Grant Implementation Manual Local Government Assistance
Grant Implementation Manual and Management Forms
- Section A Program Administration
- Exhibit A-1 Sample Authorization to Incur Costs Letter
- Exhibit A-2 Request for Release of Funds
- Exhibit A-3 Authorized Signature Form
- Exhibit A-4 Vendor Information Form
- Exhibit A-5 IRS W-9 Form
- Exhibit A-6 General Ledger Chart of Accounts
- Exhibit A-7 Financial Statements
- Exhibit A-8 Timesheet
- Exhibit A-9 LCDBG Request for Payment
- Exhibit A-10 Budget Reconciliation
- Exhibit A-11 Budget Revision Report
- Exhibit A-12 Determination of Level of Environmental Review
- Exhibit A-13 Environmental Review Record Checklist
- Exhibit A-15 Notice of Finding of No Significant Impact Distribution List
- Exhibit A-16 Sample Historic Preservation Letter
- Exhibit A-17 Sample Floodplains and Wetlands Notice – Early Public Review Notice
- Exhibit A-18 Sample Notice of Explanation
- Exhibit A-19 Sample Notice of Intent to Request Release of Funds
- Exhibit A-20 Reevaluation of Environmental Review
- Exhibit A-21 Summary of Environmental Requirements
- Exhibit A-22 Qualification Certification for Resident Project Representative
- Exhibit A-23 Construction Contract Checklist
- Exhibit A-24 City-Parish Employment Workforce Analysis
- Exhibit A-25 Contract and Subcontract Activity Report
- Exhibit A-26 Minority Participation Goals
- Exhibit A-27 Violence Against Women Act (VAWA) Certification
- Exhibit A-28 Fair Housing Assessment
- Exhibit A-29 Affirmatively Furthering Fair Housing Activities
- Exhibit A-30 Sample Summary of Actions Taken to Achieve Compliance with Section 504
- Exhibit A-31 OCD-LGA Language Access Plan
- Exhibit A-32 LCDBG Request for Program Amendment
- Exhibit A-33 Request for Exception to Conflict of Interest
- Exhibit A-34 Considering Radon in the Environmental Review
- Section B Labor Standards
- Exhibit B-1 Appointment of Labor Compliance Officer
- Exhibit B-2 Wage Decision Example
- Exhibit B-3 Initial Wage Decision Request (Optional)
- Exhibit B-4 Verification of Wage Decision
- Exhibit B-5 Notice of Contract Award
- Exhibit B-6 Additional Wage Classification
- Exhibit B-7 Wage Rate Sheet
- Exhibit B-8 Verification of Posting Requirements
- Exhibit B-9 Record of Employee Interview Form
- Exhibit B-10 Force Account Recordkeeping
- Exhibit B-11 Payroll Form and Statement of Compliance
- Exhibit B-12 Payroll Review Flowchart
- Exhibit B-13 Payroll Deduction Authorization
- Exhibit B-14 Notice of Restitution Due
- Exhibit B-15 Labor Standards Enforcement Report
- Section C Acquisition/Antidisplacement/Relocation
- Exhibit C-1 Sample Preliminary Acquisition Notice/Brochure
- Exhibit C-2 Sample Statement for the Basis for Determination of Just Compensation
- Exhibit C-3 Written Offer to Purchase
- Exhibit C-4 Statement of Settlement Costs
- Exhibit C-5 Sample Notice of Intent Not to Acquire Property
- Exhibit C-6 Property and/or Servitude Acquisition Waiver
- Exhibit C-7 Sample Agreement for Appraisal Services (Acquisition)
- Exhibit C-8 Uniform Appraisal Standards for Federal Land Acquisitions
- Exhibit C-9 Sample Invitation to Accompany Appraiser
- Exhibit C-10 Short Appraisal Form for Servitude Takings
- Exhibit C-11 Sample Review Appraisal Report
- Exhibit C-12 Acquisition Composite List
- Exhibit C-13 Real Property Acquisition Checklist
- Exhibit C-14 Residential Antidisplacement and Relocation Assistance Plan under 104(d) of the Housing and Community Development Act of 1974 as Amended
- Exhibit C-15 Relocation Assistance to Tenants Displaced Brochure
- Exhibit C-16 Relocation Eligibility and Benefits Chart
- Exhibit C-17 Sample Household Case Record
- Exhibit C-18 Sample Inspection Report Form
- Exhibit C-19 Sample Letter to Relocate in Substandard Unit
- Exhibit C-20 Samples: 90-Day Notice to Vacate and 30-Day Notice to Vacate
- Exhibit C-21 Sample Letter of Acknowledgement for Services and Payment
- Exhibit C-22 Waiver of Relocation Assistance
- Exhibit C-23 Relocation Composite List
- Exhibit C-24 Relocation File Checklist
- Section D Procurement and Contracting
- Exhibit D-1 Sample Procurement Policy
- Exhibit D-2 Contract Documents Guide
- Exhibit D-3 Contractor/Subcontractor Project Workforce Report
- Exhibit D-4 Subcontractor Utilization Report
- Exhibit D-5 Final Labor Hours Compliance Report
- Exhibit D-6 Section 3 Worker Targeted Worker Certification Form
- Exhibit D-7 Section 3 Business Certification Form
- Exhibit D-8 Build America, Buy America (BABA) Guide
- Exhibit D-9 Build America, Buy America (BABA) Certification Form
- Exhibit D-10 Sample Procurement Procedures
- Exhibit D-11 Sample Advertisement Requesting Proposals
- Exhibit D-12 Components of Requests for Proposals and Qualifications
- Exhibit D-13 Sample Contract for Professional Services
- Exhibit D-14 Subrecipient Agreement
- Exhibit D-15 Verification of Professional Services Eligibility
- Exhibit D-16 Architect's Certification: Compliance with Minimum Standards for Accessibility by the Physically Handicapped
- Exhibit D-17 Intergovernmental Cooperative Agreement
- Exhibit D-18 Application for Utility Line Connection on Private Property
- Exhibit D-19 Sign Required at LCDBG Construction Sites
- Exhibit D-20 Sample Minutes of Bid Opening and Bid Tabulation
- Exhibit D-21 Verification of Contractor's Bonding/Insurance
- Exhibit D-22 Commonly Asked Equal Opportunity Questions
- Exhibit C-24 Relocation File Checklist
- Section E Monitoring and Closeout
- Exhibit E-1 Sample State Monitoring Letter
- Exhibit E-2 Example Response to State Monitoring Letter
- Exhibit E-3 Onsite Monitoring Checklists
- Exhibit E-4 Desktop Review Checklists
- Exhibit E-5 Local Government Questionnaire
- Exhibit E-6 Program Completion Report
- Exhibit E-7 Example Audit Report Excerpts
- Exhibit E-8 Example Response to Audit Letter
- Section F Economic Development
- Exhibit Exhibit F-1 Sample Written Agreement
- Exhibit F-2 Sample Evidence Assisted Business's Commitment
- Exhibit F-3 Sample Resolution of the Board of Directors
- Exhibit F-4 Certification of Legally Binding Agreements
- Exhibit F-5 Release of Funds FAQs
- Exhibit F-6 Davis Bacon Equipment Policy
- Exhibit F-7 Equipment Analysis
Archived Resources
2023 Grant Implementation Manual
- Archived: 2023 Exhibit A-1 Citizen Participation Plan
- Archived: 2023 Exhibit A-2 Request for Release of Funds
- Archived: 2023 Exhibit A-3 Authorized Signature Form
- Archived: 2023 Exhibit A-4 Vendor Information Form
- Archived: 2023 Exhibit A-5 IRS W-9 Form
- Archived: 2023 Exhibit A-6 General Ledger Chart of Accounts
- Archived: 2023 Exhibit A-7 Financial Statements
- Archived: 2023 Exhibit A-8 Timesheet
- Archived: 2023 Exhibit A-9 CDBG Request for Payment
- Archived: 2023 Exhibit A-10 Budget Reconciliation Form
- Archived: 2023 Exhibit A-11 Budget Revision Form
- Archived: 2023 Exhibit A-12 OCD ERR Checklist
- Archived: 2023 Exhibit A-13 Certification of Exemption for HUD Funded Projects
- Archived: 2023 Exhibit A-14 Compliance Documentation Checklist
- Archived: 2023 Exhibit A-15 Certification of Categorical Exclusion (not subject to 58.5)
- Archived: 2023 Exhibit A-16 Certification of Categorical Exclusion (Subject to 58.5)
- Archived: 2023 Exhibit A-17 Worksheet for Preparing 24 CFR 58.5 Statutory Checklist
- Archived: 2023 Exhibit A-18 Statutory Checklist for Compliance with 24 CFR 58.5
- Archived: 2023 Exhibit A-19 Sample Notice of Intent to Request Release of Funds
- Archived: 2023 Exhibit A-20 Environmental Assessment Signature Form
- Archived: 2023 Exhibit A-21 Environmental Assessment Checklist
- Archived: 2023 Exhibit A-22 Combined Notice of Finding of No Significant Impact/Intent to Request Release of Funds
- Archived: 2023 Exhibit A-23 Notice of Finding of No Significant Impact
- Archived: 2023 Exhibit A-24 Sample Historic Preservation Letter
- Archived: 2023 Exhibit A-25 Sample Floodplains and Wetlands Notice
- Archived: 2023 Exhibit A-26 Sample Notice of Explanation
- Archived: 2023 Exhibit A-27 Summary of Environmental Requirements
- Archived: 2023 Exhibit A-28 Sample Procurement Policy
- Archived: 2023 Exhibit A-29 Sample Advertisement Requesting Proposals
- Archived: 2023 Exhibit A-30 Components of Request for Proposals and Qualifications
- Archived: 2023 Exhibit A-31 Sample Request for Qualifications for Engineering
- Archived: 2023 Exhibit A-32 Sample Contract for Professional Services
- Archived: 2023 Exhibit A-33 Verification of Professional Services Eligibility
- Archived: 2023 Exhibit A-34 Architects Certification of Compliance with Minimum Standards
- Archived: 2023 Exhibit A-35 Intergovernmental Cooperative Agreement
- Archived: 2023 Exhibit A-36 Application for Utility Line Connection on Private Property
- Archived: 2023 Exhibit A-37 Sign Required at LCDBG Construction Site
- Archived: 2023 Exhibit A-38 Contract Documents Guide
- Archived: 2023 Exhibit A-39 Sample Minutes of Bid Opening and Bid Tabulation
- Archived: 2023 Exhibit A-40 Verification of Contractors Bond and Insurance
- Archived: 2023 Exhibit A-41 Commonly Asked Questions Concerning Equal Opportunity
- Archived: 2023 Exhibit A-42 Qualification Certification for Resident Project Representative
- Archived: 2023 Exhibit A-43 Construction Contract Checklist
- Archived: 2023 Exhibit A-44 Final Labor Hours Compliance Report
- Archived: 2023 Exhibit A-45 City-Parish Employment: Workforce Analysis
- Archived: 2023 Exhibit A-46 Contract and Subcontract Activity
- Archived: 2023 Exhibit A-47 Project Benefit Profile
- Archived: 2023 Exhibit A-48 Minority Participation Goals
- Archived: 2023 Exhibit A-49 Section 3 Worker and Targeted Worker Certification Form
- Archived: 2023 Exhibit A-50 Section 3 Business Certification Form
- Archived: 2023 Exhibit A-51 Subcontractor Utilization Report
- Archived: 2023 Exhibit A-52 Contractor/Subcontractor Project Workforce Report
- Archived: 2023 Exhibit A-53 Suggested Activities to Affirmatively Further Fair Housing
- Archived: 2023 Exhibit A-54 Fair Housing Assessment
- Archived: 2023 Exhibit A-55 Fair Housing Assurance
- Archived: 2023 Exhibit A-56 Section 504 Assurance
- Archived: 2023 Exhibit A-57 Sample Summary of Actions Taken to Achieve Compliance with Section 504
- Archived: 2023 Exhibit A-58 OCD Language Access Plan
- Archived: 2023 Exhibit A-59 Subrecipient Agreement
- Archived: 2023 Exhibit A-60 Request for Program Amendment
- Archived: 2023 Exhibit A-61 Sample Authorization to Incur Costs Letter
- Archived: 2023 Exhibit B-1 Appointment of Labor Compliance Officer
- Archived: 2023 Exhibit B-2 Wage Decision Example
- Archived: 2023 Exhibit B-3 Initial Wage Decision Request (Optional)
- Archived: 2023 Exhibit B-4 Ten Day Call Form (Optional)
- Archived: 2023 Exhibit B-5 Verification of Wage Decision and Contractor Eligibility
- Archived: 2023 Exhibit B-6 Notice of Contract Award
- Archived: 2023 Exhibit B-7 Report of Additional Classification and Rate
- Archived: 2023 Exhibit B-8 Wage Rate Sheet
- Archived: 2023 Exhibit B-9 Verification of Posting Requirements
- Archived: 2023 Exhibit B-10 Record of Employee Interview Form
