| Instructional Notes | ||
| Module 3 - Community Level | ||
| Module 3, Section A: Community Initiative Status Form | ||
| Section A: Community Initiatve Status Form is where CSBG Eligible Entities identify initiatives intended to achieve community level outcomes. This form provides a central place to report valuable information about a single community initiative that started, continued, or ended during the current reporting period. The information reported on the status form will be selected via a dropdown menu or written as a narrative. | ||
| Module 3, Section B: Community National Performance Indicators (NPIs) - Data Entry Form | ||
| Section B: Community NPIs Data Entry Form provides an opportunity for CSBG Eligible Entities to enter data for the community level outcomes reported in Section A, Line 14. Entities may select from the indicators outlined in this section, or create their own indicator if none of the provided indicators captures what the CSBG Eligible Entity is trying to achieve. To facilitate the reporting, use, and learning from Community NPIs the Annual Report provides two types of indicators (Counts of Change and Rates of Change). | ||
| The first way to report impact is the Counts of Change indicators. These are basic measures that provide the number of units being measured, e.g. jobs, houses, resources, etc. that have been added (created) or subtracted (eliminated), and in some cases maintained, in the community the CSBG Eligible Entity has targeted. | ||
| The second way to report impact is the Rates of Change indicators. While requiring a bit more information, these indicators tell the full story of the magnitude of the impacta community initiative (usually involving multiple organizations) has had in a community. | ||
| Module 3, Section C: Community Strategies List | ||
| Section C: Community Strategies List provides a basic identification of strategies, arranged by Domain and by topic area. The list cannot be all-inclusive; as such, an “other” category is included. This standardized list will aid in local and state analysis of the relationship between community-level strategies and outcomes. | ||
| Module 3, Section A: Community Transformation Status Form | ||
| Name of CSBG Eligible Entity Reporting: | ||
| State: | DUNS: | |
| Does this include CSBG funds? | Yes or No | |
| Does this include CSBG CARES Supplemental funds? | Yes or No | |
| Does this include CSBG Disaster Supplemental funds? | Yes or No | |
| Reporting Status: | New, Previously Submitted | |
| Use the dropdown menu to select the response where appropriate. | ||
| 1. Transformation Name | ||
| 2. Transformation Year | 1-7+ years | |
| 3. Problem Identification |
Narrative (Provide a narrative on the scope of the problem) |
|
| 4. Goal/Agenda | Narrative (Provide a narrative on the goal/agenda) |
|
| 5. Issue/CSBG Community Domains |
Employment; Education and Cognitive Development; Income, Infrastructure, and Asset Building; Housing; Health and Social/Behavioral Development; or Civic Engagement and Community Involvement | |
| 6. Ultimate Expected Outcome | Community Level National Performance Indicators (NPIs) (Reference the Community NPIs listed in Section B) |
|
| 7. Identified Community |
Neighborhood, City, School District, County, Service Area, State, Region, or Other | |
| 8. Expected Duration |
Narrative (Provide the range in years, e.g. 1-3 years) |
|
| 9. Partnership Type |
Independent CAA Initiative, CAA is the core organizer of multi-partner Initiative, or CAA is one of multiple active investors and partners | |
| 10. Partners |
Narrative (Provide a narrative on the key 1-3 partners) |
|
| 11. Strategy(ies) | Select from the Community Level Strategies listed in Section C |
|
| 12. Progress on Outcomes/Indicators | No Outcomes to Report, Interim Outcomes, Final Outcomes | |
| 13. Impact of Outcomes | Narrative (Provide additional information on the scope of the impact of these outcomes. e.g. If an initiative created a health clinic, please describe how many individuals and families are expected to be impacted.) |
|
| 14. Outcomes/Indicators to Report | Community Level National Performance Indicators (NPIs) (Reference the Community NPIs listed in Section B) |
|
| 15. Final Status |
Initiative Active, Initiative Ended Early, Initiative Ended as Planned, Completed Still Delivering Value | |
| 16. Lessons Learned |
Narrative | |
| Module 3, Section B: Community National Performance Indicators (CNPIs) - Data Entry Form | ||||||||||
| Goal 2: Communities where people with low incomes live are healthy and offer economic opportunity. | ||||||||||
| Employment Indicators | ||||||||||
| Name of CSBG Eligible Entity Reporting: | ||||||||||
| State: | DUNS: | |||||||||
| Counts of Change |
