HUD 96010 Logic Model ICDBG

Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)

ICDBG XL.xls

Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)

OMB: 2577-0191

Document [xlsx]
Download: xlsx | pdf

Overview

Instructions
eLogicModel (1)
eLogicModel (2)
eLogicModel (3)
Needs List
Services List
Outcomes List
Tools List
Evaluation

Sheet 1: Instructions

Sheet 2: eLogicModel (1)
eLogic Model™
Applicant Name:



US Department of Housing and Urban Development


Project Name:

Period:
OMB Approval 2535-0114 exp.

TERM: <select>
Start Date:


Component Name:
HUD Program Name: ICDBG
End Date:



HUD Goals Policy Priority Problem, Need, Situation Service or Activities/Output Pre Post Outcome Pre Post Evaluation Tools
1 2 3 4 5 6 7
Policy Planning Programming Impact Measure Accountability




#N/A
#N/A






A. Tools for Measurement



#N/A
#N/A










#N/A
#N/A










#N/A
#N/A






B. Where Data Maintained



#N/A
#N/A










#N/A
#N/A











#N/A
#N/A






C. Source of Data



#N/A
#N/A










#N/A
#N/A










#N/A
#N/A






D. Frequency of Collection



#N/A
#N/A










#N/A
#N/A











#N/A
#N/A






E. Processing of Data



#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A







Sheet 3: eLogicModel (2)
eLogic Model™
Applicant Name:



US Department of Housing and Urban Development


Project Name:

Period:
OMB Approval 2535-0114 exp.

TERM: <select>
Start Date:


Component Name:
HUD Program Name: ICDBG
End Date:



HUD Goals Policy Priority Problem, Need, Situation Service or Activities/Output Pre Post Outcome Pre Post Evaluation Tools
1 2 3 4 5 6 7
Policy Planning Programming Impact Measure Accountability




#N/A
#N/A






A. Tools for Measurement



#N/A
#N/A










#N/A
#N/A










#N/A
#N/A






B. Where Data Maintained



#N/A
#N/A










#N/A
#N/A











#N/A
#N/A






C. Source of Data



#N/A
#N/A










#N/A
#N/A










#N/A
#N/A






D. Frequency of Collection



#N/A
#N/A










#N/A
#N/A











#N/A
#N/A






E. Processing of Data



#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A







Sheet 4: eLogicModel (3)
eLogic Model™
Applicant Name:



US Department of Housing and Urban Development


Project Name:

Period:
OMB Approval 2535-0114 exp.

TERM: <select>
Start Date:


Component Name:
HUD Program Name: ICDBG
End Date:



HUD Goals Policy Priority Problem, Need, Situation Service or Activities/Output Pre Post Outcome Pre Post Evaluation Tools
1 2 3 4 5 6 7
Policy Planning Programming Impact Measure Accountability




#N/A
#N/A






A. Tools for Measurement



#N/A
#N/A










#N/A
#N/A










#N/A
#N/A






B. Where Data Maintained



#N/A
#N/A










#N/A
#N/A











#N/A
#N/A






C. Source of Data



#N/A
#N/A










#N/A
#N/A










#N/A
#N/A






D. Frequency of Collection



#N/A
#N/A










#N/A
#N/A











#N/A
#N/A






E. Processing of Data



#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A










#N/A
#N/A











#N/A
#N/A










#N/A
#N/A










#N/A
#N/A







Sheet 5: Needs List
CAMP eLogic Model™
Copy to Column 2
PROBLEM, NEEDS, SITUATION
Indian Tribes and Alaskan natives are in need of suitable living environments with decent housing, particularly for people with low to moderate incomes.
Indian Tribes and Alaskan Natives are in need of community infrastructure and facilities to improve the health, safety, and well-being of residents.
Indian Tribes and Alaskan natives are in need of economic development and job creation activities to foster self-sufficiency.
There are urgent unmet needs that impact upon the health and safety of the Native American and Alaskan Native communities that must be addressed.

