Program Questions:
HCR - Community Development Block Grant (CDBG) - Economic Development

Q_3315

Is the applicant an eligible New York State non-entitlement municipality?

Click here for a list of eligible NYS Community Development Block Grant (CDBG) applicants.

Q_68

Is the applicant applying on behalf of a proposed economic development project undertaken by a for-profit business?

Q_3318

Will the proposed project result in the creation and/or retention of jobs?

Refer to the Help section for additional guidance.

Q_3867

Will at least 51% of the jobs created and/or retained as a result of the proposed project benefit low- to moderate income persons?

Q_3320

Does the proposed activity include assistance to a for-profit business in the form of lobbying or other political activities?

Lobbying and political activities are not eligible under Section 105(a)(17) of the Housing and Community Development Act of 1974.

Q_3321

Does the proposed activity include planning for economic development projects, including conducting market surveys to determine an appropriate type of business to attempt to attract to a particular area, developing individual commercial or industrial project plans, and identifying actions to implement those plans?

The above activities are not eligible under Section 105(a)(17) of the Housing and Community Development Act of 1974.

Q_4341

Is the total amount of CDBG assistance being requested between $100,000 and $750,000?

Q_4342

Will at least 1 full-time equivalent be created or retained for each $15,000 in CDBG funds requested?

Q_4343

The CDBG request can be no greater than 40 percent of the total project cost. Is the funding request within 40 percent of the total project cost?

Q_3325

Will any of the costs identified in the application budget be incurred prior to award?

Q_3326

Will the CDBG funds be used toward eligible project costs?

Q_3998

Will the proposed project be complete within 24 months from project award? Refer to the Help section for additional guidance.

Q_972

Project county or counties.

Q_971

Project Without a Street Address: please enter a description of the project location. Include project starting/ending street addresses, cities & zip codes if applicable.

Q_184

NYS Assembly District where the project is located. (This questions value will be filled automatically, based on the project address, when the application is finalized.)

Q_190

NY Senate District where the project is located. (This questions value will be filled automatically, based on the project address, when the application is finalized.)

Q_928

Project Street Address: Please input the project street address (Street Number and Street Name only).

If the project has multiple locations, please input the primary street address of the project. If the project does not have a definite street address, please input the approximate street address of the project (Street Number and Street Name only).

Q_565

Project City

Q_568

Project State
  • AA,AL,AK,AZ,AR,CA,CO,CT,DE,FL,GA,HI,ID,IL,IN,IA,KS,KY,LA,ME,MD,MA,MI,MN,MS,MO,MT,NE,NV,NH,NJ,NM,NY,NC,ND,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VT,VA,WA,WV,WI,WY,AS,DC,FM,GU,MH,MP,PW,PR,VI

Q_1034

Project ZIP Code. (please use ZIP+4 if known)

Q_572

Project Latitude (This questions value will be filled automatically, based on the project address, when the application is finalized.)

Q_573

Project Longitude (This questions value will be filled automatically, based on the project address, when the application is finalized.)

Q_3527

US Congressional District where the project is located.
  • 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27

Q_616

For more than one project location, please provide full address(es) for each location. If Not Applicable, indicate "NA".

Q_550

If you are a DBA, what is your DBA name?

Q_549

Type of Applicant (select all that apply)
  • Federal, State, County, City, Town, Village, Tribal, School District, County or Town Improvement District, District Corporation, For-Profit, Not-For-Profit, Individual, S Corporation, C Corporation, IDA, LDC,LLC,LLP, Public Authority, Public Benefit Corp, Sole-Proprietorship. HDFC,BID, LP,Boards Of Cooperative Educational Services (BOCES), Fire District, Regional Planning and Development Board, Public Library, Association Library,College/University/Community College

Q_556

Select an applicant ID type from the list below that you normally use to identify your organization on application forms.
  • Charity Reg #, Duns Number, Federal Tax ID Number, NYS Unemployment Insurance Tax Number, Social Security Number, NYS Vendor Identification Number (SFS)

Q_546

Legal Name of Applicant

Q_551

Applicant Street Address

Q_552

Applicant City

Q_553

Applicant State

Q_554

Applicant ZIP Code. (please use ZIP+4 if known)

Q_651

Applicant Telephone Number, (please include area code)

Q_555

Applicant Email Address

Q_547

Contact First Name

Q_1049

Contact Last Name

Q_1050

Contact Title

Q_3688

Contact Street Address

Q_3689

Contact City

Q_3690

Contact State

Q_3691

Contact ZIP Code

Q_562

Primary Contact Phone Number. (please include area code)

Q_3692

Contact Email

Q_1052

Additional Project Contact First Name

Q_970

Additional Project Contact Last Name

Q_1051

Additional Contact Title

Q_3693

Additional Contact Street Address

Q_3694

Additional Contact City

Q_3695

Additional Contact State

Q_3696

Additional Contact ZIP Code

Q_3697

Additional Contact Telephone Number

Q_561

Additional Contact Email Address

Q_4199

Please select the primary sector or characterization that best defines this project.
  • Agriculture, Arts/Culture/Cultural Institutions, Biomedical/Medical, Community Development, Education/College/University, Energy, Environment, Financial Services, Food/Beverage, Healthcare, Hospitality, Housing, Industrial/Manufacturing, Information Technology Services/Communications, Infrastructure, Municipal/Government, Office, Research & Development, Tourism/Travel, Transportation, Water/Wastewater/Sewer, Waterfront Revitalization, Workforce Development,Business Development,Technology Commercialization

Q_4198

Please select the secondary sector or characterization that best defines this project.
  • Agriculture, Arts/Culture/Cultural Institutions, Biomedical/Medical, Community Development, Education/College/University, Energy, Environment, Financial Services, Food/Beverage, Healthcare, Hospitality, Housing, Industrial/Manufacturing, Information Technology Services/Communications, Infrastructure, Municipal/Government, Office, Research & Development, Tourism/Travel, Transportation, Water/Wastewater/Sewer, Waterfront Revitalization, Workforce Development,Business Development,Technology Commercialization

Q_3656

Is the project included in a NY Rising Community Reconstruction Program plan or a NY Rising Countywide Resiliency Plan?

Q_3744

If the project is included in a NY Rising Community Reconstruction Program plan or a NY Rising Countywide Resiliency Plan, please indicate the planning committee name, project name, and location.

Q_3762

Does your project directly address the needs of people in your region who are living in poverty and who seek resources for inclusion in the economic life of New York State?

Q_3763

How does your project seek to apply CFA funds for the purpose of eliminating barriers to skilled employment by poor people in your region, as identified by the Opportunity Agenda? Please describe any efforts to collaborate at the local or regional level (i.e. public, private, labor, philanthropic sectors).

Q_3764

How does your project build workforce development programs, improve physical infrastructure, and/or establish social services that connect people living in poverty in your region with skilled employment, in correspondence with the economic revitalization priorities, distressed community targets, and the industry growth areas identified in the Opportunity Agenda and Strategic Plan?

Q_3766

Is this a Global NY Project?

Q_3768

If this is a Global NY Project, please describe how this project relates to the identified goals of your region’s Global Marketing and Export Strategies as part of the Global NY initiative?

Q_4200

Does your project provide opportunities for Veterans’ to participate in the workforce, or improve services to the Veterans’ and military families in New York?

Q_4201

If Yes, please explain how your project impacts the Veterans’ and military families in New York.

Q_575

Project Description. Concisely describe the project, indicating the location, what will be planned, designed, acquired, and/or constructed, the issues/opportunities to be addressed, and expected outcomes and deliverables. Additional details will be collected later in the application process.

Q_976

Statement of Need

Q_930

Explain what makes your project a regional economic priority - for example creates jobs, economic investment, sustainability and community revitalization, government efficiency or consolidation etc.

Q_2366

How does your project align with the Regional Economic Development Council’s Strategic Plan/Upstate Revitalization Initiative Plan? (strategic plans are located at https://regionalcouncils.ny.gov/ )

Q_929

Current State of Project Development (i.e. planning, preliminary engineering, final design, etc. You may enter N/A for non-project related applications)

Q_975

Estimated Project Timeline: including project start/completion dates, estimates for design, permitting and construction or other major steps. (You may enter N/A for non-Project related applications)

Q_580

Provide a list of all federal, state, and local reviews, approvals, or permits needed or completed, including the dates when they are expected to be completed or were completed. If Not Applicable, indicate "NA".

Q_2364

What is the status of State and/or Federal Environmental Review? If review of the project is underway or completed pursuant to the State Environmental Quality Review Act (SEQRA) or National Environmental Policy Act (NEPA), please indicate the lead agency (if applicable).

Q_1054

If National Environmental Policy Act (NEPA) Record of Decision has been issued, please explain (include date of Record of Decision).

Q_2362

If funding was awarded in prior CFA rounds, what were the CFA numbers for which funding was awarded? (separate multiple CFA numbers with commas)

Q_4160

For each program to which you are applying under the CFA, explain your strategy for proceeding if the full amount of requested funding, required matching funds, and temporary financing are not secured as expected, or committed sources become unavailable.This explanation must address any proposed project phases, and both CFA and non-CFA sources of funds.

Q_4018

Pre-Submission Form Certification

Q_4008

Preliminary Budget Table

Q_3976

Job Creation/Retention Table

Q_4036

Applicant Certification Form

Q_4037

Certification of Business Form

Q_6790

Program Income Report Form

Q_4038

Community Development Grant/Loan Portfolio

Refer to the Help section for additional guidance.

Q_4039

Proposed Project Financing and Lien Structure Form

Q_4137

Copy of Citizen Participation Compliance Materials Including: • Municipal resolution(s) authorizing public hearing • Public hearing notice specific to the proposed assisted business • Affidavit of publication • List of attendees • Public hearing minutes • Evidence of conspicuous public posting (see help text) The public hearing must be held at least two weeks prior to submission of the application by a quorum of the legislative body. Note that If any of the required documents are not submitted with the application, they cannot be submitted after the application period closes, and the application will be deemed ineligible. Refer to the help section for additional guidance.

Q_6791

Civil Rights - Documentation of Section 3 and/or Affirmatively Furthering Fair Housing compliance. Refer to the application tips for additional information

Q_4040

Commitment letter(s) from all other funding sources, including proposed terms.

Q_4041

Documentation of unsuccessful attempts at pursuing non-CDBG funding sources

Refer to the Help section for additional guidance.

Q_4042

Job Creation/Retention Table

Refer to the Help section for additional guidance.

Q_4043

For job creation projects, a written commitment from the business that at least 51% of the jobs on a full-time equivalent basis will either be made available to, or taken by, low- and moderate-income persons as well as a commitment of the equity contribution, if any, proposed in the budget

Q_4044

A description of the business' hiring process when indicating that at least 51% of the jobs will be "taken by" low- and moderate- income persons.

Q_4045

For job retention projects, a written commitment from the business that at least 51% of the jobs on a full-time equivalent basis are held by low- and moderate- income persons as well as a commitment of the equity contribution, if any, proposed in the budget

Q_4046

If jobs will be retained as a result of CDBG assistance, provide documentation of clear and objective evidence that those jobs would be lost without CDBG assistance.

Q_4047

Business Plan, with resumes of principals, market analysis, marketing strategy, and impact on local competitors.

Q_4048

Business financial statements for each of the past three years (balance sheets and income statements), including all notes and disclosures.

Q_4049

Business federal income tax returns, Year 1 (the past 3 years of complete tax returns are required).

Q_4050

Business federal income tax returns, Year 2 (the past 3 years of complete tax returns are required).

Q_4051

Business federal income tax returns, Year 3 (the past 3 years of complete tax returns are required).

Q_4052

Current business financial statements (less than 60 days old).

Q_4053

Current business debt schedule (corresponds to current balance sheet).

Q_4054

Projected business debt schedule (with CDBG and other new debt).

Q_4055

Monthly cash flow projections for two years, with and without CDBG.

Q_4056

Balance sheet and profit and loss statement for three years with and without CDBG.

Q_4057

Current personal financial statement of principal(s) with 20 percent or more ownership (less than 60 days old).

Q_4059

Third party cost estimates

Cost estimates must be provided for the entire project cost, not only the NYS CDBG portion of the project.

Q_4060

Exhibit 2-3A Certificate of SEQR Classification

Refer to the Help section for additional guidance.

Q_4061

Short Environmental Assessment Form if classified as an Unlisted Action or Full Environmental Assessment Form (Long EAF) if classified as a Type I action under State Environmental Quality Review (SEQR)

Refer to the Help section for additional guidance.

Q_4062

Appraisals of real property (if applicable).

Q_4063

Evidence of site control (if applicable).

Q_4064

Engineering Report (required for infrastructure in support of an Economic Development project only)

Q_4066

Draft lease agreement(s) (if applicable).

Q_4067

Written documentation of support for the project

Q_3944

How will the proposed project comply with the NYS CDBG Economic Development Program Guidelines? Refer to the Help section for additional guidance. Address each guideline specific to the activity being proposed (Economic Development or Small Business) individually in your response.

Q_4089

For the business to be assisted, describe how the proposed activities meet the following underwriting guidelines for evaluating project costs and financial requirements:
  1. That project costs are reasonable;
  2. That all sources of project financing are committed;
  3. That to the extent practicable, CDBG funds will not be substituted for non-federal financial support;
  4. That the project is financially feasible;
  5. That to the extent practicable, the return on owner's equity investment will not be unreasonably high; and
  6. That to the extent practicable, CDBG funds will be disbursed on a pro rata basis with other financing.

A thorough financial underwriting of the business and proposed project must be conducted. Each of the six (6) criteria listed above must be covered and explained in detail.

Q_3928

Provide a brief summary of the business, including the types of product(s) and/or services, clientele, and geography. In addition, include a detailed description of the proposed project, how it will achieve the CDBG National objective of creating and/or retaining opportunities for persons from low- and moderate-income families. If the proposed project involves public infrastructure activities, provide a summary of the proposed activities including the conditions that currently exist and a description of the benefit to be provided.

Q_6789

Is this project subject to review or provided funds by other agencies, organizations, or authorities? If so, what is the status of any on-going consultations? Refer to the Help section for additional guidance.

Q_3945

ContactNamePreparer

Q_3962

ContactNameSubrecipient

Q_3949

TitlePreparer

Q_3950

TitleSubrecipient

Q_3947

OrganizationPreparer

Q_3948

OrganizationSubrecipient

Q_3951

AddressPreparer

Q_3952

AddressSubrecipient

Q_3953

ZipCodePreparer

Q_3954

ZipCodeSubrecipient

Q_3955

TelephonePreparer

Q_3956

TelephoneSubrecipient

Q_3957

EmailPreparer

Q_3958

EmailSubrecipient

Q_3149

HTFCSal
  • SELECT ONE:,Ms., Mr., Honorable

Q_3154

HTFCFirst

Q_3155

HTFCLast

Q_3156

HTFCTitle

Q_3157

HTFCAddress1

Q_3158

HTFCAddress2

Q_3159

HTFCCity

Q_3160

HTFCZip

Q_3161

HTFCPhone

Q_3162

HTFCEmail

Q_3929

BusinessName

Q_3930

NumberOwners

Q_3931

PercentOwners

Q_3932

DateEstablished

Q_3933

NAICS

Q_3934

BusinessDUNS

Q_3975

Business Zip Code

Q_3935

CurrentEmployees

Q_3905

StartGA

Q_3906

EndGA

Q_3907

StartERR

Q_3908

EndERR

Q_3909

StartActivities

Q_3910

EndActivities

Q_3913

StartJopReporting

Q_3914

EndJobReporting

Q_4405

CDBG Project Timeline Contract Completion Projected Start Date

Q_3915

EndCompletion

Q_3911

StartReimbursements

Q_3912

EndReimbursement

Q_3917

I certify that I understand that, once awarded, all persons applying for a job, not just those categorized as LMI, are required to fill out a Family Income Form and that these forms should be maintained within the files. The Family Income Form is available in the link below.

Q_4070

Provide a brief description of the community’s economic development needs including a discussion of economic trends and the community’s plan to address the needs identified.

Refer to the Help section for a detailed list of information required to answer the question completely.

Q_4071

Provide a project abstract. The abstract must include formal applicant name, location of project, amount of request, business to be assisted, jobs to be created or retained, and general purpose of project.

