Form HUD-CIRL Capital Investment Record-level Report

Office of Strategic Planning and Management

Grants Management and Oversight

OMB Control Number xxxx-xxxx
Expiration Date xx/xx/xxxx

U.S. Department of Housing and Urban Development
Capital Investment Record-level Report (CIRL)
General Reporting Instructions and Specifications for Discretionary
Grants

2016

This reporting requirement is approved under the Paperwork Reduction Act of 1995, OMB Control No.
xxx-xxxx, expiring xx/xx/xxxx. Persons are not required to respond to this collection of information
unless it displays a currently valid OMB number. Public reporting burden for this collection is estimated
to average xxx,xxx hours per year. This estimate includes the burden to collect data that the respondent
would not otherwise collect as part of its usual and customary practice or as part of its EEO requirements.
The respondent’s obligation to reply to this information request is codified in "Administrative Provisions"
located at 42 USC 3535(r). The reasons for the collection and reporting of information are general program
oversight, evaluation, and performance assessment. Send comments regarding this burden estimate or any
other aspect of this collection, including suggestions for reducing this burden, to the U. S. Department of
Housing and Urban Development, Office of Strategic Planning and Management, Grants Management
and Oversight, 451 7th Street, S.W., Room 3156, Washington, D.C. 20410 (Paperwork Reduction Project
xxxx-xxxx).

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Office of Strategic Planning and Management

I.

Grants Management and Oversight

GENERAL INSTRUCTIONS
Using the instructions included in this document, respondent grantees are
required to maintain record-level reports containing information for all
capital investments or expenditures using competitively-awarded grant
funds from the U.S. Department of Housing and Urban Development
(HUD). Capital investments or expenditures are those costs relating to the
purchase of new fixed assets or the construction or improvement of a
building unit. Please note these competitively-awarded grants are also
referred to as discretionary grants in this document.
The primary purposes of the Capital Investment Record-level report (CIRL)
are to:
1. Establish a standardized set of data elements, definitions, and
specifications that can be used to describe the capital investments made by
HUD discretionary grant-funded programs;
2. Improve the comparability of the resulting information through the use of
common definitions;
3. Facilitate the collection and reporting of accurate, consistent, and complete
information on capital investments in order to support the overall
management, evaluation, and continuous improvement of the programs at
the grantee, sub-grantee, and Federal levels; and
4. Share program performance results with taxpayers, Congress, and other
stakeholders with an interest in HUD discretionary grant programs in
order to demonstrate the accountability of Federal stewardship of
taxpayer resources.
Additionally, standardized data collection and reporting helps HUD justify
programs and their costs when developing budgets sent to Congress for
consideration. The public, Congress, and Office of Management and Budget
(OMB) are increasingly taking a more "results-oriented" look at government
programs, and the cost-effectiveness of program expenditures is increasingly
being called into question. In an era of shrinking Federal budgets,
demonstration of good performance and sustainable public impacts with
positive results help justify programs and their costs.
In developing the Capital Investment Record-level report (CIRL), every effort
has been made to establish common data element definitions and formats
while minimizing the collection burden to respondent grantees. The CIRL
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Office of Strategic Planning and Management

Grants Management and Oversight

provides each discretionary grantee with the opportunity to better inform the
Administration, Congress, and other stakeholders about the numbers of
individuals to benefit directly from the grant, the types of capital investments,
and the outcomes. The record-level report establishes a core set of data that
must be collected and maintained by grantees.
II.

