7 C.F.R. § 1944 app Exhibit E to Subpart N of Part 1944
Grantee name: _______________________________
Grantee address: _______________________________
Grant quarter:____________ _______________________________
Report Period: From: ______ To: ______
I. General Information on Use of HPG Funds During Period:
A. Use of Administrative Funds:
Budgeted Amount $______
Expended Thru Last Quarter ______
Direct Cost:
Personnel $______
Supplies & Equip ______
Travel ______
Indirect Costs:
(______% Rate) ______
This Quarter Total ______
B. Use of Program Funds:
Budgeted Amount ______
Expended Thru Last Quarter ______
Loans No. ______ $______
Grants No. ______ ______
Other subsidies
(describe briefly) No. ______ ______
This Quarter Total ______
II. Description of recipients provided assistance during report period: (Attach breakdown for each HPG recipient on separate page including name, address, income, size, race, housing preservation activities, and type of assistance received):
Number of low-income homeowners assisted ______
Number of very low-income homeowners assisted ______
Total number of homeowners assisted ______
Racial composition:
White ______
Black ______
Hispanic ______
Am. Indian ______
Other ______
III. Description of types of housing preservation provided:
| Housing preservation activity | Financial assistance | |||
| Item | Cost of materials/labor | HPG | Other | Total |
IV. Objectives for next period:
LoansNo. ______ $______
GrantsNo. ______ $______
Other subsidyNo. ______ $______
TotalsNo. ______ $______
V. Project summary:
| No. homeowners | HPG funds | Other | |
| Assistance objectives of project | $______ | $______ | |
| Assistance to date | ______ | ______ | |
| Assistance during next period | ______ | ______ | |
| Average amount of HPG assistance | |||
| Per unit provided (program to date) (per unit) | $______ |
VI. Narrative:
A. Significant accomplishments.
B. Problem areas.
C. Proposed changes/assistance needed, etc.
D. Status of implementing environmental and historic preservation requirements. Include number of historic properties assisted.
7 C.F.R. 1944 app Exhibit E to Subpart N of Part 1944