CSBG Annual report instruction manual- Version 2

CSBG ANNUAL REPORT

INSTRUCTION MANUAL-

VERSION 2

Module 4: Individual and Family Level

Release Date: December 6, 2018

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 1

This publication was created by the National Association of State Community Services

Programs in the performance of the U.S. Department of Health and Human Services,

Administration for Children and Families, Office of Community Services, Grant Number

90ET0451. Any opinion, findings, and conclusions, or recommendations expressed in this

material are those of the author(s) and do not necessarily reflect the views of the U.S.

Department of Health and Human Services, Administration for Children and Families.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 2

Contents

Overview ....................................................................................................................................................... 3

History ........................................................................................................................................................... 4

Module 4, Section A: Individual and Family National Performance Indicators ............................................ 6

How to Report Individual and Family Indicators ...................................................................................... 7

FNPI 1 Employment Indicators.................................................................................................................. 8

FNPI 2 Education and Cognitive Development Indicators ...................................................................... 14

FNPI 3 Income and Asset Building Indicators.......................................................................................... 21

FNPI 4 Housing Indicators ....................................................................................................................... 25

FNPI 5 Health and Social/Behavioral Development Indicators ............................................................... 29

FNPI 6 Civic Engagement and Community Involvement Indicators ........................................................ 34

FNPI 7 Outcomes across Multiple Domains ............................................................................................ 36

Module 4, Section B: Individual and Family Services (SRV) ........................................................................ 38

SRV 1 Employment Services .................................................................................................................... 39

SRV 2 Education and Cognitive Development Services .......................................................................... 39

SRV 3 Income and Asset Building Services .............................................................................................. 39

SRV 4 Housing Services ........................................................................................................................... 39

SRV 5 Health and Social/Behavioral Development ................................................................................. 40

SRV 6 Civic Engagement and Community Involvement .......................................................................... 40

SRV 7 Services Supporting Multiple Domains ......................................................................................... 40

Services to Consider ................................................................................................................................ 41

Module 4, Section C: All Characteristics Report - Data Entry Form ............................................................ 41

Clarification on Duplication in the All Characteristics Report ................................................................. 41

All Characteristics Report ........................................................................................................................ 42

A. Total unduplicated number of all INDIVIDUALS about whom one or more characteristics were

obtained. ................................................................................................................................................. 42

B. Total unduplicated number of all HOUSEHOLDS about whom one or more characteristics were

obtained. ................................................................................................................................................. 42

C. Individual level characteristics ........................................................................................................ 42

D. Household-Level Characteristics ..................................................................................................... 47

E. Number of Individuals Who May or May Not be Included in the Totals Above - (due to data

collection system integration barriers) ................................................................................................... 52

F. Number of Households Who May or May Not be Included in the Totals Above - (due to data

collection system integration barriers) ................................................................................................... 53

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 3

Overview

As part of the new Performance Management Framework, a new Community Services Block Grant (CSBG)

Annual Report was developed to better illustrate the impact the CSBG Network has in communities across

the country. The Performance Management Framework, based in the

National Community Action Theory

of Change, and grown out of the need established by the Government Performance and Results Act

Modernization Act of 2010 for the federal government to improve performance management across all

of its programs. The CSBG network responded to this enhanced focus on performance management by

developing 1) organizational standards for CSBG Eligible Entities, 2) accountability measures for states and

the Office of Community Services (OCS), 3) Results Oriented Management and Accountability (ROMA)

Next Generation, and 4) the new CSBG Annual Report.

Module 4 is the Individual and Family Level module of the new CSBG Annual Report and includes

information on services provided to individuals and families, demographic characteristics of people served

by CSBG Eligible Entities, and the results achieved for individuals and families with low-incomes.

Module 4 of the CSBG Annual Report will be entered into OCS’s InForm system (formerly the Online Data

Collection System), which is the central web-based reporting tool that OCS uses for other programs and

now uses for CSBG data collection.

The CSBG Annual Report contains four modules.

• Module 1: State Administration (completed by State CSBG Administrators) includes information on

state administration of funds to CSBG Eligible Entities, use of state-administered and discretionary

funds for training and technical assistance, and information on CSBG Eligible Entity progress in

meeting the Organizational Standards and implementing ROMA Next Generation. (States submitted

Module 1 in OLDC on April 2018.)

• Module 2: Agency Expenditures, Capacity, and Resources (completed by CSBG Eligible Entities;

reviewed and analyzed by State CSBG Lead Agencies) includes information on funds spent by CSBG

Eligible Entities on the direct delivery of local services and strategies and capacity building as well

as information on funding devoted to administrative costs by the CSBG Eligible Entities. (States will

submit Module 2 in InForm by April 30, 2019.)

• Module 3: Community Level (completed by CSBG Eligible Entities; reviewed and analyzed by State

CSBG Lead Agencies) includes information on the implementation of strategies and results achieved

for communities where people with low incomes live. (States will submit Module 3 in InForm by

April 30, 2019.)

• Module 4: Individual and Family Level (completed by CSBG Eligible Entities; reviewed and analyzed

by State CSBG Lead Agencies) includes information on outcomes obtained by and services provided

to individuals and families, as well as demographic characteristics of people served by CSBG Eligible

Entities. (States will submit Module 4 in InForm by April 30, 2019.)

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 4

Each module has an accompanying instruction manual released by the National Association for State

Community Services Programs (NASCSP) that serves as guidance to the federal report. The manual for

Module 4 provides instructions and definitions for the data points of the new CSBG Annual Report.

NASCSP will post recorded webinars to guide users through the manual, and to collect feedback via

this

form. For additional definition of terms, the network should refer to the CSBG Annual Report Lexicon.

NASCSP will also post additional tools and resources as they become available to assist states and local

entities in implementing this report.

Together, Modules 2–4 of the CSBG Annual Report are the vehicles that actualize accountability for CSBG

Eligible Entities in the new Performance Management Framework. CSBG Eligible Entities and states will

report using Modules 2-4 beginning in Fiscal Year (FY) 2018. Forms used for reporting in FY 2018 can be

accessed on the NASCSP website

History

The first comprehensive survey of state uses of federal CSBG funds was conducted in 1983, by a

cooperative venture between NASCSP and the National Governors’ Association with outside assistance

from the Center for Community Futures. This led to the development of the National Voluntary Reporting

System, or NVRS. The Center for Community Futures, guided by the Data Collection Committee of NASCSP,

conducted surveys of FY 1984, 1985, and 1986 activity. NASCSP began conducting these surveys in FY

1987.

In FY 2001, it became a federal requirement for states to use the Information System Survey (CSBG IS) for

reporting. These surveys and the reports they generated were periodically amended to focus on

information

of special interest to state and federal policymakers, such as the relationship of CSBG to other

funding sources and the development of innovative programs. Each fiscal year’s survey incorporated

lessons learned from earlier data collection practices and the analysis of this information. The Information

System Task Force (ISTF), which included participants from across the CSBG Network, as well as other

stakeholders and partners, discussed and agreed upon changes.

In 2012, the OCS awarded a cooperative agreement to NASCSP to assist the OCS in developing the new

CSBG Annual Report. Through frequent and multiple communications with the CSBG Network, including

listening sessions, presentations and webinars, the Network informed the development of the CSBG

Annual Report.

In 2016, the OCS, in partnership with NASCSP, invited the CSBG Network to provide feedback on content

for the CSBG Annual Report forms through a formal Office of Management and Budget (OMB) clearance

process. In response, over half of the CSBG Network provided thoughtful comments and letters. OCS and

NASCSP analyzed all the responses and used the feedback to prepare the forms that were then submitted

for the first Federal Register 60-Day Notice review in June 2016.

In response to the 60-day notice, the OCS considered comments from organizations across the CSBG

Network, including national organizations, State CSBG Lead Agencies, State Community Action

Associations, and local CSBG Eligible Entities, and further revised the CSBG Annual Report based on this

input. The OCS released the report to the Network as an official Federal Register Notice for a final 30-day

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 5

comment period. Following this comment period, the OCS submitted the CSBG Annual Report to the OMB

for the third and final comment period. The OMB granted approval for the CSBG Annual Report on January

12, 2017.

NASCSP created instruction manuals for each module. On May 31, 2017, NASCSP sent the manuals to the

DATA Task Force (DATA TF) for review. Through an in-person meeting and written comments, the DATA

TF provided valuable insight to enhance these documents so that they meet the needs of the Network.

