Economic Development Administration
GPRA Data Collection Form
Economic Development Districts and Indian Tribes
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 _____
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/or jobs.
Qty. Qty.
b. Categorize type of project(s): Facility Construction / Rehab. _____ Infrastructure _____
Technical Assistance _____ Planning _____
(total of these five must be equal to 2a) 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: (T
otal 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
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: 11/30/2020
PART I: To be completed by Regional personnel. Recipient should review the information and make changes
where necessary.
Recipient Section Instructions
Data Collection Period: EDDs and Indian Tribes report investment outcomes for the previous fiscal year. The
report is due at the EDA regional office not later than 10 calendar days after the award anniversary. (Example: EDD
receiving an investment award on January 1, 2016, reports on assistance provided from January 1, 2016 to
December 31, 2016 not later than January 10, 2018.)
The Investment Recipient will complete the recipient section. If there is not sufficient space on the data collection
form, you may use additional pages with the EDA investment number and reporting period at the top of each page.
Section 1: Economic Development Districts (EDD) only
Definition: Sub-state jurisdiction members are independent units of government (cities, towns, villages, counties,
etc.) and eligible entities substantially associated with economic development that participated in the organization
(and continue to participate in the subsequent operations) of the EDD, as set forth by the district’s by-laws or
alternate enabling document.
Section 2: Economic Development Districts and Indian Tribes
Section 2 a
Definition: Initiatives are projects or strategies, and should be counted only in the fiscal year they were started.
If section 2a is greater than zero, Sections 2b thru 2h must be completed.
Section 2f: If reporting 1,500 or over in jobs created or retained, complete the attached EDA GPRA
Section 2g: If reporting $100 million or over in private sector investment, complete the attached EDA GPRA
Burden Statement: Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a
penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection
of information displays a currently valid OMB Control Number 0610-0098 Expires 11/30/2020. The public reporting burden for this collection is
estimated to average 6 hours per response including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing this burden to: Economic Development Administration, Herbert
C. Hoover Building, Washington, DC, 20230, and to the Office of Information and Regulatory Affairs, Office of Management and Budget,
Washington, DC 20503.
OMB Approved ED-916