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P,,,kt N?0, <br />t 'S <br />OG [(Il?lp Qa?$ <br />Aa9N 0EVE?O <br />Housing Opportunities for Persons with AIDS <br />(HOPWA) Program <br />Consolidated Annual Performance and <br />Evaluation Report (CAPER) <br />Measuring Performance Outcomes <br />Final Released 1/12/12 <br />OMB Number 2506-0133 (Expiration Date: 1013112014) <br />The CAPER report for HOPWA formula grantees provides annual information on program accomplishments <br />that supports program evaluation and the ability to measure program beneficiary outcomes as related to: <br />maintain housing stability; prevent homelessness; and improve access to care and support. This information is <br />also covered under the Consolidated Plan Management Process (CPMP) report and includes Narrative <br />Responses and Performance Charts required under the Consolidated Planning regulations. The public reporting <br />burden for the collection of information is estimated to average 42 hours per manual response, or less if an <br />automated data collection and retrieval system is in use, along with 60 hours for record keeping, including the <br />time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and <br />completing and reviewing the collection of information. Grantees are required to report on the activities <br />undertaken only, thus there may be components of these reporting requirements that may not be applicable. This <br />agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless <br />that collection displays a valid OMB control number. <br />Previous editions are obsolete <br />form HUD-40110-D (Expiration Date: 10/31/2014) <br />EXHIBIT A <br />25D-12