HUD-96003 Comprehensive Needs Assessment Project Summary

Comprehensive Needs Assessment
Project Summary

U.S. Department of Housing
and Urban Development
OMB Approval No.2502-0505 (exp.11/30/2003)
Multifamily Housing Property Disposition Reform
of 1994, as amended by the Multifamily Housing
property Disposition Reform of 1994 and
Section 531 of the Departments of Veterans
Affairs and Housing and Urban Development,
and Independent Agencies Appropriations Act,
1998, Public Law 105-65, 1988. The
Comprehensive Needs Assessment is a
description of current and future financial
resources and needs of certain multifamily
projects. The information provided on this form
will enable the Department to assess the
amounts of grant assistance. Failure to provide
the information requested on this form will result
in a delay or rejection of your receiving grant
assistance. Disclosure of this information is
voluntary.

Public Reporting Burden for this collection of
information is estimated to average 1.25 hours
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. Send comments regarding this
burden estimate or any other aspect of this
collection of information, including suggestions
for reducing this burden, to the Office of
Management and Budget, Paperwork Reduction
Project (2502-0505), Washington, DC 20503.
Do not send this completed form to either of
the above addresses.
Privacy Act Notice – The United States
Department of Housing and Urban Development
(HUD) is authorized to collect this information by
Title IV of the Housing and Community
Development Act of 1992, as amended by the

Basic Identification
(Numbers at left and letters in column headings refer to form HUD 96002)
1

FHA/Project Number

2

Project Name & Address

5

Comprehensive Needs
Assessment (CNA)
Completed Date

6

Assessor Name & Address

9

Owner/Management Agent
Name & Address

10

Contact Name

12

Section of the Act
(includes purchase money
mortgages)

1
Form HUD-96003 (4/01)

Comprehensive Needs Assessment
Project Summary

13

14

16
17

Enter a number
1=FHA-insured
2=Hud held
3=State agency
Enter a number
1=Elderly
2=Family
3=Other
Date of mortgage maturity

19

Mortgage unpaid principal
balance
Reserve fund for
replacements balance
Residual Receipts Balance

25

Total rent-subsidized units

26

Non rent-subsidized units

27

Total units

28

Vacant units

29

Households surveyed

30

Households responded

18

U.S. Department of Housing
and Urban Development
OMB Approval No.2502-0505 (exp.11/30/2003)

C
Year 1

Assessment Needs
36
58
76
83
84
85
86
87
88
89
90
92

D
Years 2 thru 8

Total environmental
Total exterior
Total interior
Total commercial
Section 3 Compliance in
addition to above
Section 504 in addition to
above
Supportive Services
Drug Prevention
Crime Prevention
Personnel Needs
Modernization Needs
Total Assessment Needs

2
Form HUD-96003 (4/01)

Comprehensive Needs Assessment
Project Summary

I
As of CNA Date

Resources
93

102
103
104
105
106
107
108

Flexible Subsidy
Operating Assistance
Flexible Subsidy CILP
Loan
Section 241 Loan
Loan Mgmt. Set Aside
(5 Yr. Contract)
Section 223(a)(7)
Low Income Housing Tax
Credits
Debt Restructuring
Owner contributions
through TPA (Transfer of
Physical Assets)
Owner Contributions
(excluding TPA)
Private Contributions
HOME Funds
CDBG Funds
State/Local Funds
Secondary Loans
Rent Increase (yr. 1 only)
Other Assistance (explain)

109

Total Resources

94
95
96
97
98
99
100
101

U.S. Department of Housing
and Urban Development
OMB Approval No.2502-0505 (exp.11/30/2003)

J
Future Resources

I hereby certify that all the information stated herein, as well as any information provided in the
accompaniment herewith, is true and accurate. Warning: HUD will prosecute false claims
and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C.
1001, 1010, 1012; U.S.C. 3729, 3802)
Assessor’s Name (Please type or print)
Title (Please type or print)
Signature
Date:

3
Form HUD-96003 (4/01)