Annual Data Report (ADR)

ANA Annual Data Report

ADR Instructions

Annual Data Report (ADR)

OMB: 0970-0475

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Annual Data Report (ADR) Instructions
Detailed instructions on how to complete the ADR are below. Use these instructions
when completing the activities below and when responding to the request for
information contained in the ADR.
A. Impact Indicators
Item 1: Fill out the actual change during this reporting period that has occurred on the
Impact Indicator as listed from your original application.
B. Native Youth and Elder Engagement
Item 1: Select “yes” if the project provided any activities involving Native Youth or
Elders during this reporting period. Select “no” there were no activities involving Native
youth or Elders during this reporting period. Select “not applicable” if you did not intend
to have Native youth or Elder activities as a part of your project.
Item 1a: If “yes” is selected, list the title and a brief description of the activity. Also
indicate the total number of youth participating, the total number of new youth
participating, total number of Elders participating and total number of new Elders
participating in the activities listed.
Item 2: Select “yes” if any of the activities involving Elders and/or youth promoted
cultural preservation during this reporting period. Select “no” if not.
Item 2a: If “yes” is selected, please provide a description of how the activities promoted
cultural preservation during this reporting period.
Item 3: Select “yes” if the project engaged in youth leadership or leadership
development during this reporting period. Select “no” if not.
Item 3a: If “yes” is selected, please provide a description of how the activities promoted
youth leadership or leadership development during this reporting period.
C. Partnerships
Item 1: Enter any partnerships formed during this reporting period. Select whether they
are New from the start date of the project; or if they are Pre-existing from before the
start date of the project. Select the type of partner from the drop-down menu. Lastly,
indicate the resources the partner(s) contributed to the project.
Item 2: Enter the name of any potential organizations or individuals who the project
could benefit from a partnership. Indicate their potential role in support of the project.
D. Community Involvement and Participation in the Project

Item 1: Select “yes” if there were any volunteers were utilized in the implementation of
the project. Select “no” if not.
Item 1a: If “yes” is selected in Item 1, please indicate the number of unduplicated
volunteers who contributed to the project. Update this number each reporting period so
that by project’s end all unduplicated volunteers are reflected.
Item 1b: If “yes” is selected in Item 1, please indicate the contribution that the
volunteers made to the project.
Item 1c: Indicate how many hours the volunteers contributed to the project during this
reporting period. Update this number each reporting period so that by project’s end any
unduplicated volunteers are reflected.
Item 2: If community participation is an intended part of the project, select the estimated
level of actual community participation compared with desired participation. Select “not
applicable” if there was no active community participation intended for the project.
E. Use of On-going Project Data
Item 1: Indicate the how, if any, the project used project information (data) to improve or
extend the implementation of the project.
Item 2: Indicate how the project measured results and benefits as a direct result of the
project.
Item 3: Select “yes” if the project obtained feedback from community members about
the project’s progress. Select “no” if not.
Item 3a: If “yes” is selected, indicate how the project used the feedback.
F. Project Benefits
Item 1: Indicate what changed in the service community as a result of the project.
Please list both intended and unintended changes, either positive or negative.
Item 2: Select “yes” if any businesses were created due to the project. Select “no” if not.
Item 2a: If “yes” is selected, indicate how many businesses were created.
Item 2b: If “yes” was selected, identify what type(s) of businesses were created.
Item 3: Select “yes” if any members of your community, including project staff,
completed training sponsored or arranged by the project in order to learn a new skill,
gain knowledge, developed expertise, earned a credential, or otherwise obtained
beneficial experience during this reporting period. Select “no” if not.

Item 3a: If “yes” is selected, indicate the name of the training or workshop, a description
of skills or knowledge developed, number of people who completed the training, number
of those who completed the training were project staff, number of new people who
completed the training and total number of hours to complete the trainings.
Item 4: Select “yes” if any ordinances, codes, regulations, or other governmental
documents developed during this reporting period. Select “no” if not.
Item 4a: If “yes” is selected, indicate the type of ordnance, code or regulation developed
from the drop-down menu), give a brief description of the ordnance, code or regulation,
indicate whether the ordnance, code or regulation was passed, and indicate if the
ordnance, code or regulation was implemented. If implemented, briefly explain how it
was implemented.
Item 5: Select “yes” if any materials or resources were created during this reporting
period. Select “no” if not.
Item 5a: If “yes” is selected, list the material or resource created. Select the type of
resource from the drop-down menu. Indicate if this was electronic or technology based
and give a brief explanation on how the material or resource supported the project’s
goals.
Item 6: Select “yes” if the project has a plan in place to secure post-project funding to
continue or extend project benefits. Select “no” if not.
Item 6a: If “no” is selected, please indicate whether the project would like ANA’s
assistance in establishing a sustainability plan.
Item 7: Describe any collaboration with partners, including federal, tribal, or state
partnership to continue or extend project outcomes, services, and activities in order to
achieve your community’s desired long-term goals after this ANA project ends. Select
“not applicable” if partnerships are not needed to continue the long-term goals after this
ANA project ends.

G. LESSONS LEARNED AND ADDITIONAL SUPPORT
Item 1: Describe any lessons learned, promising practices, innovations, etc. you think
could help similar projects overcome or resolve obstacles for other projects.
Item 2: Describe any additional support or resources that ANA could provide or arrange
to help your SEDS project overcome or resolve obstacles you have encountered in the
reporting period.

H. SUSTAINABLE EMPLOYMENT AND ECONOMIC DEVELOPMENT (SEEDS)
PROJECTS ONLY
Item 1: Attach a completed copy of your most current SEEDS Data Collection Sheet
with each ADR submission.
Item 2: Please describe any added benefits that have been realized due to participants’
new employment or business growth, such as less reliance on public subsidies, home
ownership/rental, increased access to health care, etc.).

I. LANGUAGE PROJECTS ONLY
Item 1: Identify the language or language family addressed by your project.
Item 2: Select the options that best complete the sentence “My language project uses
ANA grant funds to _______________.” Select any that apply and only update if there
are any changes from the previous reporting period. If “other” is selected, describe how
the project will best use its funds to accomplish the stated goals.
Item 3: Select “yes” if any language surveys or assessments developed. Select “no” if
not. If “yes” is selected, provide blank copies with the ADR submission for this reporting
period.
Item 3a: If “yes” is selected in Item 3, indicate how many different surveys or
assessments were developed.
Item 3b: If “yes” is selected in Item 3, indicate how many different surveys or
assessments were distributed and how many returned.
Item 3c: If “yes” is selected in Item 3, describe the overall purpose of any surveys or
assessments.
Item 4: Select “yes” if any language classes conducted during this reporting period.
Select “no” if not.

Item 4a: If “yes” is selected, select the proficiency level from the drop-down menu.
Indicate the total number of classes, total number of class hours, and total number of
students. Select whether the classes were immersion. Indicate the average of the
students.
Item 4b: If the average age of language learners was between 0-6 years of age, select
“yes” if the project has an on-going relationship with one or more Head Start or Early
Head Start programs. Select “no” if not. Select “not applicable” if the project does not
serve children ages 0-6 years of age.
Item 5: If instruction is part of your language project, describe any methods, materials,
and strategies used, during the reporting period, to measure progress in language
proficiency or fluency.
Item 6: If applicable, indicate how many new youth increased their ability to speak a
Native language (language proficiency) during this reporting period. Update this number
each reporting period so that by project’s end any unduplicated youth who increased
proficiency are reflected.
Item 7: If applicable, indicate how many new adults increased their ability to speak a
Native language (language proficiency) during this reporting period. Update this number
each reporting period so that by project’s end any unduplicated adults who increased
proficiency are reflected.
Item 8: If applicable, select “yes” if any youth achieved fluency in a Native language. If
“yes” is selected, indicate how many. Update this number each reporting period so that
by project’s end any unduplicated youth who achieved fluency in a Native language are
reflected. Select “no” if not applicable, or none achieved fluency.
Item 9: If applicable, select “yes” if any adults achieved fluency in a Native language. If
“yes” is selected, indicate how many. Update this number each reporting period so that
by project’s end any unduplicated adults who achieved fluency in a Native language are
reflected. Select “no” if not applicable, or none achieved fluency.
Item 10: If applicable, select “yes” if any language teachers were trained during this
reporting period. Select “no” if not applicable, or no teachers were trained.
Item 10a: If “yes” is selected, indicate how many of these teachers received training in
language instruction. Update this number each reporting period so that by project’s end
any unduplicated teachers trained are reflected.
Item 10b: Indicate the type of training that these teachers received related to language
instruction. Select both if applicable.

