Redline - EOrev.HUD Form-4155_Data Fields

HUD HOPWA Data List for New
Consolidated APR/CAPER
Table of Contents
Definitions...................................................................................................................................................... 1
Data Elements ............................................................................................................................................. 76
Access to Care Reporting / Prior Living Reporting ..................................................................................... 76
Capital Development Reporting .................................................................................................................... 8
Contact Information Individual..................................................................................................................... 98
Contact Information Business ..................................................................................................................... 98
Demographic Reporting ............................................................................................................................ 109
Exit Status ............................................................................................................................................... 1211
Facility ......................................................................................................................................................... 12
Facility Unit Type ..................................................................................................................................... 1312
Grantee Specific Information................................................................................................................... 1312
Leveraging................................................................................................................................................... 13
Narratives ................................................................................................................................................ 1413
Performance Reporting ............................................................................................................................... 15
Sponsor Information ................................................................................................................................ 1716
Supportive Services ................................................................................................................................ 1716
Stewardship ............................................................................................................................................ 1817
VAWA Violence Against Women Act (VAWA) Reporting ....................................................................... 1817
No Longer Collected ............................................................................................................................... 1817

Burden Statement
The purpose of this information collection is to meet the Housing Opportunities for Persons With AIDS (HOPWA) annual reporting requirements. Reporting is
required for all HOPWA grantees pursuant to 42 U.S.C. § 12911; 24 CFR §§ 574.520(a) and (b); and 24 CFR § 91.520(f). The information collected on this
form is required to obtain a benefit. It will not be confidential. The public reporting burden for this collection of information is estimated to average 40 hours,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
information collection. This includes the time for collecting, reviewing, and reporting the data. HUD may not conduct or sponsor, and a person is not required to
respond to, a collection of information unless that collection displays a currently valid OMB control number. OMB Approval No. 2506-0133 (Expiration Date:
12/31/2027).

Definitions
Term

Definition
When the load or volume of HIV virus present in a person's blood is measured at less than 200 copies per milliliter of blood.

Viral Suppression

Adjustment for Duplication

Administrative Agent

Administrative Costs
Anti-Retroviral Therapy

Area Median Income (AMI)

Removal of duplicate entries when a household/unit received more than one type of HOPWA assistance, which enables the
calculation of unduplicated output totals. For example, if a household received both HOPWA TBRA and HOPWA PHP from the
same project sponsor, adjusting for duplication would ensure that household was only counted once when calculating the
HOPWA housing subsidy assistance household total.
An entity the grantee has selected to carry out administrative activities on behalf of the grantee. When a grantee utilizes another
organization to carry out some or all of the grantee’s administrative functions, the administrative activities, costs, and terms of
payment should be clearly delineated in a contract or other written agreement between the parties. All costs associated with
administering the grant, whether incurred by the grantee or the other organization, are subject to the 3% administrative cost
limit. For the purposes of HOPWA annual performance reporting, the administrative agent would not complete a separate
“Provider Workbook.”
Costs for general management, oversight, coordination, evaluation, and reporting (24 CFR § 574.3). By statute, grantee
administrative costs are limited to 3% of the total grant award, to be expended over the life of the grant. Project sponsor
administrative costs are limited to 7% of the portion of the grant amount they receive (42 U.S.C. § 12911).
A use of a combination of medications to treat HIV.
The Department of Housing and Urban Development (HUD) sets income limits that determine eligibility for assisted housing
programs including the HOPWA program. HUD develops income limits based on Median Family Income estimates and Fair
Market Rent area definitions for each metropolitan area, parts of some metropolitan areas, and each non-metropolitan county.
AMI values vary by location and are published at https://www.huduser.gov/portal/datasets/il.html

Page 1

Beneficiary(ies)

Chronically Homeless Person

Contractor

Facility-Based Housing
Assistance
Faith-Based Organization

Gender Nonbinary
Grassroots Organization

HOPWA-Eligible Individual

Housing Information Services

All members of a household (with or without HIV) who benefitted from HOPWA assistance during the operating year, not
including the HOPWA-eligible individual (see definition).
A person defined as chronically homeless under 24 CFR 578.3. ((1) A homeless individual with a disability as defined in section
401(9) of the McKinney-Vento Assistance Act (42 U.S.C. 11360(9)) who: a) lives in a place not meant for human habitation, a
safe haven, or in an emergency shelter, and b) has been homeless and living as described for at least 12 months or on at least
4 separate occasions in the last 3 years, as long as the combined occasions equal at least 12 months and each break in
homelessness separating the occasions included at least 7 consecutive night of not living as described; (2) An individual who
has been residing in an institutional care facility, including jail, substance abuse or mental health treatment facility, hospital, or
other similar facility, for fewer than 90 days and met all of the criteria of this definition before entering that facility; or (3) A family
with an adult head of household (or, if there is no adult in the family, a minor head of household) who meets all of the criteria of
this definition, including a family whose composition has fluctuated while the head of household has been homeless).)
A contractor is an entity that receives a legal instrument (contract) by which a grantee or project sponsor purchases property or
services needed to carry out the project or program under a Federal award. The purpose of the contract is to obtain goods and
services for the grantee/project sponsor's own use and creates a procurement relationship with the contractor. Characteristics
indicative of a procurement relationship between the grantee and a contractor are when the contractor: provides the goods and
services within normal business operations; provides similar goods or services to many different purchasers; normally operates
in a competitive environment; provides goods or services that are ancillary to the operation of the HOPWA program; and is not
subject to compliance requirements of the HOPWA program as a result of the agreement, though similar requirements may
apply for other reasons (2 CFR 200.331(b)). For purposes of HOPWA annual performance reporting, contractors do not submit
a separate “Provider Workbook.”
Leasing, operating, and hotel/motel expenditures to support units or facilities including community residences, SRO dwellings,
short-term facilities, project-based rental units, master leased units, and other housing facilities approved by HUD.
Religious organizations of three types: (1) congregations; (2) national networks, which include national denominations, their
social service arms (for example, Catholic Charities, Lutheran Social Services), and networks of related organizations (such as
YMCA and YWCA); and (3) freestanding religious organizations, which are incorporated separately from congregations and
national networks.
Describes the gender of a person who does not identify as either male or female.
An organization that is headquartered in the local community where it provides services, has a social services budget of
$300,000 or less annually, and has six or fewer full-time equivalent employees. Local affiliates of national organizations are not
considered “grassroots.”
The one low-income person with HIV/AIDS who qualifies a household for HOPWA assistance. This person may be considered
“Head of Household.” A child may also qualify the household for HOPWA assistance. When the annual performance report asks
for information on eligible individuals, report on this individual person only. Where there is more than one person with HIV/AIDS
in the household, the additional PWH/A(s), would be considered a beneficiary(s).
Costs to provide counseling, information, or referral services to assist an eligible person to locate, acquire, finance, and
maintain housing (24 CFR § 574.300(b)(1)). Some eligible costs under Housing Information Services include staff time to assist
eligible clients in searching for or locating appropriate housing whether HOPWA-subsidized or not; staff time to provide fair
housing guidance for eligible households who may encounter discrimination on the basis of race, color, religion, sex, (including

