APR PRA Authorization Attachment A&B

APR PRA Authorization 2506-0145 Attachment A and B.docx

Annual Progress Report (APR) for Competitive Homeless Assistance Programs

APR PRA Authorization Attachment A&B

OMB: 2506-0145

Document [docx]
Download: docx | pdf


Attachment A

Performance Report Template (includes the Continuum of Care Program, Special CoC NOFA Grant, and Youth Homelessness Demonstration Program Reports)






APR for HUD’s Homeless Assistance Programs:

Data Elements, Response Categories and Justification



Q #

Title of Question

Response Categories

Justification


Section 1: CoC Full APR (for all grants except HMIS dedicated, CoC planning, UFA costs, and Coordinated Entry)


1

Grant Information: APR information (pre-populated)

Grant Number

Recipient Name

CoC

Component Type

Project Type

Award Amount

Operating start date for APR

Operating end date for APR

Grant Term (in months)

Grant Information Was Updated On


Allows HUD to identify basic grant information that informs HUD on the reporting period, where the data is coming from, and what should be reported in the APR.


Users will not enter this data – it will be prepopulated from the e-snaps and LOCCS


2

Bed & Unit Inventory and Utilization: Proposed Bed and Unit Inventory

Total units

Total beds

Total dedicated chronic homeless (CH) beds

Total Non-dedicated CH beds

Prepopulates data from the project application regarding the nature of the inventory.


2

Bed & Unit Inventory and Utilization: PIT Actual Bed and Unit Utilization

Point-in-Time Bed and Unit Utilization on the Last Wednesday of the Months of January, April, July, and October and explain any differences between proposed and actual.


This is calculated by Sage using the pre-populated data from the project application and the electronically submitted information on households served. Respondents only need to type a response in explanation if the utilization metric is below 90%.

Allows HUD to understand what beds and units were funded by the grant and how that compares to what the recipient proposed to provide in the project application.


2

Contact Information

Recipient Contact Information:

Prefix

First Name

Middle Name

Last Name

Suffix

Organization

Department

Title

Street Address 1

Street Address 2

City

State/Territory

ZIP code

E-mail address

Confirm e-mail address

Phone Number

Extension

Fax Number

Allows HUD to identify primary recipient contact responsible for information contained in the report.


3

Performance - Accomplishments

Narrative response

Allows HUD to understand significant accomplishments achieved by the program during the operating year, such as operational challenges overcome and stories of the individuals assisted.


4a

Project Identifiers in HMIS

Organization Name

Organization ID

Project Name

Project ID

HMIS Project Type

RRH Subtype

Coordinated Entry Access Point

Affiliated with a residential project

Project IDs of affiliations

CoC Number

Geocode

Victim Service Provider

HMIS Software Name and Version Number

Report Start Date

CSV Report End Date

Total Active Clients

Total Active Households

Allows HUD to understand how the data is collected and where it is coming from in HMIS.


5a

Report Validations Table

Total number of persons served

Number of adults (age 18 or over)

Number of children (under age 18)

Number of persons with unknown age

Number of leavers

Number of adult leavers

Number of adult and head of household leavers

Number of stayers

Number of adult stayers

Number of veterans

Number of persons experiencing chronic homelessness

Number of youth under age 25

Number of parenting or pregnant youth under age 25 with children

Number of adult heads of household

Number of child and unknown age heads of household

Heads of households and adult stayers in the project 365 days or more


Allows HUD to monitor the number and type of persons served by a project and verify conformance with any requirements in their Grant Agreement, regarding the number and type of persons served. Also provides a data quality template by which data in other tables can be compared to ensure consistency in reporting throughout the entire APR.


6a

Data Quality: Personally Identifiable Information (PII)

Name

Social Security Number

Date of Birth

Race

Ethnicity


Allows HUD to understand the completeness of the data collection regarding PII


6b

Data Quality: Universal Data Elements

Veteran Status

Project Start Date

Relationship to Head of Household

Enrollment CoC

Disabling Condition

Allows HUD to understand the completeness of the data collection regarding universal data elements


6c

Data Quality: Income and Housing Data Quality

Destination

Income and Sources at Start

Income and Sources at Annual Assessment

Income and Sources at Exit

Allows HUD to understand the completeness of the data collection regarding income and housing data


6d

Data Quality: Chronic Homelessness

Missing time in ES, Safe Haven (SH), Street Outreach, Transitional Housing (TH), and all permanent housing (PH) project types. For each project type, collected count of records with missing time:

Count of total records

Missing time in institution (3.917.2)

Missing time in housing (3.917.2)

Approximate date this episode started (3.917.3) Missing

Number of times (3.917.4) DK/PNTA/missing

Number of months (3.917.5) DK/PNTA/missing

% of records unable to calculate

Allows HUD to understand the completeness of the data collection regarding time persons report being in various project types.


6e

Data Quality: Timeliness

Time it takes to record project entry and exits for clients

Allows HUD to understand how quickly HMIS users are updating client records to reflect project entry and exit.


6f

Data Quality: Inactive Records: Street Outreach and Emergency Shelter

The number of total and inactive records for clients contacted in street outreach programs or recorded in Emergency Shelter.

Allows HUD to understand how many HMIS records in street outreach programs are active.


7a

Number of Persons Served (Total, Persons in households without children, Persons in households with children and adults, Persons in households with only children, Unknown household type)

Total number of persons served during operating year by household type and further broken down by adults, children, client don’t know/clients refused, data not collected, total, and total persons served who moved into housing

Allows HUD to understand how many people were served and their age and household types.


7b

Point-in-Time Count of Persons on the Last Wednesday who Moved into Housing (Total, Persons in households without children, Persons in households with children and adults, Persons in households with only children, Unknown household type)

Point-in-Time counts of persons during the operating year by household type

Allows HUD to understand how many people were served at specific points in time which allows HUD to compare to the number of beds used at the same time to derive a bed utilization rate.


8a

Number of Households Served During the Operating Year (Total, Households without children, Households with children and adults, Households with only children, and unknown household types)

Total number of households served at any time during the operating year by household type and total households served who moved into housing


Allows HUD to understand how many households were served and their household types.


8b

Point-in-Time Count of Households on the Last Wednesday who Moved into Housing (Total, households without children, households with children, households with only children, Unknown household type)

Point-in-Time counts of households during the operating year by household type

Allows HUD to understand how many households were served at specific points in time which allows HUD to compare to the number of units used at the same time to derive a unit utilization rate.


9a

Number of Persons Contacted (Street Outreach Programs Only – First contact was at a place not meant for human habitation, First contact was at a non-residential service setting, First contact was at a residential service setting, First contact place was missing)

Of those persons contacted by the street outreach program during the operating year, how many persons were contacted… once, 2-5 times, 6-9 times, 10 or more times, Total.

Allows HUD to understand how many contacts persons in street outreach programs make


9b

Number of Persons Engaged (Street Outreach Programs Only – First contact was at a place not meant for human habitation, First contact was at a non-residential service setting, First contact was at a residential service setting, First contact place was missing)

Of those persons contacted by the street outreach program during the operating year, how many persons were engaged after... one contact, 2-5 contacts, 6-9 contacts, 10 or more contacts, Total.

Rate of Engagement

Allows HUD to understand how many contacts persons in street outreach programs make prior to engagement in a program.


10


Intentionally Left Blank




11

Age (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

Under 5

5 - 12

13 - 17

18 - 24

25 - 34

35 - 44

45 - 54

55 - 64

65+

Client Doesn’t Know/Client Refused

Data Not Collected

Total

Allows HUD to understand age characteristics of program participants served as a factor in understanding the population served.


12

Race & Ethnicity (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

American Indian, or Alaska Native,

Asian

Black, or African American,

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

Asian & American Indian, or Alaska Native,

Black, or African American, & American Indian, or Alaska Native

Hispanic/Latina/e/o & American Indian, or Alaska Native

Middle Eastern or North African & American Indian, or Alaska Native

Native Hawaiian or Pacific Islander & American

Indian, or Alaska Native

White & American Indian, or Alaska Native

Black or African American, & Asian

Hispanic/Latina/e/o & Asian

Middle Eastern or North African & Asian

Native Hawaiian or Pacific Islander & Asian

White & Asian

Hispanic/Latina/e/o & Black, or African American

Middle Eastern or North African & Black, or African American,

Native Hawaiian or Pacific Islander & Black, or African American

White & Black, or African American,

Middle Eastern or North African & Hispanic/Latina/e/o

Native Hawaiian or Pacific Islander & Hispanic/Latina/e/o

White & Hispanic/Latina/e/o

Native Hawaiian or Pacific Islander & Middle Eastern or North African

White & Middle Eastern or North African

White & Native Hawaiian or Pacific Islander

Multiracial – more than 2 races/ethnicity, with one being Hispanic/Latina/e/o

Multiracial – more than 2 races, where no option is Hispanic/Latina/e/o

Client Doesn’t Know/Client Refused

Data Not Collected

Total

Allows HUD to understand racial and ethnic characteristics of program participants. This field was updated in 2024 HMIS Data Standards to more specifically display multiracial identities as the combination of those identities.


13a1

Physical & Mental Health Condition at Start (Total, Persons in households without children, Adults in households with children, , Children in households with only children, Unknown household type)

Mental Health Disorder or Disability

Alcohol Use Disorder

Substance Use Disorder

Both Alcohol and Substance Use Disorders

Chronic Health Condition

HIV/AIDS

Developmental Disability

Physical Disability

Allows HUD to understand physical and mental health conditions at entry of persons served.


13a2

Physical & Mental Health Condition at Start (Total, Persons in households without children, Adults in households with children, , Persons in households with only children, Unknown household type)

None

1 Condition

2 Conditions

3+ Conditions

Condition Unknown

Client Doesn’t Know/Client Refused

Data Not Collected

Total

Allows HUD to understand number of physical and mental health conditions at entry of persons served.


13b1

Physical & Mental Health Condition at Start (Total, Persons in households without children Adults in households with children, , Persons in households with only children, Unknown household type)

Mental Health Disorder or Disability

Alcohol Use Disorder

Substance Use Disorder

Both Alcohol and Substance Use Disorders

Chronic Health Condition

HIV/AIDS

Developmental Disability

Physical Disability

Allows HUD to understand physical and mental health conditions at exit of persons served.


13b2

Physical & Mental Health Condition at Exit (Total, Persons in households without children, Adults in households with children, , Persons in households with only children, Unknown household type)

None

1 Condition

2 Conditions

3+ Conditions

Condition Unknown

Client Doesn’t Know/Client Refused

Data Not Collected

Total

Allows HUD to understand number of physical and mental health conditions at exit of persons served.


13c1

Physical & Mental Health Condition for Stayers (Total, Persons in households without children, Adults in households with children, , Persons in households with only children, Unknown household type)

Mental Health Disorder or Disability

Alcohol Use Disorder

Substance Use Disorder

Both Alcohol and Substance Use Disorders

Chronic Health Condition

HIV/AIDS

Developmental Disability

Physical Disability

Allows HUD to understand physical and mental health conditions for stayers.


13c2

Physical & Mental Health Condition for Stayers (Total, Persons in households without children, Adults in households with children, , Persons in households with only children, Unknown household type)

None

1 Condition

2 Conditions

3+ Conditions

Condition Unknown

Client Doesn’t Know/Client Refused

Data Not Collected

Total

Allows HUD to understand number of physical and mental health conditions for stayers.


14a

Domestic Violence History (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

Yes

No

Client Doesn’t Know/Client Refused

Data Not Collected

Total

Allows HUD to understand the number of program participants with a history of (i.e. surviving) domestic violence, sexual assault, dating violence, stalking, or human trafficking.


14b

Most recent experience of domestic violence, sexual assault, dating violence, stalking, or human trafficking

(Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

Within the past three months

Three to six months ago

Six months to one year

One year ago, or more

Client Doesn’t Know/Client Refused

Data Not Collected

Total

Allows HUD to understand the time frame for persons served with a prior experience of domestic violence, sexual assault, dating violence, stalking, or human trafficking.


15

Living Situations (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

Homeless Situations

Emergency shelter, including hotel or motel paid for with emergency shelter voucher, Runaway and Homeless Youth (RHY) funded Host Home shelter

Place not meant for human habitation

Safe Haven

Subtotal

Institutional Settings

Foster care home or foster care group home

Hospital or other residential non-psychiatric medical facility

Jail, prison, or juvenile detention

Long-term care facility or nursing home

Psychiatric hospital or other psychiatric facility

Substance abuse treatment facility or detox center

Subtotal

Temporary Locations

Transitional housing for persons experiencing homelessness (including youth experiencing homelessness)

Residential project or halfway house with no criteria for persons experiencing homelessness

Hotel or motel paid for without emergency shelter voucher

Host Home (non-crisis)

Staying or living in a friend’s room, apartment, or house

Subtotal

Permanent Situations

Rental by client, no ongoing housing subsidy

Rental by client, with ongoing housing subsidy

Owned by client, with ongoing housing subsidy

Owned by client, no ongoing housing subsidy

Subtotal

Client Doesn’t Know/Client Refused

Data Not Collected

Subtotal

Total

Allows HUD to understand where clients lived prior to entering the projects.


