NG911 Annual Performance Report

OMB Control No. ____-____
Expiration Date: __/__/____

ANNUAL PERFORMANCE PROGRESS REPORT

1. Recipient Organization (Name and complete address including zip
code)

2. Award Identification Number

3. Performance Narrative
Please describe your project activities and progress made during the past year. This should include a description of
federal expenditures to date, key milestones, the primary activities needed to accomplish those milestones,
significant project accomplishments, and any delays or challenges. Explain the reasons why any established goals
were not met, if applicable.

4. Performance Projections
Please describe your anticipated project activities and progress for the next year. This should include a description of
federal expenditures, key milestones, the primary activities needed to accomplish those milestones, significant project
accomplishments, and any potential delays or challenges you foresee.

5. Certification: I certify to the best of my knowledge and belief that this report is correct and complete for
performance of activities for the purposes set forth in the award documents.
5c. Telephone (area code, number and
5a. Typed or Printed Name and Title of Authorized Certifying Official
extension)
5d. Email Address
5b. Signature of Authorized Certifying Official

5e. Date Report Submitted (Month, Day,
Year)

Public Burden Statement: According to the Paperwork Reduction Act, as amended, no person is required to respond to, nor shall any person
be subject to penalty for failure to comply with, a collection of information subject to the requirements of the PRA, unless that collection of
information displays a currently valid OMB control number. Public reporting burden for this collection of information is estimated to average
60 hours per response. Send comments regarding the burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to Daniel Phythyon, Telecommunications Policy Specialist, Office of Public Safety Communications,
National Telecommunications and Information Administration, U.S. Department of Commerce (DOC), 1401 Constitution Avenue, NW, HCHB
Room 4076, Washington, D.C. 20230, or to Laurie Flaherty, Coordinator, National 911 Program, Office of Emergency Medical Services, National
Highway Traffic Safety Administration, 1200 New Jersey Avenue, SE, NPD-400, Washington, DC 20590.