7 CFR Exhibit B to Subpart I of Part 1944: Exhibit B to Subpart I of Part 1944—Evaluation Report of Self-Help Technical Assistance (TA) Grants

Evaluation for Quarter Ending: (1) ________________, 19____

1. a. Name of Grantee: (2) ______

b. Address: (3) ______

c. Area the grant serves: (4) ______

2. Date of Agreement: (5) ______ Time Extended (6) ______

3. a. Equivalent unit increase during quarter:

(7)

First Month

(8)

Second Month

(9)

Third Month

b. Cumulative total number of Equivalent Units since beginning of grant:

(10)

Total to Date

4. a. Method of Construction:

Stick built ______%, Panelized ______%, Combined ______%

b. Number of bedrooms per house built this grant period:

2BR,

3BR,

c. Household size this Quarter:

1 person ______,

2 persons ______,

3 persons ______,

4 persons ______,

5 persons ______.

d. Number of houses under construction this grant period, but started during previous grant period: ______

5. a. Number of houses proposed under this grant:

(11)

b. Number of houses completed under this grant:

(12)

c. Number of houses currently under construction:

(13)

d. Number of families in pre construction:

(14)

e. Number of Construction Supervisors:

(15)

f. Number of TA employees:

(16)

6. a. Average time needed to construct a single house:

(17)

b. Number of months between submission of self-help borrower's docket and approval/rejection:

(18)

c. Number and percentage of loan docket rejections during reporting period: ______

(19)

7. a. Did any of the following adversely affect the Grantee's ability to accomplish program objectives?

YES NO

TA Staff Turnover ________ ________

FmHA Staff Turnover ________ ________

Bad Weather ________ ________

Loan Processing Delays ________ ________

Site Acquisition and Development ________ ________

Unavailable Loan/Grant Funds ________ ________

Lack of Participants ________ ________

Communication between FmHA/Grantee ________ ________

8. Attach information concerning number of families contacted, number who have indicated a willingness to be a participating family, number of mutual self-help groups organized, progress on any construction started, and any problems relating to the operation of this grant.

I certify that the statements made above are true to the best of my knowledge and belief.

(20)

(Date)

(21)

(Title)

GRANTEE

(22)

(Signature)

County Office Review

I have reviewed the above information which I have found to be substantially correct. Must be completed by County Office.

Comment: Must be completed (23)

Average appraisal value of units financed this Quarter:

Average amount loan per unit financed this Quarter:

(24)

(Date)

(25)

County Supervisor

District Office Review

Comment: Must be completed (26)

(27)

Date

(28)

District Director

State Office Review

Comments: Must be completed (29)

(30)

Date

(31)

State Office Representative