Monthly & Annual Reports Spreadsheet

Indian Highway Safety Grants

Monthly, Mobilization, & Annual Reports Spreadsheet (PRA).xlsx

Law Enforcement Grant Monthly Report

OMB: 1076-0190

Document [xlsx]
Download: xlsx | pdf

Overview

PRA Statement
October
November
December
January
February
March
April
May
June
July
August
September
DSTD
COIT
DSOGPO
Annual Report


Sheet 1: PRA Statement

OMB Control No. 1076-0190
Expiration Date ##/##/####

Paperwork Reduction Act Statement: We are collecting this information subject to the Paperwork Reduction Act (44 U.S.C. 3501) for the BIA Indian Highway Safety Program (IHSP) to fulfill the data obligations of 23 CFR 1300.11. Your response is voluntary and we will not share the results publicly. We may not conduct or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB Control Number. OMB has reviewed and approved this survey and assigned OMB Control Number 1076-0190, which expires ##/##/####.

Estimated Burden Statement: We estimate the report will take you around 50 to 570 minutes to complete, including time to read instructions, gather information, and complete and submit the report. You may submit comments on any aspect of this information collection to the Information Collection Clearance Officer, Office of Regulatory Affairs & Collaborative Action—Indian Affairs (RACA), U.S. Department of the Interior, 1849 C Street NW, Mail Stop 4660, Washington, DC 20240.

Sheet 2: October

Bureau of Indian Affairs
Indian Highway Safety Program
Monthly Report














TRIBE:
PT #:
MONTH: October
















Full Time Grant

Overtime Grant
Number of HSO(s):
















1 To Select One the number of
motor vehicle related fatalities








by
from the FY2016 number of


to
by the end of FY2018.














2 To Select One the number of
motor vehicle related crashes








by
from the FY2016 number of


to
by the end of FY2018.














3 To Select One the number of
Select One








by
from the FY2016 number of


to
by the end of FY2018.














4 To Select One the number of
Select One








by
from the FY2016 number of


to
by the end of FY2018.














5 To Select One the number of
Select One








by
from the FY2016 number of


to
by the end of FY2018.





















Monthly
Year to Date
FY18
MOTOR VEHICLE FATALITIES:





Total
Total
Target
Total number of:












1 Motor Vehicle Crash (MVC) Fatalities:





0
0














2 Alcohol Related MVC Fatalities:





0
















3 Speed Related MVC Fatalities:





0
















4 MVC Fatalities with 0.08+ BAC:





0
















5 MVC Fatalities with driver <age 20:





0
















6 Unrestrained Fatalities, all seat positions:





0
















7 Motor Cycle Fatalities:





0
















8 Un-Helmeted Motor Cycle Fatalities:





0
















9 Pedestrian Fatalities:





0
















10 Bicyclist Fatalities:





0















MOTOR VEHICLE CRASHES:











Total number of:












1 Motor Vehicle Crashes per Month





0
0














2 Injury Crashes:





0
















3 Alcohol Related Crashes:





0
















4 Speed Related Crashes:





0
















5 Property Damage Crashes:





0















DUI ARREST











Total number of:












1 DUI arrests by PD (overall):





0
















2 DUI arrests by HSO(s):





0
















3 DUI arrests by OT Officers (Grant Funded):





0
















































Monthly
Year to Date
FY18
SPEED /SEAT BELT CITATIONS





Total
Total
Target
Total number of:












1 Speed Citations by PD (overall):





0
















2 Speed Citations issued by HSO(s):





0
















3 Speed Citations issued by OT (Grant Funded):





0















SEAT BELT CITATIONS (CPS = Child Passenger Safety)











Total number of:












4 Seat Belt Citations by PD (overall):





0
















5 Seat Belt Citations issued by HSO(s):





0
















6 Seat Belt Citations issued by OT (Grant Funded):





0
















4 CPS Seat Citations issued by PD (overall):





0
















5 CPS Seat Citations issued by HSO(s):





0
















6 CPS Seat Citations issued by OT (Grant Funded):





0















WRITTEN TRAFFIC CITATIONS











Total number of:












1 Traffic Citations issued by PD (overall):











(Excluding DUI/Speeding/Seatbelt):





0
















2 Traffic Citations issued by HSO(s):











(Excluding DUI/Speeding/Seatbelt):





0
















3 Traffic Citations issued by OT Officers (Grant Funded):











(Excluding DUI/ Speeding/ Seatbelt):





0















WRITTEN & VERBAL WARRNINGS











Total number of:












1 Written Warnings by PD (overall):





0
















2 Written Warnings by HSO(s):





0
















3 Verbal Warnings by PD (overall):





0
















4 Verbal Warnings by HSO(s):





0















CHECK POINTS/ SATURATION PATROLS (Required Data)











Total number of:












1 Check Points:





0
















2 Saturation Patrols:





0















TRAFFIC SAFETY PRESENTATIONS (Required Data)











Total number of:












1 Traffic Safety Presentations:





0










Presentation Presentation



Date Description Location Audience










































SIGNATURE (Project Coordinator/ Chief of Police)





DATE
























TITLE










Sheet 3: November

Bureau of Indian Affairs
Indian Highway Safety Program
Monthly Report














TRIBE: 0 PT #: 0 MONTH: November
















Full Time Grant

Overtime Grant
Number of HSO(s):
















1 To Select One the number of
motor vehicle related fatalities








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














2 To Select One the number of
motor vehicle related crashes








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














3 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














4 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














5 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.





















Monthly
Year to Date
FY18
MOTOR VEHICLE FATALITIES:





Total
Total
Target
Total number of:












1 Motor Vehicle Crash (MVC) Fatalities:





0
0














2 Alcohol Related MVC Fatalities:





0
















3 Speed Related MVC Fatalities:





0
0











0

4 MVC Fatalities with 0.08+ BAC:





0
0














5 MVC Fatalities with driver <age 20:





0
0














6 Unrestrained Fatalities, all seat positions:





0
0














7 Motor Cycle Fatalities:





0
0














8 Un-Helmeted Motor Cycle Fatalities:





0
0














9 Pedestrian Fatalities:





0
0














10 Bicyclist Fatalities:





0
0













MOTOR VEHICLE CRASHES:











Total number of:












1 Motor Vehicle Crashes per Month





0
0














2 Injury Crashes:





0
















3 Alcohol Related Crashes:





0
















4 Speed Related Crashes:





0
















5 Property Damage Crashes:





0















DUI ARREST











Total number of:












1 DUI arrests by PD (overall):





0
0









0



2 DUI arrests by HSO(s):





0











0



3 DUI arrests by OT Officers (Grant Funded):





0
















































Monthly
Year to Date
FY18
SPEED /SEAT BELT CITATIONS





Total
Total
Target
Total number of:












1 Speed Citations by PD (overall):





0
0














2 Speed Citations issued by HSO(s):





0
















3 Speed Citations issued by OT (Grant Funded):





0















SEAT BELT CITATIONS (CPS = Child Passenger Safety)











