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CDBG Forms

2016 Application Guidelines
2015 Application Guidelines
Economic Development Guidelines
CDBG Policy Memos
CDBG Administration Manual
CDBG Certified Administrators
CDBG Special Condition Forms for Release of Funds
CDBG Forms
CDBG Final Reporting Forms
LMI Data
Investment/Impact
Other Documents

2016 Community Development Block Grant (CDBG) Application Guidelines

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2015 Community Development Block Grant (CDBG) Application Guidelines

  • 2015 PW National Objective Preapproval Application (Updated March 10, 2015) .DOCX or .PDF
  • 2015 Community Development Program Application Guidelines
    • 2015 - Chapter 1 - Introduction (Updated March 10, 2015) .DOCX or .PDF
    • 2015 - Chapter 2 - Comprehensive Revitalization (Updated May 7, 2015) .DOCX or .PDF
    • 2015 - Chapter 3 - Comprehensive Investment & Stabilization (Updated May 7, 2015) .DOCX or .PDF
    • 2015 - Chapter 4 - Public Works (Updated May 8, 2015) .DOCX or .PDF
    • 2015 - Chapter 5 - Water/Waste Water (Updated October 13, 2015) .DOCX or .PDF
    • 2015 - Chapter 6 - Planning (Updated October 26, 2015) .DOCX or .PDF
    • 2015 - Chapter 7 - Downtown Revitalization (Updated May 7, 2015) .DOCX or .PDF
    • 2015 - Chapter 8 - Exhibits (Updated September 21, 2015) .DOCX or .PDF
    • 2015 - Chapter 9 – Tourism Development (Updated September 21, 2015) .DOCX or .PDF
  • 2015 Nebraska Affordable Housing Program (NAHP) Application Guidelines

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Economic Development Guidelines

  • 2015 Economic Development Application: .PDF or .DOC
  • 2011 Economic Development Application: .PDF or .DOC
  • 2011 Economic Development Preliminary Review Application: .PDF or .DOC
  • 2010 CDBG Economic Development Application .PDF or .DOC
  • 2009 CDBG Economic Development Application .PDF or .DOC
  • 2008 CDBG Economic Development.PDFor .DOC
  • 2007 Economic Development Guidelines : .PDF or .DOC- 346 KB
  • 2007 Preliminary Review Application: .PDF or .DOC

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CDBG Policy Memos

  • Policy Memo 15-01: Draw Down Source Documentation for CDBG Projects .PDF
  • Policy Memo 14-02: System for Award Management (SAM) and Community Development Block Grant Policy Update .PDF
  • Policy Memo 14-01: Sub Recipient Guidance on CDBG Limited English Proficiency Access Requirements .PDF
  • Policy Memo 13-04: CDBG Labor Standards Policy Update – Clarification on Grantee Responsibilities Regarding Contract Work Hours and Safety Standards Act (CWHSSA) Liquidated Damages .PDF
  • Policy Memo 13-01: CDBG Financial Management Policy Change .PDF
  • Policy Memo 13-02: System for Award Management (SAM) .PDF
  • Policy Memo 13-03: CDBG Financial Management Policy Change .PDF
  • Policy Memo 11-01: Information Required on Invoices for CDBG General Administration .PDF
  • Policy Memo 10-01: Contract Special Condition: Affirmatively Further Fair Housing Action.pdf or .doc

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CDBG Administration Manual

One complete file. 5.24 MB
***Chapter 1-3, 5-7, 9, 12, 14 updated April 2016
***Chapters 8, 13, 15-16 updated July 2015
***Chapters 10 and 11 updated July 2011

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CDBG Special Condition Forms for Release of Funds