16

Cash Income - Ranges (Income at Start, Income at Latest Annual Assessment for Stayers, Income at Exit for Leavers)

No Income

$1-$150

$151 - $250

$251-$500

$501 -$1,000

$1,001-$1,500

$1,501-$2,000

$2,001+

Client Doesn’t Know/Client Prefers Not to Answer

Data Not Collected

Number of adult stayers not yet required to have an annual assessment

Number of adult stayers without required annual assessment

Total Adults

Allows HUD to understand entry and exit monthly cash-income amounts received by clients who entered, stayed for 1 year, and exited the program.


17

Cash Income – Sources (Income at Start, Income at Latest Annual Assessment for Stayers, Income at Exit for Leavers)

Earned Income

Unemployment Insurance

Supplemental Security Income (SSI)

Social Security Disability Insurance (SSDI)

VA Service -Connected Disability Compensation

VA Non-Service Connected Disability Pension

Private Disability Insurance

Worker’s Compensation

Temporary Assistance for Needy Families (TANF)

General Assistance (GA)

Retirement Income from Social Security

Pension or retirement income from a former job

Child Support

Alimony and other spousal support

Other Source

Adults with Income Information at Entry and Annual Assessment/Exit

Allows HUD to understand type and number of cash-income sources for clients who left the program and clients who stayed in the program.


18

Client Cash Income Category – Earned/Other Income Category – by Entry and Annual Assessment/Exit Status (Number of Adults at Entry, Number of Adults at Latest Annual Assessment for Stayers, Number of Adults at Exit for Leavers)

Adults with Only Earned Income (i.e., Employment Income)

Adults with Only Other Income

Adults with Both Earned and Other Income

Adults with No Income

Adults with Client Doesn’t Know/Prefers Not to Answer Income

Adults with Missing Income Information

Number of adult stayers not yet required to have an annual assessment

Number of adult stayers without required annual assessment

Total Adults

1 or more source of income

Adults with Income Information at Start and Annual Assessment/Exit

Allows HUD to understand type and number of income for program participants who left the program and program participants who stayed in the program.


19a1

Cash Income – Changes over Time: Income Source – by Start and Latest Status

Number of Adults with Earned income (i.e., Employment Income)

Average Change in Earned Income

Number of Adults with Other Income

Average Change in Other Income

Number of Adults with Any Income (i.e., Total Income)

Average Change in Overall Income

Allows HUD to understand changes in the type and amount of cash income received by program participants who stayed in the program.


19a2

Cash Income – Changes over Time: Income Source – by Start and Exit

Number of Adults with Earned income (i.e., Employment Income)

Average Change in Earned Income

Number of Adults with Other Income

Average Change in Other Income

Number of Adults with Any Income (i.e., Total Income)

Average Change in Overall Income

Allows HUD to understand changes in the type and amount of cash income received by program participants who left the program.


19b

Disabling Conditions and Income for Adults at Exit

Earned Income

Unemployment Insurance

Supplemental Security Income (SSI)

Social Security Disability Insurance (SSDI)

VA Service -Connected Disability Compensation

Private Disability Insurance

Worker’s Compensation

Temporary Assistance for Needy Families (TANF)

Retirement Income from Social Security

Pension or retirement income from a former job

Child support

Alimony and other spousal support

Other source

No Sources

Unduplicated Total Adults

Allows HUD to understand type and number of cash-income sources for adult clients with and without disabling conditions based on household types.



20a

Type of Non-Cash Benefit Sources (Benefit at Start, Benefit at Latest Annual Assessment for Stayers, Benefit at Exit for Leavers)

Supplemental Nutrition Assistance Program (SNAP)

Women, Infants, and Children (WIC)

TANF Child Care Services

TANF Transportation Services

Other TANF-Funded Services

Other Source

Allows HUD to understand type of non-cash benefits received by program participants who left the program and program participants who stayed in the program.


20b

Number of Non-Cash Benefit Sources (Income at Start, Income at Latest Annual Assessment for Stayers, Income at Exit for Leavers)

No Sources

1 + Source(s)

Client Doesn’t Know/Prefers Not to Answer

Data Not Collected/Not stayed long enough for Annual Assessment

Total

Allows HUD to understand the number of non-cash benefits received by program participants who left the program and program participants who stayed in the program.


21

Health Insurance (At Start, Annual Assessment for Stayers, and At Exit for Leavers)

Medicaid

Medicare

State Children’s Health Insurance Program

Veteran's Health Administration (VHA)

Employer-Provided Health Insurance

Health Insurance obtained through COBRA

Private Pay Health Insurance

State Health Insurance for Adults

Indian Health Services Program

Other

No Health Insurance

Client Doesn’t Know/Prefers Not to Answer

Data not Collected

Number of Stayers not yet Required to Have an Annual Assessment

1 Source of Health Insurance

More than 1 Source of Health Insurance

Allows HUD to understand the type of health insurance received by program participants who left the program and program participants who stayed in the program.


22a

Length of Participation—CoC Projects (Total, Leavers, Stayers)

30 days or less

31 to 60 days

61 days to 90 days

91 days to 180 days

181 days to 365 days

366 days to 730 days (1-2 years)

731 days to 1,095 days (2-3 years)

1,096 days to 1,460 days (3-4 years)

1,461 days to 1,825 days (4-5 years)

More than 1,826 days (>5 years)

Data Not Collected

Total


Allows HUD to understand the length of participation of residential program clients who left the program and clients who stayed in the program.


22b

Average and Median Length of Participation in Days (Leavers, Stayers)

Average Length

Median Length

Allows HUD to understand the average and median length of participation of residential program clients who left the program and clients who stayed in the program.


22c

Length of Time Between Project Start Date and Housing Move-in Date for PSH and RRH Projects (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

7 days or less

8 to 14 days

15 to 21 days

22 to 30 days

31 to 60 days

61 days to 90 days

91 days to 180 days

181 days to 365 days

366 days to 730 days (1-2 years)

Total (persons moved into housing)

Average length of time to housing

Persons who were exited without move-in

Total persons

Allows HUD to understand the length of participation of residential program clients who left the program and clients who stayed in the program.


Q22e

Length of Time Prior to Housing – based on 3.917 Date Homeless Started (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

7 days or less

8 to 14 days

15 to 21 days

22 to 30 days

31 to 60 days

61 to 90 days

91 to 180 days

181 to 365 days

366 to 730 days (1-2 Yrs)

731 days or more

Total (persons moved into housing)

Not yet moved into housing

Data not collected

Total persons



Q22f

Length of Time between Project Start Date and Housing Move-in Date by Race and Ethnicity

Columns:

American Indian or Alaska Native

Asian

Black or African American

Hispanic/ Latina/e/o

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White

At Least 1 Race and Hispanic/Latino

Multi-racial (does not include

Hispanic/Latina/e/o)

Unknown (Don’t Know, Prefers not to Answer, Data not Collected)

Rows:

Persons Moved Into Housing

Persons Exited Without Move-In

Average time to Move-In

Median time to Move-In

Persons Moved Into Housing

Persons Exited Without Move-In

Average time to Move-In

Median time to Move-In

Allows HUD to compare the length of time between project start date and move-in date for different racial demographics, in order to assess this performance measure for racial disparities.


23

Exit Destination (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

Permanent destinations

Moved from Housing Opportunities for Persons With AIDS (HOPWA)funded projected to HOPWA PH

Owned by client, no ongoing housing subsidy

Owned by client, with ongoing housing subsidy

Rental by client, with RRH or equivalent subsidy

Rental by client, with HCV voucher (tenant- or project-based)

Rental by client in a public housing unit

Rental by client, no ongoing housing subsidy

Rental by client, with VASH subsidy

Rental by client, with GPD TIP subsidy

Rental by client, with other ongoing housing subsidy

Permanent housing (other than RRH) for formerly homeless persons

Staying or living with family, permanent tenure

Staying or living with friends, permanent tenure

Subtotal

Temporary destinations

Emergency shelter, including hotel or motel paid for with emergency shelter voucher, RHY-funded Host Home shelter

Moved from HOPWA funded projected to HOPWA TH

Transitional housing for persons experiencing homelessness (including youth experiencing homelessness)

Staying or living with family, temporary tenure

Staying or living with friends, temporary tenure

Place not meant for human habitation

Safe Haven

Hotel/Motel, paid for without emergency shelter voucher

Host Homes (non-crisis)

Subtotal

Institutional settings

Foster care home or foster care group home

Psychiatric hospital or other psychiatric facility

Substance abuse treatment facility or detox center

Hospital or other residential non-psychiatric medical facility

Jail, prison, or juvenile detention facility

Long-term care facility or nursing home

Subtotal

Other destinations

Residential project or halfway house with no criteria for people experiencing homelessness

Deceased

Client Doesn’t Know/Client Refused

Data Not Collected (no exit interview completed)

Subtotal

Total

Total persons exiting to positive housing destinations

Total persons whose destinations excluded them from the calculation

Allows HUD to understand the destination of clients who left the program after 90 days by household type.


24b

Moving On Assistance Provided to Households in PSH (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

Subsidized housing application assistance

Financial assistance for Moving On (e.g., security deposit, moving expenses)

Non-financial assistance for Moving On (e.g., housing navigation, transition support)

Housing referral/placement

Other (please specify)

Allows HUD to understand the assistance provided to assist PSH participating households in exiting the program to permanent housing.


24d

Language of Persons Requiring Translation Assistance

Total Persons Requiring Translation Assistance

By top 20 languages selected

Allows HUD to understand the languages needed and at what frequency for the population served.


25a

Number of Veterans (Total, Persons in households without children, Persons in households with children, Unknown household type)

Veteran Experiencing Chronic Homelessness

Veteran Experiencing Non-Chronic Homelessness

Not a Veteran

Client Doesn’t Know/Prefers Not to Answer

Data Not Collected

Total

Allows HUD to understand the veteran status of program participants served.


25b

Number of Veteran Households (Total, Persons in households without children, Persons in households with children, Unknown household type)

Veteran Experiencing Chronic Homelessness

Veteran Experiencing Non-Chronic Homelessness

Not a Veteran

Client Doesn’t Know/Prefers Not to Answer

Data Not Collected

Total

Allows HUD to understand the veteran status of households served.


25d

Age – Veterans (Total, Persons in households without children, Persons in households with children, Unknown household type)

18 – 24

25 – 34

35 – 44

45 – 54

55 – 64

65+

Client Doesn’t Know/Prefers Not to Answer

Data Not Collected

Total

Allows HUD to understand age characteristics of veterans served.


25e – 25h

Intentionally left blank




25i

Exit Destination – Veterans (Total, Persons in households without children, Persons in households with children, Unknown household type)

Homeless Situations

Place not meant for habitation (e.g., a vehicle, an abandoned building, bus/train/subway station/airport or

anywhere outside)

Emergency shelter, including hotel or motel paid for with emergency shelter voucher, Host Home shelter

Safe Haven

Subtotal

Permanent Situations

Staying or living with family, permanent tenure

Staying or living with friends, permanent tenure

Moved from one HOPWA funded project to HOPWA PH

Rental by client, no ongoing housing subsidy

Rental by client, with ongoing housing subsidy

Owned by client, with ongoing housing subsidy

Owned by client, no ongoing housing subsidy

Subtotal

Temporary Situations

Transitional housing for persons experiencing homelessness (including youth experiencing homelessness)

Residential project or halfway house with no homeless

criteria

Hotel or motel paid for without emergency shelter

voucher

Host Home (non-crisis)

Staying or living with family, temporary tenure (e.g.,

room, apartment, or house)

Staying or living with friends, temporary tenure (e.g.,

room, apartment, or house)

Moved from one HOPWA funded project to HOPWA TH

Subtotal

Institutional Situations

Foster care home or foster care group home

Hospital or other residential non-psychiatric medical

facility

Jail, prison, or juvenile detention facility

Long-term care facility or nursing home

Psychiatric hospital or other psychiatric facility

Substance abuse treatment facility or detox center Subtotal

No exit interview completed

Other

Deceased

Client Doesn’t Know/Prefers Not to Answer

Data Not Collected

Subtotal

Total

Total persons exiting to positive housing destinations

Total persons whose destinations excluded them from the calculation

Allows HUD to monitor destination of veterans who left the program by household type.


26a

Number of Households w/at least one or more Persons experiencing Chronic Homelessness (Total, Households without children, Households with children, Households with only children, Unknown household type)

Chronic Homelessness

No Chronic Homelessness

Client Doesn’t Know/Prefers Not to Answer

Data Not Collected

Total

Allows HUD to understand the chronic homelessness status of program participants served.


26b

Number of Persons experiencing Chronic Homelessness by Household (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

Chronic Homelessness

No Chronic Homelessness

Client Doesn’t Know/Prefers Not to Answer

Data Not Collected

Total

Allows HUD to understand the chronic homelessness status of households served.


26d

Age of Persons experiencing Chronic Homelessness (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

0 - 17

18 - 24

25 - 34

35 - 44

45 - 54

55 - 64

65+

Client Doesn’t Know/Prefers Not to Answer

Data Not Collected

Total

Allows HUD to understand age characteristics of persons experiencing chronic homelessness served.


26e

Physical and Mental Health Conditions - of Persons experiencing Chronic Homelessness (Conditions at Entry, Conditions at Latest Assessment for Stayers, Conditions at Exit for Leavers)

Mental Health Disorder or Disability

Alcohol Use Disorder

Substance Use Disorder

Both Substance and Alcohol Use Disorder

Chronic Health Condition

HIV/AIDS

Developmental Disability

Physical Disability

Allows HUD to understand physical and mental health characteristics of persons experiencing chronic homelessness served.


