TIPSTER ARCHITECTURE CHANGE REQUEST (CR) FORM INSTRUCTIONS Field Instructions Responsibility Title Enter short (10 words or less), descriptive title for the Change Request. Submitter Page 1 of Enter total number of pages, including any supporting information and this form. CM Date Prepared Enter date requestor prepares CR, including all attachments. Submitter Need Date Enter date by which decision must be received by the requestor to avoid any or additional impact. Submitter Priority Check appropriate selection. A CR is urgent if work cannot proceed without a decision on the request. Submitter Document Affected Check all documents affected by the requested change Submitter Version Affected Enter the version number of the above document. Submitter Paragraph Affected Enter the paragraph numbers requiring change. Indicate document by D, I, R, C, or P Submitter Reference Specify reference document(s), such as meeting minutes, from which the CR was initiated. If not applicable, enter N/A. Submitter CR No. Assign Change Request number in the form of NNNNN where NNNNN is the sequence number. CM Date Logged Enter date CR is received by CM. CM Cross References Internal CM use, 3 lines CM Change Required Describe in detail what change(s) is (are) required. The "how" of the change is covered under the next item. Requestor Specific Recommendation Attach redlined pages from the affected documents. Redlines must be clear, precise, and all-inclusive. Specify how the change is to be made, as applicable. For example, if an ICD module specifications is requested to be changed, the appropriate pages from the ICD would be attached and redlined with the proposed change. If the change would cause other changes, those pages must also be attached and redlined. Requestor Reason for Proposed Change Provide justification, in detail, for the proposed change. Include alternative solutions, if available, and impact if change is not implemented. Requestor Subnitter Enter organization, requestor name, title and date Requestor Reviewer Enter name, title and date of reviewing official, normally SE/CM unless submitted by SE/CM; then appointed by AC CM AC Change Approval Enter name, title and date of approving official AC Chairperson