Page 2

HOPWA Housing Subsidy
Assistance Total

Household

Improved HIV Viral Load

In-kind Leveraged Resources

Leasing Costs

Leveraged Funds

sexual orientation and gender identity), age, national origin, familial status, or disability; staff time to provide housing counseling
to acquire and finance housing; and development and use of Homeless Management Information System (HMIS) elements to
coordinate housing assistance for eligible households. HMIS costs billed to housing information services must be pro-rated and
not include HMIS reporting. Use of HMIS for reporting purposes is considered an administrative activity and must be billed to
administrative costs.
The unduplicated number of households receiving housing subsidies (TBRA, STRMU, Permanent Housing Placement services
and Master Leasing) and/or residing in units of facilities dedicated to persons living with HIV/AIDS and their families and
supported with HOPWA funds during the program year for formula grantees and the operating year for competitive grantees.
A single individual or a family, as defined in 24 CFR 574.3 composed of two or more persons regardless of actual or perceived
sexual orientation, gender identity, or marital status for which household incomes are used to determine eligibility and for
calculation of the resident rent payment. The term is used for collecting data on changes in income, changes in access to
services, receipt of housing information services, and outcomes on achieving housing stability. Live-In Aides (see definition for
Live-In Aide) and non-household members (e.g., a shared housing arrangement with a roommate) who resided in the unit are
not reported in the annual performance report.
A reduction in the load or volume of HIV present in the HOPWA-eligible individual's blood at the end of the operating year
compared to the beginning of the operating year. Most people with HIV/AIDS (PWH) who are engaged in medical care have
routine laboratory tests. The HOPWA-eligible individual's two most recent laboratory reports can be used to determine viral load
improvement, even if the first laboratory test was performed in a prior operating year.
These are additional types of support provided to assist HOPWA-eligible individuals such as volunteer services, materials, use
of equipment, and building space. The actual value of the support can be the contribution of professional services, based on
customary rates for this specialized support, or actual costs contributed from other leveraged resources. In determining a rate
for the contribution of volunteer time and services, use the criteria described in 2 CFR part 200. The value of any donated
material, equipment, building, or lease should be based on the fair market value at time of donation. Related documentation
can be from recent bills of sale, advertised prices, appraisals, or other information for comparable property similarly situated.
Costs used to lease all or a portion of a building as needed to provide housing to eligible households. For eligible individuals or
families unable to hold leases in their names, funding may be used to “master lease” units, where the eligible households
choose the units, the grantee or project sponsor leases the units and pays the full rent to the landlord, and the eligible
households pay the grantee or project sponsor the amount required by 24 CFR 574.310(d). This type of master leasing can be
administered as “turn-key” housing assistance, to be replaced with Tenant-Based Rental Assistance (TBRA) if the landlord
agrees to transfer the lease to the eligible person. Funding may also be used to master lease units to be operated as
transitional housing for eligible households. For example, post-incarceration programs often lease a unit to temporarily house an
eligible household returning to the community until other more permanent housing arrangements can be made. The lease is
always in the organization's name. The furniture, housing equipment, and supplies, eligible under the operating budget line item,
belong to the organization and remain in the unit for the next household’s use. Eligible leasing costs include the cost to lease a
housing facility or scattered-site units, staff time to negotiate lease terms with lessor or landlord, and annual housing inspections
to ensure HOPWA habitability standards are met for scattered-site units assisted with Leasing.
The amount of funds expended during the operating year from non-HOPWA federal, state, local, and private sources.
Leveraged funds are used to further support HOPWA clients receiving assistance during the operating year for formula grants,
or under the applicable competitive grant.

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Live-In Aide

Master Leasing

Minimum Use Periods

Medically Assisted Living
Facilities

Operating Costs

Operating Year – Competitive
grantees

Operating Year – Formula
grantees

A person who resides with the HOPWA-Eligible Individual and who meets the following criteria: (1) is essential to the care and
well-being of the person; (2) is not obligated for the support of the person; and (3) would not be living in the unit except to
provide the necessary supportive services. See 24 CFR 5.403 and the HOPWA Grantee Oversight Resource Guide for
additional reference.
Applies to the leasing of units of housing (scattered-sites or entire buildings) from a landlord by a nonprofit or public agency that
subleases the units to HOPWA-eligible tenants. By assuming the tenancy burden, the agency facilitates housing of clients who
may not be able to maintain a lease on their own due to poor credit, evictions, or lack of sufficient income.
Grantees that used HOPWA funding for new construction, acquisition, conversion, lease, or substantial rehabilitation of a
building or structure are required to operate the building or structure for HOPWA-eligible individuals for a 10-year period. In the
case of non-substantial rehabilitation or repair of a building or structure, the minimum use period is not less than 3 years. If no
further HOPWA funds are used to support the facility, in place of completing the "CAP DEV" tab in the Performance Report
Worksheet, the grantee must complete an “Annual Report of Continued Project Operation” throughout the required use periods.
This report is found on the "STEWARD" tab of the Grantee Workbook.
HOPWA facility-based housing that assists residents with most or all activities of daily living, such as meals, bathing, dressing,
and toileting. Regular medical care, supervision, and rehabilitation are also often available.
Costs of operating a housing facility owned or leased by the grantee or project sponsor, to the extent the costs are necessary to
house eligible households. Eligible operating costs include utilities, property insurance, minor repairs, and upkeep of the facility,
maintenance both inside and outside the facility, procurement and contracting of services for facility operation or maintenance,
furniture and appliances that will remain with the facility, food purchases and kitchen operation for HOPWA household at the
facility, and staff time for directing any of the eligible operating costs mentioned above at the facility for eligible households (24
CFR §574.300(b)(8)).
HOPWA competitive grants are awarded for a 3-year period of performance with annual performance reports submitted for each
of the 3 operating years. The information contained in this performance report should reflect the grantee’s operating year with
the beginning date determined at the time the grant agreement is signed. Project sponsor accomplishment information must
coincide with the operating year this Performance Report covers. Any change to the period of performance requires the
approval of HUD by amendment, such as an extension for one additional operating year. A PSH renewal/replacement grant
start date would be coordinated with the close out of the existing grant. Grantees with an approved extension period of less than
6 months must submit the Performance Report for the third year of the grant term at the end of the approved extension period
and incorporate data from the additional months. Grantees with an approved extension period of 6 months or more must turn in
a Performance Report at the end of the operating year and submit a separate extension Performance Report at the end of the
extension period.
HOPWA Formula Grantees follow the Grantee Program Year as established by the Consolidated Planning Processes. All CPD
Programs (HOME/ESG/CDBG/HOPWA) use the same 12-month period as their Operating Year for performance reporting. The
information contained in each annual performance report must represent a one-year time period of HOPWA program operation
that coincides with the grantee’s program year.
HOPWA Formula Grantees are annually awarded grants with a 3-year period of performance, as established by the Grantee
signature date on the Grant Agreement. Since Grant period of performances vary from Fiscal Year to Fiscal Year, and do not
necessarily coincide with a Grantee’s Operating Year, funds from more than one HOPWA formula grant awarded to the same
grantee may be used during an operating year and the annual performance report must capture all formula grant funding used