  • CDBG Grantee Information Sheet .pdf or .doc Revised September 22, 2015
  • Limited English Proficiency – Four Factor Analysis & LAP Plan Template [Updated March 9, 2015] .pdf or .docx New March 9, 2015
  • Authorization request form for CDBG funds .pdf or .doc
  • Financial Management Certification .pdf or .doc
  • Procurement Procedures and Code of Conduct .pdf or .doc
  • Excessive Force Certification .pdf or .doc Revised December 28, 2015
  • Grantee Implementation Schedule .pdf or .doc
  • Environmental Review Forms—To Determine which Environmental Review Packet to complete see Chapter 6 of the CDBG Administrators Manual
    Exempt Project Packet:
      • Environmental Review Cover Sheet .DOC
      • Determination of Level of Review .DOC
      • Finding of Exempt Activity .DOC
      • 58.6 Checklist .DOC
    CENST Project Packet:
      • Environmental Review Cover Sheet .DOC
      • Determination of Level of Review .DOC
      • Finding of CENST Activity .DOC
      • 58.6 Checklist .DOC
    CEST Project Packet:
      • Environmental Review Cover Sheet .DOC
      • Determination of Level of Review .DOC
      • Statutory Checklist .DOC
      • 58.6 Checklist .DOC
    EA Project Packet:
      • Environmental Review Cover Sheet .DOC
      • Determination of Level of Review .DOC
      • HUD Environmental Assessment .DOC
    Additional Environmental Forms:

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CDBG Forms

      • Acquisition/Relocation Checklist for CDBG, HOME, CDBG NSP, CDBG Disaster, and NAHTF-June 2010 .PDF or .DOC
      • Request for Funds ADMINISTRATION ONLY .pdf or .doc Updated August 2016
      • Request for Funds PROJECT ONLY .pdf or .doc Updated September 2016
      • Final Financial/Final Admin Draw - May 2009 .PDF
      • Draw Down Training Slides .pdf
      • Project Status Report
        Instructions .pdf or .doc
        Forms .pdf or .doc
      • Job Creation - Retention .pdf or .doc
      • Notification of Annual Audit .pdf or .doc
        • Non Calculating Notification of Annual Audit .doc
        • The Notification of Annual Audit and Single Audit may be submitted via e-mail attachment to This email address is being protected from spambots. You need JavaScript enabled to view it.. Please include the entity name and attachment description in the subject line (example: Nebraskaville NAA form or Nebraskaville Single Audit).
      • CDBG Contract Amendment/Extension Request Form .pdf or .doc Updated December 2015
      • CDBG Employee Certification Form-for Economic Development Projects .pdf or .doc
      • Program Income Report-for Economic Development Projects .pdf or .doc
      • Housing Program Income, CHDO Proceeds & Recaptured Funds Report .pdf or .doc REVISED 01/04/2016
      • Quarterly Results Assessment Form .pdf or .doc
      • Construction Compliance Packet- After Award .pdf or .doc
      • Construction Compliance Packet- Bid Documents .pdf or .doc
      • Mini-Guide for Engineers Working on CDBG Funded Projects .pdf or .doc
      • Section 3 Sample Certification Form for Residents .pdf or .doc
      • Section 3 Sample Certification Form for Businesses .pdf or .doc
      • Purchase Price or After-Rehab Value Limit for NAHTF, CDBG, and HOME.
        From the linked spreadsheet select either “Existing Homes HOME Purchase Price Limit” or “New Homes HOME Purchase Price Limit” and select the county where the home purchased will be located. .XLSX
      • Historical HOME Maximum Purchase Price or After-Rehab Value Limits (2008 through 2012)
      • CDBG Monitoring Compliance Master Checklist (November 2015) .pdf or .docx
      • CDBG Planning Desktop Monitoring Checklist Completed by Grantee .pdf or .docx
      • CDBG Public Hearing Notice .docx
      • CDBG FFATA Form .docx
      • CDBG Citizen Participation Plan .docx
      • CDBG Citizen Participation Plan .docx

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CDBG Final Reporting Forms

      • Final Project Status Report
        Instructions .pdf or .doc
        Forms .pdf or .doc
      • Final Job Creation - Retention .pdf or .doc
      • Final Financial Report for CDBG .pdf or .doc Updated June 2015
      • Final Wage Compliance Report .pdf or .doc
      • CDBG Planning Desktop Monitoring Checklist Completed by Grantee .pdf or .docx

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CDBG Certified Administrators List

The current Certified Administrators List is available as .XLSX and .PDF

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Other Documents & Resources

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