Program Questions:
HCR - Community Development Block Grant (CDBG) - Public Infrastructure & Public Facilities

Q_5413

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

Q_3645

CDBG funded projects must demonstrate compliance with a National Objective of benefiting low- and moderate-income persons or preventing or eliminating slums and blight. In order to document compliance with a National Objective, applicants must first identify the service area of their project to determine the total number of residential units (occupied, vacant and seasonal) and persons in the project area. Has the entire service population for the project been included in documenting National Objective Compliance?

Q_3712

Does each of the activities within the the proposed project comply with a CDBG National Objective?

Documentation of how the project benefits low- and moderate-income persons, or prevents or eliminates slums and blight will be required as part of this application.

Q_3348

Will NYS CDBG funds be used for eligible project costs?

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_3294

Will the CDBG portion of the project for which funds are being requested involve the construction or rehabilitation (other than handicapped accessibility improvements) of buildings for the general conduct of government business (i.e. Town Hall)?

Q_5414

Is the CDBG program request amount within the funding limits allowed by applicant and application type?

Q_1529

Will the amount of CDBG funds used towards soft costs (grant administration, program delivery, engineering design) exceed 18% of the total CDBG amount being requested?

Q_3325

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

Q_3999

Will the proposed project be complete within 24 months from project award?

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_972

Project county or counties.

Q_1034

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

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_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_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_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_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_2655

Based on your selection from the previous question, enter your applicant ID number. (Please do not provide your social security number).

Q_969

If you are a business, have you been certified as a New York State Minority or Women-owned Business Enterprise (MWBE)?
  • Yes, No, N/A

Q_546

Legal Name of Applicant

Q_5416

Applicant First Name

Q_5417

Applicant Last Name

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_5257

Contact Salutation
  • Mr., Mrs., Ms., Dr.

Q_547

Contact First Name

Q_1049

Contact Last Name

Q_1050

Contact Title

Q_5490

Primary Organization

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_5475

Contract Salutation
  • Mr., Mrs., Ms., Dr.

Q_5476

Contract First

Q_5477

Contract Last

Q_5478

Contract Title

Q_5491

Authorized Organization

Q_5479

Contract Street

Q_5480

Contract City

Q_5481

Contract State

Q_5482

Contract Zip

Q_5483

Contract Phone

Q_5484

Contract Email

Q_5493

Additional Salutation
  • Mr., Mrs., Ms., Dr.

Q_1052

Additional Project Contact First Name

Q_970

Additional Project Contact Last Name

Q_1051

Additional Contact Title

Q_5492

Additional Organization

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_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_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_6048

Does your project advance downtown revitalization?

Q_6047

If Yes, please detail how it will attract and retain residents, visitors and businesses and transform neighborhoods.

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_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_4000

Applicant Certification Form

Q_5445

Applicant/Recipient Disclosure/Update Form

Q_6835

Copy of Citizen Participation Compliance Materials Including: • Municipal resolution(s) authorizing public hearing • Public hearing notice • 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_6840

Program Income Report Form

Q_5448

Public Infrastructure/Facility Activity Detail Form

Q_5452

Preliminary Budget Table

Q_1515

Engineering Report

Q_3332

Third party cost estimates

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

Q_6841

Facility/Maintenance Plan

Q_2613

Evidence of CDBG National Objective Compliance.

Q_3458

Survey Methodology

Q_1485

Sample Income Survey Instrument

Q_1486

A representative sample of submitted income surveys (Confidential materials - that identify a specific person, household or address.)

Q_1487

Summary of Income Survey Data

Q_1488

Purchase Agreements or other documentation that supports the status of site control.

Q_1489

Maps (as required)

Q_1492

Commitment letters or letters of application

Q_6946

Please provide Letters of Support for your project (if applicable). All letters should be scanned into a single PDF file and their total size cannot exceed 10 Megabytes (MB).

Q_3329

Documentation of unsuccessful attempts at pursuing non-CDBG funding sources

Refer to the Help section for additional guidance.

Q_1493

If the application is submitted by a County on behalf of a local government, a cooperation agreement and a resolution authorizing an Applicant (County) to submit an application on behalf of a unit of local government.

Q_5454

If the application is a joint application, a cooperation agreement and a resolution authorizing a joint application and one of the units of local government as the primary applicant. In addition, note that CDBG public hearing requirements apply to all applicants submitting joint applications. Each community will be required to hold a public hearing prior to submission.

Q_5450

Smart Growth Compliance Form

Q_6401

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

Q_6402

Project Team

Q_5457

Please enter the DUNS number for the Unit of Government serving as the Applicant.

Q_1450

Will the proposed project result in the creation of construction jobs? If so, estimate the number of construction jobs to be created.

Enter zero if not applicable.

Q_1459

Will the proposed project directly or indirectly result in the creation of permanent jobs? If so, estimate the number of permanent full-time equivalent jobs that will be created.

Enter zero if not applicable.

