2018 HOUSING INVENTORY CHART

For PROVIDING SHELTER on Jan 25, 2018 (PIT)
(Shelters, Churches, Have Bed Inventory)

  1. CoCs will be required to enter the address for all projects, except for Victim Service Provider projects. If a project uses a scattered site model the CoC will indicate that to HUD and not have to enter an address for the project.
  2. CoCs with overflow beds should report the total number of overflow beds that were available for occupancy on the night of the inventory count. If there is no fixed number of overflow beds, CoCs may instead report the number of overflow beds that were occupied on the night of the inventory count.
  3. Beds in institutional settings not specifically dedicated for persons who are homeless such as detox facilities, emergency rooms, jails, and acute crisis or treatment centers should not be included in the HIC. HUD considers extreme weather shelters as dedicated homeless inventory and should be included in the HIC. While there might be occasional instances where a project with dedicated beds serves a non-homeless person, beds in these types of projects could still be counted as dedicated beds.

Please fill out all sections completely. ONE PROJECT per SURVEY FORM.
Organization:
Program Name:
Contact Name:
Phone & Email:
Address:
Does this project enter data into HMIS?YES NO
Check the Program Type for these Vouchers:(Circle Answer, one project per survey form)
Emergency Shelter (ES)
Transitional Housing (TH)
Rapid Re-Housing (RRH) ESG/SSVF Funded
Rapid Re-Housing (RRH) CoC Funded
Permanent Supportive Housing (PSH)
Veteran Affairs Supportive Housing (VASH)
Bed Type: / Federally Funded: / Inventory Type:
Facility-based
Voucher
Other / Yes No
McKinney-Vento Funded (CoC and/or ESG) / New
Current
Under Construction / Seasonal (has start/end date)
Warming Center (open during PIT)
One-Time Only (for PIT)
Other:
Primary Population / Subpopulation Type:
Couples only, no children
Households with children
Single females (18 and older)
Single females and households with children
Single males and females and households with children
Single males (18 and older)
Single males and females (18 and older)
Single males and households with children
Unaccompanied young females (under 18)
Unaccompanied young males (under 18)
Unaccompanied young males and females (under 18) / Domestic violence victims
Persons with HIV/AIDS
Substance Abuse
Site Type:
Scattered
Single-site/Single Building
Single-site / several units

Housing Inventory / Capacity on 1/25/18

# of Occupied Units on 1/24/17 / # of Occupied Beds on 1/24/17 / # of Available but NOT Occupied Units on 1/24/17 / # of Available but NOT Occupied Beds on 1/24/17 / # of Total Units on 1/24/17 / # of Total Beds on 1/24/17 / Beds in HMIS?
Yes or No
Households with AT LEAST 1 adult & 1 child
Households WITHOUT children
Households with ONLY children
Totals:

Time-Limited Bed/Units

SEASONAL BEDS
(Beds with a start & end date in 2018 / one-time only) / OVERFLOW BEDS
(Cots, Chairs, Mats,
when beds are full)
Total Seasonal Beds / HMIS Seasonal Beds / Seasonal Beds Start Date / Seasonal Beds End Date / Total Overflow Beds / HMIS Overflow Beds
ES only / ES only / ES only / ES only / ES only / ES only

Subpopulation Data / Voucher Data

Beds for Unaccompanied Youth / Veterans / Chronic Homeless* / VASH
Beds for Youth Under 18 Only / Beds for Youth Age 18-24 Only / Beds for
Youth
Up to 24 / Total
Number of
Veteran Beds* / Total Number of Chronic Homeless Beds* / Total Number of VASH Vouchers
TH PSH & ES / TH PSH & ES / TH PSH & ES / TH PSH & ES / PSH Only / TH PH & ES

* These beds are specifically dedicated for Veterans or Chronically Homeless only and are not open for other populations unless the other beds are filled.

(If no change in 2017, then write “none”)

If your agency willBEGIN/CEASE
to enter data into HMIS in 2018: / If your Bed Inventory Availability
will change in 2018:
HMIS Participation Start/End Date / Beds Availability Start/End Date
Start Date (2018) / End Date (2018) / Start Date / End Date
TH PSH & ES / TH PSH & ES / TH PSH & ES / TH PSH & ES

* HMIS Participation Date = The date this agency began entering data for this program into HMIS. End date if the program no longer enters data into HMIS. If this is prior to 2017, then enter “none”.

**Inventory Date = The date this agency began a bed inventory. End date is if the program no longer has a bed inventory, the date that this inventory ended.

SERVICES: Please list services that you provide to homeless individuals.

(HMIS) HOMELESS MANAGEMENT INFORMATION SYSTEM

Our funding applications for the 12 county area are based on HMIS utilization rates. Reports that go to Congress such as the AHAR (Annual Homeless Assessment Report) only view data that has been entered into HMIS. Our data reported to Congress directly results in funding for our region to help reduce and alleviate homelessness.

May we contact you to discuss future participation with your agency into HMIS?

Yes, I would like to hear more from Tennessee Valley Coalition for the Homeless (TVCH) about participating in HMIS in 2018.

VERIFICATION AND AUTHORIZATION

By signing this document you herein verify that the above information is correct and can be entered into the Homeless Management Information System (HMIS) by the Tennessee Valley Coalition for the Homeless on behalf of the Tennessee Valley Continuum of Care, to be used in the Annual Homeless Assessment Report (AHAR) and the Housing Inventory Count (HIC) for 2017.

Executive Director (or PIT County Representative)DATE SIGNED: