state Official Nebraska Government Website

CDBG Forms

2012 Community Development Block Grant (CDBG) Application Guidelines

  • 2012 CDBG Public Works Application .PDF or .DOC
    • 2012 CDBG Public Works Application National Objective Preapproval Process Cover Sheet .PDF or .DOC
    • 2012 Public Works Application-National Objective Preapproval Checklist .PDF or .DOC
  • 2012 CDBG Water/Wastewater Application .PDF or .DOC
  • 2012 Tourism Application .PDF or .DOC
  • 2012 Planning Application .PDF or .DOC
  • 2012 Downtown Revitalization Pre-Application .PDF or .DOC
  • 2012 Housing Owner Occupied Rehabilitation Application Forms and Instructions (Chapter 7) .PDF or .DOC

2011 Community Development Block Grant (CDBG) Application Guidelines

  • 2011 Economic Development Application: .PDF or .DOC
  • 2011 Economic Development Preliminary Review Application: .PDF or .DOC
  • 2011 CDBG Public Works Application .PDF or .DOC
    • 2011 CDBG Public Works Application National Objective Preapproval Process Cover Sheet .PDF or .DOC
    • 2011 Public Works Application-National Objective Preapproval Checklist .PDF or .DOC
  • 2011 CDBG Water/Wastewater Application .PDF or .DOC
  • 2011 CDBG Planning Application .PDF or .DOC
  • 2011 CDBG Tourism Application .PDF or .DOC
  • 2011 CDBG Downtown Revitalization Pre-App .PDF or .DOC
  • 2011 CDBG Downtown Revitalization Phase II .PDF or .DOC
  • 2011 CDBG Comprehensive Revitalization .PDF or .DOC
  • 2011 Housing Owner Occupied Rehabilitation Application Forms and Instructions (Chapter 7) .PDF or .DOC

2010 Community Development Block Grant (CDBG) Application Guidelines

  • 2010 CDBG Economic Development Application .PDF or .DOC
  • 2010 CDBG Planning Application .PDF or .DOC
  • 2010 CDBG Tourism Application .PDF or .DOC
  • 2010 CDBG Downtown Revitalization .PDF or .DOC
  • 2nd Cycle 2010 CDBG Downtown Revitalization .PDF or .DOC
  • 2010 Downtown Revitalization Application Guidelines Phase II .PDF or .DOC
  • 2010 CDBG Community Revitalization .PDF or .DOC

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

CDBG Notices

  • Policy # 11-01 - Information Required on Invoices for CDBG General Administration Costs-October 5, 2011 .PDF
  • Acquisition/Relocation Checklist for CDBG, HOME, CDBG-R, 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

CDBG Administration Manual

one complete file. 3.61 MB

CDBG Forms

Special Conditions for Release of Funds

  • CDBG Grantee Information Sheet .pdf or .doc
  • Authorization request form for CDBG funds .pdf or .doc
  • State Treasurer ACH Enrollment Form
    (Refer to Chapter 13 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
  • 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:

Other CDBG Forms

  • Acquisition/Relocation Checklist for CDBG, HOME, CDBG-R, 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
  • 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
  • CDBG Contract Amendment/Extension Request Form .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
  • 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

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

Low-Moderate Income (LMI) data

Investment/Impact

Report on the impact of CDBG investments in Nebraska communities during a five-year period.

  • CDBG 2007-2011 Investments and Impacts Brochure Download PDF (4.72 MB)
  • CDBG 2006-2010 Investments and Impacts Brochure Download PDF
  • CDBG 2005-2009 Investments and Impacts Brochure Download PDF
  • CDBG 2009 Community Development Week Brochure Download PDF
  • CDBG 2004-2008 Investments and Impacts Map Download PDF
  • CDBG 2004-2008 Investments and Impacts Brochure Download PDF
  • HOME 2004-2008 Investments and Impacts Brochure Download PDF
  • CDBG 2003-2007 Investments and Impacts Brochure Download PDF
  • CDBG 2003-2007 Success Stories Brochure Downlaod PDF

CDBG Certified Administrators List

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

Other Documents & Resouces

Back to Community Development Block Grant Information

Other Documents & Resouces