Uniform Relocation Assistance and Real Property Acquisition Statistical Report Form | ||||
Federal Fiscal Year Ending September 30, 19 | ||||
Reporting Agency ___________________________________ | ||||
City/County/State ___________________________________ | ||||
Federal Funding Agency ______________________________ | ||||
Part A. Persons Displaced by Activities Subject to the Uniform Act during the Fiscal Year | ||||
Item | Total (A) | Owners (D) | Tenants (C) | |
1. Household (Families & Individuals) | ||||
2. Businesses & Non-Profit Organizations | ||||
3. Farms | ||||
Part B. Relocation Payments and Expenses under the Uniform Act during the Fiscal Year | ||||
Item | Number of Claims (A) | Amount (B) | ||
4. Payments for Moving Households | Actual Expenses - Section 202(A) | |||
5. Payments for Moving Households | Schedule Payment/Dislocation Allowance - Section 202(B) | |||
6. Payments for Moving Businesses/Farms/NPO | Actual Expenses - Section 202(A) | |||
7. Payments for Moving Businesses/Farms/NPO | In Lieu Payments - Section 202(C) | |||
7A. Number of Claims and Amount on Line 6 Attributable to Reestablishment Expenses | ||||
8. Replacement Housing Payments for IBO Day Home-Owners - Section 203(A) | ||||
9. Number of Claims and Amount on Line B Attributable to Increased Mortgage Interest Costs | ||||
10. Rental Assistance Payments (Tenants & Certain Others) - Section 204(1) | ||||
11. Downpayment Assistance Payments (Tenants & Certain Others) - Section 204(2) | ||||
12A. Housing Assistance as Last Resort - Section 206(A) | Owners | |||
12B. Housing Assistance as Last Resort - Section 206(A) | Tenants | |||
13. Relocation Advisory Services Costs - Section 205 | /////////////////////// | |||
14. Total [Sum of Lines 4 (D)-13 (D)], Excluding Lines 7A and 9 | /////////////////////// | |||
15. Relocation Grievances Filed During the Fiscal Year in Connection with Project/Program | ///////////////////////// | |||
Part C. Real Property Acquisition Subject to the Uniform Act During the Fiscal Year | ||||
Item | Number Parcels (A) | Compensation (D) | ||
16. Total Parcels Acquired | ||||
17. Total Parcels Acquired by Condemnation Included on Line 16 Where Price Disagreement Was Involved | //////////////////////// |
La. Admin. Code tit. 70, § XVII-117