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:
2 BR,
3 BR,
_______________________________
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?
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 | ________ | ________ |
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
7 C.F.R. 1944 app Exhibit B to Subpart I of Part 1944