**Historic Preservation Fund Grants to Tribal Historic Preservation
Offices**

***Grant Products Summary***

**Tribe:**
[**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**\_\_\_\_\_\_\_\_**]{.underline}

**Fiscal Year:**
**[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}**

**Prepared By:**
**[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}**

**Date:**
**[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}**

This form records accomplishments by the Tribal Historic Preservation
Office using HPF grant funds during the calendar year. Enter "N.A." if
the category is not applicable. Use "0" if the category is applicable
but no activity occurred during the reporting period. Submit this form
with the Annual Report due by January 31. For answers to questions about
this form, please call Bob Ruff at (202) 354-2068, or James Bird at
(202) 354-1837, email: james_bird@nps.gov

+--------------------+-------------------------------------------+-----+
| **SECTION 106      | Number of Federal findings of **"No       |     |
| REVIEW**           | Properties"** for which your office       |     |
|                    | provided a written opinion                |     |
+--------------------+-------------------------------------------+-----+
|                    | Number of Federal findings of **"No       |     |
|                    | effect"** for which your office provide a |     |
|                    | written opinion                           |     |
+--------------------+-------------------------------------------+-----+
|                    | Number of Federal findings of **"No       |     |
|                    | Adverse Effect"** for which your office   |     |
|                    | provided a written opinion                |     |
+--------------------+-------------------------------------------+-----+
|                    | Number of Federal findings of **"Adverse  |     |
|                    | Effect"** for which your office provided  |     |
|                    | a written opinion                         |     |
+--------------------+-------------------------------------------+-----+
|                    | Number of Memoranda of Agreement Signed   |     |
+--------------------+-------------------------------------------+-----+
|                    | Number of Programmatic Agreements Signed  |     |
+--------------------+-------------------------------------------+-----+
|                    | Number of Properties meeting National     |     |
|                    | Register Criteria for which written       |     |
|                    | eligibility opinions were provided        |     |
+--------------------+-------------------------------------------+-----+
|                    | Number of Properties [Not]{.underline}    |     |
|                    | Meeting National Register Criteria for    |     |
|                    | which written eligibility opinions were   |     |
|                    | provided                                  |     |
+--------------------+-------------------------------------------+-----+
| **LISTINGS ON      | Number of Properties Nominated to the     |     |
| REGISTERS**        | National Register                         |     |
|                    |                                           |     |
| **(Optional)**     |                                           |     |
+--------------------+-------------------------------------------+-----+
|                    | Number of Properties Listed Tribal        |     |
|                    | Register                                  |     |
+--------------------+-------------------------------------------+-----+
| **SURVEY and       | Area Surveyed (in Acres)                  |     |
| INVENTORY**        |                                           |     |
|                    |                                           |     |
| **(Number of       |                                           |     |
| Properties/Sites** |                                           |     |
|                    |                                           |     |
| **Added to         |                                           |     |
| Inventory)**       |                                           |     |
+--------------------+-------------------------------------------+-----+
|                    | Archaeological                            |     |
+--------------------+-------------------------------------------+-----+
|                    | Architectural or Historical               |     |
+--------------------+-------------------------------------------+-----+
| **Historic         | Number of Activities Sponsored or         |     |
| Preservation       | Participated in, e.g.: sites visits,      |     |
| Public Education** | consultations, conference presentations,  |     |
|                    | etc.                                      |     |
+--------------------+-------------------------------------------+-----+

[Guidelines for Completing the Grant Products Summary]{.underline}

The following guidelines are to be used in completing the Grant Products
Summary Form. Except where specifically stated, the guidelines apply to
all Grant Products Summary Forms sent by Tribes.

A. [General Guidelines]{.underline}.

> 1\. Fill in [all]{.underline} blanks. Do not combine data unless
> requested to do so.
>
> 2\. Only activities funded or administered with HPF grant monies or
> used as allowable matching share should be reported on the Grant
> Products Summary.
>
> 3\. In the Heading, list the date of the current submission. This will
> help NPS ensure that only current data will be used for review and
> reports.

4.  General-purpose definitions are appended.

5.  Double counting of products in some situations may be appropriate.
    For example, the area of a survey for both architectural/historical
    and archeological resources should be counted twice.

B. [Review and Compliance Program Area]{.underline}.

1.  Report [Products]{.underline} on the review of Federal compliance
    with Section 106 of the National Historic Preservation Act as
    amended and 36 CFR 800 only.

