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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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7485.3 G

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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7485.3 G

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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7485.3 G

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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