Total number of:












4 Seat Belt Citations by PD (overall):





0
















5 Seat Belt Citations issued by HSO(s):





0
















6 Seat Belt Citations issued by OT (Grant Funded):





0
















4 CPS Seat Citations issued by PD (overall):





0
















5 CPS Seat Citations issued by HSO(s):





0
















6 CPS Seat Citations issued by OT (Grant Funded):





0















WRITTEN TRAFFIC CITATIONS











Total number of:












1 Traffic Citations issued by PD (overall):











(Excluding DUI/Speeding/Seatbelt):





0
0














2 Traffic Citations issued by HSO(s):











(Excluding DUI/Speeding/Seatbelt):





0
















3 Traffic Citations issued by OT Officers (Grant Funded):











(Excluding DUI/ Speeding/ Seatbelt):





0















WRITTEN & VERBAL WARRNINGS











Total number of:












1 Written Warnings by PD (overall):





0
















2 Written Warnings by HSO(s):





0
















3 Verbal Warnings by PD (overall):





0
















4 Verbal Warnings by HSO(s):





0















CHECK POINTS/ SATURATION PATROLS (Required Data)











Total number of:












1 Check Points:





0
0














2 Saturation Patrols:





0
0













TRAFFIC SAFETY PRESENTATIONS (Required Data)











Total number of:












1 Traffic Safety Presentations:





0
0








Presentation Presentation



Date Description Location Audience










































SIGNATURE (Project Coordinator/ Chief of Police)





DATE
























TITLE










Sheet 4: December

Bureau of Indian Affairs
Indian Highway Safety Program
Monthly Report














TRIBE: 0 PT #: 0 MONTH: December
















Full Time Grant

Overtime Grant
Number of HSO(s):
















1 To Select One the number of
motor vehicle related fatalities








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














2 To Select One the number of
motor vehicle related crashes








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














3 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














4 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














5 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.





















Monthly
Year to Date
FY18
MOTOR VEHICLE FATALITIES:





Total
Total
Target
Total number of:












1 Motor Vehicle Crash (MVC) Fatalities:





0
0














2 Alcohol Related MVC Fatalities:





0
















3 Speed Related MVC Fatalities:





0
0











0

4 MVC Fatalities with 0.08+ BAC:





0
0














5 MVC Fatalities with driver <age 20:





0
0














6 Unrestrained Fatalities, all seat positions:





0
0














7 Motor Cycle Fatalities:





0
0














8 Un-Helmeted Motor Cycle Fatalities:





0
0














9 Pedestrian Fatalities:





0
0














10 Bicyclist Fatalities:





0
0













MOTOR VEHICLE CRASHES:











Total number of:












1 Motor Vehicle Crashes per Month





0
0














2 Injury Crashes:





0
















3 Alcohol Related Crashes:





0
















4 Speed Related Crashes:





0
















5 Property Damage Crashes:





0















DUI ARREST











Total number of:












1 DUI arrests by PD (overall):





0
0














2 DUI arrests by HSO(s):





0
















3 DUI arrests by OT Officers (Grant Funded):





0
















































Monthly
Year to Date
FY18
SPEED /SEAT BELT CITATIONS





Total
Total
Target
Total number of:












1 Speed Citations by PD (overall):





0
0














2 Speed Citations issued by HSO(s):





0
















3 Speed Citations issued by OT (Grant Funded):





0















SEAT BELT CITATIONS (CPS = Child Passenger Safety)











Total number of:












4 Seat Belt Citations by PD (overall):





0
















5 Seat Belt Citations issued by HSO(s):





0
















6 Seat Belt Citations issued by OT (Grant Funded):





0
















4 CPS Seat Citations issued by PD (overall):





0
















5 CPS Seat Citations issued by HSO(s):





0
















6 CPS Seat Citations issued by OT (Grant Funded):





0















WRITTEN TRAFFIC CITATIONS











Total number of:












1 Traffic Citations issued by PD (overall):











(Excluding DUI/Speeding/Seatbelt):





0
0














2 Traffic Citations issued by HSO(s):











(Excluding DUI/Speeding/Seatbelt):





0
















3 Traffic Citations issued by OT Officers (Grant Funded):











(Excluding DUI/ Speeding/ Seatbelt):





0















WRITTEN & VERBAL WARRNINGS











Total number of:












1 Written Warnings by PD (overall):





0
















2 Written Warnings by HSO(s):





0
















3 Verbal Warnings by PD (overall):





0
















4 Verbal Warnings by HSO(s):





0















CHECK POINTS/ SATURATION PATROLS (Required Data)











Total number of:












1 Check Points:





0
0














2 Saturation Patrols:





0
0













TRAFFIC SAFETY PRESENTATIONS (Required Data)











Total number of:












1 Traffic Safety Presentations:





0
0








Presentation Presentation



Date Description Location Audience










































SIGNATURE (Project Coordinator/ Chief of Police)





DATE
























TITLE










Sheet 5: January

Bureau of Indian Affairs
Indian Highway Safety Program
Monthly Report














TRIBE: 0 PT #: 0 MONTH: January
















Full Time Grant

Overtime Grant
Number of HSO(s):
















1 To Select One the number of
motor vehicle related fatalities








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














2 To Select One the number of
motor vehicle related crashes








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














3 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














4 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














5 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.





















Monthly
Year to Date
FY18
MOTOR VEHICLE FATALITIES:





Total
Total
Target
Total number of:












1 Motor Vehicle Crash (MVC) Fatalities:





0
0














2 Alcohol Related MVC Fatalities:





0
















3 Speed Related MVC Fatalities:





0
0











0

4 MVC Fatalities with 0.08+ BAC:





0
0














5 MVC Fatalities with driver <age 20:





0
0














6 Unrestrained Fatalities, all seat positions:





0
0














7 Motor Cycle Fatalities:





0
0














8 Un-Helmeted Motor Cycle Fatalities:





0
0














9 Pedestrian Fatalities:





0
0














10 Bicyclist Fatalities:





0
0













MOTOR VEHICLE CRASHES:











Total number of:












1 Motor Vehicle Crashes per Month





0
0














2 Injury Crashes:





0
















3 Alcohol Related Crashes:





0
















4 Speed Related Crashes:





0
















5 Property Damage Crashes:





0















DUI ARREST











Total number of:












1 DUI arrests by PD (overall):





0
0














2 DUI arrests by HSO(s):





0
















3 DUI arrests by OT Officers (Grant Funded):





0
















































Monthly
Year to Date
FY18
SPEED /SEAT BELT CITATIONS





Total
Total
Target
Total number of:












1 Speed Citations by PD (overall):





0
0














2 Speed Citations issued by HSO(s):





0
















3 Speed Citations issued by OT (Grant Funded):





0















SEAT BELT CITATIONS (CPS = Child Passenger Safety)











Total number of:












