General Performance Reporting Forms

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Overview

0.Introduction
1. Project Overview
2. Planned Activities
3. Expected Outputs & Outcomes
Reference

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Sheet 1: 0.Introduction

PERFORMANCE WORK PLAN FORM

August 6, 2024

OMB CONTROL NUMBER = 2090-NEW, Expiration Date = mm/dd/yyyy

OMB Burden Statement:

This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. OMB Control Number: 2090-NEW. Responses to this collection of information are mandatory [40 CFR Part 35, 2 CFR Parts 200 and 207]. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to be 40 hours per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to Director, Information Engagement Division; U.S. Environmental Protection Agency (2821T); 1200 Pennsylvania Ave., NW; Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.

Instructions

* This Grant Work Plan Form requests information about your planned project across three sheets: (1) Project Overview, (2) Planned Activities; and (3) Expected Outputs and Outcomes.

* Please refer to the supplemental instructions document for guidance on how to complete each section.

* The information you report should represent the planned implementation of the project activities.

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Sheet 2: 1. Project Overview

SECTION 1: PROJECT OVERVIEW
Project Information
Instructions: Please complete the information below.
Project Lead Name
Project Title
EPA Program (e.g., FIFRA)
Expected Project Start Date
Expected Project End Date
Problem Statement and Project Purpose
Instructions: Describe the specific environmental issue or problem that the project will address. Provide a brief summary of the project's purpose and expected impact.
Project Objectives
Instructions: List the specific objectives the project aims to accomplish.
1. 2. 3.
Alignment with EPA Strategic Plan
Instructions: Describe how the project aligns with at least one goal and/or objective of the EPA Strategic Plan. Refer to the supplemental instructions and the funding opportunity for more information.
OPTIONAL FOR PROGRAMS: Alignment with Program Objectives
Instructions: Describe how the project aligns with the program's objectives.
OPTIONAL FOR PROGRAMS: Communications Plan
Instructions: Describe your strategy to publicize the project activities and results (if relevant). This can include physical signs at locations of activities; social media posts; interviews and reports in newspapers/sites, television, radio; posters and flyers; etc.
Risk Management and Mitigation
Instructions: Identify potential risks to the project's success. Provide strategies for addressing each identified risk.

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Sheet 3: 2. Planned Activities

SECTION 2: PLANNED ACTVITIES

Instructions

Use this section to report your activities (including locations, dates, partners, and audiences).

Insert additional rows in Part A if you have multiple items to report for an activity (e.g., locations).

Instructions for completing each cell are provided below.

If you have any questions or need further assistance, please review the supplemental instructions for this form.

A. Planned Activities

Columns B & C: Timeline

D. State, Territory, or Tribe/Alaska Native Village

E. Specific State, Territory, or Tribe/Alaska Native Village

F. Type of Location Data

G. Unique ID for location(s)

H. Does the location include 1+ communities that are disadvantaged, marginalized, underserved, or overburdened by pollution?

I. Further Information for Answer in Column H.

J. Source of Information for Answer in Column H

K. Partners and/or Collaborators

L. Contributions from Partners and/or Collaborators

M. Additional Information (Optional)

B. Expected Start Date

C. Expected End Date

List each activity (i.e., specific tasks or actions) that will be undertaken to achieve the objectives of the project (one per row).

Provide the proposed timeline for each activity. This should include the expected start date and expected end date, if possible. A general time period that reflects the project year/period (e.g., Year 1 Quarter 2) can be provided.

Indicate whether the activity will take place in a state, territory, and/or Tribe/Alaska Native Village.

Select the specific state, U.S. territory, or Tribe/Alaska Native Village. Note that the options presented in the drop-down menu will depend on your answer in Column D.

Select the expected type of location data you will be reporting. Please consult your EPA funding opportunity point of contact for further information.

Provide the unique Feature ID (and name) for your location. If you need to report multiple locations for an activity, add a new row for each location.

Select yes or no to indicate whether the location includes 1+ communities that are disadvantaged, marginalized, underserved, or overburdened by pollution.

If you answered "yes" to Column H, list the relevant communities in this column.

Indicate the screening tool or source (e.g., CEJST, EJScreen, etc.) used to make determination in Column H.

List potential individuals, organizations or entities that either will collaborate with you to conduct the activity, or will contribute resources, expertise, or financial support to the activity. Indicate if no partners will be involved. Please consult your EPA funding opportunity for further information.

Describe the expected roles, responsibilties, and/or contributions of each partner or collaborator listed in Column K. Write "not applicable" if no partners or collaborators will participate in this activity.

Include additional information related to the activity that is requested by the program. Note that outputs and outcome should be reported on a separate sheet (see list of sheets at the bottom of this window).

Example A: Implement nutrient reduction strategy in Metropolis River Basin and track water quality.

Year 1 Quarter 3

Year 4 Quarter 4

Territory

United States Virgin Islands

Hydrologic Units

21020001

No

not applicable

CEJST

no partners

not applicable

Example B: Facilitate a workshop with local stakeholders to discuss environmental concerns and inform project development.

Year 2 Quarter 1 (Estimate August 2024)

State

Arizona

ZIP Code

12345

Yes

All members are from a zip code that has high prevalence (95th percentile) of nearby Superfund sites and a high rate of poverty (80th percentile).

EJScreen

The Local Nonprofit Group (nonprofit)

The Local Nonprofit Group (subawardee) will identify stakeholders and coordinate the workshop logistics.

Example C: Develop databases for local governments to aggregate data collected from projects funded with State Revolving Funds (SRF).

Year 2 Quarter 1

Year 2 Quarter 4

State

Michigan

County

Generic County Basic County Common County Made-Up County

Yes

Generic County has higher levels of polluted water bodies (70th percentile) Basic County has higher levels of diesel particulate matter exposure (93rd percentile) Common County has higher levels of particulate matter 2.5 (67th percentile) Made-Up County has a higher proximity to Superfund sites (78th percentile)

CEJST

Contractor (TBD) with database creation/customization experience.

The grantee will directly communicate with an appropriate local government representative to ensure the new database meets all the local government's requirements for collecting data, storing data, and extracting/exporting data. The grantee will then communicate these requirements to the Contractor (TBD) who will develop the database. The grantee will update the local government on the status of the database development and communicate requested adjustments to the Contractor.

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Sheet 4: 3. Expected Outputs & Outcomes

SECTION 3: EXPECTED OUTPUTS & OUTCOMES
Instructions
Use this section to outline expected outputs and anticipated outcomes for the planned activities.
In Part A, enter the expected output(s) for each activity. If there are multiple outputs for an activity, add each one in a new row.
In Part B, enter the expected outcome(s) for each activity. If there are multiple outcomes for each activity, add each one in a new row.
Insert additional rows (horizontal) to Parts A and B, if needed.
Instructions for completing each column are provided below.
If you have any questions or need further assistance, please review the supplemental instructions for this form.
Part A - Expected Outputs						Part B - Expected Outcomes
A. Planned Activities	B. Output Identification Number	C. Expected Outputs	D. Expected Engagement with Outputs	E. Relevant Output Indicators		G. Planned Activities	H. Outcome Identification Number	I. Expected Outcomes	J. Methodology for Expected Outcome	K. Outcome Timeframe	L. Relevant Outcome Indicators (if applicable)
List each planned activity that will achieve the objectives of the project (one per row). This information can be copied from Column A in Section 2: Planned Activities.	Assign a sequential identification number to each expected output for every activity. Add each output to a new row.	List the expected products, services, or events that will be produced or delivered as part of the activity. The supplemental instructions for this form provides more information about different types of outputs you could report. Provide the number of each product, service, or event that is expected to be produced or delivered.	Indicate the amount of engagement you expect to see for the output over a defined time-period. For example, this could be the number of people or groups who are expected to participate in the activity, use the product/service, attend the event, etc. Where possible, delineate engagement from different communities or groups.	Identify any relevant targets or indicators for outputs (e.g., number of outputs, expected timeline, target audience, etc.)		List each planned activity that will achieve the objectives of the project (one per row). This information can be copied from Column A in Section 2: Planned Activities.	Assign a sequential identification number to each anticipated outcome for every activity. Add each outcome to a new row.	List any expected results from the activity that you plan to measure or calculate, which should be aligned with your specific project objectives. The supplemental instructions for this form include a list of example outcome categories.	Indicate the methdology you will use to measure or calculate your expected outcome. The supplemental guidance for this form includes example methods to measure or calculate different types of outcomes.	Please indicate whether the expected results is a short-term outcome, intermediate outcome, or long-term outcome, based on the definitions provided by your EPA program.	Identify any relevant targets or indicators for the expected outcomes (e.g., number of hectares of land conserved or restored).
Example A: Implement nutrient reduction strategy in Metropolis River Basin and track water quality.	1	Approved implementation plan.	not applicable	Creation of one approved implementation plan.		Example A: Implemented nutrient reduction strategy in Metropolis River Basin and track water quality.	1	Load reduction of various nutrients in the Metropolis River Basin: nitrogen, phorphorus, general sediment.	Scientific measurement	Intermediate	Nitrodgen load reduction target = 100,000 pounds Phosphorous load reduction target = 20,000 pounds Sediment load reduction target = 90 tons
	2	Water quality monitoring data.	not applicable				2	Increased number of recreational users of the Metropolis River Basin.	Document review (visitor logs)	Intermediate	no specific target set
	3	Monthly updates on water quality posted on website.	not applicable	monthly updates on water quality
Example B: Facilitate a workshop with local stakeholders to discuss environmental concerns and inform project development.	1	1 3-5 hour workshop.	3 or more community-based organizations (CBO) will be invited to attend the workshop	Target = 3 or more organizations attend the workshop		Example B: Facilitate a workshop with local stakeholders to discuss environmental concerns and inform project development.	1	Increased understanding of the role of local stakeholders.	Surveys conducted before the workshop will document CBO participants' baseline levels of understanding of their roles in identifying environmental concerns and developing projects to address these issues. The baseline results will be compared to levels of understanding measured by surveys after the workshop. concerns.	Short-term	Increase in respondent's self rated understanding of the role of stakeholders, ability to identify environmental concerns, and develop projects to address these concerns. .
							2	Collaboration with local stakeholders in project proposal, implementation and/or future grant submission.	A follow up survey collected from the participating CBOs will ask about any grant submissions the CBO made or any grant money received. This follow up survey will also ask about any technical assitance the CBO may need to submit a grant proposal or implement a project addressing an environmental concern.	Intermediate	Not applicable.
Example C: Develop databases for local governments to aggregate data collected from projects funded with State Revolving Funds (SRF).	1	Develop at least 4 databases (1 per participating local government) in support of the post-award data collection for an SRF funded project.	The grantee will regularly (at least monthly) meet with the appropriate county government representative before, during, and after the database development to ensure all requirements and expectations are met.	All databases will be developed and adopted by the end of Year 2 of the grantee's project.		Example C: Develop databases for local governments to aggregate data collected from projects funded with State Revolving Funds (SRF)	1	Increased knowledge and understanding for use of post-award databases.	An intake survey will measure the county government officials' self-rated knowledge and understanding of post-award databases before the database is developed and implemented. A follow up survey, disseminated approximately a year after the database is developed/implemented, will measure the county government officials' self-rated knowledge and understanding of post-award databases. The differences between the two surveys will be measured to indicate an increase/decrease/no change in understanding.	Intermediate	Increase in respondent's self rated knowledge and understanding of use of post-award databases.
							2	SRF recipient can better collect, store, evaluate, and report data from their funded project.	Intake survey and follow up survey delivered one year after database implementation.	Intermediate	Increase in respondent's self rated ability to collect, store, evaluate, and report data from their funded project.
							3	Increased evaluation and reporting skills.	Intake survey and follow up survey delivered one year after database implementation.	Intermediate	Increase in respondent's self rated evaluation and reporting skills