Following the DATA TF review, NASCSP elicited feedback and incorporated the feedback into the manuals

from other experts in the field and the OCS. The instruction manuals for Modules 2 and 4 were released

in February 2018 and the manual for Module 3 was released in April of 2018.

Following the release of the manuals, the network continued to provide feedback. NASCSP reviewed and

considered all feedback received and is now releasing the second version of the manual.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 6

Module 4, Section A: Individual and Family National Performance

Indicators

Goal 1: Individuals and Families with low-incomes are stable and achieve economic security.

Module 4: Individual and Family Level collects information on Family National Performance Indicators

(FNPIs), Services (SRVs) provided to individuals and families, and demographic characteristics of people

served by CSBG Eligible Entities. All individual and family-level performance indicators and services are

categorized within seven of the nine domains that organize the work of the Community Action Network.

Community Service Block Grant Domains:

1. Employment

2. Education and Cognitive Development

3. Income and Asset Building

4. Housing

5. Health and Social/Behavioral Development

6. Civic Engagement and Community Involvement

7. Outcomes and Services Across Multiple Domains

How to Select Individual and Family Indicators

Module 4 of the CSBG Annual Report is comprised of indicators to report outcomes that fall under National

Goal 1: Individuals and families with low incomes are stable and achieve economic security. The indicators

and services in this module are the vehicle by which CSBG Eligible Entities report the work they do that

change conditions at the individual and family level.

Community Needs Assessments (CNA), Community Action Plans, and other agency-specific planning

documents guide the work conducted by CSBG Eligible Entities. During agency-wide and program

planning, CSBG Eligible Entities should identify the problems and opportunities they plan to pursue and

the outcomes they will use to measure and determine progress. The outcomes that relate to family and

individual level change should be reflected in the FNPIs. The selection of FNPIs must be guided by a CSBG

Eligible Entity’s specific and unique work that responds to local conditions in the CSBG Eligible Entity’s

service area. CSBG Eligible Entities should only report on the FNPIs that are relevant and appropriate to

measure their work.

While reporting is required, the specific indicators and services reported are determined by the

Community Needs Assessment and selected by the CSBG Eligible Entity. Additionally, there is a category

for "Other Outcome Indicator." CSBG Eligible Entities will only report an "Other Outcome Indicator" if

there is no FNPI listed to capture the outcomes the CSBG Eligible Entity is trying to achieve. Sample

language is provided in the “Other Outcome Indicator” data entry section and can be modified by the

CSBG Eligible Entity, as necessary.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 7

General Activities to Aid Data Collection of Individual and Family Indicators

The FNPIs report outcomes by counting unduplicated individuals/participants.

CSBG Eligible Entities should only report on FNPIs when the change a customer made/outcome they

achieved was directly related to or assisted by programs or activities of the CSBG Eligible Entity. An

outcome obtained by a referral may only be counted if the CSBG Eligible Entity is engaged with the

participant through a program or activity supported by the CSBG Eligible Entity (i.e. when the participant

is enrolled in an intensive case management program). Do not count FNPIs for changes that were secured

by the participant independent of the CSBG Eligible Entity.

For FNPIs, only participants are being counted. If an indicator measurement indicates households, report

all members of the household. If there are four members of one household, report four (4). Further, if

multiple programs in the agency are helping the participant achieve the same FNPI, there is only one

participant, so the count is one (1).

How to Report Individual and Family Indicators

For all FNPIs, data is entered in columns I-III; columns IV and V will auto-calculate. The percentage

achieving the outcome is reflected in column IV. Column V measures the accuracy of the CSBG Eligible

Entity’s targeting.

Domain

I.) Number

Participants

Served

in program(s)

(#)

II.)

Target

(#)

III.)

Actual

Results

(#)

IV.)

Percentage

Achieving

Outcome

[III/ I = IV] (%

auto

calculated)

V.)

Performance

Target

Accuracy

(III/II = V] (%

auto

calculated)

I. Column I, the Number of Participants Served, reports the unduplicated number of participants

who received services in programs that were part of the CSBG Eligible Entity’s efforts to achieve

the outcome that would be reported in an associated indicator.

