash
number, and type identification shall not exceed 15.
E.5.8 Block 8. Configuration baseline affected. Check the applicable box
for the affected baseline. When short form procedure is specified by contract,
the Government will make this determination.
E.5.9 Block 9. Other system/configuration items affected. Check applicable
box. If yes, provide summary data in Block 20. When short form procedure is
specified by contract, the Government will make this determination.
E.5.10 Block 10. Title of deviation/waiver. Enter a brief descriptive title
of the deviation or waiver.
E.5.11 Block 11. Contract number and line item. Enter the complete contract
number and line item.
E.5.12 Block 12. Procuring contracting officer. Enter the procuring
contracting officer's name, code and telephone number applicable to the CI
shown in Block 15.
E.5.13 Block 13. Configuration item nomenclature. Enter the Government
assigned name and type designation, if applicable, or authorized name and
number of the CI to which the deviation or waiver will apply.
E.5.14 Block 14. Classification of defect (CD).
E.5.14.1 Block 14a. CD number. If either a Government or contractor's CD
applies, enter the number assigned.
E.5.14.2 Block 14b. Defect number. If a CD applies, enter the defect
number(s) which correspond(s) with the characteristic(s) from which an
authorized deviation or waiver is desired.
E.5.14.3 Block 14c. Defect classification. If a CD applies check the box
which states the proper classification of the defect number(s) entered in
E.5.15 Block 15. Name of lowest Part/assembly affected. An appropriate
descriptive name of the part(s) shall be given here without resorting to such
terms as "Numerous bits and pieces".
E.5.16 Block 16. Part number or type designation. Enter the part number(s)
of the part(s) named in Block 15 or type designation/nomenclature if
E.5.17 Block 17. Effectivity. If lot numbers have been assigned, enter the
number(s) applicable to the lot(s) for which the deviation or waiver is being
requested. Lot may also be defined by serial numbers of the affected
E.5.18 Block 18. Recurring deviation/waiver. Show whether the same
deviation or waiver has been requested and approved previously by placing an
"X" in the proper box. If "yes," reference the previous correspondence, the
request number, and corrective action to be taken in Block 24. In addition, if
yes, provide rationale why recurrence was not prevented by previous corrective
action and/or accomplished design change.
E.5.19 Block 19. Effect on cost/price. Enter the estimated reduction or
price adjustment. If no change in price, cost, or fee, so state with
rationale. The request for deviation or waiver shall include the specific
consideration that will be provided to the Government if this "non-conforming"
unit(s) (See FAR Part 46.407) is accepted by the Government.
E.5.20 Block 20. Effect on delivery schedule. State the effects on the
contract delivery schedule that will result from both approval and disapproval
of the request for deviation or waiver .
E.5.21 Block 21. Effect on integrated logistics support, interface, or
software. If there is no effect on logistics support or the interface, enter
the words, "No effect". If the deviation or waiver will have an impact on
logistics support or the interface, describe such effects on an enclosure and
reference the enclosure in this block. When short form procedure is specified
by contract the Government will make this determination.
E.5.22 Block 22. Description of deviation/waiver. Describe the nature of
the proposed departure from the technical requirements of the configuration
documentation. The deviation or waiver shall be analyzed to determine whether
it affects any of the factors listed in Block 37, 39, and 40 of DD Form
1692/2. Describe any effect on each of these factors. Marked drawings should
be included when necessary to provide a better understanding of the deviation
E.5.23 Block 23. Need for deviation/waiver. Explain why it is impossible or
unreasonable to comply with the configuration documentation within the
specified delivery schedule. Also explain why a deviation or waiver is
proposed in lieu of a permanent design change.
E.5.24 Block 24. Corrective action taken. Describe action being taken to
correct non-conformance to prevent a future recurrence.
E.5.25 Block 25. Submitting activity authorized signature. An authorized
official of the activity entered in Block 4 shall sign in this block and enter
E.5.26 Block 26. Approval/disapproval. This block will be completed by the
Government activity authorized to make the decision on the request for
deviation or waiver.