Coordination Work Plan Template
TA Provider: |
<name of TA award recipient auto-populates in DRGR> |
GTR (name and email): |
<name and email of GTR auto-populates in DRGR> |
GTM/POTAC (name, email and phone): |
<not applicable in DRGR> |
1st Page of Work Plan in DRGR
TA Work Plan
Award # <select
the award #> |
Work Plan Type <select
the work plan type> |
Work Plan Category <auto-populated
based on work plan type selection>
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Work Plan # <enter
the work plan #>
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Work Plan Status <after
completing all fields in DRGR, change status to
“submitted”> |
Work Plan Close Date <leave blank until ready to close work plan>
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Invoice
Period: |
# of Amendments (Approved by HUD) <auto-populated
in DRGR>
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Submitted Date <auto-populated in DRGR>
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Associated TA Requests: |
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TA Request <leave blank>
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TA Request Status <leave blank>
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Associated Work Plans: |
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TA Providers <leave blank>
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Work Plan # <leave blank> |
Work Plan Status <leave blank> |
Scope: |
Lead Person for Work Plan <within the Scope field, identify the lead person by name, email, and phone number> |
Original scope: <sample Scope for Coordination work plan (below); Recipient should adjust the scope based on its organizational structure and costs expected and allowed to be billed to the Coordination work plan>
TA Award Recipient will coordinate with HUD and other TA Award Recipients as assigned by HUD. These activities are expected to include the following
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Amendment and Modification Justification <within the Scope field, identify date of the amendment or modification, the changes made to the work plan, and the reason for the changes> |
Organization Assisted: |
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Grantee Name <leave blank>
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Grantee Program <leave blank>
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Grantee State <leave blank>
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Grantee DUNS <leave blank>
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Grantee Org/Dept <leave blank>
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Work Plan Period of Performance: |
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From: <enter award effective date> |
To: <award end date> |
Tasks: |
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Task: |
Start Date: |
End Date: |
Estimated |
Estimated |
Narrative: |
1. Coordination |
<enter award eff.date> |
<enter award end date> |
<estimate fully-loaded costs for coordination activities charged to this award> |
<estimate total hours for coordination activities charged to this award> |
<indicate which coordination activities are estimated in the budget, based on the allowable scope; include names of travelers and number of trips by traveler expected under this award> |
2. |
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3. |
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4. |
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5. |
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6. |
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7. |
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8. |
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9. |
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10. |
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Total Budget (with Amendments) |
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Original Budget |
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Previously Approved Budget |
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Milestones: |
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Milestone <enter milestones associated with this award>:
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Expected Date <enter date of milestones associated with this award>:
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2nd Page of Work Plan in DRGR
Activity Budget: |
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Grant <auto-populated>: |
Work Plan Type <auto-populated>: |
Project# / Project Title <select “Coordination” project>: |
Total Budget (with Amendments) <auto-populated>: |
Original Budget <auto-populated>: |
Previously Approved Budget <auto-populated>: |
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Proposed Staff: |
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Proposed Staff Budget <identify the total direct labor costs>: |
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Staff Type <select from dropdown>: |
Effective <populated based on Staff Type>: |
Staff <select based on Staff Type>: |
Title <populated based on Staff Name>: |
Organization <populated based on Staff Name>: |
Start <enter est. start date>: |
End <enter est. end date>: |
Hours <enter est. hours>: |
Total <populated based on staff type>: |
Total <calculated>: |
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Total <calculated>: |
$0.00 |
Other/BLI Costs: <identify total value of other direct costs (e.g., airfare, hotel, ground transportation, direct supplies, and include a line item for expected increases in direct labor rates)> |
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Budget Line Item: |
Description: |
Start Date: |
End Date: |
Cost: |
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Total: |
$0.00 |
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Proposed Accomplishment(s): |
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Outcome(s) <future enhancement; leave blank for now>: |
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Task: |
Expected Outcome: |
Start Date: |
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Output(s) <future enhancement; leave blank for now>: |
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Task: |
Expected Outcome: |
Start Date: |
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Indicate Which of HUD’s Strategic Goals the Planned Work Supports <future enhancement; leave blank for now> |
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Select: |
Goal: |
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Strengthen the nation’s Housing Market to Bolster the Economy and Protect Consumers |
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Meet the Need for Quality Affordable Rental Homes |
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Utilize Housing as a Platform for Improving Quality of Life |
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Build Inclusive and Sustainable Communities Free from Discrimination |
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Transforming the Way HUD Does Business |
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Achieving Operational Excellence |
Indicate Which Goals of the Federal Strategic Plan to Prevent and End Homelessness the Planned Work Supports <future enhancement; leave blank for now> |
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Select: |
Goal: |
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Promote Collaborative Leadership |
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Strengthen Capacity and Knowledge |
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Provide Affordable Housing |
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Provide Permanent Supportive Housing |
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Increase Economic Security |
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Reduce Financial Vulnerability |
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Integrate Health Care with Housing |
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Advance Health and Housing Stability for Youth |
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Advance Health and Housing Stability for Adults |
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Transform Crisis Response Systems |
OMB 2506-0197
HUD 4140 exp. 3/31/21
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Santana, Njeri A |
File Modified | 0000-00-00 |
File Created | 2022-10-13 |