26f

Client Cash Income Category - Income Category - by Entry and Annual Assessment/Exit Status (Number of Persons experiencing Chronic Homelessness at Entry, Number of Persons experiencing Chronic Homelessness at Latest Annual Assessment for Stayers, Number of Chronically Homeless Persons at Exit for Leavers)

Persons experiencing Chronic Homelessness with Only Earned Income (i.e., Employment Income)

Persons experiencing Chronic Homelessness with Only Other Income

Persons experiencing Chronic Homelessness with Both Earned and Other Income

Persons experiencing Chronic Homelessness with No Income

Persons experiencing Chronic Homelessness with Client Doesn’t Know/Client Refused Income Information

Persons experiencing Chronic Homelessness with Missing Income Information

Number of Persons experiencing Chronic Homelessness not yet required to have an annual assessment

Number of Persons experiencing Chronic Homelessness without required annual assessment

Total Chronically Homeless Persons

Allows HUD to understand type and number of income for persons experiencing Chronic Homelessness who left the program and persons experiencing Chronic Homelessness who stayed in the program.


27a

Age of Youth (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

12 - 17

18 - 24

Client Doesn’t Know/Prefers Not to Answer

Data Not Collected

Total

Allows HUD to understand age characteristics of youth served.


27b

Parenting or Pregnant Youth (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

Parent youth < 18

Parent youth 18 to 24

Allows HUD to understand age characteristics of parenting or pregnant youth served.


27d

Living Situations (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

Homeless Situations

Place not meant for habitation (e.g., a vehicle, an

abandoned building, bus/train/subway

station/airport or anywhere outside)

Emergency shelter, including hotel or motel paid for

with emergency shelter voucher, Host Home shelter

Safe Haven

Subtotal

Institutional Situations

Foster care home or foster care group home

Hospital or other residential non-psychiatric medical

facility

Jail, prison, or juvenile detention facility

Long-term care facility or nursing home

Psychiatric hospital or other psychiatric facility

Substance abuse treatment facility or detox center

Subtotal

Temporary Situations

Transitional housing for persons experiencing homelessness (including youth experiencing homelessness) Residential project or halfway house with no

criteria for people experiencing homelessness

Hotel or motel paid for without emergency shelter

voucher

Host Home (non-crisis)

Staying or living in a friend’s room, apartment, or

house

Staying or living in a family member’s room,

apartment, or house

Subtotal

Permanent Situations

Rental by client, no ongoing housing subsidy

Rental by client, with ongoing housing subsidy

Owned by client, with ongoing housing subsidy

Owned by client, no ongoing housing subsidy

Subtotal

Client Doesn’t Know/Prefers Not to Answer

Data not Collected

Subtotal

Total

Allows HUD to understand where youth lived prior to entering the projects.


27e

Length of Participation –Youth (Total, Leavers, Stayers)

30 days or less

31 to 60 days

61 to 90 days

91 to 180 days

181 to 365 days

366 to 730 Days (1-2 Yrs)

731 to 1,095 Days (2-3 Yrs)

1,096 to 1,460 Days (3-4 Yrs)

1,461 to 1,825 Days (4-5 Yrs)

More than 1,825 Days (> 5 Yrs)

Total

Allows HUD to understand length of participation of residential program youth who left the program and clients who stayed in the program.


27f1

Exit Destination – Youth (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

Homeless Situations

Place not meant for habitation (e.g., a vehicle, an

abandoned building, bus/train/subway

station/airport or anywhere outside)

Emergency shelter, including hotel or motel paid for

with emergency shelter voucher, Host Home shelter

Safe Haven

Subtotal

Institutional Situations

Foster care home or foster care group home

Hospital or other residential non-psychiatric medical

facility

Jail, prison, or juvenile detention facility

Long-term care facility or nursing home

Psychiatric hospital or other psychiatric facility

Substance abuse treatment facility or detox center

Subtotal

Temporary Situations

Transitional housing for persons experiencing homelessness (including youth experiencing homelessness) Residential project or halfway house with no criteria for people experiencing homelessness

Hotel or motel paid for without emergency shelter voucher

Host Home (non-crisis)

Staying or living with family, temporary tenure (e.g.,

room, apartment, or house)

Staying or living with friends, temporary tenure (e.g.,

room, apartment, or house)

Moved from one HOPWA funded project to HOPWA TH

Subtotal

Permanent Situations

Staying or living with family, permanent tenure

Staying or living with friends, permanent tenure

Moved from one HOPWA funded project to HOPWA PH

Rental by client, no ongoing housing subsidy

Rental by client, with ongoing housing subsidy

Owned by client, with ongoing housing subsidy

Owned by client, no ongoing housing subsidy

Subtotal

No Exit Interview completed

Other

Deceased

Client Doesn’t Know/Prefers Not to Answer

Data Not Collected

Subtotal

TOTAL

Total persons exiting to positive housing destinations

Total persons whose destinations excluded them from the calculation

Allows HUD to understand destination of youth who left the program by household type.


27f2

Exit Destination – Subsidy Type of Persons Exiting to Rental by Client With An Ongoing Subsidy - Youth (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

GPD TIP housing subsidy

VASH housing subsidy

RRH or equivalent subsidy

HCV voucher (tenant or project based) (not dedicated)

Public housing unit

Rental by client, with other ongoing housing subsidy

Housing Stability Voucher

Family Unification Program Voucher (FUP)

Foster Youth to Independence Initiative (FYI)

Permanent Supportive Housing

Other permanent housing dedicated for formerly homeless persons who formerly experienced homelessness

Total

Allows HUD to understand the type of ongoing housing subsidy of youth who left the program by household type.


27g

Type of Cash-Income Sources (Income at Entry, Income at Latest Assessment for Stayers, Income at Exit for Leavers)

Earned Income

Unemployment Insurance

SSI

SSDI

VA Service -Connected Disability Compensation

VA Non-Service Connected Disability Pension

Private Disability Insurance

Worker’s Compensation

Temporary Assistance for Needy Families (TANF)

General Assistance (GA)

Retirement from Social Security

Pension or retirement income from former job

Child support

Alimony and other spousal support

Other Cash Income Sources

TOTAL: Adults and Youth Heads of Households with Income Information at Entry and Annual Assessment/Exit

Allows HUD to understand type and number of cash-income sources for adults and youth heads of households who left the program and youth who stayed in the program.


27h

Cash Income Category - Income Category - by Entry and Annual /Exit Status – Adults and Youth Heads of Households (Number of Adults and Youth Heads of Households at Entry, Number of Adults and Youth Heads of Households at Latest Annual Assessment for Stayers, Number of Adults and Youth Heads of Households at Exit for Leavers)

Adults and Youth Heads of Households with Only Earned Income (i.e., Employment Income)

Adults and Youth Heads of Households with Only Other Income

Adults and Youth Heads of Households with Both Earned and Other Income

Adults and Youth Heads of Households with No Income

Adults and Youth Heads of Households with Client Doesn’t Know/Prefers Not to Answer Income Information

Adults and Youth Heads of Households with Missing Income Information

Number of Adults and Youth Heads of Households not yet required to have an annual assessment

Number of Adults and Youth Heads of Households without required annual assessment

Total Adults and Youth Heads of Households

1 or more source of income

Adults and youth head of households with income information at start and annual assessment/exit

Allows HUD to understand type and number of income for adults and youth heads of households who left the program and adults and youth heads of households who stayed in the program.


27i

Disabling Conditions and Income for Adults and Youth Heads of Households

Earned Income

SSI

SSDI

VA Service -Connected Disability Compensation

Private Disability Insurance

Worker’s Compensation

TANF

Retirement Income from Social Security

Pension or Retirement Income from a Former Job

Child Support

Other Source

No Sources

Unduplicated Total Adults and Youth Heads of Households

Allows HUD to understand type and number of cash-income sources for youth (including adults 18 to 24 and youth heads of households) with and without disabling conditions based on household types.



27j

Average and Median Length of Participation in Days – Youth

Average Length for Leavers

Average Length for Stayers

Median Length for Leavers

Median Length for Stayers

Allows HUD to understand the length of participation in the project by two aggregate measures.


27k

Length of Time between Project Start Date and Housing Move-in Date – Youth (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

7 days or less

8 to 14 days

15 to 21 days

22 to 30 days

31 to 60 days

61 to 90 days

91 to 180 days

181 to 365 days

366 to 730 days (1-2 Yrs)

Total (persons moved into housing)

Average length of time to housing

Persons who were exited without move-in

Total persons

Allows HUD to compare the length of time between project start date and move-in date, to understand the success of the program in moving youth to housing quickly.


27l

Length of Time Prior to Housing - based on 3.917 Date Homelessness Started – Youth (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

7 days or less

8 to 14 days

15 to 21 days

22 to 30 days

31 to 60 days

61 to 90 days

91 to 180 days

181 to 365 days

366 to 730 days (1-2 Yrs)

731 days or more

Total (persons moved into housing)

Not yet moved into housing

Data not collected

Total persons

Allows HUD to understand the length of participation of residential programs for youth.


27m

Education Status – Youth Who Exited the Project, measured At Project Start and At Project Exit

Current school and attendance

Not currently enrolled in any school or education course

Currently enrolled but not attending regularly

Currently enrolled and attending regularly

Client Doesn’t Know / Prefers Not to Answer

Data not collected

For those not enrolled – most recent education status

K12: Graduated from high school

K12: Obtained GED

K12: Dropped out

K12: Suspended

K12: Expelled

Higher education: Pursuing a credential but not currently attending

Higher education: Dropped out

Higher education: Obtained a credential/degree

Client Doesn’t Know/Prefers Not to Answer

Data not collected

For those currently enrolled – current status

Pursuing a high school diploma or GED

Pursuing Associate Degree

Pursuing Bachelor Degree

Pursuing Graduate Degree

Pursuing other post-secondary credential

Client Doesn’t Know/Prefers Not to Answer

Data not collected

Total Persons

Allows HUD to understand the educational attainment of youth participants during the program.


28

Financial Information: Development

Acquisition

Rehabilitation

New Construction

Development – Subtotal

Allows HUD to understand expenditures of CoC Program funds on development activities.


28

Financial Information: Supportive Services

Assessment of Service Needs

Assistance with Moving Costs

Case Management

Child Care

Education Services

Employment Assistance

Food

Housing/Counseling Services

Legal Services

Life Skills

Mental Health Services

Outpatient Health Services

Outreach Services

Substance Abuse Treatment Services

Transportation

Utility Deposits

Operating

Services - Subtotal

Allows HUD to understand expenditures of CoC Program funds on supportive services activities.


28

Financial Information: HMIS

Equipment (server, computers, printers)

Software (software fees, user licenses, software support)

Services (training, hosting, programming)

Personnel (costs associated with staff)

Space and operations

HMIS - Subtotal

Allows HUD to understand expenditures of CoC Program funds on HMIS activities.


28

Financial Information: Leasing, Rental Assistance, & Operating

Real Property Leasing

Short-/Medium-term Rental Assistance

Long-term Rental Assistance

Operating Costs

Leasing, Rental Assistance, & Operating – Subtotal

Allows HUD to understand expenditures of CoC Program funds on leasing, rental assistance, and operating activities.


28

Financial Information: Administration and Total Expenditures

Administration

Administration subtotal

Total Expenditures

Allows HUD to understand expenditures of CoC Program funds on administration activities and summary of total expenditures of CoC Program funds.


28

Financial Information: Match and Total Budget

Cash Match

In-Kind Match

Total Match

Total expenditures requiring match

Percentage Match

Total Budget

Allows HUD to understand match for CoC Program funds and the total project budget, including match.


29

Performance- Accomplishments

Describe any significant accomplishments achieved by your project during the operating year.

Allows recipient to describe to HUD other accomplishments not otherwise captured in the APR.


30

Additional Comments (Optional)

Provide any additional comments on other that need explanation, such as differences in anticipated and actual project outputs or bed utilization.

Allows recipients to describe to HUD other factors HUD should be aware of as it reviews the recipient’s performance under this grant.


31

Program Eligibility

For all persons coming from situations other than Homeless situations or Institutional situations (Q15 – Living Situation of HMIS upload), an explanation of how eligibility was determined and documented by this project must be provided in the text box(es) below. If all persons entered from a Homeless or Institutional Situation, no further information is required.

This allows HUD to obtain additional information about program participants whose program eligibility was not based on prior living situation, for example, persons fleeing domestic violence, sexual assault, dating violence, stalking, or human trafficking.


Section 2: Dedicated HMIS APR

 

1

Grant Information

Grant Number

Recipient Name

CoC

Component Type

Project Type

Award Amount

Operating start date for APR

Operating end date for APR

Grant Term (in months)

Grant Information Was Updated on (date)

Allows HUD to identify basic grant information that informs HUD on the reporting period


Users will not enter this data – it will be prepopulated from the e-snaps and LOCCS.


2

Contact Information: Grant Contact Information

Recipient Contact Information:

Prefix

First Name

Middle Name

Last Name

Suffix

Organization

Department

Title

Street Address 1

Street Address 2

City

State/Territory

ZIP code

E-mail address

Confirm e-mail address

Phone Number

Extension

Fax Number

Allows HUD to identify primary recipient contact responsible for information contained in the report.


2

Contact Information: Information for HMIS System Administrator from Lead Agency

HMIS Administrator Contact Information:

Prefix

First Name

Middle Name

Last Name

Suffix

Organization

Department

Title

Street Address 1

Street Address 2

City

State/Territory

ZIP code

E-mail address

Confirm e-mail address

Phone Number

Extension

Fax Number

Check all those participating in answering the APR questions

-if other, who?