4 Seat Belt Citations by PD (overall):





0
















5 Seat Belt Citations issued by HSO(s):





0
















6 Seat Belt Citations issued by OT (Grant Funded):





0
















4 CPS Seat Citations issued by PD (overall):





0
















5 CPS Seat Citations issued by HSO(s):





0
















6 CPS Seat Citations issued by OT (Grant Funded):





0















WRITTEN TRAFFIC CITATIONS











Total number of:












1 Traffic Citations issued by PD (overall):











(Excluding DUI/Speeding/Seatbelt):





0
0














2 Traffic Citations issued by HSO(s):











(Excluding DUI/Speeding/Seatbelt):





0
















3 Traffic Citations issued by OT Officers (Grant Funded):











(Excluding DUI/ Speeding/ Seatbelt):





0















WRITTEN & VERBAL WARRNINGS











Total number of:












1 Written Warnings by PD (overall):





0
















2 Written Warnings by HSO(s):





0
















3 Verbal Warnings by PD (overall):





0
















4 Verbal Warnings by HSO(s):





0















CHECK POINTS/ SATURATION PATROLS (Required Data)











Total number of:












1 Check Points:





0
0














2 Saturation Patrols:





0
0













TRAFFIC SAFETY PRESENTATIONS (Required Data)











Total number of:












1 Traffic Safety Presentations:





0
0








Presentation Presentation



Date Description Location Audience










































SIGNATURE (Project Coordinator/ Chief of Police)





DATE
























TITLE










Sheet 6: February

Bureau of Indian Affairs
Indian Highway Safety Program
Monthly Report














TRIBE: 0 PT #: 0 MONTH: February
















Full Time Grant

Overtime Grant
Number of HSO(s):
















1 To Select One the number of
motor vehicle related fatalities








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














2 To Select One the number of
motor vehicle related crashes








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














3 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














4 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














5 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.





















Monthly
Year to Date
FY18
MOTOR VEHICLE FATALITIES:





Total
Total
Target
Total number of:












1 Motor Vehicle Crash (MVC) Fatalities:





0
0














2 Alcohol Related MVC Fatalities:





0
















3 Speed Related MVC Fatalities:





0
0











0

4 MVC Fatalities with 0.08+ BAC:





0
0














5 MVC Fatalities with driver <age 20:





0
0














6 Unrestrained Fatalities, all seat positions:





0
0














7 Motor Cycle Fatalities:





0
0














8 Un-Helmeted Motor Cycle Fatalities:





0
0














9 Pedestrian Fatalities:





0
0














10 Bicyclist Fatalities:





0
0













MOTOR VEHICLE CRASHES:











Total number of:












1 Motor Vehicle Crashes per Month





0
0














2 Injury Crashes:





0
















3 Alcohol Related Crashes:





0
















4 Speed Related Crashes:





0
















5 Property Damage Crashes:





0















DUI ARREST











Total number of:












1 DUI arrests by PD (overall):





0
0














2 DUI arrests by HSO(s):





0
















3 DUI arrests by OT Officers (Grant Funded):





0
















































Monthly
Year to Date
FY18
SPEED /SEAT BELT CITATIONS





Total
Total
Target
Total number of:












1 Speed Citations by PD (overall):





0
0














2 Speed Citations issued by HSO(s):





0
















3 Speed Citations issued by OT (Grant Funded):





0















SEAT BELT CITATIONS (CPS = Child Passenger Safety)











Total number of:












4 Seat Belt Citations by PD (overall):





0
















5 Seat Belt Citations issued by HSO(s):





0
















6 Seat Belt Citations issued by OT (Grant Funded):





0
















4 CPS Seat Citations issued by PD (overall):





0
















5 CPS Seat Citations issued by HSO(s):





0
















6 CPS Seat Citations issued by OT (Grant Funded):





0















WRITTEN TRAFFIC CITATIONS











Total number of:












1 Traffic Citations issued by PD (overall):











(Excluding DUI/Speeding/Seatbelt):





0
0














2 Traffic Citations issued by HSO(s):











(Excluding DUI/Speeding/Seatbelt):





0
















3 Traffic Citations issued by OT Officers (Grant Funded):











(Excluding DUI/ Speeding/ Seatbelt):





0















WRITTEN & VERBAL WARRNINGS











Total number of:












1 Written Warnings by PD (overall):





0
















2 Written Warnings by HSO(s):





0
















3 Verbal Warnings by PD (overall):





0
















4 Verbal Warnings by HSO(s):





0















CHECK POINTS/ SATURATION PATROLS (Required Data)











Total number of:












1 Check Points:





0
0














2 Saturation Patrols:





0
0













TRAFFIC SAFETY PRESENTATIONS (Required Data)











Total number of:












1 Traffic Safety Presentations:





0
0








Presentation Presentation



Date Description Location Audience










































SIGNATURE (Project Coordinator/ Chief of Police)





DATE
























TITLE










Sheet 7: March

Bureau of Indian Affairs
Indian Highway Safety Program
Monthly Report














TRIBE: 0 PT #: 0 MONTH: March
















Full Time Grant

Overtime Grant
Number of HSO(s):
















1 To Select One the number of
motor vehicle related fatalities








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














2 To Select One the number of
motor vehicle related crashes








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














3 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














4 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














5 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.





















Monthly
Year to Date
FY18
MOTOR VEHICLE FATALITIES:





Total
Total
Target
Total number of:












1 Motor Vehicle Crash (MVC) Fatalities:





0
0














2 Alcohol Related MVC Fatalities:





0
















3 Speed Related MVC Fatalities:





0
0











0

4 MVC Fatalities with 0.08+ BAC:





0
0














5 MVC Fatalities with driver <age 20:





0
0














6 Unrestrained Fatalities, all seat positions:





0
0














7 Motor Cycle Fatalities:





0
0














8 Un-Helmeted Motor Cycle Fatalities:





0
0














9 Pedestrian Fatalities:





0
0














10 Bicyclist Fatalities:





0
0













MOTOR VEHICLE CRASHES:











Total number of:












1 Motor Vehicle Crashes per Month





0
0














2 Injury Crashes:





0
















3 Alcohol Related Crashes:





0
















4 Speed Related Crashes:





0
















5 Property Damage Crashes:





0















DUI ARREST











Total number of:












1 DUI arrests by PD (overall):





0
0














2 DUI arrests by HSO(s):





0
















3 DUI arrests by OT Officers (Grant Funded):





0
















































Monthly
Year to Date
FY18
SPEED /SEAT BELT CITATIONS





Total
Total
Target
Total number of:












1 Speed Citations by PD (overall):





0
0














2 Speed Citations issued by HSO(s):





0
















3 Speed Citations issued by OT (Grant Funded):





0















SEAT BELT CITATIONS (CPS = Child Passenger Safety)











Total number of:












4 Seat Belt Citations by PD (overall):





0
















5 Seat Belt Citations issued by HSO(s):





0
















6 Seat Belt Citations issued by OT (Grant Funded):





0
















4 CPS Seat Citations issued by PD (overall):





0
















5 CPS Seat Citations issued by HSO(s):





0
















6 CPS Seat Citations issued by OT (Grant Funded):





0















WRITTEN TRAFFIC CITATIONS











Total number of:












