DRAFT
v9
ERA1 FINAL REPORT
Page
The following presents the questions that would appear onscreen on the ERA1 Final Report in Treasury’s Portal (the Portal). The questions are arranged by section or portal tab. The general format and tabs align with the layout of the ERA quarterly report in the Portal, with a small number of exceptions. Some verbiage has been clarified or simplified based on Treasury’s experience with the ERA quarterly reports. ERA1 Grantee s that are Tribes, or Tribally Designated Housing Entities, and the Department of Hawaiian Home Lands are exempt from several of the standard reporting questions as noted.
Tab: Grantee Profile
Please verify the following and report any errors or updates in the text box below. |
ERA Grantee Information |
Grantee Legal Name |
Grantee Unique Entity Identification (UEI) |
Grantee Taxpayer Identification Number (TIN) |
Grantee Type ((The Portal will display a Picklist Selection)) |
Grantee Address |
Grantee Address 2 |
Grantee Address 3 |
Grantee City |
Grantee State/Territory |
Grantee Zip |
Grantee Zip +4 |
Grantee Country Name |
Please report any errors or updates (if any). ((The Portal will display a text box where the grantee can provide their input.)) |
Is the Grantee Registered in SAM.gov? Y/N |
Y/N |
In the preceding fiscal year, did the Grantee receive $25 million or more of its annual gross revenue from federal funds? Y/N |
Is the “total compensation” for the organization’s five highest paid officers publicly listed or otherwise listed in SAM.gov? Y/N |
Enter the Name and Total Compensation for each officer below. If the number of officers is less than 5, please enter N/A.
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Officer Name Total Compensation |
Officer Name Total Compensation |
Officer Name Total Compensation |
Officer Name Total Compensation |
Officer Name |
Point of Contact List |
Verify the names and contact information of all individuals designated for the three ERA Project roles: ERA Account Administrator; ERA Point of Contact for Reporting; and ERA Authorized Representative for Reporting. ((Hyperlink to the specific grantee’s list of contacts.)) |
Name |
Title |
Phone |
Role(s) |
Tab: ERA1 Project Overview
Please review and verify the following (and update the information, if needed): |
ERA1 Project Name |
ERA1 Project Website URL |
Geographic Service Area
State-wide City-wide County-wide Targeted Communities
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ERA1 Project Final Summary Narrative |
Please provide a summary narrative about the ERA1 project including the following topics. (4,000 words or less.) |
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Effective Practices |
(Optional) Please provide a brief narrative on any effective practice(s) the grantee implemented in administering its ERA1 project for sharing with the broader ERA community. (1,000words or less.) |
Please provide narratives of effective practices: (The Portal will display text boxes where the grantee can provide their narrative(s).) |
System for Prioritizing Assistance |
Please update, as appropriate, the grantee's previously submitted description of its approach for prioritizing ERA1 assistance to certain households (e.g., households with incomes less than 50% of area median income and those with at least one member who were unemployed 90 days or more prior to the date the household applied for ERA1 assistance). If the approach does not include posting information on a website, please include details on how information about the system is made available to the public. |
Previously submitted narrative: (The Portal will display a read-only version of the previously submitted narrative on-screen here.) |
Please update the narrative, as appropriate. (The Portal will display a text box where the grantee can submit an updated version of the narrative, if needed.) |
Please update, as appropriate, the previously submitted URL where information on the system for prioritizing assistance is publicly available. If there is no website, and if such information has not been submitted previously, please upload a copy of publicly available information about the system for prioritizing assistance. |
Previously submitted URL ((The Portal will display the URL on-screen.)) |
Provide updated URL, as appropriate here: ((The Portal will display a text box where the grantee can submit updated information manually.)) |
Fact-Based Proxy for Determining Eligibility |
Please verify and update, as appropriate, the grantee's previous responses to the following. |
Did the ERA1 grantee use a fact-based proxy to determine applicants' income eligibility for financial assistance under the ERA1 Project? ((The Portal will display yes/no radio buttons that the grantee can select.)) |
If “Yes”, please review and update, as needed, the previously submitted narrative on the fact-based proxy used for this purpose. The narrative must include information on all income threshold, policies, and procedures used for verifying eligibility. If you have not previously submitted a narrative, please do so below. |
Submit narrative (if needed): ((The Portal will display a text box and instructions for grantee who have not submitted a narrative to do so by either manually entering or uploading.)) |
Review and update previously submitted narrative: ((The read-only version of the previously submitted narrative will be displayed on-screen.)) |
If appropriate, please upload an updated narrative: ((The Portal will display instructions for uploading a file.)) |
