Asset Condition Reporting System (ACRS) Projects Annual Report

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Form Instructions

DCI# 460649 (2014-2015)

Privacy Act Statement

The information you provide in this document is collected under the authority of the Department of Indian Affairs and Northern Development Act (R.S.C., 1985, c. I-6) and the Financial Administration Act (R.S.C., 1985, c. F-11). Information collected on individuals is used by Aboriginal Affairs and Northern Development Canada Capital and Facilities Maintenance program employees who need to know the information in order to respond to your request and/or the program requirements. We do not share the personal information with other government departments. The personal information will be kept for a period of 30 years. Individuals have the right to the protection of and access to their personal information under the Privacy Act. The information collected is described under the Personal Information Bank AANDC PPU 005, AANDC PPU 011, and AANDC PPU 602, which are detailed at InfoSource.

Example only

Band Number

Band Name

Site Number

Site Name

Asset Number

Asset Extension Number

ACRS Project

Number

Project Description

Completion Status

Date of Completion / Cancellation

(YYYYMMDD)

Remarks