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Youthbuild Program Reports

U.S. Department of Housing

OMB Approval No. 2506-0142

and Urban Development

(exp. 09/30/2003)

Office of Community Planning

and Development

Public reporting burden for this collection of information is estimated to vary from 3 hours to 40 hours per response, 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 collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number.

This information will be used by HUD to select grant recipients. Reports will be used to monitor and evaluate progress of grantees and programs. In accordance

with the HUD Reform Act, responses are required to obtain and maintain an award. The information furthers the proper performance of the functions of the

agency by allowing grant recipients to be selected in accordance with the authorizing legislation and HUD Reform Act. No confidentiality is promised,and the

information is not of a sensitive nature.

General Instructions

Purpose. There are two kinds of Youthbuild Program Reports. The

Part 7

Performance Evaluation Summary is a narrative that

Semi-Annual Progress Report will provide HUD with information

summarizes the results of the grant.

on program progress and accomplishments for each Youthbuild

Part 8

Statistical Summary (final report) summarizes informa-

grant during the quarter reported. The Performance Evaluation

tion from the Program Worksheets (see Parts 12 to 14 below)

Report will allow HUD to assess the overall success of each

regarding the program participants and units of housing completed.

grantee’s program and report to Congress on the achievements of

the Youthbuild Program.

Part 9

Application Budget provides the approved budget for the

grant.

Authority. Specific authority for these reports is provided in Section

585.403 of the Youthbuild Final Rule (24 CFR Part 585).

Part 10 Actual Costs reports the final program expenditures.

Semi-Annual Progress Report. The Semi-Annual Progress Re-

Part 11 Sources of Funds reports the sources and amounts of

port must be submitted by all grantees. Grantees must make copies

funds contributed to the Youthbuild program.

of these reports as needed.

Program Worksheets. Use of these worksheets is mandatory,

Part 5

Semi-Annual Progress Report is a summary of activities

and will help grantees complete their Performance Evaluation

undertaken.

Report Summaries. They are to be kept in the grantee’s records for

at least three years after closeout of the grant. They are not to be

Part 6

Statistical Summary summarizes information from the

submitted to HUD. There are three separate worksheets:

Program Worksheets (see Parts 12 to 14 below) regarding the

program participants and units of housing completed.

Part 12 Housing Property Worksheet reports on all housing

completed by Youthbuild participants during the grant period. One

Semi-Annual Progress Reports must be submitted to HUD on the

worksheet is used to record all properties completed.

following schedule:

Part 13 Housing Resident Worksheet reports on residents (ten-

ants, homeowners, or residents of transitional housing for the

Period Activities Took Place

Semi-Annual Progress Report

homeless) that move into housing constructed or rehabilitated by

Due

Youthbuild participants.

One worksheet is completed for each

January 1 - June 30

July 31

property completed; make additional copies as needed.

July 1 - December 31

January 31

Part 14 Participant Tracking Worksheet reports on each Youth-

build participant. Use one worksheet for each participant; make

Please Note: Failure to submit Semi-Annual Progress Reports

additional copies as needed.

by the deadline could result in a suspension of further grant

funds until the report is received.

Mailing Address. Mail two copies of the completed report to:

Performance Evaluation Report. At the end of the 30 month grant

Youthbuild Program

period, each grantee must submit a Performance Evaluation Report

Department of Housing and Urban Development

to HUD. The Performance Evaluation Report has five components:

451 - 7th Street SW, Room 7136

Washington, DC 20410

Mail one copy of the completed report to the CPD Field Office serving

your jurisdiction. (list of offices is attached)

Forms sent by FAX will not be accepted.

Previous editions are obsolete

form HUD-40201 (7/97)

Form Hud-40201 Instructions - Youthbuild Program Reports - U.s. Department Of Housing And Urban Development

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