ICyy-nnn Name of IC Activity Type: Entity/Individual Report Date: Day month year Chair: Name, employer, other Affiliation Participants: How many? (Optional list of names) Procedures: What Policies and Procedures is the Activity following? For example, “Baseline IC Activity P&Ps” or “Abridged IC Activity P&Ps” Deliverables Listed in the Approved ICAID: (This section will be prepopulated by the Industry Connections Administrator.) Deliverable 1 Deliverable 2 … Deliverable n

ICyy-nnn Name of IC Activity Status of Deliverables: List the status and target completion date for each deliverable (see previous bullet) Additional Accomplishments: Accomplishments beyond the expected deliverables Future Meetings: Schedule of upcoming meetings Issues: Any major issues to be addressed; Any areas where the IEEE-SA Industry Connections Committee (ICCom) might be able to help