Community Development Block Grant

Applicant and Basic Project Information

Applicant Information

(Not Service Area for Project)

Applicant Contact

Basic Project Information

(Round to nearest dollar)

Project Type and Sub-Type Selections

Project Type and Sub-Type Selections

Allowable responses to this field depend on the selection for project type above. Search by project type to see the allowable options.

National Objective

Benefit to Low/Moderate Income Persons/Households

(public improvement projects)
Please indicate how the project benefits low/moderate income persons by checking one of the following categories and submit the documentation requested for each item. Submit the documentation requested for each item in the Manage File Attachments' section.

Job Creation

Defined as an activity designed to create or retain permanent jobs where at least 51% of the jobs, computed on a full time equivalent basis, involve the employment of low/moderate income persons. For an activity that creates jobs, the recipient must document that at least 51% of the jobs will be held by low/moderate income persons. For an activity that retains jobs, the recipient must document that the jobs would actually be lost without the CDBG assistance and that either or both of the following conditions apply with respect to at least 51% of the jobs at the time the CDBG assistance is provided: the job is known to be held by a low/moderate income person; or the job can reasonably be expected to turn over within the following two years and that steps will be taken to ensure that it will be filled by, or made available to, a low/moderate income person upon turnover.

Elimination and Prevention of Slums and Blight

The municipality must designate the project area as blighted by formal resolution through interpretation of Pennsylvania’s Urban Redevelopment Law (Public Law 991). The law formally defines a slum/blight area as follows. Please check those that are applicable to this project

A demolition activity qualifies under the Elimination of Slums and Blight when there is no known future intended use of the property. If the demolition is part of an overall project where the intended use of the property is known, the project may qualify under another National Objective. If so, specify the end-use. Please check those that are applicable to this project

Outcome Performance Measurement

I. Goals

II. Objectives

III. Performance Measurement Outcome Statement

Examples:

  • "52 households will have new access to public sewer for the purpose of creating a suitable living environment."
  • "7 households have affordable housing through a down payment assistance program for the purpose of creating decent affordable housing."
  • "50 persons have access to new jobs through extension of a water line to a business for the purpose of creating economic development."

Detailed Project Information

Detailed Project Information

Construction Information

If this project does not involve construction, then check the box below and leave the remainder of this section blank.

 

Projects must be awarded or under construction within 180 days after the CDBG Program Year begins, which takes effect July 1. Failure to comply shall result in the reprogramming of funds.

Project Financial Summary - Performance Measurement Requirement

Enter all Project Funding Sources in the table below.

According to 2 CFR Part 200, ACED may require a single audit of the applicant.

NOTE: A project will be re-evaluated for eligibility if there are any deviation(s) from the submitted application’s scope of work or project location(s).

Project Funding Sources

This CDBG Application

 
 
 

Other Funding Sources

  • Add Another (Max: 255)
 

Budget - Project Sources and Uses Table

According to 2 CFR Part 200, ACED may require a single audit of the applicant.

NOTE: A project will be re-evaluated for eligibility if there are any deviation(s) from the submitted application’s scope of work or project location(s).

Budget - Project Sources and Uses Table

  • Add Another (Max: 255)
Total Proposed Costs

Demolition Questionnaire

Demolition Questionnaire

If this project does not involve demolition, then check the box below and leave the remainder of the page blank.

 

ACS Census Tract Map

Census Tract Map

Census Tract Map Data

  • Add Another (Max: 9)

Attachments

Name Notes File Exts.
Fair Labor Standards Certifications The reuse category you selected earlier determines whether this attachment is required as part of your application. *
Concurring Resolution The reuse category you selected earlier determines whether this attachment is required as part of your application. *
Professional Certification The reuse category you selected earlier determines whether this attachment is required as part of your application. *
Planning Commission Resolution The reuse category you selected earlier determines whether this attachment is required as part of your application. *
Resolution of Council The reuse category you selected earlier determines whether this attachment is required as part of your application. *
Slum and Blight Resolution The reuse category you selected earlier determines whether this attachment is required as part of your application. *
Footprint Map The reuse category you selected earlier determines whether this attachment is required as part of your application. *
Topography Map (Sewer and Water Projects) The reuse category you selected earlier determines whether this attachment is required as part of your application. *
Project or Site Photograph The reuse category you selected earlier determines whether this attachment is required as part of your application. *
Household Survey Summary Sheet The reuse category you selected earlier determines whether this attachment is required as part of your application. *
Subrecipient Pre-Award Assessment The reuse category you selected earlier determines whether this attachment is required as part of your application. *
Proof of SAM Registration The reuse category you selected earlier determines whether this attachment is required as part of your application. *
Income Limits The reuse category you selected earlier determines whether this attachment is required as part of your application. *
CPD Income Eligibility Calculator User Manual The reuse category you selected earlier determines whether this attachment is required as part of your application. *
Determining Annual Income The reuse category you selected earlier determines whether this attachment is required as part of your application. *
Other The reuse category you selected earlier determines whether this attachment is required as part of your application. pdf
Processing...