This reporting form is the minimum reporting required for most programs. You will need to know the specific resporting requirements from the contract in order to complete all sections of this submission, especially Step 2, the reporting narrative.
Step 1- Please enter the correct Contract Unique Case ID and reporting period this report will cover.
Step 2- Reporting Narrative: Provide a narrative of accomplishments and progress on performance measures outline in the contract for this activity. Provide specifics, such as numbers related to performance measures and locations of activities.
Step 3- Demographics: Please report race and ethnicity of all participants. The City of Cleveland is mandated to collect this information to demonstrate that there is equitable distribution of resources in the Community.
Step 4- Income: Please report the income levels of those you serve. Income levels can be self-certified by clients, but you must retain a copy of their self-certification. The income levels are calculated annually, for 2024 and can be found at:https://www.huduser.gov/portal/datasets/il.html
Here is a summary of the income levels.
- - Extremely Low Income (< 30% AMI) is less than $31,200 for a family of four or less than $20,450 for family of one.
- - Low Income (< 50% AMI) is approximately $31,200-$48,600 for a family of four or $20,450-$34,050 for family of one.
- - Moderate Income (< 80% AMI) is approximately $48,600-$77,750 for a family of four or $34,050-$54,450 for family of one.
- - Above Moderate Income (> 80% AMI) is over $77,750 for a family of four or over $54,450 for family of one.
The number of people's income reported must equal the number of people's race reported.
Step 5- Businesses: Please report the businesses that you served and included: number of new, expanding or relocating businesses, their addresses and Unique Entity Identifiers (UEI).
Step 6- Parcels: Please report the number of parcels served and their addresses.
Step 7- Documentation: Please upload documentation (1 pdf file) supporting your reported accomplishments and a photos show the activity in progress or completed (1 photo file).
Step 8- Certify your submission by electronically signing this report and dating the form.