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Attachment 1 Page 3 |
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| PART 2 (Continued) ADDITIONAL SCREENING CRITERIA (To be completed by Office of Public Housing) |
YES |
NO |
N/A |
Need Info. |
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| (n) The application contains estimates of the average adjusted income of prospective participants for each bedroom size for each program. | |||||
| (o) The application contains an executed form HUD-52515 for the Certification regarding Equal Opportunity, Lobbying, and Drug-Free Workplace Requirements. | |||||
| (p) The application includes Section 213 comments. (If not, the local HUD Field Office must request comments from the unit of general local government providing a 30-calendar day comment period.) | |||||
| (q) The application includes a description of an adequate plan for operating a program to serve eligible persons with disabilities, including: 1) Description of how the PHA will carry out its responsibilities under 24 CFR 8.28 to assist recipients in locating units with needed accessibility features; and (2) Description of how the PHA will identify private or public funding sources to help participants cover the costs of modifications that need to be made to their units as reasonable accommodations to their disabilities. | |||||
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[ ]Pass Continue Processing |
[ ]Fail Identify Deficiencies |
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| Reviewers Signature & Date | |
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| [ ]Agree with Screening |
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| Supervisor's Signature & Date |
ANY CHANGE MADE TO THE APPLICATION REVIEW CHECKLIST MUST BE EXPLAINED; E.G., MISSING OR CORRECTED INFORMATION WAS SUBSEQUENTLY RECEIVED FROM THE PHA WITHIN THE ALLOWED 14 DAY PERIOD AND WAS DETERMINED ACCEPTABLE. INDICATE NAME AND TITLE OF INDIVIDUAL CHANGING THE CHECKLIST AND DATE OF CHANGE.
| [ ]Disagree/change Screening |
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| Supervisor's Signature & Date |
Explanation for change: