Grantee name:
Grantee address:
Grant quarter:____________
Report Period: From: ______ To: ______
I. General Information on Use of HPG Funds During Period:
A. Use of Administrative Funds:
Budgeted Amount
$______
Expended Thru Last Quarter
______
Direct Cost:
Personnel
$______
Supplies & Equip
______
Travel
______
Indirect Costs:
(______% Rate)
______
This Quarter Total
______
B. Use of Program Funds:
Budgeted Amount
______
Expended Thru Last Quarter
______
Loans
No. ______ $______
Grants
No. ______ ______
Other subsidies
(describe briefly)
No. ______ ______
This Quarter Total
______
II. Description of recipients provided assistance during report period: (Attach breakdown for each HPG recipient on separate page including name, address, income, size, race, housing preservation activities, and type of assistance received):
Number of low-income homeowners assisted
______
Number of very low-income homeowners assisted
______
Total number of homeowners assisted
______
Racial composition:
White
______
Black
______
Hispanic
______
Am. Indian
______
Other
______
III. Description of types of housing preservation provided:
| Housing preservation activity
| Financial assistance
|
|---|
| Item
| Cost of materials/labor
| HPG
| Other
| Total
|
|---|
|
| | | | |
| | | | | |
IV. Objectives for next period:
Loans
No. ______ $______
Grants
No. ______ $______
Other subsidy
No. ______ $______
Totals
No. ______ $______
V. Project summary:
|
| No. homeowners
| HPG funds
| Other
|
|---|
| Assistance objectives of project | | $______ | $______
|
| Assistance to date | | ______ | ______
|
| Assistance during next period | | ______ | ______
|
| Average amount of HPG assistance
| | | |
| Per unit provided (program to date) (per unit) | $______ | | |
VI. Narrative:
A. Significant accomplishments.
B. Problem areas.
C. Proposed changes/assistance needed, etc.
D. Status of implementing environmental and historic preservation requirements. Include number of historic properties assisted.