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Sheet 5: Reference

					(Tab 2, Col E)
STT		State	Territory		Location Data Type
State		Alabama	American Samoa		Brownfield Site
Territory		Alaska	Commonwealth of the Northern Mariana Islands		Brownfield Grant Jurisdiction
Tribe or Alaska Native Village		Arizona	Guam		Census Tract
		Arkansas	Puerto Rico		City/Town
		California	United States Virgin Islands		Congressional District
(Tab 2, Col G)		Colorado			County
Yes		Connecticut			Geographic Program Initiative
No		Delaware			Hydrologic Units
(Tab 3, Col D)		District of Columbia			Latitude-Longitude
Output		Florida			National Priority List
Outcome		Georgia			National Estuary Program
		Hawaii			Non-Attainment Area
		Idaho			School District
Short-term		Illinois			Street Address
Intermediate		Indiana			Superfund Site
Long-term		Iowa			ZIP Code
		Kansas
		Kentucky
(Tabs 3 & 5, Col A)		Louisiana
2024		Maine
2025		Maryland
2026		Massachusetts
2027		Michigan
2028		Minnesota
2029		Mississippi
2030		Missouri
2031		Montana
2032		Nebraska
2033		Nevada
2034		New Hampshire
2035		New Jersey
		New Mexico
		New York
(Tabs 3 & 5, Col B)		North Carolina
Q1		North Dakota
Q2		Ohio
Q3		Oklahoma
Q4		Oregon
MY		Pennsylvania
EOY		Rhode Island
		South Carolina
		South Dakota
		Tennessee
Financial Line Items (Tab 4, Col A)		Texas
Construction		Utah
Contractual		Vermont
Equipment		Virginia
Fringe Benefits		Washington
Indirect Charges		West Virginia
Other		Wisconsin
Personnel		Wyoming
Supplies
Travel
		Tribe or Alaska Native Village
		Absentee-Shawnee Tribe of Indians of Oklahoma
		Agdaagux Tribe of King Cove
		Agua Caliente Band of Cahuilla Indians of the Agua Caliente Indian Reservation, California
		Ak-Chin Indian Community
		Akiachak Native Community
		Akiak Native Community
		Alabama-Coushatta Tribe of Texas
		Alabama-Quassarte Tribal Town
		Alatna Village
		Algaaciq Native Village (St. Mary’s)
		Allakaket Village
		Alturas Indian Rancheria, California
		Alutiiq Tribe of Old Harbor
		Angoon Community Association
		Anvik Village
		Apache Tribe of Oklahoma
		Arctic Village
		Asa’carsarmiut Tribe
		Assiniboine and Sioux Tribes of the Fort Peck Indian Reservation, Montana
		Augustine Band of Cahuilla Indians, California
		Bad River Band of the Lake Superior Tribe of Chippewa Indians of the Bad River Reservation, Wisconsin
		Bay Mills Indian Community, Michigan
		Bear River Band of the Rohnerville Rancheria, California
		Beaver Village
		Berry Creek Rancheria of Maidu Indians of California
		Big Bend Rancheria of Pit River Indians of California_x000D__x000D_
		Big Lagoon Rancheria, California
		Big Pine Paiute Tribe of the Owens Valley
		Big Sandy Rancheria of Western Mono Indians of California
		Big Valley Band of Pomo Indians of the Big Valley Rancheria, California
		Birch Creek Tribe
		Bishop Paiute Tribe
		Blackfeet Tribe of the Blackfeet Indian Reservation of Montana
		Blue Lake Rancheria, California
		Bridgeport Indian Colony
		Buena Vista Rancheria of Me-Wuk Indians of California
		Burns Paiute Tribe
		Cabazon Band of Cahuilla Indians
		Cachil DeHe Band of Wintun Indians of the Colusa Indian Community of the Colusa Rancheria, California
		Caddo Nation of Oklahoma
		Cahto Tribe of the Laytonville Rancheria
		Cahuilla Band of Indians
		California Valley Miwok Tribe, California
		Campo Band of Diegueno Mission Indians of the Campo Indian Reservation, California
		Capitan Grande Band of Diegueno Mission Indians of California: Barona Group of Capitan Grande Band of Mission Indians of the Barona Reservation, California
		Capitan Grande Band of Diegueno Mission Indians of California: Viejas (Baron Long) Group of Capitan Grande Band of Mission Indians of the Viejas Reservation, California
		Catawba Indian Nation
		Cayuga Nation
		Cedarville Rancheria, California
		Central Council of the Tlingit & Haida Indian Tribes
		Chalkyitsik Village
		Cheesh-Na Tribe
		Chemehuevi Indian Tribe of the Chemehuevi Reservation, California
		Cher-Ae Heights Indian Community of the Trinidad Rancheria, California
		Cherokee Nation
		Chevak Native Village
		Cheyenne and Arapaho Tribes, Oklahoma
		Cheyenne River Sioux Tribe of the Cheyenne River Reservation, South Dakota
