Detailed instructions for completion of the DD Form
F.5.1 Block 1. Date. Enter the submittal date of the SCN.
F.5.2 Block 2. Procuring Activity No. To be used by Government for entry of
internal processing number, if desired.
F.5.3 Block 3. DODAAC. Enter the DODAAC of the procuring activity.
F.5.4 Block 4. Originator name and address. Enter the name and address of
the contractor or Government activity which is preparing the SCN.
F.5.5 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 Government for
final technical approval, prior to distribution according to the contract,
both blocks should be left blank. The approved block will be marked by the
Government upon approval/contractual implementation.
F.5.6 Block 6. CAGE Code. Enter the CAGE Code of the design activity for
the specification identified in Block 7. DLA Cataloging Handbook H4/H8
contains these codes.
F.5.7 Block 7. Specification number. Enter the
identification number, including revision letter, of the specification being
F.5.8 Block 8. CAGE Code. Enter the CAGE Code of the activity preparing the
F.5.9 Block 9. SCN number. Enter the identification number for the SCN
being submitted. SCN numbers are issued sequentially for each specification
and revision, starting with the number "1".
F.5.10 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.
F.5.11 Block 11. Related ECP number. Enter the complete ECP number
(including dash numbers and revisions) that identifies the related engineering
F.5.12 Block 12. Contract number. Enter the complete contract number(s)
affected by this SCN, if applicable.
F.5.13 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 implement the change.
If a unilateral change order is utilized for initial authorization, it's
number shall be entered in this block.
F.5.14 Block 14. Configuration item nomenclature. Enter the nomenclature
(name and number) of the CI affected by the change. Normally, this will be
different than Block 10.
F.5.15 Block 15. Effectivity.
a. For hardware, enter the serial numbers of the items for which this SCN
is effective. Usually this will include the applicable production line items
plus items approved for a retrofit or modification program.
b. For CSCIs, enter the revision or version of the 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.
F.5.16 Block 16. Pages affected by this SCN. (Indicate deletions). The
entries in this section (upper half) shall 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 or
added (by entering an "S" or an "A" in the column) or deleted (by printing the
word "deleted" after the page numbers so affected). A separate line should be
used for each category of page change. Once the SCN has been approved by the
Government, enter the approval date (from Block 18) in this block
F.5.17 Block 17. Summary of Previously Changed Pages.
F.5.17.1 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
F.5.17.2 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.
F.5.17.3 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.
F.5.17.4 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
F.5.17.5 Block 17e. Type of Change. Indicate whether the pages are being
superseded or added (by entering an "S" or an "A" in the column).
F.5.17.6 Block 17f. Approval date. For each approved SCN previously
submitted, enter its approval date on the same line as the SCN number in Block
F.5.18 Block 18. Government activity. The Government contracting officer,
or a duly appointed representative, will affix an approval signature and the
date in this block, and will mark an "X" in the approved box, to designate
approval of the SCN. The signature denotes technical concurrence with the
contents of the DD Form 1696
and attached change pages. When Block 18 has been signed and the approved
box has been marked, the status of the SCN changes from a proposed SCN to an