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c. Race and Ethnicity* <br />In Chart c., indicate the Race and Ethnicity of all beneficiaries receiving HOPWA Housing Subsidy Assistance as reported in <br />Section 2, Chart a., Row 4. Report the race of all HOPWA eligible individuals in Column [A]. Report the ethnicity of all <br />HOPWA eligible individuals in column [B]. Report the race of all other individuals who benefitted from the HOPWA housing <br />subsidy assistance in column [C]. Report the ethnicity of all other individuals who benefitted from the HOPWA housing subsidy <br />assistance in column [D]. The summed total of columns [A] and [C] equals the total number of beneficiaries reported above in <br />Section 2, Chart a., Row 4. <br />s 410P1V'A' l.hgihle Lidrvidualss ''Ail Other Re cridaries <br /> [A] Race <br />[BI Ethnicity IC1 Race <br />[total of <br />ID] Ethnicity <br />} <br />y s [all individuals <br />[Also identified <br />individuals <br />[Also identified <br />t <br /> <br />j orted in <br />rep <br />as Hispanic or <br />reported in <br />as Hispanic or <br /> Section 2, Chart <br />Latinol <br />Section 2, Chart <br />Latino] <br />.: a., Row 11 a., Rows 2 & 31 <br />I . American Indian/Alaskan Native <br />2. Asian <br />3. Black/African American <br />4. Native Hawaiian/Other Pacific Islander <br />5. White <br /> American Indian/Alaskan Native & <br />6 White <br />7. Asian & White <br />8. Black/African American & White <br /> American Indian/Alaskan Native & <br />9 <br />Black/African American <br />10. Other Multi-Racial <br />11. Column Totals (Sum of Rows 1-10) <br />Data Cbeck: Sum of Row 11 Column A and Row 11 Column C equals the total number HOPWA Beneficiaries reported in Part 3A, <br />Section 2, Chart a., Row 4. <br />*Reference (data requested consistent with Form HUD-27061 Race and Ethnic Data Reporting horn) <br />Section 3. Households <br />Household Area Median Income <br />Report the area median income(s) for all households served with HOPWA housing subsidy assistance. <br />Data Check: The total number of households served with HOPWA housing subsidy assistance should equal Part 3C, Row 7, <br />Cohimn b and Part 7A, Section 1, Chart a. (Total HOPWA Eligible Individuals Served with HOPWA Housing Subsidy <br />Assistance). <br />Note: Refer to http•//wivip huduser.oMIportal/datasets/il/il2OlO/select Geography mfr.odn for information on area median <br />incnme in vour community. <br />Percentage of Area Median Income Households Served with HOPWA Housing Subsidy <br />Assistance <br />1. 0-30% of area median income (extremely low) <br />2. 31-50% of area median income (very low) <br />3. 51-80% of area median income (low) <br />4. Total (Sum of Rows 1-3) <br />Previous editions are obsolete Page 23 form HIID-40110-D (Expiration Date: 10/31/2014) <br />25D-38