		Chickahominy Indian Tribe
		Chickahominy Indian Tribe—Eastern Division
		Chickaloon Native Village
		The Chickasaw Nation
		Chicken Ranch Rancheria of Me-Wuk Indians of California
		Chignik Bay Tribal Council
		Chignik Lake Village
		Chilkat Indian Village (Klukwan)
		Chilkoot Indian Association (Haines)
		Chinik Eskimo Community (Golovin)
		Chippewa Cree Indians of the Rocky Boy's Reservation, Montana
		Chitimacha Tribe of Louisiana
		The Choctaw Nation of Oklahoma
		Chuloonawick Native Village
		Circle Native Community
		Citizen Potawatomi Nation, Oklahoma
		Cloverdale Rancheria of Pomo Indians of California
		Cocopah Tribe of Arizona
		Coeur D'Alene Tribe
		Cold Springs Rancheria of Mono Indians of California
		Colorado River Indian Tribes of the Colorado River Indian Reservation, Arizona and California
		Comanche Nation, Oklahoma
		Confederated Salish and Kootenai Tribes of the Flathead Reservation
		Confederated Tribes and Bands of the Yakama Nation
		Confederated Tribes of Siletz Indians of Oregon
		Confederated Tribes of the Chehalis Reservation
		Confederated Tribes of the Colville Reservation
		Confederated Tribes of the Coos, Lower Umpqua, and Siuslaw Indians
		Confederated Tribes of the Goshute Reservation, Nevada and Utah
		Confederated Tribes of the Grand Ronde Community of Oregon
		Confederated Tribes of the Umatilla Indian Reservation
		Confederated Tribes of the Warm Springs Reservation of Oregon
		Coquille Indian Tribe
		Coushatta Tribe of Louisiana
		Cow Creek Band of Umpqua Tribe of Indians
		Cowlitz Indian Tribe
		Coyote Valley Band of Pomo Indians of California
		Craig Tribal Association
		Crow Creek Sioux Tribe of the Crow Creek Reservation, South Dakota
		Crow Tribe of Montana
		Curyung Tribal Council
		Delaware Nation, Oklahoma
		Delaware Tribe of Indians
		Douglas Indian Association
		Dry Creek Rancheria Band of Pomo Indians, California
		Duckwater Shoshone Tribe of the Duckwater Reservation, Nevada
		Eastern Band of Cherokee Indians
		Eastern Shawnee Tribe of Oklahoma
		Eastern Shoshone Tribe of the Wind River Reservation, Wyoming
		Egegik Village
		Eklutna Native Village
		Elem Indian Colony of Pomo Indians of the Sulphur Bank Rancheria, California
		Elk Valley Rancheria, California
		Ely Shoshone Tribe of Nevada
		Emmonak Village
		Enterprise Rancheria of Maidu Indians of California
		Evansville Village (also known as Bettles Field)
		Ewiiaapaayp Band of Kumeyaay Indians, California
		Federated Indians of Graton Rancheria, California
		Flandreau Santee Sioux Tribe of South Dakota
		Forest County Potawatomi Community, Wisconsin
		Fort Belknap Indian Community of the Fort Belknap Reservation of Montana
		Fort Bidwell Indian Community of the Fort Bidwell Reservation of California
		Fort Independence Indian Community of Paiute Indians of the Fort Independence Reservation, California
		Fort McDermitt Paiute and Shoshone Tribes of the Fort McDermitt Indian Reservation, Nevada and Oregon
		Fort McDowell Yavapai Nation, Arizona
		Fort Mojave Indian Tribe of Arizona, California & Nevada
		Fort Sill Apache Tribe of Oklahoma
		Gila River Indian Community of the Gila River Indian Reservation, Arizona
		Grand Traverse Band of Ottawa and Chippewa Indians, Michigan
		Greenville Rancheria
		Grindstone Indian Rancheria of Wintun-Wailaki Indians of California
		Guidiville Rancheria of California
		Gulkana Village Council
		Habematolel Pomo of Upper Lake, California
		Hannahville Indian Community, Michigan
		Havasupai Tribe of the Havasupai Reservation, Arizona
		Healy Lake Village
		Ho-Chunk Nation of Wisconsin
		Hoh Indian Tribe
		Holy Cross Tribe
		Hoonah Indian Association
		Hoopa Valley Tribe, California
		Hopi Tribe of Arizona
		Hopland Band of Pomo Indians, California
		Houlton Band of Maliseet Indians
		Hualapai Indian Tribe of the Hualapai Indian Reservation, Arizona
		Hughes Village
		Huslia Village
		Hydaburg Cooperative Association
		Igiugig Village
		Iipay Nation of Santa Ysabel, California
		Inaja Band of Diegueno Mission Indians of the Inaja and Cosmit Reservation, California
		Inupiat Community of the Arctic Slope
		Ione Band of Miwok Indians of California
		Iowa Tribe of Kansas and Nebraska
		Iowa Tribe of Oklahoma
		Iqugmiut Traditional Council
		Ivanof Bay Tribe
		Jackson Band of Miwuk Indians
		Jamestown S'Klallam Tribe
		Jamul Indian Village of California
		Jena Band of Choctaw Indians
		Jicarilla Apache Nation, New Mexico
		Kaguyak Village
		Kaibab Band of Paiute Indians of the Kaibab Indian Reservation, Arizona
		Kaktovik Village (also known as Barter Island)
		Kalispel Indian Community of the Kalispel Reservation
		Karuk Tribe
		Kashia Band of Pomo Indians of the Stewarts Point Rancheria, California
		Kasigluk Traditional Elders Council
		Kaw Nation, Oklahoma
		Kenaitze Indian Tribe
		Ketchikan Indian Community
		Keweenaw Bay Indian Community, Michigan
		Kialegee Tribal Town
		Kickapoo Traditional Tribe of Texas
		Kickapoo Tribe of Indians of the Kickapoo Reservation in Kansas
		Kickapoo Tribe of Oklahoma
		King Island Native Community
		King Salmon Tribe
		Kiowa Indian Tribe of Oklahoma
		Klamath Tribes
		Klawock Cooperative Association
		Kletsel Dehe Wintun Nation of the Cortina Rancheria
		Knik Tribe
		Koi Nation of Northern California
		Kokhanok Village
		Kootenai Tribe of Idaho
		Koyukuk Native Village
		La Jolla Band of Luiseno Indians, California
		La Posta Band of Diegueno Mission Indians of the La Posta Indian Reservation, California
		Lac Courte Oreilles Band of Lake Superior Chippewa Indians of Wisconsin
		Lac du Flambeau Band of Lake Superior Chippewa Indians of the Lac du Flambeau Reservation of Wisconsin
		Lac Vieux Desert Band of Lake Superior Chippewa Indians of Michigan
		Las Vegas Tribe of Paiute Indians of the Las Vegas Indian Colony, Nevada
		Levelock Village
		Lime Village
		Little River Band of Ottawa Indians, Michigan
		Little Shell Tribe of Chippewa Indians of Montana
		Little Traverse Bay Bands of Odawa Indians, Michigan
		Lone Pine Paiute-Shoshone Tribe
		Lookout Rancheria of Pit River Indians, California_x000D__x000D_
		Los Coyotes Band of Cahuilla and Cupeno Indians, California
		Louden Tribe (also known as Louden Village)
		Lovelock Paiute Tribe of the Lovelock Indian Colony, Nevada
		Lower Brule Sioux Tribe of the Lower Brule Reservation, South Dakota
		Lower Elwha Tribal Community
		Lower Sioux Indian Community in the State of Minnesota
		Lummi Tribe of the Lummi Reservation
		Lytton Rancheria of California
		Makah Indian Tribe of the Makah Indian Reservation
		Manchester Band of Pomo Indians of the Manchester Rancheria, California
		Manley Hot Springs Village
		Manokotak Village
		Manzanita Band of Diegueno Mission Indians of the Manzanita Reservation, California
		Mashantucket Pequot Indian Tribe
		Mashpee Wampanoag Tribe
		Match-e-be-nash-she-wish Band of Pottawatomi Indians of Michigan
		McGrath Native Village
		Mechoopda Indian Tribe of Chico Rancheria, California
		Menominee Indian Tribe of Wisconsin
		Mentasta Traditional Council
		Mesa Grande Band of Diegueno Mission Indians of the Mesa Grande Reservation, California
		Mescalero Apache Tribe of the Mescalero Reservation, New Mexico
		Metlakatla Indian Community, Annette Island Reserve
		Mi'kmaq Nation
		Miami Tribe of Oklahoma
		Miccosukee Tribe of Indians
		Middletown Rancheria of Pomo Indians of California
		Minnesota Chippewa Tribe, Minnesota (Bois Forte Band (Nett Lake))
		Minnesota Chippewa Tribe, Minnesota (Fond du Lac Band)
		Minnesota Chippewa Tribe, Minnesota (Grand Portage Band)
		Minnesota Chippewa Tribe, Minnesota (Leech Lake Band)
		Minnesota Chippewa Tribe, Minnesota (Mille Lacs Band)
		Minnesota Chippewa Tribe, Minnesota (White Earth Band)
		Mississippi Band of Choctaw Indians
		Moapa Band of Paiute Indians of the Moapa River Indian Reservation, Nevada
		Modoc Nation
		Mohegan Tribe of Indians of Connecticut
		Monacan Indian Nation
		Montgomery Creek Rancheria of Pit River Indians of California_x000D__x000D_
		Mooretown Rancheria of Maidu Indians of California
		Morongo Band of Mission Indians, California
		Muckleshoot Indian Tribe
		The Muscogee (Creek) Nation
		Naknek Native Village
		Nansemond Indian Nation
		Narragansett Indian Tribe
		Native Village of Afognak
		Native Village of Akhiok
		Native Village of Akutan
		Native Village of Aleknagik
		Native Village of Ambler
		Native Village of Atka
