HUD 4131 Application Summary Excel

Community Compass TA and Capacity Building Program NOFA

Application Summary Excel template 07032019.xlsx

OMB: 2506-0197

Document [xlsx]
Download: xlsx | pdf

Overview

Instructions
Summary


Sheet 1: Instructions


Summary
To complete the Summary spreadsheet (tab), use the following instructions:

Applicant Organization Name: Enter the legal name of the organization that is applying for funding via the Community Compass NOFA. This name must match the applicant's legal name on the Standard Form (SF) 424 submitted with the application.

Organization Description:  Provide a brief description of the applicant organization in 350 words or less. Include in the description: organizational history, purpose and mission, years of service, housing-related technical assistance services provided, and agency web address for additional information. This description may appear in the press release issued by HUD announcing the awards in the event the applicant is funded through this NOFA.

Amount of Funding Requested: Enter the total federal funding requested from box 18.a on the SF-424 submitted with the application. Enter the amount in whole dollars (e.g., $800,000). The amount entered in this field must sum the amounts entered for the FY #1 Funding Request and for the FY #2 Funding Request.
FY #1 Funding Request: Enter the total federal funding requested for FY #1, as per the NOFA submitted with the application. Enter the amount in whole dollars (e.g., $800,000).
FY #2 Funding Request: Enter the total federal funding requested for FY #2, as per the NOFA submitted with the application. Enter the amount in whole dollars (e.g., $800,000).

Funding Source Requested by Fiscal Year: For each funding source, indicate “Yes” or “No” to note if the applicant is requesting funding for FY #1 or FY #2 or both years. The applicant must consider the funding sources and eligible activities that may or may not be available in FY #2, as per the direction in the NOFA.

Applicant Designation: Select “Yes” or “No” to the following designations related to the applicant: Disadvataged Business, Small Business, and Faith-Based.

New Applicant: Indicate with “Yes” or “No” whether or not the applicant organization has received a Community Compass TA award in the five (5) years prior to NOFA publication. Please consider only the awards where the applicant organization was a direct recipient.

Rating Factor 2 Responses: Review the four(4) Rating Factor 2 responses included with the application, and list each program/cross-cutting topic and corresponding HUD Office. Select the HUD Office first, and then select the program in the adjacent field.

Indirect Cost Rate (%): List the applicant's rate(s) from the Indirect Cost Rate attachment required by section IV.F. of the NOFA. If the applicant has never submitted an indirect cost rate proposal and wishes to use the de minimis rate, indicate 10% in this field.

Eligible Activity: For each eligible activity, indicate the number of activities completed in the five (5) years prior to the publication date of the NOFA.


Sheet 2: Summary

OVERVIEW
These elements are collected as per section IV.B.1.a of the Community Compass NOFA. Enter requested information below.


Applicant Organization Legal Name
(same as on SF-424)



Description of Applicant Organization


Total Funding Request Amount ($)
(same as on SF-424)

Fiscal Year #1 Funding Request for NOFA
Fiscal Year #2 Funding Request for NOFA


Funding Source Requested by Fiscal Year FY #1, FY #2, Both or N/A?
Departmental
CDBG-Disaster Recovery
McKinney-Vento
National Homeless Data Analysis Program
Youth Homelessness
Public Housing Administrative Receivership and Recovery
Native American Housing and Community Development
National Fair Housing Training Academy


Applicant Designation Yes or No?
Disadvantaged business (e.g., 8(a) business)
Small business as defined by the U.S. Small Business Administration
Faith-based organization


New Applicant (Yes/No)


Select HUD Office Associated with Rating Factor 2
(select an Office below, then select a program in the adjacent cell)
Select Program/Cross-Cutting Topic
(depends on HUD Office selected)










Indirect Cost Rate (%)


Eligible Activities Number Completed in the 5 Years Prior to NOFA Publication
Needs Assessment
Direct TA and Capacity Building Engagements
Develop and Maintain Tools and Products
Self-Directed and Group Learning
Knowledge Management
Data Analysis, Reporting, and Performance Management
NAHASDA Allocation Formula Administration and Negotiated Rulemaking and Consultation Support


"Public reporting burden for this collection of information is estimated to average 0.5 hours. This includes the time for collecting, reviewing, and reporting the data. The information is being collected for Community Compass Technical Assistance and Capacity Building Program Notice of Funding Availability (NOFA) and will be used for NOFA applicantion review. Response to this request for information is required in order to receive the benefits to be derived. This agency may not collect this information, and you are not required to complete this form unless it displays a currently valid OMB control number. No confidentiality is assured.”
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