Allows HUD to identify the HMIS administrator for the CoC.


3

Implementation Information

Identify the type of implementation this grant is a part of

-if multiple CoC implementation, select the COCs that are part of this HMIS implementation

-If other, what?

Does the HMIS implementation use a centralized model (in which the HMIS Lead fulfills all responsibilities for system administration) or a decentralized model (in which local entities assist the HMIS Lead in fulfilling responsibilities for system administration)?

Briefly describe the HMIS implementation

Does the HMIS implementation provide data to a data warehouse/data integration project?

-if yes, briefly describe the purpose of the data warehouse.

If yes, identify the entity that administers the data warehouse.

-If yes, what HMIS data is sent to the warehouse (i.e. what project types, what kind of elements, etc.)?

-If yes, is the HMIS data sent with personally identifying information on clients identified or de-identified/hashed?

Identifies for HUD the nature of the HMIS implementation.


4

HMIS Software Information

Identify the HMIS software in use

-if custom/other: Vendor Name

-if custom/other: Software Name

Was the software in use, identified here, the HMIS solution designated for use by the CoC

-if no, why?

How many years has the implementation used the current software?

Does the CoC have plans to change software in the next two years?

Identify all reports the software currently generates

Is the software able to generate the most recent HMIS-CSV export?

Is the software able to generate the most recent HMIS-CSV export – that is hashed (e.g. for RHY)?

Does the software support automatic exiting functionality (e.g. for night by night shelters and/or street outreach)?

-if yes, how often does it run?

Is the HMIS system used for Coordinated Entry?

Identify the HMIS software in use:

Who completes project set up, including entering all Project Descriptor Data Elements (PDDE), in the HMIS?

How often are PDDEs reviewed?

Allows HUD to identify the HMIS software in use and their functionality for CoCs.


5

Staff Responsibilities

Identify the organization and person responsible for performing the following activities for the HMIS implementation.

System Related

Hosts the HMIS Software on Their Server or Their Cloud Account Server

Oversees the Security of the HMIS Systems

Backs Up the HMIS Data

Reports Related

Runs the Data Quality Report by Project

Monitors Data Quality

Runs/Produces the AHAR Information

Runs/Produces the System Performance Measures

Compiles Data for the Housing Inventory Count

Generates/Compiles/Compares Data from the HMIS for the Point-in-Time Count

User Support

Sets Up the Configuration and User Levels in the HMIS

Trains New Users

Provides On-going Training for Users

Trains HMIS Lead Agency Staff

Provides User Support for HMIS Software Issues (via Telephone, Email, etc)

Provides User Support for Data Entry Issues

Allows HUD to understand who is responsible for the various HMIS staffing tasks.


6

Users

How many total HMIS users are there in the implementation?

Do all users sign a “User Agreement” that outlines basic privacy/security policies applicable to the user?

Are all users trained in the system prior to receiving their passwords/logon information into the HMIS?

Briefly describe the regular training for new users and any on-going trainings

How many new users were trained in the implementation this year?

Allows HUD to understand how many users there are and what is expected of them.


7

Governance

Governance

Is there a Governance Charter for each CoC in the HMIS implementation area?

Do the Charter(s) establish the decision-making structure regarding the HMIS?

Are all CoCs in the implementation represented in the decision-making structure?

Are the roles and responsibilities for decision making clearly defined and codified in documents such as by-laws or governance charter(s)?

Is there a Governance Charter for each CoC in the HMIS implementation area?

Briefly describe the relationship between the CoC Board and the HMIS Lead Agency:

Standards

Has the HMIS Lead worked with all participating CoCs to develop basic technical, security, privacy and data quality standards?

Is there a process in place to update the standards?

Who is responsible for monitoring the standards to ensure they are up-to-date and enforced?

What year was the HMIS Policy/Procedure Manual last updated?

Does the HMIS have an “Agency Agreement” on the use of the HMIS with all agencies who have programs on the system?

Describe the timeliness standards in the implementation, how users are informed of those standards and how they are monitored:

Allows HUD to understand the nature of the HMIS governance.


8

System Coverage

General Coverage

Across the HMIS implementation identify the number of beds covered in HMIS for the following project types: Emergency Shelter, Transitional Housing, Permanent Supportive Housing, Rapid Re-housing

If there is not 100% coverage explain why and what efforts you are taking to increase the coverage rate

How many client records are in your HMIS?

Are victim-service providers funded with CoC or ESG within the implementation?

-If yes, are they using a comparable database which can provide the required CSV Reports for their funding?

-If yes, what is the name(s) of the comparable software systemin use by victim-service providers?


Select the response option that best describes the participation of projects funded by each of the federal partner programs:

HUD: CoC (not including victim service providers)

HUD: ESG (not including victim service providers)

HUD: HOPWA

HHS: RHY – Basic Center Program (BCP)

HHS: RHY – Transitional Living Program (TLP)

HHS: RHY – Street Outreach Program (SOP)

HHS: RHY – Maternal Group Home (MGH)

VA: Supportive Services for Veteran Families (SSVF)

VA: HUD-VASH

VA: GPD

Does the implementation have any issues with incorporating the federal partner projects into the HMIS that you want to share with HUD?

Allows HUD to understand HMIS bed coverage rate for all homeless assistance programs.


9

Financial Information: Funding Sources (associated with this dedicated HMIS project during the operating year)

HUD: CoC grant (Dedicated HMIS grants only)

HUD: CoC Administration/Planning/UFA funds

HUD: CoC Project grants

HUD: ESG

HUD HOPWA

HHS: RHY – through RHY grantees

HHS: Projects for Assistance in Transition from Homelessness (PATH) – through PATH grantees

VA: VA grantees – through VA program grantees

Local government

State government

Private/foundation/fundraising

Participation/ User fees from projects/agencies

Other

Total

Allows HUD to understand the sources of funding for HMIS.


9

Financial Information: HUD Funds expended from this Dedicated HMIS Grant

Equipment (server, computers, printers)

Software (software fees, user licenses, software support)

Services (training, hosting, programming)

Personnel (costs associated with staff)

Space and operations

Subtotal

Allows HUD to understand expenditures of CoC Program funds on HMIS activities.


9

Financial Information: Administration and Total Expenditures

Administration

Total Expenses

Allows HUD to understand expenditures of CoC Program funds on administration activities and summary of total expenditures of CoC Program funds.


9

Financial Information: Match and Total Budget

Cash Match

In-Kind Match

Total Match

Total expenditures requiring match

Percentage Match

Total Budget

Allows HUD to understand match for CoC Program funds and the total project budget, including match.


10

Additional Comments (Optional)

Please provide any additional comments on other areas of the APR that need explanations.

Allows HUD to review additional grantee comments and explanations regarding HMIS implementation.


Section 3: CoC Planning Grant APR

 

1

Grant Information

Grant Number

Recipient Name

CoC

Component Type

Project Type

Award Amount

Operating start date for APR

Operating end date for APR

Grant Term (in months)


Allows HUD to identify basic grant information that informs HUD on the reporting period.


Users will not enter this data – it will be prepopulated from the e-snaps and LOCCS.


2

Contact Information

Recipient Contact Information:

Prefix

First Name

Middle Name

Last Name

Suffix

Organization

Department

Title

Street Address 1

Street Address 2

City

State/Territory

Zipcode

E-mail address

Confirm e-mail address

Phone Number

Extension

Fax Number

Allows HUD to identify primary recipient contact responsible for information contained in the report.


3

Planning Actions and Outcomes

Select the activities the grant funded and explain how the funds were used for each activity checked.

Coordination Activities

Project Evaluation

Project Monitoring Activities

Participation in Consolidated Plan

CoC Application Activities

Determining Geographical Area to be served by CoC

Developing a CoC System

HUD Compliance Activities

Explain how the CoC Planning Grant funds were used

Describe the outcomes your CoC observed as a result of the CoC Planning Grant

Allows HUD to understand the activities the planning grant funded and what outcomes resulted from the funds.


4

Financial Information: Planning Grant Information

Coordination Activities

Project Evaluation

Project Monitoring Activities

Participation in Consolidated Plan

CoC Application Activities

Determining Geographical Area to be served by CoC

Developing a CoC System

HUD Compliance Activities

Total Expenditures

Allows HUD to understand expenditures of CoC Program funds.


4

Financial Information: Match and Total Budget

Cash Match

In-Kind Match

Total Match

Total expenditures requiring match

Percentage Match

Total Budget

Allows HUD to understand match for CoC Program funds and the total project budget, including match.


5

Additional Comments

Provide any additional comments on other areas of the APR that need explanations, such as a difference in anticipated and actual program outputs

Allows HUD to review additional recipient comments and explanations regarding one or more APR responses.


Section 4: Unified Funding Agency APR

 

1

Grant Information

Grant Number

Recipient Name

CoC

Component Type

Project Type

Award Amount

Operating start date for APR

Operating end date for APR

Grant Term (in months)


Allows HUD to identify basic grant information that informs HUD on the reporting period.


Users will not enter this data – it will be prepopulated from the e-snaps and LOCCS.


1

Contact Information

Recipient Contact Information:

Prefix

First Name

Middle Name

Last Name

Suffix

Organization

Department

Title

Street Address 1

Street Address 2

City

State/Territory

Zipcode

E-mail address

Confirm e-mail address

Phone Number

Extension

Fax Number

Allows HUD to identify primary recipient contact responsible for information contained in the report.


Note that UFAs report data on questions 2 through 27m of the CoC Full APR, questions 2 through 9 of the HMIS Dedicated Grant APR, and question 3 from the CoC planning grant


UFA

UFA Financial Cost Actions and Outcomes

Identify which eligible activities UFA Fiscal Cost funding was used to fund (check a box next to each activity and describe how much money was spent on the activity and describe how the funds were used).

Conducting and Recording Financial Transactions

Maintaining Financial Records: Transactions

Annual Survey, Audit, or Evaluation of Subrecipient Financial Records

Monitoring of Subrecipients

Enforcing Subrecipients Compliance

Allows HUD to understand the activities the UFA cost grant funded and what outcomes resulted from the funds.


Fin

Financial Information: Development

Acquisition

Rehabilitation

New Construction

Development – Subtotal

Allows HUD to understand expenditures of CoC Program funds on development activities.


Fin

Financial Information: Supportive Services

Assessment of Service Needs

Assistance with Moving Costs

Case Management

Child Care

Education Services

Employment Assistance

Food

Housing/Counseling Services

Legal Services

Life Skills

Mental Health Services

Outpatient Health Services

Outreach Services

Substance Abuse Treatment Services

Transportation

Utility Deposits

Operating

Supportive Services - Subtotal

Allows HUD to understand expenditures of CoC Program funds on supportive services activities.


Fin

Financial Information: HMIS

Equipment (server, computers, printers)

Software (software fees, user licenses, software support)

Services (training, hosting, programming)

Personnel (costs associated with staff)

Space and operations

HMIS - Subtotal

Allows HUD to understand expenditures of CoC Program funds on HMIS activities.


Fin

Financial Information: Leasing, Rental Assistance, & Operating

Real Property Leasing (does not require match)

Short-/Medium-term Rental Assistance

Long-term Rental Assistance

Operating Costs

Leasing, Rental Assistance, & Operating – Subtotal

Allows HUD to understand expenditures of CoC Program funds on leasing, rental assistance, and operating activities.


Fin

Financial Information: Administration and Total Expenditures

Administration

CoC Planning

UFA Costs

Administration, Planning, and UFA Costs Subtotal

Total Expenditures

Allows HUD to understand expenditures of CoC Program funds on CoC planning, UFA costs, and administration activities and summary of total expenditures of CoC Program funds.


Fin

Financial Information: Match and Total Budget

Cash Match

In-Kind Match

Total Match

Total expenditures requiring match

Percentage Match

Total Budget

Allows HUD to understand match for CoC Program funds and the total project budget, including match.



Additional Comments

Provide any additional comments on other areas of the APR that need explanations, such as a difference in anticipated and actual program outputs

Allows HUD to review additional recipient comments and explanations regarding one or more APR responses.


Section 5: Coordinated Entry APR

 

1

Grant Information

Grant Number

Recipient Name

CoC

Component Type

Project Type

Award Amount

Operating start date for APR

Operating end date for APR

Grant Term (in months)

Allows HUD to identify basic grant information that informs HUD on the reporting period.


Users will not enter this data – it will be prepopulated from the e-snaps and LOCCS.


2

Contact Information

Recipient Contact Information:

Prefix

First Name

Middle Name

Last Name

Suffix

Organization

Department

Title

Street Address 1

Street Address 2

City

State/Territory

ZIP code

E-mail address

Confirm e-mail address

Phone Number

Extension

Fax Number

Allows HUD to identify primary recipient contact responsible for information contained in the report.


3

CE Specific Questions

Identify the population this grant primarily serves. Response options include:

  • General population - all persons experiencing homelessness

  • Only households without children (single persons or couples without children)

  • Only households with children (family units)

  • Only youth (households with only children OR unaccompanied persons below the age of 24, or parenting or pregnant youth)

  • Only survivors of domestic violence, sexual assault, dating violence, stalking, or human trafficking (singles and/or family units)

Are you screening/assessing persons to access crisis housing (e.g. emergency shelter, safe haven)?

Are you assessing persons experiencing literal homelessness for permanent housing?