Tab: Expenditures Made in Closeout Period
Click here ((The Portal will display a button labeled “Expenditures Made in Closeout Period)) to report the grantee’s expenditures (if any) made in the closeout period only. Reminder, grantees may expend ERA1 award funds during the closeout period only to liquidate obligations it incurred for administrative costs by end date of the award period of performance. |
((When the grantee clicks
the button above, the Portal will display the following sections
of the Expenditures tab typically shown for quarterly reporting:
“Expenditures
associated with Subawards, Contracts and Direct Payments for which
the ERA1 grantee obligated Less than $30,000” |
Tab: Subrecipients, Contractors, and Direct Payees (Obligations of $30,000 or More)
Please use this section to review and make revisions, as appropriate, to records for the ERA1 grantee’s subrecipient(s), contractor(s) and direct payees (beneficiary(ies)) to which the grantee had obligated a total of $30,000 or more in the period of performance as reported in quarterly reports. Please create new entries for any records that were not submitted with a quarterly report. Provide a narrative explanation for any correction made or new records created. Please do not create duplicate records. |
((The Portal will display the following sub-heading: “Table of Subrecipients, Contractors and Direct Payees for Review.” The Portal will display the current records on-screen. The grantee can review and make manual revisions on-screen, as needed. The grantee will have the option of clicking a button labeled “Download Excel File for Review,” to download an Excel file of the current records. Grantees who choose that option can then review the downloaded data, make needed revisions, and reformat the information for uploading. Instructions for uploading the file will be displayed on-screen. The Portal will track all revisions.)) |
Tab: Subawards, Contracts, and Direct Payments (Obligations of $30,000 or More)
Please use this section to review and make revisions, as appropriate, to records of the grantee’s subaward(s), contract(s), and direct payment(s) for which the grantee had obligated $30,000 or more in the award period of performance as reported in quarterly reports. Please create new records for any that were not submitted with quarterly reports. Provide a narrative explanation for any revision made or new records created. Please do not create duplicate records. |
((The Portal will display the following sub-heading: “Table of Subawards, Contracts and Direct Payments for Review” The Portal will display the current records on-screen. The grantee can review and make manual revisions on-screen, as needed. The grantee will have the option of clicking a button labeled “Download Excel File for Review,” to download an Excel file of the current records. Grantees who choose this option can then review the downloaded data, make needed revisions, and reformat the information for uploading. Instructions for uploading the file will be displayed on-screen. The Portal will track all revisions.)) |
Tab: Expenditures Made Over the Period of Performance
Grantees are encouraged to use this section to review and make revisions, as appropriate, to the expenditure records that have been submitted with quarterly reports. Provide a narrative explanation for any revisions made or new records created. Please do not create duplicative records. |
Expenditures Associated with the ERA1 Grantee’s Obligations of $30,000 or more for Subawards, Contracts and Direct Payments |
((The Portal will display the following sub-heading: “Table of the Expenditures Associated with ERA1 Grantee’s Obligations of $30,000 or More for Subawards, Contracts and Direct Payments for Review.” The Portal will display the current records on-screen. The grantee can review and make revisions manually on-screen, as needed. The grantee will have option of clicking a button labeled, “Download Excel File for Review,” to download an Excel file of the current records. Grantees who choose this option can then review the downloaded data, make needed revisions, and reformat the information for uploading. Instructions for uploading the file will be displayed on-screen. The Portal will track all revisions.)) |
Expenditures Associated with the ERA1 Grantee’s Subawards, Contracts and Direct Payments Valued at Less than $30,000 |
((The Portal will display the following sub-heading: “Table of the Aggregated Amounts of Expenditures Associated with ERA1 Grantee’s Obligations of Less than $30,000 for Review.” The Portal will display the current records on-screen. The grantee can review and make revisions manually on-screen, as needed. The grantee will have the option of clicking a button labeled, “Download Excel File for Review,” to download an Excel file of the current records. Grantees who choose this option can then review the downloaded data, make needed revisions, and reformat the information for uploading. Instructions for uploading the file will be displayed on-screen. The Portal will track all revisions.)) |
Obligations and Expenditures (Payments) to Individuals |
((The Portal will display the following sub-heading: “Table of Aggregated Amounts of Expenditures (Payments) to Individuals” The Portal will display the current records on-screen. The grantee can review and make revisions manually on-screen, as needed. The grantee will have the option of clicking a button labeled, “Download Excel File for Review,” to download an Excel file of the current records. Grantees who choose that option can then review the downloaded data, make needed revisions, and reformat the information for uploading. Instructions for uploading the file will be displayed on-screen. The Portal will track all revisions.)) |
Summary (Cumulative) Amounts of Expenditures
Please provide the following summary (cumulative) information on ERA1 grantee expenditures over the project period. |
Total amount of ERA1 funds expended over the award period of performance . |
Total amounts of ERA1 funds expended over the award period of performance, categorized by each of the following expenditure categories: |
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Total ERA1 grantee obligations for its subawards, contracts, and direct payments (valued at $30,000 or more) |
Total ERA1 expenditures associated with the grantee’s subawards, contracts, and direct payments (valued at $30,000 or more) |
Total ERA1 expenditures associated with the grantee’s subawards, contracts, and direct payments (valued at $30,000 or more) categorized by expenditure category: |
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Total ERA1 grantee obligations for its subawards, contracts, and direct payments (valued at less than $30,000) |
Total ERA1 expenditures associated with the grantee’s subawards, contracts, and direct payments (valued at less than $30,000) |
Total ERA1 expenditures associated with the grantee’s subawards, contracts, and direct payments (valued at less than $30,000), categorized by expenditure category. (Do not include information on the grantee’s direct payments to tenants or individual/small business landlords valued at less than $30,000.) |
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Total ERA1 funds expended (paid) to individuals. (This includes payments to tenants and individual/small business landlords valued at less than $30,000.) |
Total ERA1 funds expended (paid) to individuals, categorized by expenditure categories. |
Participants
and Services Provided
Tab: Financial Reporting
Financial Reporting |
Please provide the following information required on the SF-425 |
Federal Cash |
SF-425 Item 10a: Cash Receipts |
SF-425 Item 10b: Cash Disbursements |
SF-425 Item 10c: Cash on Hand |
Federal Expenditures and Unobligated Balances |
SF-425 Item 10d: Total Federal funds authorized |
SF-425 Item 10e: Federal share of expenditures |
SF-425 Item 10f: Federal share of unliquidated obligations |
SF-415 Item 10g: Total Federal Share (sum of SF-425 Items 10e and 10f) |
SF-425 Item 10h: Unobligated balance of Federal Funds (items SF-425 10d minus 10g) |
Participant Household Payment Data File for Overall Project Period |
Grantees are required to submit a cumulative PHPDF file must include data on every ERA1 assistance payment made during the ERA1 project period of performance by the Grantee and all Subrecipients to participant households for the following: Rent; Rental arrears; Utility/Home energy costs; Utility/Home energy cost arrears; Other expenses related to housing; and Housing stability services. Please use the Excel template provided.
Are you providing a cumulative PHPDF covering the entire award period of performance to replace previously submitted quarterly PHPDF files? ((The Portal would display Yes/No Radio Buttons. When the Grantee selects “yes”, the instructions for uploading the file will appear on-screen.)) |
Grantee
Comments
Use this space to provide additional information or comments on any data or narrative responses submitted in this final summary report (3,500 characters or less). |
((Text box)) |
Report Certification and Submission
Statement |
I certify that the information provided is accurate and complete after reasonable inquiry of people, systems, and other information available to the ERA1 grantee. The undersigned acknowledges that a materially false, fictitious, fraudulent statement or representation (or concealment or omission of a material fact) in this submission may be the subject of criminal prosecution under the False Statements Accountability Act of 1996, as amended, 18 U.S.C. § 1001, and may subject me and the ERA1 grantee to civil penalties, damages, and administrative remedies for false claims or otherwise (including under to 31 U.S.C. §§ 3729 et seq.). The undersigned is an authorized representative of the ERA1 grantee with authority to make the above certifications and representations on behalf of the ERA1 grantee |
Submitting Official |
Name |
Title |
Phone |
Date Submitted ((Populated by the Portal)) |
Customer Service Survey (Optional)
Emergency Rental Assistance (ERA1) Program Grantee Survey Thank you for submitting your ERA1 Final Report. We invite you to take a brief survey to help Treasury improve its ERA program established by the American Rescue Plan Act. Your participation is voluntary. We appreciate your feedback. |
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Provide any comments here: ((Text box)) |
Five-point rating: Highly Dissatisfied, Dissatisfied, Neutral, Satisfied, Highly Satisfied |
Provide any comments here: ((Text box)) |
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Provide any comments here: ((Text box)) |
Five-point rating: Highly Dissatisfied, Dissatisfied, Neutral, Satisfied, Highly Satisfied |
Provide any comments here: ((Text box)) |
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Provide any comments here: ((Text box)) |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 2023-08-25 |