Sample text: [City, Town, Village, County Name] will use $400,000 in NYS CDBG funds to assist in the expansion of [Business Name]. The total project cost will be $5,000,000 with $2,000,000 from owner equity, $2,000,000 from [Bank Name], and $600,000 from other grant sources (specify). The project proposes to create 50 full-time jobs, of which 38 will be made available to low- and moderate-income persons.

Q_4072

In addition to the brief project description provided above, please break down the eligible project components and work proposed for each grant for which you are requesting funding. If the grant proposal is part of a larger project, describe the complete project and identify the portion proposed for current grant funding.

Q_4076

Provide a detailed explanation of the project need and impact.

The description should be specific and provide sufficient detail concerning:

  • the nature, scope, location, and purpose of activities that will be addressed by the proposed project and coordination of related activities;
  • any past efforts to resolve the needs identified;
  • any limitations on funding or other resources to address the need identified;
  • why the proposed project is the best approach to addressing the need identified; and
  • quantifiable information, such as how CDBG funding will be provided to the beneficiary (loan, grant, terms, etc.); impact on residents, suppliers or end users, etc.

Q_4077

Explain the proposed NYS CDBG program budget. Identify each of the estimated costs, including the source of the funds and proposed use: purchase of machinery and equipment, working capital, new construction, building renovation, etc. For each source identified, indicate whether the source is formally committed or pending approval. Please be specific, and list each source in a consistent format.

This explanation of your program budget must be consistent with the budget table included in this application, as well as the Proposed Project Financing and Lien Form included as an attachment to this application. If a source is identified as committed, the applicable commitment letter must be attached where requested in the application.

Q_4078

Please identify and explain any components of the proposed project that have been started as of the submission of this application, as well as any subsequent activities that are part of the total project. Indicate the actual or anticipated start and end dates for all of the activities.

Please note: If any project costs, regardless of their funding source, are incurred prior to the CDBG award date and the approval of the Request for Release of Funds by the Office of Community Renewal, the entire project may be deemed ineligible for NYS CDBG funds.

Q_4079

If the company operates out of multiple locations, identify each location and the number of full-time equivalent employees (at the time of application) at each location.

Q_4080

Will the proposed project result in the relocation of a plant, facility or operation? If so, provide the address of the plant/facility/operation being relocated and identify how many positions will be eliminated.

Q_4081

Of the total number of jobs to be created as a result of the proposed project, how many of those jobs will benefit persons of low- to moderate- income (LMI)?

Refer to the Help section for the definition of LMI jobs.

Q_4083

If jobs will be lost without assistance from New York State, how many jobs will the proposed project retain?

Refer to the Help section for rules on claiming retained jobs.

Q_4085

Of those jobs retained, how many jobs are currently held by low- to moderate-income (LMI) persons and/or can be reasonably expected to "turn over" to LMI persons within two (2) years? Also, provide an explanation of how the LMI job standard will be met.

Q_4088

Enter the number of full-time equivalent employees (at the time of application), employed by the business to be assisted.

Q_4090

Describe efforts to secure alternative or additional funds from all appropriate public or private sources available to assist in financing the proposed activity. In detail, explain the impact of the NYS CDBG funds on the total cost of the project and the beneficiaries (e.g. lack of other sources of funding). List the sources of cost estimates (where appropriate, project costs should be as recent as possible and documented by a qualified third party).

Q_4091

Describe how the applicant and business will comply with the job reporting requirements contained in the NYS OCR Grant Administration Manual.

Refer to the Help section for additional guidance.

Q_4092

Provide a detailed description of the program delivery and administration tasks required to undertake this project including who will undertake these tasks, the costs associated with the tasks, and how the costs were determined.

Q_4093

Enter the amount of program delivery funds allocated to the project from the State CDBG funds requested. Describe how the funds will be allocated to cover the costs of program delivery.

Q_4094

Enter the amount of grant administration funds allocated to the project from the State CDBG funds requested. Describe how the funds will be allocated to cover the costs of administration.

Q_4095

Describe any fringe benefits that will be provided to employees hired/retained as a result of this project (if applicable). Examples: Group insurance (health, dental, life), retirement benefits, etc.

Q_4096

Describe any training, professional development, or educational opportunities that will be provided to the employees hired/retained as a result of this project (if applicable).

