indicate whether the leveraged contribution was a housing subsidy assistance or another form of support. Note: Be sure to report on the number of households supported with these leveraged funds in Part 3, Chart 1, Column d. A. Source of Leveraging Chart [1] Source of Leveraging [2] Amount of Leveraged Funds [3] Type of Contribution [4] Housing Subsidy Assistance or Other Support Public Funding Ryan White-Housing Assistance Housing Subsidy Assistance Other Support Ryan White-Other Housing Subsidy Assistance Other Support Housing Choice Voucher Program Housing Subsidy Assistance Other Support Low Income Housing Tax Credit Housing Subsidy Assistance Other Support HOME Housing Subsidy Assistance Other Support Continuum of Care Housing Subsidy Assistance Other Support Emergency Solutions Grant Housing Subsidy Assistance Other Support Other Public: Housing Subsidy Assistance Other Support Other Public: Housing Subsidy Assistance Other Support Other Public: Housing Subsidy Assistance Other Support Other Public: Housing Subsidy Assistance Other Support Other Public: Housing Subsidy Assistance Other Support Private Funding Grants Housing Subsidy Assistance Other Support In-kind Resources Housing Subsidy Assistance Other Support Other Private: Housing Subsidy Assistance Other Support Other Private: Housing Subsidy Assistance Other Support Other Funding Grantee/Project Sponsor (Agency) Cash Housing Subsidy Assistance Other Support Resident Rent Payments by Client to Private Landlord TOTAL (Sum of all Rows) Program Income and Resident Rent Payments In Section 2, Chart A, report the total amount of program income and resident rent payments directly generated from the use of HOPWA funds, including repayments. Include resident rent payments collected or paid directly to the HOPWA program. Do NOT include payments made directly from a client household to a private landlord. Note: Please see report directions section for definition of program income. (Additional information on program income is available in the HOPWA Grantee Oversight Resource Guide). A. Total Amount Program Income and Resident Rent Payment Collected During the Operating Year
A. Permanent Housing Subsidy Assistance [1] Output: Total Number of Households Served [2] Assessment: Number of Households that Continued Receiving HOPWA Housing Subsidy Assistance into the Next Operating Year [3] Assessment: Number of Households that exited this HOPWA Program; their Housing Status after Exiting [4] HOPWA Client Outcomes Tenant-Based Rental Assistance 1 Emergency Shelter/Streets Unstable Arrangements 2 Temporary Housing Temporarily Stable, with Reduced Risk of Homelessness 3 Private Housing Stable/Permanent Housing (PH) 4 Other HOPWA 5 Other Subsidy 6 Institution 7 Jail/Prison Unstable Arrangements 8 Disconnected/Unknown 9 Death Life Event Permanent Supportive Housing Facilities/ Units 1 Emergency Shelter/Streets Unstable Arrangements 2 Temporary Housing Temporarily Stable, with Reduced Risk of Homelessness 3 Private Housing Stable/Permanent Housing (PH) 4 Other HOPWA 5 Other Subsidy 6 Institution 7 Jail/Prison Unstable Arrangements 8 Disconnected/Unknown 9 Death Life Event B. Transitional Housing Assistance [1] Output: Total Number of Households Served [2] Assessment: Number of Households that Continued Receiving HOPWA Housing Subsidy Assistance into the Next Operating Year [3] Assessment: Number of Households that exited this HOPWA Program; their Housing Status after Exiting [4] HOPWA Client Outcomes Transitional/ Short-Term Housing Facilities/ Units 1 Emergency Shelter/Streets Unstable Arrangements 2 Temporary Housing Temporarily Stable with Reduced Risk of Homelessness 3 Private Housing Stable/Permanent Housing (PH) 4 Other HOPWA 5 Other Subsidy 6 Institution 7 Jail/Prison Unstable Arrangements 8 Disconnected/unknown 9 Death Life Event B1: Total number of households receiving transitional/short-term housing assistance whose tenure exceeded 24 months Section 2. Prevention of Homelessness: Assessment of Client Outcomes on Reduced Risks of Homelessness (Short-Term Housing Subsidy Assistance) Report the total number of households that received STRMU assistance in Column [1]. In Column [2], identify the outcomes of the households reported in Column [1] either at the time that they were known to have left the STRMU program or through the project sponsor’s best assessment for stability at the end of the operating year. Information in Column [3] provides a description of housing outcomes; therefore, data is not required.