| INDIVIDUAL HOUSING PROJECT SITE ESTIMATE |
| (A Housing Site Description is required for each property) |
| YouthBuild (YB) GRANT |
| ATTACHMENT 1A |
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OMB No. |
1205-0464 |
| ETA - 9143 |
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Expires: |
10/31/2010 |
| Applicant Name: |
| Address of Property (include city, state, and zip code) |
| Grant Activities |
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Resources |
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YouthBuild |
Other Federal |
State |
Local |
Private |
Total |
| 1. Acquisition |
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| 2. Architecture and Engineering |
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| 3. Housing Construction |
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| 4. Housing Rehabilitation |
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| 5. Total Housing Project Costs for Site |
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| Note 1: Include both cash and in-kind contributions |
| Documentation of Housing Resources |
| Attach a letter of commitment from each source of funding |
| Name of Provider (Donor) |
Cash or In-Kind |
Dollar Value Provided |
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OMB No.: 1205-0464 OMB Expiration Date: 10/31/2010 Average Response Time: 30 minutes
This reporting requirement is approved under the Paperwork Reduction Act of 1995. Persons are not required to respond to this collection of information unless it displays a currently valid OMB number. Public reporting burden for this collection of information includes time for reviewing instructions, searching existing data sources, gathering and reviewing the collection of information. Respondent’s obligation to reply to this collection of information, which is for general program oversight, evaluation, and performance assessment, is required to maintain benefits [PL 109-281 Sec 173(A)(c)(3)]. Send comments regarding this burden estimate or any other aspect of this collection, including suggestions for reducing this burden, to the U. S. Department of Labor, Employment and Training Administration, Youth Office, Room N4459, 200 Constitution Avenue, NW, Washington, D.C. 20210.
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| Individual Housing Project Site Estimate |
| YouthBuild (YB) GRANT |
| ATTACHMENT 1B |
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OMB No. |
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| ETA - XXXX |
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Expires: |
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| APPLICANT IDENTIFYING INFORMATION |
| Applicant Name: |
| Address of the Property (include city, state, and zip code): |
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| Grant Activities |
Resources |
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YouthBuild |
Other Federal |
State |
Local |
Private |
Total |
| 1. Acquisition |
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| 2. Architecture & Engineering |
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| 3. Housing Construction |
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| 4. Housing Rehabilitation |
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| 5. Total Housing Project Costs for Site |
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| Note 1: Include both cash and in-kind contributions. |
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stom.anne:
We need to look at this language very carefully
Note 2: When paid, in whole or in part, with YouthBuild program funds, the activities will trigger applicable YouthBuild project-related restrictions contained in regulations XXXXXXX. Applicants who propose to use YouthBuild funds for one or more of these activities are required to complete the appropriate certifications. |
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| Documentation of Housing Resources |
| Attach a letter of commitment from each source of funding. These letters will not count towards your total page count |
| Name of Provider (Donor) |
Cash or In-Kind |
Dollar Value Provided |
Page # of Letter |
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| OMB No.: xxxx-xxxx OMB Expiration Date: xx/xx/xxxx OMB Burden Hours: 30 minutes OMB Burdent Statement: These reporting instructions have been approved under the Paperwork Reduction Act of 1995. Persons are not required to respond to this collection of information unless it displays a currently valid OMB control number. Information is collected from eligible applicants for a competition to determine which entities will receive grant funds. Public reporting burden for this collection of information includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Submission is mandatory and is authorized under YouthBuild Transfer Act Public Law 109-2810. The information will be used for the YouthBuild grant and response to this request for information is required in order to receive the benefits to be derived. The information requested does not lend itself to confidentiality. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Office of Workforce Security, Room S-4231, 200 Constitution Ave., NW, Washington, DC, 20210. |