Page 4

during the operating year. Project sponsor accomplishment information must also align with the operating year the annual
performance report covers.
Outcome
Output

Permanent Housing
Placement (PHP)

Program Income
Project-Based Rental
Assistance (PBRA)
Project Sponsor
Organizations

Resource Identification

Rural

The degree to which the HOPWA assisted household has been enabled to establish or maintain a stable living environment in
housing that is safe, decent, and sanitary (per the regulations at 24 CFR 574.310(b)) and to reduce the risks of homelessness
and improve access to HIV treatment and other health care and support.
The number of units of housing or households that receive HOPWA assistance during the operating year.
Eligible costs under PHP include security deposits not to exceed two months of rent, rental application fees, credit checks, onetime utility hook-up fees paid directly to the utility company, utility arrears only if the cost is creating a barrier to establishing
permanent housing in a new unit, rent arrears only if past due rent debt at a prior unit is a barrier to accessing a new unit, initial
housing inspections, reasonable travel costs to units for initial housing inspections, staff time to review and identify causes for
eviction and responsibilities of the tenant within the least, staff time for assisting clients with executing the lease, and staff time
for resolving landlord issues directly related to the PHP assistance being provided. PHP can be used in conjunction with TBRA
where PHP pays the security deposit and TBRA covers ongoing monthly rent payments starting with the first month. PHP must
only be used to assist the client in entering permanent housing. PHP must never be used for monthly rent or on-going utility
costs where a client is already in permanent housing. Although PHP is included as a supportive service under 24 CFR
574.300(b)(7), HUD has established a dedicated BLI for PHP to distinguish it from other supportive services.
As defined in 2 CFR 200.1, program income is income earned by the grantee or project sponsor that is directly generated by a
supported activity or earned as a result of the grant during the period of performance (except as provided by 2 CFR 200.307).
See grant administration requirements on program income at 2 CFR 200.307 and the Federal award.
A rental subsidy program that is tied to specific facilities or units owned or controlled by a project sponsor. Assistance is tied
directly to the properties and is not portable or transferable.
Per HOPWA regulations at 24 CFR 574.3, any nonprofit organization or governmental housing agency that receives funds
under a contract with the grantee to provide eligible housing and other support services or administrative services as defined in
24 CFR 574.300. Project Sponsor organizations are required to provide performance data on households served and funds
expended.
Resource identification funds may be used to establish, coordinate, and develop permanent housing assistance resources for
eligible persons (including conducting preliminary research and making expenditures necessary to determine the feasibility of
specific housing-related initiatives) (24 CFR § 574.300(b)(2)). Activities can include increasing coordination with local initiatives,
systems, or strategies (such as the local Continuum of Care or Ryan White Planning Council) to house HOPWA-eligible
individuals, development of new housing resources, and conducting community needs assessments to inform system design.
For purposes of HOPWA reporting, a rural county is a county in which: (1) Has no part of it within an area designated as a
standard metropolitan statistical area by the Office of Management and Budget; or (2) Is within an area designated as a
metropolitan statistical area or considered as part of a metropolitan statistical area and at least 75% of its population is local on
U.S. Census blocks classified as non-urban; or (3) is located in a state that has a population density of less than 30 persons per
square mile (as reported in the most recent decennial census), and of which at least 1.25% of the total acreage of such State is
under Federal jurisdiction.

Page 5

Short-Term Rent, Mortgage,
and Utility (STRMU)
Assistance

Stewardship Units

Sub-Recipient

Supportive Services

Tenant-Based Rental
Assistance (TBRA)