2.  Do not include reviews on the Grant Products Summary Form of Federal
    activity performed for compliance with other laws (e.g., the
    Archeological Resources Protection Act, the National Environmental
    Protection Act, etc.) or reviews of Tribe or local undertakings
    carried out pursuant to Tribal or local regulations (this includes
    project or design review conducted by tribal planning commissions).
    These remain eligible activities (see Chapter 6, Section O). A
    summary of these reviews may be included in a Grants Product Summary
    continuation sheet or as a narrative in the Annual Report, if
    desired. See Chapters 7 and 25.

3.  Products completed pursuant to a Programmatic Agreement, a
    Memorandum of Agreement, a \"Conditional\" No Adverse Effect
    Agreement, or other agreements are reported in the same way as any
    other product. For example, a National Register eligibility opinion
    provided pursuant to a Programmatic Agreement is reported with other
    eligibility opinions, and a survey performed pursuant to a
    \"Conditional\" No Effect agreement is reported in the Survey and
    Inventory Program Area.

4.  For both the \"Properties Meeting National Register Criteria for
    which a Written Eligibility Opinion Is provided\" figure and the
    \"Properties Not Meeting National Register Criteria for which a
    Written Eligibility Opinion is provided\" figure, Tribes must count
    individual properties and each property of a group whose eligibility
    is specifically and individually addressed. The written opinion must
    enable the Federal agency to identify, locate and understand the
    significance of each property to which the Tribe refers.

5.  For the purposes of Grant Products Summary Form, include opinions
    that there is not enough information to determine National Register
    eligibility in the \"Properties Not Meeting National Register
    Criteria for which a Written Eligibility Opinion is provided.

6.  The rule of thumb for counting previously evaluated properties is
    whether the Tribal Office reevaluates the property\'s eligibility.
    Many properties change from eligible to ineligible (and vice versa)
    over time. If the Tribe evaluates or reevaluates a property\'s
    eligibility because there is some reason to believe its standing
    might have changed, it is reported; otherwise, previously evaluated
    properties are not reported.

7.  \"Findings of \'No Properties\' refers to written opinions provided
    to a Federal agency when the Tribe concurs with a Federal agency\'s
    finding that there are no National Register eligible or listed
    properties (historic or prehistoric properties) within the Federal
    undertaking\'s area of potential effect or APE (i.e., \"No
    properties;\" see 36 CFR 800.4(d) (1)).

8.  "No Effect\' On Which Written Opinions Are Provided,\" refers to
    written opinions provided to a Federal agency if the THPO finds that
    there are historic or prehistoric properties present but that the
    Federal undertaking will have no effect on National Register
    eligible or listed properties as defined in Sec. 800.16(i).

9.  \"No Adverse Effect' for which your office provided a written
    opinion\" refers to written opinions provided to a Federal agency as
    to whether or not the Tribe agrees with (or believes that there
    should be) a Federal agency finding that its Federal undertaking
    would have \"No Adverse Effect\" (see 36 CFR 800.5.(b))

10. \"Adverse Effect' for which your office provided a written opinion"
    refers to those written opinions provided to a Federal Agency that
    an undertaking would cause Adverse Effects to the area of potential
    effect on National Register or eligible properties according to the
    criteria set forth in 36 CFR 800.5(a) (1), (2) (i)-(vii).

11. "Number of Properties meeting National Register Criteria for which
    written opinions were provided" refers to providing written opinions
    to a Federal Agency regarding the identification and evaluation of
    properties for their historic significance in reference to 36 CFR
    800.4 (c).

12. "Number of Properties [Not]{.underline} Meeting National Register
    Criteria for which written opinions were provided" refers to those
    written opinions provided to a Federal Agency regarding the
    identification and evaluation of a property for historic
    significance for which the eligibility criteria are not met. (See 36
    CFR 800.4 (c) (2)).

13. The unit of measure for all of the \"Effect\" determinations is the
    number of undertakings for which the Tribe provides a written
    opinion. Only one finding per undertaking per Federal fiscal year is
    to be reported. In other words, the reviews of multiple drafts of a
    proposed undertaking must not be reported within a single Federal
    fiscal year. However, if the Tribe has provided its written opinion
    on an undertaking\'s effect, and the Federal agency submits a
    completely new proposal that would change the effect of the
    undertaking and the Tribe provides its written opinion of the new
    effect, then the second written opinion is reported. The most common
    example of this would be where the planned path of a new highway has
    been changed.

