Form OCM-003
07/11/19
City of Harrisonburg
CDBG Quarterly Progress Report
Report for Quarter Ending: September 30 December 31 March 31 June 30 (FINAL REPORT)
Agency Name: ___________________________________________ Contact Person: __________________________________________
Project Title: ________________________________ Project #: _____________________________ Phone #: _______________________
CLIENT DATA TABLE
THIS QUARTER
YEAR TO DATE
RACE
HISPANIC/LATINO
PERSONS
NON-
HISPANIC/LATINO
PERSONS
HISPANIC/LATINO
PERSONS
NON-
HISPANIC/LATINO
PERSONS
White
Black / African American
Asian
American Indian / Alaskan Native
Native Hawaiian / Other Pacific
Islande
r
Black / African American & White
Asian & White
American Indian / Alaskan Native &
White
American Indian / Alaskan Native &
Black / African American
Other Multi-Racial
TOTAL
(Must match totals for gender and
income sections)
GENDE
R
PERSONS
HOUSEHOLDS
PERSONS
HOUSEHOLDS
Male
Female
TOTAL
(Must match totals for race and income
sections)
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2/6/2020
THIS QUARTER
YEAR TO DATE
HOUSEHOLD INCOME
PERSONS
HOUSEHOLDS
PERSONS
HOUSEHOLDS
Extremely Low Income (0-30% AMI)
V
ery Low Income (31
-
50% AMI)
Low and Moderate Income (51-80%
AMI)
Non
-
LMI
TOTAL
(Must match totals for race and gender
sections)
OTHER REQUIRED DAT
A
PERSONS
HOUSEHOLDS
PERSONS
HOUSEHOLDS
Homeless
Female
-
Headed Households
Elderly
Migrant Farm Workers
Mentally Disabled Adults
Physically Disabled Adults
Abused Children
Battered Spouses
Illiterate Adults
Persons Living with AIDS
Requires Interpretation Services
TOTAL
***SUBRECIPIENT MUST ATTACH NARRATIVE AS OUTLINED ON PAGE FOUR***
I certify that the information contained in this report (both in the client data table and in the narrative) is accurate, and the project
is operating in accordance with the terms and conditions set forth in the AGREEMENT by and between the City of Harrisonburg
and the above-named agency which I represent.
Name of Agency Director: Phone:
Signature of Agency Director: Date:
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2/6/2020
INSTRUCTIONS FOR CLIENT DATA TABLE
*NOTE – For housing activity or other activity that benefits whole families, please report # of households in addition to # of
persons, where applicable.
New Data Collection Requirements:
The Office of Management and Budget (OMB) significantly revised standards for Federal agencies, including HUD, that
collect, maintain, or report Federal data on race and ethnicity for statistical purposes, program administrative reporting, or
civil rights compliance reporting. Under the revised policy, HUD must offer respondents the option of selecting one or
more of five racial categories. HUD must treat ethnicity as a category separate from race, and change terminology for
certain racial groups and ethnic groups.
Due to what was learned from conducting the 2000 Census, OMB recommends that when collecting this data, grantees
must ask respondents to identify their ethnicity prior to asking them to identify their race.
Definitions:
Ethnicity Choices (select only one): The ethnicity question should precede the race question.
Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin,
regardless of race. The term, Spanish origin, can be used in addition to Hispanic or Latino.
OR
Not Hispanic or Latino: A person not of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or
origin, regardless of race.
Race Choices
The five racial categories according to OMB are defined as follows:
1. American Indian or Alaska Native
A person having origins in any of the original peoples of North and South America (including Central America), and who
maintains tribal affiliation or community attachment.
2. Asian
A person having origins in any of the original peoples of Far East, Southeast Asia, or Indian subcontinent including, for
example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
3. Black or African American
A person having origins in any of the black racial groups of Africa. Terms such as “Haitian” or “Negro” can be used in
addition to “Black” or “African American.”
4. Native Hawaiian or Other Pacific Islander
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
5. White
A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
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INSTRUCTIONS FOR NARRATIVE
Please complete the narrative section of the quarterly report on separate sheets. The narrative should consist of separate
sections, numbered to correspond with the following items to be discussed:
1. Describe all project activities that have taken place during this reporting period, including all outreach activities and
public participation events.
2. Describe how objectives specified for achievement by the end of this reporting period (per Subrecipient Action Plan) have
been met, OR describe the obstacles that have prevented those objectives from being met, how those obstacles are being
addressed, and provide a new anticipated date of completion for those objectives.
3. Provide a description and the dollar amount of CDBG funds expended to date (not just this reporting period) and the
dollar amount of those funds that have already been reimbursed by the City.
4. Provide a description and the dollar amount equivalent of matching funds (including in-kind) expended to date (not just
this reporting period).
5. Describe any anticipated problems or obstacles and a plan for how those future obstacles will be addressed.
6. Discuss other issues as needed.
7. Attach photographs, newspaper/media clippings, additional reports, and other supportive information or documentation.
If this is the FINAL REPORT, you must also include the following:
8. Discuss the project’s successes and weaknesses.
9. Compare projected accomplishments and objectives to actual accomplishments and goals achieved, including reasons
for any discrepancies between the two.
10. Provide a dollar amount of CDBG funds and/or matching funds that were not expended and reasons why.
11. Describe any resources that were leveraged with CDBG funds, including any matching funds or donations that would not
have been received without CDBG assistance.
12. Identify any future related projects that may be eligible for CDBG assistance.
13. Identify problems or concerns with the City CDBG Program and discuss suggestions for improvement.
MAIL PROGRESS REPORT (and all supporting documentation) TO:
Kristin E. McCombe
Grants Compliance Officer
Office of City Manager
City of Harrisonburg
345 South Main Street
Harrisonburg, VA 22801
PROGRESS REPORT IS DUE NO LATER THAN 4:30 PM,
14 DAYS AFTER THE DATE CHECKED AT THE TOP OF PAGE 1 OF THIS FORM