ED-918 Trade Adjustment Assistance Centers

Economic Development Administration

GPRA Data Collection Form

Trade Adjustment Assistance Centers

Date ___________________________________________________________________

Recipient Name ___________________________________________________________________

Full Address ___________________________________________________________________

Authorized Contact ___________________________________________________________________

Telephone ____________________________ Fax ______________________________

Email (not optional) ___________________________________________________________________

EDA Investment Trade Adjustment Assistance Investments

Project Number ___________________________________________________________________

Award Date ___________________________________________________________________

Description of Activities: Trade Adjustment Assistance Center

Data Collection Period: There is a two-year lag between the date the assistance was provided and the date the results are reported because the majority of the benefits resulting from TAAC assistance will not be immediately realized. TAACs must report on assistance provided during their investment award period two years prior to the current federal fiscal year. (Example: In FY 2003, a TAAC receiving an investment award on January 1, 2001, the recipient must report on assistance provided to clients from January 1, 2001 to December 31, 2001.)

1. Trade Adjustment Assistance Centers

a. The number of clients for which there is an approved AP, that have commenced

with at least 1 (one) contractually-covered project by a consultant during the

look-back period. A client is counted only once irrespective of the number

of projects implemented. ______________

b. The number of clients counted in 1.a. above that have completed their

project. ______________

c. The number of clients counted in 1.b. above that have not only completed their

project but have testified that the project has been completed to their

satisfaction (i.e., goals of the project have been met). ______________

d. Amount of increased sales or revenues achieved by TAAC clients ______________

resulting from the TAAC assistance reported in 1.a.

(base report on information provided by clients)

e. Estimated number of jobs created or retained by TAAC clients resulting ______________

from the TAAC assistance reported in 1.a.

(base report on information provided by clients)

6. Attach a list of clients that achieved the expected results for the technical assistance provided by the

TAAC as reported in 1c and provide a very brief description of the technical assistance.

(e.g., Firm: Assistance provided:

ABC, Inc. Developed a web site to accommodate e-commerce

ADE, Llt. Achieved ISO-9000:2000 certification)

g. For TAACs reporting increased sales or revenues totaling $40 million and over, or jobs totaling 500 and over

in 1.d. and 1.e. above, for any single client, complete and attach the TAAC validation form.

OMB Approved ED-918

OMB Control Number 0610-0098

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