COVERED PROGRAMS
Respondent grantees administering competitively awarded HUD grants that
receive funding for fixed or known periods to carry out specific capital
investment projects that directly serve or benefit grant-eligible individuals
must utilize the CIRL specifications and general reporting instructions. These
competitively awarded grant funds include construction-only grants as well
as grants that combine capital investments with other activities such as
fellowships, scholarships, research grants, training grants, traineeships,
experimental and demonstration grants, evaluation grants, planning grants,
technical assistance grants, capacity building grants, and survey grants.
Competitively-awarded grants made through the following program
authorities are covered under the CIRL reporting requirements:












Titles I [42 U.S.C. 1437 et seq.] and II 1 of the United States Housing
Act of 1937;
Section 202 of the Housing Act of 1959 [12 U.S.C. 1701q];
Section 106 of the Housing and Urban Development Act of 1968 [12
U.S.C. 1701x];
The Fair Housing Act [42 U.S.C. 3601 et seq.];
Title I [42 U.S.C. 5301 et seq.] and section 810 1 of the Housing and
Community Development Act of 1974;
Section 201 of the Housing and Community Development
Amendments of 1978 [12 U.S.C. 1715z–1a];
The Congregate Housing Services Act of 1978 [42 U.S.C. 8001 et seq.];
Section 222 of the Housing and Urban-Rural Recovery Act of 1983;
Section 3616a of 42 USC;
Title IV of the McKinney-Vento Homeless Assistance Act [42 U.S.C.
11360 et seq.]; and
Titles III and IV and section 811 [42 U.S.C. 8013] of the CranstonGonzalez National Affordable Housing Act.

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Office of Strategic Planning and Management

Grants Management and Oversight

Programs corresponding to these program authorities include:




Self-Help Homeownership Program (SHOP);
Housing Opportunities for Persons with AIDS (HOPWA); and
Indian Community Development Block Grant Program.

Each respondent grantee should review the HUD Notice of Award to
familiarize himself or herself with the specific programmatic reporting
requirements outlined in the Terms and Conditions that apply to the grant
program. The Terms and Conditions will provide more detailed information
on the applicable required data elements to be collected and reported as part
of the grant award.
Capital Investment Projects Included in the CIRL
It is important to underscore that a capital investment data record must be
created and submitted at the grant-level for each grant and at the project-level
for each eligible project that is financially assisted by one or more
competitively-awarded HUD discretionary grants.
A “project” is defined as a site or sites together with any building unit(s)
(including manufactured housing unit) or buildings located on the site(s)
under common ownership, management and financing, to be assisted with
grant funds as a single undertaking. The “project” includes all of the activities
associated with the site and building. A “building unit” is a measure of
housing equivalent to the living quarters of one household.
In the event there are multiple projects funded under the grant, please create a
Capital Investment Record-level report (CIRL) for each project.
Exclusions from the CIRL
HUD-funded research or technical studies grants, planning grants, technical
assistance, capacity building, and other discretionary grants not funding
capital investments are excluded from the CIRL reporting requirement.
Capital investments or expenditures are those costs relating to the purchase of
new fixed assets or the construction or improvement of a building unit.
Continuum of Care discretionary grants authorized under the Mc KinneyVento Homeless Assistance Act and Choice Neighborhood discretionary
grants subject to section 24 of the United States Housing Act of 1937 are also
excluded from the CIRL requirements.
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Office of Strategic Planning and Management

III.

Grants Management and Oversight

REPORT LAYOUT SPECIFICATIONS
The CIRL follow either a comma separated value (CSV) format, an extensible
markup language (XML) format, or an Excel format. See Appendix A for the
Capital Investment Record-level report (CIRL) for details regarding data
elements, definitions, coding values, and data element field lengths included
in an individual CIRL report.
For each CIRL data element there is a name, description, response option
(coding value), and listing of applicable HUD programs.
Data collection and reporting requirements for the CIRL on the project-level
increase according to the type of project. In other words, the data included
in the CIRL only expands as the scope of the project expands during the
course of the grant lifecycle. Coding values and the applicability guide
contained within Appendix A (Chart C) are essential components that place
each data element in its proper context.

IV.