Transgender

Short-term rent, mortgage, and utility payments to prevent the homelessness of the tenant or mortgagor of a dwelling (24 CFR
574.300(b)(6)). Eligible STRMU costs include up to 21 weeks of the HOPWA-eligible individual’s rent, mortgage, and/or utility
costs, and the costs of staff time to review and determine household’s need for STRMU assistance and make the STRMU
payments. For the purposes of STRMU assistance, to the extent that taxes, insurance, condominium fees, or other building
operation costs are included in the monthly mortgage payment either by federal regulation or the terms of the mortgage, these
expenses are eligible to be included in the STRMU mortgage assistance payments. STRMU mortgage assistance for taxes,
insurance, or condo fees that are not included on the monthly mortgage statement are not eligible.
Units developed with HOPWA, where HOPWA funds were used for acquisition, new construction, and/or rehabilitation that no
longer receive operating subsidies from HOPWA. Report information for the units is subject to the 3-year use agreement if
rehabilitation is non-substantial and to the 10-year use agreement if rehabilitation is substantial.
For the purposes of the HOPWA program, a sub-recipient is an organization that receives funds under a contract with the
project sponsor to carry out eligible HOPWA activities. For the purposes of HOPWA annual performance reporting, a subrecipient organization does not need to submit a separate “Provider Workbook.” The sub-recipient’s HOPWA activities should
be included in the “Provider Workbook” of the project sponsor with whom they have a contract.
Costs include providing housing stability services, assistance in gaining access to mainstream resources, public benefits,
healthcare and support positive health outcomes. However, health services may only be provided to individuals with acquired
immunodeficiency syndrome or related diseases and not to family members of these individuals. Eligible supportive services
costs include staff time to develop, update and review individualized housing and service plans for clients; staff time to connect
households to appropriate services and treatment in accordance with their housing and service plans, management-level
consultation (case staffing); health and mental health assessment services; direct outpatient treatment by licensed professionals
of mental health services; substance use disorder services provided by licensed or certified professionals; individual, family, or
group therapy to address co-occurring disorders; nutritional services including food banks, nutritional supplements, and
counseling by certified nutrition specialists; life skills trainings such as budgeting resources, resolving conflict, using public
transportation, unit maintenance; credit counseling; education services including instruction or training in consumer education,
health education, substance use prevention, literacy, English as a Second Language, and General Educational Development
(GED); job training or job coaching including resume development; client transportation to and from medical care, employment,
child care, or other eligible essential services facilities; and HOPWA provider transportation to meet with clients for supportive
service needs (24 CFR §574.300(b)(7)).
TBRA is a rental subsidy program that grantees can provide to help low-income households access affordable
housing. HOPWA does not place restrictions on the length of time eligible persons may receive TBRA. Grantees should provide
the opportunity for eligible households to transition in place to self-sufficiency or another subsidy. Eligible TBRA costs include
rental payments, staff time to verify household income for TBRA assistance, calculation of resident rent payment, monthly rental
payments, processing a TBRA rental payment on behalf of the HOPWA-eligible individual, annual housing inspections to ensure
HOPWA habitability standards are met for units being assisted with TBRA, reasonable travel costs to units for housing
inspections, review of a client’s selected unit for rent reasonableness and rent standard, annual recertification for households
receiving ongoing TBRA, and staff time for resolving landlord issues directly related to providing the TBRA assistance.
An umbrella term for persons whose gender identity, gender expression, or behavior does not conform to that typically
associated with the sex to which they were assigned at birth.

Page 6

VAWA Internal Emergency
Transfers
VAWA External Emergency
Transfers
Veteran

Per 24 CFR 5.2005e, an internal emergency transfer under the Violence Against Women Act (VAWA) protections refers to an
emergency relocation of a tenant to another unit where the tenant would not be categorized as a new applicant; that is, the
tenant may reside in the new unit without having to undergo an application process.
Per 24 CFR 5.2005e, an external emergency transfer under the VAWA protections refers to an emergency relocation of a
tenant to another unit where the tenant would be categorized as a new applicant; that is, the tenant must undergo an application
process in order to reside in the new unit.
A veteran is someone who has served on active duty in the Armed Forces of the United States. This does not include inactive
military reserves or the National Guard unless the person was called up to active duty.

Data Elements
Field Name

Data
Type

Status

Description

Access to Care Reporting / Prior Living Reporting
ATC_CM_HH
ATC_Housing_CM_HH
ATC_Housing_HH

Number
Number
Number

Current
Current
Current

ATC_Cont_Rec_HOPWA_HH

Number

Current

ATC_Employment_HH

Number

Current

ATC_Foster_Care

Number

Current

ATC_SS_Actual_HH

Number

Current

ATC_Hospital

Number

Current

ATC_Hotel

Number

Current

ATC_House_Owned

Number

Current

ATC_Income_HH
ATC_Ins_HH

Number
Number

Current
Current

How many households had contact with a case manager?
How many households received both Housing and HOPWA Funded Case Management?
How many households developed a housing plan for maintaining or establishing stable housing?
How many households continued receiving HOPWA housing subsidy assistance from the
previous year?
How many households obtained/maintained an income-producing job during the program year
(with or without any HOPWA-related assistance)?
How many individuals newly receiving HOPWA Housing Subsidy Assistance came from a prior
living situation of a foster care home?
How many households received both HOPWA Housing and HOPWA Supportive Services?
How many individuals newly receiving HOPWA Housing Subsidy Assistance came from a prior
living situation of a non-psychiatric hospital?
How many individuals newly receiving HOPWA Housing Subsidy Assistance came from a prior
living situation of a hotel or motel paid for by the individual?
How many individuals newly receiving HOPWA Housing Subsidy Assistance came from a prior
living situation of a house the individual owns?
How many households accessed or maintained qualification for sources of income?
How many households accessed and maintained medical insurance and/or assistance?

Page 7

ATC_Jail

Number

Current

How many individuals newly receiving HOPWA Housing Subsidy Assistance came from a prior
living situation of jail, prison, or juvenile detention facility?

ATC_New_Chronic_Homeless

Number

Current

Of the new individuals served in HOPWA Housing during this program year that reported a prior
living situation of homelessness, how many of them also meet the definition of experiencing
chronic homelessness?

ATC_New_Vets

Number

Current

Of the new individuals served in HOPWA Housing during this program year that reported a prior
living situation of homelessness, how many of them are veterans?

ATC_No_Hum_Habit

Number

Current

Of the new individuals served in HOPWA Housing during this program year, how many reported a
prior living situation of a place not meant for human habitation?

ATC_Oth

Number

Current

How many individuals newly receiving HOPWA Housing Subsidy Assistance came from any other
prior living situation?

ATC_Permanent

Number

Current

ATC_Prim_Care_HH

Number

Current

ATC_Psych

Number

Current

ATC_Refused

Number

Current

How many individuals newly receiving HOPWA Housing Subsidy Assistance didn't report /
refused to report their prior living situation?

ATC_Rent_Room

Number

Current

How many individuals newly receiving HOPWA Housing Subsidy Assistance came from a prior
living situation of a rented room?

ATC_Staying_Friend

Number

Current

How many individuals newly receiving HOPWA Housing Subsidy Assistance came from a prior
living situation of staying at someone else's house?

ATC_Subs_Abuse

Number

Current

How many individuals newly receiving HOPWA Housing Subsidy Assistance came from a prior
living situation of a substance abuse facility?

ATC_Trans_Hous

Number

Current

How many individuals newly receiving HOPWA Housing Subsidy Assistance came from a prior
living situation of a transitional housing facility for persons experiencing homelessness?

ATC_From_ES

Number

Current

How many individuals newly receiving HOPWA Housing Subsidy Assistance came from an
emergency shelter?

How many individuals newly receiving HOPWA Housing Subsidy Assistance came from a prior
living situation of a permanent housing situation for formerly homeless persons?
How many households had contact with a primary health care provider?
How many individuals newly receiving HOPWA Housing Subsidy Assistance came from a prior
living situation of a psychiatric hospital or other psychiatric facility?