-if yes, then identify the persons you are providing assessments for:

  • Persons on the streets or living in a place unfit for human habitation

  • Persons in shelters

  • Persons in transitional housing

  • Other Persons (specify)

Is this specific grant placing persons on priority lists for:

  • Only CoC Housing (i.e. housing developed/used only for persons experiencing homelessness such as CoC RRH, PSH or SRO housing, ESG RRH, HUD-VASH, SSVF, RHY or other housing/subsidies the CoC has specific access to)

  • Both CoC and market housing (i.e. market rate, subsidized, Section 8, etc.)

Allows HUD to understand the nature of the Coordinated Entry implementation and gives the recipient space to give HUD context regarding the Coordinated Entry implementation.



Record Collection

Where are the client level data (records) on Assessments and CE events collected in the CoC?

(Do not consider client level records generated by victim service providers in answering this question)

Response options include:

  • In HMIS - in one CE project set up in the HMIS for the entire CoC

  • In HMIS - in more than one CE projects set up in the HMIS for the CoC (e.g. regional)

  • In HMIS - at individual agencies and the agency captures assessment information as part of its project data collection.

  • In a non HMIS system

  • In a custom spreadsheet, PC based database (excel, access, google docs, etc.)

Allows HUD to understand the how the Coordinated Entry data is collected.


4

HMIS Information

Organization Name

Organization ID

Project Name

Project ID

HMIS Project Type

RRH Subtype

Coordinated Entry Access Point

Affiliated with a residential project

Project IDs of affiliations

CoC Number

Geocode

Victim Service Provider

HMIS Software Name

CSV Report Start Date

CSV Report End Date

Allows HUD to understand how the data is collected and where it is coming from in HMIS.


5

Report Validations Table

Total Number of Persons Served

Number of Adults (Age 18 or Over)

Number of Children (Under Age 18)

Number of Persons with Unknown Age

Number of Leavers

Number of Adult Leavers

Number of Adult and Head of Household Leavers

Number of Stayers

Number of Adult Stayers

Number of Veterans

Number of Persons experiencing Chronic Homelessness

Number of Youth Under Age 25

Number of Parenting or Pregnant Youth Under Age 25 with Children

Number of Adult Heads of Household

Number of Child and Unknown-Age Heads of Household

Heads of Households and Adult Stayers in the Project 365 Days or More

Allows HUD to monitor the number and type of persons served by a project and verify conformance with any requirements in their Grant Agreement, regarding the number and type of persons served.


6

Data Quality: Personally Identifiable Information (PII)

Name

Social Security Number

Date of Birth

Race

Ethnicity

Allows HUD to understand the completeness of the data collection regarding PII


7

Number of Persons Assessed (Total, Persons in households without children, Persons in households with children and adults, Persons in households with only children, Unknown household type)

Total number of persons assessed during operating year by household type and further broken down by adults, children, client don’t know/prefers not to answer, data not collected, total, and total persons served who moved into housing

Allows HUD to understand how many people were assessed and their age and household types.


8

Number of Households Assessed During the Operating Year (Total, Households without children, Households with children and adults, Households with only children, and unknown household types)

Total number of households assessed at any time during the operating year by household type and total households served who moved into housing


Allows HUD to understand how many households were assessed and their household types.


9a

Participation in Coordinated Entry: Assessment Type – Total Assessed in the Date Range (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

Phone

Virtual

In-person

Total Households Assessed

Allows HUD to understand the how people are accessing the Coordinated Entry system.


9b

Participation in Coordinated Entry: Prioritization Status - Households Prioritized in the Date Range (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

Placed on prioritization list

Not placed on prioritization list

Percent of assessed placed on the prioritization list

Allows HUD to understand the how people are prioritized in the Coordinated Entry system.


9c

Participation in Coordinated Entry: Access events - Households with an Access Event in the Date Range (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

Referral to Prevention Assistance

Problem Solving/Diversion/Rapid Resolution

Referral to Scheduled Coordinated Entry Crisis Needs Assessment

Referral to scheduled Coordinated Entry Housing Needs Assessment

Total

Result: Client housed/Re-Housed in a safe alternative

Percent of successful referrals to Problem Solving/Diversion/Rapid Resolution

Allows HUD to understand what is happening when people access the Coordinated Entry system.


9d

Participation in Coordinated Entry: Referral Events - Households Who Were Referred in the Date Range (Total, Persons in households without children, Persons in households with children, Persons in households with only children, Unknown household type)

Placed on prioritization list (prioritized)

Not placed on prioritization list

Post-placement/follow-up case management

Street outreach project or services

House navigation project or services

Non-continuum services: Ineligible for continuum services

Non-continuum services: No availability in continuum services

Emergency shelter bed opening

Transitional housing bed/unit opening

Joint TH-RRH project/unit/resource opening

RRH project resource opening

PSH project resource opening

Other PH project

Emergency assistance/flex fund/furniture assistance

Total

Of the total HH prioritized (Q9b row 1) what percentage received a referral

Result: successful referral: client accepted

Result: Unsuccessful referral: client rejected

Result: Unsuccessful referral: provider rejected

No results recorded

Result: Enrolled in Aftercare project

Allows HUD to understand what is happening with referrals from the Coordinated Entry system.


10

Length and Type of Participation in Coordinated Entry: Total Coordinated Entry Activity During the Year

  • For the following assessments or events the recipient documents total occurrences and where applicable:

  • Successful referral

  • Unsuccessful referral: client rejected

  • Unsuccessful referral: provider rejected

  • Re-housed in safe alternative

  • Enrolled in aftercare

The assessments or events are:

  • Crisis Needs Assessment

  • Housing Needs Assessment

  • Referral to Prevention Assistance Project

  • Problem Solving/Diversion/Rapid Resolution Intervention or Service

  • Referral to Scheduled Coordinated Entry Crisis Needs Assessment

  • Referral to Scheduled Coordinated Entry Housing Needs Assessment

  • Referral to post-placement/follow-up case management

  • Referral to Street Outreach Project or Services

  • Referral to Housing Navigation Project or Services

  • Referral to Non-continuum services: Ineligible for Continuum Services

  • Referral to Emergency Shelter Bed Opening

  • Referral to Transitional Housing Bed/Unit Opening

  • Referral to Joint TH-RRH Project/Unit/Resource Opening

  • Referral to RRH Project Resource Opening

  • Referral to PSH Project Resource Opening

  • Referral to Other PH Project/Unit/Resource Opening

Allows HUD to obtain some outcome data (housing, services) about the CE assessment.


11

Financial Information: Supportive Services

Assessment of Service Needs

Assistance with Moving Costs

Case Management

Child Care

Education Services

Employment Assistance

Food

Housing/Counseling Services

Legal Services

Life Skills

Mental Health Services

Outpatient Health Services

Outreach Services

Substance Abuse Treatment Services

Transportation

Utility Deposits

Operating

Supportive Services Subtotal

Allows HUD to understand expenditures of CoC Program funds on supportive services activities.



Financial Information: HMIS

Equipment (Server, Computers, Printers)

Software (Software Fees, User Licenses, Software Support)

Services (Training, Hosting, Programming)

Personnel (Costs Associated with Staff)

Space and Operations

HMIS Subtotal

Allows HUD to understand expenditures of CoC Program funds on HMIS activities.



Financial Information: Administration

Administration

Administration Subtotal

Allows HUD to understand expenditures of CoC Program funds on administration activities.



Financial Information: Total Expenditures

Total Expenditures

Allows HUD to understand total expenditures of CoC Program funds.



Financial Information: Match and Total Budget

Cash Match

In-Kind Match

Total Match

Total expenditures requiring match

Percentage Match

Total Budget

Allows HUD to understand match for CoC Program funds and the total project budget, including match.


12

Performance Accomplishments

Please describe any significant accomplishments achieved by your program during the operating year



13

Additional Comments

Provide any additional comments on other areas of the APR that need explanations, such as a difference in anticipated and actual program outputs

Allows HUD to review additional recipient comments and explanations regarding one or more APR responses.


Section 6: Youth Homelessness Demonstration Program Planning Grant APR


1

Grant Information

Grant Number

Recipient Name

CoC

Component Type

Project Type

Award Amount

Operating start date for APR

Operating end date for APR

Grant Term (in months)

Allows HUD to identify basic grant information that informs HUD on the reporting period.


Users will not enter this data – it will be prepopulated from the e-snaps and LOCCS.


2

Contact Information

Recipient Contact Information:

Prefix

First Name

Middle Name

Last Name

Suffix

Organization

Department

Title

Street Address 1

Street Address 2

City

State/Territory

Zipcode

E-mail address

Confirm e-mail address

Phone Number

Extension

Fax Number

Allows HUD to identify primary recipient contact responsible for information contained in the report.


3

YHDP Planning Actions and Outcomes

From the list of eligible expenses below check all of the activities that were funded under this planning grant.

Coordination Activities

Project Evaluation

Project Monitoring Activities

Participation in Consolidated Plan

CoC Application Activities

Determining Geographical Area to be served by YHDP

Developing a Youth System

HUD Compliance Activities

Explain how the YHDP Planning Grant’s funds were used.

Describe the level of youth participation in the YHDP planning process.

Describe your community’s progress in developing a youth homelessness system.

Describe outcomes your community observed as a result of the YHDP Planning Grant.

Allows HUD to understand the activities the YHDP planning grant funded and what outcomes resulted from the funds.


4

Unmet Community Need

Through the planning grant process, did the community identify unmet

community needs (other than those described in the Coordinated

Community Plan)? If yes, provide a brief description of each unmet need.

Allows HUD to understand if the community identified additional unmet needs through its planning process and what the needs were.


7

Innovation

Briefly describe any innovation that resulted from being provided with

planning grant funding and resources.

Allows HUD to understand what innovations the community implemented as a result of the planning funds.


8

Financial Resources and Information: Planning Grant Expenditures

Coordination Activities

Project Evaluation

Project Monitoring Activities

Participation in Consolidated Plan

CoC Application Activities

Determining Geographical Area to be served by YHDP

Developing a Youth System

HUD Compliance Activities

Total Expenditures

Allows HUD to understand expenditures of planning grant funds.


Fin

Financial Resources and Information: Match and Total Budget

Cash Match

In-Kind Match

Total Match

Total expenditures requiring a match

Percentage Match

Total Budget (expenditures plus match)

Allows HUD to understand match for YHDP funds and the total project budget, including match.


Fin

Financial Resources and Information: Description

Describe in detail how each item, where funds were expended, were spent:

Provide in each box below, where funds expended were indicated above, a detailed description of how the funds were utilized. For example, if YHDP Planning dollars were used for youth stipends or HMIS customizations, please indicate the amount of funding expended in the appropriate budget line and provide a detailed description in the line item used for funding these activities.

Coordination Activities

Project Evaluation

Project Monitoring Activities

Participation in Consolidated Plan

CoC Application Activities

Determining Geographical Area to be served by YHDP

Developing a Youth System

HUD Compliance Activities

Allows HUD to understand the details of how the YHDP funding was spent.


Fin

Financial Resources and Information: Additional Financial Resources

Identify any additional funding source(s) and amounts awarded to support the YHDP planning process and provide a detailed description of how the funds were utilized. Please ensure that all match funds are included.

Funding received from?

Amount awarded?

Amount expended during the operating year?

Describe in detail how funds were utilized.

Add an additional funding source?

If yes, to add an additional funding source then all 4 questions above are displayed again

Allows HUD to understand additional funding the community used to fund the YHDP grant.


9

Data and Evaluation Capacity

Describe the data and evaluation planning phase of the planning process.

Describe the status of implementing continuous quality improvement strategies for projects in the system.

Describe how planning funds were used to assist with collecting comprehensive, accurate data on youth homelessness. Include in your description any challenges you foresee with data collection to measure project success.

Describe how the planning funds received were used to assess homeless system performance and identify strategies for improvement.

Allows HUD to understand the YHDP community’s data and evaluation process and how the planning funds contributed to this.


Section 8: Youth Homelessness Demonstration Program HMIS Grant APR

For project type: HMIS


1

Grant Information

Grant Number

Recipient Name

CoC

Component Type

Project Type

Award Amount

Operating start date for APR

Operating end date for APR

Grant Term (in months)

Allows HUD to identify basic grant information that informs HUD on the reporting period.


Users will not enter this data – it will be prepopulated from the e-snaps and LOCCS.


2

Contact Information

Recipient Contact Information:

Prefix

First Name

Middle Name

Last Name

Suffix

Organization

Department

Title

Street Address 1

Street Address 2

City

State/Territory

Zipcode

E-mail address

Confirm e-mail address

Phone Number

Extension

Fax Number

Allows HUD to identify primary recipient contact responsible for information contained in the report.


3

Performance Accomplishments

Describe any significant accomplishments the project achieved during the reporting period.

Allows HUD to obtain an unstructured narrative of the project’s accomplishments during the reporting year.


4

Financial report – All Funding Sources

Funding Sources (associated with this dedicated HMIS project during the operating year)

HUD: CoC Grant (Dedicated HMIS Grants Only)

HUD: CoC Administration/Planning/UFA Funds

HUD: CoC Project Grants

HUD: ESG (Dedicated HMIS Grant)

HUD: HOPWA

HHS: RHY – Through RHY Grantees

HHS: PATH – Through PATH Grantees

HUD: VA Grantees – Through VA Program Grantees

Local Government

State Government

Private/Foundation/Fundraising

Participation/User Fees from Projects/Agencies

Other

Total of All Funding Sources for Operating Year

Allows HUD to understand how the HMIS project is funded, especially if there are non-YHDP funding sources.


4

Financial Report – HUD Funds expended from this Dedicated HMIS Grant

Equipment (Server, Computers, Printers)

Software (Software Fees, User Licenses, Software Support)

Services (Training, Hosting, Programming)

Personnel (Costs Associated with Staff)

Space and Operations

Administration

Allows HUD to understand how the recipient spent its grant funds on the HMIS activities.


4

Financial Report – Match and Total Expenditures

Cash Match]

In-Kind Match

Total Match

Total Expenditures requiring a match

Percentage Match

Total Dedicated HMIS Grant Funds Used (Expenses + Match)

Allows HUD to understand match for CoC Program funds and the total project budget, including match.


5

HMIS Supplemental Questions

What did you propose to do?

What are you actually doing?

Was the HMIS activity approved by the local CoC or HMIS Committee of the CoC?

How does what you are doing fit in with the total HMIS effort of the CoC?

How does what you are doing improve the data collection/reporting efforts on youth

homelessness?

How are you ensuring the confidentiality/privacy of all data collected for youth in this

project?

Does this project use HMIS to create and/or calculate any youth-specific performance measures, benchmarks, or a “by-name list”? Response yes/no

If Yes – provide a brief description of what performance measures were

created/used in the HMIS.

Allows HUD to understand the activities conducted that allowed the HMIS grant to assist in the implementation of the YHDP project(s) in the community.


6

Additional Comments

Optional

Allows HUD to learn more from recipients about the project and the data, within the reporting system.


Section 9: Youth Homelessness Demonstration Program Grant QPR & APR

For project types: Transitional Housing (TH), RRH (Rapid Rehousing), PSH, Joint TH-RRH, Supportive Services Only – Housing/Services, Supportive Services Only—Street Outreach


1

Grant Information

Grant Number

Recipient Name

CoC

Component Type

Project Type

Award Amount

Operating start date for APR

Operating end date for APR

Grant Term (in months)

Allows HUD to identify basic grant information that informs HUD on the reporting period.


Users will not enter this data – it will be prepopulated from the e-snaps and LOCCS.


2

Contact Information

Recipient Contact Information:

Prefix

First Name

Middle Name

Last Name

Suffix

Organization

Department

Title

Street Address 1

Street Address 2

City

State/Territory

Zipcode

E-mail address

Confirm e-mail address

Phone Number

Extension

Fax Number

Allows HUD to identify primary recipient contact responsible for information contained in the report.


2

Bed & Unit Inventory and Utilization: Proposed Bed and Unit Inventory

Total units

Total beds

Total dedicated chronic homeless (CH) beds

Total Non-dedicated CH beds

Prepopulates data from the project application regarding the nature of the inventory.


2

Bed & Unit Inventory and Utilization: PIT Actual Bed and Unit Utilization

Point-in-Time Bed and Unit Utilization on the Last Wednesday of the Months of January, April, July, and October and explain any differences between proposed and actual.


This is calculated by Sage using the pre-populated data from the project application and the electronically submitted information on households served. Respondents only need to type a response in explanation if the utilization metric is below 90%.

Allows HUD to understand what beds and units were funded by the grant and how that compares to what the recipient proposed to provide in the project application.


3

Performance Accomplishments

Describe any significant accomplishments the project achieved during the reporting period.

Allows HUD to obtain an unstructured narrative of the project’s accomplishments during the reporting period.


4

CSV Upload

For this section, the project uploads an export from their HMIS system that contains the data from questions 4-27m of the CoC Full APR.

Allows HUD to understand the number of persons and households served, their characteristics, and housing and services outcomes.


5

Financial Information (APR Only)




Fin

Financial Information: Development

Acquisition

Rehabilitation

New Construction

Development – Subtotal

Allows HUD to understand expenditures of CoC Program funds on development activities.


Fin

Financial Information: Supportive Services

Assessment of Service Needs

Assistance with Moving Costs

Case Management

Child Care

Education Services

Employment Assistance

Food

Housing/Counseling Services

Legal Services

Life Skills

Mental Health Services

Outpatient Health Services

Outreach Services

Substance Abuse Treatment Services

Transportation

Utility Deposits

Operating

Supportive Services - Subtotal

Allows HUD to understand expenditures of CoC Program funds on supportive services activities.


Fin

Financial Information: HMIS

Equipment (server, computers, printers)

Software (software fees, user licenses, software support)

Services (training, hosting, programming)

Personnel (costs associated with staff)

Space and operations

HMIS - Subtotal

Allows HUD to understand expenditures of CoC Program funds on HMIS activities.


Fin

Financial Information: Leasing, Rental Assistance, & Operating

Real Property Leasing (does not require match)

Short-/Medium-term Rental Assistance

Long-term Rental Assistance

Operating Costs

Leasing, Rental Assistance, & Operating – Subtotal

Allows HUD to understand expenditures of CoC Program funds on leasing, rental assistance, and operating activities.


Fin

Financial Information: Administration and Total Expenditures

Administration

CoC Planning

UFA Costs

Administration, Planning, and UFA Costs Subtotal

Total Expenditures

Allows HUD to understand expenditures of CoC Program funds on CoC planning, UFA costs, and administration activities and summary of total expenditures of CoC Program funds.


Fin

Financial Information: Match and Total Budget

Cash Match

In-Kind Match

Total Match

Total expenditures requiring match

Percentage Match

Total Budget

Allows HUD to understand match for CoC Program funds and the total project budget, including match.


6

YHDP Supplemental Questions – Special Activities

Special Activities are imported from esnaps. For QPR, the recipient checks whether they used the Special Activities in this quarter.

During the operating year did this project make use of the special activity(s) identified in the application. The response option is “yes” or “no”.

If “yes”:

How did the use of this activity directly affect the outcome of the project?

Records the special activities that the project applied for and received authorization to carry out. Allows HUD to understand how the approved special activities relate to the program design and operations.


6

YHDP Supplemental Questions (APR Only)

Briefly describe the project you are operating.

Briefly describe the needs identified in your community’s coordinated community plan that this project was designed to meet.

Briefly describe this project’s current level of success in meeting the needs identified above in the coordinated community plan.

Briefly describe qualitative outcomes of the project.

Briefly describe challenges that you had starting up (or maintaining) your project.

Are there supports that HUD or Technical Assistance could have provided to help you or others overcome the challenges described? If so, what are they.

Allows HUD to understand the program design, its operations and accomplishments during the reporting year, and the challenges the project is encountering to meet the defined community need.


6

YHDP Supplemental questions (QPR Only)

Briefly describe the project funded under this grant.

In the past three months of this project, what was the predominant type of homelessness the youth who were served experienced? (Can select up to 2)

Identify the predominant activities were provided to these youth this quarter.

Allows HUD additional information about the homeless experience of the youth participant and the activities used to assist the youth.


6

YHDP Supplemental questions (QPR Only) – Pre-client activity

In the past quarter, what have you spent grant funds on?

When will you begin serving clients?

This only applies to projects that have not yet begun to serve clients. Recipients would fill out this form instead of submitting a CSV upload from their HMIS. This allows HUD to understand the progress of the project towards beginning to serve clients.


Section 10: Youth Homelessness Demonstration Program Coordinated Entry Grant QPR & APR

For project type: Coordinated Entry


1

Grant Information

Grant Number

Recipient Name

CoC

Component Type

Project Type

Award Amount

Operating start date for APR

Operating end date for APR

Grant Term (in months)

Allows HUD to identify basic grant information that informs HUD on the reporting period.


Users will not enter this data – it will be prepopulated from the e-snaps and LOCCS.


2

Contact Information

Recipient Contact Information:

Prefix

First Name

Middle Name

Last Name

Suffix

Organization

Department

Title

Street Address 1

Street Address 2

City

State/Territory

Zipcode

E-mail address

Confirm e-mail address

Phone Number

Extension

Fax Number

Allows HUD to identify primary recipient contact responsible for information contained in the report.


3

Performance Accomplishments

Describe any significant accomplishments the project achieved during the reporting period.

Allows HUD to obtain an unstructured narrative of the project’s accomplishments during the reporting year.


4

CE Specific Questions

Identify the population this grant primarily serves. Response options include:

  • General population - all persons experiencing homelessness

  • Only households without children (single persons or couples without children)

  • Only households with children (family units)

  • Only youth (households with only children OR unaccompanied persons below the age of 24, or parenting or pregnant youth)

  • Only survivors of domestic violence, sexual assault, dating violence, stalking, or human trafficking (singles and/or family units)

Are you screening/assessing persons to access crisis housing (e.g. emergency shelter, safe haven)?

Are you assessing persons experiencing literal homelessness for permanent housing?

-if yes, then identify the persons you are providing assessments for:

  • Persons on the streets or living in a place unfit for human habitation

  • Persons in shelters

  • Persons in transitional housing

  • Other Persons (specify)

Is this specific grant placing persons on priority lists for:

  • Only CoC Housing (i.e. housing developed/used only for persons experiencing homelessness such as CoC RRH, PSH or SRO housing, ESG RRH, HUD-VASH, SSVF, RHY or other housing/subsidies the CoC has specific access to)

Both CoC and market housing (i.e. market rate, subsidized, Section 8, etc.)

Allows HUD to understand the nature of the Coordinated Entry implementation and gives the recipient space to give HUD context regarding the Coordinated Entry implementation.


4

Record Collection

Where are the client level data (records) on Assessments and CE events collected in the CoC?

(Do not consider client level records generated by victim service providers in answering this question)

Response options include:

  • In HMIS - in one CE project set up in the HMIS for the entire CoC

  • In HMIS - in more than one CE projects set up in the HMIS for the CoC (e.g. regional)

  • In HMIS - at individual agencies and the agency captures assessment information as part of its project data collection.

  • In a non HMIS system

In a custom spreadsheet, PC based database (excel, access, google docs, etc.)

Allows HUD to understand the how the Coordinated Entry data is collected.


5

CSV CE APR Upload

This is an upload from HMIS and is for the entire CoC, not limited to the YHDP project. For the questions and data collected, please refer to the CE APR above.

Allows HUD to connect the project narratives to program participant data.


6

YHDP Supplemental Questions

Briefly describe the project you are operating.

Briefly describe the needs identified in your community’s coordinated community plan that this project was designed to meet.

Briefly describe this project’s current level of success in meeting the needs identified above in the coordinated community plan.

Briefly describe qualitative outcomes of the project.

Briefly describe challenges that you had starting up (or maintaining) your project.

Are there supports that HUD or Technical Assistance could have provided to help you or others overcome the challenges described? If so, what are they.

Allows HUD to understand the program design, its operations and accomplishments during the reporting year, and the struggles the project is encountering to meet the defined community need.


7

Financial Information




8

Additional Comments

Optional

Allows HUD to learn more from recipients about the project and the data, within the reporting system.


Section 11: Youth Homelessness Demonstration Program Supplemental APR


1

Project Information

Project Name

Organization Name

Project Type

Reporting Year

CoC Code

Allows HUD to identify basic YHDP project information that informs HUD on the reporting period.


2

Summary Chart

Recipients must report on a list of data elements. These elements are both the rows and columns. This allows the recipient to report on all of the elements as the relate to other data elements. The list of elements are grouped in 2 categories:

  1. Counts for all youth in project

Total youth served

White

Black or African American

Asian

American Indian or Alaska Native.

Middle Eastern or Northern African

Hispanic/Latina/e/o

Native Hawaiian or Pacific Islander

At Least 1 Race and Hispanic/Latina/e/o

Multi-racial (does not include Hispanic/Latina/e/o)


Minor (under 18)

Parenting or Pregnant

Earned Income

Other Income

No Income

Child welfare involvement

History of Juvenile Justice Involvement

Not currently enrolled in any school or educational course

Currently enrolled but NOT attending regularly

  1. Only counts for youth “project leavers”

All project leavers

Completed project

Voluntarily left

Expelled or otherwise discharged

Exit to permanent housing

Safe exit destinations (as determined by client)

Safe exit destinations (as determined by worker)

Permanent connections at exit

Exit- Homeless Situations

Exit-Institutional Situations

Exit-Temporary Housing Situations

Exit – Permanent Housing Situation

Exit- Other

All project leavers

Allows HUD to understand the cross section between attributes of YHDP clients.


Section 12: Special NOFO APR

For project types Joint TH-RRH, PSH, and RRH.

The annual report is different from the quarterly report in that the respondent fills out three additional questions: performance accomplishments, program eligibility, and financial information.


1

Grant Information

Grant Number

Recipient Name

CoC

Component Type

Project Type

Award Amount

Operating start date for APR

Operating end date for APR

Grant Term (in months)

Allows HUD to identify basic grant information that informs HUD on the reporting period.


Users will not enter this data – it will be prepopulated from the e-snaps and LOCCS.


2

Contact Information

Recipient Contact Information:

Prefix

First Name

Middle Name

Last Name

Suffix

Organization

Department

Title

Street Address 1

Street Address 2

City

State/Territory

Zipcode

E-mail address

Confirm e-mail address

Phone Number

Extension

Fax Number

Allows HUD to identify primary recipient contact responsible for information contained in the report.


3

Performance Accomplishments (APR Only)

Describe any significant accomplishments the project achieved during the reporting period.

Allows HUD to obtain an unstructured narrative of the project’s accomplishments during the reporting year.


4

Unsheltered Supplemental Information (Unsheltered Award Only)

Please provide a brief description of the project that you are undertaking with this funding from HUD.

Has the project participated in encampment resolution?

-Yes

-No

HUD is interested in how this funding opportunity allowed communities to address the housing needs of persons living in encampments.


5

RRH Supplemental Information (RRH and Joint TH-RRH Only)

Provide a general description of the RRH model, including target population (if any),

length of assistance and amount of rental assistance.

Briefly describe this RRH project. Include answers to the following questions in your

responses.

Does it target a specific population? If so, who and how?

How long is rental assistance provided and how much of the rental assistance is paid for with these grant funds?

Is there a housing or service partnership that is unique? (explain what is innovative)

Does the project have a special relationship with landlords to be able to quickly lease units?

Are there any other important elements that describe the project?

What exit strategy(s) did you establish with regard to where participants will be

housed when they exit the project?

Communities use RRH in many different ways to keep people permanently housed when the RRH subsidy ends, whether it be a source to “bridge” to other subsidized

housing or accessing non-subsidized housing. Identify as many options below that you anticipated using to keep people permanently housed when you designed your project’s

exit strategy.

The subsidized housing the household will move to after the RRH program endsis identified at the time they enroll in RRH.

The subsidized housing the household will move to after the RRH program ends is NOT identified at the time they enroll in RRH.

The household will remain in the RRH unit without a subsidy.

The household will move to market rate (unsubsidized) housing.

If the subsidized housing option above is identified Sage will open a menu of the subsidies for you Identify the subsidy source used when the client exits your RRH project:

Housing Choice Voucher (HCV) – through the Section 8 Tenant-Based

Assistance: Housing Choice Voucher Program.

Stability Voucher – voucher created through the Stability Voucher initiative.

Public Housing – project-based housing subsidy through the Public and Indian Housing Authority.

Permanent Supportive Housing (PSH).

HOME – rental housing assistance.

State funded housing subsidy.

Local government funded housing subsidy.

Privately funded housing subsidy.

Other – which you will specify.

What kind of assistance are you providing?

Select as many of these choices as apply to your project:

Rapid exit assistance primarily focused on locating housing and paying the costs to access the housing (e.g., housing navigation, security deposit, first and last

month rent) but not paying ongoing rental assistance.

Ongoing rental assistance costs with wrap around supportive services to better sustain the housing.

Other – which you will specify.

What program participant rental contribution model are you using?

Select one of the following that best describes how your program participants contribute to rent.

Standard income based – participants pay a fixed percent of their income for the entire program stay.

Sliding scale – participants pay a percentage of their rent that gradually

increases over time based on a timeline that is applied to all participants.

Fixed amount – participants pay a set amount for the entire program stay.

Gap supplement –participants pay rent uniquely based on their budget and the recipient pays the “gap” in rental amount that the recipient can’t pay based on their budget.

What additional sources of rental assistance did you leverage based on

agreements and partnerships when this project began?

Select as many of these choices as apply to your project:

Emergency Shelter Grant (ESG)

Housing Choice Vouchers (HCV)

Public Housing

HOME

Housing for Persons with AIDS (HOPWA)

Other HUD funding – then describe.

Supportive Services for Veteran Families (SSVF)

Temporary Assistance for Needy Families (TANF)

Other Federal Funding – which you will specify.

Local Funding

State Funding

Private Funding

Allows HUD to learn more about the program design of various RRH and Joint TH-RRH projects and evaluate


6

Efforts On Tribal Lands

Identify the approximate number of persons in this project who were served this quarter on trust lands or reservations. If no persons were served on trust lands or reservations, enter “0.”

Describe what you did to uniquely meet the needs of people living on trust lands or reservations.

Allows HUD to understand CoC’s efforts to engage with tribal partners on trust lands or reservations.


7

APR CSV Upload

For this section, the project uploads an export from their HMIS system that contains the data from questions 4-27m of the CoC Full APR.

Allows HUD to understand the number of persons and households served, their characteristics, and housing and services outcomes.


7

Pre-client activity information

In the past quarter what activities have you spent grant funds on?

When will you begin serving clients?

For projects that have recently started and not serving clients, instead of submitting client/program participant data, HUD collects this basic information on what the project has done to


8

Program Eligibility (APR Only)

For all persons coming from situations other than Homeless situations or Institutional situations (Q15 – Living Situation of HMIS upload), an explanation of how eligibility was determined and documented by this project must be provided in the text box(es) below. If all persons entered from a Homeless or Institutional Situation, no further information is required.

This allows HUD to obtain additional information about program participants whose program eligibility was not based on prior living situation, for example, persons fleeing domestic violence, sexual assault, dating violence, stalking, or human trafficking .


9

Financial Information (APR Only)




Fin

Financial Information: Development

Acquisition

Rehabilitation

New Construction

Development – Subtotal

Allows HUD to understand expenditures of CoC Program funds on development activities.


Fin

Financial Information: Supportive Services

Assessment of Service Needs

Assistance with Moving Costs

Case Management

Child Care

Education Services

Employment Assistance

Food

Housing/Counseling Services

Legal Services

Life Skills

Mental Health Services

Outpatient Health Services

Outreach Services

Substance Abuse Treatment Services

Transportation

Utility Deposits

Operating

Supportive Services - Subtotal

Allows HUD to understand expenditures of CoC Program funds on supportive services activities.


Fin

Financial Information: HMIS

Equipment (server, computers, printers)

Software (software fees, user licenses, software support)

Services (training, hosting, programming)

Personnel (costs associated with staff)

Space and operations

HMIS - Subtotal

Allows HUD to understand expenditures of CoC Program funds on HMIS activities.


Fin

Financial Information: Leasing, Rental Assistance, & Operating

Real Property Leasing (does not require match)

Short-/Medium-term Rental Assistance

Long-term Rental Assistance

Operating Costs

Leasing, Rental Assistance, & Operating – Subtotal

Allows HUD to understand expenditures of CoC Program funds on leasing, rental assistance, and operating activities.


Fin

Financial Information: Administration and Total Expenditures

Administration

CoC Planning

UFA Costs

Administration, Planning, and UFA Costs Subtotal

Total Expenditures

Allows HUD to understand expenditures of CoC Program funds on CoC planning, UFA costs, and administration activities and summary of total expenditures of CoC Program funds.


Fin

Financial Information: Match and Total Budget

Cash Match

In-Kind Match

Total Match

Total expenditures requiring match

Percentage Match

Total Budget

Allows HUD to understand match for CoC Program funds and the total project budget, including match.


10

Additional Comments

Optional

Allows HUD to learn more from recipients about the project and the data, within the reporting system.


Section 13: Special NOFO APR

For project type UFA, the recipient will respond to all questions for applicable project types for which they were funded (e.g. permanent housing projects, HMIS, Planning) within their quarterly and annual submissions. Although this may create a long report, it is less burdensome to a UFA because they have a shorter workload across the repetitive sections—reporting just once on contact information, Match, etc.

The annual report is different from the quarterly report in that the respondent fills out three additional questions: performance accomplishments, program eligibility, and financial information.







Section 14: Special NOFO APR

For project type Supportive Services Only-Other and Supportive Services Only-Street Outreach

The annual report is different from the quarterly report in that the respondent fills out three additional questions: performance accomplishments, program eligibility, and financial information.


1

Grant Information

Grant Number

Recipient Name

CoC

Component Type

Project Type

Award Amount

Operating start date for APR

Operating end date for APR

Grant Term (in months)

Allows HUD to identify basic grant information that informs HUD on the reporting period.


Users will not enter this data – it will be prepopulated from the e-snaps and LOCCS.


2

Contact Information

Recipient Contact Information:

Prefix

First Name

Middle Name

Last Name

Suffix

Organization

Department

Title

Street Address 1

Street Address 2

City

State/Territory

Zipcode

E-mail address

Confirm e-mail address

Phone Number

Extension

Fax Number

Allows HUD to identify primary recipient contact responsible for information contained in the report.


3

Performance Accomplishments (APR Only)

Describe any significant accomplishments the project achieved during the reporting period.



4

Unsheltered Supplemental Information (Unsheltered Only)

Please provide a brief description of the project that you are undertaking with this funding from HUD.

Has the project participated in encampment resolution?

-Yes

-No

HUD is interested in how this funding opportunity allowed communities to address the housing needs of persons living in encampments.


5

Street Outreach and Encampment Resolution Information

Describe the street outreach strategy you implemented for this project.

Identify the services that this street outreach project is providing directly on location (as opposed to via a referral)

Select all that apply:

Medical Services

Substance Use Services

Other Behavioral/Mental Health Services

Legal Services

Housing Navigation

Other – please specify.

Describe how your CoC defines encampment:

Was the project used to serve people sleeping in an encampment? Yes/No

If the project is being used to serve people in an encampment, then was this project used to serve people in an encampment that was closed in the last quarter?

If the project served people in encampments that closed during the last quarter, then Identify how many encampments were closed during the reporting period (quarter)? Approximate the number of people staying in the largest closed

encampment.

For the largest encampment check the top 1 or 2 reasons that this encampment was prioritized for closing:

CoC has a strategy for prioritizing and implementing encampment resolutions

Community concern about access to community amenities and businesses

Health and safety of encampment residents

Health and safety of community members not living in the encampment

Political pressures

Size

Street outreach input

Other – please specify



6

Efforts On Tribal Lands

Identify the approximate number of persons in this project who were served this quarter on trust lands or reservations. If no persons were served on trust lands or reservations, enter “0.”

Describe what you did to uniquely meet the needs of people living on trust lands or reservations.

Allows HUD to understand CoC’s efforts to engage with tribal partners on trust lands or reservations.


7

APR CSV Upload

For this section, the project uploads an export from their HMIS system that contains the data from questions 4-27m of the CoC Full APR.

Allows HUD to understand the number of persons and households served, their characteristics, and housing and services outcomes.


7

Pre-client activity information

In the past quarter what activities have you spent grant funds on?

When will you begin serving clients?

For projects that have recently started and not serving clients, instead of submitting client/program participant data, HUD collects this basic information on what the project has done to


8

Program Eligibility (APR Only)

For all persons coming from situations other than Homeless situations or Institutional situations (Q15 – Living Situation of HMIS upload), an explanation of how eligibility was determined and documented by this project must be provided in the text box(es) below. If all persons entered from a Homeless or Institutional Situation, no further information is required.

This allows HUD to obtain additional information about program participants whose program eligibility was not based on prior living situation, for example, persons fleeing domestic violence, sexual assault, dating violence, stalking, or human trafficking.


9

Financial Information (APR Only)




Fin

Financial Information: Supportive Services

Assessment of Service Needs

Assistance with Moving Costs

Case Management

Child Care

Education Services

Employment Assistance

Food

Housing/Counseling Services

Legal Services

Life Skills

Mental Health Services

Outpatient Health Services

Outreach Services

Substance Abuse Treatment Services

Transportation

Utility Deposits

Operating

Supportive Services - Subtotal

Allows HUD to understand expenditures of CoC Program funds on supportive services activities.


Fin

Financial Information: HMIS

Equipment (server, computers, printers)

Software (software fees, user licenses, software support)

Services (training, hosting, programming)

Personnel (costs associated with staff)

Space and operations

HMIS - Subtotal

Allows HUD to understand expenditures of CoC Program funds on HMIS activities.


Fin

Financial Information: Administration and Total Expenditures

Administration

CoC Planning

UFA Costs

Administration, Planning, and UFA Costs Subtotal

Total Expenditures

Allows HUD to understand expenditures of CoC Program funds on CoC planning, UFA costs, and administration activities and summary of total expenditures of CoC Program funds.


Fin

Financial Information: Match and Total Budget

Cash Match

In-Kind Match

Total Match

Total expenditures requiring match

Percentage Match

Total Budget

Allows HUD to understand match for CoC Program funds and the total project budget, including match.


10

Additional Comments

Optional

Allows HUD to learn more from recipients about the project and the data, within the reporting system.


Section 15: Special NOFO APR

For project types HMIS and Planning, the recipient fills out the same APR as they do for the CoC Program for project type HMIS and Planning. These project types only submit one annual report, no quarterly reports.







Section 16: Special NOFO APR

For project type Coordinated Entry, the recipient completes the same APR as for the regular CoC Program Coordinated Entry, with the addition of the one question below. This project type only submits one annual report, no quarterly reports.


1

Grant Information

Grant Number

Recipient Name

CoC

Component Type

Project Type

Award Amount

Operating start date for APR

Operating end date for APR

Grant Term (in months)

Allows HUD to identify basic grant information that informs HUD on the reporting period.


Users will not enter this data – it will be prepopulated from the e-snaps and LOCCS.


2

Contact Information

Recipient Contact Information:

Prefix

First Name

Middle Name

Last Name

Suffix

Organization

Department

Title

Street Address 1

Street Address 2

City

State/Territory

Zipcode

E-mail address

Confirm e-mail address

Phone Number

Extension

Fax Number

Allows HUD to identify primary recipient contact responsible for information contained in the report.


3

CE Information

Population Information

Select the population that this specific grant primarily serves:

-General population - all persons experiencing homelessness

-Only households without children (single persons or couples without children)

-Only households with children (family units)

-Only youth (households with only children OR unaccompanied persons below the age of 24, or parenting or pregnant youth)

-Only survivors of domestic violence, sexual assault, dating violence, stalking, or human trafficking (singles and/or family units)

Allows HUD to understand the population focus of this particular grant, within the local response system.


3

CE Information

Services Provided Information

Are you screening/assessing persons to access crisis housing (e.g., emergency

shelter, safe haven)?

Select Yes or No

Are you assessing persons experiencing literal homelessness for permanent housing?

Select Yes or No

If the answer was “Yes” then select one option in each category

Persons on the streets or living in places unfit for human habitation.

Yes - Everyone on the streets we come in contact with who will participate.

Yes - Only persons engaged by an outreach worker.

Yes – Only persons targeted by our specific grant (survivors of domestic violence, sexual assault, dating violence, stalking, or human trafficking)

No – This project is not providing assessments for persons living on the streets.

Persons in Shelters

Yes – All persons in any type of shelter

Yes - All persons in only entry/exit shelters

Yes - All persons in only night-by-night shelters

Yes - Only persons sheltered who have an established length of stay in shelter

and/or have engaged in case management where housing is indicated in the

case plan.

Yes - Only persons who specifically request to be provided an assessment

Yes – Only persons in a VSP or Youth shelter

No – This project is not providing assessments for persons living in shelter

Persons in Transitional Housing

Yes - All persons in transitional housing

Yes - Only persons whose case plan specifically identifies CoC housing as an option.

Yes - Only persons who specifically request to be provided an assessment

No - This project is not providing assessments for persons living in transitional housing


Other Persons – Describe who other than the persons identified in a question above are being provided assessments.


Is this specific grant placing persons on priority lists? Check only one option.

-Only Housing accessible through the CoC (i.e., housing developed or subsidized for persons experiencing homelessness such as CoC-RRH, PSH, SRO, ESG-RRH, HUD VASH, SSVF, RHY or other housing/subsidies the CoC has specific access to).

-Both CoC and market housing (i.e., market rate, subsidized, Section 8, etc.)

-This grant funding does not support the placement of persons served on the priority list.

Where are the client level data (records) on Assessments and CE events collected in the CoC?

In HMIS - in one CE project set up in the HMIS for the entire CoC

In HMIS - in more than one CE project set up in the HMIS for the CoC (e.g., regional)

In HMIS - at individual agencies where the agency captures assessment information as

part of its project data collection.

In a non HMIS software system

In a custom spreadsheet, PC based database (excel, access, google docs, etc.)

This grant serves only survivors of domestic violence, sexual assault, dating violence, stalking, or human trafficking – therefore data is maintained

outside HMIS in a comparable database system

This grant serves only survivors of domestic violence, sexual assault, dating violence, stalking, or human trafficking - data is maintained in another

database or spreadsheet.

Allows HUD to understand the operations of this grant within the response system, with additional information about the program design and outcomes, as demonstrated through services provided.


4

Performance Accomplishments (APR Only)

Describe any significant accomplishments the project achieved during the reporting period.

Allows HUD to obtain an unstructured narrative of the project’s accomplishments during the reporting year.


5

Efforts On Tribal Lands

Identify the approximate number of persons in this project who were served this quarter on trust lands or reservations. If no persons were served on trust lands or reservations, enter “0.”

Describe what you did to uniquely meet the needs of people living on trust lands or reservations.

Allows HUD to understand CoC’s efforts to engage with tribal partners on trust lands or reservations.


6

APR CSV Upload

For this section, the project uploads an export from their HMIS system that contains the data from questions 4-27m of the CoC Full APR.

Allows HUD to understand the number of persons and households served, their characteristics, and housing and services outcomes.


6

Pre-client activity information

In the past quarter what activities have you spent grant funds on?

When will you begin serving clients?

For projects that have recently started and not serving clients, instead of submitting client/program participant data, HUD collects this basic information on what the project has done to


7 Fin

Financial Information: Supportive Services

Assessment of Service Needs

Assistance with Moving Costs

Case Management

Child Care

Education Services

Employment Assistance

Food

Housing/Counseling Services

Legal Services

Life Skills

Mental Health Services

Outpatient Health Services

Outreach Services

Substance Abuse Treatment Services

Transportation

Utility Deposits

Operating

Supportive Services - Subtotal

Allows HUD to understand expenditures of CoC Program funds on supportive services activities.


7 Fin

Financial Information: HMIS

Equipment (server, computers, printers)

Software (software fees, user licenses, software support)

Services (training, hosting, programming)

Personnel (costs associated with staff)

Space and operations

HMIS - Subtotal

Allows HUD to understand expenditures of CoC Program funds on HMIS activities.


7 Fin

Financial Information: Administration and Total Expenditures

Administration

CoC Planning

UFA Costs

Administration, Planning, and UFA Costs Subtotal

Total Expenditures

Allows HUD to understand expenditures of CoC Program funds on CoC planning, UFA costs, and administration activities and summary of total expenditures of CoC Program funds.


7 Fin

Financial Information: Match and Total Budget

Cash Match

In-Kind Match

Total Match

Total expenditures requiring match

Percentage Match

Total Budget

Allows HUD to understand match for CoC Program funds and the total project budget, including match.


8

Additional Comments

Optional

Allows HUD to learn more from recipients about the project and the data, within the reporting system.



Attachment B

System-Level Performance Measures Template


Q #

Title of Question

Response Categories

Justification

Measure 1: Length of Time Persons Remain Homeless

1a

Change in the average and median length of time persons are homeless in ES and SH projects.

Persons in ES and SH


Previous FY Universe (Persons)

Current FY Universe (Persons)

Previous FY Average Length of Time (LOT) Homeless

Current FY Average LOT Homeless

Difference

Previous FY Median LOT Homeless

Current FY Median LOT Homeless

Difference

Allows HUD to understand the average duration of homelessness in the CoC for persons in emergency shelter and Safe Haven projects.

1b

Change in the average and median length of time persons are homeless in ES, SH, and TH projects.

Persons in ES, SH, and TH


Previous FY Universe (Persons)

Current FY Universe (Persons)

Previous FY Average Length of Time (LOT) Homeless

Current FY Average LOT Homeless

Difference

Previous FY Median LOT Homeless

Current FY Median LOT Homeless

Difference

Allows HUD to understand the average duration of homelessness in the CoC for persons in emergency shelter, Safe Haven, and transitional housing projects.

Measure 2: The Extent to which Persons who Exit Homelessness to Permanent Housing Destinations Return to Homelessness


2

The Extent to which Persons who Exit Homelessness to Permanent Housing Destinations Return to Homelessness. (Return to Homelessness within 6 months, between 6 and 12 months, and between 12 and 24 months)

Exit was from SO

Exit was from ES

Exit was from TH

Exit was from SH

Exit was from PH

TOTAL Returns to Homelessness


Previous FY/Current FY/Difference

Allows HUD to understand the number of persons who return to homelessness in a CoC based on different increments of time.

Measure 3: Number of Homeless Persons


3.1

Change in PIT counts of sheltered and unsheltered persons experiencing homelessness

Total PIT Count of sheltered and unsheltered persons

Emergency Shelter Total

Safe Haven Total

Transitional Housing Total

Total Sheltered Count

Unsheltered Count


Previous FY PIT Count/Current FY PIT Count/Difference

This data is auto-populated based on data already reported to HUD – it is not a new data collection requirement.

3.2

Change in annual counts of sheltered persons experiencing homelessness in HMIS

Unduplicated Total sheltered persons experiencing homelessness Emergency Shelter Total

Safe Haven Total

Transitional Housing Total


Previous FY/Current FY/Difference

Allows HUD to understand the number of persons experiencing homelessness over the course of a year in a CoC.

Measure 4: Employment and Income Growth for Persons Experiencing Homelessness in CoC Program-funded Projects

4.1

Change in earned income for adult system stayers during the reporting period

Number of adults (system stayers)

Number of adults with increased earned income

Percentage of adults who increased earned income


Previous FY/Current FY/Difference

Allows HUD to understand increases in earned income of persons who remained homeless and received assistance from a CoC Program-funded project.

4.2

Change in non-employment cash income for adult system stayers during the reporting period

Number of adults (system stayers)

Number of adults with increased non-employment cash income

Percentage of adults who increased non-employment cash income


Previous FY/Current FY/Difference

Allows HUD to understand increases in non-employment cash income of persons who remained homeless and received assistance from a CoC Program-funded project.

4.3

Change in total income for adult system stayers during the reporting period

Number of adults (system stayers)

Number of adults with increased total income

Percentage of adults who increased total income


Previous FY/Current FY/Difference

Allows HUD to understand increases in total income of persons who remained homeless and received assistance from a CoC Program-funded project.

4.4

Change in earned income for adult system leavers

Number of adults who exited (system leavers)

Number of adults who exited with increased earned income

Percentage of adults who increased earned income


Previous FY/Current FY/Difference

Allows HUD to understand increases in earned income of persons who exited homeless in a CoC after receiving assistance from a CoC Program-funded project.

4.5

Change in non-employment cash income for adult system leavers

Number of adults who exited (system leavers)

Number of adults who exited with increased non-employment cash income

Percentage of adults who increased non-employment cash income


Previous FY/Current FY/Difference

Allows HUD to understand increases in non-employment cash income of persons who exited homeless in a CoC after receiving assistance from a CoC Program-funded project.

4.6

Change in total income for adult system leavers

Number of adults who exited (system leavers)

Number of adults who exited with increased total income

Percentage of adults who increased total income


Previous FY/Current FY/Difference

Allows HUD to understand increases in total income of persons who exited homeless in a CoC after receiving assistance from a CoC Program-funded project.

Measure 5: Number of Persons who Become Homeless for the First Time

5.1

Change in the number of persons entering ES, SH, and TH projects with no prior enrollments in HMIS

Person with entries into ES, SH or TH during the reporting period.

Of persons above, count those who were in ES, SH, TH or any PH within 24 months prior to their entry during the reporting year.

Of persons above, count those who did not have entries in ES, SH, TH or PH in the previous 24 months. (i.e. Number of persons experiencing homelessness for the first time)


Previous FY/Current FY/Difference

Allows HUD to understand any changes in the number of persons who first become homeless in a CoC, as measured by persons served directly in homeless situations (emergency shelter, Safe Haven, and transitional housing projects).

5.2

Change in the number of persons entering ES, SH, TH, and PH projects with no prior enrollments in HMIS

Person with entries into ES, SH, TH or PH during the reporting period.

Of persons above, count those who were in ES, SH, TH or any PH within 24 months prior to their entry during the reporting year.

Of persons above, count those who did not have entries in ES, SH, TH or PH in the previous 24 months. (i.e. Number of persons experiencing homelessness for the first time.)


Previous FY/Current FY/Difference

Allows HUD to understand any changes in the number of persons who first become homeless in a CoC, as measured by persons served in homeless situations (emergency shelter, Safe Haven, and transitional housing projects) and are eligible for permanent housing resources.

Measure 6: Homeless Prevention and Housing Placement of Persons defined by category 3 of HUD’s Homeless Definition in CoC Program-funded Projects

6a1 and 6b1

The Extent to which Persons defined by Category 3 of HUD’s Homeless Definition who are served and Exit Homelessness to Permanent Housing Destinations Return to Homelessness. (Return to Homelessness within 6 months, between 6 and 12 months, and between 12 and 24 months)

Exit was from SO

Exit was from ES

Exit was from TH

Exit was from SH

Exit was from PH

TOTAL Returns to Homelessness


Previous FY/Current FY/Difference

Allows HUD to understand the number of persons who meet the definition of Category 3 homelessness in a CoC based on different increments of time.

6c1

Change in exits to permanent housing destinations

Cat. 3 SH, TH, and PH-RRH system leavers

Of the persons above, those who exited to permanent destinations

% Successful exits


Previous FY/Current FY/Difference

Allows HUD to monitor any changes in the number of persons who meet the definition of Category 3 homelessness and who exit to permanent housing destinations in a CoC that has been approved by HUD to serve these clients.

6c2

Change in exit to or retention of permanent housing

Cat. 3 PH-PSH system stayers and leavers

Of persons above, count those who remained in PH-PSH projects and those who exited to permanent housing destinations

% Successful exits/retention


Previous FY/Current FY/Difference

Allows HUD to understand any changes in the number of persons who meet the definition of Category 3 homelessness and exited to or remained in permanent housing in a CoC that has been approved by HUD to serve these clients.

Measure 7: Successful Placement from Street Outreach and Successful Placement in or Retention of Permanent Housing

7a1

Change in exits from street outreach to acceptable destinations

Persons who exit Street Outreach

Of persons above, those who exited to temporary & some institutional destinations

Of the persons above, those who exited to permanent housing destinations


Previous FY/Current FY/Difference

Allows HUD to understand any changes in the number of persons served by Street Outreach in a CoC who exit to temporary, institutional, or permanent housing destinations.

7b1

Change in exits to permanent housing destinations

Persons in ES, SH, TH and PH-RRH who exited

Of the persons above, those who exited to permanent housing destinations

% Successful exits


Previous FY/Current FY/Difference

Allows HUD to understand any changes in the number of persons served by ES, SH, TH and PH-RRH projects in a CoC who exit to permanent housing destinations.

7b2

Change in exit to or retention of permanent housing

Persons in all PH projects except PH-RRH

Of persons above, those who remained in applicable PH projects and those who exited to permanent housing destinations

% Successful exits/retention

Previous FY/Current FY/Difference

Allows HUD to understand any changes in the number of persons served by PH projects (except PH-RRH) in a CoC who exit to or retain permanent housing.










B. Collections of Information Employing Statistical Methods


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSutherland, Harper C
File Modified0000-00-00
File Created2025-09-22

© 2025 OMB.report | Privacy Policy