Item 10c: Indicate the number of teachers who received training in an area other than
instruction. Describe the trainings received.
Item 10d: Select “yes” if any of the teachers received a certification or credential as a
result of training. Select “no” if not.
Item 10e: If “yes” was selected in Item 12d, indicate which organization issued the
certification or credential.
Item 10f: If “yes” was selected in Item 12d, indicate the number of teachers who
received a certification or credential.
Item 11: Describe any additional support or resources that ANA could provide or
arrange to help your Language project overcome or resolve obstacles you have
encountered in the reporting period.
Item 12: Describe any lessons learned, promising practices, innovations, etc. you think
could help similar projects overcome or resolve obstacles for other projects.

K. ESTHER MARTINEZ IMMERSION (EMI) PROJECTS ONLY
Item 1: Select whether this project serves a Language Nest, Survival School or is a
Restoration Program.
Item 2: Describe what, if any, obstacles or delays in meeting the requirements for the
specific EMI language project. Select “not applicable” if there were no obstacles or
delays.

L. ENVIRONMENTAL REGULATORY ENHANCEMENT (ERE) PROJECTS ONLY
Item 1: Select “yes” if the project collected environmental baseline data. Select “no” if
not.
Item 1a: If “yes” is selected, describe what was learned from the data and how it will be
used.
Item 2: Select “yes” if the project collected data to monitor environmental conditions.
Select “no” if not.
Item 2a: If “yes” is selected, briefly describe what was learned from the data and how it
will be used.

Item 3: If applicable, briefly describe how project resulted in increased capacity for the
Tribe to manage its physical resources and/or the environmental quality on tribal lands
during this reporting period.
Item 4: Select “yes” if there were any improvement in the environmental quality on
tribal lands as a result of this project. Select “no” if not. Select “not applicable” if actual
improvement in environmental quality is not a part of this project. Select “to be
determined” if the improvement in environmental quality is part of a later phase of the
project.

End-of-Project Addendum –BENEFITS, RESULTS, AND
OUTCOMES - This section should be completed only in the final reporting period
of the project and reflect the entire project period.
A. Beneficiaries
Identify any individuals or groups of individuals who benefited as a direct result of this
project. In order to protect privacy of individuals, it is acceptable to use only the first
name. Select the beneficiary type from the drop-down menu. Describe in as much detail
as possible the positive change that occurred as a direct result of this project overall.
B. Objective Work Plan – Final Summary
Objective 1: Describe the overall progress and results and benefits that were
accomplished by the end of the project period.
Objective 2: If applicable, describe the overall progress and results and benefits that
were accomplished by the end of the project period.
Objective 3: If applicable, describe the overall progress and results and benefits that
were accomplished by the end of the project period.
C. Problem Statement and Project Goal
Item 1: Describe the extent to which the overall goal of the project was achieved at the
end of the project period.
Item 2: Describe the extent to which the condition identified or environment described in
the problem statement was addressed by the end of the project period.

D. Project Development
List the name of the writer(s) of the grant application, with their title. Indicate if they are
program staff or not, consultant to the project, Native American, and/or tribal member.

E. Community and External Data
Item 1: Describe any changes in your organization/community as a direct result of this
project.
Item 2: Indicate any information, feedback, observation(s), input, or other data from
your community was most valuable to realizing project benefits, results, and outcomes.

Item 3: If applicable, describe any information, feedback, observation(s), input, or other
data from ANA, other federal agencies, or others influenced project benefits, results,
and outcomes of this project.

F. Continuation/sustainability of Project Goals, Results, and Efforts
Item 1: Describe any promising practices from your project.
Item 2: If you could do this project over again, describe in as much detail what you
would do differently, if applicable.
Item 3: Select “yes” if your project disseminated your project’s accomplishments and
successes, internally and externally. Select “no” if not.
Item 3a: If “yes” is selected, describe how your project disseminated your project’s
accomplishments and successes, internally and externally.
Item 4: Describe how the project has publicized your project (e.g. community meetings,
web site updates, email/listserv, etc.).
Item 5: Describe in as much detail as possible what outcomes, services, and activities
you want to continue or extend after the project has ended, including any new activities
intended to achieve your community’s desired long-term goals.
Item 6: Indicate how the project intends to financially continue or extend desired project
outcomes, services, and activities after this ANA-funded project ends. Check all that
apply.
Item 7: Indicate what level of funding does the project currently have in place to
continue or extend project benefits beyond the project period. If either “Some, but not all
needed funding has been secured to continue or extend project benefits” or “Still
seeking needed funding, none currently in place” is selected, describe any plans or
efforts being made to secure additional resources to sustain desired project outcomes,
services, and activities.
Item 8: Indicate what, if any, services your project or program are interested in and
describe the topics of interest for each.


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