HUD 52800 Revitalization Application Checklist/Table of Contents

HOPE VI Revitalization Application Checklist

U.S. Department of Housing and Urban Development Office of Public and Indian Housing

OMB Approval No. 2577-0208 (exp. 4/30/2008)

Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless that collection displays a valid OMB control number. This collection of information requires that each applicant submit information to enable HUD to review applications for HOPE VI grant funding. The information will be used by HUD to determine which applicants should be funded. Response to this collection of information is mandatory to obtain a benefit. Responses to the collection are required by the HOPE VI NOFA. The information requested does not lend itself to confidentiality.

The information submitted in response to the Notice of Funding Availability for the HOPE VI Program is subject to the disclosure requirements of the Department of Housing and Urban Development Reform Act of 1989 (Public Law 101-235, approved December 15, 1989, 42 U.S.C. 3545).

REVITALIZATION APPLICATION CHECKLIST/TABLE OF CONTENTS

NARRATIVE EXHIBITS Page Number

Exhibit A: SUMMARY INFORMATION

A.1 Executive Summary ________________

A.2 Physical Plan ________________

A.3 Hazard Reduction ________________

A.4 Demolition ________________

A.5 Disposition ________________

A.6 Site Improvements ________________

A.7 Site Conditions ________________

A.8 Separability ________________

A.9 Proximity ________________

Exhibit B: CAPACITY

B.1 Most Recent PHAS and SEMAP Ratings ________________

B.2 Development Capacity of Developer ________________

B.3 Development Capacity of Applicant ________________

B.4 Capacity of Existing HOPE VI Revitalization Grantees ________________

B.5 CSS Program Capacity ________________

B.6 Property Management Capacity ________________

B.7 MTW or PHA Plan ________________

Exhibit C: NEED

C.1 Severe Physical Distress of the PH Site ________________

C.2 Severe Distress of the Surrounding Neighborhood ________________

C.3 Need for HOPE VI Funding ________________

C.4 Previously-Funded Sites ________________

C.5 Need for Affordable Accessible Housing in the Community ________________

Exhibit D: RESIDENT AND COMMUNITY INVOLVEMENT

D.1 Resident and Community Involvement ________________

Exhibit E: COMMUNITY AND SUPPORTIVE SERVICES

E.1 Community and Supportive Services ________________

E.2 Case Management ________________

E.3 Needs Assessment and Results ________________

E.4 Transition to Housing Self-Sufficiency ________________

E.5 Quality and Results Orientation in CSS Plan ________________

E.6 Endowment Trust ________________

Exhibit F: RELOCATION

F.1 Housing Choice Voucher Needs ________________

F.2 Relocation Plan ________________

Exhibit G: FAIR HOUSING AND EQUAL OPPORTUNITY

G.1 Accessibility ________________

G.2 Universal Design ________________

G.3 Fair Housing ________________

G.4 Section 3 ________________

Exhibit H: WELL-FUNCTIONING COMMUNITIES

H.1 Unit Mix and Need for Affordable Housing ________________

H.2 Off-Site Housing ________________

H.3 Homeownership Housing ________________

Exhibit I: SOUNDNESS OF APPROACH

I.1 Appropriateness of Proposal ________________

I.2 Appropriateness and Feasibility of the Plan ________________

I.3 Neighborhood Impact and Sustainability of the Plan ________________

I.4 Design ________________

I.5 Energy Star ________________

I.6 Evaluation ________________

ATTACHMENTS

1: Application Data Form: Cover Sheet ________________

2: Application Data Form: Existing Units, Occupancy, Vacancy ________________

3: Appl. Data Form: Relocation, Income, & Non-Dwelling Structures ________________

4. Application Data Form: Proposed Unit Mix Post-Revitalization ________________

5: Application Data Form: Units, Accessibility, Concentration ________________

6: Application Data Form: Self-Sufficiency ________________

7: Application Data Form: Sources and Uses ________________

8: HOPE VI Budget Form ________________

9: TDC/Grant Limitations Worksheet ________________

10: Extraordinary Site Costs Certification ________________

11: City Map ________________

12: Assurances for a HOPE VI Application ________________

13: Program Schedule ________________

14: Certification of Severe Physical Distress ________________

15: Photographs of the Severely Distressed Housing ________________

16: Neighborhood Conditions ________________

17: Preliminary Market Assessment Letter ________________

18: Documentation of Site Control for Off-Site Public Housing ________________

19: Physical Development Resources ________________

20: CSS Resources ________________

21: Anticipatory Resources ________________

22: Collateral Resources ________________

23: Previously Funded Sites ________________

24: Land Use Certification or Documentation ________________

25: Evaluation Commitment Letter(s) ________________

26: Current Site Plan ________________

27: Photographs of Architecture in the Surrounding Community ________________

28: Conceptual Site Plan ________________

29: Conceptual Building Elevations ________________

30: HOPE VI Revitalization Application Certifications (4pg. Form) ________________

31: Project Readiness Certification ________________

32: Capital Fund Financing Program Threshold ________________

33: Standard Forms and Certifications ________________

a. Application for Federal Assistance (SF-424)

b. Disclosure of Lobbying Activities (SF-LLL), if applicable;

c. Applicant/Recipient Disclosure/Update Report (HUD-2880);

d. Program Outcome Logic Model (HUD-96010);

e. America’s Affordable Communities Initiative (HUD-27300);

f. Funding Application for Housing Choice Voucher Assistance prepared in accordance with Notice PIH 2005-15, including, Section 8 Tenant-Based Assistance Rental Certificate Program, Rental Voucher Program, form HUD-52515, and

g. Facsimile Transmittal (HUD-96011).

form HUD-52800 (12/2003)