Form Hud-40100-C - Instructions For Completing The State Designation Of Other Entities

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Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
This agency
may not conduct or sponsor, and a person is not required to respond to, a collection of information unless that collecton displays a valid OMB control
number.
The HOME statute imposes a significant number of data collection and reporting requirements. This includes information on assisted properties, on the
owners or tenants of the properties, and on other programmatic areas. The information will be used: 1) to assist HOME participants in managing their
programs; 2) to track performance of participants in meeting fund commitment and expenditure deadlines; 3) to permit HUD to determine whether each
participant meets the HOME statutory income targeting and affordability requirements; and 4) to permit HUD to determine compliance with other statutory
and regulatory program requirements. This data collection is authorized under Title II of the Cranston-Gonzalez National Affordable Housing Act or related
authorities. Access to Federal grant funds is contingent on the reporting of certain project-specific data elements. Records of information collected will
be maintained by the recipients of the assistance. Information on activities and expenditures of grant funds is public information and is generally available
for disclosure. Recipients are responsible for ensuring confidentiality when public disclosure is not required.
Instructions for Completing the State Designation of Other Entities,
form HUD-40100-C
HOME Program Cash and Management Information System
Read the instructions for each item before completing the form. Use a
Amount of Funds Allocated to the Entity.
typewriter or print with a ball point pen. Prepare an original and one copy.
Total Allocation. In the “Previous Allocation” column, enter the total
Mail the original to the address below. Retain the copy.
amount of funds previously allocated before this action to the entity from
HOME Program,
this fiscal year source of funds. If this is the entity’s initial allocation from
P.O. Box 23997,
this fiscal year source of funds, the amount previously allocated will be “0.”
L’Enfant Plaza Station,
In the “This Action” column, enter the total amount of funds being added
Washington, DC 20026
to the entity’s allocation (+) or being taken from the entity’s allocation(-) by
this action. In the “Revised Allocation” column, enter the total amount of
Applicability. The purpose of this form is to provide a way for a State PJ
funds allocated to the entity from this fiscal year source of funds after this
to report commitments and for the C/MIS to track commitments of HOME
action (previous allocation plus or minus this action).
funds in accordance with the expanded definition of Commitment at 24
CFR 92.2. The State Designation of Other Entities (form HUD-40100-C)
Project Funds. Of the amount indicated on the “Total Allocation” line,
does not replace the existing forms for State Designation of State Recipi-
enter the amount of funds, if any, that are allocated to the entity for projects
ents or for Designation of CHDOs. It must be completed by each State PJ
(for costs except for administration costs, CHDO operating expenses, and
that wishes to designate entities other than units of general local govern-
CHDO reallocation funds). If this is the entity’s initial allocation from this
ment (including, but not limited to a State or local Public Housing Authority,
fiscal year source of funds, the amount previously allocated will be “0.” In
Community Action Program Agency, or other subrecipients) to receive
the “This Action” column, enter the amount of funds, if any, that are being
HOME Program funds. The form is to include funds from one fiscal year
added to (+) or taken from (-) the entity’s allocation by this action that are
only. If a State wishes to provide funds to an entity from two different fiscal
project funds. In the “Revised Allocation” column, enter the amount of
year sources of funds (e.g., 1993 and 1994), a separate form must be
project funds allocated to the entity after this action from this fiscal year
used. This form is to be completed as follows:
source of funds (previous allocation plus or minus this action).
Name and Address of State. Enter the name and address of the State
Administrative Funds. Of the amount indicated on the “Total Allocation”
participating jurisdiction.
line, enter the amount of funds, if any, that are allocated for program
administration (for costs of administrating the HOME program). If this is
Type of Submission. Mark the appropriate box.
the entity’s initial allocation from this fiscal year source of funds, the
l Mark the box for “Original Submission” if this is the first form HUD-
amount previously allocated will be “0.” In the “This Action” column, enter
40100-C submitted for this fiscal years’s source of funds;
the amount of funds, if any, that are being added to (+) or taken from (-)
l Mark the box for “Duplicate” if this form has been previously sent to HUD
the entity’s allocation by this action that are program administration funds.
by mail or facsimile;
In the “Revised Allocation” column, enter the amount of funds allocated to
the entity for program administration from this fiscal year source of funds
l Mark the box for “Revision” if this form is revising what was previously
after this action (previous allocation plus or minus this action).
submitted for this fiscal year source of funds.
CHDO Operating Expenses. Of the amount indicated on the “Total
State Participant Number. Enter the State’s Participant Number as-
Allocation” line, enter the amount of funds, if any, that are allocated for
signed by HUD in block 2 of the HOME Investment Partnership Agreement
operating expenses for CHDOs. If this is the entity’s initial allocation from
(HUD-40093).
this fiscal year source of funds, the amount previously allocated will be “0.”
State Tax Identification Number. Enter the State’s Tax (Employer)
In the “This Action” column, enter the amount of funds, if any, that are
Identification Number from block 3 of the HUD-40093.
being added to (+) or taken from (-) the entity’s allocation by this action that
Name and Address of Other Entity. Enter the name and address of each
are program administration funds. In the “Revised Allocation” column,
entity designated by the State to receive HOME program funds.
enter the amount of funds allocated to the entity for CHDO operating
expenses from this fiscal year source of funds after this action (previous
Other Entity Number. Enter the number assigned by the State PJ for
allocation plus or minus this action). Note: the total amount allowed for
each other entity. Note 1: See instructions for designating numbers in
CHDO operating expenses cannot exceed 5 percent of a participating
Attachment E to CPD Notice 92-18 (or its successor) entitled Cash and
jurisdiction’s allocation for a fiscal year.
Management Information System. Note 2: State PJs will assign a number
to these entities replacing the 0100 in its own grant number with a number
CHDO Reallocation. Of the amount of funds indicated in the “Total
beginning with 0601 and not exceeding 0899 ( e.g., M94-SG730601). The
Allocation” line, enter the amount of funds, if any, that are CHDO Reallo-
same four-digit number initially assigned to an entity should be used for
cation funds. CHDO Reallocation funds are funds that are available from
any subsequent allocations with the appropriate fiscal year identifier (‘93,
funds that have been recaptured from participating jurisdictions which had
‘94) for the fiscal year source of funds.
not reserved at least 15 percent of their allocation for CHDOs within 24
months of receiving those funds. A participating jurisdiction that receives
Other Entity Tax Identification Number. Enter the Tax (Employer)
any of these recaptured funds (also called “CHDO Reallocation” on the
Identification Number for each entity.
form) and decides to allocate them to an entity must enter the amount
Functions Delegated to Other Entity. Indicate the access the other
allocated on the “CHDO Reallocation” line.
In other words, CHDO
entity is authorized for the HOME Cash and Management Information (C/
Reallocation can be viewed as a source of funds. If this is the entity’s initial
MI) System, i.e ., project set-up, drawdown of project funds, and/or
allocation for this fiscal year source of funds, the amount previously
drawdown of administration funds.
Note 1: If the other entity is not
allocated will be “0”. If not, enter the amount already allocated to the entity
authorized to access the HOME C/MI system, mark “None.” Note 2: The
from the CHDO Reallocation source of funds for that fiscal year, if any. In
principal difference between an “other entity” and a “state recipient” is that
the “This Action” column, enter the amount of CHDO Reallocation funds,
an other entity is unauthorized to draw funds from the C/MI system directly
if any, that are being added to (+) or taken from (-) the entity’s allocation
into its own bank account.
by this action. In the “Revised Allocation” column, enter the net amount
of CHDO Reallocation funds allocated to the entity after this action from
this fiscal year source of funds (previous allocation plus or minus this
action).
form HUD-40100-C (9/94)
Previous edition is
obsolete.

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