II. Column II, Target, reports the number of participants who were expected to achieve the

identified outcome. In many cases, this target number can be found in the Community Action

Plan, grants, or contracts of the funding source that supports the efforts or is identified through

the CSBG Eligible Entity’s ROMA (Results Oriented Management and Accountability) targeting

process. This number should be established before the reporting period starts. States should

establish procedures for CSBG Eligible Entities to follow to revise targets.

III. Column III, Actual Results, reports the number of participants in column III (above) who achieved

the identified outcome within the reporting period. This number must be based on verification

that an outcome has been achieved and must be supported by appropriate documentation.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 8

IV. Column IV, Percentage Achieving and Outcome, indicates the proportion of program participants

who achieved an outcome (III) divided by the total number of participants served (I). The provided

forms will automatically calculate the actual outcome achieved. (III/I=IV).

V. Column V, Performance Target Accuracy, measures the accuracy of planned anticipated

outcomes. The Actual Result (III) is divided by the Target (II). The provided forms will automatically

calculate this success rate of performance (III/II=V).

FNPI 1 Employment Indicators

Employment Indicators Overview

The Employment Indicators (Domain 1) collect data on outcomes achieved by participants with low

incomes in CSBG Eligible Entity employment programs who were either:

• Unemployed and seeking earned income, or

• Employed and seeking increased earned income and/or employment benefits.

Indicators tracking outcomes over time:

Indicators tracking outcomes for 90 or 180 days: CSBG Eligible Entities are only expected to report on

indicators with retention time frames for programs that specifically include follow up. If the CSBG Eligible

Entity does not conduct follow-up activities as a part of its programs, outcomes for indicators with

retention time frames will not be reported.

Living Wage:

There is no single national “living wage.” Each state and/or local agency must define what constitutes a

“living wage” in its service area. When reporting on indicators related to living wage, Community Action

Agencies (CAAs) can provide their own definition, select from national or locally defined models, or work

with their state to identify a shared definition. Count and report the number of program participants who

are helped to reach or exceed local living wage thresholds. CAAs must identify the living wage definition

used in the General Comments section.

The Massachusetts Institute of Technology has developed the MIT Living Wage Calculator

, a useful tool that

estimates the living wage needed to support families using twelve unique family compositions. The MIT

calculator’s market-based approach draws upon geographically-specific expenditure data related to a

family’s likely minimum food, child care, health insurance, housing, transportation, and other basic

necessities (e.g., clothing, personal care items, etc.) costs. The living wage draws on these cost elements and

the rough effects of income and payroll taxes to determine the minimum employment earnings necessary

to meet a family’s basic needs while also maintaining self-sufficiency.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 9

Applicable Activities

Employment Indicators collect data on unduplicated participants who achieved employment outcomes

because of:

• Direct employment services as specified in the Employment Services List

• Employment support services reflected in the Services Supporting Multiple Domains List, or

• Verification that the participant used the CSBG Eligible Entity’s referral and received a service

because of that referral from another partnering organization that helped the participant obtain

an employment outcome.

CSBG Eligible Entities should report Employment Indicators for all federal, state, local, and privately

funded activities that focus on employment or self-sufficiency as a primary outcome or as a

complementary outcome (for example, when employment is one of several goals for a participant in an

intensive case management program).

Note: A participant can be reported for more than one indicator (FNPI a-i), as applicable, as long as they

are only reported once per indicator.

Indicators

FNPI 1a. The number of unemployed youth who obtained employment to gain skills or income.

Youth are defined as individuals aged 14-24.

Duration of Employment: FNPI 1a does not set any national requirements for how long a participant must

be employed in order for the outcome to be valid. Temporary and seasonal employment (including

summer youth employment) may be reported, unless the state sets other specific guidelines

Subsidized Employment: FNPI 1a does not set any national requirements for the source of funding for the

wages of youth achieving an employment outcome.

Examples of activities that may generate reportable outcomes for this indicator:

o Unemployed youth who obtained a job as a result of having been engaged in CASBG

Eligible Entity programs that specifically focus on employment and training or placement

(such as those funded by CSBG, TANF, WIOA, or other sources).

o Unemployed youth who, as a result of having been engaged in case-management that

focuses on stability and economic security, achieved employment as part of their overall

progress toward stability and economic security.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 10

FNPI 1b. The number of unemployed adults who obtained employment (up to a living wage

Adults, for the purpose of this report, are defined as individuals aged 25 and up.