Q_7284

Is the proposed project a Public Facility (PF) or Public Infrastructure (PI) activity? Please read Help Text for guidance.
  • Public Infrastructure, Public Facility
    1. If Public Facility is selected then these questions will be displayed:
      - Q_5419
      - Q_5440
      - Q_5441
      - Q_5442
    2. If Public Infrastructure is selected then these questions will be displayed:
      - Q_7233
      - Q_7234
      - Q_5434
      - Q_5436
      - Q_5437
      - Q_5438

Q_5419

For Public Facility projects, please choose activity type from the list below.
  • Health Care Center, Senior Center, Child Care Center, Removal of Architectural Barriers, Special-Needs Facilities, Other

Q_5420

Provide a project abstract. The abstract must include formal applicant name, location of project, amount of request, general purpose of the project, and project beneficiaries. Sample text: [City, Town, Village, County Name] will use $400,000 in NYS CDBG funds to replace [Type of Public Infrastructure/Public Facility]. The total project cost will be $1,000,000 with $600,000 from other grant sources (specify). The project proposes to benefit 50 low-and moderate-income persons.

Q_6836

Provide a brief description of the current community in which the proposed activities will be undertaken, including a summary of the community’s existing overall community development needs, challenges and priorities. Describe the process used to determine those priorities.

Q_6837

Provide a detailed description of each activity proposed including quantifiable information and any unique aspects of the proposal, the impact of the project on identified priorities including the health, welfare or safety of the beneficiaries of the project. Examples of quantifiable information include the length and diameter of water or sewer lines, and number, size and type of buildings, etc. If the project is part of a larger effort, describe the complete project and identify the portion proposed for current grant funding.

Q_3349

Explain the proposed NYS CDBG program budget. Identify each of the estimated costs, including the source of the funds and proposed use. 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_4376

Explain the positive impact of the NYS CDBG funds on the total cost of the project and to the beneficiaries of the project and why NYS CDBG funds are required to carry out the proposed activity. Explain the need for public investment.

Q_6838

Have other sources of funds been pursued for this project? Provide a clear explanation and identify all sources. If alternative funding (co-funding) has been obtained or applied for, supporting documentation must be attached. Upload supporting documentation in the Commitment Letters attachment or the Documentation of unsuccessful attempts to pursue non-CDBG funding sources attachment. Refer to the Help section for additional guidance.

Q_2462

Describe the method used to determine the best approach and cost-effective method to address the need. List the sources and dates of third-party cost estimates including any special features that will result in an unusual or a costly design. Cost estimates must be no more than 12 months old and specific to the project being proposed.

Q_5426

Provide the amount of grant administration and/or 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 administration and program delivery . Describe the overall administration and program delivery activities to be undertaken and how these activities will be funded. - Include a description of the roles of consultants, subrecipients and individuals involved in the administration and delivery. - Provide a clear delineation of the activities to be undertaken for administration and for program delivery. - Identify all sources of funds that will be used to cover administrative and program delivery expenses, including but not limited to CDBG, EFC, USDA RD and other local State and Federal funding.

Q_3338

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_6392

Is this project subject to review 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_5430

Has the State Environmental Quality Review (SEQR) process been completed for the proposed project?
  • Yes, No
    1. If Yes is selected then Q_5431 will be displayed

Q_5431

If the State Environmental Quality Review (SEQR) process been completed for the proposed project, what is the classification under SEQR?
  • Type I, Type II, Unlisted, Environmental Impact Statement (EIS)

Q_6839

Provide a brief explanation of long-term support for the facilities and services, including staffing capacity, financial sustainability, and description of the supportive services or long-term maintenance plan. Describe the life-expectancy of the system or facility. Please include as an attachment to the application, a facility or maintenance plan for the proposed improvements.

Q_5433

Explain the status of site-control. Provide a description of any other impediments to timely commencement and completion of the project, such as extensive environmental concerns or the need to acquire easements on private property.

Q_5427

Is this a joint application between two local governments?
  • Yes, No
    1. If Yes is selected then Q_5428 will be displayed

Q_5428

For joint application, identify both applicants (units of local governments).

Q_6395

Describe the method or methods used to determine the median household income (MHI) of the beneficiaries of the proposed project, for the purposes of meeting a National Objective under the NYS CDBG program. Provide specific data sources used to demonstrate that the proposed activities will primarily benefit low and moderate income households. All supporting information should be uploaded as an attachment to the application.

Q_5434

If this project benefits an entire Village or City-Wide system, indicate the number of system users located outside of the municipal boundaries.

Q_5436

What percent of the proposed system is attributable to commercial, institutional and/or industrial use?

Q_5437

What percent of the residents in the service area are seasonal residents?

Q_5438

What is the one-time municipal hook-up or special assessment fee (per household)?

Q_7233

Provide a brief description of how total EDU’s were calculated. For costs not calculated on a per- EDU basis, describe how ultimate user costs were calculated.

Q_7234

If the project is subject to the formation of a new water or sewer district, provide a brief description of the process, including the status of site control, and dates of any public referendum and/or district formation.

Q_5440

For Public Facilities, describe the existing facilities (i.e. community and senior centers, day care centers, clinics) in or near the project area (20 miles), the population served, and the services provided.

Q_5441

For other public works improvements, such as sidewalks, streets, parking, open space, and publically owned utilities, describe the existing conditions or lack of infrastructure and why the improvements are necessary.

Q_5442

If there is an existing facility or public works in the project area for the same or similar purpose, explain the need for the proposed project in relation to the benefiting population and existing facilities.

Q_6396

Does the applicant have an approved Section 3 plan on file with NYS Homes and Community Renewal? If not, please provide a Section 3 Compliance Plan as an attachment to the application. A sample Compliance Plan is available at: http://www.nyshcr.org/AboutUs/Offices/FairHousing/Sec3/Downloads/Section_3_Plan_City_Townships.pdf

Q_3345

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_1037

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_1038

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.