Capital Development Reporting Data elements collected for each facility-based capital development project developed by grantee/project sponsor
CDF_AMT_Final_Value

Number

Current

CDF_AMT_Rehab

Number

Current

For facilities being rehabilitated, what is the final value of the building after rehabilitation is
complete?
For facilities being rehabilitated, what was the total amount of funding spent on rehabilitation?

Page 8

CDF_DT_End
CDF_DT_Occupy
CDF_DT_Pur_Lease
CDF_DT_Start_CR
CDF_DT_Start_SS
CDF_Facility_In_Svc_YN
CDF_Wait_List_HH
CDF_Actual_Units
CDF_Type_Dev
CDF_Type_Units
CDF_Units_Dev_HOPWA

Text
Text
Text
Text
Text
Text
Number
Number
Text
Text
Number

Current
Current
Current
Current
Current
Current
Current
Current
Current
Current
Current

CDF_Units_In_Svc

Number

Current

CDF_Wait_YN
CDF_Facility_Name

Text
Text

Current
Current

For capital development facilities, what date was the construction/rehabilitation completed?
For capital development facilities, what date did residents begin to occupy the facility?
For capital development facilities, what is the purchase/lease date of the property?
For capital development facilities, what is the date the construction/rehabilitation started?
For capital development facilities, what date did the supportive services begin?
Was the development facility placed into service during this program year?
For capital development facilities with a waiting list, how many households are on the waiting list?
How many total units (HOPWA and non-HOPWA units) were developed in this facility?
What type of development was funded (rehabilitation, acquisition, etc.)?
What type of housing (Permanent/Transitional) was developed?
How many units in this facility were developed with HOPWA funds?
If the facility was placed into service during this year, how many total units were placed into
service?
For capital development facilities, is there a waiting list maintained for the facility?
What is the name of the capital development housing facility?

Contact Information Individual Data elements collected for each of the following contacts at Grantee, Project Sponsor, and Stewardship Facilities
organizations: Authorizing Official; Primary Program Contact; Secondary Program Contact; Accomplishment Reporting (APR/CAPER) Contact; IDIS User; HMIS
Contact; Contact for Individuals Seeking Services
CII_Name
CII_Title
CII_Dept
CII_Email
CII_Phone
CII_Fax

Text
Text
Text
Text
Text
Text

Current
Current
Current
Current
Current
Current

What is the contact's name?
What is the contact's title?
In what department does the contact work?
What is the contact's email?
What is the contact's phone number (including extension)?
What is the contact's fax number?

Contact Information Business Data elements collected for Grantee and Project Sponsor organizations
CON_City
CON_Congress_Dist_Add
CON_Congress_Dist_SA
CON_County
CON_Dept
CON_UEI
CON_EIN_TIN
CON_Facebook

Text
Text
Text
Text
Text
Text
Text
Text

Current
Current
Current
Current
Current
Current
Current
Current

In what city is the Grantee/Project Sponsor's business address?
What is the congressional district of the grantee/project sponsor's business address?
What is the congressional district of the grantee/project sponsor's primary service area?
In what county is the grantee/project sponsor's business address?
What department at the grantee/project sponsor organization administers the grant?
What is the Unique Entity ID (UEI) number of the grantee/sponsor?
What is the Employer ID Number (EIN) or Tax ID Number (TIN) of the Grantee/Sponsor?
What is the Facebook name or page of the Grantee/Sponsor?

Page 9

CON_Faith_Based_YN
CON_Fax
CON_Grassroots_YN
CON_Nonprofit_YN
CON_Parent_Co_Name
CON_Phone
CON_Pro_Spon_Name
CON_State
CON_Street_Address
CON_Svc_Area_Cities
CON_Svc_Area_Counties
CON_Svc_Area_Rural
CON_Twitter
CON_Website
CON_Zip

Text
Text
Text
Text
Text
Text
Text
Text
Text
Text
Text
Text
Text
Text
Text

Current
Current
Current
Current
Current
Current
Current
Current
Current
Current
Current
New
Current
Current
Current

Is the Project Sponsor or Competitive Grantee a faith-based organization?
What is the Project Sponsor's fax number?
Is the Project Sponsor or Competitive Grantee a grassroots organization?
Is the Project Sponsor or Competitive Grantee a nonprofit organization?
What is the parent company of the Grantee/Project Sponsor (if applicable)?
What is the phone number (including extension) of the Project Sponsor?
What is the name of the Project Sponsor?
In what state is the Grantee/Project Sponsor office located?
What is the street address of the Grantee/Project Sponsor office?
What are the cities of the primary service area of the Grantee/ Project Sponsor?
What are the counties of the primary service area of the Grantee/Project Sponsor?
Is the county of the Grantee/Project Sponsor’s primary service area a rural county?
What is the Twitter handle of the Grantee/Project Sponsor?
What is the Grantee/Project Sponsor organization's website address?
What is the zip code for the Grantee/Project Sponsor's business address?

Demographic Reporting Data elements collected for HOPWA-eligible individuals and beneficiaries for each of the following racial categories: American
Indian/Alaskan Native; American Indian/Alaskan Native & Black/African American; American Indian/Alaskan Native & White; Asian; Asian & White; Black/African
American; Black/African American & White; Native Hawaiian/Other Pacific Islander; Other Multi-Racial; White; Prefers Not to Answer
DEM_Also_Latx

Number

Current

Of the number of individuals/beneficiaries reported for each racial category, how many also
identify as Hispanic or Latinx?

DEM_Fem_18

Number

Current

For each racial category, how many individuals/beneficiaries identified wereas female and were
less than 18 years old?

DEM_Fem_30

Number

Current

For each racial category, how many individuals/beneficiaries identified wereas female and were
between 18 and 30 years old?

DEM_Fem_50

Number

Current

For each racial category, how many individuals/beneficiaries identified wereas female and were
between 31 and 50 years old?

DEM_Fem_51

Number

Current

For each racial category, how many individuals/beneficiaries identified wereas female and were
51 years old or older?

DEM_GenderNC_18

Number

Current

For each racial category, how many individuals/beneficiaries identified as nonbinary and were
less than 18 years old?

DEM_GenderNC_30

Number

Current

For each racial category, how many individuals/beneficiaries identified as nonbinary and were
between 18 and 30 years old?

DEM_GenderNC_50

Number

Current

For each racial category, how many individuals/beneficiaries identified as nonbinary and were
between 31 and 50 years old?

Page 10

DEM_GenderNC_51

Number

Current

For each racial category, how many individuals/beneficiaries identified as nonbinary and were age
51 or older?

DEM_Male_18

Number

Current

For each racial category, how many individuals/beneficiaries identified wereas male and were
less than 18 years old?

