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. '
_ _ _. . __ __ _ __ _ _ __. _ _ . ._ __._ _
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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,
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low� F�alanc� o�S�a4E CoC
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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
_ _....._ .._.__.. _...... . .. ....._ _ _......_................._...........
_ __ __ _.. _._....__....... .. ._ . . _ .....
_ _............
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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.
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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.
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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
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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.
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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.
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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.
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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.
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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:
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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
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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
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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.
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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
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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
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