Form Hud-40110-C - Annual Progress Report (Apr) - Housing Opportunities For Persons With Aids (Hopwa) Program Page 14

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Section 2. Prevention of Homelessness: Assessment of Client Outcomes on reduced risks of homelessness
(Short-Term Housing Assistance)
Report the total number of households that received STRMU assistance in Column 1. In Column 2, identify the result of the
housing assessment made at time of assistance, or updated in the operating year. (Column 3 provides a description of housing
outcomes; therefore, data is not required.) In Row 1a, enter the total number of households served in the prior operating year
that received STRMU assistance this year. In Row 1b, enter the total number of households that received STRMU Assistance in
the 2 prior operating years that received STRMU assistance this year. Note: The sum of Column 2 should equal the number of
households reported in Column 1.
Assessment of Households receiving STRMU Assistance
[1] STRMU
[2] Assessment of Housing Status
[3] HOPWA Client Outcomes
Housing
Assistance
Maintain private housing without subsidy (e.g. Assistance
provided/completed and client is stable, not likely to seek
=
additional support)
Stable/Permanent Housing (PH)
Other Private Housing without subsidy
=
Other HOPWA support (PH)
=
Other housing subsidy (PH)
=
Institution (e.g. residential and long-term care)
=
=
Likely to maintain current housing arrangements, with
additional STRMU assistance
=
Transitional Facilities/Short-term (e.g. temporary or
Temporarily Stable, with Reduced Risk of
transitional arrangement)
=
Homelessness
Temporary/Non-Permanent Housing arrangement (e.g. gave
up lease, and moved in with family or friends but expects to
=
live there less than 90 days)
Emergency Shelter/street
Unstable Arrangements
=
Jail/Prison
=
Disconnected
=
Death
Life Event
=
1a. Total number of those households that received STRMU Assistance in the prior operating year, that received STRMU
=
assistance in the current operating year
1b. Total number of those households that received STRMU Assistance in the two (2 years ago) prior operating years, that
=
received STRMU assistance in the current operating year
11
Previous editions are obsolete
Page
form HUD-40110-C (Expiration Date: 12/31/2010)

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