ED-916 Economic Development Districts and Indian Tribes

Data Collection for Compliance with Government Performance and Results Act

ED916 form_update

Data Collection for Compliance with Government Performance and Results Act of 1993 (GPRA)

OMB: 0610-0098

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Economic Development Administration
GPRA Data Collection Form
Economic Development Districts and Indian Tribes
PART I
Date
___________________________________________________________________
Recipient Name
___________________________________________________________________
Full Address
___________________________________________________________________
Authorized Contact
___________________________________________________________________
Telephone
____________________________
Fax ______________________________
Email (not optional)
___________________________________________________________________
EDA Investment
Planning Partnership Investments
Investment Number
___________________
Award Period___________ to ________________
Description of Investment:
Economic Development District _____ Indian Tribe _____
PART II
Recipients Provide the Following Information
1. Economic Development Districts (EDD) only
a. Number of Sub-state Jurisdictions eligible to participate in the EDD

______________

b. Number of Sub-state Jurisdictions actively participating by attending meetings
or financially contributing to the EDD.

______________

2. Economic Development Districts and Indian Tribes
a. Number of economic development initiatives from the Comprehensive Economic
Development Strategy (CEDS) process implemented during the investment award
period that led to private investment and jobs.

______________

Qty.

b. Categorize type of project(s):

Qty.

Facility Construction / Rehab. _____
Technical Assistance
_____
(total of these five must be equal to 2a)

Infrastructure
Planning
Other

_____
_____
_____

c. How many (if any) of the above were: Technology __ Brownfields __ (should be subset of projects identified in 2b)
d. Number of Investments Funded by Any Source: (Total must equal 2a. If EDA-funded investment, include only those
awarded by EDA, during this reporting period and have an EDA investment number. Do not count this planning
investment.)

EDA Funded (Qty) _____

Funded by Other Source (Qty) _____

e. Attach a list of economic development initiatives reported in 2a. Identify the sources of funding for each
initiative, specify EDA, state, local or other federal agency(s).
f. Estimated number of jobs created or retained as a result of projects in 2a

______________

g. Estimated amount of private sector investment generated by projects in 2a

______________

h. Estimated amount of public sector investment generated by projects in 2a

______________
OMB Approved ED-916
OMB Control Number 0610-0098
Expires 06/30/2011

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File Typeapplication/pdf
File TitleMicrosoft Word - ED916 form_update _2_.doc
Authorkkukovich
File Modified2008-06-19
File Created2008-06-19

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