14. Findings must be reported at their greatest level of effect. For
    example, if a Tribe provides its written opinion that a single
    undertaking has \"No Effect\" on seven National Register eligible
    properties and an \"Adverse Effect\" on three properties count the
    undertaking as one \"Adverse Effect\" and report it in the \"Other
    Effects\" blanks in the Grant Products Summary.

15. If a single undertaking ends with multiple Federal agency findings
    for the properties included within its scope, the Tribe must not
    count its comments more than once on the Grant Products Summary. If,
    in addition, a Tribe wishes to report all of the findings within an
    undertaking it may do so, but only on a continuation sheet or in a
    narrative accompanying the Grant Products Summary.

16. \"Memoranda of Agreement\" (MOAs) pertain to specific Federal
    undertakings rather than a type of activity (e.g., a project to
    renovate a specific Post Office building, rather than a program to
    remove asbestos from schools).

17. \"Memoranda of Agreement Signed\" includes both new and revised
    MOAs. Only one MOA per undertaking per Federal fiscal year should be
    reported unless there has been a substantive revision made to an
    executed MOA within that time. The THPO\'s signature will be taken
    by NPS as assurance that the Tribe has made a substantive
    contribution to the MOA.

18. Reviews reported in this area must be substantive (i.e., involving
    examination of project documents) to be counted. For example, merely
    extending an MOA without review should not be counted.

19. \"Programmatic Agreements Signed\" (PAs) should include new and
    revised, (but not just renewed; there must be substantive changes),
    for which substantive work has been performed. These Products refer
    to types of activities, not specific undertakings. They may be
    initiated by either the THPO or a Federal agency. They are signed by
    the Federal agency representative and the THPO and are executed by
    the Advisory Council on Historic Preservation. See 36 CFR 800.13 for
    further information on PAs. Because the Tribe\'s work is complete
    when the THPO signs the PA, the product is reported at that point.
    The THPO\'s signature on the PA will be taken by NPS as assurance
    the substantive work has been performed.

20. "Survey and Inventory" is activity directly pertinent to the
    location, identification and evaluation of historic and
    archeological resources. Inventory activity relates to the
    maintenance and use of previously gathered information on the
    absence and presence, of historic and archaeological resources
    within tribal lands. For this entry include the total acreage for
    which this activity was performed. This category is further
    delineated into two additional sub-categories.

21. "Archaeolgical" refers to a sub-category of the survey and inventory
    program area. Include the acreage surveyed as defined within the
    eligible activities of archaeological survey as set forth in Chapter
    6 (H) (3) of the HPF Grants Manual.

22. "Architectural or Historical" refers to a sub-category of the survey
    and inventory program area. Include the number of prehistoric or
    historic district, site, building, structure, or object included in,
    or eligible for inclusion in the National Register, including
    artifacts, records, and material remains related to such a property
    or resource.

23. [Historic Preservation Public Education]{.underline} includes those
    activities listed within Chapter 6 (D) (3) of the HPF Grants Manual:
    *"(1) activities to increase overall public awareness of technical
    preservation methods and techniques having application to historic
    and archeological properties, (2) dissemination of information to
    promote working relationships with the public and private sectors to
    achieve HPF grant objectives, (3) explanation of historic
    preservation planning and/or the goals of the Tribal Plan to Tribal,
    State and local governments and to public or private audiences;
    and (4) dissemination of the results of grant-funded work, including
    explanation of accomplishments, problems, and issues directly
    related to grant-assisted activities to the Tribal preservation
    constituency. In addition, refer to Chapter 13, items B.36, B.37 and
    B.49 for applicable allowable costs.*

\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*

6.  In the ***End-of-Year Report***, report activity in each program
    area specified in the THPO MOA:

> The report will include, at a minimum, the number of additional
> properties surveyed and added to the Tribe\'s inventory, the number of
> Federal undertakings reviewed pursuant to Section 106 of the Act, and
> a description of any educational activities and programs carried out.
> The report shall not be construed as requiring the provision of
> information that the Tribe deems to be sensitive or culturally
> inappropriate.
>
> If there has been no activity for particular blanks, enter zero.
>
> 11\. Planned [Products]{.underline} are results to be achieved,
> reviews to be performed, etc. For the End-of-Year Report,
> [Products]{.underline} are those actions and results that were
> produced during the reporting period. It does not refer to the number
> of items received during the reporting period, or to activities
> undertaken but not completed. For example, an item that is received
> during FY \"1996\" but upon which action is not completed until FY
> \"1997\" should be counted in the FY 1997 Annual Grant Application
> Grant Products Summary and the FY 1997 End-of-­Year Report, not in the
> FY 1996 End-of-Year Report.