1 Traffic Citations issued by PD (overall):











(Excluding DUI/Speeding/Seatbelt):





0
0














2 Traffic Citations issued by HSO(s):











(Excluding DUI/Speeding/Seatbelt):





0
















3 Traffic Citations issued by OT Officers (Grant Funded):











(Excluding DUI/ Speeding/ Seatbelt):





0















WRITTEN & VERBAL WARRNINGS











Total number of:












1 Written Warnings by PD (overall):





0
















2 Written Warnings by HSO(s):





0
















3 Verbal Warnings by PD (overall):





0
















4 Verbal Warnings by HSO(s):





0















CHECK POINTS/ SATURATION PATROLS (Required Data)











Total number of:












1 Check Points:





0
0














2 Saturation Patrols:





0
0













TRAFFIC SAFETY PRESENTATIONS (Required Data)











Total number of:












1 Traffic Safety Presentations:





0
0








Presentation Presentation



Date Description Location Audience










































SIGNATURE (Project Coordinator/ Chief of Police)





DATE
























TITLE










Sheet 8: April

Bureau of Indian Affairs
Indian Highway Safety Program
Monthly Report














TRIBE: 0 PT #: 0 MONTH: April
















Full Time Grant

Overtime Grant
Number of HSO(s):
















1 To Select One the number of
motor vehicle related fatalities








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














2 To Select One the number of
motor vehicle related crashes








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














3 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














4 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














5 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.





















Monthly
Year to Date
FY18
MOTOR VEHICLE FATALITIES:





Total
Total
Target
Total number of:












1 Motor Vehicle Crash (MVC) Fatalities:





0
0














2 Alcohol Related MVC Fatalities:





0
















3 Speed Related MVC Fatalities:





0
0











0

4 MVC Fatalities with 0.08+ BAC:





0
0














5 MVC Fatalities with driver <age 20:





0
0














6 Unrestrained Fatalities, all seat positions:





0
0














7 Motor Cycle Fatalities:





0
0














8 Un-Helmeted Motor Cycle Fatalities:





0
0














9 Pedestrian Fatalities:





0
0














10 Bicyclist Fatalities:





0
0













MOTOR VEHICLE CRASHES:











Total number of:












1 Motor Vehicle Crashes per Month





0
0














2 Injury Crashes:





0
















3 Alcohol Related Crashes:





0
















4 Speed Related Crashes:





0
















5 Property Damage Crashes:





0















DUI ARREST











Total number of:












1 DUI arrests by PD (overall):





0
0














2 DUI arrests by HSO(s):





0
















3 DUI arrests by OT Officers (Grant Funded):





0
















































Monthly
Year to Date
FY18
SPEED /SEAT BELT CITATIONS





Total
Total
Target
Total number of:












1 Speed Citations by PD (overall):





0
0














2 Speed Citations issued by HSO(s):





0
















3 Speed Citations issued by OT (Grant Funded):





0















SEAT BELT CITATIONS (CPS = Child Passenger Safety)











Total number of:












4 Seat Belt Citations by PD (overall):





0
















5 Seat Belt Citations issued by HSO(s):





0
















6 Seat Belt Citations issued by OT (Grant Funded):





0
















4 CPS Seat Citations issued by PD (overall):





0
















5 CPS Seat Citations issued by HSO(s):





0
















6 CPS Seat Citations issued by OT (Grant Funded):





0















WRITTEN TRAFFIC CITATIONS











Total number of:












1 Traffic Citations issued by PD (overall):











(Excluding DUI/Speeding/Seatbelt):





0
0














2 Traffic Citations issued by HSO(s):











(Excluding DUI/Speeding/Seatbelt):





0
















3 Traffic Citations issued by OT Officers (Grant Funded):











(Excluding DUI/ Speeding/ Seatbelt):





0















WRITTEN & VERBAL WARRNINGS











Total number of:












1 Written Warnings by PD (overall):





0
















2 Written Warnings by HSO(s):





0
















3 Verbal Warnings by PD (overall):





0
















4 Verbal Warnings by HSO(s):





0















CHECK POINTS/ SATURATION PATROLS (Required Data)











Total number of:












1 Check Points:





0
0














2 Saturation Patrols:





0
0













TRAFFIC SAFETY PRESENTATIONS (Required Data)











Total number of:












1 Traffic Safety Presentations:





0
0








Presentation Presentation



Date Description Location Audience










































SIGNATURE (Project Coordinator/ Chief of Police)





DATE
























TITLE










Sheet 9: May

Bureau of Indian Affairs
Indian Highway Safety Program
Monthly Report














TRIBE: 0 PT #: 0 MONTH: May
















Full Time Grant

Overtime Grant
Number of HSO(s):
















1 To Select One the number of
motor vehicle related fatalities








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














2 To Select One the number of
motor vehicle related crashes








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














3 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














4 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














5 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.





















Monthly
Year to Date
FY18
MOTOR VEHICLE FATALITIES:





Total
Total
Target
Total number of:












1 Motor Vehicle Crash (MVC) Fatalities:





0
0














2 Alcohol Related MVC Fatalities:





0
















3 Speed Related MVC Fatalities:





0
0











0

4 MVC Fatalities with 0.08+ BAC:





0
0














5 MVC Fatalities with driver <age 20:





0
0














6 Unrestrained Fatalities, all seat positions:





0
0














7 Motor Cycle Fatalities:





0
0














8 Un-Helmeted Motor Cycle Fatalities:





0
0














9 Pedestrian Fatalities:





0
0














10 Bicyclist Fatalities:





0
0













MOTOR VEHICLE CRASHES:











Total number of:












1 Motor Vehicle Crashes per Month





0
0














2 Injury Crashes:





0
















3 Alcohol Related Crashes:





0
















4 Speed Related Crashes:





0
















5 Property Damage Crashes:





0















DUI ARREST











Total number of:












1 DUI arrests by PD (overall):





0
0














2 DUI arrests by HSO(s):





0
















3 DUI arrests by OT Officers (Grant Funded):





0
















































Monthly
Year to Date
FY18
SPEED /SEAT BELT CITATIONS





Total
Total
Target
Total number of:












1 Speed Citations by PD (overall):





0
0














2 Speed Citations issued by HSO(s):





0
















3 Speed Citations issued by OT (Grant Funded):





0















SEAT BELT CITATIONS (CPS = Child Passenger Safety)











Total number of:












4 Seat Belt Citations by PD (overall):





0
















5 Seat Belt Citations issued by HSO(s):





0
















6 Seat Belt Citations issued by OT (Grant Funded):





0
















4 CPS Seat Citations issued by PD (overall):





0
















5 CPS Seat Citations issued by HSO(s):





0
















6 CPS Seat Citations issued by OT (Grant Funded):





0















WRITTEN TRAFFIC CITATIONS











Total number of:












1 Traffic Citations issued by PD (overall):











(Excluding DUI/Speeding/Seatbelt):





