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I Capital Fund Program li'ive-Year Action Plan. As part of the submission of the Annual 1'1an, PHAs must complete and submit the Capital Fund Pr~gratn Five-YearAc~ior~ Plan, farm HUD-~~0~5.~, and subsequent annual updates {an a rolling basis, e.g., drop current year, and add latest year for a five year period}. Large capital items must be included in the live-Year Action Plan. NIA Capital Fund Financing Program ~C>~FP). Check if the PHA proposes to use any portion of its Capital Fund Program (CFP}IReplacement Housing Factor {~RHF} to repay debt ~r~curred to finance capital improvements. NIA ~.0 Housing Needs. 1~aSed on information provided by the applicable Consolidated Plan., information provided by HUD, and other generally available data, make a reasonable effort to identify the housing needs of the low-income, very lvw-income, and extremely low-incomo families who reside in thejurisdictionserved bythe PHA, including elderly families, famihe5 with d~sabilitie5, and l~auseholds ofvanaus races and ethnic groups, and other families who are on the public housing and Section Stenant-based assistance waiting lists. The identification of housing needs must address issues of affordability, supply, quality, accessibility, size of units, and location. Only required with 5-year plan. 9.~ strategy for Addressing Housing Needs. Provide a briefdescription of t17e PHA's strategy far addressing the housing needs of families in the jurisdiction and an the waiting list in the upcoming year. dote; Small, Section 8 only, and High Performing ~'HAs complete Duly for Annual Plan submissinn with the 5-Fear Plan. 1ll,l~ Additional Inl`ormation. Describe the following, aS well as any additional information HUD has re~ueSted. {a} Progress in Meeting Mission and Coals. Provide a brief Statement ofthe PHA's progress in meeting the mission and goals deSCrii~ed in the Sµ Year Plan, Oily required with 5-year plan. {b} Signi#~cant Amendment and Substantial DeviationlMadi~cation. Provide the Pf1A.'s definition of "s~gni~cant amen.dmer~t" ar~d "substantial deviationlmadi~cation" Only required with 5-year plan 11 ~l~ Required Suhmissinn for Field Off ce Review. Irr addition to the PHA Plan template (HUD-SOU75}, PHAs must submit the following dacu~ner~ts, ftems (a} through {g) may be submitted with Signature by mail or electronically with scanned signatures, but electronic submission is encouraged. Items {h}through ~i} must be attached electronically with the PHA Plan. Note: Fared copies of these documents will not be accepted by the Field D1`~ce. {a} Form Hl~FD-~~~77, PEA ~ertif i~a~ions of C~mplia~ce ~vith the PHA .P~a~s nr~d Relayed ~egula~ion~s {which includes all certifications relating to Civil Rights} Attached {b} Form HUD-50~7~, Certrf ica~io~t fot' ~t ,~rt~g-Free Yl'orkplace {PHAs receiving CFP gt`ant5 only} _ (c} Form HUD-St~471, C~rt~ficatio~ of Pay~er~ts to ~nfl~e~ce~'~de~rr~ ~'ra~sactions {PHAS receiving CFP grants only) {d} 1?orm SF-LLL, Disclosure of Lo~byi~ag ~c~ivities {FHAs receiving Cp'1~ grants only} s {e} Form SF-LLL-A, ~iscl~s~cre ~f I,ob~yi~g Activities Continuation Sheet {PHAs receiving Cp'P grants only} - (f} Resident Adv~SOry Hoard (RAB) comrncnts. Con~nents received from the RAB must besubmitted bythe PI-lA as an attachment to the PHA Plan. PHAs must also include a narrative describing their analysis of the recommendations and the decisions made orgy these recommendations. Attached (g} Challenged Elements ~h} Form HUD-~~~75.1, Capital Fund Program Ar~rt~al Statemer~tlPerfarrr~ance and ,~val~~afio~ I~ep~r~ {PHAs receiving CFP grants only (i} foorm HUD-~Ot]?5.~, CapitalP'u~dProgram Five-Year~4ction Plc~r~ {PHAs receiving CFP grants only} Page 2 of ~ form HUD~5~07~ ~41~~OS}