Lands and Economic Development Services Program (LEDSP) Planned Activities and Report

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Form Instructions

DCI# 471935.GCIMS (2015-2016)

Privacy Act Statement:

This statement explains the purposes and use of your personal information. Only information needed to respond to program requirements will be requested. Collection and use of personal information is 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 this Community Profile Report is authorized under sections 18(2), 20, 24, 53, 58(1b), 58(1c), 58(3) and 60 of the Indian Act, 1985 R.S.C. 1-5, in conjunction with AANDC's responsibilities pursuant to s.67 of the Canadian Environmental Assessment Act, 2012 (CEAA 2012) and is required for your participation in AANDC lands, environment and economic development programs. The "Organization Contact Information" submitted is used for communication purposes of the proposed project/activity and will not be disclosed without your prior consent except as set out under section 8(2) of the Privacy Act. All other information in the form, including any annexes and appendices, may be shared directly with other AANDC systems, without any further consent and with other government departments, agencies and private sector organizations, as described in the following Personal Information Banks, as found in AANDC's Info Source and TBS developed standard Personal Information Bank :

  • Automated Document, Records, and Information Management Systems TBS PSU 904
  • Monitoring and Compliance of Reserve Land Instruments, AANDC PPU 096
  • Indian Lands Registry, AANDC PPU 090
  • Lands and Economic Development Services AANDC LED 1402

The personal information collected under AANDC PPU 90 is retained indefinitely by the Department. Information collected under AANDC PU 096 is retained for 5 years after the leases expire and is then transferred to Library and Archives Canada (LAC) as archival records. The Privacy Act states that you have a right of access to your personal information and may request changes to incorrect information. Contact your appropriate Aboriginal Affairs and Northern Development office at to request access to your personal information, notify us about incorrect information or withdraw participation after submitting your information. For more information about your right of access.

If you require clarification about this Statement or your right of access, contact our Privacy Coordinator by telephone at (819) 997-8277 or by email at the following address ATIP-AIPRP@aadnc-aandc.gc.ca. For more information on privacy issues and the Privacy Act in general, consult the Privacy Commissioner or by telephone at 1(800) 282-1376.

Recipient Name

Recipient Number

Fiscal Year

Section A: Economic Development Planned Activities

(to be submitted by January 15th or agreed upon date with AANDC regional office)

Contact - Given Name

Family Name

Title

Mailing Address (Number/Street/Apartment/P.O. Box)

City/Town

Province/Territory

Postal Code

Telephone Number

Facsimile Number

Email Address

Does your community have a strategic economic development plan in place?

  • Yes
  • No
  • If Yes, date of plan (YYYYMMDD):

Describe your community's economic development governance system:

  • Separate from Chief and Council
  • Part of Council Operations
  • Other  (Specify)

How many community businesses are owned and/or  operated by the First  Nation? 

  • On Reserve:
  • Off Reserve:

Do the qualifications for persons in economic development positions include post-secondary graduation in a program related to economic development?

  • Yes
  • No
  • N/A

Have  any  of the persons in economic development obtained certification from the Council for the Advancement of Native Development Officers or other  certification program/entity?

  • TAED (Technician Aboriginal Economic Developer) Certification
  • PAED (Professional Aboriginal Economic Developer) Certification
  • Other  (Specify)
  • N/A

Communities  Receiving Funding Under the Community Economic Development Program  (CEDP) ONLY

Community Economic Development Objective:

  Program Objective Planned Activities Description Planned Budget($)
Rank 1      
Rank 2      

Rank 3

     

Rank 4

     
[+]Add Objective      
Total Planned Expenditures      

Approval Section A (Person Authorized by the First Nation)

Given Name

Family Name

Title

By checking this box, I am verifying that the information  provided in Section A is accurate to the best of my knowledge

Date (YYYYMMDD)

Section B: Land Management Planned Activities

(to be submitted by January 15th or agreed upon date with AANDC regional office)

Contact- Given Name

Family Name

Title

Mailing Address (Number/Street/Apartment/P.O. Box)

City/Town

Province/Territory

Postal Code

Telephone  Number

Facsimile Number

Email Address

Does your community  have an environmental sustainability plan?

  • Yes
  • No
  • If Yes, date of plan (YYYYMMDD):

Does your community have a land use plan in place?

  • Yes
  • No
  • If Yes, date of plan (YYYYMMDD):

Does your community have a waste management plan?

  • Yes
  • No
  • If Yes, date of plan (YYYYMMDD):

Do the qualifications for persons responsible for land and environmental management include post-secondary graduation in a program related to lands and environmental  management?

  • Yes
  • No
  • N/A

Have any of the persons in land and environmental management obtained certification from the National Association of Land Managers (NALMA)?

  • Professional  Lands Management Certification  Program (PLMCP)
  • N/A

Communities  Receiving Funding Under the Reserve Land and Environment  Management  Program (RLEMP) ONLY

Community  Land Management Objective:

  Program Objective Planned Activities Description Planned Budget($)
Rank 1      
Rank 2      

Rank 3

     

Rank 4

     

Rank 5

     
[+]Add Objective      
Total Planned Expenditures      

Approval Section B (Person Authorized by the First Nation)

Given Name

Family Name

Title

By checking this box, I am verifying that the information  provided in Section B is accurate to the best of my knowledge

Date (YYYYMMDD)

Section C: Lands and Economic Development  - Planned Activities Report

(to be submitted by May 31st or agreed upon date with AANDC regional office)

Economic Development Activities Report

Program Objective Planned Activities Status Actual Expenditures ($)
     
     
     
     
     
Add a row    
Total Actual Expenditures (Economic Development)    

Approval Section C (Economic Development) (Person Authorized by the First Nation)

Given Name

Family Name

Title

By checking this box, I am verifying that the information  provided in Section C (Economic Development) is accurate to the best of my knowledge

Date (YYYYMMDD)

Land Management Activities Report

Program Objective Planned Activities Status Actual Expenditures ($)
     
     
     
     
     
Add a row    
Total Actual Expenditures (Land Management)    

Approval Section C (Land Management) (Person Authorized by the First Nation)

Given Name

Family Name

Title

By checking this box, I am verifying that the information provided in Section C (Economic Development) is accurate to the best of my knowledge

Date (YYYYMMDD)

Section D: Impact of Past Initiatives

(to be submitted by May 31st or agreed upon date with AANDC regional office)

AANDC has supported  a number of targeted  initiatives and/or projects in support  of community economic development in your community through  proposal driven  economic  development programs  (i.e. CEOP,  CORP).  As it often takes a number  of years before the results of these investments  can be identified or measured,  the following  information  will only be requested for a sample  of projects over a 5 to 8 year period, depending  on the type of project. AANDC will inform communities  whose projects have been selected; the project's name will also appear below if prompted to provide actual performance indicators generated  from this project.

Project Name

Fiscal Year

Community Economic  Benefits

Aboriginal Jobs Created

  • Full Time
  • Part Time

Aboriginal Jobs Maintained

  • Full Time
  • Part Time

Non-Aboriginal  Jobs Created

  • Full Time
  • Part Time

Non-Aboriginal Jobs Maintained

  • Full Time
  • Part Time

Number  of community members trained:

Comments

Value of investment from private sector partners:

Comments

Number  of businesses  created:

Comments

New Government  revenues generated  (lease, tax, etc.):

Comments

Other Community  Benefits:

Comments