Counts of Change for Employment Indicators (CNPI 1) | I.) Identified Community (auto-populated) |
II.) Target (#) |
III.) Actual Results (#) |
IV.) Performance target accuracy (% auto calculated) |
|||||
| CNPI 1a Number of jobs created to increase opportunities for people with low incomes in the identified community. | #DIV/0! | |||||||||
| CNPI 1b Number of job opportunities maintained in the identified community. | #DIV/0! | |||||||||
| CNPI 1c Number of “living wage ” jobs created in the identified community*. | #DIV/0! | |||||||||
| CNPI 1d Number of “living wage” jobs maintained in the identified community*. | #DIV/0! | |||||||||
| CNPI 1e Number of jobs created in the identified community with a benefit package. | #DIV/0! | |||||||||
| *When reporting on indicators related to living wage, agencies can provide their own definition or select from national or locally-defined models. Please indicate the living wage definition used in the General Comment box. | ||||||||||
| Other Counts of Change | Other Counts of Change for Employment Indicators (CNPI 1z) - Please specify below. | I.) Identified Community (auto-populated) |
II.) Target (#) |
III.) Actual Results (#) |
IV.) Performance target accuracy (% auto calculated) |
|||||
| CNPI 1z.1 Other | #DIV/0! | |||||||||
| CNPI 1z.2 Other | #DIV/0! | |||||||||
| CNPI 1z.3 Other | #DIV/0! | |||||||||
| Rates of Change | Rates of Change for Employment Indicators (CNPI 1) | I.) Identified Community (auto-populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
V.) Actual Results (%) |
VI.) Actual % change from baseline (% auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||
| CNPI 1f Percent decrease of the unemployment rate. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 1g Percent decrease of the youth unemployment rate. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 1h Percent decrease of the underemployment rate. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| Other Rates of Change | Other Rates of Change for Employment Indicators (CNPI 1z) - Please specify below. |
I.) Identified Community (auto-populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
V.) Actual Results (%) |
VI.) Actual % change from baseline (% auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||
| CNPI 1z.4 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 1z.5 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 1z.6 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| General comments: | ||||||||||
| Module 3, Section B: Community National Performance Indicators (CNPIs) - Data Entry Form | ||||||||||
| Goal 2: Communities where people with low incomes live are healthy and offer economic opportunity. | ||||||||||
| Education and Cognitive Development Indicators | ||||||||||
| Name of CSBG Eligible Entity Reporting: | ||||||||||
| State: | DUNS: | |||||||||
| Counts of Change |
Counts of Change for Education and Cognitive Development Indicators (CNPI 2) | I.) Identified Community (auto-populated) |
II.) Target (#) |
III.) Actual Results (#) |
IV.) Performance target accuracy (% auto calculated) |
|||||
| CNPI 2a Number of accessible and affordable early childhood or pre-school education assets or resources added to the identified community. | #DIV/0! | |||||||||
| CNPI 2b Number of accredited or licensed affordable child care facilities added in the identified community. | #DIV/0! | |||||||||
| CNPI 2c Number of new Early Childhood Screenings offered to children (ages 0-5) of families with low-incomes in the identified community. | #DIV/0! | |||||||||
| CNPI 2d Number of accessible and affordable education assets or resources added for school age children in the identified community. (e.g., academic, enrichment activities, before/after school care, summer programs) | #DIV/0! | |||||||||
| CNPI 2e Number of accessible and affordable post secondary education assets or resources added for newly graduating youth in the identified community. (e.g. college tuition, scholarships, vocational training, etc.) | #DIV/0! | |||||||||
| CNPI 2f Number of accessible and affordable basic or secondary education assets or resources added for adults in the identified community. (e.g. literacy, ESL, ABE/GED, etc.) | #DIV/0! | |||||||||
| Other Counts of Change | Other Counts of Change for Education and Cognitive Development Indicators (CNPI 2z) - Please specify below. | I.) Identified Community (auto-populated) |
II.) Target (#) |
III.) Actual Results (#) |
IV.) Performance target accuracy (% auto calculated) |
|||||
| CNPI 2z.1 Other | #DIV/0! | |||||||||
| CNPI 2z.2 Other | #DIV/0! | |||||||||
| CNPI 2z.3 Other | #DIV/0! | |||||||||
| Rates of Change | Rates of Change for Education and Cognitive Development Indicators (CNPI 2) | I.) Identified Community (auto-populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
V.) Actual Results (%) |
VI.) Actual % change from baseline (% auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||
| CNPI 2g Percent increase of children in the identified community who are kindergarten ready. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 2h Percent increase of children in the identified community at (or above) the basic reading level. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 2i Percent increase of children in the identified community at (or above) the basic math level. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 2j Percent increase in high school (or high school equivalency) graduation rate in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 2k Percent increase of the rate of youth in the identified community who attend post-secondary education. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 2l Percent increase of the rate of youth in the identified community who graduate from post-secondary education. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 2m Percent increase of adults in the identified community who attend post-secondary education. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 2n Percent increase of adults in the identified community who graduate from post-secondary education. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 2o Percent increase in the adult literacy rate in the identified community . | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| Other Rates of Change | Other Rates of Change for Education and Cognitive Development Indicators (CNPI 2z) - Please specify below. |
I.) Identified Community (auto populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
V.) Actual Results (%) |
VI.) Actual % change from baseline (% auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||
| CNPI 2z.4 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 2z.5 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 2z.6 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| General comments: | ||||||||||
| Module 3, Section B: Community National Performance Indicators (CNPIs) - Data Entry Form | ||||||||||
| Goal 2: Communities where people with low incomes live are healthy and offer economic opportunity. | ||||||||||
| Infrastructure and Asset Building Indicators | ||||||||||
| Name of CSBG Eligible Entity Reporting: | ||||||||||
| State: | DUNS: | |||||||||
| Counts of Change |
Counts of Change for Infrastructure and Asset Building Indicators (CNPI 3) | I.) Identified Community (auto-populated) |
II.) Target (#) |
III.) Actual Results (#) |
IV.) Performance target accuracy (% auto calculated) |
|||||
| CNPI 3a Number of new accessible assets/resources created in the identified community: | ||||||||||
| CNPI 3a.1 | Commercial | #DIV/0! | ||||||||
| CNPI 3a.2 | Financial | #DIV/0! | ||||||||
| CNPI 3a.3 | Technological/ Communications (e.g. broadband) | #DIV/0! | ||||||||
| CNPI 3a.4 | Transportation | #DIV/0! | ||||||||
| CNPI 3a.5 | Recreational (e.g. parks, gardens, libraries) | #DIV/0! | ||||||||
| CNPI 3a.6 | Other Public Assets/Physical Improvements | #DIV/0! | ||||||||
| CNPI 3b Number of existing assets/resources made accessible to the identified community: | ||||||||||
| CNPI 3b.1 | Commercial | #DIV/0! | ||||||||
| CNPI 3b.2 | Financial | #DIV/0! | ||||||||
| CNPI 3b.3 | Technological/ Communications (e.g. broadband) | #DIV/0! | ||||||||
| CNPI 3b.4 | Transportation | #DIV/0! | ||||||||
| CNPI 3b.5 | Recreational (e.g. parks, gardens, libraries) | #DIV/0! | ||||||||
| CNPI 3b.6 | Other Public Assets/Physical Improvements | #DIV/0! | ||||||||
| Other Counts of Change | Other Counts of Change for Infrastructure and Asset Building Indicators (CNPI 3z) - Please specify below. | I.) Identified Community (auto populated) |
II.) Target (#) |
III.) Actual Results (#) |
IV.) Performance target accuracy (% auto calculated) |
|||||
| CNPI 3z.1 Other | #DIV/0! | |||||||||
| CNPI 3z.2 Other | #DIV/0! | |||||||||
| CNPI 3z.3 Other | #DIV/0! | |||||||||
| Rates of Change | Rates of Change for Infrastructure and Asset Building Indicators (CNPI 3) | I.) Identified Community (auto-populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||||
| CNPI 3c Percent decrease of abandoned or neglected buildings in the identified community. | #DIV/0! | #REF! | ||||||||
| CNPI 3d Percent decrease in emergency response time measured in minutes in the identified community. (EMT, Police, Fire, etc.). | #DIV/0! | #REF! | ||||||||
| CNPI 3e Percent decrease of predatory lenders and/or lending practices in the identified community. | #DIV/0! | #REF! | ||||||||
| CNPI 3f Percent decrease of environmental threats to households (toxic soil, radon, lead, air quality, quality of drinking water, etc.) in the identified community. | #DIV/0! | #REF! | ||||||||
| CNPI 3g Percent increase of transportation services in the identified community. | #DIV/0! | #REF! | ||||||||
| Other Rates of Change | Other Rates of Change for Infrastructure and Asset Building Indicators (CNPI 3z) - Please specify below. |
I.) Identified Community (auto-populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||||
| CNPI 3z.4 Other | #DIV/0! | #REF! | ||||||||
| CNPI 3z.5 Other | #DIV/0! | #REF! | ||||||||
| CNPI 3z.6 Other | #DIV/0! | #REF! | ||||||||
| General comments: | ||||||||||
| Module 3, Section B: Community National Performance Indicators (CNPIs) - Data Entry Form | ||||||||||
| Goal 2: Communities where people with low incomes live are healthy and offer economic opportunity. | ||||||||||
| Housing Indicators | ||||||||||
| Name of CSBG Eligible Entity Reporting: | ||||||||||
| State: | DUNS: | |||||||||
| Counts of Change |
Counts of Change for Housing Indicators (CNPI 4) | I.) Identified Community (auto-populated) |
II.) Target (#) |
III.) Actual Results (#) |
IV.) Performance target accuracy (% auto calculated) |
|||||
| CNPI 4a Number of safe and affordable housing units developed in the identified community (e.g. built or set aside units for people with low incomes). | #DIV/0! | |||||||||
| CNPI 4b Number of safe and affordable housing units maintained and/or improved through WAP or other rehabilitation efforts in the identified community. | #DIV/0! | |||||||||
| CNPI 4c Number of shelter beds created in the identified community. | #DIV/0! | |||||||||
| CNPI 4d Number of shelter beds maintained in the identified community. | #DIV/0! | |||||||||
| Other Counts of Change | Other Counts of Change for Housing Indicators (CNPI 4z) - Please specify below. | I.) Identified Community (auto-populated) |
II.) Target (#) |
III.) Actual Results (#) |
IV.) Performance target accuracy (% auto calculated) |
|||||
| CNPI 4z.1 Other | #DIV/0! | |||||||||
| CNPI 4z.2 Other | #DIV/0! | |||||||||
| CNPI 4z.3 Other | #DIV/0! | |||||||||
| Rates of Change | Rates of Change for Housing Indicators (CNPI 4) | I.) Identified Community (auto-populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
V.) Actual Results (%) |
VI.) Actual % change from baseline (% auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||
| CNPI 4e Percent decrease in the rate of homelessness in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 4f Percent decrease in the foreclosure rate in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 4g Percent increase in the rate of home ownership of people with low incomes in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 4h Percent increase of affordable housing in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 4i Percent increase of shelter beds in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| Other Rates of Change | Other Rates of Change for Housing Indicators (CNPI 4z) - Please specify below. |
I.) Identified Community (auto populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
V.) Actual Results (%) |
VI.) Actual % change from baseline (% auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||
| CNPI 4z.4 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 4z.5 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 4z.6 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| General comments: | ||||||||||
| Module 3, Section B: Community National Performance Indicators (CNPIs) - Data Entry Form | ||||||||||
| Goal 2: Communities where people with low incomes live are healthy and offer economic opportunity. | ||||||||||
| Health and Social/Behavioral Indicators | ||||||||||
| Name of CSBG Eligible Entity Reporting: | ||||||||||
| State: | DUNS: | |||||||||
| Counts of Change |
Counts of Change for Health and Social/Behavioral Indicators (CNPI 5) | I.) Identified Community (auto-populated) |
II.) Target (#) |
III.) Actual Results (#) |
IV.) Performance target accuracy (% auto calculated) |
|||||
| CNPI 5a Number of accessible and affordable physical health assets or resources created in the identified community. | #DIV/0! | |||||||||
| CNPI 5b Number of accessible and affordable behavioral and mental health assets or resources created in the identified community. | #DIV/0! | |||||||||
| CNPI 5c Number of public safety assets and resources created in the identified community. | #DIV/0! | |||||||||
| CNPI 5d Number of accessible and affordable healthy food resources created in the identified community. | #DIV/0! | |||||||||
| CNPI 5e Number of activities designed to improve police and community relations within the identified community. | #DIV/0! | |||||||||
| Other Counts of Change | Other Counts of Change for Health and Social/Behavioral Indicators (CNPI 5z) - Please specify below. | I.) Identified Community (auto-populated) |
II.) Target (#) |
III.) Actual Results (#) |
IV.) Performance target accuracy (% auto calculated) |
|||||
| CNPI 5z.1 Other | #DIV/0! | |||||||||
| CNPI 5z.2 Other | #DIV/0! | |||||||||
| CNPI 5z.3 Other | #DIV/0! | |||||||||
| Rates of Change | Rates of Change for Physical Health, Wellbeing, and Development Indicators (CNPI 5) | I.) Identified Community (auto-populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
V.) Actual Results (%) |
VI.) Actual % change from baseline (% auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||
| CNPI 5f Percent decrease in infant mortality rate in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 5g Percent decrease in childhood obesity rate in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 5h Percent decrease in adult obesity rate in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 5i Percent increase in child immunization rate in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 5j Percent decrease in uninsured families in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| Rates of Change | Rates of Change for Behavioral and Mental health, Emotional Wellbeing, and Development Indicators (CNPI 5) | I.) Identified Community (auto-populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
V.) Actual Results (%) |
VI.) Actual % change from baseline (% auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||
| CNPI 5k Percent decrease in the teen pregnancy rate in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 5l Percent decrease in unplanned pregnancies in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 5m Percent decrease in substance abuse rate in the identified community.(e.g. cigarettes, prescription drugs, narcotics, alcohol). | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 5n Percent decrease in domestic violence rate in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 5o Percent decrease in the child abuse rate in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 5p Percent decrease in the child neglect rate in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 5q Percent decrease in the elder abuse rate in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 5r Percent decrease in the elder neglect rate in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| Rates of Change | Rates of Change for Public Safety Indicators (CNPI 5) | I.) Identified Community (auto populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
V.) Actual Results (%) |
VI.) Actual % change from baseline (% auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||
| CNPI 5s Percent decrease in recidivism rate in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 5t Percent decrease in non-violent crime rate in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 5u Percent decrease in violent crime rate in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 5v Percent decrease in teens involved with the juvenile court system in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| Other Rates of Change | Other Rates of Change for Health and Social/Behavioral Indicators (CNPI 5z) - Please specify below. |
I.) Identified Community (auto populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
V.) Actual Results (%) |
VI.) Actual % change from baseline (% auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||
| CNPI 5z.4 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 5z.5 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 5z.6 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| General comments: | ||||||||||
| Module 3, Section B: Community National Performance Indicators (CNPIs) - Data Entry Form | ||||||||||
| Goal 2: Communities where people with low incomes live are healthy and offer economic opportunity. | ||||||||||
| Civic Engagement and Community Involvement Indicators | ||||||||||
| Name of CSBG Eligible Entity Reporting: | ||||||||||
| State: | DUNS: | |||||||||
| Rates of Change | Rates of Change for Civic Engagement and Community Involvement Indicators - Goal 2 (CNPI 6) | I.) Identified Community (auto-populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
V.) Actual Results (%) |
VI.) Actual % change from baseline (% auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||
| CNPI 6 G2a Percent increase of donated time to support the CSBG Eligible Entity's delivery of services and/or implementation of strategies to address conditions of poverty in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 6 G2b Percent increase of donated resources to support the CSBG Eligible Entity's delivery of services and/or implementation of strategies to address conditions of poverty in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 6 G2c Percent increase of people participating in public hearings, policy forums, community planning, or other advisory boards related to the CSBG Eligible Entity's delivery of service and/or implementation of strategies to address conditions of poverty in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| Other Rates of Change | Other Rates of Change for Civic Engagement and Community Involvement Indicators - Goal 2 (CNPI 6 G2z) - Please specify below. |
