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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) |
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N/A |
Need Info. |
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2. In reviewing the application, the local HUD Field Office agrees that:
(m) The form HUD-52515 includes estimates of the average adjusted income of prospective participants for each bedroom size for each program. |
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| (n) The form HUD-52515 includes an executed certification regarding Equal Opportunity, Lobbying, and Drug-Free Workplace Requirements. The application meets HUD's drug-free workplace requirements set out at 24 CFR part 24, subpart F, and HUD's regulations regarding anti-lobbying set out at 24 CFR 87. If warranted, the PHA has completed and submitted SF-LLL, Disclosure Form to Report Lobbying. | |||||
| (o) The application includes Section 213 comments. (If not, the local HUD Field Office must request comments from local government providing a 30-calendar day comment period.) | |||||
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(p) The application package includes in the letter of intent and narrative section of its application:
(1) Statement by the PHA indicating whether the PHA will accept a smaller number of rental certificates and the minimum number of rental certificates it will accept. (2) Statement by the PHA certifying that the PHA has consulted with the agency or agencies in the state responsible for the administration of welfare reform for families receiving rental assistance under the family unification program. (3) A letter of intent from the Public Child Welfare Agency (PCWA) stating its commitment to provide resources and support for the family unification program. |
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(q) The PHA's application includes the following evaluation certifications: (1) A certification from the PHA agreeing to cooperate with HUD and provide requested data to the HUD office or HUD-approved contractor delegated the responsibility for program evaluation. (2) A certification from the PCWA agreeing to cooperate with HUD and provide requested data to the local HUD Field Office or HUD-approved contractor delegated the responsibility for program evaluation. |
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| (r) The PHA's application demonstrated the need for an equal or greater number of Section 8 rental certificates under Threshold Criterion 1, Unmet Housing Needs, in the manner required by paragraph III.B.(1) of NOFA FR-4360. | |||||
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(s) The PHA's application received at least 20 points under Threshold Criterion 2, Efforts of PHA to Provide Area-Wide Housing Opportunities for Families. See paragraph III.B.(2) of NOFA FR-4360.
Points received for Criterion 2: ________. |
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| (t) The PHA's application meets the requirements of Threshold Criterion 3, Coordination between PHA and Public Child Welfare Agency to Identify and Assist Eligible Families. See paragraph III.B.(3) of NOFA FR-4360. | |||||
| (u) The PHA's application meets the requirements of Threshold Criterion 4, Public Child Welfare Agency Statement of Need for Family Unification Program. See paragraph III.B.(4) of NOFA FR-4360. | |||||
| Applications should be screened at the time they are received.
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[ ]Pass Continue Processing |
[ ]Fail Identify Deficiencies |
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| Reviewers Signature & Date | |
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| [ ]Agree with Screening Results |
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| Supervisor's Signature & Date |
ANY CHANGE MADE TO THE INITIAL SCREENING CHECKLIST MUST BE EXPLAINED. (E.G., MISSING OR CORRECTED INFORMATION WAS SUBSEQUENTLY RECEIVED FROM THE HA 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: