7 CFR Appendix Exhibit E to Subpart N of Part 1944 - Exhibit E to Subpart N of Part 1944—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.