0
0














2 Traffic Citations issued by HSO(s):











(Excluding DUI/Speeding/Seatbelt):





0
















3 Traffic Citations issued by OT Officers (Grant Funded):











(Excluding DUI/ Speeding/ Seatbelt):





0















WRITTEN & VERBAL WARRNINGS











Total number of:












1 Written Warnings by PD (overall):





0
















2 Written Warnings by HSO(s):





0
















3 Verbal Warnings by PD (overall):





0
















4 Verbal Warnings by HSO(s):





0















CHECK POINTS/ SATURATION PATROLS (Required Data)











Total number of:












1 Check Points:





0
0














2 Saturation Patrols:





0
0













TRAFFIC SAFETY PRESENTATIONS (Required Data)











Total number of:












1 Traffic Safety Presentations:





0
0








Presentation Presentation



Date Description Location Audience










































SIGNATURE (Project Coordinator/ Chief of Police)





DATE
























TITLE










Sheet 10: June

Bureau of Indian Affairs
Indian Highway Safety Program
Monthly Report














TRIBE: 0 PT #: 0 MONTH: June
















Full Time Grant

Overtime Grant
Number of HSO(s):
















1 To Select One the number of
motor vehicle related fatalities








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














2 To Select One the number of
motor vehicle related crashes








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














3 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














4 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














5 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.





















Monthly
Year to Date
FY18
MOTOR VEHICLE FATALITIES:





Total
Total
Target
Total number of:












1 Motor Vehicle Crash (MVC) Fatalities:





0
0














2 Alcohol Related MVC Fatalities:





0
















3 Speed Related MVC Fatalities:





0
0











0

4 MVC Fatalities with 0.08+ BAC:





0
0














5 MVC Fatalities with driver <age 20:





0
0














6 Unrestrained Fatalities, all seat positions:





0
0














7 Motor Cycle Fatalities:





0
0














8 Un-Helmeted Motor Cycle Fatalities:





0
0














9 Pedestrian Fatalities:





0
0














10 Bicyclist Fatalities:





0
0













MOTOR VEHICLE CRASHES:











Total number of:












1 Motor Vehicle Crashes per Month





0
0














2 Injury Crashes:





0
















3 Alcohol Related Crashes:





0
















4 Speed Related Crashes:





0
















5 Property Damage Crashes:





0















DUI ARREST











Total number of:












1 DUI arrests by PD (overall):





0
0














2 DUI arrests by HSO(s):





0
















3 DUI arrests by OT Officers (Grant Funded):





0
















































Monthly
Year to Date
FY18
SPEED /SEAT BELT CITATIONS





Total
Total
Target
Total number of:












1 Speed Citations by PD (overall):





0
0














2 Speed Citations issued by HSO(s):





0
















3 Speed Citations issued by OT (Grant Funded):





0















SEAT BELT CITATIONS (CPS = Child Passenger Safety)











Total number of:












4 Seat Belt Citations by PD (overall):





0
















5 Seat Belt Citations issued by HSO(s):





0
















6 Seat Belt Citations issued by OT (Grant Funded):





0
















4 CPS Seat Citations issued by PD (overall):





0
















5 CPS Seat Citations issued by HSO(s):





0
















6 CPS Seat Citations issued by OT (Grant Funded):





0















WRITTEN TRAFFIC CITATIONS











Total number of:












1 Traffic Citations issued by PD (overall):











(Excluding DUI/Speeding/Seatbelt):





0
0














2 Traffic Citations issued by HSO(s):











(Excluding DUI/Speeding/Seatbelt):





0
















3 Traffic Citations issued by OT Officers (Grant Funded):











(Excluding DUI/ Speeding/ Seatbelt):





0















WRITTEN & VERBAL WARRNINGS











Total number of:












1 Written Warnings by PD (overall):





0
















2 Written Warnings by HSO(s):





0
















3 Verbal Warnings by PD (overall):





0
















4 Verbal Warnings by HSO(s):





0















CHECK POINTS/ SATURATION PATROLS (Required Data)











Total number of:












1 Check Points:





0
0














2 Saturation Patrols:





0
0













TRAFFIC SAFETY PRESENTATIONS (Required Data)











Total number of:












1 Traffic Safety Presentations:





0
0








Presentation Presentation



Date Description Location Audience










































SIGNATURE (Project Coordinator/ Chief of Police)





DATE
























TITLE










Sheet 11: July

Bureau of Indian Affairs
Indian Highway Safety Program
Monthly Report














TRIBE: 0 PT #: 0 MONTH: July
















Full Time Grant

Overtime Grant
Number of HSO(s):
















1 To Select One the number of
motor vehicle related fatalities








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














2 To Select One the number of
motor vehicle related crashes








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














3 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














4 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














5 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.





















Monthly
Year to Date
FY18
MOTOR VEHICLE FATALITIES:





Total
Total
Target
Total number of:












1 Motor Vehicle Crash (MVC) Fatalities:





0
0














2 Alcohol Related MVC Fatalities:





0
















3 Speed Related MVC Fatalities:





0
0











0

4 MVC Fatalities with 0.08+ BAC:





0
0














5 MVC Fatalities with driver <age 20:





0
0














6 Unrestrained Fatalities, all seat positions:





0
0














7 Motor Cycle Fatalities:





0
0














8 Un-Helmeted Motor Cycle Fatalities:





0
0














9 Pedestrian Fatalities:





0
0














10 Bicyclist Fatalities:





0
0













MOTOR VEHICLE CRASHES:











Total number of:












1 Motor Vehicle Crashes per Month





0
0














2 Injury Crashes:





0
















3 Alcohol Related Crashes:





0
















4 Speed Related Crashes:





0
















5 Property Damage Crashes:





0















DUI ARREST











Total number of:












1 DUI arrests by PD (overall):





0
0














2 DUI arrests by HSO(s):





0
















3 DUI arrests by OT Officers (Grant Funded):





0


















































Year to Date
FY18
SPEED /SEAT BELT CITATIONS







Total
Target
Total number of:












1 Speed Citations by PD (overall):





0
0














2 Speed Citations issued by HSO(s):





0
















3 Speed Citations issued by OT (Grant Funded):





0















SEAT BELT CITATIONS (CPS = Child Passenger Safety)











Total number of:












4 Seat Belt Citations by PD (overall):





0
















5 Seat Belt Citations issued by HSO(s):





0
















6 Seat Belt Citations issued by OT (Grant Funded):





0
















4 CPS Seat Citations issued by PD (overall):





0
















5 CPS Seat Citations issued by HSO(s):





0
















6 CPS Seat Citations issued by OT (Grant Funded):





0















WRITTEN TRAFFIC CITATIONS











Total number of:












1 Traffic Citations issued by PD (overall):











(Excluding DUI/Speeding/Seatbelt):





0
0














2 Traffic Citations issued by HSO(s):











(Excluding DUI/Speeding/Seatbelt):





