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APPENDIX 12-1 ANNUAL IN-OFFICE CGP MONITORING REVIEW AND HUD
DETERMINATIONS CHECKLIST
(OCTOBER 1 - DECEMBER 15)
HA Name:______
Comprehensive Grant Number:______
Program Year Ending: June 30,______
Date of FO Receipt of P&E Report:______
Part 1: Completeness Checklist
Form HUD-52837, Performance and Evaluation Report, is complete only if
the answers to all of the following questions are YES.
Yes No
1. Form HUD-52837 with all appropriate
columns of Parts I, II and III completed. ______
2. Narrative Report on resident and local/
tribal government participation during
implementation and summary of comments
received on draft Report. ______
3. Board Resolution approving Report and
certifying that residents had an opportunity
to review and comment on draft Report. ______
Accepted for Review (Y/N)? ______
If accepted for review, enter date that
receipt of Report is entered into LOCCS: ______
If not accepted for review, enter date of
FO letter to HA notifying of non-acceptance
and reasons: ______
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Comments:______
______
______
______
Enter HA resubmission due date: ______
Part II: Substantive Review
Yes No
Conformity with Comprehensive Plan: HA is
carrying out its activities in a timely
manner and in accordance with its Annual
Statement, latest HUD-approved Five-Year
Action Plan, and other statutory and
regulatory requirements: ______
Physical work in progress or completed
is consistent with the Annual Statement
or Five-Year Action Plan. ______
Management work in progress or completed
is consistent with the Annual Statement
or Five-Year Action Plan. ______
All activities carried out comply with
applicable laws and regulations. ______
Actual cost of each major work category
and overall cost of each development
compare with estimated costs. ______
HA obtained prior HUD approval to exceed
amounts in accounts 1406, 1408, 1410,
1411, 1490, and 1498. ______
Activities funded with non-CGP funds are identified. ______
Funds expended for emergencies are described
and meet the definition of emergency work. ______
Narrative report indicates adequate
participation by residents and local/
tribal government officials. ______
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Continuing Capacity: HA has a continuing capacity
to carry out its Comprehensive Plan in a timely
manner and expend the annual grant funds: ______
HA is obligating and expending funds
in accordance with the approved Annual
Statement or Five-Year Action Plan. ______
HA is meeting the implementation
schedules set forth in the
approved Annual Statement. ______
HA has adequately explained each
self-issued time extension for fund
obligation or expenditure and delay
was due to reasons outside of the HA's control. ______
HA is adequately inspecting the funded
work to ensure that physical work is
being carried out in accordance with
the plans and specifications and the
modernization and energy conservation standards. ______
HA is resolving or has resolved any HUD
monitoring findings related to the
quality of physical work. ______
HA has established and is maintaining
internal controls for the modernization
program in accordance with HUD requirements
for financial management and accounting,
as determined by fiscal audit. ______
HA is administering its modernization
contracts in accordance with a HUD-approved
procurement policy, which meets the
requirements of '85.36(a). ______
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Reasonable Progress: HA has satisfied, or has
made reasonable progress toward satisfying,
the following performance standards: ______
With respect to the physical condition
of each development, the HA has brought,
or is making reasonable progress toward
bringing, all of its developments to the
modernization and energy conservation standards. ______
With respect to the management condition
of the HA, the HA has implemented or is
implementing the work specified in the
Annual Statement or Five-Year Action Plan,
which are designed to address deficiencies
identified through the PHMAP/RADAR/ HUD
reviews, or audits. ______
Part III: Monitoring Conclusions and HUD Determinations
Review indicates that:
A notice of deficiency should be issued. ______
A corrective action order should be issued. ______
Enter date of FO letter to HA
transmitting results of Annual
In-Office Monitoring Review and
HUD Determination (may include
non-binding advice), including,
where appropriate a notice of
deficiency or a draft corrective
action order: ______
Review completed (enter initials under Yes or No):
Yes No
Name/Title ______
Name/Title ______
Name/Title ______
Name/Title ______
OPH Director/ONAP Administrator ______
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7485.3 G
Part IV. Review of Performance and Evaluation Report on Replacement
Reserve (Where Applicable)
Yes No
HA has met the criteria for funding the
the replacement reserve (see paragraph 2-7A). ______
Current FFY funding for replacement
reserve is correct. Line 15 of Form
HUD-52837 agrees with line 4 of Part 1,
Section 1 (Actual column) of Form HUD-52842. ______
HA is obligating and expending funds
in accordance with the approved Form
HUD-52842 or other approved Annual
Statements or Five-Year Action Plan. ______
There is no duplication of expenses
between the CGP and the replacement reserve. ______
Funds expended do not exceed the cost
limitations set forth in paragraph 2-19,
as percentages of the replacement reserve
withdrawal for the program year. ______
Annual audit reveals no deficiencies regarding the
HA's financial management and use of the replacement
reserve, including earning interest on the
replacement reserve at the Target Investment
Income (TII) rate. ______
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