DEM_Male_30

Number

Current

For each racial category, how many individuals/beneficiaries identified wereas male and were
between 18 and 30 years old?

DEM_Male_50

Number

Current

For each racial category, how many individuals/beneficiaries identified wereas male and were
between 31 and 50 years old?

DEM_Male_51

Number

Current

For each racial category, how many individuals/beneficiaries identified wereas male and were 51
years old or older?

DEM_Not_Rpt_18

Number

Current

For each racial category, how many individuals/beneficiaries ’ sex was not
reportedunknownchose not to disclose their gender, but and were less than 18 years old?

DEM_Not_Rpt_30

Number

Current

For each racial category, how many individuals/beneficiaries’ sex was not reportedunknown and
were chose not to disclose their gender, but and were between 18 and 30 years old?

DEM_Not_Rpt_50

Number

Current

For each racial category, how many individuals/beneficiaries’ sex was not reported unknown and
chose not to disclose their gender, but and were between 31 and 50 years old?

DEM_Not_Rpt_51

Number

Current

For each racial category, how many individuals/beneficiaries’ sex was not reported unknown and
chose not to disclose their gender, but and were 51 years old or older?

DEM_Other_18

Number

New

For each racial category, how many individuals/beneficiaries identified as a gender identity not
captured in another category and were less than 18 years old?

DEM_Other_30

Number

New

For each racial category, how many individuals/beneficiaries identified as a gender identity not
captured in another category and were between 18 and 30 years old?

DEM_Other_50

Number

New

For each racial category, how many individuals/beneficiaries identified as a gender identity not
captured in another category and were between 31 and 50 years old?

DEM_Other_51

Number

New

For each racial category, how many individuals/beneficiaries identified as a gender identity not
captured in another category and were 51 years old or older?

DEM_TransM_18

Number

Current

For each racial category, how many individuals/beneficiaries identified as transgender male and
were less than 18 years old?

DEM_TransM_30

Number

Current

For each racial category, how many individuals/beneficiaries identified as transgender male and
were between 18 and 30 years old?

DEM_TransM_50

Number

Current

For each racial category, how many individuals/beneficiaries identified as transgender male and
were between 31 and 50 years old?

DEM_TransM_51

Number

Current

For each racial category, how many individuals/beneficiaries identified as transgender male and
were 51 years old or older?

Page 11

DEM_TransF_18

Number

Current

For each racial category, how many individuals/beneficiaries identified as transgender female and
were less than 18 years old?

DEM_TransF_30

Number

Current

For each racial category, how many individuals/beneficiaries identified as transgender female and
were between 18 and 30 years old?

DEM_TransF_50

Number

Current

For each racial category, how many individuals/beneficiaries identified as transgender female and
were between 31 and 50 years old?

DEM_TransF_51

Number

Current

For each racial category, how many individuals/beneficiaries identified as transgender female and
were 51 years old or older?

Exit Status Data elements collected for each of following HOPWA budget line items (unless otherwise noted in the field description): TBRA; STRMU; PHP;
Permanent Facility-Based Housing; Transitional/Short-Term Facility-Based Housing
EXST_Addl_STRMU_Needed

Number

Current

EXST_Client_Death
EXST_Disconnected_HH
EXST_Emer_Shelter_HH
EXST_Exit_Oth_HOPWA_HH
EXST_Exit_Oth_Subs_HH
EXST_Exit_Priv_Hous_HH
EXST_Exit_Temp_Hous_HH
EXST_Inst_Less_6_HH
EXST_Inst_More_6_HH
EXST_Jail_Less_6_HH
EXST_Jail_More_6_HH

Number
Number
Number
Number
Number
Number
Number
Number
Number
Number
Number

Current
Current
Current
Current
Current
Current
Current
Current
Current
Current
Current

EXST_Non_Trans_HH

Number

Current

EXST_Priv_No_Subs_HH

Number

Current

EXST_Cont_Rec_HH
EXST_No_Hum_Habit_HH

Number
Number

Current
Current

Is additional Short-Term Rent, Mortgage and Utilities assistance likely needed to maintain the
current housing arrangements?
Did the HOPWA eligible individual die?
How many households were disconnected from care?
How many households exited to an emergency shelter?
How many households exited to other HOPWA programs?
How many households exited to other subsidy programs?
How many households exited to private housing?
How many households exited to transitional housing (time limited - up to 24 months)?
How many households exited to institutional arrangement that lasted less than 6 months?
How many households exited to institutional arrangement that lasted more than 6 months?
How many households exited to a jail/prison term lasting less than 6 months?
How many households exited to a jail/prison term lasting more than 6 months?
How many households exited to a situation that isn't transitional, but is not expected to last more
than 90 days and their housing situation after those 90 days is uncertain?
How many households served with STRMU were able to maintain private housing situation
without subsidy?
How many households continued receiving this type of HOPWA assistance into the next year?
How many households exited to a place not meant for human habitation?

Facility Data elements collected for each facility-based housing project operated by the grantee/project sponsor
FAC_Activity_HH
FAC_Fac_Med_Asst_YN
FAC_Facility_Type

Number
Text
Text

Current
Current
Current

How many households received other types of Facility-Based Housing?
Is the facility a medically assisted living facility?
What kind of housing (Permanent/Transitional/Short Term) is provided at this facility?

Page 12

FAC_Dup_HH

Number

Current

FAC_Facility_Name
FAC_Facility_In_Svc_YN

Text
Text

Current
Current

FAC_Facility_In_Svc_Units

Number

Current

FAC_Spec_Oth_Act_HH

Text

Current

For households served in facility-based housing programs, how many households received more
than one type of assistance?
What is the name of the housing facility?
Was the housing facility placed into service during this program year?
For housing facilities placed into service during this program year, how many units were placed
into service?
For households served with "other" types of Facility-Based Housing, what type of service were
they provided?

Facility Unit Type Data elements collected for: capital development rental units constructed (new) and/or acquired with or without rehab; capital
development rental units rehabbed; capital development homeownership units assisted
FUT_Energy
FUT_504

Number
Number

Current
Current

How many capital development units developed were Energy Star compliant?
How many capital development units developed were 504 Accessible?

FUT_Homeless

Number

Current

How many capital development units developed were designated to assist the homeless?

FUT_Chron_Homeless

Number

Current

How many capital development units developed were designated to assist the chronically
homeless?

Grantee Specific Information
GRT_Wait

Text

Current

GRT_Year
GRT_Grant_Number
GRT_Grantee_Name
GRT_SAM_Stat
GRT_SAM_ID
GRT_Op_Start
GRT_Op_End
GRT_CH_Changes
GRT_TH_Revised_Start
GRT_TH_Revised_End
GRT_Direct
GRT_Admin_Allowance

Number
Text
Text
Text
Text
Number
Number
Text
Number
Number
Text
Text

Current
Current
Current
Current
Current
Current
Current
Current
Current
Current
Current
Current

Is there a waiting list(s) for HOPWA Housing Subsidy Assistance Services in the Grantee service
area?
For Competitive Grantees only, which year (1, 2, or 3) of the grant does this report cover?
For Competitive Grantees only, what is the grant number?
What is the name of the Grantee organization?
Is the Grantee's System for Award Management (SAM) status currently active for this report?
What is the Grantee's SAM registration number for this report?
What is the begin date of the operating year for this report?
What is the end date for the operating year for this report?
Are there any changes to your program year?
What is the revised program start date?
What is the revised program end date?
Does the Grantee provide HOPWA-funded services directly to clients?
Does the Grantee take the allowable 3% Grantee Administration allowance?

Leveraging Data elements collected for each project sponsor

Page 13

LEV_Fund_Source

Number

Current

LEV_Asst_Type

Text

Current

LEV_Prog_Inc_Rent

Number

Current

LEV_Prog_Inc_Oth

Number

Current

LEV_Prog_Exp_HA

Number

Current

LEV_Prog_Exp_SS

Number

Current

LEV_Rent_Landlords

Number

Current

LEV_CDF_Amt_Non_HOPWA

Number

Current

What is the amount of leveraged funding that was provided by each of these sources: ESG,
HOME, Ryan White, Continuum of Care (CoC), Low-Income Housing Tax Credit, or Housing
Choice Vouchers programs or private grants, in-kind resources, Grantee cash, or any other type
of private or public funding?
Was the leveraged funding provided by each of the following sources for housing subsidy
assistance or some other type of assistance: ESG, HOME, Ryan White, Continuum of Care
(CoC), Low-Income Housing Tax Credit, or Housing Choice Vouchers programs or private grants,
in-kind resources, Grantee cash, or any other type of private or public funding
What was the amount of program income collected from resident rent payments and collected in
the program year?
What was the amount of program income collected from other sources (non-resident payments)
and collected in the program year?
What was the amount of total program income that was spent on housing assistance in the
program year?
What was the amount of total program income that was spent on supportive services or other
non-housing costs in the program year?
What was the amount of resident rent payment that residents paid directly to private landlords?
What is the amount of non-HOPWA funds expended by the grantee/project sponsor for the
following capital development budget line items: acquisition; new construction; rehabilitation

Narratives (Optional for grantees and project sponsors)

Narrative_Overview

Text

Current

Narrative_Outcomes

Text

Current

Provide a maximum of 4,000 characters narrative summarizing major achievements and
highlights that were proposed and completed during the program year. Include a brief description
of the grant organization, area of service, the name(s) of the program contact(s), and an overview
of the range/type of housing activities provided. This overview may be used for public
information, including posting on HUD’s website.
Assess your program’s success in enabling HOPWA-eligible individuals and beneficiaries to
establish and/or better maintain a stable living environment in housing that is safe, decent, and
sanitary, and improve access to care. Compare current year results to the proposed outcome
measure, as submitted with the Annual Action plan (screen AP-70 in IDIS for formula grantees),
or in the competitive application’s form HUD-40110-B (for competitive grantees). Describe how
program activities/projects contributed to meeting stated goals. If program did not achieve
expected targets, please describe how your program plans to address challenges in program
implementation and the steps currently being taken to achieve goals in next operating year. If
your program exceeded program targets, please describe strategies the program utilized and how
those contributed to program successes.

Page 14

Narrative_Outputs

Text

Current

Describe significant accomplishments or challenges in achieving the number of housing units
supported and the number households assisted with HOPWA funds during this operating year
compared to plans for this assistance, as approved in the Consolidated Plan/Action Plan.
Describe how HOPWA funds were distributed during your operating year among different
categories of housing and geographic areas to address needs throughout the grant service area,
consistent with approved plans.

Narrative_Coordination

Text

Current

Report on program coordination with other mainstream housing and supportive services
resources, including the use of committed leveraging from other public and private sources that
helped to address needs for eligible persons identified in the Consolidated Plan/Strategic Plan.

Narrative_TA

Text

Current

Describe any program technical assistance needs and how they would benefit HOPWA-eligible
individuals served by the program.

Narrative_Barriers

Text

Current

Describe any barriers (including regulatory and non-regulatory) encountered in the administration
or implementation of the HOPWA program, how they affected your program’s ability to achieve
the objectives and outcomes discussed, actions taken in response to barriers, and
recommendations for program improvement. Provide an explanation for each barrier selected.
Describe any trends in the community that may affect the way in which the needs of persons
living with HIV/AIDS are being addressed, and provide any other information important to the
future provision of services to this population. Identify any evaluations, studies, or other
assessments of the HOPWA program that are available to the public.

Performance Reporting Data elements collected for each of following HOPWA budget line items (unless otherwise noted in the field description): TBRA;
STRMU; PHP; Permanent Facility-Based Housing; Transitional/Short-Term Facility-Based Housing
PRPT_AMI_30_HH

Number

Current

What is the number of households with income below 30% of Area Median Income (excluding
Permanent Housing Placement)?

PRPT_AMI_50_HH

Number

Current

What is the number of households with income between 31% and 50% of Area Median Income
(excluding Permanent Housing Placement)?

PRPT_AMI_80_HH

Number

Current

What is the number of households with income between 51% and 80% of Area Median Income
(excluding Permanent Housing Placement)?

PRPT_Health_ART

Number

Current

How many individuals have ever been prescribed Anti-Retroviral Therapy (for Permanent Housing
facilities and Tenant-based Rental Assistance only)?

Page 15

PRPT_Health_ART_Ref

Number

New

How many individuals preferred not to provide ART information (for Permanent Housing facilities
and Tenant-Based Rental Assistance only)?

PRPT_Health_Improved

Number

Current

How many individuals have shown an improved viral load or have achieved viral suppression (for
Permanent Housing facilities and Tenant-based Rental Assistance only)?

PRPT_Health_Improved_Ref

Number

New

How many individuals preferred not to provide viral load information (for Permanent Housing
facilities and Tenant-Based Rental Assistance only)?

