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HUD Family Unification Program Application Copyrighted December 16, 2019 City of Dubuque Consent Items # 11. ITEM TITLE: U.S. Departmentof Housing & Urban Development (HUD) - Family Unification Program Application SUMMARY: City Manager recommending City Council authorization of an application to the U.S. Department of Housing & Urban Development (HUD)for the administration of the Family Unification Program in partnership with Public Child Welfare Agency(lowa Department of Human Services). It is further recommended that City Manager or his designee be authorized to execute all required documentation for this grant application. RESOLUTION Authorizing the Mayor to execute an application for Family Unification Program Grant and authorizing the Directorof Housing and Communication Development and the City Manager to approve the application SUGGESTED DISPOSITION: Suggested Disposition: Receiveand File;Adopt Resolution(s) ATTACHMENTS: Description Type HUD Family Unification ProgramApplication-MVM City Manager Memo Memo Staff Memo for FUP grant application Staff Memo FUP grant application resolution Resolutions FUP GrantApplication - added Supporting Documentation Dubuque THE CITY OF � uI�AaMca cih DuB E � � I � � I Maste iece on the Mississi i Zoo�•zoiz•zois YP pp zoi�*zoi9 TO: The Honorable Mayor and City Council Members FROM: Michael C. Van Milligen, City Manager SUBJECT: HUD Family Unification Program Application DATE: December 11, 2019 Housing & Community Development Director Alexis Steger recommends City Council authorization of an application to the U.S. Department of Housing & Urban Development (HUD) for the administration of the Family Unification Program in partnership with Public Child Welfare Agency (lowa Department of Human Services). It is further recommended that City Manager or his designee be authorized to execute all required documentation for this grant application. The Family Unification Program provides Housing Choice Vouchers to families for whom the lack of adequate housing is a primary factor in either the placement of the family's child or children in out-of-home care or delay in discharge of a child or children to the family from out-of-home care and to youth who are at least 18 years old and not more than 24 years old who have left or will leave foster care and are homeless or at risk of being homeless. There are no time limitations on Family Unification Program family vouchers and Family Unification Program youth vouchers are limited to 36 months of housing assistance. Vouchers provided through Family Unification Program will be used for families and youth to lease decent, safe, and sanitary housing in the private housing market. I concur with the recommendation and respectfully request Mayor and City Council approval. � Mic ael C. Van Milligen MCVM:jh Attachment cc: Crenna Brumwell, City Attorney Teri Goodmann, Assistant City Manager Cori Burbach, Assistant City Manager Alexis M. Steger, Housing & Community Development Director Dubuque THE CITY OF � All•Ameriea Cil� U� � nwnoha�c�i�nc,u� , � � ► Masterpiece on the Mississippi 2oi�*2o�9 TO: Michael C. Van Milligen, City Manager FROM: Alexis M. Steger, Housing & Community Development Director DATE: December 11, 2019 RE: HUD Family Unification Program Application Introduction The purpose of this memorandum is to request the City Council's authorization of an application to the U.S. Department of Housing & Urban Development (HUD) for the administration of the Family Unification Program (FUP) in partnership with Public Child Welfare Agency (lowa Department of Human Services). Background The Family Unification Program provides Housing Choice Vouchers (HC� to families for whom the lack of adequate housing is a primary factor in either the placement of the family's child or children in out-of-home care or delay in discharge of a child or children to the family from out-of-home care and to youth who are at least 18 years old and not more than 24 years old who have left or will leave foster care and are homeless or at risk of being homeless. There are no time limitations on FUP family vouchers and FUP youth vouchers are limited to 36 months of housing assistance. Vouchers provided through FUP will be used for families and youth to lease decent, safe, and sanitary housing in the private housing market. Discussion Housing & Community Development Department (HCDD) will administer FUP in partnership with lowa Department of Human Services (IDHS). The IDHS initially determines if the family or youth meets the FUP eligibility requirements, certifies that the family or youth is eligible, and refers those families or youths to HCDD. Once IDHS makes the referral, HCDD places the FUP applicant on its HCV waiting list and determines whether the family or youth meets HCV program eligibility requirements, including income eligibility. HCDD conducts all other processes relating to voucher issuance and administration. In addition to rental assistance, supportive services must be provided to FUP youths for at least 18 months that the youth participates in the program. However, either IDHS or HCDD will provide supportive services for 36 months while the youth participates in the program. Examples of the skills targeted by these services include money management skills, job preparation, educational counseling, and proper nutrition and meal preparation. While the FUP program is administered in accordance with HCV program regulations, the FUP Notice of Funding Availability (NOFA) issued by HUD provides specific program information and requirements such as the targeted population, the Memorandum of Understanding (MOU) by which HCDD, IDHS and Continuum of Care establish their partnership and responsibilities, and rating criteria for review and selection of applications. The estimated start date of the grant is April 1 , 2020. Requested Action I respectively request City Council to authorize an application to HUD for the FUP grant. I further request the City Manager and/or his designee be granted the ability to execute all required documentation for this grant application on behalf of the Mayor and City Council. Prepared by Teresa Bassler, Assisted Housing Supervisor Cc: Jenny Larson, Budget and Finance Director Cori Burbach, Assistant City Manager Teri Goodman, Assistant City Manager 2 Prepared by Alexis Steger, Housing & Community Devel., 350 W. 6th St., Suite 312, Telephone: 563-690-6072 Return to: Kevin Firnstahl, City Clerk Address: City Hall- 50 W. 13th St Telephone: (563) 589-4100 RESOLUTION NO. 428-19 AUTHORIZING THE MAYOR TO EXECUTE AN APPLICATION FOR FAMILY UNIFICATION PROGRAM GRANT AND AUTHORIZING THE DIRECTOR OF HOUSING AND COMMUNITY DEVELOPMENT AND THE CITY MANAGER TO APPROVE THE APPLICATION Whereas, the U.S. Department of Housing and Urban Development (HUD) has published a Notice of Funding Availability (NOFA) for the Family Unification Program to provide housing assistance under the Housing Choice Voucher (HCV) program in partnership with Public Child Welfare Agencies; and Whereas, the U.S. Department of HUD will notify successful applicants of their selection for funding of the Family Unification Program grant; and Whereas, the City of Dubuque proposes to administer the Family Unification Program grant to families for whom the lack of adequate housing is a primary factor in the placement or delay in discharge of a child or children in or from out -of -home care and to youth who have left or will leave foster care and are homeless or at risk of being homeless. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF DUBUQUE IOWA THAT: Section 1: The Mayor is hereby authorized and directed to submit an application to HUD for the Family Unification Program grant. Section 2: The Director of Housing and Community Development and the City Manager are hereby authorized to approve the application that is submitted to HUD. Section 3: The City Manager is hereby authorized and directed to forward said application and resulting standard executed contract to the respective agency in a timely fashion and as required by U. S. Department of Housing and Urban Development. Passed, approved and adopted this 16th day of December 2019. Attest: Keen S. Firnstahl, City Clerk 41/ Roy D. Buol, Mayor OMB Number:4040.0004 Expiration Date: 12/31/2019 Application for Federal Assistance SF-424 '1.Type of Submission: '2.Type of Application: 'If Revision,select appropriate letter(s): � Preapplication � New �Application �Continuation 'Other(Speciry): � Changed/Corrected Flpplication � Revision '3.Date Received: 4.Applicant Identifer: completed by crzntsgov upon submission. Sa.Federal Entity Identifer Sb.Federal Award Identifer: IA087 S[a[e Use Only: 6. Date Received by State: � 7.State Application Identifier: 8.APPLICANT INFORMATION: 'a.LegalName: City of Dubuque 'b.EmployerlTaepayer ldentification Number(EINlTIN): 'c.Organizational DUNS: 92-6009596 1982188320000 d.Address: 'Streetl: 350 W 6th Street Ste 312 Street2: 'City: Dubuque County/Parish: Dubuque 'State: IA: Iowa Province: 'COUnffy: USA: UNITED STATES 'Zip/Postal Code: 52001-9 698 e.Organiza[ional Uni[: Department Name: Division Name: Housing & Community Developmen f.Name and con[ac[informa[ion of person[o be con[ac[ed on ma[[ers involving[his applica[ion: Prefx: Mxs. 'FirstName: Alexis Middle Name: 'LastName: Steger Suffix: � Title: Housing & Community Development Director Organizational Affiliation: 'TelephoneNumber: 563-589-9230 FaxNumber: 563-589-9299 'Email: asteger@cityofdubuque.org PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 Application for Federal Assistance SF-424 *9.Type of Applican[1:Selec[Applican[Type: C: City or Township Government Type of Applicant 2:Seled Applicant Type: L: Public/Indian Housing Authoxity Type of Applicant 3:Seled Applicant Type: 'Other(specify): *10.Name of Federal Agency: US Department of Housing and Urban Development 11.Ca[alog of Federal Domes[ic Assis[ance Number: 19.880 CFDA Title: Family Unification Program (FUP) *12. Funding Oppor[uni[y Number: FR-6300-N-91 'Title: 2019 Family Unification Pxogxam Notice of Funding Availability 13.Compe[i[ion Iden[ifica[ion Number: FR-6300-N-91 Title: 2019 Family Unification Pxogxam Notice of Funding Availability 14.Areas Affec[ed by Projec[(Ci[ies,Coun[ies,S[a[es,e[a�: Add Attachment � Vi. *15. Descrip[ive Ti[le of ApplicanPs Projec[: IA087 City of Dubuque FUP Gxant Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 l Application for Federal Assistance SF-424 16.Congressional Dis[ric[s Of: 'a.Applicant IA-001 'b.Program/Projed IA-001 Attach an additional list of Program/Projed Congressional Districts if needed. Add Attachment � � 17. Proposed Projec[: 'a.Stad Date: 0 9/O 1/2 02 0 'b.End Date: 03/31/2 021 18. Es[ima[ed Funding($�: 'a. Federal 299,600.00 'b.Applicant 0.00 'c.State 0.00 'd. Local 0.00 'e.Other 0.00 'f. Program Income 0.00 'g.TOTAL 299,600.00 *19.Is Applica[ion Subjec[[o Review By S[a[e Under Execu[ive Order 12372 Process? � a.This application was made available to the State under the Executive Order 12372 Process for review on �� � b. Program is subject to E.O. 12372 but has not been selected by the State for review. � c. Program is not covered by E.O. 12372. *20.Is[he Applican[Delinquen[On Any Federal Deb[? (If"Yes,"provide explana[ion in a[[achment) �Yes � No If"Yes",provide explanation and attach � � � 21.*By signing[his applica[ion, I certify(1)[o[he s[a[emen[s con[ained in[he lis[of cer[ifica[ions**and(2)[ha[[he s[a[emen[s herein are [rue, comple[e and accure[e [o [he bes[ of my knowledge. I also provide [he required assurances** and agree [o comply wi[h any resul[ing[erms if I accep[an award.I am aware[ha[any false,fic[i[ious,or fraudulen[s[a[emen[s or daims may subjec[me[o criminal,civil,or adminis[re[ive penal[ies.(U.S.Code,Ti[le 21$Sec[ion 1001) � **I AGREE "The list of certifcations and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specifc instrudions. Au[horized Represen[a[ive: Prefx: Mxs. 'FirstName: Alexis Middle Name: 'LastName: Steger Suffx: 'Title: Housing & Community Development Director 'Telephone Number: 563-589-9230 Fae Number: 563-589-9299 'Email: asteger@cityofdubuque.org 'SignatureofAuthorizedRepresentative: compietedeycrzn�govuponsuemission. 'DateSigned: compietedeycrzn�govuponsuemission. PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352 OMB Number:4040-0013 Expiration Date:02282022 1. *Type of Federal Action: 2. *Status of Federal Action: 3. * Report Type: � a.contrzct � a.bid/offar/applicafion �a.initial filing � b.grant � b.inifial award � b.matenal change � c cooperztive agreement � c.postawaN � d loan � e.loanguarantee � f loaninsurznce 4. Name and Address of Reporting Entity: �Pnme �SubAwaNee *Namz City of �ubuque 'Sbeet� Sbeet 2 350 W fith 9tveet 9te 312 'City pubuque State jp, jowa ��P 52001 Congressional DisMct,if known� �A-001 5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: 6. * Federal DepartmenVAgency: 7. * Federal Program Name/Description: Housi�g c Uvbe� �evelopme�t Femily U�ificetio� Pmgvem (FUP) CFDA Numbe�ifeppliceble: 19.880 8. Federal Action Number, ifknown: 9.Award Amount, ifknown: $ z9e,eoo.00 10. a. Name and Address of Lobbying Registrant: Piehz � FisfNeme Not APPliceble Mitltl/eNeme 'LesfNeme Not Appliceble Suffix � 'Sheet� 5(/eef 2 *City State Zip � b. �f1C�IVIC�U2� PBffOffl11f1Q SBfVICOS pndudingaddressifdifferentfromNo.10a) Piehz � FisfNeme Not APPliceble Mitltl/eNeme 'LesfNeme Not Appliceble Suffiz � 'Sheet� Sbeet2 *City State Zip � ��. Infortnafion requested mmugh this Nrtn is aumonzed by fitle 31 U S.C.section 1352. This disdosure of lobbying activities is a matenal representation of fact upon which reliance was placed by the tierabove when the trznsacfion was made or entered into. This disdosure is required pursuant to 31 U S.C.1352.This inNrtnation will be reported to the Congress semi�nnually and will be available for public inspection. Any person who fails to file the required disdosure shall be subject to a civil penalty of not less than $10,000 and not more than$100,000 for each such faiWre. "Signa[ure: compiecea o s�nmissi � co e�e�cs.go� "Name: P��x � Fi�sfineme nniddiememe M[5. Alexis *LesfNeme Suffiz � stegev Ti[le: xo�si�g c comm��icy oeoeiopme�c oi�e�m� Telephone No.: se3-se9-9z3o Da[e: compiecea o s�nmissi � co e�e�cs.goo Federel Use Only: sa aa�om�uijae��iaij�� PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 Applicant/Recipient U.S. Department of Housing OMB Number:2510-0011 Disclosure/Update Report and Urban Development Expiration Date:08/31rz022 Applicant/Recipient Information *Duns Number: 1982188320000 *Report Type: zNZTZAL 1.Applicant/Recipient Name,Address, and Phone(include area code): *Applicant Name: City of Dubuque "Stfeetl: 350 W 6th Street Ste 312 Street2: "City: Dubuque COUnty: Dubuque *State: IA: Iowa *Zip Code: 52001-9698 *Country: usA: uNZTED sTATEs "PhOne: 563-589-9230 2.Social Security Number or Employer ID Number: 92-6009596 *3. HUD Program Name: Family Unification Program (FUP) *4.Amount of HUD Assistance Requested/Received: $ 2 99, 600.00 5.State the name and location(street address, City and State)of the project or activity: "PfOjeCtName: City of Dubuque IA087 FUP "Stfeetl: 350 W 6th Street Ste 312 Street2: "City: Dubuque COUnty: Dubuque *State: IA: Iowa *Zip Code: 52001-9698 *Country: usA: uNZTED sTATEs Part I Threshold Determinations *1.Are you applying for assistance for a specifc project or activity?These �2. Have you received or do you expect to receive assistance within the terms do not include formula grants,such as public housing opereting jurisdiction of the Department(HUD), involving the project or activity subsidy or CDBG block grants.