DUE DATE
Electronic Captial Investment Record-level report (CIRL) files are due to
HUD no later than 30 days after the end of each report period. The final
CIRL submission is due no later than 90 days after the end of the grant’s
period of performance. Data files will be sent to HUD using a hierarchical
database design that uses a one-to-many relationship for data elements.
The hierarchical database model uses a tree structure that links a number
of project data elements to one grant or primary record.
The table below shows the expected due dates for each reporting period.
Report Period

Due Dates

October - September

October 30

Final Submission

Within 90 Days of the
End of the Grant

Should the date of the report fall on a Saturday or Sunday, the CIRL files are
due the Friday before the due date.

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Office of Strategic Planning and Management

V.

Grants Management and Oversight

SUBMISSION PROCEDURES
Information contained in the CIRL files must be submitted or inputted directly
to an online portal via technical instructions available through the appropriate
Regional Office or the HUD website.
Grants and projects must be tracked every twelve months for a period of two
years after inception of services or until the grant ends, whichever is first.
Updated reports must be provided in each subsequent submission until all
relevant outcome information is completed or the end of the grant has been
achieved.
A CIRL must be provided annually. The final submission is due within 90
days of the end of the grant.

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Office of Strategic Planning and Management

Grants Management and Oversight

APPENDIX A
CAPITAL INVESTMENT RECORD-LEVEL REPORT SPECIFICATIONS

Page 7

OMB Approval Number: 2501-XXXX
Expiration Date: MM/DD/YYYY

Capital Investment Record-level Information
Key for Applicable HUD Programs: Community Development Block Grant Program for Indian Tribes and
Alaska Native Villages (ICDBG), Housing Opportunities for Persons with AIDS (HOPWA), Self-Help
Homeownership Opportunity Program (SHOP).

Indicator
1
Number

Data Element Name

Data Element Description

Response Options

Applicable HUD Programs

N/A

Grant Number

The unique number identifying
the grant, as documented in
the grant award document.

The unique number identifying the
grant, as documented in the grant
award document.

HOPWA, SHOP, ICDBG

N/A

Grantee DUNS Number

The 9-digit DUNS number assigned
to the grantee's business. Omit
dashes (-).

HOPWA, SHOP, ICDBG

N/A

Grant Appropriation
Fiscal Year
Catalog of Federal
Domestic Assistance
Number

The unique, non-indicative
identifier issued by D&B and
used by sam.gov to verify
business entity.
The year of appropriation for
the Federal funds awarded.
The 5-digit CFDA number for
the grant program.

The year of appropriation in YYYY
format.
The CFDA number in a XXXXX format
(no period).

HOPWA, SHOP, ICDBG

N/A

HOPWA, SHOP, ICDBG

N/A

Grant Implementation
City

The city where the grantee is
located.

The city where the grantee is
located.

HOPWA, SHOP, ICDBG

N/A

Grant Implementation
State

The state where the grantee is
located.

The two-letter state or territory
abbreviation where the grantee is
located.

HOPWA, SHOP, ICDBG

N/A

Grant Implementation
Zip Code
Reporting Period
Beginning Date
Reporting Period End
Date

The zip code where the grantee
is located.
The begin date for the
reporting period.
The end date for the reporting
period.

The five-digit zip code where the
grantee is located.
The beginning date for the reporting
period in a YYYYMMDD format.
The ending date for the reporting
period in YYYYMMDD format.

HOPWA, SHOP, ICDBG

18,19

Grant Activity Category
Code

The category of primary
activities under the grant.
Multiple selections can be
made.

HOPWA, SHOP, ICDBG

N/A

Public Facility SubCategory Code

The sub-category of public
facility project activities under
the grant. Multiple selections
can be made.

N/A

Infrastructure SubCategory Code

The sub-category of
infrastructure project activities
under the grant. Multiple
selections can be made.

