Public reporting burden for this collection of information is estimated to average 30 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. You may send comments regarding this burden estimate or suggestions to reduce this burden to the Department of Housing and Urban Development (HUD) at [email protected]. When providing comments, please refer to the Office of Management and Budget (OMB) Approval No. 2528-0331. Collection of this information is authorized by the Consolidated Appropriations Act, 2021 (Pub. L. No. 116-260, approved December 27, 2020), Consolidated Appropriations Act, 2022 (Pub. L. No. 117-103, approved March 15, 2022), Consolidated Appropriations Act, 2023 (Pub. L. No. 117–328, approved December 29, 2022), Consolidated Appropriations Act, 2024 (Pub. L. No. 118-42, approved March 9, 2024), and Section 502 of the Housing and Urban Development Act of 1970 (Pub. L. No. 91-609) (12 U.S.C. §§ 1701z-1; 1701z-2(d) and (g)). This information is being collected to assess program compliance and effectiveness. HUD intends to use this information for program compliance monitoring and research on program implementation, effectiveness, and impact, including grantee and tenant outcomes. This information is required to participate in the Eviction Protection Grant Program. HUD will not release any personally identifiable information pursuant to the Freedom of Information Act. 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. |
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HUD 52699 Instructions |
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Discussion |
1. Grant Program Launch and Reporting Plan |
In Section 1 of the HUD 52699, indicate the planned timeline for completing each program launch or reporting activity by marking the appropriate box(es) with an "X". Update Quarterly Comments with actuals achieved. |
A. Hold Opening Meeting with HUD |
Must occur within the first quarter of the grant period of performance. |
B. Establish Disaster Recovery Grant Reporting (DRGR) Grantee Users |
Must occur within the first quarter of the grant period of performance. |
C. DRGR Action Plan Submitted and Accepted |
Must occur within the first quarter of the grant period of performance. |
D. Establish Process for DRGR Vouchering |
Must occur within the first quarter of the grant period of performance. |
E. Hire Staff |
Hiring new staff, contractors, or consultants to complete planned activites, as identified in the DRGR Action Plan. |
F. Staff Development and Retention Activities |
Executing professional development, staff retention, or staff turnover activities. |
G. Execute Subcontracts and Sub-Grants (if applicable) |
Executing subcontract(s) or sub-grant(s), as applicable. |
H. Establish Internal Policies and Procedures |
Establishing internal policies and procedures for how the grant will be administered and how services will be implemented. |
I. Integrate HUD 52698 Into Case Management Systems |
Integrating HUD 52698 data elements into case management system(s). |
J. Procure Necessary Supplies, Materials, and Equipment |
Procuring necessary supplies, materials, and equipment. |
K. Quarterly Performance Reports Submitted and Accepted |
Must occur each quarter of the grant period of performance. |
L. Other (if applicable) |
Other program launch or reporting items, as applicable, as identified in the DRGR Action Plan. Add additional rows as needed. |
2. Grant Services Plan |
In Section 2 of the HUD 52699, indicate the planned timeline for implementing each service identified in the DRGR Action Plan by marking the appropriate box(es) with an "X". Update Quarterly Comments with actuals achieved. |
A. Legal representation services |
See the definition of legal assistance set forth in the HUD Eviction Protection Grant Program Notice of Funding Opportunity |
B. Limited representation, counsel, and advice services |
See the definition of legal assistance set forth in the HUD Eviction Protection Grant Program Notice of Funding Opportunity |
C. Eviction-related fair housing or civil rights services |
See the definition of legal assistance set forth in the HUD Eviction Protection Grant Program Notice of Funding Opportunity |
D. Alternative dispute resolution services |
See the definition of legal assistance set forth in the HUD Eviction Protection Grant Program Notice of Funding Opportunity |
E. Post-eviction legal services |
See the definition of legal assistance set forth in the HUD Eviction Protection Grant Program Notice of Funding Opportunity |
F. Court navigation services |
See the definition of legal assistance set forth in the HUD Eviction Protection Grant Program Notice of Funding Opportunity |
G. Referrals or stabilizing services |
See the definition of legal assistance set forth in the HUD Eviction Protection Grant Program Notice of Funding Opportunity |
H. Tenant education and outreach |
See the definition of legal assistance set forth in the HUD Eviction Protection Grant Program Notice of Funding Opportunity |
I. Collaboration or work to advance eviction prevention tools or programs |
See the definition of legal assistance set forth in the HUD Eviction Protection Grant Program Notice of Funding Opportunity |
U.S. Department of Housing and Urban Development |
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OMB Control Number 2528-0331 |
Office of Policy Development and Research |
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Expires XX/XX/XXXX |
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Eviction Protection Grant Program Benchmarks Plan and Report HUD 52699 |
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Grant Number: [Grant number] |
Grantee Organization: [Grantee organization name] |
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Grant Period of Performance: [XX/XX/XXXX - XX/XX/XXXX] |
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Quarterly Report: [Quarter ending XX/XX/XXXX] |
Subrecipient(s): [Subrecipient organization name(s)] |
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ACTIVITY |
RESPONSIBLE ORGANIZATION(S) |
Q1 |
Q2 |
Q3 |
Q4 |
Q5 |
Q6 |
Q7 |
Q8 |
Quarterly Comments on Progress |
1. Grant Program Launch and Reporting Plan |
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A. Hold Opening Meeting with HUD |
[Grantee] |
X |
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B. Establish Disaster Recovery Grant Reporting (DRGR) Grantee Users |
[Grantee] |
X |
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C. DRGR Action Plan Submitted and Accepted |
[Grantee] |
X |
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D. Establish Process for DRGR Vouchering |
[Grantee] |
X |
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E. Hire Staff |
[Responsible organization(s)] |
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F. Staff Development and Retention Activities |
[Responsible organization(s)] |
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G. Execute Subcontracts and Sub-Grants (if applicable) |
[Grantee and Subrecipient(s)] |
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H. Establish Internal Policies and Procedures |
[Responsible organization(s)] |
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I. Integrate HUD 52698 Into Case Management Systems |
[Responsible organization(s)] |
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J. Procure Necessary Supplies, Materials, and Equipment |
[Responsible organization(s)] |
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K. Quarterly Performance Reports Submitted and Accepted |
[Grantee] |
X |
X |
X |
X |
X |
X |
X |
X |
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L. Other (if applicable) |
[Responsible organization(s)] |
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2. Grant Services Plan |
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A. Legal representation services |
[Responsible organization(s)] |
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B. Limited representation, counsel, and advice services |
[Responsible organization(s)] |
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C. Eviction-related fair housing or civil rights services |
[Responsible organization(s)] |
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D. Alternative dispute resolution services |
[Responsible organization(s)] |
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E. Post-eviction legal services |
[Responsible organization(s)] |
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F. Court navigation services |
[Responsible organization(s)] |
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G. Referrals or stabilizing services |
[Responsible organization(s)] |
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H. Tenant education and outreach |
[Responsible organization(s)] |
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I. Collaboration or work to advance eviction prevention tools or programs |
[Responsible organization(s)] |
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The person entering data into this form, as well as the person submitting this form to HUD, certify under penalty of perjury that the information provided herein is true and correct. WARNING: Anyone who knowingly submits a false claim or makes a false statement is subject to criminal and/or civil penalties, including confinement for up to 5 years, fines, and civil and administrative penalties. (18 U.S.C. §§ 287, 1001, 1010, 1012, 1014; 31 U.S.C. §3729, 3802) |