state Official Nebraska Government Website

CDBG Forms

2014 Application Guidelines
2013 Application Guidelines
Economic Development Guidelines
CDBG Notices
CDBG Administration Manual
CDBG Certified Administrators
  CDBG Forms
Other CDBG Forms
CDBG Final Reporting Forms
LMI Data
Investment/Impact
Other Documents

2014 Community Development Block Grant (CDBG) Application Guidelines

  • 2014 Phase II Comprehensive Revitalization .DOC or .PDF
  • 2014 Downtown Revitalization Phase I PreDevelopment .DOC (3.59 MB) or .PDF (535 KB)
  • 2014 Nebraska Affordable Housing Program (NAHP) Application Guidelines
    • 2014 - Chapter 1 – Introduction to the Nebraska Affordable Housing Program .DOC
    • 2014 - Chapter 2 – Pre-Application Process, Forms, and Instructions .DOC
    • 2014 - Chapter 3 – Scoring Criteria .DOC
    • 2014 - Chapter 7 – CDBG Owner Occupied Rehabilitation Application Forms and Instructions .DOC
      • 2013 Budget Calculator for OOR Projects .XLSX or .XLS
  • 2014 Planning Application .DOC (3.78 MB) or .PDF (509 KB)
  • 2014 CDBG Public Works Application .DOC or .PDF
    • 2014 CDBG Public Works Application National Objective Preapproval Process Cover Sheet .PDF or .DOCX
  • 2014 Tourism Development Application .DOC or .PDF
  • 2014 Water Wastewater Application .DOC or .PDF

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2013 Community Development Block Grant (CDBG) Application Guidelines

  • 2013 CDBG Downtown Revitalization Initiative Phase II Application .PDF or .DOC Updated February 10, 2014
  • 2013 CDBG Comprehensive Revitalization Supplemental Application .PDF or .DOC
  • 2013 CDBG Comprehensive Investment & Stabilization Phase I Application .PDF or .DOC
  • 2013 CDBG Comprehensive Investment & Stabilization Phase II Application .PDF or .DOC
  • 2013 CDBG Downtown Revitalization Phase I Application .PDF or .DOC
  • 2013 CDBG Planning Application .PDF or .DOC
  • 2013 CDBG Public Works Application .PDF or .DOC
    • 2013 CDBG Public Works Application National Objective Preapproval Process Cover Sheet .PDF or .DOC
  • 2013 CDBG Water Wastewater Application .PDF or .DOC
  • 2013 CDBG Phase I Comprehensive Revitalization Application .PDF or .DOC
  • 2013 Nebraska Affordable Housing Program (NAHP) Application Guidelines
    • 2013 - Chapter 1 – Introduction to the Nebraska Affordable Housing Program .DOC or .PDF
    • 2013 - Chapter 2 – Pre-Application Process, Forms, and Instructions .DOC
    • 2013 - Chapter 3 – Scoring Criteria .DOC or .PDF
    • 2013 - Chapter 7 – CDBG Owner Occupied Rehabilitation Application Forms and Instructions .DOC
      • Budget Calculator for OOR Projects .XLSX or .XLS
  • 2013 CDBG Tourism Development Application .PDF or .DOC

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Economic Development Guidelines

  • 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 Notices

  • CDBG Labor Standards (Clarification on Grantee Responsibilities Regarding Contract Work Hours and Safety Standards Act (CWHSSA) Liquidated Damages) Policy Update - Memo 13-04 - March 2014 .PDF
  • CDBG Financial management policy change - Memo 13-01 - July 2013 .PDF
  • System for Award Management (SAM) - Memo 13-02 - June 2013 .PDF
  • CDBG Financial Management Policy Change - Memo 13-03 - June 2013 .PDF
  • Additional CDBG RLF FAQ - June 2012 .PDF
  • Policy # 11-01 - Information Required on Invoices for CDBG General Administration Costs-October 5, 2011 .PDF
  • Acquisition/Relocation Checklist for CDBG, HOME, CDBG NSP, CDBG Disaster, and NAHTF-June 2010 .PDF or .DOC
  • 2010 CDBG Tourism Application Guidelines Revisions-April 2010 .PDF or .DOC
  • Apply for a DUNS number - now required for all Federal Grant applicants http://fedgov.dnb.com/webform/displayHomePage.do
  • Environmental Review - Use current RROF/Certification [7015.15] .PDF
  • CDBG/HOME Drawdowns not processed in September 2009 .PDF
  • Use Current Forms - May 2009 .PDF
  • Final Financial/Final Admin Draw - May 2009 .PDF
  • Environmental - April 2009 .PDF
  • Environmental - February 6, 2009 .PDF
  • Environmental - February 5, 2009 .PDF
  • Income Survey Guidance-Appendix 1 - Revised November 2010 .PDF or .DOC
  • Low-Moderate on an Area (LMA) Basis Income Worksheet (Exhibit E) - Revised August 2010 Census (E-1) or Random Sample (E-2) or Limited Clientele (E-3)
  • Job Pirating Email-October 2008 .PDF
  • CDBG National Objective Slum Blight on an Area and Spot Basis - Revised August 2008 .PDF or .DOC
  • Electronic Code of Federal Regulations-July 2008 .PDF
  • HUD Regulations on Anti-Pirating Activities : (2006 final rule, adopting the interim rule) .PDF
  • HUD Regulations on Anti-Pirating Activities : (2006 interim rule) .PDF
  • September 2006 Memo concerning Request for Funds - Effective November 1, 2006

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CDBG Administration Manual

One complete file. 2.50 MB

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CDBG Forms

Special Conditions for Release of Funds

  • CDBG Public Hearing Notice .docx New January 30, 2014
  • CDBG FFATA Form .docx New January 30, 2014
  • CDBG Citizen Participation Plan .docx New January 30, 2014
  • CDBG Grantee Information Sheet .pdf or .doc Updated February 04, 2014
  • Authorization request form for CDBG funds .pdf or .doc
  • Department of Administrative Services Accounting Division ACH Enrollment Form
    (Refer to Chapter 12 of the CDBG Administration Manual for guidance on when this form must be completed)
    Completed form should be sent to:
    Nebraska Department of Economic Development
    CDBG Financial Aid Administrator
    P.O. Box 94666
    Lincoln, NE 68509-4666
  • Financial Management Certification .pdf or .doc Updated January 30, 2014
  • Excessive Force Certification .pdf or .doc
  • Fair Housing .pdf or .doc
  • Grantee Implementation Schedule .pdf or .doc
  • Procurement Procedures and Code of Conduct .pdf or .doc
  • Environmental Review Forms—To Determine which Environmental Review Packet to complete see Chapter 6of the CDBG Administrators Manual
    Exempt Project Packet:
      • Environmental Review Cover Sheet .DOC
      • Determination of Level of Review .DOC
      • EXEMPT .DOC
      • 58.6 Checklist .DOC
    CENST Project Packet:
      • Environmental Review Cover Sheet .DOC
      • Determination of Level of Review .DOC
      • CENST .DOC
      • 58.6 Checklist .DOC
    CEST Project Packet:
      • Environmental Review Cover Sheet .DOC
      • Determination of Level of Review .DOC
      • CEST .DOC
      • 58.6 Checklist .DOC
    EA Project Packet:
      • Environmental Review Cover Sheet .DOC
      • Determination of Level of Review .DOC
      • EA .DOC
    Additional Environmental Forms:

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Other 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
  • Request for Funds PROJECT ONLY .pdf or .doc
  • 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 e-mail 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
  • 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
  • Quarterly Results Assessment Form .pdf or .doc
  • Construction Compliance Packet- After Award .pdf or .doc Updated July 2014
  • 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)

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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
  • Final Wage Compliance Report .pdf or .doc
  • CDBG Planning Desktop Monitoring Checklist Completed by Grantee .pdf or .doc

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CDBG Certified Administrators List

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

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Other Documents & Resources

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