Form DCI472939 "Lands and Economic Development Programs Project Status Report" - Canada

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Download Form DCI472939 "Lands and Economic Development Programs Project Status Report" - Canada

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DCI 472939 (2019-2020)
Page 1 of 2
LANDS AND ECONOMIC DEVELOPMENT PROGRAMS PROJECT STATUS REPORT
Privacy Act Statement
This statement explains the purposes for the collection and use of personal information. Only information needed to respond to program requirements will
be requested. Collection and use of personal information are in accordance with the Privacy Act. In some cases, information may be disclosed without your
consent pursuant to subsection 8(2) of the
Privacy
Act. The collection and use of your personal information for the Lands and Economic Development
programs are authorized under sections 3, 18(2), 20, 24, 53, 58(1)(b)(c), 58(3) and 60 of the
Indian
Act, (1985), s. 45(1) of the
First Nations Land
Management Act
(1999), or section 53(1) of the
Family Homes on Reserves and Matrimonial Interests or Rights
Act, (2013), in conjunction with Crown-
Indigenous Relations and Northern Affairs Canada's (CIRNAC) responsibilities pursuant to s. 67 of the
Canadian Environmental Assessment
Act, (2012),
and required for your participation. We will use your personal information in this report in order to meet program requirements. The information collected is
described in:
Indian Lands Registry, Personal Information Banks (PIB) AANDC PPU 090; Monitoring and Compliance of Reserve Land Instruments, PIB
AANDC PPU 096; Automated Document, Records, and Information Management Systems TBS PSU 904
(http://www.aadnc-aandc.gc.ca/
eng/1100100011039/1100100011040). Information collected under the PIB AANDC PPU 90 is retained indefinitely and those collected under the PIB
AANDC PPU 096 is retained for 5 years after the leases expire and is then transferred to Library and Archives Canada. As stated in the Privacy Act, you
have the right to access your personal information and request changes to incorrect information. Contact your appropriate
CIRNAC office
at (http://www.
aadnc-aandc.gc.ca/eng/1100100033420/110010003342) to notify us about incorrect information or to withdraw participation after submitting your
information. For more information on privacy issues and the Privacy Act in general, you may consult the Privacy Commissioner at 1-800-282-1376.
Identification
Recipient Name
Agreement Number
Project Information
Reporting Period
Project Name
(YYYYMMDD)
From
To
Project Status:
On Target
Behind Plan
Completed (Final Report)
Transaction Activity Number (as identified in "Payment Plan" Annex):
Program (Indicate Program from which funding was received):
Aboriginal Entrepreneurship Program (AEP)
Community Opportunity Readiness Program (CORP)
Contaminated Sites
First Nations Land Management (FNLM)
Lands Advisory Board and Resource Centre (LABRC)
Lands and Economic Development Services Program (LEDSP)
Matrimonial Real Property Implementation Support Program (MRP)
Reserve Lands and Environment Management Program (RLEMP)
Strategic Partnerships Initiative (SPI)
Report Information
CIRNAC Amount Approved
CIRNAC Amount Received
Funding Expended to Date
Surplus/Deficit
If the supported project included environmental mitigation measures, as outlined in the terms of reference and/or funding agreement, did
these measures have the desired effect/impact?
Yes
No
N/A
DCI 472939 (2019-2020)
Page 1 of 2
LANDS AND ECONOMIC DEVELOPMENT PROGRAMS PROJECT STATUS REPORT
Privacy Act Statement
This statement explains the purposes for the collection and use of personal information. Only information needed to respond to program requirements will
be requested. Collection and use of personal information are in accordance with the Privacy Act. In some cases, information may be disclosed without your
consent pursuant to subsection 8(2) of the
Privacy
Act. The collection and use of your personal information for the Lands and Economic Development
programs are authorized under sections 3, 18(2), 20, 24, 53, 58(1)(b)(c), 58(3) and 60 of the
Indian
Act, (1985), s. 45(1) of the
First Nations Land
Management Act
(1999), or section 53(1) of the
Family Homes on Reserves and Matrimonial Interests or Rights
Act, (2013), in conjunction with Crown-
Indigenous Relations and Northern Affairs Canada's (CIRNAC) responsibilities pursuant to s. 67 of the
Canadian Environmental Assessment
Act, (2012),
and required for your participation. We will use your personal information in this report in order to meet program requirements. The information collected is
described in:
Indian Lands Registry, Personal Information Banks (PIB) AANDC PPU 090; Monitoring and Compliance of Reserve Land Instruments, PIB
AANDC PPU 096; Automated Document, Records, and Information Management Systems TBS PSU 904
(http://www.aadnc-aandc.gc.ca/
eng/1100100011039/1100100011040). Information collected under the PIB AANDC PPU 90 is retained indefinitely and those collected under the PIB
AANDC PPU 096 is retained for 5 years after the leases expire and is then transferred to Library and Archives Canada. As stated in the Privacy Act, you
have the right to access your personal information and request changes to incorrect information. Contact your appropriate
CIRNAC office
at (http://www.
aadnc-aandc.gc.ca/eng/1100100033420/110010003342) to notify us about incorrect information or to withdraw participation after submitting your
information. For more information on privacy issues and the Privacy Act in general, you may consult the Privacy Commissioner at 1-800-282-1376.
Identification
Recipient Name
Agreement Number
Project Information
Reporting Period
Project Name
(YYYYMMDD)
From
To
Project Status:
On Target
Behind Plan
Completed (Final Report)
Transaction Activity Number (as identified in "Payment Plan" Annex):
Program (Indicate Program from which funding was received):
Aboriginal Entrepreneurship Program (AEP)
Community Opportunity Readiness Program (CORP)
Contaminated Sites
First Nations Land Management (FNLM)
Lands Advisory Board and Resource Centre (LABRC)
Lands and Economic Development Services Program (LEDSP)
Matrimonial Real Property Implementation Support Program (MRP)
Reserve Lands and Environment Management Program (RLEMP)
Strategic Partnerships Initiative (SPI)
Report Information
CIRNAC Amount Approved
CIRNAC Amount Received
Funding Expended to Date
Surplus/Deficit
If the supported project included environmental mitigation measures, as outlined in the terms of reference and/or funding agreement, did
these measures have the desired effect/impact?
Yes
No
N/A
DCI 472939 (2019-2020)
Page 2 of 2
Provide a narrative report which describes the following:
• Project goals as per the terms of reference and funding agreement
• Results achieved
• Funds received from other sources
• Work completed to date
• Anything unexpected that positively or negatively impacted the project
• Planned future activities
• Other items as specified in the terms of reference and/or funding arrangement
Provide a statement of revenues and expenditures on key activities described in the project.
Supporting Documents
(if applicable)
Title
Submission Method
Declaration
The information provided is accurate to the best of my knowledge.
Given Name
Family Name
Title
Date
(YYYYMMDD)
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