+-----------+--------------------------------+----+------------------+
| **Guide   |                                |    |                  |
| for State |                                |    |                  |
| Review of |                                |    |                  |
| Grant     |                                |    |                  |
| Rec       |                                |    |                  |
| ipients** |                                |    |                  |
+-----------+--------------------------------+----+------------------+
| **Name of |                                |    |                  |
| Program   |                                |    |                  |
| Parti     |                                |    |                  |
| cipant:** |                                |    |                  |
|           |                                |    |                  |
| **     ** |                                |    |                  |
+-----------+--------------------------------+----+------------------+
| **Staff   |                                |    |                  |
| Con       |                                |    |                  |
| sulted:** |                                |    |                  |
|           |                                |    |                  |
| **     ** |                                |    |                  |
+-----------+--------------------------------+----+------------------+
| **Name(s) |                                | ** |                  |
| of        |                                | Da |                  |
| Revi      |                                | te |                  |
| ewer(s)** |                                | ** |                  |
+-----------+--------------------------------+----+------------------+

**NOTE:** All questions that address requirements contain the citation
for the source of the requirement (statute, regulation, NOFA, or grant
agreement). If the requirement is not met, HUD must make a finding of
noncompliance. All other questions (questions that do not contain the
citation for the requirement) do not address requirements, but are
included to assist the reviewer in understanding the participant\'s
program more fully and/or to identify issues that, if not properly
addressed, could result in deficient performance. Negative conclusions
to these questions may result in a \"concern\" being raised, but not a
**\"finding.**\"

**[Instructions]{.underline}:** The state is required by section
104(e)(2) of the Act and 24 CFR 570.492 to conduct such reviews and
audits of its recipients as may be necessary to determine compliance
with applicable laws and Title I requirements. While the state is not
required to have a specific system to conduct such reviews, it must
demonstrate that such reviews have been conducted.

This Exhibit is designed to evaluate the state\'s system and determine
whether the state has conducted adequate reviews. A worksheet is
included at the end of this Exhibit. If time permits, the HUD reviewer
is expected to sample actual state reviews of recipients and complete
the Exhibit worksheet. Completing the worksheet will serve to document
the sampling results and assist in answering the Exhibit questions.

**[Questions:]{.underline}**

[A. Overall System]{.underline}

1.  

  ------------------------------------------------------------- ---------
  Does the state have a formally established/written process    
  for conducting on-site reviews?                               

  **Describe Basis for Conclusion:**                            

                                                                
  ------------------------------------------------------------- ---------

2\.

  -----------------------------------------------------------------------
  What means does the state have to communicate specific requirements and
  responsibilities to its recipients regarding the CDBG program?

  **Describe Basis for Conclusion:**

       
  -----------------------------------------------------------------------

3\.

+-----------------------------------------------------------------------+
| a\. Describe the tools the state relies on in conducting on-site      |
| monitoring of units of general local government and drawing           |
| conclusions from the monitoring visit.                                |
+-----------------------------------------------------------------------+
| **Describe Basis for Conclusion:**                                    |
|                                                                       |
|                                                                       |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| b\. Describe the tools the state relies on in conducting in-house     |
| reviews of units of general local government and drawing conclusions  |
| from such in-house reviews.                                           |
+-----------------------------------------------------------------------+
| **Describe Basis for Conclusion:**                                    |
|                                                                       |
| **     **                                                             |
+-----------------------------------------------------------------------+

4\.

+-----------------------------------------------------------------------+
| a\. At what phase(s) of the grant, or with what frequency, does the   |
| state indicate that it will perform on-site monitoring?               |
+-----------------------------------------------------------------------+
| **Describe Basis for Conclusion:**                                    |
|                                                                       |
|                                                                       |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| b\. At what phase(s) of the grant, or with what frequency, does the   |
| state indicate that it will                                           |
|                                                                       |
| conduct in-house reviews of performance reports and other             |
| documentation?                                                        |
+-----------------------------------------------------------------------+
| **Describe Basis for Conclusion:**                                    |
|                                                                       |
| **     **                                                             |
+-----------------------------------------------------------------------+

[B. On-Site Review: Selection and Frequency]{.underline}

5\.

+-----------------------------------------------------------------------+
| Describe the process that the state uses for determining who, what,   |
| and when to monitor on-site.                                          |
|                                                                       |
| \[24 CFR 570.492(a)\]                                                 |
+-----------------------------------------------------------------------+
| **Describe Basis for Conclusion:**                                    |
|                                                                       |
| **     **                                                             |
+-----------------------------------------------------------------------+

6\.

  ------------------------------------------------------------- ---------
  Do the factors considered by the state appear to adequately   
  ensure compliance with grant requirements?                    

  **Describe Basis for Conclusion:**                            

                                                                
  ------------------------------------------------------------- ---------

7\.

+-------------+-------------+-------------+-------------+-------------+
| a\. What    |             |             |             |             |
| percentage  |             |             |             |             |
| of grants   |             |             |             |             |
| from the    |             |             |             |             |
| fiscal      |             |             |             |             |
| years       |             |             |             |             |
| identified  |             |             |             |             |
| below has   |             |             |             |             |
| actually    |             |             |             |             |
| been        |             |             |             |             |
| monitored   |             |             |             |             |
| on-site to  |             |             |             |             |
| date?       |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| FY          | FY          | FY          | FY          | FY          |
+-------------+-------------+-------------+-------------+-------------+
| #           | \#          | \#          | \#          | \#          |
| Grants      | Grants      | Grants      | Grants      | Grants      |
+-------------+-------------+-------------+-------------+-------------+
| \#          | \#          | \#          | \#          | \#          |
| Monitored   | Monitored   | Monitored   | Monitored   | Monitored   |
|             |             |             |             |             |
|             |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
| 0.00%       | 0.00%       | 0.00%       | 0.00%       | 0.00%       |
+-------------+-------------+-------------+-------------+-------------+

  ------------------------------------------------------------- ---------
  b\. Does the number or percentage of reviews actually         
  conducted deviate from the state's established schedule or    
  process?                                                      

  **Describe Basis for Conclusion:**                            

                                                                
  ------------------------------------------------------------- ---------

8\.

  ------------------------------------------------------------- ---------
  Has every recipient (except those with planning-only grants   
  or technical assistance set-aside funds) been visited at      
  least once on-site before closeout?                           

  **Describe Basis for Conclusion:**                            

                                                                
  ------------------------------------------------------------- ---------

9\.

  ------------------------------------------------------------- ---------
  Considering the state's process and any other additional      
  information obtained, does the number and frequency of        
  on-site monitoring reviews actually conducted seem            
  reasonable?                                                   

  **Describe Basis for Conclusion:**                            

                                                                
  ------------------------------------------------------------- ---------

10\.

+------------------------------------------------------------+---------+
| a\. Are there any compliance areas (i.e., national         |         |
| objectives, eligibility, financial management, civil       |         |
| rights, environment, labor standards,                      |         |
| relocation/acquisition, citizen participation, or other)   |         |
| that are consistently NOT reviewed during on-site          |         |
| monitoring (e.g., the state rarely or never looks at these |         |
| areas for any of its recipients)?                          |         |
+------------------------------------------------------------+---------+
| **Describe Basis for Conclusion:**                         |         |
|                                                            |         |
| **     **                                                  |         |
+------------------------------------------------------------+---------+

  -----------------------------------------------------------------------
  b\. If the answer to "a" above is "yes," which areas?

  **Describe Basis for Conclusion:**

       
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------
  c\. If the answer to "a" above is "yes," what is the state's rationale
  for not reviewing these on-site?

  **Describe Basis for Conclusion:**

       
  -----------------------------------------------------------------------

  ---------------------------------------------------------- ------------
  d\. If the answer to "a" above is "yes," does the state    
  employ some other review process to determine grant        
  compliance in these areas?                                 

  **Describe Basis for Conclusion:**                         

                                                             
  ---------------------------------------------------------- ------------

11\.

  ------------------------------------------------------------- ---------
  If the answer to question "10.a" is "yes," based on your      
  review and discussions with the state, does the state's       
  decision NOT to review an area or areas on-site and to rely   
  instead on other methods provide a reasonable assurance of    
  recipient compliance in that area or areas?                   

  **Describe Basis for Conclusion:**                            

                                                                
  ------------------------------------------------------------- ---------

[C. On-Site Review: Documentation and Follow-up]{.underline}

12\.

  ------------------------------------------------------------- ---------
  Based on your review of state files, does the state maintain  
  adequate records to document that it has conducted reviews of 
  recipients?                                                   

  **Describe Basis for Conclusion:**                            

                                                                
  ------------------------------------------------------------- ---------

13\.

  ------------------------------------------------------------- ---------
  a\. Do the state's files indicate what compliance areas and   
  documentation were reviewed at the local level?               

  **Describe Basis for Conclusion:**                            

                                                                
  ------------------------------------------------------------- ---------

  ------------------------------------------------------------- ---------
  b\. Does the state draw definitive conclusions about          
  recipient performance in these areas and does the             
  documentation support the state's conclusions?                

  **Describe Basis for Conclusion:**                            

                                                                
  ------------------------------------------------------------- ---------

14\.

+-----------------------------------------------------------------------+
| Describe the method(s) the state uses to transmit the results of      |
| on-site monitoring to its local government recipients.                |
+-----------------------------------------------------------------------+
| **Describe Basis for Conclusion:**                                    |
|                                                                       |
|                                                                       |
+-----------------------------------------------------------------------+

15\.

  ------------------------------------------------------------- ---------
  Does the state issue timely monitoring letters to recipients? 
  (Include in the "Basis for Conclusion" below, the state's     
  timeliness standard, if any, as well as any actual issuance   
  patterns noted during the review.)                            

  **Describe Basis for Conclusion:**                            

                                                                
  ------------------------------------------------------------- ---------

16\.

  -----------------------------------------------------------------------
  Based on the review results, what is the average time between the
  monitoring visit and the letter? (Indicate the average time in your
  "Describe Basis for Conclusion" below.)

  **Describe Basis for Conclusion:**

       
  -----------------------------------------------------------------------

17\.

+------------------------------------------------------------+---------+
| Do the state's procedures include reasonable means and     |         |
| criteria by which it makes the required determination that |         |
| recipients have a continuing capacity to carry out CDBG    |         |
| programs? (Include in your response below a summary of the |         |
| means and criteria used.)                                  |         |
|                                                            |         |
| \[HCDA, Section 104(e)(1) & 104(e)(2)\]                    |         |
+------------------------------------------------------------+---------+
| **Describe Basis for Conclusion:**                         |         |
+------------------------------------------------------------+---------+
|                                                            |         |
+------------------------------------------------------------+---------+

18\.

+------------------------------------------------------------+---------+
| Do the state's procedures include reasonable means and     |         |
| criteria by which it makes the required determination that |         |
| recipients are carrying out activities in a timely manner? |         |
| (Include in your response below a summary of the means and |         |
| criteria used.)                                            |         |
|                                                            |         |
| \[HCDA, Section 104(e)(1) & 104(e)(2)\]                    |         |
+------------------------------------------------------------+---------+
| **Describe Basis for Conclusion:**                         |         |
+------------------------------------------------------------+---------+
|                                                            |         |
+------------------------------------------------------------+---------+

19\.

  ------------------------------------------------------------- ---------
  Are determinations regarding compliance -- particularly       
  findings of non-compliance---properly documented and          
  supported in the state's monitoring files and described in    
  its letters?                                                  

  **Describe Basis for Conclusion:**                            

                                                                
  ------------------------------------------------------------- ---------

20\.