		Native Village of Atqasuk
		Native Village of Barrow Inupiat Traditional Government
		Native Village of Belkofski
		Native Village of Brevig Mission
		Native Village of Buckland
		Native Village of Cantwell
		Native Village of Chenega (also known as Chanega)
		Native Village of Chignik Lagoon
		Native Village of Chitina
		Native Village of Chuathbaluk (Russian Mission, Kuskokwim)
		Native Village of Council
		Native Village of Deering
		Native Village of Diomede (also known as Inalik)
		Native Village of Eagle
		Native Village of Eek
		Native Village of Ekuk
		Native Village of Ekwok
		Native Village of Elim
		Native Village of Eyak (Cordova)
		Native Village of False Pass
		Native Village of Fort Yukon
		Native Village of Gakona
		Native Village of Gambell
		Native Village of Georgetown
		Native Village of Goodnews Bay
		Native Village of Hamilton
		Native Village of Hooper Bay
		Native Village of Kanatak
		Native Village of Karluk
		Native Village of Kiana
		Native Village of Kipnuk
		Native Village of Kivalina
		Native Village of Kluti Kaah (also known as Copper Center)
		Native Village of Kobuk
		Native Village of Kongiganak
		Native Village of Kotzebue
		Native Village of Koyuk
		Native Village of Kwigillingok
		Native Village of Kwinhagak (also known as Quinhagak)
		Native Village of Larsen Bay
		Native Village of Marshall (also known as Fortuna Ledge)
		Native Village of Mary’s Igloo
		Native Village of Mekoryuk
		Native Village of Minto
		Native Village of Nanwalek (also known as English Bay)
		Native Village of Napaimute
		Native Village of Napakiak
		Native Village of Napaskiak
		Native Village of Nelson Lagoon
		Native Village of Nightmute
		Native Village of Nikolski
		Native Village of Noatak
		Native Village of Nuiqsut (also known as Nooiksut)
		Native Village of Nunam Iqua
		Native Village of Nunapitchuk
		Native Village of Ouzinkie
		Native Village of Paimiut
		Native Village of Perryville
		Native Village of Pilot Point
		Native Village of Point Hope
		Native Village of Point Lay
		Native Village of Port Graham
		Native Village of Port Heiden
		Native Village of Port Lions
		Native Village of Ruby Native Village of Saint Michael
		Native Village of Savoonga
		Native Village of Scammon Bay
		Native Village of Selawik
		Native Village of Shaktoolik
		Native Village of Shishmaref
		Native Village of Shungnak
		Native Village of Stevens
		Native Village of Tanacross
		Native Village of Tanana
		Native Village of Tatitlek
		Native Village of Tazlina
		Native Village of Teller
		Native Village of Tetlin
		Native Village of Tuntutuliak
		Native Village of Tununak
		Native Village of Tyonek
		Native Village of Unalakleet
		Native Village of Unga
		Native Village of Wales
		Native Village of White Mountain
		Navajo Nation, Arizona, New Mexico, & Utah
		Nenana Native Association
		New Koliganek Village Council
		New Stuyahok Village
		Newhalen Village
		Newtok Village
		Nez Perce Tribe
		Nikolai Village
		Ninilchik Village
		Nisqually Indian Tribe
		Nome Eskimo Community
		Nondalton Village
		Nooksack Indian Tribe
		Noorvik Native Community
		Northern Arapaho Tribe of the Wind River Reservation, Wyoming
		Northern Cheyenne Tribe of the Northern Cheyenne Indian Reservation, Montana
		Northfork Rancheria of Mono Indians of California
		Northway Village
		Northwestern Band of the Shoshone Nation
		Nottawaseppi Huron Band of the Potawatomi, Michigan
		Nulato Village
		Nunakauyarmiut Tribe
		Oglala Sioux Tribe
		Ohkay Owingeh, New Mexico
		Omaha Tribe of Nebraska
		Oneida Indian Nation
		Oneida Nation
		Onondaga Nation
		Organized Village of Grayling (also known as Holikachuk)
		Organized Village of Kake
		Organized Village of Kasaan
		Organized Village of Kwethluk
		Organized Village of Saxman
		Orutsararmiut Traditional Native Council
		The Osage Nation
		Oscarville Traditional Village
		Otoe-Missouria Tribe of Indians, Oklahoma
		Ottawa Tribe of Oklahoma
		Paiute Indian Tribe of Utah (Cedar Band of Paiutes, Kanosh Band of Paiutes, Koosharem Band of Paiutes, Indian Peaks Band of Paiutes, and Shivwits Band of Paiutes)
		Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Nevada
		Pala Band of Mission Indians
		Pamunkey Indian Tribe
