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1 r [ J ilf) n? tpi,t llau rl uld <br /> <br />,rlfirAdnsmishn and t7tlicr 4ch i tes ,a+i,?p ?? <br />nlp f 7 n? <br />, 13j_0 <br /> <br />16 Y, . - <br />• <br />coordinate and develop housing assistance resources <br />Resource Identification to establish ' <br />. ? <br />, <br />e ,a <br />17. Technical Assistance <br /> ifa roved in grant agreement) <br />. Y a ?? ? rt a <br />18. rantee Administration " R <br />.? .R E 3 <br />Y?Y 8 kz, '?w9 <br /> maximum 3% of total HOPWA grant) <br />19. <br />Rc <br />roject Sponsor Administration a' s ^ °x*?* * "* <br /> maximum 7% of onion of HOPWA rant awarded ' " ffi <br />0..: _otnl Grant Administration and Other Activities <br /> Sum of Rows 17-20) <br /> . <br /> i h <br />Qpi it <br /> <br />n <br /> E ed <br /> ?Y <br />r <br /> kt.:.r uil e . <br />, <br />I: Total Expenditures for program year (Sum of Rows 7, 10, 13, 15, afid20) <br />2. Listing of Supportive Services <br />Report on the households served and use of HOPWA funds for all supportive services. Do NOT report on supportive services <br />leveraged with non-HOPWA funds. <br />Data check: Total unduplicated households and expenditures reported in Row 17 equal totals reported in Part 3, Chart 1, Row 13. <br />Supportive Services ]I] Output: Number of Households ]2] Output: Amount of HOPWA Funds <br />Expended <br />1. Adult day care and personal assistance <br />2. Alcohol and drug abuse services <br />3. Case management <br />4. Child care and other child services <br />5. Education <br />6. Employment assistance and training <br /> <br />7. Health/medical/intensive care services, if approved <br />Note: Client records must conform with 24 CFR 574.310 <br />8. Legal services <br />9. Life skills management outside of ease management) <br />10. Meals/nutritional services <br />11. Mental health services <br />12. Outreach <br />13. Transportation <br /> <br />14. Other Activity (if approved in grant agreement). <br />Specify: <br /> <br /> <br /> <br />5. <br /> <br />Sub-Total Households receiving Supportive Services <br />(Sum of Rows 1-14 Y <br />it Ye}A^xY< Y'i R1?T Y'? A$' <br />, aYY?a s` , Y =,Y? , * ti <br />- <br />y <br /> <br />16. <br />Adjustment for Duplication subtract Y 4 <br />Ske ', <br />r? a` ?• ' ' ' <br /> <br /> <br />17. TOTAL Unduplicated Households receiving <br />Supportive Services (Column il] equals Row 15 <br />minus Row 16; Column 121 equals sum of Rows 1-14 <br />Previous editions are obsolete Page 11 form HUD-40110-D (Expiration Date: 10/31/2014) <br />25D-26