PRPT_Health_Ins_HH

Number

Current

PRPT_HIV_Benefic

Number

Current

PRPT_Income_Earned_HH

Number

Current

PRPT_Longev_1_HH

Number

Current

PRPT_Longev_1_5_HH

Number

Current

PRPT_Longev_10_15_HH

Number

Current

PRPT_Longev_15_Plus_HH

Number

Current

PRPT_Longev_5_10_HH

Number

Current

How many households accessed or maintained each of the following sources of medical
insurance and assistance in the past program year: MEDICAID Health Program or local program
equivalent; MEDICARE Health Insurance or local program equivalent; Veterans Affairs Medical
Services; AIDS Drug Assistance Program; State Children's Health Insurance Program (SCHIP) or
local program equivalent; Ryan White-funded Medical or Dental Assistance; Employer-sponsored
medical insurance; no medical insurance; other
Of the other residents in the household with the HOPWA Eligible Individual, how many are HIV
positive?
How many households report income for each of the following income types: Earned Income from
Employment; Retirement; SSI; SSDI; Other Welfare Assistance (Supplemental Nutrition
Assistance Program, WIC, TANF, etc.); Private Disability Insurance; Veteran's Disability Payment
(service or non-service connected payment); Regular contributions or gifts from organizations or
persons not residing in the residence; Worker's Compensation; General Assistance (GA), or local
program; Unemployment Insurance; Other Sources of Income; No sources of income
How many households have been served by this program for less than one year?
How many households have been served by this program for more than one year, but less than 5
years?
How many households have been served by this program for more than 10 years, but less than
15 years?
How many households have been served by this program for more than 15 years?
How many households have been served by this program for more than 5 years, but less than 10
years?

Page 16

PRPT_All BLI_Costs

Number

Current

PRPT_STRMU_Dup

Number

Current

PRPT_Undup_H_Sub_HH

Number

Current

PRPT_Unk_HIV_Benefic

Number

Current

PRPT_Served_HH

Number

Current

PRPT_Other_BLI_Comp

Text

Current

SPON_Annual_Contract

Number

Current

SPON_Wait

Text

Current

What were the HOPWA funds expenditures for the following budget line items: TBRA; Other (nonTBRA) Rental Assistance; STRMU mortgage assistance only; STRMU rental assistance only;
STRMU utility assistance only; PHP; Permanent Facility-Based Housing Operating Costs;
Permanent Facility-Based Housing Leasing Costs; Other Permanent Facility-Based Housing
Costs; Transitional/Short-Term Facility-Based Housing Operating Costs; Transitional/Short-Term
Facility-Based Housing Leasing Costs; Other Transitional/Short-Term Facility-Based Housing;
Hotel/Motel; Acquisition; Rehabilitation; New Construction; Housing Information Services; Other
Approved Budget Line Item (Competitive Grantees only); Technical Assistance; Resource
Identification; Grantee Administration; Project Sponsor Administration
How many clients received more than one type of Short-Term Rent, Mortgage and Utilities
assistance?
How many households received more than one type of HOPWA Housing Subsidy Assistance?
Of the other residents in the household with the HOPWA Eligible Individual, how many are HIV
negative or have an unknown HIV status?
How many households were served with each of the following types of assistance: TBRA, Other
(non-TBRA) Rental Assistance; Permanent Facility-Based Housing Operating Costs; Permanent
Facility-Based Housing Leasing Costs; Other Permanent Facility-Based Housing;
Transitional/Short-Term Facility-Based Housing Operating Costs; Transitional/Short-Term FacilityBased Housing Leasing Costs; Other Transitional/Short-Term Facility-Based Housing;
Hotel/Motel; PHP; Housing Information; Other Approved Budget Line Item (Competitive Grantees
only); STRMU mortgage assistance only, STRMU rental assistance only; STRMU utility
assistance only?
What is the "Other" HOPWA budget line item approved in the grant agreement (for competitive
grantees only)?

Sponsor Information
What is the HOPWA contract amount for this organization?
Is there a waiting list(s) for HOPWA Housing Subsidy Assistance Services in the Sponsor service
area?

Supportive Services

SS_Costs

Number

Current

What were the expenditures for each of the following types of supportive services in the program
year: Adult Day Care and Personal Assistance; Alcohol-Drug Abuse; Child Care; Case
Management; Education; Employment Assistance and Training; Health/Medical Services; Legal
Services; Life Skills Management; Meals/Nutritional Services; Mental Health Services; Outreach;
Adult Day Care-Personal Assistance, Transportation

Page 17

SS_Served_HH

Number

Current

SS_Spec_Oth_HH
SS_Spec_Oth_Costs
SS_Svc_Activity_Other
SS_Served_Dup_HH

Number
Number
Text
Number

Current
New
Current
Current

How many households were served with each of the following types of supportive services: Adult
Day Care and Personal Assistance; Alcohol-Drug Abuse; Child Care; Case Management;
Education; Employment Assistance and Training; Health/Medical Services; Legal Services; Life
Skills Management; Meals/Nutritional Services; Mental Health Services; Outreach; Adult Day
Care-Personal Assistance, Transportation
How many households were served with any other type of supportive service?
What were the expenditures for the other type of supportive service?
What were the other type(s) of supportive services provided?
How many households received more than one of any type of Supportive Services?

Stewardship Data collected for each HOPWA stewardship facility
STEW_Year_Steward
STEW_Year_Operate
STEW_Units_HOPWA

Text
Text
Number

Current

STEW_AMT_Non_HOPWA

Number

Current

STEW_Facility_Name

Text

Current

Current

What is the stewardship year (1-10) for this facility?
What date did the facility operations begin?
How many HOPWA units are supported in this stewardship facility?
What is the amount of non-HOPWA funds expended by the sponsor/grantee on the stewardship
facilities?
What is the name of the stewardship facility?

VAWA Violence Against Women Act (VAWA) Reporting
VAWA_ER_Trans_Den
VAWA_Ex_Trans_Req
VAWA_Int_Trans_Req
VAWA_External_ER_Trans
VAWA_Internal_ER_Trans

Number
Number
Number
Number
Number

Current
Current
Current
Current
Current

How many emergency transfers (VAWA) were denied?
How many external emergency transfers (VAWA) were requested?
How many internal emergency transfers (VAWA) were requested?
How many external emergency transfers (VAWA) were granted?
How many internal emergency transfers (VAWA) were granted?

Text

NLC

Is the grantee’s Central Contractor Registration (CCR) status currently active?

No Longer Collected

GRT_CCR_YN

Page 18

GRT_CCR_Number

Text

NLC

What is the grantee's Central Contractor Registration (CCR) number?

Page 19