ED-917 University Centers

Economic Development Administration
GPRA Data Collection Form
University Centers
PART I
Date
___________________________________________________________________
Recipient Name
___________________________________________________________________
Full Address
___________________________________________________________________
Authorized Contact
___________________________________________________________________
Telephone
____________________________
Fax ______________________________
Email (not optional)
___________________________________________________________________
EDA Investment
Technical Assistance - University Center
Investment Number
___________________________________________________________________
Award Period
___________________ to _________________
Description of Activities:
Technology _____
Economic Development _____

PART II
Recipients are required to report the following:
a. Number of University Center (UC) clients provided 8 or more hours of technical assistance.

__________

(count only clients who received UC technical assistance; count only once even if it received assistance for more than one task)

b. Number of UC clients reported in a taking action as a result of the assistance facilitated by UC.

__________

c. Number of those actions taken by UC clients reported in b that achieved the expected results.
(Please attach a list of clients and actions that achieved expected results)

__________

d. Estimated number of jobs created or retained as a result of c.

______________

e. Estimated amount of private sector investment generated as a result of c.

______________

f. Estimated amount of public sector investment generated as a result of c.

______________

g. Other economic benefits resulting from technical assistance (written examples, dollar amounts can be included as part
of the example).
________________________________________________________________________________________________
________________________________________________________________________________________________

h. Categorize type of assistance provided:
Quantity
Economic development plan
Strategic partnering to
Public-or private sector entities
Client Services
Technology Transfer

Quantity

____

Partnership Strategies
Project Management
GIS Service
Studies
Business Sector Services

____
____
____

____
____
____
____
____

OMB Approved ED-917
OMB Control Number 0610-0098
Expires 06/30/2011

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