WATERBURY DEVELOPMENT CORPORATION
CD Year 41
10/1/2015 – 9/30/2016
CDBG - DIRECT BENEFIT ACTIVITY REPORT (DBAR)
(UpdatedDecember 21, 2012)
This form is to be completed and submitted to WDC by the 10th of every month.
1.AGENCY NAME:
ADDRESS:
PROGRAM YEAR:2015 - 2016
2.PERIOD COVERED:
3.ACTIVITY DESCRIPTION: ______
______
4.TOTAL NUMBER OF HOUSEHOLDS/PERSONS ASSISTED: ______
This total MUST be equal to the totalclients in
Item 7, Column B below
5a.TOTAL NUMBER OF EXTREMELYLOW INCOME: ______
5b.TOTAL NUMBER OF LOW INCOME:______
5c.TOTAL NUMBER OF MODERATE INCOME: ______
5d.TOTAL NUMBER OF NON LOW INCOME: ______
6. Total number of persons reporting a Physical Disability: ______
7.RACE/ETHNICITY:
A. / B. / C.RACE / ETHNICITY / Enter the number of Clients served from the Race/Ethnicity Column "A" / Enter the number of Clients from Column "B" that are of Latino/Hispanic Descent
WHITE
BLACK/AFRICAN AMERICAN
ASIAN
AMERICAN INDIAN/ALASKAN (AK) NATIVE
CONTINUED ON NEXT PAGE
A. / B. / C.
NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER
ASIAN& WHITE
BLACK/AFRICAN AMERICAN & WHITE
AM. INDIAN/ALASKAN NATIVE & BLACK/AFRICAN AMERICAN
AM. INDIAN/ ALASKAN (AK) NATIVE & WHITE
OTHER MULTI-RACIAL (use this category if individuals you serve do not fit into any of the above categories)
TOTALS (The total from Column B must be equal to the total in Item # 4 above)
8.PUBLIC SERVICE INDICATOR:
Please select one option below and fill in the # of clients served.
This number should be equal to Item # 4 above.
A)NUMBER OF PERSONS ASSISTED WITH NEW OR
CONTINUING ACCESS TO A SERVICE______
B) NUMBER OF PERSONS ASSISTED WITH IMPROVED
ACCESS TO A SERVICE ______
C) THE NUMBER OF PERSONS THAT NO LONGER ONLY
HAVE ACCESS TO A SUBSTANDARD SERVICE; AND
THE PUBLIC SERVICE THIS AGENCY OFFERS
MEASURABLY IMPROVES THE QUALITY OF THEIR LIFE ______
D) THE NUMBER OF BEDS CREATED IN OVERNIGHT
SHELTER OR OTHER EMERGENCY HOUSING ______
9.HUD OBJECTIVES/OUTCOMES:
OBJECTIVES:
PLEASE CIRCLE ONE OBJECTIVE
A)SUITABLE LIVING ENVIRONMENT
B)DECENT HOUSING
C)CREATING ECONOMIC OPPORTUNITIES
OUTCOMES:
PLEASE CIRCLE ONEOUTCOME
A)AVAILABILITY/ACCESSIBILITY
B)AFFORDABILITY
C)SUSTAINABILITY
WATERBURY DEVELOPMENT CORPORATION
CD Year 41
10/1/2015 – 9/30/2016
INSTRUCTIONS
CDBG - DIRECT BENEFIT ACTIVITY REPORT (DBAR)
1.AGENCY NAME, ADDRESS & PROGRAM YEAR: Fill in appropriate information.
2.PERIOD COVERED: Fill in the month covered. This report will be due on the 10th of the month following the covered month. (Example: Report for October will be due no later than November 10th)
3.ACTIVITY DESCRIPTION:Fill in a short description of your eligible, contract approved activity.
4.TOTAL # OF HOUSEHOLDS/PERSONS ASSISTED: Fill in newcumulativetotal number of clients by adding last month’s cumulativetotal with current month’s new, unduplicated clients. This total must be equal to the total number of clients in Item 7, Column B.
5a-5d.INCOME REPORTING: Fill in newcumulativetotal number of clients for each income level by adding last month’s cumulativetotal with current month’s new unduplicated clients.
**NOTE** Refer to Intake Data Form for compliance with income levels.
6.TOTAL NUMBER OF PERSONS REPORTING A PHYSICAL HANDICAP: HUD has requested that we monitor those persons being served, that have reported a Physical Handicap. Fill in the cumulative, unduplicated number of clients reporting a Physical Handicap.
7.RACE/ETHNICITY
1 / Fill in the new cumulative number of clients for each race in Column B by adding last month's cumulative total with current month's new unduplicated clients.2 / Calculate Column B to come up with the new total cumulative number of clients. This total must be equal to the total clients from Item #4 above.
3 / Enter into Column C the total number of clients from Column B that are of Hispanic/Latino descent.
4 / Calculate Column C to come up with the total cumulative number of clients that are of Hispanic/Latino descent.
8.PUBLIC SERVICE INDICATOR: Circle one of the 4 HUD required indicator options and fill in number of clients assisted.
**NOTE** Refer to Public Service Indicator attachment.
9.HUD OBJECTIVES/OUTCOMES: First circle one of the 3 HUD required OBJECTIVE options; then circle one of the 3 HUD required OUTCOME options.
**NOTE** Refer to Outcome Performance Measurement Objectives and Outcomes attachment.
WATERBURY DEVELOPMENT CORPORATION
CD Year 41
10/1/2015 – 9/30/2016
CDBG - PUBLIC SERVICE INDICATOR
New Data Required:
Under the new reporting system the subrecipient will be required to reporton the following information, regardless of what national objective theactivity supports:
?Number of persons assisted with new (or continuing access) to a service.
New access to a service is when a service is offered forthe first time. This indicator would be used in the instancewhen a public service has not previously been available tothese households. For instance, the grantee might elect tofund a new job transportation program for workingmothers. No such program currently exists in thejurisdiction and so this is access to a new service for thesehouseholds.
** Activities which have been funded in the past and are continuing to be funded would be reported as new by the subrecipient in subsequent funding years. For example, if the original reason for funding was a new service provided in a prior year, and your service is funded again in the next year, it would still be considered new. “New” to HUD originally is intended to mean a service which was not previously provided by a governmental entity. This has caused great confusion throughout the years, as sub recipients or Community Development administrators incorrectly interpreted this to mean that programs had to keep changing and becoming new each year in order to qualify for continued funding. This approach would also be true if a service initially qualified as improved access or enhanced quality and it was funded in subsequent years. For example, assume that a City funded a nonprofit in 2006 to expand its existing housing counseling program. If that program was re-funded in 2007, it would continue to be “improved access.” (See next category)
?Number of persons assisted with improved access to a service.
Improved access to a service is when a service wasoffered, but the public service activity allowed the granteeto expand the service, in terms of size, capacity, orlocation. For instance, assume that an existing meals onwheels program only provided lunch and the expandedservice provides lunch and dinner service. For theseelderly households, this would constitute improved access.If a grantee is re-funding an on-going program, theimproved access indicator is generally used.
?Where the public service activity was used to meet a qualitystandard or measurably improved quality, report on thenumber of persons that no longer only have access to asubstandard service.
CDBG - PUBLIC SERVICE INDICATOR - Page 2
?The number of beds created in overnight shelter or other emergency housing.
Note that these indicators apply even if the grantee under CDBG has chosen the limitedclientele national objective and the activity will be serving one of the presumed clientelelisted in the program regulations. Under that method of documenting the limited clientelenational objective, all served persons under that specific, targeted activity are presumedto be low- and moderate-income. So, the grantee is not required to document that 51percent of the participants are LMI but rather that the activity does indeed serve thelimited clientele. However, for both national objective compliance and for the IDISperformance measurement data, grantees must still count the total number of beneficiaries.
Counting Beneficiaries in Co-Funded Public Service Programs.
Many public service activities are supported by multiple funding sources inaddition to CDBG.
For purposes of the performance indicators, the granteeshould count all households served by the program not just a proportionateshare. The only instance when the grantee would count the proportionate shareis the unusual circumstance when the CDBG funding can be separated from theother funding – such as paying directly for a scholarship for a particularhousehold not for a portion of the overall operations of a public service program.
OUTCOME PERFORMANCE MEASUREMENT
OBJECTIVES AND OUTCOMES
OBJECTIVES
Suitable Living Environment: In general, this objective relates to activities that are designed to benefit communities, families, or individuals by addressing issues in their living environment.
Decent Housing: The activities that typically would be found under this objective are designed to cover the wide range of housing possible under HOME, CDBG, HOPWA or ESG. This objective focuses on housing programs where the purpose of the program is to meet individual family or community needs and not programs where housing is an element of a larger effort, since such programs would be more appropriately reported under Suitable Living Environment.
Creating Economic Opportunities: This objective applies to the types of activities related to economic development, commercial revitalization, or job creation.
OUTCOMES
Availability/Accessibility: This outcome category applies to activities that make services, infrastructure, public services, public facilities, housing, or shelter available or accessible to low and moderate-income people, including persons with disabilities. In this category, accessibility does not refer only to physical barriers, but also to making the affordable basics of daily living available and accessible to low and moderate income people where they live.
Affordability: This outcome category applies to activities that provide affordability in a variety of ways in the lives of low and moderate-income people. It can include the creation or maintenance of affordable housing, basic infrastructure hook-ups, or services such as transportation or day care.
Sustainability: Promoting Livable or Viable Communities. This outcome applies to projects where the activity or activities are aimed at improving communities or neighborhoods, helping to make them livable or viable by providing benefit to persons of low and moderate-income or by removing or eliminating slums or blighted areas, through multiple activities or services that sustain communities or neighborhoods.
Each outcome category can be connected to each of the overarching objectives, resulting in a total of nine groups of outcome/objective projects. Each activity will provide one of the following statements, although sometimes an adjective such as new, improved, or corrective may be appropriate to refine the outcome statement.
- Accessibility for the purpose of creating suitable living environments.
- Accessibility for the purpose of providing decent affordable housing.
- Accessibility for the purpose of creating economic opportunities.
- Affordability for purpose of creating suitable living environments.
- Affordability for the purpose of providing decent affordable housing.
- Affordability for the purpose of creating economic opportunities.
- Sustainability for the purpose of creating suitable living environments.
- Sustainability for the purpose of providing decent affordable housing.
- Sustainability for the purpose of creating economic opportunity.