+------------------------------------------------------------+---------+
| Has the state established specific remedies to resolve     |         |
| findings of noncompliance by grant recipients?             |         |
|                                                            |         |
| \[24 CFR 570.492(b)\]                                      |         |
+------------------------------------------------------------+---------+
| **Describe Basis for Conclusion:**                         |         |
+------------------------------------------------------------+---------+
|                                                            |         |
+------------------------------------------------------------+---------+

21\.

  ------------------------------------------------------------- ---------
  Are the resolution actions requested/required of grant        
  recipients appropriate for the nature of the deficiency and   
  sufficient to resolve the noncompliance noted?                

  **Describe Basis for Conclusion:**                            

                                                                
  ------------------------------------------------------------- ---------

22\.

  ------------------------------------------------------------- ---------
  Does the state apply remedies for noncompliance consistently  
  and fairly?                                                   

  **Describe Basis for Conclusion:**                            

                                                                
  ------------------------------------------------------------- ---------

23\.

  ------------------------------------------------------------- ---------
  Does the state have a system for tracking findings until      
  resolution?                                                   

  **Describe Basis for Conclusion:**                            

                                                                
  ------------------------------------------------------------- ---------

24\.

  ------------------------------------------------------------- ---------
  Based on the review results, are findings resolved in a       
  timely manner?                                                

  **Describe Basis for Conclusion:**                            

                                                                
  ------------------------------------------------------------- ---------

25\.

+------------------------------------------------------------+---------+
| Does the state's process provide for the imposition of     |         |
| further sanctions on grant recipients that fail to         |         |
| demonstrate compliance or resolve issue of noncompliance   |         |
| noted?                                                     |         |
|                                                            |         |
| \[24 CFR 570.492(b)\]                                      |         |
+------------------------------------------------------------+---------+
| **Describe Basis for Conclusion:**                         |         |
+------------------------------------------------------------+---------+
|                                                            |         |
+------------------------------------------------------------+---------+

26\.

+------------------------------------------------------------+---------+
| a\. Has the state actually imposed any sanctions on        |         |
| recipients that failed to comply with the requirements?    |         |
|                                                            |         |
| \[24 CFR 570.492(b)\]                                      |         |
+------------------------------------------------------------+---------+
| **Describe Basis for Conclusion:**                         |         |
+------------------------------------------------------------+---------+
|                                                            |         |
+------------------------------------------------------------+---------+

  -----------------------------------------------------------------------
  b\. If the answer to "a" above is "no," explain why sanctions have not
  been imposed.

  **Describe Basis for Conclusion:**

       
  -----------------------------------------------------------------------

  -----------------------------------------------------------------------
  c\. If the answer to "a" above is "yes," identify the locality(ies),
  describe the compliance issue, and the sanction imposed.

  **Describe Basis for Conclusion:**

       
  -----------------------------------------------------------------------

  ---------------------------------------------------------- ------------
  d\. If sanctions are imposed, does the state apply such    
  sanctions consistently and fairly?                         

  **Describe Basis for Conclusion:**                         

                                                             
  ---------------------------------------------------------- ------------

[[D. SUMMARY CONCLUSIONS]{.underline}]{.smallcaps}

27\.

+------------------------------------------------------------+---------+
| Based on the results of your review of state files, does   |         |
| the state maintain adequate records to document that       |         |
| recipients are in compliance with the provisions of Title  |         |
| I and other applicable laws?                               |         |
|                                                            |         |
| \[24 CFR 570.490\]                                         |         |
+------------------------------------------------------------+---------+
| **Describe Basis for Conclusion:**                         |         |
+------------------------------------------------------------+---------+
|                                                            |         |
+------------------------------------------------------------+---------+

28\.

+------------------------------------------------------------+---------+
| Based on the results of your review, does the state make   |         |
| reviews and audits, including on-site reviews, of units of |         |
| general local government as appropriate to meet the        |         |
| requirements of section 104(e)(2) of the Act?              |         |
|                                                            |         |
| \[24 CFR 570.492(a)\]                                      |         |
+------------------------------------------------------------+---------+
| **Describe Basis for Conclusion:**                         |         |
+------------------------------------------------------------+---------+
|                                                            |         |
+------------------------------------------------------------+---------+

29\.

