Form DHS Form 10056 DHS Form 10056 Summary Test Report Template

Project 25 Compliance Assessment Program
Summary Test Report Template
Cover Sheet
1. Department Name: Department of Homeland Security
2. Component/Agency Name: Science and Technology Directorate
3. OMB Control Number: 1640-New
4. Expiration Date: TBD (Three years from approval date)
5. Agency Form Number: DHS Form 10056
6. Name of Form: Summary Test Report Template
7. Purpose of Form: Allows Equipment Suppliers to send compliance test reports to DHS to
verify suppliers’ compliance with P25 compliance standards.
8. How to submit: The completed form may be submitted via facsimile, email, or mail to the OIC
P25 CAP Program Manager.

OMB FORM #1040-XXX
Expires: xx/xx/xxxx

Summary Test Report Template 
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Department of Homeland Security, Science & 
Technology Directorate 

Summary Test Report 

Test Item Description 
Manufacturer  

Manufacturer Contact 

Product Name 

Installed Options 

Test Description 

Test Information 
P25 CAP Laboratory Code 
Date(s) of Test 
Date of Issue 

Informative References 
Date 
Title 

Devices Tested 
Manufacturer and POC 

Product Name and 
Definition 

Installed Options 

Hardware: 
Software: 

The information contained herein is provided as a public service by DHS. DHS does not make either express or implied warranties
regarding the use of this form and information. Reference to any specific commercial products, processes, or services by trade
name, trademark, manufacturer, or otherwise does not constitute or imply an endorsement, nor a recommendation, from DHS.
Instructions for completing the template and sample content can be found in the P25 CAP Summary Test Report CAB located at
http://www.safecomprogram.gov/SAFECOM/currentprojects/project25cap/project25cap.htm. Sections required will change
depending on the type of test run.
An agency may not conduct or sponsor information collection and a person is not required to respond to this information collection
unless it displays a current valid Office of Management and Budget control number and an expiration date. The control number for
this collection is 1640-XXXX and this form will expire on XX/XX/XXXX. The estimated average time to complete this form is 60
minutes per respondent. If you have any comments regarding the burden estimate you can write to Department of Homeland
Security, Science and Technology Directorate, Washington, DC 20528.

DHS FORM 10056 – September 2008

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Summary Test Report 

Insert Test Report Identification Number – DTR‐‐P25 CAP Laboratory Document 
Identification # 

Description 
Requirement 
Results 

Pass/Fail 
Demonstrated> 
Result> 

Test Case 

Insert Test Report  
Identification #> 

Test Case   Description 

Test Case 
#> 

Note: Below template is for presenting test cases and results for subscriber unit trunked interoperability
tests.

Result 

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Summary Test Report 

Note: Following the presentation of the test cases with results, list the result definitions used in the report.
Test Case Result Definitions 
No Test Performed 
Test Does Not Apply to the Test 
Object 
Test Object Meets Requirements 
Test Object Does Not Meet 
Requirements 
Test Object is Not Conclusive 

‐‐‐ 
N/A 
P (Pass) 
F (Fail) 
I (Inconclusive) 

Note: Provide notated comments to elaborate on test case result where necessary.
Comments 

EXAMPLE ‐ F1: Add note here for a “Fail” verdict that requires elaboration