Form SFN61896 "Emergency Shelter Grants (Esg) Non-profit Level Environmental Review" - North Dakota

This version of the form is not currently in use and is provided for reference only.
Download this version of Form SFN61896 for the current year.

What Is Form SFN61896?

This is a legal form that was released by the North Dakota Department of Commerce - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2020;
  • The latest edition provided by the North Dakota Department of Commerce;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form SFN61896 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Commerce.

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Download Form SFN61896 "Emergency Shelter Grants (Esg) Non-profit Level Environmental Review" - North Dakota

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EMERGENCY SHELTER GRANTS (ESG) NON-PROFIT LEVEL
ENVIRONMENTAL REVIEW
NORTH DAKOTA DEPARTMENT OF COMMERCE
DIVISION OF COMMUNTY SERVICES
SFN 61896 (10/2020)
Name
Instrument Number
Address
City
ZIP Code
Total Funds Requested
$
Project/Activity Description
Check all that apply:
STREET OUTREACH (24 CFR 576.101)
Engagement, case management, emergency health services, emergency mental health services,
transportation, and services to special populations.
SHELTER ACTIVITIES (24 CFR 576.102)
Renovation (more documentation will be required)
Operations
Essential Services
RAPID RE-HOUSING ACTIVITIES (24 CFR 576.106)
Housing Relocation and Stabilization Services
Tenant Based Rental Assistance
Project Based Rental Assistance
HOMELESS PREVENTION (24 CFR 576.105)
Housing Relocation and Stabilization Services
Tenant Based Rental Assistance
Project Based Rental Assistance
HOMELESS MANAGEMENT INFORMATION SYSTEM (HMIS) (24 CFR 576.107)
Hardware, equipment, software costs (license fees), staff salaries and training necessary to
contribute data to the HMIS designated by the North Dakota Coalition for Homeless People.
Name of Authorized Official (printed)
Title of Authorized Official
Authorized Official Signature
Date
DCS Authorized Signature
Date
EMERGENCY SHELTER GRANTS (ESG) NON-PROFIT LEVEL
ENVIRONMENTAL REVIEW
NORTH DAKOTA DEPARTMENT OF COMMERCE
DIVISION OF COMMUNTY SERVICES
SFN 61896 (10/2020)
Name
Instrument Number
Address
City
ZIP Code
Total Funds Requested
$
Project/Activity Description
Check all that apply:
STREET OUTREACH (24 CFR 576.101)
Engagement, case management, emergency health services, emergency mental health services,
transportation, and services to special populations.
SHELTER ACTIVITIES (24 CFR 576.102)
Renovation (more documentation will be required)
Operations
Essential Services
RAPID RE-HOUSING ACTIVITIES (24 CFR 576.106)
Housing Relocation and Stabilization Services
Tenant Based Rental Assistance
Project Based Rental Assistance
HOMELESS PREVENTION (24 CFR 576.105)
Housing Relocation and Stabilization Services
Tenant Based Rental Assistance
Project Based Rental Assistance
HOMELESS MANAGEMENT INFORMATION SYSTEM (HMIS) (24 CFR 576.107)
Hardware, equipment, software costs (license fees), staff salaries and training necessary to
contribute data to the HMIS designated by the North Dakota Coalition for Homeless People.
Name of Authorized Official (printed)
Title of Authorized Official
Authorized Official Signature
Date
DCS Authorized Signature
Date