HUD 40183 Entitlement CDBG Closeout Checklist

U.S. Department of Housing and Urban Development

Community Planning and Development

Attachment C

CDBG Closeout Checklist

For the purposes of expediting the grant closeout process, HUD asks applicants to submit the following checklist.

Grantee Name _____________________________ Official Contact Person_________________________ Email Address ________________________________ DUNS NUMBER__________________________

Grant Number _________________________ Telephone Number ____________________ Fax Number___________________________

1. Program Income

1. Is there any program income on-hand?

Yes No If yes, explain:

Explanation box

2. CDBG Activities

1. Are any of the activities ineligible under the regular CDBG program, or do any of the activities provide insufficient public benefit per 24 CFR 570.209(b)(3)? (Please refer to your current Consolidated Plan timeframe with respect to these activities.)

Yes No If, yes explain:

2. Any unused grant funds cancelled by HUD?

Yes No If yes, explain:

Explanation box

3. Draw Downs

As part of its financial review, the grantee confirmed that:

1. No more than 20 percent of the grant amount was spent on administration and planning during each program year covered by your current Consolidated Plan. 

Yes No If yes, explain:

2. No more than 15 percent of the grant amount was spent on public services during each program year covered by your current Consolidated Plan.  

Yes No If yes, explain:

HUD Form 40183

3. At least 70 percent of the grant amount principally benefitted persons of low- and moderate- income, as measured over your current 1, 2, or 3 year certification period.

Yes No If no, explain:

4. Where applicable, identified activities meet the public benefit standard underwriting guidelines as described in 24 CFR 570.209(a) during each program year covered by your current Consolidated Plan.

Yes No If no, explain:

Explanation box

4. Activity Eligibility and Meet a National Objective

1. Are all activities eligible and does each activity meet a national objective? (Please refer to your current Consolidated Plan timeframe with respect to these activities.)

Explanation box

Yes No if no, explain:

5. Audits

1. Did the grantee make reviews and audits of subrecipients? 

Yes No if no, explain:

Explanation box

6. Monitoring

1. Does the grantee have any open monitoring findings?

Yes No if yes, explain:

Explanation box

HUD Form 40183

7. Reporting Systems

1. Did the grantee report on the number of jobs created or retained for each activity carried out? (Please refer to your current Consolidated Plan timeframe with respect to these jobs.)

Yes No N/A if no, explain:

2. Did the grantee report on the name, location, and contact information for the entity that carried out each activity? (Please refer to your current Consolidated Plan timeframe with respect to these activities.)

Yes No if no, explain:

Explanation box

8.   Certifications

1. Have all Federal Requirements been met? For example, Affirmatively Furthering Fair Housing, Section 3, Lead-based paint procedures, Environmental Review, Davis Bacon, etc.

Yes No if no, explain:

Explanation box

GRANTEE

By: ________________________________ _____________

Grantee Authorized Representative’s Signature Date

HUD Form 40183

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