1 = Housing
2 = Public Facilities
3 = Infrastructure, not including
housing infrastructure.
4 = Economic Development
1 = Multipurpose Community Center
2 = Health Clinic/Wellness Center
3 = Child Care/Head Start Facility
4 = Tribal Park/Ceremonial Grounds
5 = Special Needs Housing
6 = Other
1 = Sewer
2 = Utility
3 = Water
4 = Treatment Facility
5 = Roads
6 = Other

N/A
N/A

1

HOPWA, SHOP, ICDBG
HOPWA, SHOP, ICDBG

HOPWA, SHOP, ICDBG

ICDBG

N/A includes demographic and other descriptive attributes of interest.

1
HUD XXXX - Approved MM/DD/YYYY

OMB Approval Number: 2501-XXXX
Expiration Date: MM/DD/YYYY

Indicator
1
Number

Data Element Name

Data Element Description

Response Options

Applicable HUD Programs

18,19

Housing Sub-Category
Code

The sub-category of housing
project activities under the
grant. Multiple selections can
be made.

1 = New Construction
2 = Rehabilitation
3 = Assisted Living Facility
4 = Service Enriched Housing
5 = Other Elder Housing
6 = Other

HOPWA, SHOP, ICDBG

N/A

Land Area Acquired Via
Purchase

Land Purchase Price

The number of acres of land
acquired to date under the grant,
rounded to the nearest whole
number.
Enter grant funds expended in whole
(rounded U.S. dollars.

HOPWA, SHOP, ICDBG

N/A

N/A

Rehabilitation Costs paid
by grant

The number of acres of land
acquired to date under the
grant, rounded to the nearest
whole number.
The dollar amount of grant
funds expended for the
purchase price of the land and
buildings acquired as of the last
day in the reporting period.
The dollar amount of grant
funds expended for
rehabilitation as of the last day
in the reporting period.

Enter grant funds expended in whole
(rounded U.S. dollars.

HOPWA, SHOP, ICDBG

N/A

Construction Costs paid
by grant

Enter grant funds expended in whole
(rounded U.S. dollars.

HOPWA, SHOP, ICDBG

N/A

Land Area Acquired
through Leveraged
Contribution

Enter whole (rounded) under of
acres acquired.

HOPWA, SHOP, ICDBG

N/A

Value of Land Area
Acquired through
Leveraged Contributions

Enter dollar amount of leveraged or
non-grant funds expended in whole
(rounded) U.S. dollars.

HOPWA, SHOP, ICDBG

N/A

Leveraged Rehabilitation
Contribution

The dollar amount of grant
funds expended for
construction as of the last day
in the reporting period.
The number of acres of land
acquired to date under
leveraged or non-program
funds.
The dollar amount of leveraged
or non-grant funds expended
for the purchase price of the
land and buildings acquired as
of the last day in the reporting
period.
The dollar amount of leveraged
or non-grant funds expended
for rehabilitation as of the last
day in the reporting period.

Enter dollar amount of leveraged or
non-grant funds expended in whole
(rounded) U.S. dollars.

HOPWA, SHOP, ICDBG

N/A

Leveraged Construction
Contribution

N/A

HOPWA, SHOP, ICDBG

The dollar amount of leveraged Enter dollar amount of leveraged or
HOPWA, SHOP, ICDBG
or non-grant funds expended
non-grant funds expended in whole
for construction as of the last
(rounded) U.S. dollars.
day in the reporting period.
Jobs created
The number of jobs created as
The number of FTES created in
SHOP, ICDBG
a result of the project in the
XXX.XX format.
previous calendar year.
Jobs is defined as total number of hours worked by employees directly funded by the grant in the previous year divided by 2080
hours.

2
HUD XXXX - Approved MM/DD/YYYY

OMB Approval Number: 2501-XXXX
Expiration Date: MM/DD/YYYY

Indicator
1
Number
N/A

N/A

Data Element Name

Section 3 jobs created

Data Element Description

Response Options

The number of jobs created for
Section 3 residents as a result
of the project in the previous
calendar year.

