96010-1 Logic Model

Section 202 Supportive Housing for the Elderly Application Submission Requirements

Sec 202 XL.xls

Section 202 Supportive Housing for the Elderly Application Submission Requirements

OMB: 2502-0267

Document [xlsx]
Download: xlsx | pdf

Overview

Instructions
eLogicModel (1)
eLogicModel (2)
eLogicModel (3)
Needs List
Services List
Outcomes List
Tools List
Evaluation

Sheet 1: Instructions

Sheet 2: eLogicModel (1)
eLogic Model™
Applicant Name:



US Department of Housing and Urban Development


Project Name:

Period:
OMB Approval 2535-0114 exp.

TERM: <select>
Start Date:


Component Name:
HUD Program Name: Sec 202
End Date:



HUD Goals Policy Priority Problem, Need, Situation Service or Activities/Output Pre Post Outcome Pre Post Evaluation Tools
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Policy Planning Programming Impact Measure Accountability




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Sheet 3: eLogicModel (2)
eLogic Model™
Applicant Name:



US Department of Housing and Urban Development


Project Name:

Period:
OMB Approval 2535-0114 exp.

TERM: <select>
Start Date:


Component Name:
HUD Program Name: Sec 202
End Date:



HUD Goals Policy Priority Problem, Need, Situation Service or Activities/Output Pre Post Outcome Pre Post Evaluation Tools
1 2 3 4 5 6 7
Policy Planning Programming Impact Measure Accountability




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A. Tools for Measurement



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B. Where Data Maintained



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D. Frequency of Collection



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Sheet 4: eLogicModel (3)
eLogic Model™
Applicant Name:



US Department of Housing and Urban Development


Project Name:

Period:
OMB Approval 2535-0114 exp.

TERM: <select>
Start Date:


Component Name:
HUD Program Name: Sec 202
End Date:



HUD Goals Policy Priority Problem, Need, Situation Service or Activities/Output Pre Post Outcome Pre Post Evaluation Tools
1 2 3 4 5 6 7
Policy Planning Programming Impact Measure Accountability




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A. Tools for Measurement



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B. Where Data Maintained



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Sheet 5: Needs List
CAMP eLogic Model™
Copy to Column 2
PROBLEM, NEEDS, SITUATION
There is a lack of affordable rental housing with on-site and off-site supportive services for very-low income elderly persons, including the frail elderly, 62 years of age.

Sheet 6: Services List
CAMP eLogic Model™
Copy to Column 3
SERVICES OR ACTIVITIES/OUTPUTS UNITS
Acquired property-Land Properties
Acquired property-Rehabilitation Units
Acquired property-Construction Units
Constructed units Units
Constructed with energy efficient standards Units
Constructed-design incorporates universal design Units
Constructed-design incorporates visitability standards Units
Developed non-202 units with mixed financial resources Units
Energy efficient appliances placed in units Appliances
Rehabilitated Units
Rehabilitated with energy efficient standards Units
Rehabilitated-design incorporates universal design Units
Rehabilitated-design incorporates visitability standards Units
Coordinate assisted living services for the frail elderly Services
Service coordinator to offer case management services Services
Business opportunities-Section 3-Dollars Dollars
Business opportunities-Section 3-Businesses Businesses
Business opportunities-Other-Dollars Dollars
Business opportunities-Other-Businesses Businesses
Employment opportunities-Section 3-Persons Persons
Employment opportunities-Section 3-Available jobs Available jobs
Employment opportunities-Other-Persons Persons
Employment opportunities-Available jobs Available jobs
Training Opportunities-Section 3 Persons
Training Opportunities-Other Persons
Other Other

Sheet 7: Outcomes List
CAMP eLogic Model™
Copy to Column 5
ACHIEVEMENT OUTCOMES GOALS AND INDICATORS UNITS
Avoidance of placement into long term care facility Persons
Obtained supported living housing-elderly and frail elderly Persons
Reduction in placement into long term care facility Persons
Property brought to initial closing within 18 months Properties
Off-site services provided to residents-Persons Persons
Off-site services provided to residents-Services Services
On-site services provided to residents-Persons Persons
On-site services provided to residents-Services Services
Rental assistance Persons
Residents linked to services-Persons Persons
Residents linked to services-Services Services
Business opportunities-Section 3-Dollars Dollars
Business opportunities-Section 3-Businesses Businesses
Business opportunities-Other-Dollars Dollars
Business opportunities-Other-Businesses Businesses
Employment opportunities-Section 3-Persons Persons
Employment opportunities-Section 3-Available jobs Available jobs
Employment opportunities-Other-Persons Persons
Employment opportunities-Other-Available jobs Available jobs
Training Opportunities-Section 3 Persons
Training Opportunities-Other Persons
Other Other

Sheet 8: Tools List
CAMP eLogic Model™
A. Tools For Measurement

Bank accounts
Construction log
Database
Enforcement log
Financial aid log
Intake log
Interviews
Mgt. Info. System-automated
Mgt. Info. System-manual
Outcome scale(s)
Phone log
Plans
Pre-post tests
Post tests
Program specific form(s)
Questionnaire
Recruitment log
Survey
Technical assistance log
Time sheets
Other

B. Where Data Maintained

Agency database
Centralized database
Individual case records
Local precinct
Public database
School
Specialized database
Tax Assessor database
Training center
Other

C. Source of Data

Audit report
Business licenses
Certificate of Occupancy
Code violation reports
Counseling reports
Employment records
Engineering reports
Environmental reports
Escrow accounts
Financial reports
GED certification/diploma
Health records
Inspection results
Lease agreements
Legal documents
Loan monitoring reports
Mortgage documents
Payment vouchers
Permits issued
Placements
Progress reports
Referrals
Sale documents
Site reports
Statistics
Tax assessments
Testing results
Waiting lists
Work plan reports
Other

D. Frequency of Collection

Daily
Weekly
Monthly
Quarterly
Biannually
Annually
Upon incident
Other

E. Processing of Data

Computer spreadsheets
Flat file database
Manual tallies
Relational database
Statistical database
Other

Sheet 9: Evaluation

File Typeapplication/vnd.ms-excel
Authorowner
Last Modified ByBarry Nazar
File Modified2006-03-07
File Created2005-11-22
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