(For further information see 24 CFR in this application, in excess of$20Q000 during this fscal year(Oct. 1- Sec.4.3). Sep.30)? For further information, see 24 CFR Sec.4.9 � Yes � No � Yes � No If you answered " NO " to either question 1 or 2, StOp! You do not need to complete the remainder of this form. HOWeVef,you must sign the certifcation at the end of the report. Form HUD-2880(3/99) PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 Part II Other Government Assistance Provided or Requested/Expected Sources and Use of Funds. Such assistance includes,but is not limited tq any grant,loan,subsidy,guarantee,insurance,payment, credit,or tax beneft. Department/State/Local Agency Name: *Government Agency Name: Government Agency Address: *Street1: Street2: *City: County: *State: *Zip Code: *Country: *TypeofAssistance: *AmountRequested/Provided: $ � *Expected Uses of the Funds: Department/State/Local Agency Name: *Government Agency Name: Government Agency Address: *Street1: Street2: *City: County: *State: *Zip Code: *Country: *TypeofAssistance: *AmountRequested/Provided: $ � *Expected Uses of the Funds: (Note: UseAdditionalpagesifnecessary.) Adur,«a������o��� �o�o�or,«a������o��� ��o��r,«a������ent Form HUD-2880(3/99) PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 Part III Interested Parties. You must disclose: 1.All developers,contrectors, or consultants involved in the application for the assistance or in the planning,development, or implementation of the project or activity and 2.Any other person who has a fnancial interest in the project or activity for which the assistance is sought that exceeds$5Q000 or 10 percent of the assistance(whichever is lower). *Alphabetical list of all persons with a reportable fnancial interest in the project or *Social Security No. *Type of Participation in *Financial Interest in activity(For individuals,give the last name frst) or Employee ID No. Project/Activity Project/Activity($and%) � ��% $ � $��% � $��% � $��% � $��% (Note: Use Additional pages if necessary.) Add Attachment Jelete Attachment View Aitachment Certification Warning: If you knowingly make a false statement on this form,you may be subject to civil or criminal penalties under Section 1001 of Title 18 of the United States Code. In addition, any person who knowingly and materially violates any required disclosures of information, including intentional non-disclosure, is subject to civil money penalty not to exceed$1Q000 for each violation. I certify that this information is true and complete. *Signature: *Date: (mm/ddtijyyy) Completed Upon Submission to Grants.gov Completed Upon Submission to Grants.gov Form HUD-2880(3/99) PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 ATTACHMENTS FORM Instructions: On this form,you will attach the various fles that make up your grant application. Please consult with the appropriate Agency Guidelines for more information about each needed fle. Please remember that any fles you attach must be in the document format and named as specifed in the Guidelines. Important: Please attach your fles in the proper sequence.See the appropriate Agency Guidelines for details. 1) Please attach Attachment 1 Ip087 rvtou 2o19FUPNOFA.pdf � Delete Attachment View Aitachment 2) Please attach Attachment 2 Ip087 statement of Need 2019 Add AttacY Delete Attachment View Aitachment 3) Please attach Attachment 3 zp087 xating Factor certific Add AttacY Delete Attachment View Aitachment 4) Please attach Attachment 4 zp087 coc rvteetings certifica Add AttacY Delete Attachment View Aitachment 5) Please attach Attachment 5 Ip087 Fss Action Plan - sele °^^ °tte� Delete Attachment View Aitachment 6) Please attaCh AttaChment 6 IA087 HUD 52515 Funding Appl � Delete AttaChment VieW AitaChment 7) Please attach Attachment 7 Add Attachment � � 8) Please attach Attachment 8 Add Attachment =Attachment View Aitachment 9) Please attach Attachment 9 Add Attachment Attac' 'tachment 10) Please attach Attachment 10 Add Attachment Attac �achment 11) Please attach Attachment 11 Add Attachment Attac �achment 12) Please attach Attachment 12 Add Attachment Attac �achment 13) Please attach Attachment 13 Add Attachment Attac ttachment 14) Please attach Attachment 14 Add Attachment Attac ttachment 15) Please attach Attachment 15 Add Attachment Attac 'tachment PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 MEMORANDUM OF UNDERSTANDING FAMILY UNIFICATION PROGRAM This Memorandum of Undersfianding (MOU) has been created and entered into on t�� day of December, 2019 by and between the following parties in relation to their application. PHA: City of Dubuque, Housing & Community Development Department, 350 W 6tn Street Ste 312, Dubuque, IA 52001 PClNA: lowa Department of Human Services, 799 Main Street, PO �ox 87, Dubuque, IA 52004-0087 CoC: lowa �alance of State CoC, Eastern lowa Coordinated Service Region, 7600 Commerce Park, Dubuque, IA 52002 INl"RODUCT'10�1 �►ND GOA►LS 1. PhIA and PCWA's commitment to administering the program. 2. CoC's commitment to cooperate with and assist the PHA and PCWA. 3. PHA and PCWA's goals and standards of success in administering the program. 4. Identification of staff position at the PHA, PCWA and CoC who will serve as fihe lead FUP liaisons. Lead FUP Liaison: Name and title of PHA staff position: Alexis Steger, Housing & Community Development Director : Name and title of PCWA staff position: Kelsey Wade, Social Work Supervisor Name and title of CoC sfiaff positior�: Amanda Fiohmann, Employment & Training Specialist Sl',4TE11�ENT' OF COOP�R�TION The PHA, PCWA, and CoC agree to cooperate with any program evaluation efforts undertaken by HUD, HHS, or a HUD or HHS-approved contractor, including compliance with HUD and HHS-approved evaluation protocols and data sharing requests. _ ___ __ _ __. ._ _ _.. __ _ _._ . __ _ _. 1 � Page PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 D�FINE T'HE TV1lO POPULATIONS (FAi�IL9ES �4ND YOUI'H) �LiGIBLE FOR FUP ASSISTANCE • FUP-Eligible Family is defined as a family that the Public Child Welfare Agency (PCWA) has certified as a family for whom the lack of adequate housing is a primary factor in the imminent placement of the family's child, or children, in/out- of-home care, or in the delay of discharge of a child, or children, to the family from out-of-home care, and that the PHA has determined is eligible for a Housing' Choice Voucher (HCV). • FUIPpEligible Youth is defined as a youth that the PCWA has certified to be at least 18 years old, and not more than 24 years of age, and who has left foster care, or will leave foster care within 90 days, in accordance with a transition plan described in section 475(5)(H) of the Social Security Act, and is homeless or is at risk of becoming homeless at age 16 or older. HOUSIIVG SEARCH �►SSISTAIVCE The PHA will provide FUP-eligible families and FUP-eligible youths with a list of landlords known to the PHA who may be willing to lease a unit to the families/youths, Other resources known to the PHA such as newspapers, online search tools, housing management firms and organizations will also be provided to assist families/youths with locating a unit. The PHA will ofFer landlord introductions for all FUP-eligible families and FUP-eligible youths for housing search assistance in low�poverty census tracts including maps of the low-poverty census tract areas. SERVICES TO �E PROVIDED TO FUP-ELIGI�LE YOUTHS The following services will be provided to FUP-eligibie youth by the PCWA and PHA: 1. Basic life skills information/counseling on money management, use of credit, housekeeping, proper nutrition/meal preparation, and access to health care (e.g., doctors, medication, and mental and behavioral health services)., 2. Counseling on compliance with rental lease requirements and with HCV program participant requirements, including assistance/referrals for assistance on security deposits, utility hook-up f�;�s, and utility deposits. 3. Providing such assuranc�s to owners of rental property as are reasonable and necessary to assist a FUP-eligible youth to rent a unit with a FUP voucher. 4. Job preparation and attainment counseling (where to look/how to apply, dress, grooming, relationships with supervisory personnel, etc.). 5. Educational and career advancement counseling regarding attainment of general equivalency diploma (GED); attendance/financing of education at a technical school, trade school or college; including successful work ethic and attitude ' models. ' _ _ 2 � Page ' PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 The above services will be provided for a period of 36 months to FUP-eligible youth receiving rental assistance through the use ofi a FUP voucher, regardless of age. For example, a FUP-eligible youfih enters the program at age 24 and 10 months, the PCWA or PHA will still provide 36 months of service, even thorough after two months the youth no longer meets the initial age of eligibility for FUP youth. Services will initially be provided by PCWA. Should services be discontinued by PCWA prior to the 36-month period, the PHA will provide the above services for the remaining 36-month period. PHA RESPONSI�ILITIES 1. The PHA will accept families and youths certified by the PCWA as eligible for FUP. The PHA, upon receipt of the PCWA list of families and youths currently in the PCWA caseload, must compare the names with those of families and youths already on the PHA's HCV waiting list. Any family or youth on the PHA's HCV waiting lisfi that matches with the PCWA's lisfi musfi be assisted in order of their position on the waiting list in accordance with PHA admission policies. Any family or youfih certified by the PCWA as eligible and not on the HCV waiting list must be place on the waiting Iist. If the PHA as a closed HCV waiting list, it must reopen the waiting list to accept a FUP applicant family or youth who is not currently on the PHA's HCV waiting list. The PHA will reopen the waiting list to accept a FUP applicant family or youth without opening the waiting list for other applicants. 2. The PHA will determine if any families with children, or youths age 18 through 24 on its HCV waiting list are living in temporary shelters or on the street and may qualify for the FUP, and refer such applicants to the PCWA. 3. The PHA will determine if families with children, or youths age 18 through 24 referred by the PCWA are eligible for HCV assistance and place eligible families/youths on the HCV waiting list. 4. The PHA will amend the administrative plan in accordance with applicable program regulations and requirements, as needed. 5. The f'HA will administer the vouchers in accordance with applicable program regulations and requirements. 6. The PHA will offer financial assistance resources for security deposit assistance and ; utility start up (including utility arrears) to all FUP-eligible families and all FUP- eligible youth. The PHA will make a referral to Affordable Housing Network Inc who is offering security deposit assistance for households whose Head, Spouse, or Co- Head are disabled and whose income is below 60% AMI. The PHA will also make referral fio Catholic Charities who is offering $250 per household for security deposit assistance. The PHA will utilize Community Development Block Grant (CDBG) funds up to $200/household for all FUP-eligible families and all FUP-eligible youth who need assistance with utility start up assistance or utility arrears. ' _ _ _. . __ __ _ __ _ _ __. _ _ . ._ __._ _ 3 � Page PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 The PHA in partnership with City of Dubuque will provide 50% reduced refiuse and stormwater monthly fee to all FUP-eligible families and all FUP-eligibie youth. 7. The PHA will provide post-move counseling to all FUP-eligible families and FUP- eligible youth. Post-move counseling includes subsequent-move counseling if the family or youth decides to move a second time and offer landlord-tenant mediation at the requesf of the landlord and/or tenant. 8. The PHA will commit sufficient staff resources to provide follow-up supportive services after the youth leases a unit, documenting the source for funding for these services. 9. The PHA will provide case management to FUP families if PCWA terminates this service to FUP families. 10. Upon notification that vouchers have been awarded, the PHA'will train PCWA staff on the PHA's HCV procedures. 11. The PHA will work with the PCWA and CoC to develop necessary data and tracking metrics for tracking and improvement purposes. 12. The PHA will conduct regular meetings (at least quarterly) with the PCWA and CoC. 13. The PHA will comply with the provision of this MOU. PCWA �ESI�ONSIBILITIES ' 1. T�e �'��JA will �sta�lish and impleme�� � s�st�m to identify FUP-eligible families and FUP-eligible youth� within t�e ae��i��y'� ������ad, and to review referrals from the P�A �r�d CoC. ��r�amilies, the s��#�rr�e�� sh�11 stat� ��� systern used for priorifiizir�g �amilies �i�� a�cap�r� c���, alc�n� �ri�� � s��stan�iat�� r��ort of child abu�� a�d �e�lec�, ��d w�os� c�ildr�� �r� �Ire�dy ir� o�t-��-��rr�� ��re, at high risk for experi�n�in� ad�i��onal negati�r� �l��ld vu�lf�r� o�a���m�� ��.�,, �o��-��r� open c���s, r��nt� fc� ��� c�i�� �eifar� ��s�e�°n i� ��e fc,r� �f rc�-re�c��� ����u�e of ne�lect, a�d repea� o�e� cases�, �r�� w�er� �ca�si�� ��si��a��e ���a�� he�p the parenf���� #� stabilize ar�c� parti�i�;�te i� ar�y�it��r���ri�e� �����s�ry for ' sub��quen� r��nifi�ation. Referrals shall b� �a�� fi�r pr6��i��fa�i���� �� ��c�� �����y are identified and not only u��� ��c�essf�! �omp�etic�� �f c���er �����t� o���rnili��` case management plans. 2. �he ��V�;'fir�rrill establ�s� �nd irr��l��er�� � ��s��rri �� �����ify FUP-eligible youth not current�y��ithi� t�� a��ncy'� case��a� i� coop�ra�ior� wit� the CoC. 3. The PCWA will provide written certification to the PHA that a family qualifies as a FUP-eligible family, or that a youth qualifies as a FUP-eligible youth, based upon the __ _ 4 � Page PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 crifieria established in Section 8(x) ofi the United States Housing Acf ofi 1937, and the Family Unification Program Notice of Fundinc� Availability for Fiscal Years 20�7 and 2018, 4. The PCWA will commit sufficient staff resources to ensure that eligible families and youths are identified and cietermined eligible in a timely manner. This commitment must include a process to ensure that the PCWA's active caseload is reviewed at least once a month (when the PHA has FUP vouchers available) to identify FUP- eligible#amilies and FUP-eligible youths, and refer.them to the PHA. Additionally, the PCWA must be prepared to pravide�refierrals to.the�PHA within 30 working days of receiving notification from the PHA about �oucher availability. 5. The PCWA will provide case management to all FUP-eligible�famil,ies'after they.have _ been issued a voucher. The F.UP family will not,be required to participate in:this service as a condition of receipt of the FUP voucher: Case manage�►�ent will be � provided to FUP,�Families fior;a`minimum of 12 months after the family is'issued a voucher and .will include a needs assessment to-identify all the family's_;needs, .The needs assessment includes housing-related needs and non=housing relafietl needs such as employment, behavioral and physical health,'child care and other services as needed. The PCWA:will offer regular contact with the family fio follow up on referrals and/or to provide new referrals as needed. 1f case management.services are terminated by PCWA, the PHA will provide case�management.for;the FUP. families. 6. The PCWA upon notification fihat vouchers have been awarded, train PHA staff on � the PCWA's referral procedures. 7. The PCWA will particip.ate in r�gular meetings (at least quarfierly)with the PHA and CoC. 8. The PCWA will comply with the provisions of this MOU. CoC RESPONSI�IL,II"lES 1. The CoC will integrate the prioritizafiion and referral process for FUP-eligible youth into the CoC's coordinated entry process. 2. The CoC will identify services fio be provided using CoC program funds fio fiamilies and youth who qualify for CoC program assistance. 3. The CoC will participate in regular meeting (at least quarterly) with the PHA & -PCWA. 4. The CoC will comply with fihe provisions of the MOU. ...................................................._.._............._.............................................................................,......................................................................................_.........._ S � Page PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 l�r, �:xecuf�cl fhi� '� d�y oi ����� , 2019. �;i�y c�f (7u��uq�a� C-1��asin� f3� �amm�nity I��vGlo�m�nf I�aparfim�n� ��Q V116�" �fir��� at� 312 f�ub►�qu� I� a�001 �;�j�.�'"� A ���, - _ _��.�r . _ � .����,r..�.:� f�i�xis �f�g�r, Mou�i�g 8� Community Dev�lopmen'i Dir�cfoe low� M�epartm�nt of {-luman ��rvic�s 799 ililain ��:re�� PO �3ox $7 MJub�que I!� 5?00�• ��'" � ! ; i n �^,; �, � i�t �f:���f t,;t � ._ � . . . � ...� w.�- �m i rick, �eruic� �r�a Manager low� F�alanc� o�S�a4E CoC �as�ern (awa Goordina��d S�rvic� F��gion �6p0 Commerc� f'ark Du�uau�, i,� �aao�. s �. , , ���� ,�� _,,���.� ,��'���.�c. a�_ _�`. `'���'''�� ,� _K.. _ <�..m. .. .._ _ ._..,�,�„�.�. . .� K�II�y Deufim�yer, �.xEcutiue Dir�c�or 6 � P � � e ._ PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 December 5, 2019 City of Dubuque Housing & Community Development Department IA087 �5T'Al'EMENT"OF NEED The following chart represents the need for FUP vouchers in the City of Dubuque's jurisdiction, which is not being met through existing pragrams. Statement of Need C�tegory Number Data � of FUP Source(s) Vouchers Needec� Over a 12-month Period which is Not Being Met Through Existing Programs 1 The number af FUP-eligible families who currently lowa have children in danger of being pl�ced in out-of- Department home c�re or who cannot be returned fram out-of- of Human home care due to inade uate housin . �0 Services 2 The number of FUP-eligible youfih in the community lowa who are part of the PCWA's active caseload. Department of Human 5 Services 3 The number of FUP-eligible youth in the community lowa wha are no longer part of the PCWA's active Department caseload (e.g., youth that left faster care who are of Human now hameless or at risk of becomin hameless . 5 Services 4 Total Need 50 . 5 Tat�l Re uested 50 lowa Department of Human Services and lowa Balance of State CoC — Eastern lowa Coordinated Service Region contributed to the provision of d�ta used in th� Statem�nt of Need. « � p� ����--�= �c�� �. Alexis Steger, Hausing & Community Development Director PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 Decernber 9, 2019 Cifiy of Dubuque IA087 Ra�ing Factor Certification Rating Factor 1. Flousing Search Assisfiance in Low-Poverty Census Tracts Question 1 o Will the PHA, PCWA or CoC provide, fund, or otherwise make available housing search assistance in low poverty census tracts to FUP participants? Yes Question 2. Which of the following activity(ies) will be offered in low-poverty census tracts? Landlord introductions Question 3. Who will the above activity(ies) be provided to? All FUP-eligible far�ilie� and all FUP-eligible youfih. Question 4. Does MOU specify the service provider(s)? Yes Question 5. Identify the page number(s) in the MOU where this information is found. Page 2 12a4ing Factor 2. Financial �4ssi�tance Question 1, Will the PHA, PCWA, or CoC provide, fund, or otherwise make available financial resources to assist FUP-eligible families and/or FUP-eligible youth lease-up with a FUP voucher? 1(es Question 2. Which of the following forms of financial assistance will be provided? Security deposit a�si�tance and utility start up (including utility arrears)e Question3. Who will the above assistance be provided to? �111 FIJP-eligible families and all FUP-eligibl� youth. Question 4. Does the MOU specify the service provider(s)? Yes Question 5. Identify the page number(s) in the MOU where this information is found. Page 3-4 Rating Factor 3. Previous Coordination Question 1. Can the PHA and/or PCWA demonstrate recent cross-program coordination with a local CoC? Yes Question 2. Is the recent cross-program coordination in the form of an established : agreement between the PHA or PCWA and the CoC to receive referrals from the local _ _....._ .._.__.. _...... . .. ....._ _ _......_................._........... _ __ __ _.. _._....__....... .. ._ . . _ ..... _ _............ 1 � Page PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 coordinafied entry �ystem or attendance of at least two meeting of the CoC within the last year? PWA's afitendance of at leasfi two meetings �f the CoC within 4he last year. ' Question 3. Identify the document and page number(s) where fihis information is ' included. Document titled IA087_�oC Meetings Certification_2019FUPNOFA. ' Rating Factor 4. Post�move counseling Question 1. Will the PHA, PCWA, or CoC provide, fund, or otherwise make available post-move counseling to FUP-eligible families and/or FUP-eligible youth? Yes Question 2. Who will the above assistance be provided to? All FIJP-eligible families . and all Fl1P-eligible youfih. Question 3. Does the MOU specify the service provider(s)? Yes Question 4. Identify the page number(s) in the MOU where this information is found. Page 4� Rating Fac4or 5. Case managerrient to FIJP familie� Question 1. Will case management to FUP families be made available after families have been issued a voucher? Yes Question 2. Will a needs assessment to identify all of the family's needs, including housing-related needs and non-housing related needs be carried out? Y�s Question 3. Will families receive referrals to services to address the family's needs? Ye� Question 4. Will regular contact (based on need) be made with the family to follow up on refierrals and provide new referrals as necessary? Ye� Question 5. Does the MOU include a commitment to provide, fund, otherwise make available case management for a minimum of 6 months or minimum of 12 months after the family issued a voucher? Case management to be provided for a minimum of 12 rnonths. Question 6. Who will the above assistance be provided fio? All FUP-eligible families. Question 7. Does the MOU specify the service provider(s)? Yes Question 8. Identify the page number(s) in the MOU where fihis information is found. Page 5 ___.--_ . ..... _ __._... ___.__ __ _ ___. _.__ _. . _ _. . _ . ____. ___._.. _ .._ __. ______ __ ._____ _ . 2 � Page PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 Rating Fac�or 6. Self-suffiiciency Programs Question 1. Does the PHA have current policies or proposed sfirategies fio encourage enrollment of FUP-eligible parfiicipants in a Family Self-Sufficiency program or similar program? Yes Question 2. Are the policies existing, proposed, or a combination of the two (e.g. existing policies to encourage enrollment of FUP-eligible youth and proposed strategies to encourage enrollment of FUP-eligible families? Existing Question 3. If proposed, is the PHA certifying to adoption of the strategies within three months of being awarded FUP vouchers under the NOFA? Nofi Applicable/currenfi policy. Question 4. Who is the target audience of the current policies or proposed strategies? FIJP�eligible familie� and Fl1P�eligible youth. Question 5. Identify the document (e.g., policy excerpt, pamphlet, policy proposal description, etc.) and gate numbers(s) where thi� information is included. Document titled IAa087_FSS Acfiion Plan — Selecfiing and Serving F5� Families_2019FlJPNOFA, Section �-I.C. on page 4-3 and Section 4-II.�. on page 4- 5. Rating Factor 7. Suppor�ive Assistance for Youth fo 36 months Question 1. Will supportive services be provided to youth for a period longer than 18 months? Yes ' Question 2. Will supportive services be provided for a period of: Opfiion 4: 36 months Question 3. Identify the page number(s) in the MOU where this information is found. Page 2�3 �� 1 � .�. C!1..��--`�' Alexis Steger, Hou- ing & Community Development Director , _..__. .._ ..._. ....... __. ... _....... 3 � Page PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 Decem ber 9, 2019 ' City of Dubuque Housing & Community Development Department IA087 CERI`IFICAI'ION C7F �1"TENDAIVCE AT CoC i1�EETING� This certifies that a staff inember from City of Dubuque PHA has attended at least two meetings of the CoC within the last year. PHA staff attended CoC's meeting on the following dates: January 18, 20�9 April 4, 2019 April 24, 2019 May 17, 2019 Septem ber 20, 2019 November 15, 2019 � �����.. �� Alexis Sfieger, Housing & Community Development Director PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 Chap�r4 SELECTING AND SERVING FSS FAMILIES INTRODUCTION FSS regulations require that the PHA include in its action plan a statement indicating how it will select families for participation in the FSS program. This includes outreach, waiting list management, and other selection procedures. When followed, the PHA's selection procedures ensure that families will be selected without regard to race, color, religion, sex, handicap, familial status, or national origin. Once selected for participation in the FSS program, families are to be provided various activities and supportive services so that they may obtain the education, employment, and business and social skills necessary to achieve self-sufficiency. A description of such activities and supportive services is also a requirement of the FSS action plan. This chapter contains three parts: Part L Incentives. Outreach, and Assurance of Noninterference: This part describes the incentives the PHA will offer and the outreach efforts the PHA will use in order to encourage participation and recruit eligible families for the FSS program. It also contains the required assurance of noninterference with the rights of nonparticipating families. Part IL Familv Selection: This part covers whether the PHA will use preferences for family selection and which preferences the PHA will employ if they choose to do so. In addition, this part describes the selection factors the PHA will use in screening families for participation in the FSS program. Part IIL Activities and Sunnort Services: This part lists the activities and supportive services to be provided to families through both public and private resources, describes the method the PHA will use to identify family support needs, and covers the required certification of coordination. 0 Copyright 2011 by Nan McKay&Associates 4_1 Model FSS Action Plan 12/1/11 Unlimited copies may be made for intemal use. PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 PART L INCENTIVES, OUTREACH, AND ASSURANCE OF NONINTERFERENCE 4-LA. OVERVIEW The FSS program offers incentives such as the FSS escrow account, case management, and other supportive services that not only encourage participation, but also help families achieve self- sufficiency. In addition to encouraging program participation through such incentives, PHAs also conduct outreach to recruit FSS participants from among eligible families. As part ofthis process,families need to know that their choice as to whether to participate in the FSS program will not affect their admission to the public housing or housing choice voucher programs, nor will it affect their right to occupancy. This part describes the PHA's policies regarding these issues, all of which are required aspects of the FSS action plan. 4-LB. INCENTIVES FOR PARTICIPATION [24 984.201(d)(�] By regulation, the FSS action plan must include a PHA's incentives plan a description of the incentives that the PHA intends to offer eligible families to encourage their participation in the FSS program. The incentives plan provides for the establishment of the FSS escrow account and any other incentives designed by the PHA PHA Policy The PHA will offer the following services to its FSS participants as incentives to participate in FSS: Incentive Provided By Description FSS escrow account PHA If earned income results in an increase in participant portion of rent, the increase would be matched in an asset account (escrow)held by the PHA. This account receives quarterly interest and is monitored by FSS Coordinators and their supervisor. Participants will receive escrow monthly amounts, interest, and balance at least once a ear. Case management PHA FSS PHA FSS Coordinators will provide one Coordinators on one case management as often as the participant requests (as scheduling allows) and will meet each year at annual review in correlation with participant's annual reexamination of benefits. Information on and referrals to PHA FSS PHA FSS Coordinators will assist services Coordinators participants in identifying referral needs and will research needs within the communit to make ro er referrals. 0 Copyright 2011 by Nan McKay&Associates 4_2 Model FSS Action Plan 12/1/11 Unlimited copies may be made for intemal use. PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 Priority in homeownership PHA Participants who choose to participate in program the Home Ownership Made Easy workshop will have the $25.00 fee paid for by the PHA. Home Ownership Made Easy is a 4 night program offered on Monday evenings that cover essentials for home ownership. This workshop will assist artici ants home ownershi readiness. Priority in the Gettin' Ahead PHA This is a 15 week group setting warkshop in the Warkplace program thatfocuses on job skills needed to obtain and maintain employment. The warkshop has a$20.00 a night incentive and follow u incentives once raduated. 4-LC. OUTREACH EFFORTS [24 CFR 984.201(d)(6)(i)(ii)] In addition to offering incentives for FSS participation, PHAs also conduct outreach in order to recruit more FSS participants from eligible families. The FSS action plan must include a description ofthese efforts to recruit FSS participants, including notification and outreach,the actions the PHA will take to assure that both minority and nonminority groups are informed about the FSS program, and how the PHA will make this information known. PHA Policy The PHA will notify eligible families about the FSS program using the following outreach locations, activities, methods, and languages, where appropriate. These points of contact and methods have been selected to ensure that both minority and nonminority groups are informed aboutthe FSS program. Location/Activit Staff/Partner Method Lan ua e Briefings/Orientations PHA Staff Presentation English Specialist Flyer Referral Form Interims/Recertifications PHA Staff Flyer English S ecialist Referral Form Transfers/Portability PHA Staff Flyer English S ecialist Referral Form Lobby PHA Staff Flyer English Receptionist Posters Referral Form Inspections PHA Staff Flyer English Ins ector 0 Copyright 2011 by Nan McKay&Associates 4_3 Model FSS Action Plan 12/1/11 Unlimited copies may be made for intemal use. PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 4-LD. ASSURANCE OF NONINTERFERENCE WITH THE RIGHTS OF NONPARTICIPATING FAMILIES [24 CFR 984.201(d)(10)] A family's housing assistance or admission into assisted housing should never depend on whether they choose to participate in the FSS program, and PHAs need to make this known as part of the recruitment process. For this reason,the PHA's action plan must include an assurance that a family's decision to not participate in the FSS program will not affect the family's admission to the public housing or housing choice voucher programs, nor will it affect the family's right to occupancy in accordance with the lease. PHA Policv Participation in the FSS program is strictly voluntary. Housing choice voucher program participants will be notified in all literature and media presentations related to the FSS program that should they decide not to participate in the FSS program it will not affect their HCV housing assistance. This material will also specify that the family will retain the right to occupancy according to their lease and family obligations contract. 0 Copyright 2011 by Nan McKay&Associates 4_4 Model FSS Action Plan 12/1/11 Unlimited copies may be made for intemal use. PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 PART IL FAMILY SELECTION 4-ILA. OVERIVEW The FSS action plan is required to contain a statement indicating the procedures for selecting families for FSS program participation, including a description of how the PHA will do so without regard to race, color, religion, sex, handicap,familial status, or national origin. This part describes these procedures, taking into account whether the PHA will use preferences for family selection and which preferences the PHA will employ if they choose to do so, in addition to defining the factors the PHA will use in screening families for program participation. 4-II.B. FSS SELECTION PREFERENCES As part of the process for selecting families for participation in the FSS program,the PHA may choose whether to employ the use of preferences. In particular, if the PHA so chooses, it has the option of giving a selection preference for up to 50 percent of its public housing FSS slots and 50 percent of its HCV program FSS slots, respectively, to eligible families who have one or more family members currently enrolled in an FSS-related service program or who are on the waiting list for such a program. Such a preference may be further limited to participants in and applicants for one or more specific eligible FSS-related service programs. Should the PHA choose to adopt such a preference, it would need to include the following information in its action plan: • The percentage of FSS slots, not to exceed 50 percent of the total number of FSS slots for each of its FSS programs, for which it will give a selection preference • The FSS related service programs to which it will give a selection preference to the programs' participants and applicants • The method of outreach to and selection of families with one or more members participating in the identified programs [24 CFR 984.203(a)] A PHA may wish to adopt additional selection preferences as well [Notice PIH 93-24]. PHA Policv The PHA will not adopt the use of preferences when selecting families for participation in the FSS program. Even with up to 50 percent of the total number of FSS slots filled via selection preferences, and the possibility of other slots being filled by means of additional preferences, open slots will remain. Regardless of whether the PHA adopts selection preferences, those FSS slots for which the PHA chooses not to exercise the selection preference must be filled with eligible families in accordance with an objective selection system such as a lottery, the length of time living in subsidized housing, or the date the family expressed an interest in participating in the FSS program. This system must be described in the action plan [24 CFR 984.203(b)]. PHA Policv The PHA will use the date the family expressed an interest in participating in the FSS program to fill the FSS slots for which the PHA chooses not to exercise the selection preference. 0 Copyright 2011 by Nan McKay&Associates 4_5 Model FSS Action Plan 12/1/11 Unlimited copies may be made for intemal use. PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 4-ILC. SELECTION FACTORS Many factors contribute to whether a PHA may choose to select a family for participation in the FSS program. These selection factors can help the PHA screen families for admission, and ultimately contribute to the PHA's decision to either allow or deny a family's admission into the FSS program. Motivation Selection Factors [24 CFR 984.203(c)(1)] A PHA may screen families for interest and motivation to participate in the FSS program provided that the factors utilized by the PHA are those which solely measure the family's interest and motivation to participate in the FSS program. Far this reason, PHAs must only apply motivational screening factors that are permissible under the regulations. Permissible Motivation Selection Factors Permitted motivational factors include requiring attendance at FSS orientation sessions or pre- selection interviews, and assigning certain tasks indicating the family's willingness to undertake the obligations that may be imposed by the FSS contract of participation. However, any tasks assigned should be readily accomplishable by the family based on the family members' educational level or disabilities, if any. Reasonable accommodations must be made for individuals with mobility, manual, sensory, speech impairments, mental, or developmental disabilities [24 CFR 984.203(c)(2)]. PHA Policv The PHA will screen families for interest and motivation to participate in the FSS program by assigning a meeting or workshop which is the same type of ineeting or workshop for each family. The PHA will only use the fact that the family attended as a screening factor, even if tasks or exercises are not completed in the meeting. In addition, if the family needs either childcare or transportation to be able to attend, or requests an accommodation for a disability,the PHA will either refer the family to available services or exempt the family from this screening factor. Prohibited Motivation Selection Factors Prohibited motivational screening factors include the family's educational level, educational or standardized motivational test results, previous job history or job performance, credit rating, marital status, number of children, or other factors, such as sensory or manual skills, and any factors which may result in discriminatory practices or treatment toward individuals with disabilities or minority or nonminority groups [24 CFR 984.203(C)(3)]. Other Selection Factors In addition to motivational screening, the PHA may also wish to screen families for other factors. PHA Debt Selection Factor The PHA may deny FSS participation to afamily ifthe family owes the PHA, or another PHA, money in connection with HCV or public housing assistance [Notice PIH 93-24, B-18]. PHA Policv The PHA will not deny FSS participation to a family if the family owes the PHA, or another PHA, money in connection with HCV or public housing assistance. 0 Copyright 2011 by Nan McKay&Associates 4_( Model FSS Action Plan 12/1/11 Unlimited copies may be made for intemal use. PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 However, if the family successfully completes the FSS contract of participation and has earned escrow, disbursement will go to the PHA first and satisfy the debt of the family. Any monies that exceed the balance of the debt will go directly to the family. Unavailable Support Services Selection Fador If the PHA determines, after consulting with the family,that a missing service is essential to the family's needs, the PHA may skip that family (and other similar families) and offer the FSS slot to the neat family for which there are available services [Notice PIH 93-24, B-8]. PHA Policy If an essential service is unavailable, the PHA will allow the participant to decide if joining FSS would be beneficial to them, granted that they have other goals to pursue. FSS Coordinators will seek a solution for unavailable resources and use the PCC, PEN, and NICC Success Team to create essential services if the service will serve a multitude of participants. Previous Participation Selection Fador A PHA may refuse to select a family for participation in the FSS program a second time if that family previously participated unsuccessfully (i.e.,the family participated, did not meet its FSS obligations, and was terminated from the FSS program) [Notice PIH 93-24, B-14]. PHA Policy The PHA will select families for participation a second time if: • The family did not successfully complete the contract of participation. • The family completed the contract of participation by exceeding 30% FMR and did not earn escrow. • The family completed the contract of participation by exceeding 30% FMR and earned escrow that did not exceed $999.99. • The participant is willing to review with the casewarker why they were unsuccessful the first time and how they plan to be more successful in the future. The PHA will NOT select families for participation a second time if: • The family successfully completed the contract of participation and earned escrow of$1,000.00 or more. • An act occurred that was inconsistent with the purpose of the FSS program. FSS Coordinators will review requests to re-enroll on a case by case basis to cover examples that may not be listed. 0 Copyright 2011 by Nan McKay&Associates 4_7 Model FSS Action Plan 12/1/11 Unlimited copies may be made for intemal use. PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 PART IIL ACTIVITIES AND SUPPORT SERVICES 4-IILA. OVERVIEW Once families are admitted to the FSS program, the PHA becomes responsible for making sure these families are adequately served. The purpose ofthe family self-sufficiency (FSS)program is to promote the development of local strategies to coordinate the use of public housing assistance and assistance under the housing choice voucher programs with public and private resources,to enable families eligible to receive assistance under these programs to achieve economic independence and self-sufficiency. As such, upon selection, families are matched with the appropriate activities and supportive services so that they may obtain the education, employment, and business and social skills necessary to achieve self-sufficiency. This is a vital element of the FSS program. 4-IILB. METHOD OF IDENTIFYING FAMILY SUPPORT NEEDS [24 CFR 984.201(d)(8)] Before a PHA can determine the services and activities it will provide to FSS families, it must identify the services and activities appropriate to each family. The action plan must contain a description of how the program will identify the needs of FSS families and deliver the services and activities according to these needs. PHA Policv Supportive services needs will be identified by completion of an informal needs assessment with the FSS coordinator before completion of the initial individual training and services plan and signing of the contract of participation. After enrollment in the PHA's FSS program, a formal needs assessment, including vocational counseling, educational counseling, and employment planning, is conducted by the following partners on the PCC: Northeast Iowa Community College Iowa Workforce Development Promise Jobs These results are used to modify the ITSP, if requested by the family. 4-IILC. FSS ACTIVITIES AND SUPPORT SERVICES DESCRIPTION [24 CFR 984.201(d)(7)] As part of the required contents of the action plan, PHAs must both describe the activities and supportive services to be provided by public and private resources to FSS families, and identify the public and private resources that are expected to provide the supportive services. Of course, this task assumes that the PHA has first identified the needed activities and supportive services. PHA Policv The PHA's FSS program, through its partners on the program coordinating committee, will provide the following activities and support services to FSS families: 0 Copyright 2011 by Nan McKay&Associates 4_g Model FSS Action Plan 12/1/11 Unlimited copies may be made for intemal use. PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 Su ort Service General Su ort Service S ecific Source/Partner Vocational Assessment Adult Basic Education Educational Assessment Career Center Vocational Planning Community College Educational Planning Community Based Organizations Disability Assessment Career Center Assessment Disability Vocational Community College Assessment/Planning Vocational Rehabilitation Disability Educational Assessment/Planning Health Department Drug/Alcohol Assessment Career Center Dru Alcohol Plannin Community-based Organizations High School High School Adult Basic English as a Second Language Education Education GED Community College Post-secondary Colle e University Skills Training Adult Basic Education Emerging Technologies Community College Training Training University Biomedical Training On-the-Job Training Community-based Organizations Functional Conteat Trainin workforce Investment Resume Preparation Adult Basic Education Interviewing Skills Community College Dress for Success Job Search Assistance University Warkplace Skills Community-based Organizations Job Development Workforce Investment Job Placement Bus Transportation Metropolitan Transit Train/Trolle HMO Alcohol and Drug Prevention Health Department Health Care Alcohol and Drug Treatment Community Clinic General Hos ital 0 Copyright 2011 by Nan McKay&Associates 4_9 Model FSS Action Plan 12/1/11 Unlimited copies may be made for intemal use. PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 Su ort Service General Su ort Service S ecific Source/Partner Adult Basic Education Community College Mentoring Mentoring Match Workforce Investment Act Youth Programs Communit -based Or anizations Training Microbusiness Assistance Micro and Small Planning Program Business Development Technical Assistance Small Business Administration Mentorin Business Incubator Training Public Housing Authority Homeownership Planning Housing Counseling Organization Debt Resolution Communit -based Or anizations Public Housing Authority TANF Match Savin s Accounts Office of Community Services in Individual Development g DHHS Accounts Distribution of IDA Funds Office of Refugee Resettlement Beginner Farmers and Ranchers Communit -based Or anizations Infant Care Toddler Care Child Care Resource Child Care Preschool Care Parks and Recreation Afterschool Care Homework Assistance Crisis Assessment Crisis Team Crisis Intervention Senior Crisis Team Crisis Services Crisis Management Poison Center Crisis Resolution Domestic Violence Shelter Senior Services Adult Services Needs Assessment In-home Support Services Child/Adult Protective Case Planning Adult Abuse Hotline Services Information Referral Child Abuse Hotline Crisis Management Foster Care Ado tion Services 0 Copyright 2011 by Nan McKay&Associates 4-10 Model FSS Action Plan 12/1/11 Unlimited copies may be made for intemal use. PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 Su ort Service General Su ort Service S ecific Source/Partner Representation ACLU Legal Services Document Review Counsel or Advice Legal Aid Needs Assessment Case Planning Debt Resolution Consumer Credit Counselors Advocacy Ne otiation 4-IILD. CERTIFICATION OF COORDINATION [24 CFR 984.201(d)(12)] The FSS action plan is required to contain a certification that the development of the activities and services under the FSS program has been coordinated with the JOBS program (now Welfare to Wark under TANF),the programs provided under the J"I'PA(now Workforce Investment Act programs), and any other relevant employment, child care, transportation, training, and education programs in the applicable area. The implementation of the FSS program's activities and services must continue to be coordinated as such in order to avoid duplication of activities and services. PHA Policv The PHA certifies that its FSS program has developed its services and activities in coordination with the Workforce Investment Act(formerly J"I'PA), Workforce Investment Board and One Stop Centers, Welfare to Work(formerly JOBS program), and any other relevant employment, child care, transportation, training, and education programs in the applicable area The implementation of these activities and services will continue to be coordinated in this manner in order to avoid duplication of activities and services. 0 Copyright 2011 by Nan McKay&Associates 4-11 Model FSS Action Plan 12/1/11 Unlimited copies may be made for intemal use. PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 Funding A►pplication U.S Department of Housing and OMB Approval No. 2577-0169 Housing Choice Voucher Program Urban Development (exp. 7/31/2022) Office of Public and Indian Housing The public reporting burden for this information collection is estimated to be up to 5 hours, including the time for reviewing instructions,searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.The Department of Housing and Urban Development(HUD) is authorized to collect the information on this form by Section 8 of the U.S. Housing Act(42 U.S.C. 1437f). Form is only valid if it includes an OMB Control Number. A. Name and Mailing Address of the Public Housing Agency(PHA) B. PHA Code City of Dubuque Housing & Community Development IA087 350 W 6th Street Ste 312 Dubuque IA 52001 C. Number of Vouchers Requested D. Geographic Area/Jurisdiction (describe the area in which assisted may live) 50 City of Dubuque If directed in the NOFA or Funding Notice, complete additional fields on the next page of this form. HUD is committed to protecting the privacy of individual's information stored electronically or in paper form in accordance wifih federal privacy laws,guidance and besfi practices. HUD expect�its third-party business partners including public housing authorities who collect, use, maintain,or disseminate HUD information to protect the privacy of that information in accordance with applicabie law. PHA Si nature Signature of PHA Representative Print or Type Name of Signatory � Alexis Steger �.,�.e.fi� Email Address Phone Number Date : Asteger@cityofdubuque.org 563-589-4230 12/13/2019 Previous editions are obsolete 1 HUD-52515 PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: ��R�`G3�00'-N-41 E. Capacity of the Organization F. Need/Extent of the Problem G. Soundness of Approach H. Leveraging Resources I. Achieving Results and Program Evaluation J. Memorandum of Understanding K. Other Information Required in the NOFA or Funding Notice L. Program Specific Certifications (enter here any certification required in the NOFA or Funding Notice) HUD-52515 Previous editions are obsolete 2 (07/2019) PREVIEW Date: Dec 13, 2019 Workspace ID: WS00382561 Funding Opportunity Number: FR-6300-N-41 '