		Pascua Yaqui Tribe of Arizona
		Paskenta Band of Nomlaki Indians of California
		Passamaquoddy Tribe of Maine (Indian Township)
		Passamaquoddy Tribe of Maine (Pleasant Point)
		Pauloff Harbor Village
		Pauma Band of Luiseno Mission Indians of the Pauma & Yuima Reservation, California
		Pawnee Nation of Oklahoma
		Pechanga Band of Indians
		Pedro Bay Village
		Penobscot Nation
		Peoria Tribe of Indians of Oklahoma
		Petersburg Indian Association
		Picayune Rancheria of Chukchansi Indians of California
		Pilot Station Traditional Village
		Pinoleville Pomo Nation, California
		Pit River Indian Tribe of the X-L Ranch Reservation, California_x000D__x000D_
		Pitka’s Point Traditional Council
		Platinum Traditional Village
		Poarch Band of Creek Indians
		Pokagon Band of Potawatomi Indians, Michigan and Indiana
		Ponca Tribe of Indians of Oklahoma
		Ponca Tribe of Nebraska
		Port Gamble S'Klallam Tribe
		Portage Creek Village (also known as Ohgsenakale)
		Potter Valley Tribe, California
		Prairie Band Potawatomi Nation
		Prairie Island Indian Community in the State of Minnesota
		Pueblo of Acoma, New Mexico
		Pueblo of Cochiti, New Mexico
		Pueblo of Isleta, New Mexico
		Pueblo of Jemez, New Mexico
		Pueblo of Laguna, New Mexico
		Pueblo of Nambe, New Mexico
		Pueblo of Picuris, New Mexico
		Pueblo of Pojoaque, New Mexico
		Pueblo of San Felipe, New Mexico
		Pueblo of San Ildefonso, New Mexico
		Pueblo of Sandia, New Mexico
		Pueblo of Santa Ana, New Mexico
		Pueblo of Santa Clara, New Mexico
		Pueblo of Taos, New Mexico
		Pueblo of Tesuque, New Mexico
		Pueblo of Zia, New Mexico
		Puyallup Tribe of the Puyallup Reservation
		Pyramid Lake Paiute Tribe of the Pyramid Lake Reservation, Nevada
		Qagan Tayagungin Tribe of Sand Point
		Qawalangin Tribe of Unalaska
		Quapaw Nation
		Quartz Valley Indian Community of the Quartz Valley Reservation of California
		Quechan Tribe of the Fort Yuma Indian Reservation, California & Arizona
		Quileute Tribe of the Quileute Reservation
		Quinault Indian Nation
		Ramona Band of Cahuilla, California
		Rampart Village
		Rancheria, California
		Rappahannock Tribe, Inc.
		Red Cliff Band of Lake Superior Chippewa Indians of Wisconsin
		Red Lake Band of Chippewa Indians, Minnesota
		Redding Rancheria, California
		Redwood Valley or Little River Band of Pomo Indians of the Redwood Valley Rancheria, California
		Reno-Sparks Indian Colony, Nevada
		Resighini Rancheria, California
		Rincon Band of Luiseno Mission Indians of Rincon Reservation, California
		Roaring Creek Rancheria of Pit River Indians of California_x000D__x000D_
		Robinson Rancheria
		Rosebud Sioux Tribe of the Rosebud Indian Reservation, South Dakota
		Round Valley Indian Tribes, Round Valley Reservation, California
		Sac & Fox Nation of Missouri in Kansas and Nebraska
		Sac & Fox Nation, Oklahoma
		Sac & Fox Tribe of the Mississippi in Iowa
		Saginaw Chippewa Indian Tribe of Michigan
		Saint George Island
		Saint Paul Island
		Saint Regis Mohawk Tribe
		Salamatof Tribe
		Salt River Pima-Maricopa Indian Community of the Salt River Reservation, Arizona
		Samish Indian Nation
		San Carlos Apache Tribe of the San Carlos Reservation, Arizona
		San Juan Southern Paiute Tribe of Arizona
		San Pasqual Band of Diegueno Mission Indians of California
		Santa Rosa Band of Cahuilla Indians, California
		Santa Rosa Indian Community of the Santa Rosa Rancheria, California
		Santa Ynez Band of Chumash Mission Indians of the Santa Ynez Reservation, California
		Santee Sioux Nation, Nebraska
		Santo Domingo Pueblo
		Sauk-Suiattle Indian Tribe
		Sault Ste. Marie Tribe of Chippewa Indians, Michigan
		Scotts Valley Band of Pomo Indians of California
		Seldovia Village Tribe
		Seminole Tribe of Florida
		The Seminole Nation of Oklahoma
		Seneca Nation of Indians
		Seneca-Cayuga Nation
		Shageluk Native Village
		Shakopee Mdewakanton Sioux Community of Minnesota
		Shawnee Tribe
		Sherwood Valley Rancheria of Pomo Indians of California
		Shingle Springs Band of Miwok Indians, Shingle Springs Rancheria (Verona Tract), California
		Shinnecock Indian Nation
		Shoalwater Bay Indian Tribe of the Shoalwater Bay Indian Reservation
		Shoshone-Bannock Tribes of the Fort Hall Reservation
