Guide For Quarterly Performance Report

Grantee name: Grantee address: Grant quarter:____________ Report Period: From: ______ To: ______ I. General Information on Use of HPG Funds During Period: A. Use of Administrative Funds: Budgeted Amount $______ Expended Thru Last Quarter ______ Direct Cost: Personnel $______ Supplies & Equip ______ Travel ______ Indirect Costs: (______% Rate) ______ This Quarter Total ______ B. Use of Program Funds: Budgeted Amount ______ Expended Thru Last Quarter ______ Loans No. ______ $______ Grants No. ______ ______ Other subsidies (describe briefly) No. ______ ______ This Quarter Total ______ II. Description of recipients provided assistance during report period: (Attach breakdown for each HPG recipient on separate page including name, address, income, size, race, housing preservation activities, and type of assistance received): Number of low-income homeowners assisted ______ Number of very low-income homeowners assisted ______ Total number of homeowners assisted ______ Racial composition: White ______ Black ______ Hispanic ______ Am. Indian ______ Other ______ III. Description of types of housing preservation provided: Housing preservation activity Financial assistance Item Cost of materials/labor HPG Other Total IV. Objectives for next period: Loans No. ______ $______ Grants No. ______ $______ Other subsidy No. ______ $______ Totals No. ______ $______ V. Project summary: No. homeowners HPG funds Other Assistance objectives of project $______ $______ Assistance to date ______ ______ Assistance during next period ______ ______ Average amount of HPG assistance Per unit provided (program to date) (per unit) $______ VI. Narrative: A. Significant accomplishments. B. Problem areas. C. Proposed changes/assistance needed, etc. D. Status of implementing environmental and historic preservation requirements. Include number of historic properties assisted.