- Archived: 2023 Exhibit B-11 Force Account Recordkeeping
- Archived: 2023 Exhibit B-12 Payroll Form and Statement of Compliance
- Archived: 2023 Exhibit B-13 Payroll Review Flowchart
- Archived: 2023 Exhibit B-14 Payroll Deduction Authorization
- Archived: 2023 Exhibit B-15 Notice of Restitution Due
- Archived: 2023 Exhibit B-16 Labor Standards Enforcement Report
- Archived: 2023 Exhibit C-1 Sample Preliminary Acquisition Notice
- Archived: 2023 Exhibit C-2 Sample Statement for the Basis for Determination of Just Compensation
- Archived: 2023 Exhibit C-3 Written Offer to Purchase
- Archived: 2023 Exhibit C-4 Statement of Settlement Costs
- Archived: 2023 Exhibit C-5 Sample Notice of Intent NOT to Acquire Property
- Archived: 2023 Exhibit C-6 Property and/or Servitude Acquisition Waiver
- Archived: 2023 Exhibit C-7 Agreement for Appraisal Services - Acquisition
- Archived: 2023 Exhibit C-8 Uniform Appraisal Standards for Federal Land Acquisition
- Archived: 2023 Exhibit C-9 Sample Invitation to Accompany Appraiser
- Archived: 2023 Exhibit C-10 Short Appraisal Form for Servitude Takings
- Archived: 2023 Exhibit C-11 Review Appraisal Report
- Archived: 2023 Exhibit C-12 Voluntary Acquisition Policy
- Archived: 2023 Exhibit C-13 Acquisition Composite List
- Archived: 2023 Exhibit C-14 Real Property Acquisition Checklist
- Archived: 2023 Exhibit C-16 Residential Anti-displacement and Relocation Assistance Certification
- Archived: 2023 Exhibit C-15 Residential Anti-displacement and Relocation Assistance Plan under 104D
- Archived: 2023 Exhibit C-17 Recommended Local Relocation Policy Grievance Procedure
- Archived: 2023 Exhibit C-18 Relocation Assistance to Tenants Displaced from Home Brochure
- Archived: 2023 Exhibit C-19 Relocation Eligibility and Benefits Chart
- Archived: 2023 Exhibit C-20 Notice of Eligibility for Relocation
- Archived: 2023 Exhibit C-21 Sample Household Case Record
- Archived: 2023 Exhibit C-22 Sample Inspection Report Form
- Archived: 2023 Exhibit C-23 Sample Letter to Relocate in a Substandard Unit
- Archived: 2023 Exhibit C-24 Samples – 90 and 30 Day Notices to Vacate
- Archived: 2023 Exhibit C-25 Residential Claim for Moving and Related Expenses
- Archived: 2023 Exhibit C-26 Claim for Replacement Housing Payment for 90-Day Homeowner/Occupant (49 CFR 24.401)
- Archived: 2023 Exhibit C-27 Claim for Down Payment Assistance
- Archived: 2023 Exhibit C-28 Sample Letter of Acknowledgement for Services and Payment
- Archived: 2023 Exhibit C-29 Format for Waiver of Relocation Assistance
- Archived: 2023 Exhibit C-30 Relocation Composite List
- Archived: 2023 Exhibit C-31 Relocation File Checklist
- Archived: 2023 Exhibit D-1 Written Agreement
- Archived: 2023 Exhibit D-2 Sample Evidence of Assisted Business Commitment
- Archived: 2023 Exhibit D-3 Sample Resolution of the Board of Directors
- Archived: 2023 Exhibit D-4 Certification of Legally Binding Agreements
- Archived: 2023 Exhibit D-5 Release of Funds Questions and Answers
- Archived: 2023 Exhibit D-6 Davis Bacon Equipment Policy
- Archived: 2023 Exhibit D-7 Equipment Analysis
- Archived: 2023 Exhibit E-1 Sample State Monitoring Letter
- Archived: 2023 E-2 Example Response to State Monitoring Letter
- Archived: 2023 Exhibit E-3 Onsite Monitoring Checklist
- Archived: 2023 Exhibit E-4 Desktop Review Checklist
- Archived: 2023 Exhibit E-5 Local Government Questionnaire
- Archived: 2023 Exhibit E-7 Example Audit Report Excerpts
- Archived: 2023 Exhibit E-8 Example Response to Audit Letter
2022 Grant Implementation Manual
2021 Grant Implementation Manual
- Archived: 2021 Exhibit A-13 Certification of Exemption For HUD Funded Projects
- Archived: 2021 Exhibit A-14 Compliance Documentation Checklist
- Archived: 2021 Exhibit A-15 Certification of Categorical Exclusion Not Subject
- Archived: 2021 Exhibit A-16 Categorically Excluded Subject to 58.5
- Archived: 2021 Exhibit A-17 Worksheet for Preparing 24 CFR 58.5 Statutory Checklist
- Archived: 2021 Exhibit A-18 Statutory Checklist Compliance with 24 CFR 58.5
- Archived: 2021 Exhibit A-20 Environmental Assessment Signature Form
- Archived: 2021 Exhibit A-21 Environmental Assessment Checklist
2020 Grant Implementation Manual
- Archived: 2020 Exhibit A-2 Request for Release of Funds and Certification
- Archived: 2020 Exhibit A-3 Authorized Signature Form
- Archived: 2020 Exhibit A-4 Electronic Funds Transfer Enrollment Form
- Archived: 2020 Exhibit A-5 Vendor Information Form
- Archived: 2020 Exhibit A-6 IRS W-9 Form
- Archived: 2020 Exhibit A-7 Cash Receipts Journal
- Archived: 2020 Exhibit A-8 Cash Disbursements Journal
- Archived: 2020 Exhibit A-9 LCDBG Property Register
- Archived: 2020 Exhibit A-11 Budget Reconciliation
- Archived: 2020 Exhibit A-12 LCDBG Budget Revision Report
- Archived: 2020 Exhibit A-14 Certification of Exemption for HUD Funded Projects
- Archived: 2020 Exhibit A-15 Compliance Documentation Checklist
- Archived: 2020 Exhibit A-16 Certification of Categorical Exclusion Not Subject to 58.5
- Archived: 2020 Exhibit A-17 Categorically Excluded Subject to 58.5
- Archived: 2020 Exhibit A-18 Worksheet for Preparing 24 CFR 58.5 Statutory Checklist
- Archived: 2020 Exhibit A-19 Statutory Checklist Compliance with 24 CFR 58.5
- Archived: 2020 Exhibit A-21 Environmental Assessment Signature Form
- Archived: 2020 Exhibit A-22 Environmental Assessment Checklist
- Archived: 2020 Exhibit A-35 Verification of Professional Services Eligibility
- Archived: 2020 Exhibit A-36 Architect S Certification Compliance with Minimum Standards for Accessibility by the Physically Handicapped
- Archived: 2020 Exhibit A-37 Intergovernmental Cooperative Agreement
- Archived: 2020 Exhibit A-42 Verification of Contractor S Bonding Insurance
- Archived: 2020 Exhibit A-44 Qualification Certification for Resident Project Representative
- Archived: 2020 Exhibit A-46 City-Parish Employment
- Archived: 2020 Exhibit A-51 Section 3 Contractor or Subcontractor Eligibility Form
- Archived: 2020 Exhibit A-54 Section 3 Complaint Register
- Archived: 2020 Exhibit A-56 Fair Housing Assessment
- Archived: 2020 Exhibit A-58 Section 504 Assurance
- Archived: 2020 Exhibit A-61 Request for Program Amendment
- Archived: 2020 Exhibit B-1 Appointment of Labor Compliance Officer
- Archived: 2020 Exhibit B-3 Initial Wage Decision Request (Optional)
- Archived: 2020 Exhibit B-5 Verification of Wage Decisions and Contractor Eligibility
- Archived: 2020 Exhibit B-6 Notice of Contract Award
- Archived: 2020 Exhibit B-7 HUD Form 4320-A
- Archived: 2020 Exhibit B-8 Wage Rate Sheet
- Archived: 2020 Exhibit B-9 Verification of Posting Requirements
- Archived: 2020 Exhibit B-10 Record of Employee Interview Form
- Archived: 2020 Exhibit B-12 Payroll Form and Statement of Compliance
- Archived: 2020 Exhibit B-14 Payroll Deduction Authorization
- Archived: 2020 Exhibit B-15 Notice of Restitution Due
- Archived: 2020 Exhibit B-16 Labor Standards Enforcement Report
- Archived: 2020 Exhibit E-5 Applicant Data Form
- Archived: 2020 Exhibit E-5 Certificate of Completion
- Archived: 2020 Exhibit E-5 Housing Opportunities Form
- Archived: 2020 Exhibit E-5 Miscellaneous Information Form
- Archived: 2020 Exhibit E-5 Program Beneficiary Form
- Archived: 2020 Exhibit E-5 Section 3 Summary Report
- Archived: 2020 Exhibit E-5 Final Grant Progress Form
- Archived: 2020 Exhibit E-5 Final Wage Compliance Report