0
















3 Traffic Citations issued by OT Officers (Grant Funded):











(Excluding DUI/ Speeding/ Seatbelt):





0















WRITTEN & VERBAL WARRNINGS











Total number of:












1 Written Warnings by PD (overall):





0
















2 Written Warnings by HSO(s):





0
















3 Verbal Warnings by PD (overall):





0
















4 Verbal Warnings by HSO(s):





0















CHECK POINTS/ SATURATION PATROLS (Required Data)











Total number of:












1 Check Points:





0
0














2 Saturation Patrols:





0
0













TRAFFIC SAFETY PRESENTATIONS (Required Data)











Total number of:












1 Traffic Safety Presentations:





0
0








Presentation Presentation



Date Description Location Audience










































SIGNATURE (Project Coordinator/ Chief of Police)





DATE
























TITLE










Sheet 12: August

Bureau of Indian Affairs
Indian Highway Safety Program
Monthly Report














TRIBE: 0 PT #: 0 MONTH: August
















Full Time Grant

Overtime Grant
Number of HSO(s):
















1 To Select One the number of
motor vehicle related fatalities








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














2 To Select One the number of
motor vehicle related crashes








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














3 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














4 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














5 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.





















Monthly
Year to Date
FY18
MOTOR VEHICLE FATALITIES:





Total
Total
Target
Total number of:












1 Motor Vehicle Crash (MVC) Fatalities:





0
0














2 Alcohol Related MVC Fatalities:





0
















3 Speed Related MVC Fatalities:





0
0











0

4 MVC Fatalities with 0.08+ BAC:





0
0














5 MVC Fatalities with driver <age 20:





0
0














6 Unrestrained Fatalities, all seat positions:





0
0














7 Motor Cycle Fatalities:





0
0














8 Un-Helmeted Motor Cycle Fatalities:





0
0














9 Pedestrian Fatalities:





0
0














10 Bicyclist Fatalities:





0
0













MOTOR VEHICLE CRASHES:











Total number of:












1 Motor Vehicle Crashes per Month





0
0














2 Injury Crashes:





0
















3 Alcohol Related Crashes:





0
















4 Speed Related Crashes:





0
















5 Property Damage Crashes:





0















DUI ARREST











Total number of:












1 DUI arrests by PD (overall):





0
0














2 DUI arrests by HSO(s):





0
















3 DUI arrests by OT Officers (Grant Funded):





0
















































Monthly
Year to Date
FY18
SPEED /SEAT BELT CITATIONS





Total
Total
Target
Total number of:












1 Speed Citations by PD (overall):





0
0














2 Speed Citations issued by HSO(s):





0
















3 Speed Citations issued by OT (Grant Funded):





0















SEAT BELT CITATIONS (CPS = Child Passenger Safety)











Total number of:












4 Seat Belt Citations by PD (overall):





0
















5 Seat Belt Citations issued by HSO(s):





0
















6 Seat Belt Citations issued by OT (Grant Funded):





0
















4 CPS Seat Citations issued by PD (overall):





0
















5 CPS Seat Citations issued by HSO(s):





0
















6 CPS Seat Citations issued by OT (Grant Funded):





0















WRITTEN TRAFFIC CITATIONS











Total number of:












1 Traffic Citations issued by PD (overall):











(Excluding DUI/Speeding/Seatbelt):





0
0














2 Traffic Citations issued by HSO(s):











(Excluding DUI/Speeding/Seatbelt):





0
















3 Traffic Citations issued by OT Officers (Grant Funded):











(Excluding DUI/ Speeding/ Seatbelt):





0















WRITTEN & VERBAL WARRNINGS











Total number of:












1 Written Warnings by PD (overall):





0
















2 Written Warnings by HSO(s):





0
















3 Verbal Warnings by PD (overall):





0
















4 Verbal Warnings by HSO(s):





0















CHECK POINTS/ SATURATION PATROLS (Required Data)











Total number of:












1 Check Points:





0
0














2 Saturation Patrols:





0
0













TRAFFIC SAFETY PRESENTATIONS (Required Data)











Total number of:












1 Traffic Safety Presentations:





0
0








Presentation Presentation



Date Description Location Audience










































SIGNATURE (Project Coordinator/ Chief of Police)





DATE
























TITLE










Sheet 13: September

Bureau of Indian Affairs
Indian Highway Safety Program
Monthly Report














TRIBE: 0 PT #: 0 MONTH: September
















Full Time Grant

Overtime Grant
Number of HSO(s):
















1 To Select One the number of
motor vehicle related fatalities








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














2 To Select One the number of
motor vehicle related crashes








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














3 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














4 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.














5 To Select One the number of
Select One








by 0% from the FY2016 number of

0 to 0 by the end of FY2018.





















Monthly
Year to Date
FY18
MOTOR VEHICLE FATALITIES:





Total
Total
Target
Total number of:












1 Motor Vehicle Crash (MVC) Fatalities:





0
0














2 Alcohol Related MVC Fatalities:





0
















3 Speed Related MVC Fatalities:





0
0











0

4 MVC Fatalities with 0.08+ BAC:





0
0














5 MVC Fatalities with driver <age 20:





0
0














6 Unrestrained Fatalities, all seat positions:





0
0














7 Motor Cycle Fatalities:





0
0














8 Un-Helmeted Motor Cycle Fatalities:





0
0














9 Pedestrian Fatalities:





0
0














10 Bicyclist Fatalities:





0
0













MOTOR VEHICLE CRASHES:











Total number of:












1 Motor Vehicle Crashes per Month





0
0














2 Injury Crashes:





0
















3 Alcohol Related Crashes:





0
















4 Speed Related Crashes:





0
















5 Property Damage Crashes:





0















DUI ARREST











Total number of:












1 DUI arrests by PD (overall):





0
0














2 DUI arrests by HSO(s):





0
















3 DUI arrests by OT Officers (Grant Funded):





0
















































Monthly
Year to Date
FY18
SPEED /SEAT BELT CITATIONS





Total
Total
Target
Total number of:












1 Speed Citations by PD (overall):





0
0














2 Speed Citations issued by HSO(s):





0
















3 Speed Citations issued by OT (Grant Funded):





0















SEAT BELT CITATIONS (CPS = Child Passenger Safety)











Total number of:












4 Seat Belt Citations by PD (overall):





0
















5 Seat Belt Citations issued by HSO(s):





0
















6 Seat Belt Citations issued by OT (Grant Funded):





0
















4 CPS Seat Citations issued by PD (overall):





0
















5 CPS Seat Citations issued by HSO(s):





0
















6 CPS Seat Citations issued by OT (Grant Funded):





0















WRITTEN TRAFFIC CITATIONS











Total number of:












1 Traffic Citations issued by PD (overall):











(Excluding DUI/Speeding/Seatbelt):





0
0














2 Traffic Citations issued by HSO(s):











(Excluding DUI/Speeding/Seatbelt):





0
















3 Traffic Citations issued by OT Officers (Grant Funded):











(Excluding DUI/ Speeding/ Seatbelt):





