- Exhibit B to Subpart I of Part 1944—Evaluation Report of Self-Help Technical Assistance (TA) Grants
Evaluation for Quarter Ending: (1) ________________, 19____
1. a. Name of Grantee: (2) ______
b. Address: (3) ______
c. Area the grant serves: (4) ______
2. Date of Agreement: (5) ______ Time Extended (6) ______
3. a. Equivalent unit increase during quarter:
(7)
First Month
(8)
Second Month
(9)
Third Month
b. Cumulative total number of Equivalent Units since beginning of grant:
(10)
Total to Date
4. a. Method of Construction:
Stick built ______%, Panelized ______%, Combined ______% b. Number of bedrooms per house built this grant period:
2BR,
3BR,
c. Household size this Quarter:
1 person ______,
2 persons ______,
3 persons ______,
4 persons ______,
5 persons ______.
d. Number of houses under construction this grant period, but started during previous grant period: ______
5. a. Number of houses proposed under this grant:
(11)
b. Number of houses completed under this grant:
(12)
c. Number of houses currently under construction:
(13)
d. Number of families in pre construction:
(14)
e. Number of Construction Supervisors:
(15)
f. Number of TA employees:
(16)
6. a. Average time needed to construct a single house:
(17)
b. Number of months between submission of self-help borrower's docket and approval/rejection:
(18)
c. Number and percentage of loan docket rejections during reporting period: ______
(19)
7. a. Did any of the following adversely affect the Grantee's ability to accomplish program objectives?
8. Attach information concerning number of families contacted, number who have indicated a willingness to be a participating family, number of mutual self-help groups organized, progress on any construction started, and any problems relating to the operation of this grant.
I certify that the statements made above are true to the best of my knowledge and belief.
(20)
(Date)
(21)
(Title)
GRANTEE
(22)
(Signature)
County Office Review
I have reviewed the above information which I have found to be substantially correct. Must be completed by County Office.
Comment: Must be completed (23)
Average appraisal value of units financed this Quarter:
Average amount loan per unit financed this Quarter:
(24)
(Date)
(25)
County Supervisor
District Office Review
Comment: Must be completed (26)
(27)
Date
(28)
District Director
State Office Review
Comments: Must be completed (29)
(30)
Date
(31)
State Office Representative
| YES | NO | TA Staff Turnover | ________ | ________ | FmHA Staff Turnover | ________ | ________ | Bad Weather | ________ | ________ | Loan Processing Delays | ________ | ________ | Site Acquisition and Development | ________ | ________ | Unavailable Loan/Grant Funds | ________ | ________ | Lack of Participants | ________ | ________ | Communication between FmHA/Grantee | ________ | ________ |
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