Q_4097

Will the proposed project generate CDBG program income?

Refer to the Help section for additional guidance.

Q_4098

I understand that NYS Homes and Community Renewal may require additional project information or modifications to the original project proposal as a condition of award.

Q_4099

Does the proposed project use, maintain, or improve existing infrastructure? Y/N/Not Relevant. Please explain all responses.

Q_4101

Is the proposed project located in a municipal center? Y/N/Not Relevant. Please explain all responses.

Q_4103

Is the proposed project located in a developed area or an area designated for concentrated infill development in a municipally approved comprehensive land use plan, local waterfront revitalization plan and/or brownfield opportunity area plan? Y/N/Not Relevant. Please explain all responses.

Q_4104

Will the proposed project protect, preserve and enhance the State?s resources, including agricultural land, forests, surface and groundwater, air quality, recreation and open space, scenic areas, and significant historic and archaeological resources? Y/N/Not Relevant. Please explain all responses.

Q_4105

Will the proposed project foster mixed land uses and compact development, downtown revitalization, Brownfield redevelopment, the enhancement of beauty in public spaces, the diversity and affordability of housing in proximity to places of employment, recreation and commercial development and the integration of all income and age groups? Y/N/Not Relevant. Please explain all responses.

Q_4106

Will the proposed project provide mobility through transportation choices including improved public transportation and reduced automobile dependency?Y/N/Not Relevant. Please explain all responses.

Q_4107

Will the proposed project involve coordination between state and local government and inter-municipal and regional planning? Y/N/Not Relevant. Please explain all responses.

Q_4108

Will the proposed project involve participation in community based planning and collaboration? Y/N/Not Relevant. Please explain all responses.

Q_4110

Will the proposed project ensure predictability in building and land use codes? Y/N/Not Relevant. Please explain all responses.

Q_4112

Will the proposed project promote sustainability by strengthening existing and creating new communities which reduce greenhouse gas emissions and do not compromise the needs of future generations, by among other means encouraging broad based public involvement in developing and implementing a community plan and ensuring the governance structure is adequate to sustain its implementation? Y/N/Not Relevant. Please explain all responses.

Q_4125

Provide an estimate of the number of construction jobs to be created. Enter zero if not applicable.

Q_3940

What is the total number of jobs to be created as a result of the proposed project, within two (2) years from project commencement? Refer to the Help section for guidance on calculating total jobs.

Q_4002

Will the proposed project include any construction? If yes, what is the estimated total cost of the construction to be funded by CDBG and all other funding sources? Construction projects over $2,000 must comply with Davis Bacon labor standards. Provide a brief description of how construction projects of over $2,000 will comply with Davis Bacon Standards.

Q_4058

Personal tax returns for the last three (3) years must be submitted for each business owner who owns more than 20% of the business.

Provide this documentation as a single PDF to NYS Homes & Community Renewal by email at HCR_CFA@nyshcr.org.

Include the CFA Number in the subject line of the email.

  • Not Applicable, Tax returns will be provided by email to HCR_CFA@nyshcr.org

Q_4113

By entering your name in the box below, you certify and agree that you are authorized on behalf of the applicant and its governing body to commit the applicant to comply with the requirements of Article 15-A of the New York State Executive Law: Participation By Minority Group Members and Women With Respect To State Contracts by providing opportunities for Minority-owned Business Enterprise (MBE)/Woman-owned Business Enterprise (WBE) participation. You further certify that the applicant will maintain such records and take such actions necessary to demonstrate such compliance throughout the completion of the project.

Q_4114

By entering your name in the box below, you certify that you are authorized on behalf of the applicant and its governing body to submit this application. You further certify that all of the information contained in this Application and in all statements, data and supporting documents which have been made or furnished for the purpose of receiving Assistance for the project described in this application, are true, correct and complete to the best of your knowledge and belief. You acknowledge that offering a written instrument knowing that the written instrument contains a false statement or false information, with the intent to defraud the State or any political subdivision, public authority or public benefit corporation of the State, with the knowledge or belief that it will be filed with or recorded by the State or any political subdivision, public authority or public benefit corporation of the State, constitutes a crime under New York State Law.