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PHA Name: Housing AuEhori€y of the City of Santa Ana <br />HA Code: CA 093 <br />Annual Plan for FY 2006 <br />❑ Over - housed <br />❑ Under - housed <br />❑ Medical justification <br />❑ Administrative reasons determined by the PHA (e.g., to permit modernization work) <br />❑ Resident choice: (state circumstances below) <br />❑ Other: (list below) <br />Preferences <br />❑ Yes ❑ No: Has the PHA established preferences for admission to public housing <br />(other than date and time of application)? (If "no" is selected, skip to <br />subsection (5) Occupancy) <br />2. Which of the following admission preferences does the PHA plan to employ in the coming <br />year? (select all that apply from either former Federal preferences or other preferences) <br />Former Federal preferences: <br />❑ involuntary Displacement (Disaster, Government Action, Action of Housing <br />Owner, Inaccessibility, Property Disposition) <br />❑ Victims of domestic violence <br />❑ Substandard housing <br />❑ Homelessness <br />❑ High rent burden (rent is > 50 percent of income) <br />Other preferences: (select below) <br />❑ Working families and those unable to work because of age or disability <br />❑ Veterans and veterans' families <br />❑ Residents who live and/or work in the jurisdiction <br />❑ Those enrolled currently in educational, training, or upward mobility programs <br />❑ Households that contribute to meeting income goals (broad range of incomes) <br />❑ Households that contribute to meeting income requirements (targeting) <br />❑ Those previously enrolled in educational, training, or upward mobility programs <br />❑ Victims of reprisals or hate crimes <br />❑ Other preference(s) (list below) <br />3. If the PHA will employ admissions preferences, please prioritize by placing a "1" in the space <br />that represents your first priority, a "2" in the box representing your second priority, and so on. <br />If you give equal weight to one or more of these choices (either through an absolute hierarchy or <br />through a point system), place the same number next to each. That means you can use "1" more <br />than once, "2" more than once, etc. <br />❑ Date and Time <br />Former Federal preferences: <br />❑ Involuntary Displacement (Disaster, Government Action, Action of Housing <br />Owner, Inaccessibility, Property Disposition) <br />❑ Victims of domestic violence <br />Page 12 of 30 form HUD- 50075 -SF (0413012003) <br />