		Shoshone-Paiute Tribes of the Duck Valley Reservation, Nevada
		Sisseton-Wahpeton Oyate of the Lake Traverse Reservation, South Dakota
		Sitka Tribe of Alaska
		Skagway Village
		Skokomish Indian Tribe
		Skull Valley Band of Goshute Indians of Utah
		Snoqualmie Indian Tribe
		Soboba Band of Luiseno Indians, California
		Sokaogon Chippewa Community, Wisconsin
		South Naknek Village
		Southern Ute Indian Tribe of the Southern Ute Reservation, Colorado
		Spirit Lake Tribe, North Dakota
		Spokane Tribe of the Spokane Reservation
		Squaxin Island Tribe of the Squaxin Island Reservation
		St. Croix Chippewa Indians of Wisconsin
		Standing Rock Sioux Tribe of North & South Dakota
		Stebbins Community Association
		Stillaguamish Tribe of Indians of Washington
		Stockbridge Munsee Community, Wisconsin
		Summit Lake Paiute Tribe of Nevada
		Sun’aq Tribe of Kodiak
		Suquamish Indian Tribe of the Port Madison Reservation
		Susanville Indian Rancheria, California
		Swinomish Indian Tribal Community
		Sycuan Band of the Kumeyaay Nation
		Table Mountain Rancheria
		Takotna Village
		Tangirnaq Native Village
		Tejon Indian Tribe
		Telida Village
		Te-Moak Tribe of Western Shoshone Indians of Nevada (Battle Mountain Band)
		Te-Moak Tribe of Western Shoshone Indians of Nevada (Elko Band)
		Te-Moak Tribe of Western Shoshone Indians of Nevada (South Fork Band)
		Te-Moak Tribe of Western Shoshone Indians of Nevada (Wells Band)
		Thlopthlocco Tribal Town
		Three Affiliated Tribes of the Fort Berthold Reservation, North Dakota
		Timbisha Shoshone Tribe
		Tohono O'odham Nation of Arizona
		Tolowa Dee-ni' Nation
		Tonawanda Band of Seneca
		Tonkawa Tribe of Indians of Oklahoma
		Tonto Apache Tribe of Arizona
		Torres Martinez Desert Cahuilla Indians, California
		Traditional Village of Togiak
		Tulalip Tribes of Washington
		Tule River Indian Tribe of the Tule River Reservation, California
		Tuluksak Native Community
		Tunica-Biloxi Indian Tribe
		Tuolumne Band of Me-Wuk Indians of the Tuolumne Rancheria of California
		Turtle Mountain Band of Chippewa Indians of North Dakota
		Tuscarora Nation
		Twenty-Nine Palms Band of Mission Indians of California
		Twin Hills Village
		Ugashik Village
		Umkumiut Native Village
		United Auburn Indian Community of the Auburn Rancheria of California
		United Keetoowah Band of Cherokee Indians in Oklahoma
		Upper Mattaponi Tribe
		Upper Sioux Community, Minnesota
		Upper Skagit Indian Tribe
		Ute Indian Tribe of the Uintah & Ouray Reservation, Utah
		Ute Mountain Ute Tribe
		Utu Utu Gwaitu Paiute Tribe of the Benton Paiute Reservation, California
		Village of Alakanuk
		Village of Anaktuvuk Pass
		Village of Aniak
		Village of Atmautluak
		Village of Bill Moore’s Slough
		Village of Chefornak
		Village of Clarks Point
		Village of Crooked Creek
		Village of Dot Lake
		Village of Iliamna
		Village of Kalskag
		Village of Kaltag
		Village of Kotlik
		Village of Lower Kalskag
		Village of Ohogamiut
		Village of Red Devil
		Village of Sleetmute
		Village of Solomon
		Village of Stony River
		Village of Venetie
		Village of Wainwright
		Walker River Paiute Tribe of the Walker River Reservation, Nevada
		Wampanoag Tribe of Gay Head (Aquinnah)
		Washoe Tribe of Nevada & California (Carson Colony, Dresslerville Colony, Woodfords Community, Stewart Community, & Washoe Ranches)
		White Mountain Apache Tribe of the Fort Apache Reservation, Arizona
		Wichita and Affiliated Tribes (Wichita, Keechi, Waco, & Tawakonie), Oklahoma
		Wilton Rancheria, California
		Winnebago Tribe of Nebraska
		Winnemucca Indian Colony of Nevada
		Wiyot Tribe, California
		Wrangell Cooperative Association
		Wyandotte Nation
		Yakutat Tlingit Tribe
		Yankton Sioux Tribe of South Dakota
		Yavapai-Apache Nation of the Camp Verde Indian Reservation, Arizona
		Yavapai-Prescott Indian Tribe
		Yerington Paiute Tribe of the Yerington Colony & Campbell Ranch, Nevada
		Yocha Dehe Wintun Nation, California
		Yomba Shoshone Tribe of the Yomba Reservation, Nevada
		Ysleta del Sur Pueblo
		Yuhaaviatam of San Manuel Nation
		Yupiit of Andreafski
		Yurok Tribe of the Yurok Reservation, California
		Zuni Tribe of the Zuni Reservation, New Mexico