PWSCIF Performance Progress Report for Research and Deve

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Overview

Bi-Annual Report Cover
Bi-Annual Performance (R&D)

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Sheet 1: Bi-Annual Report Cover

Public Wireless Supply Chain Innovation Fund Grant Program
Bi-Annual Performance Progress Report Form

This form will serve as a tool to capture the Public Wireless Supply Chain Innovation Fund Grant Program Bi-Annual Performance Progress Report.

The report for the Public Wireless Supply Chain Innovation Fund Grant Program is due on a biannual basis for the periods ending March and September of each year. Reports will be due within 30 days after the end of the reporting period.


If you have any further questions, or require technical assistance, please reach out to your assigned Federal Program Officer.

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Sheet 2: Bi-Annual Performance (R&D)

Note: Form instructions and definitions will be created to support the report. Instructional guidance and training will be developed. Numbering to be updated based on final approved form.

RECIPIENT NAME:

OMB Control No.

Expiration Date:

Public Wireless Supply Chain Innovation Fund (PWSCIF) Program Bi-Annual Performance Progress Report

1. GENERAL INFORMATION

GENERAL

1a. Recipient Organization:

1h. Award Identification Number:

1b. Recipient Street Address:

1i. Report Date (MM/DD/YYYY):

1c. City, Sate, and Zip Code:

1j. Final Report:

Yes

1d. Unique Entity Identification (UEI) Number:

1k. Report Period Start Date (MM/DD/YYYY):

1e. Award Start Date (MM/DD/YYYY):

1l. Report Period End Date (MM/DD/YYYY):

1f. Award End Date (MM/DD/YYYY):

1g. Name and Title of Person Completing Report:

2. ACCOMPLISHMENTS

ACCOMPLISHMENTS

2a. What were the major goals and objectives of this project?

2b. What was accomplished under these goals?

2c. What opportunities for training and professional development has the project provided?

2d. How were the results disseminated to communities of interest?

2e. What do you plan to do during the next reporting period to accomplish the goals and objectives?

2f. Are there any technical assistance areas where NTIA may be able to provide support?

3. CHANGES/PROBLEMS

CHANGES/PROBLEMS

3a. Describe any changes in approach from what was proposed and reasons for change.

3b. Describe any actual or anticipated problems or delays and actions or plans to resolve them.

3c. Identify any changes that had a significant impact on expenditures.

3d. Describe any change in primary performance site location from that originally proposed

4. PROGRESS EXPENDITURE REPORT

PROGRESS EXPENDITURE REPORT

Please use the table provided to report your actual totals for each reporting period of your project to date. You should begin recording in the quarter that corresponds with your award date. The total for each quarter is based on the expenditure of your project budget and should be reported individually for that quarter.

YEAR 1

YEAR 2

YEAR 3

YEAR 4

YEAR 5

YEAR 6

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Budget Category

Actual

Actual

Actual

Actual

Cumulative Total

Actual

Actual

Actual

Actual

Cumulative Total

Actual

Actual

Actual

Actual

Cumulative Total

Actual

Actual

Actual

Actual

Cumulative Total

Actual

Actual

Actual

Actual

Cumulative Total

Actual

Actual

Actual

Actual

Cumulative Total

4a. Personnel

$-

$-

$-

$-

$-

$-

4b. Fringe Benefits

$-

$-

$-

$-

$-

$-

4c. Travel

$-

$-

$-

$-

$-

$-

4d. Equipment

$-

$-

$-

$-

$-

$-

4e. Supplies

$-

$-

$-

$-

$-

$-

4f. Contractual

$-

$-

$-

$-

$-

$-

4g. Construction

$-

$-

$-

$-

$-

$-

4h. Other

$-

$-

$-

$-

$-

$-

4i. Total Direct Charges (sum of 4a-4h)

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

4j. Indirect Charges

$-

$-

$-

$-

$-

$-

4k. TOTALS (sum of 4i and 4j)

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

4l. Program Income (if applicable)

$-

$-

$-

$-

$-

$-

4m. Cost Share

$-

$-

$-

$-

$-

$-

5. PARTNERING & OTHER COLLABORATING ORGANIZATIONS

PARTNERING & OTHER COLLABORATING ORGANIZATIONS

5a. What individuals have worked on this project during this reporting period?

5b. Has there been a change in the current level of support of the PD/PI(s) or senior/key personnel since the last reporting period?

5c. What other organizations have been involved as partners?

5d. Have other collaborators or contacts been involved?

6. IMPACT

IMPACT

6a. What was the impact on the development of the principal discipline(s) of the project?

6b. What was the impact on other disciplines?

6c. What was the impact on the development of human resources?

6d. What was the impact on physical, institutional, and information resources that form infrastructure?

6e. What was the impact on technology transfer?

6f. What percentage of the award's budget was spent in foreign country(is)?

7. PRODUCTS

PRODUCTS

7a. Describe any publications, conference papers, and presentations resulting from this project.

7b. Describe any technologies or techniques resulting from this project.

7c. Describe any inventions, patent applications, and/or licenses resulting from this project.

7d. Describe any other products resulting from this project.

8. PROJECT OUTCOMES

PROJECT OUTCOMES

8a. What were the outcomes of the award?

9. CERTIFICATIONS

CERTIFICATIONS

I certify to the best of knowledge and belief that this report is correct and complete for performance of activities for the purposes set forth in the award documents.

9a. Typed or Printed Name and Title of Authorized Certifying Official:

9c. Telephone (area code, number and extension):

9d. Email Address:

9b. Signature of Certifying Official:

9e. Date (MM/DD/YYYY):