I.) Identified Community (auto-populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
V.) Actual Results (%) |
VI.) Actual % change from baseline (% auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||
| CNPI 6 G2z.4 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 6 G2z.5 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 6 G2z.6 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| Other Counts of Change | Other Counts of Change for Civic Engagement and Community Involvement Indicators - Goal 2 (CNPI 6 G2z) - Please specify below. |
I.) Identified Community (auto-populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
V.) Actual Results (%) |
VI.) Actual % change from baseline (% auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||
| CNPI 6 G2z.1 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 6 G2z.2 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 6 G2z.3 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| General comments: | ||||||||||
| Module 3, Section B: Community National Performance Indicators (CNPIs) - Data Entry Form | ||||||||||
| Goal 3: People with low-incomes are engaged and active in building opportunities in communities. | ||||||||||
| Civic Engagement and Community Involvement Indicators | ||||||||||
| Name of CSBG Eligible Entity Reporting: | ||||||||||
| State: | DUNS: | |||||||||
| Rates of Change | Rates of Change for Civic Engagement and Community Involvement Indicators - Goal 3 (CNPI 6) | I.) Identified Community (auto-populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
V.) Actual Results (%) |
VI.) Actual % change from baseline (% auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||
| CNPI 6 G3a Percent increase of people with low incomes who support the CSBG Eligible Entity's delivery of service and/or implementation of strategies to address conditions of poverty in the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 6 G3b Percent increase of people with low incomes who acquire and maintain leadership roles with the CSBG Eligible Entity or other organizations within the identified community. | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| Other Rates of Change | Other Rates of Change for Civic Engagement and Community Involvement Indicators - Goal 3 (CNPI 6 G3z) - Please specify below. |
I.) Identified Community (auto-populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
V.) Actual Results (%) |
VI.) Actual % change from baseline (% auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||
| CNPI 6 G3z.4 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 6 G3z.5 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 6 G3z.6 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| Other Counts of Change | Other Counts of Change for Civic Engagement and Community Involvement Indicators - Goal 3 (CNPI 6 G3z) - Please specify below. |
I.) Identified Community (auto-populated) |
II.) Baseline existing starting point used for comparisons (%) |
III.) Target (%) |
IV.) Expected % change from baseline (Target % auto calculated) |
V.) Actual Results (%) |
VI.) Actual % change from baseline (% auto calculated) |
VII.) Performance target accuracy (% auto calculated) |
||
| CNPI 6 G3z.1 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 6 G3z.2 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| CNPI 6 G3z.3 Other | #DIV/0! | #DIV/0! | #DIV/0! | |||||||
| General comments: | ||||||||||
| Module 3, Section C: Community Strategies List | |
| Name of CSBG Eligible Entity Reporting: | |
| State: | DUNS: |
| Employment Strategies (STR 1) | |
| STR 1a | Minimum/Living Wage Campaign |
| STR 1b | Job Creation/Employment Generation |
| STR 1c | Job Fairs |
| STR 1d | Earned Income Tax Credit (EITC) Promotion |
| STR 1e | Commercial Space Development |
| STR 1f | Employer Education |
| STR 1g | Employment Policy Changes |
| STR 1h | Employment Legislative Changes |
| STR 1i | Other Employment Strategy: (please specify) |
| Education and Cognitive Development Strategies (STR 2) | |
| STR 2a | Preschool for All Campaign |
| STR 2b | Charter School Development |
| STR 2c | After School Enrichment Activities Promotion |
| STR 2d | Pre K-College/Community College Support |
| STR 2e | Children’s Trust Fund Creation |
| STR 2f | Scholarship Creation |
| STR 2g | Child Tax Credit (CTC) Promotion |
| STR 2h | Adoption Child Care Quality Rating |
| STR 2i | Adult Education Establishment |
| STR 2j | Education and Cognitive Development Policy Changes |
| STR 2k | Education and Cognitive Development Legislative Changes |
| STR 2l | Other Education and Cognitive Development Strategy: (please specify) |
| Infrastructure and Asset Building Strategies (STR 3) | |
| STR 3a | Cultural Asset Creation |
| STR 3b | Police/Community Relations Campaign |
| STR 3c | Neighborhood Safety Watch Programs |
| STR 3d | Anti-Predatory Lending Campaign |
| STR 3e | Asset Building and Savings Promotion |
| STR 3f | Develop/Build/Rehab Spaces |
| STR 3g | Maintain or Host Income Tax Preparation Sites |
| STR 3h | Community-Wide Data Collection Systems Development |
| STR 3i | Local 211 or Resource/Referral System Development |
| STR 3j | Water/Sewer System Development |
| STR 3k | Community Financial Institution Creation |
| STR 3l | Infrastructure Planning Coalition |
| STR 3m | Park or Recreation Creation and Maintenance |
| STR 3n | Rehabilitation/Weatherization of Housing Stock |
| STR 3o | Community Center/Community Facility Establishment |
| STR 3p | Asset Limit Barriers for Benefits Policy Changes |
| STR 3q | Infrastructure and Asset Building Policy Changes |
| STR 3r | Infrastructure and Asset Building Legislative Changes |
| STR 3s | Other Infrastructure and Asset Building Strategy: (please specify) |
| Housing Strategies (STR 4) | |
| STR 4a | End Chronic Homelessness Campaign |
| STR 4b | New Affordable Single Unit Housing Creation |
| STR 4c | New Affordable Multi- Unit Housing Creation (Single Resident Occupancy (SRO), temporary housing, transitional housing) |
| STR 4d | Tenants’ Rights Campaign |
| STR 4e | New Shelters Creation (including day shelters and domestic violence shelters) |
| STR 4f | Housing or Land Trust Creation |
| STR 4g | Building Codes Campaign |
| STR 4h | Housing Policy Changes |
| STR 4i | Housing Legislative Changes |
| STR 4j | Other Housing Strategy: (please specify) |
| Health and Social/Behavioral Development Strategies (STR 5) | |
| STR 5a | Health Specific Campaign |
| STR 5b | Farmers Market or Community Garden Development |
| STR 5c | Grocery Store Development |
| STR 5d | Gun Safety/Control Campaign |
| STR 5e | Healthy Food Campaign |
| STR 5f | Nutrition Education Collaborative |
| STR 5g | Food Bank Development |
| STR 5h | Domestic Violence Court Development |
| STR 5i | Drug Court Development |
| STR 5j | Alternative Energy Source Development |
| STR 5k | Develop or Maintain a Health Clinic |
| STR 5l | Health and Social/Behavioral Development Policy Changes |
| STR 5m | Health and Social/Behavioral Development Legislative Changes |
| STR 5n | Other Health and Social/Behavioral Development Strategy: (please specify) |
| Civic Engagement and Community Involvement Strategies - Goal 2 (STR 6 G2) | |
| STR 6 G2a | Development of Health and Social Service Provider Partnerships |
| STR 6 G2b | Recruiting and Coordinating Community Volunteers |
| STR 6 G2c | Poverty Simulations |
| STR 6 G2d | Attract Capital Investments |
| STR 6 G2e | Build/Support Increased Equity |
| STR 6 G2f | Equity Awareness Campaign |
| STR 6 G2g | Coordinated Community-wide Needs Assessment |
| STR 6 G2h | Civic Engagement and Community Involvement in Advocacy Efforts |
| STR 6 G2i | Civic Engagement Policy Changes |
| STR 6 G2j | Civic Engagement Legislative Changes |
| STR 6 G2k | Other Civic Engagement and Community Involvement Strategy: (please specify) |
| Civic Engagement and Community Involvement Strategies - Goal 3 (STR 6 G3) | |
| STR 6 G3a | Empowerment of Individuals/Families with Low-Incomes |
| STR 6 G3b | Campaign to Ensure Individuals with Low-Incomes are Represented on Local Governing Bodies |
| STR 6 G3c | Social Capital Building Campaign for Individuals/Families with Low-Incomes |
| STR 6 G3d | Campaign for Volunteer Placement and Coordination |
| STR 6 G3e | Civic Engagement Policy Changes |
| STR 6 G3f | Civic Engagement Legislative Changes |
| STR 6 G3g | Other Civic Engagement and Community Involvement Strategy: (please specify) |
| Community Support Strategies (STR 7) | |
| STR 7a | Off-Hours (Non-Traditional Hours) Child Care Development |
| STR 7b | Transportation System Development |
| STR 7c | Transportation Services Coordination and Support |
| STR 7d | Community Support Policy Changes |
| STR 7e | Community Support Legislative Changes |
| STR 7f | Other Community Support Strategy: (please specify) |
| Emergency Management Strategies (STR 8) | |
| STR 8a | State or Local Emergency Management Board Enhancement |
| STR 8b | Community wide Emergency Disaster Relief Service Creation |
| STR 8c | Disaster Preparation Planning |
| STR 8d | Emergency Management Policy Changes |
| STR 8e | Emergency Management Legislative Changes |
| STR 8f | Other Emergency Management Strategy: (please specify) |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |