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Sample ANA and ICDBG Checklists
ICDBG | ANA
ICDBG [back to top]
Funding availability for the HUD Indian Community Development Block Grant program,
was announced in the Federal Register, Vol.70 No. 53, March 21, 2005, Notices.
Both the General Requirements and Program
Requirements were included in that announcement. The following was excerpted
from those announcements.
"Application Screening -The Area ONAP will
screen applications for single purpose grants. The Area ONAP will reject an
application that fails this screening and will return the application unrated.
The Area ONAP will accept your application if it meets all of the criteria listed
below as items a through f: a. Your application is received or submitted in
accordance with the requirements set forth under Application and Submission
Procedures in Section IV of this Program NOFA; b. You are eligible; c. The proposed
project is eligible; d. Your application contains substantially all the components
specified in Section IV.B. of this Program NOFA; e. Your application shows that
at least 70 percent of the grant funds are to be used for activities that benefit
low-and moderate-income persons, in accordance with the requirements of 24 CFR
1003.208. For screening purposes only, HUD will use the 2000 census data if
the data you submitted does not meet this screening requirement; and f. Your
application is for an amount that does not exceed the grant ceilings listed
in Section IV.E.2."
"Application Information - To expedite the review of your application
and ensure that your application is given a thorough and complete review of
all responses to each of the components of the selection criteria, please indicate
on the first page of each project submission, the type of project(s) being proposed:
Economic Development, Homeownership Assistance, Housing Rehabilitation, Land
Acquisition to Support New Housing, Microenterprise Programs, New Housing Construction
or Public Facilities and Improvements. This will help to ensure that the appropriate
project specific thresholds and rating subfactors will be applied. Narrative
statements should be individually labeled to reflect the item the narrative
is responding to, e.g. Factor 1, Capacity; Factor 2, Need; etc."
"It is recommended that you limit your narrative explanations to 200
words or less and provide necessary data such as a market analysis, a pro forma,
housing survey data, etc., that support the response. Include all relevant material
to a response under the same tab. Only include documentation that will clearly
and concisely support you response to the rating criteria."
| 13682 Federal Register / Vol. 70, No. 53
/ Monday; March 21, 2005/ Notices |
Appendix B: Forms. The following forms
are required for your ICDBG application.> 2005 ICDBG APPLICATION CHECKLIST
1. _____ Application for Federal Assistance (SF-424).
2. _____ Applicant/Recipient Disclosure/Update Report (HUD-2880).
3. _____ Acknowledgment of Application Receipt (FIUD-2993).
4. _____ Client Comments and Suggestions (HUD-2994), optional.
5. _____ If applicable, concurring resolutions from the Tribe(s) if the
application
is prepared by a "Tribal Organization" for one or
more eligible applicants.
6. _____ Community Development Statement that includes:
6a. _____ Components addressing relevant threshold requirements and rating
factors.
6b _____ Cost information by project, including specific activity costs,
administration, planning, and technical assistance (if any),other dollars
to be included in the project, and total HUD share. (Use of HUD-4123,
Cost Summary, is required)
6c _____ A schedule for implementing the project. (Use ofHUD-4125, implementation
Schedule, is required)
7. _____ If applicable, a map showing project location.
8. _____ If applicable, displacement or temporary relocation information.
9. _____ If applicable, evidence of public disclosure (24 CFR 1003.606,
Conflict of Interest).
10. _____ If applicable, survey and demographic data statement (see sample
in Appendix B).
11. _____ Logic Model, HUD 96010 (optional for use with Factor I and Factor
5).
12. _____ Survey on Ensuring Equal Opportunity for Applicants, SF-424
Supplement
|
ANA [back to top]
The following was excerpted from the Federal
Register, Vol. 70 No. 22, February 3, 2005, Notices:
"A complete application for assistance under
this Program Announcement consists of three parts. Part One includes the SF 424,
other required governmental forms, and other required documentation. Part Two
of the application is the project narrative. This section of the application
may not exceed 40 pages. The line item budgets, budget justifications and the
OWP form (OMB Control Number 0980-0204, exp 10/31/2006) will be exempt from
the page limitation. Part Three of the application may not exceed 20 pages (the
exception to this 20 page limit applies only to projects that require, if relevant
to the project, a Business Plan or any Third-Party Agreements)."
"ANA Application Format: ANA requires all application
to be labeled in compliance with the format provided in the program announcement.
This format applies to all applicants submitting applications for funding. All
pages submitted (including Government Forms, certifications and assurances)
must be numbered consecutively (for example, the first page of the application
is the SF 424 and must be labeled as page one). The paper size shall be 8.5
X 11 inches, line spacing shall be a space and a half (1.5 line spacing), printed
only on one side, and have a half-inch margin on all sides of the paper. (Note:
the 1.5 line spacing does not apply to the Project Abstract Form, Appendices,
the Table of Contents, the Objective Work Plans, and the Budget.) The font size
shall be 12-point and the font type shall be Times New Roman."
Part One - Federal Forms and Other Required Documents:
| What to Submit |
Required Content |
Required Format |
When to Submit |
|
Table of Contents
|
See Section IV
|
Applicant must include a table of contents that accurately
identifies the page number and where the information can be located. (Does
not count against the page limit)
|
By application closing date |
| SF424 |
See Section IV |
Applicant must use the Application for Federal Assistance
form. |
By application closing date |
| SF424A |
See Section IV |
Applicant must use Standard Budget Summary forms. |
By application closing date |
| Assurances/Certifications |
See Section IV |
Applicants must provide necessary required assurances and
certifications |
By application closing date |
| Grant Application Data Summary (GADS) Form |
See Section IV |
ANA Form: OMB #0970-0261, Exp. 03/31/2007 must be used
in the application for a SEDS application. |
By application closing date |
| Indirect Cost Agreement |
See Section V |
Organizations and Tribes must submit a current indirect
cost agreement (if claiming indirect costs) that aligns with the approved
ANA project period. The Indirect Cost Agreement must identify the individual
components and percentages that make up the indirect cost rate. |
By application closing date |
| Proof of Nonprofit Status |
See Section III |
As described in this announcement under Section III "Additional
Information on Eligibility". |
By application closing date |
| Resolution |
See Section I |
Information for submission can be found in the Program
Announcement Section I, "Definitions". |
By application closing date |
| Board of Directors Documentation |
See Section I |
As described in this announcement under Section I, "ANA
Administrative Policies". |
By application closing date |
| Audit Letter |
See Section I |
A Certified Public Accountant's "Independent Auditor's
Report on Financial Statement". This is usually a 2-3 page documents. |
By application closing date |
| Non-Federal Share of Waiver Request per CFR 1336.50(b) |
See Section I |
A request for a waiver of the non-Federal share requirements
may be submitted in accordance with 45 CFR 1336.50(b)(3) of the Native American
Program regulations. |
By application closing date |
| Certification Regarding Maintenance of Effort |
See Section IV.2 |
A required federal assurance form. |
By application closing date |
| SF-LLL |
See Section IV.2 |
Certification Regarding Lobbying Disclosure of Lobbying
Activities - a required federal assurance form |
By application closing date |
| Environmental Tobacco Smoke Certification |
See Section IV.2 |
A required federal assurance form |
By application closing date |
Part Two - Application Review Criteria:
| Proposed Project: what to submit |
Required content |
Required form or format/ANA application review criteria/This
section may not exceed 40 pages |
When to Submit |
| Criteria One (10 points) |
See Section V |
Introduction and Project Summary/Application Format: Include
the ANA Project Abstract form (OMB #0980-0204 exp. 10/31/2006). |
By application closing date |
| Criteria Two (20 points) |
See Section V |
Need for Assistance |
By application closing date |
| Criteria Three (25 points) |
See Section V |
Project Approach - Include Objective Work Plan (OWP) form
(OMB #0980-0204, exp. 10/31/2006) for each 12-month budget period. A 17-month
project period requires only one OWP. (Note: The OWP is not included in
the page count.) |
By application closing date |
| Criteria Four (15 points) |
See Section V |
Organizational Capacity |
By application closing date |
| Criteria Five (15 points) |
See Section V |
Project Impact/Evaluation |
By application closing date |
| Criteria Six (15 points) |
See Section V |
Budget and Budget Justification/Cost Effectiveness (Note:
The Budget and Budget Justification are not included in the page count for
this part. |
By application closing date |
| Appendix |
See Section I |
Part Three includes only supplemental information or required
support documentation that addresses the applicants capacity to carry out
and fulfill the proposed project. These items include: letters of agreement
with cooperating entities, in-kind commitment and support letters, business
plans, and a summary of the Third Party Agreements. Do not include books
videotapes, studies or published reports and articles, as they will not
be made available to the reviewers or returned to the applicant. |
By application closing date |
Part Three - Additional Forms:
| What to submit |
Required content |
Location |
When to Submit |
| Survey for Private, Nonprofit Grant Applicants |
See Form |
Required federal form |
By application closing date |
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