Number of Jobs given in the previous
calendar year to

Applicable HUD Programs

SHOP, ICDBG

Jobs are calculated as total number of hours worked by employees directly funded by the grant in the previous year divided by
2080 hours. Section 3 residents are low and very-low income persons who live in the metropolitan area or non-metropolitan
county where a HUD-assisted project for housing or community development is located.
Businesses Assisted
The names of all businesses
List legal names of all businesses
SHOP, ICDBG
assisted as a result of the
assisted.
project.

N/A

Section 3 Businesses
Assisted

The names of Section 3
businesses assisted as a result
of the project.

List legal names of Section 3
businesses assisted.

SHOP, ICDBG

N/A

Construction Start Date

The date construction is
started.

The date construction started in
YYYYMMDD format.

SHOP, ICDBG

N/A

Construction Completion
Date

The date construction is
completed.

The date construction is completed
in YYYYMMDD format.

SHOP, ICDBG

N/A

Grant Assisted Living
Facility Conversion Cost
Amount

The amount of grant funds
expended for conversion to
Assisted Living Facility Units at
the end of the reporting period.

Enter grant funds expended in whole
(rounded U.S. dollars.

SHOP, ICDBG

19

Grant Service Enriched
Housing Conversion Cost
Amount

Enter grant funds expended in whole
(rounded U.S. dollars.

SHOP, ICDBG

19

Grant Other Elder
Housing Cost Amount

The amount of grant funds
expended for conversion to
Service Enriched Housing at the
end of the reporting period,
rounded to the nearest whole
dollar.
The amount of grant funds
expended for Other Elder
Housing at the end of the
reporting period, rounded to
the nearest whole dollar.

Enter grant funds expended in whole
(rounded U.S. dollars.

SHOP, ICDBG

N/A

Project Identifier

Unique record identification
code for the project assigned
by the grantee.

Enter unique record identification
for the project.

HOPWA, SHOP, ICDBG

A project is defined as a site or sites together with any building unit(s) (including manufactured housing unit) or buildings located
on the site(s) under common ownership, management and financing, to be assisted with grant funds as a single undertaking. The
“project” includes all of the activities associated with the site and building. A “building unit” is a measure of housing equivalent to
the living quarters of one household. Each project record layout is tied to its respective grant with the “Project Identifier” data
element. Each project must be associated with the grant number funding the project.
N/A

Project Address Line 1

The address where the project
is located.

Enter physical address.

HOPWA, SHOP, ICDBG

N/A

Project Address Line 2

Continuation of the address
from Project Address Line 1.

Continuation of physical address
from Project Address Line 1.

HOPWA, SHOP, ICDBG

N/A

Project City

The city where the project is
located.

Enter city name

HOPWA, SHOP, ICDBG

3
HUD XXXX - Approved MM/DD/YYYY

OMB Approval Number: 2501-XXXX
Expiration Date: MM/DD/YYYY

Indicator
1
Number

Data Element Name

Data Element Description

Response Options

Applicable HUD Programs

N/A

Project State

The state where the project is
located.

Enter two-letter state or territory
abbreviation.

HOPWA, SHOP, ICDBG

N/A

Project Zip Code

The zip code where the project
is located.

The five-digit zip code.

HOPWA, SHOP, ICDBG

N/A

Project Activity Category
Code

The category of primary
activities under the grant. Only
one selection can be made.

1 = Housing
2 = Public Facilities

HOPWA, SHOP, ICDBG

18,19

Planned Unit Count

Enter number of units planned in
XXX format.

HOPWA, SHOP, ICDBG

18,19

Completed Unit Count

Enter number of units completed sin
XXX format.

HOPWA, SHOP, ICDBG

N/A

Project Construction
Type

The total number of units
planned for construction or
rehabilitation by the
completion of the grant.
The cumulative number of
units completed since the
inception of the grant, through
the end of the reporting period.
The type of construction for the
project.

1= New Construction
2= Moderate Reconstruction and
Rehabilitation
3=Substantial Reconstruction and
Rehabilitation

HOPWA, SHOP, ICDBG

N/A

Public Facility SubCategory Code

The sub-category of public
facility project activities under
the grant. Multiple selections
can be made.

1 = Multipurpose Community Center
2 = Health Clinic/Wellness Center
3 = Child Care/Head Start Facility
4 = Tribal Park/Ceremonial Grounds
5 = Special Needs Housing
6 = Other

HOPWA, SHOP, ICDBG

18,19

Housing Sub-Category
Code

The sub-category of housing
project activities under the
grant. Multiple selections can
be made.

N/A

Market-Rate Unit Count

18,19

Extremely Low Income
Unit Count

The cumulative number of
units that have no income
restrictions
The cumulative number of
units with rents affordable to
extremely low-income families
(income at or below 30% of
Area Median Income).

18,19

Very Low Income Unit
Count

The cumulative number of
units with rents affordable to
very low-income families
(income at or below 50% of
Area Median Income).

HOPWA, SHOP, ICDBG
1 = Assisted Living Facility
2 = Service Enriched Housing
3 = Other Elder Housing
4 = Rental Housing
5 = Homeownership Housing
Enter number of units without
income restrictions in XXX format.

HOPWA, SHOP, ICDBG

Enter number of units in XXX format.

HOPWA, SHOP, ICDBG

Enter number of units in XXX format.

HOPWA, SHOP, ICDBG

4
HUD XXXX - Approved MM/DD/YYYY

OMB Approval Number: 2501-XXXX
Expiration Date: MM/DD/YYYY

Indicator
1
Number

Data Element Name

Data Element Description

Response Options

Applicable HUD Programs

18,19

Low Income Unit Count

The cumulative number of
units with rents affordable to
low-income families (income at
or below 80% of Area Median
Income).

Enter number of units in numeric
format.

HOPWA, SHOP, ICDBG

18,19

Moderate Income Unit
Count

The cumulative number of
units with rents affordable to
moderate income families
(income at or below 100% of
Area Median Income).

Enter number of units in numeric
format.

HOPWA, SHOP, ICDBG

N/A

Affordability Term Use
Restriction Length

Number of years affordabilityrelated restrictions are in place.

Number of years in whole number
format.

HOPWA, SHOP, ICDBG

N/A

Studio Unit Count

Enter number of units in numeric
format.

HOPWA, SHOP, ICDBG

N/A

One Bedroom Unit Count

Enter number of units in numeric
format.

HOPWA, SHOP, ICDBG

N/A

Two Bedroom Unit
Count

Enter number of units in numeric
format.

HOPWA, SHOP, ICDBG

N/A

Three Bedroom Unit
Count

Enter number of units in numeric
format.

HOPWA, SHOP, ICDBG

N/A

Four Bedroom Unit
Count

The cumulative number of
studio housing units completed
under this grant by the end of
the reporting period.
The cumulative number of onebedroom housing units
completed under this grant by
the end of the reporting period.
The cumulative number of twobedroom housing units
completed under this grant by
the end of the reporting period.
The cumulative number of
three-bedroom housing units
completed under this grant by
the end of the reporting period.
The cumulative number of
four-bedroom housing units
completed under this grant by
the end of the reporting period.

Enter number of units in numeric
format.

HOPWA, SHOP, ICDBG

N/A

Five or More Bedroom
Unit Count

Enter number of units in numeric
format.

HOPWA, SHOP, ICDBG

N/A

ENERGY STAR Certified
Project Code

1 = Yes.
2 = No.
9 = Not Applicable.

HOPWA, SHOP, ICDBG

N/A

Energy-Efficient Project
Code

The cumulative number of five
or more-bedroom housing
units completed under this
grant by the end of the
reporting period.
The building or units qualify as
ENERGY STAR by a Home
Energy Rating System (HERS)
rater.
ENERGY STAR features,
appliances, and products have
been installed, but a certified
Energy Star rating is not
established.

1 = Yes.
2 = No.
9 = Not Applicable.

HOPWA, SHOP, ICDBG

5
HUD XXXX - Approved MM/DD/YYYY

OMB Approval Number: 2501-XXXX
Expiration Date: MM/DD/YYYY

Indicator
1
Number

Data Element Name

Data Element Description

Response Options

Applicable HUD Programs

N/A

Green-Certified Project
Code

The project received a national,
state, or local Green program
designation or certification.
This includes LEED certification.

1 = Yes.
2 = No.
9 = Not Applicable.

HOPWA, SHOP, ICDBG

N/A

WaterSense Project
Code

WaterSense labeled products
and fixtures have been installed
in the units.

1 = Yes.
2 = No.
9 = Not Applicable.

HOPWA, SHOP,

N/A

Healthy Homes Project
Code

N/A

Universal Design Project
Code

N/A

N/A

N/A
N/A

Healthy Home design features
1 = Yes.
HOPWA, SHOP,
have been incorporated in the
2 = No.
units.
9 = Not Applicable.
A healthy home is 1) dry and clean, 2) well-ventilated, 3) combustion product free, 4) pest free, 5) toxic chemical free, and 6)
comfortable. http://portal.hud.gov/hudportal/HUD?src=/program_offices/healthy_homes/HHPGM
Universal Design principles
1 = Yes.
HOPWA, SHOP,
have been incorporated in the
2 = No.
units.
9 = Not Applicable.
These principles are meant to produce units that are accessible to older people, people with disabilities and people without
disabilities and include: 1) Equitable use, 2) Flexibility in use, 3) Simple and intuitive, 4) Perceptible information, 5) Tolerance for
error, 6) Low physical effort, 7) Size and space for approach and use.
http://www.huduser.org/portal/publications/destech/resid.html
Accessible Unit Count
The number of units that are
Enter number of units in numeric
HOPWA, SHOP, ICDBG
accessible to persons with
format.
disabilities, excluding visitable
units.
Visitable Unit Count
The number of units that are
Enter number of units in numeric
HOPWA, SHOP, ICDBG
visitable for persons with
format.
disabilities, excluding accessible
units.
Visitability design incorporates the following in all construction or alterations, in addition to the applicable requirements of Section
504 and the Fair Housing Act, whenever practical and possible for as many units as possible within a development: 1) Provide a 32"
clear opening in all bathroom and interior doorways, 2) Provide at least one accessible means of egress/ingress for each unit.
Environmental Review
Date
Average Appraised Value
Amount

N/A

Average Sales Price
Amount

N/A

Conveyed Date

N/A

Project Household Count

The date the environmental
review is completed.
The appraised value of a
conveyed unit during the
reporting period. If project has
multiple units, use the average
value of all units.
The sales price of a conveyed
unit during the reporting
period. If project has multiple
units, use the average price of
all units.
The date the unit is conveyed.
If there are multiple units in the
project, use latest date.

Enter date in YYYMMDD format.

SHOP, ICDBG

Enter whole (rounded) dollar
amount in U.S. Dollars.

SHOP

Enter whole (rounded) dollar
amount in U.S. Dollars.

SHOP

Enter date in YYYMMDD format.

SHOP

The number of households that
have occupied all project units
since the last reporting period.

Enter whole (rounded) number in
numeric format.

HOPWA

6
HUD XXXX - Approved MM/DD/YYYY

OMB Approval Number: 2501-XXXX
Expiration Date: MM/DD/YYYY
Public reporting burden for this collection of information is estimated to average 15 minutes per respondent, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. 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. This information is collected in connection with HUD's respective discretionary grant program.
The information is considered sensitive and is protected by the Privacy Act which requires the records to be maintained with appropriate
administrative, technical and physical safeguards to ensure their security and confidentiality.

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HUD XXXX - Approved MM/DD/YYYY