0















WRITTEN & VERBAL WARRNINGS











Total number of:












1 Written Warnings by PD (overall):





0
















2 Written Warnings by HSO(s):





0
















3 Verbal Warnings by PD (overall):





0
















4 Verbal Warnings by HSO(s):





0















CHECK POINTS/ SATURATION PATROLS (Required Data)











Total number of:












1 Check Points:





0
0














2 Saturation Patrols:





0
0













TRAFFIC SAFETY PRESENTATIONS (Required Data)











Total number of:












1 Traffic Safety Presentations:





0
0








Presentation Presentation



Date Description Location Audience










































SIGNATURE (Project Coordinator/ Chief of Police)





DATE
























TITLE










Sheet 14: DSTD

Bureau of Indian Affairs
Indian Highway Safety Program
Mobilization and Sustained Enforcement Form













Tribe: 0 PT #: 0













Mobilization:
Don't Shatter the Dream
Reporting Period:
to















Enforcement Type:
DUI
Safety Belt

Both

















Police
Police
Law Enforcement

Total number of Officers:


BIA
Tribal
Other

On reservation









Participating in mobilization









Preparing report(s) for mobilization





















Total Officer hours worked by all participating Law Enforcement Agencies during the mobilization











* Include overtime
























Enforcement: *DUI/DWI
*Seat Belt
DUI/DWI & Seat Belt





Total Hours:


















Total number of:



Total number of:







Check Points:



Saturation Patrols:





Hours Worked:



Hours worked:















Tribal Safety Belt Law (check one):



Primary
Secondary
No Law













Total Number of:











MOTOR VEHICLE (MV):


CITATIONS:






Fatalities:


Safety Belt:






Crashes:


Child Passenger Safety:






Injury Crashes:


Suspended Revoked Licenses:






ARRESTS:


Uninsured Motorists:






DUI/DWI:


Speeding:






Drug:


Reckless Driving:






Felony:


Other Traffic Citations:










Fugitives Apprehended:










Stolen Vehicles Recovered:

















Total number of Public Service Announcement broadcasts during mobilization:

























TV: QTY:
Cost:






Tribal/ Local News Paper: QTY:
Cost:






Radio: QTY:
Cost:




Attach an additional page if other public information activities took place during mobilization

























Signature




Name & Title
















Phone:
E-Mail:












FORM IS DUE 15 DAYS UPON COMPLETION OF MOBILIZATION

Sheet 15: COIT

Bureau of Indian Affairs
Indian Highway Safety Program
Mobilization and Sustained Enforcement Form













Tribe: 0 PT #: 0













Mobilization:
Click It Or Ticket
Reporting Period:
to















Enforcement Type:
DUI
Safety Belt

Both

















Police
Police
Law Enforcement

Total number of Officers:


BIA
Tribal
Other

On reservation









Participating in mobilization









Preparing report(s) for mobilization





















Total Officer hours worked by all participating Law Enforcement Agencies during the mobilization











* Include overtime
























Enforcement: *DUI/DWI
*Seat Belt
DUI/DWI & Seat Belt





Total Hours:


















Total number of:



Total number of:







Check Points:



Saturation Patrols:





Hours Worked:



Hours worked:















Tribal Safety Belt Law (check one):



Primary
Secondary
No Law













Total Number of:











MOTOR VEHICLE (MV):


CITATIONS:






Fatalities:


Safety Belt:






Crashes:


Child Passenger Safety:






Injury Crashes:


Suspended Revoked Licenses:






ARRESTS:


Uninsured Motorists:






DUI/DWI:


Speeding:






Drug:


Reckless Driving:






Felony:


Other Traffic Citations:










Fugitives Apprehended:










Stolen Vehicles Recovered:

















Total number of Public Service Announcement broadcasts during mobilization:

























TV: QTY:
Cost:






Tribal/ Local News Paper: QTY:
Cost:






Radio: QTY:
Cost:




Attach an additional page if other public information activities took place during mobilization

























Signature




Name & Title
















Phone:
E-Mail:












FORM IS DUE 15 DAYS UPON COMPLETION OF THE MOBILIZATION

Sheet 16: DSOGPO

Bureau of Indian Affairs
Indian Highway Safety Program
Mobilization and Sustained Enforcement Form













Tribe: 0 PT #: 0













Mobilization:
Drive Sober of Get Pulled Over
Reporting Period:
to















Enforcement Type:
DUI
Safety Belt

Both

















Police
Police
Law Enforcement

Total number of Officers:


BIA
Tribal
Other

On reservation









Participating in mobilization









Preparing report(s) for mobilization





















Total Officer hours worked by all participating Law Enforcement Agencies during the mobilization











* Include overtime
























Enforcement: *DUI/DWI
*Seat Belt
DUI/DWI & Seat Belt





Total Hours:


















Total number of:



Total number of:







Check Points:



Saturation Patrols:





Hours Worked:



Hours worked:















Tribal Safety Belt Law (check one):



Primary
Secondary
No Law













Total Number of:











MOTOR VEHICLE (MV):


CITATIONS:






Fatalities:


Safety Belt:






Crashes:


Child Passenger Safety:






Injury Crashes:


Suspended Revoked Licenses:






ARRESTS:


Uninsured Motorists:






DUI/DWI:


Speeding:






Drug:


Reckless Driving:






Felony:


Other Traffic Citations:










Fugitives Apprehended:










Stolen Vehicles Recovered:

















Total number of Public Service Announcement broadcasts during mobilization:

























TV: QTY:
Cost:






Tribal/ Local News Paper: QTY:
Cost:






Radio: QTY:
Cost:




Attach an additional page if other public information activities took place during mobilization

























Signature




Name & Title
















Phone:
E-Mail:












FORM IS DUE 15 DAYS UPON COMPLETION OF THE MOBILIZATION

Sheet 17: Annual Report

Bureau of Indian Affairs
Indian Highway Safety Program
FY18 Annual Report












Due: October 31, 2018

Project Number: 0 Tribe: 0
















Grant Award:

Amount Expended:




If grant funds were not fully expended explain why: (REQUIRED) § 1300.35


































attach an additional page if needed
TARGETS















To Select One the number of
motor vehicle related fatalities









by 0% from the FY2016 number of

0 to 0 by the end of FY2018.

















Was performance target achieved?



Select One





















To Select One the number of
motor vehicle related crashes









by 0% from the FY2016 number of

0 to 0 by the end of FY2018.

















Was performance target achieved?



Select One





















To Select One the number of
Select One









by 0% from the FY2016 number of

0 to 0 by the end of FY2018.

















Was performance target achieved?



Select One





















To Select One the number of
Select One









by 0% from the FY2016 number of

0 to 0 by the end of FY2018.

















Was performance target achieved?



Select One





















To Select One the number of
Select One









by 0% from the FY2016 number of

0 to 0 by the end of FY2018.

















Was performance target achieved?