+------------------------------------------------------------+---------+
| Based on the results of your review, in cases of           |         |
| noncompliance by units of general local government, does   |         |
| the state take appropriate actions to prevent a            |         |
| continuance of the deficiency, mitigate adverse affects,   |         |
| and prevent a recurrence? (Note that appropriate action    |         |
| specifically includes the establishment of remedies.)      |         |
|                                                            |         |
| \[24 CFR 570.492(b)\]                                      |         |
+------------------------------------------------------------+---------+
| **Describe Basis for Conclusion:**                         |         |
+------------------------------------------------------------+---------+
|                                                            |         |
+------------------------------------------------------------+---------+

[State Recipient Review Worksheet]{.underline}

> **State**:[     ]{.underline}\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
> **Reviewer[     ]{.underline}**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
> **Date**:[     ]{.underline}\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Grant Year [     ]{.underline}\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Total \# of
> Recipients[     ]{.underline}\_\_\_ \# Reviewed to
> Date[     ]{.underline}\_ \# Reviewed this FY[     ]{.underline}
>
> **[Instructions:]{.underline}** A sufficient sample of case files
> should be reviewed to determine how the state's system is operating.
> Attach comments/explanation(s) to describe sampling method and support
> responses and conclusion. (Note: Reviewer should select sample method
> and size based on time and purpose, e.g., whether the state
> consistently implements its system; whether the risk analysis or other
> information indicates a certain activity should be reviewed.)

<table style="width:100%;">
<colgroup>
<col style="width: 10%" />
<col style="width: 7%" />
<col style="width: 6%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 4%" />
<col style="width: 5%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 4%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 9%" />
<col style="width: 10%" />
<col style="width: 6%" />
</colgroup>
<tbody>
<tr class="odd">
<td rowspan="2"><p>(1)</p>
<p>Recipient</p></td>
<td rowspan="2"><p>(2)</p>
<p>Selection Consistent with State’s Policy? (Yes/No)</p></td>
<td rowspan="2"><p>(3)</p>
<p>Date(s)</p>
<p>of</p>
<p>Review</p></td>
<td colspan="9"><p>(4)</p>
<p>Compliance Area Reviewed*</p>
<p>(R=Reviewed; NR=Not Reviewed)</p></td>
<td rowspan="2"><p>(5)</p>
<p>Items</p>
<p>Reviewed</p>
<p>at Local</p>
<p>Level</p>
<p>Identified? (Yes/No)</p></td>
<td rowspan="2"><p>(6)</p>
<p>Conclusions Properly Documented &amp; Supported?</p>
<p>(Yes/No)</p></td>
<td rowspan="2"><p>(7)</p>
<p>Findings Communicated</p>
<p>to</p>
<p>Recipients [Date(s)]</p></td>
<td rowspan="2"><p>(8)</p>
<p>Findings</p>
<p>Resolved [Date(s)]</p></td>
</tr>
<tr class="even">
<td><p>NAT</p>
<p>OBJ</p></td>
<td>ELI</td>
<td><p>FIN</p>
<p>MGT</p></td>
<td><p>Civil</p>
<p>Rights</p></td>
<td>ENV</td>
<td>LS</td>
<td><p>REL/</p>
<p>ACQ</p></td>
<td>CP</td>
<td><p>OTHER</p>
<p>(Indicate)</p></td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
<td>     </td>
<td>   </td>
<td>   </td>
<td>   </td>
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</tr>
<tr class="even">
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</tr>
<tr class="odd">
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</tr>
<tr class="even">
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</tr>
<tr class="odd">
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</tr>
<tr class="even">
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</tr>
<tr class="odd">
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</tr>
<tr class="even">
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</tr>
<tr class="odd">
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</tr>
<tr class="even">
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<td>     </td>
<td>     </td>
</tr>
<tr class="odd">
<td>     </td>
<td>     </td>
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</tbody>
</table>

**[State Recipient Review Worksheet]{.underline}**

Comments/explanation(s) of responses: