HUD 96009 Benchmark Standards (42 Months)

Application for Healthy Homes and Lead Hazard Control Grant Programs and Quality Assurance Plans

final 42 month benchmark.xls

Application for Healthy Homes and Lead Hazard Control Program Grants

OMB: 2539-0015

Document [xlsx]
Download: xlsx | pdf










OMB Approval Number 2539-0015 (exp MM/DD/201Y)







* Grant Number: Grantee Organization:





* Period of Performance:









PERIOD

ACTIVITY
Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12 Q13 Q14 Q15





Applicant Capacity (0-90 days)





Staff Hired




Approved Environmental Review and Release of Funds



Written Policies and Procedures




Number of Paint Inspections/ Risk Assessment Proposed:
< Enter Number of Units to be Assesssed


Paint Inspections/Risk Assessments:



Minimum Performance Standard 0% 5% 10% 15% 25% 35% 45% 55% 65% 75% 85% 95% 98% 100%



Proposed # Assessed
















Actual # Assessed
















Actual % Assessed
















Units in Progress of Interventions
















Number of Completed & Cleared
Housing Units Proposed:

< Enter Number of Units to be Completed and Cleared.


Units Completed and Cleared:



Minimum Performance Standard 0% 1% 5% 10% 20% 30% 40% 50% 60% 70% 80% 90% 95% 99% 100%


Proposed # Completed

















Actual # Completed

















Actual % Completed

















LOCCS DRAWDOWNS
Grant Award Amount =

<Enter Requested OHHLHC Dollar Amount


LOCCS Drawdowns:



Minimum Performance Standard 2.50% 5% 10% 15% 20% 30% 40% 50% 60% 70% 80% 85% 90% 99% 100%


Drawdown Milestone

















Proposed Dollars Drawn

















Proposed Match Amount

















Proposed Leverage

















Actual Drawdown

















Actual Drawdown %

















Actual Match Amount

















Actual Leverage Amount

















Community Outreach / Education/ Training



Community Outreach Milestone

















Community Outreach Achieved

















Education Milestone
















Education Achieved















Skills Training Milestone















Skills Training Achieved















Close-Out





















* Leave Grant Number and Period of Performance blank at time of application






























































form HUD 9600x (xx/xxxx)





































































































































































































































































































































































































































































































































































































































































































































































































































































File Typeapplication/vnd.ms-excel
AuthorJohnnette Hawkins
Last Modified ByBailey Miller
File Modified2010-10-16
File Created2002-11-18

© 2024 OMB.report | Privacy Policy