Select One







If targets were not achieved explain why: (REQUIRED) § 1300.35


































attach an additional page if needed

Project Number: 0
Tribe: 0


Total number of:















sworn police personnel (include upper management)












sworn police officers who work traffic enforcement






















FATALITY AND CRASH DATA















Total number of:














0 motor vehicle crash (MVC) fatalities in FY18

























0 alcohol-related MVC fatalities in FY18

























0 speed-related MVC fatalities in FY18

























0 MVC fatalities involving driver with BAC of .08+ in FY18

























0 drivers age 20 or younger involved in MVC fatalities in FY18

























0 unrestrained occupant MVC fatalities, all seat positions in FY18

























0 motorcyclist fatalities in FY18

























0 un-helmeted motorcyclist fatalities in FY18

























0 pedestrian fatalities in FY18

























0 bicyclist fatalities in FY18

























0 motor vehicle crashes in FY18

























0 motor vehicle injury crashes in FY18

























0 alcohol-related motor vehicle crashes in FY18

























0 speed-related motor vehicle crashes in FY18






















TRAFFIC CITATION DATA















Total number of:














0 traffic citations (excluding DUI and speed) issued in FY18













0 Issued by Police Department (P.D)











0 Issued by Highway Safety Officer(s) (HSO)























0 written and/or verbal traffic warning citations issued in FY18













0 Issued by P.D.











0 Issued by HSO(s)























0 DUI/DWI/OWI arrests in FY18













0 Issued by P.D.











0 Issued by HSO(s)
























DUI/DWI/OW convictions in FY18

























0 speed citations issued in FY18













0 Issued by P.D.











0 Issued by HSO(s)




















B.A.C. LAW















Is the Tribal BAC Law .08?


Select One
If no, what is it?



















SOFTWARE SYSTEM















What software system is used to collect traffic statistics?








Does the Tribe report the following to the state:













Traffic Data:


Select One











Serious Motor Vehicle Crashes: Select One








Motor Vehicle Fatalities:


Select One





















Project Number: 0
Tribe: 0

OCCUPANT PROTECTION & CHILD PASSENGER SAFETY (CPS)















Does the Tribe have a Safety Belt Law?



Select One
If yes, is the law:

Select One

















Effective date of safety belt law:























Does the Tribe have a CPS law?


Select One


Effective date of CPS law:

















Total number of:














0 Safety Belt citations issued in FY18 by PD (overall)











0 Safety Belt citations Issued by HSO(s)











0 Child Passenger Safety seat (CPS) citations issued in FY18 by PD (overall)











0 Child Passenger Safety seat (CPS) citations issued by HSO(s)























Are HSO(s) certified CPS Technicians?



Select One





















If yes, list HSO names:












1

2


3

4
















List CPS event dates and locations held within the community in FY18


























Date Location CPS Tech. Name





























CHECK POINTS & SATURATION PATROLS















Does the jurisdiction allow for check points?



Select One







Total number of:














0 checkpoints in FY18











0 saturation patrols in FY18






















MOBILIZATIONS
If the Police Department did not participate in the mobilization explain why on a separate sheet of paper.














Don't Shatter the Dream Statistics:

Total number of:














0 Crashes



0 Speeding Citations





0 MVC Fatalities



0 DWI Arrests





0 Safety Belt Citations



0 Felony Arrests





0 Child Safety Citations



0 Drug Arrests





0 Suspended License Citations



0 Fugitives Apprehended





0 Uninsured Motorists Citations



0 Recovered Stolen Vehicles

















Number of Officers who participated in DSTD:




0



















Click It or Ticket Statistics:

Total number of:














0 Crashes



0 Speeding Citations





0 MVC Fatalities



0 DWI Arrests





0 Safety Belt Citations



0 Felony Arrests





0 Child Safety Citations



0 Drug Arrests





0 Suspended License Citations



0 Fugitives Apprehended





0 Uninsured Motorists Citations



0 Recovered Stolen Vehicles

















Number of Officers who participated in COIT:




0




















Project Number: 0
Tribe: 0
MOBILIZATIONS (CONTINUED)
Drive Sober or Get Pulled Over Statistics:

Total number of:














0 Crashes



0 Speeding Citations





0 MVC Fatalities



0 DWI Arrests





0 Safety Belt Citations



0 Felony Arrests





0 Child Safety Citations



0 Drug Arrests





0 Suspended License Citations



0 Fugitives Apprehended





0 Uninsured Motorists Citations



0 Recovered Stolen Vehicles

















Number of Officers who participated in DSOGPO:




0



















MEDIA ADVERTISEMENTS
Don’t Shatter the Dream

Total number of articles announcing mobilization in FY18:





























Billboard Rentals: QTY:

Total Costs:







News Paper Articles: QTY: 0
Total Costs: $-






Radio Announcements: QTY: 0
Total Costs: $-
















Click It or Ticket Statistics:

Total number of articles announcing mobilization in FY18:





























Billboard Rental QTY:

Total Costs:







News Paper: QTY: 0
Total Costs: $-






Radio: QTY: 0
Total Costs: $-
















Drive Sober or Get Pulled Over Statistics:

Total number of articles announcing mobilization in FY18:





























Billboard Rental QTY:

Total Costs:







News Paper: QTY: 0
Total Costs: $-






Radio: QTY: 0
Total Costs: $-
















EDUCATIONAL PRESENTATIONS















Did each HSO funded under the Indian Highway Safety grant or Over-time grant provide 2 educational presentations?













Select One

























If no, explain:

























If yes, please provide dates, locations, and Officers name.


























Date Event/ Location Officers Name







































Please include photographs of activities throughout the FY18 grant year.















Project Number: 0
Tribe: 0

TRAINING















Provide a list of training Officers and other staff attended paid for by the IHSP Grant


























Date Course Title # of Attendees Total Training Cost Total Travel Cost



FY2018 Project Management Training






FY2019 BIA IHSP Grant Writing Training






Lifesavers Conference


































































BAT MOBILE















Is the tribe in a district where a BATmobile is available?




Select One




















Did the tribal police department utilize the BAT mobile?




Select One
If yes, how many times?


















If no, please explain why the tribal police department is not utilizing the BAT mobile:











































Is the tribal police department interested in utilizing the BATmobile in the future?







Select One
















HIGHLIGHTS & ACHIEVEMENTS















1. What are the grant programs (Police Department's) highlights for the FY18 grant year?












Please note: Officer's attending training and conferences are not considered highlights. Unless they impact traffic safety/enfocement activities and/or assist in reaching program targets outlined in the grant agreement.












































(BIA IHSP highly encourages grant programs to submit photos if available)

Project Number: 0
Tribe: 0
HIGHLIGHTS & ACHIEVEMENTS (continued)















2. What are the grant programs (Police Department's) achievements within the FY18 grant year?












Please note: Officer's attending training and conferences are not considered highlights. Unless they impact traffic safety/enfocement activities and/or assist in reaching program targets outlined in the grant agreement.


















































(BIA IHSP highly encourages grant programs to submit photos if available)






















Signature







Date
























Name, Title (Print)











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