Sheet 6: Services List
CAMP eLogic Model™
Copy to Column 3
SERVICES OR ACTIVITIES/OUTPUTS UNITS
Acquisition of land-economic development-acres Acres
Acquisition of land-economic development-square feet Square Feet
Acquisition of land-housing-acres Acres
Acquisition of land-housing-square feet Square Feet
Acquisition of land-infrastructure-acres Acres
Acquisition of land-infrastructure-square feet Square Feet
Architectural/engineering drawings Documents
Clearance-affordable housing-acres Acres
Clearance-affordable housing-linear feet Linear feet
Clearance-infrastructure-acres Acres
Clearance-infrastructure-linear feet Linear feet
Closing cost assistance Homebuyer
Code enforcement Violations
Connection to water distribution or sewer lines Connections
Construction-multi-family homes-owner occupied Units
Construction-multi-family homes-rental Units
Construction-single family homes-owner occupied Units
Construction-single family homes-rental Units
Down payment assistance Homebuyer
Drug and alcohol treatment center Facilities
Energy efficiency improvements Units
Environmental review Documents
Families assisted with public services Units of service
Financing Dollars
Half-way houses Houses
Health care facilities Facilities
Homeless shelters Shelters
Infrastructure-electric line Linear feet
Infrastructure-gas line Linear feet
Infrastructure-other Other
Infrastructure-roads Linear feet
Infrastructure-septic Systems
Infrastructure-sewer Linear feet
Infrastructure-utilities Linear feet
Infrastructure-water line Linear feet
Infrastructure-wireless Networks created
Job training Slots
Jobs created Jobs
Jobs obtained Jobs
Jobs retained Jobs
Loan guarantees for mortgage financing – Guarantees Guarantees
Loan guarantees for mortgage financing – Mortgages Mortgages
Loan write down Homebuyer
Micro-enterprises-grant – Businesses Businesses
Micro-enterprises-grant – Dollars Dollars
Micro-enterprises-loans – Businesses Businesses
Micro-enterprises-loans – Dollars Dollars
Public safety-ambulance station Facilities
Public safety-detention center Facilities
Public safety-fire station Facilities
Public safety-police station Facilities
Recreation center Facilities
Rehabilitation-health hazard elimination Interventions
Rehabilitation-multi-family homes-owner occupied Units
Rehabilitation-multi-family homes-rental Units
Rehabilitation-real property improvements-dollars Dollars
Rehabilitation-real property improvements-units Units
Rehabilitation-single family homes-owner occupied Units
Rehabilitation-single family homes-rental Units
Retrofit housing-accessibility Units
Retrofit housing-visitability Interventions
Other Other

Sheet 7: Outcomes List
CAMP eLogic Model™
Copy to Column 5
ACHIEVEMENT OUTCOMES GOALS AND INDICATORS UNITS
Brought up to code Buildings
Commercial space built Square Feet
Education opportunities provided Persons
Families receiving child care Households
Families receiving child care-children in placement Children
Half-way houses-residents Persons
Infrastructure-households connected-electric line Households
Infrastructure-households connected-gas line Households
Infrastructure-households connected-other Households
Infrastructure-households connected-roads Households
Infrastructure-households connected-septic Households
Infrastructure-households connected-sewer Households
Infrastructure-households connected-utilities Households
Infrastructure-households connected-water line Households
Infrastructure-households connected-wireless Households
Job training-training completed Persons
Job training-training completed-jobs obtained Persons
Jobs created Persons
Jobs obtained Persons
Jobs obtained-dollars Dollars
Jobs retained Persons
Jobs retained-dollars Dollars
Micro enterprises established – Dollars Dollars
Micro enterprises established – Micro enterprises Micro enterprises
Micro enterprises expanded – Dollars Dollars
Micro enterprises expanded – Micro enterprises Micro enterprises
Micro enterprises stabilized – Dollars Dollars
Micro enterprises stabilized – Micro enterprises Micro enterprises
New clients served in homeless shelter Persons
New clients who use facilities Persons
New disabled clients who can now access facility Persons
New homeowners Households
New rental units Households
Offices space built Square Feet
Reduction in crime Arrests
Reduction in drug-related crime Arrests
Reduction in health related hazards Injuries
Reduction in number of families in substandard housing Families
Reduction in number of families in substandard housing Families
Reduction in response time Minutes
Retail space built Square Feet
Other Other

Sheet 8: Tools List
CAMP eLogic Model™
A. Tools For Measurement

Bank accounts
Construction log
Database
Enforcement log
Financial aid log
Intake log
Interviews
Mgt. Info. System-automated
Mgt. Info. System-manual
Outcome scale(s)
Phone log
Plans
Pre-post tests
Post tests
Program specific form(s)
Questionnaire
Recruitment log
Survey
Technical assistance log
Time sheets
Other

B. Where Data Maintained

Agency database
Centralized database
Individual case records
Local precinct
Public database
School
Specialized database
Tax Assessor database
Training center
Other

C. Source of Data

Audit report
Business licenses
Certificate of Occupancy
Code violation reports
Counseling reports
Employment records
Engineering reports
Environmental reports
Escrow accounts
Financial reports
GED certification/diploma
Health records
Inspection results
Lease agreements
Legal documents
Loan monitoring reports
Mortgage documents
Payment vouchers
Permits issued
Placements
Progress reports
Referrals
Sale documents
Site reports
Statistics
Tax assessments
Testing results
Waiting lists
Work plan reports
Other

D. Frequency of Collection

Daily
Weekly
Monthly
Quarterly
Biannually
Annually
Upon incident
Other

E. Processing of Data

Computer spreadsheets
Flat file database
Manual tallies
Relational database
Statistical database
Other

Sheet 9: Evaluation

File Typeapplication/vnd.ms-excel
Authorowner
Last Modified ByBarry Nazar
File Modified2006-03-06
File Created2005-11-22
© 2024 OMB.report | Privacy Policy