Duration of Employment: FNPI 1b does not set any national requirements for how long a participant must

be employed in order for the outcome to be valid. Temporary and seasonal employment may be reported

unless the state sets other specific guidelines.

Subsidized Employment: FNPI 1b does not set any national requirements for the source of funding for the

wages of participants achieving an employment outcome. Subsidized employment could be included here.

Note: When CSBG Eligible Entities do not collect income for the employment obtained and cannot verify

if the participant obtained a job at or below a living wage, the participant should be reported here in “up

to a living wage.”

3 4

When reporting on indicators related to living wage, CSBG Eligible Entities can provide their own definition or

select from national or locally-defined models. Entities must identify in the General Comments Section, the living

wage definition used.

Examples of activities that may generate reportable outcomes for this indicator:

o Unemployed participants who obtained a job as a result of having been engaged in CSBG

Eligible Entity programs that specifically focus on employment and training or placement

(such as those funded by CSBG, TANF, WIOA or other sources).

o Unemployed participants who engaged in case-management or coaching, which focuses

on employment, and they obtain a job as part of their overall progress toward stability

and economic security.

o Unemployed parents of Head Start or other child development program who obtained

employment in the context of parent and family development services.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 11

FNPI 1c. The number of unemployed adults who obtained and retained employment for at least 90 days

(up to a living wage

This indicator measures participants who obtained a job and demonstrates that the participants retained

the job for at least 90 days and earned up to a living wage.

Note: Outcome data reported in FNPI 1c should also be reported in FNPI 1b. If a participant obtained and

maintained a job for 90 days as a result of CSBG Eligible Entity assistance, this participant also qualifies for

FNPI 1b (obtaining a job). This is true only if the participant obtained employment through the assistance

of the CSBG Eligible Entity. If the Entity serves a participant who had already obtained a job on their own,

and is assisting them only with maintaining employment, that participant would not be reported in FNPI

1b-d.

FNPI 1d. The number of unemployed adults who obtained and retained employment for at least 180

days (up to a living wage

This indicator measures participants who obtained a job and demonstrates that the participants retained

the job for at least 180 days and earned up to a living wage.

Note: Outcome data reported in FNPI 1d should also be reported in FNPI 1b and FNPI 1c. If a participant

obtained and maintained a job for 180 days as a result of CSBG Eligible Entity assistance, this participant

also qualifies for FNPI 1b (obtaining a job) and FNPI 1c (maintain the job for 90 days). This is true only if

Examples of activities that may generate reportable outcomes for this indicator:

o Participants engaged in an economic security program with case management or coaching

who obtained employment during the course of their participation, and then maintained

that employment for at least 90 days. The maintained employment earned the participant

up to a living wage.

o Participants who found employment as a result of CSBG Eligible Entity employment

supports and retained that employment for 90 days. The retained employment earned

the participant up to a living wage.

Examples of activities that may generate reportable outcomes for this indicator:

Participants engaged in a case management or coaching program who achieved

employment during the service and retained that employment for at least 180 days during

the course of their participation.

o Participants placed in entry-level jobs or who found and retained employment for 180

days as a result of CSBG Eligible Entity employment supports.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 12

the participant obtained employment through the assistance of a CSBG Eligible Entity. If the Entity serves

a participant who had already obtained a job on their own, and is assisting them only with maintaining

employment, that participant would not be reported in FNPI 1b-d.

FNPI 1e. The number of unemployed adults who obtained employment (with a living wage or higher).

For more information on the definition of a Living Wage, see page 8 of this manual.

FNPI 1f. The number of unemployed adults who obtained and retained employment for at least 90 days

(with a living wage or higher).

This indicator measures participants who obtained a job and demonstrates that the participants were able

to retain the job for at least 90 days and earn a living wage or higher.

Note: Outcome data reported in this indicator, FNPI 1f, should also be reported in FNPI 1e. If a participant

obtained a job earning a living wage as a result of CAA assistance and retained it for 90 days, this

participant also qualifies for FNPI 1e (obtaining a job with a living wage). This is true only if the participant

obtained employment through the assistance of a CSBG Eligible Entity. If the Entity serves a participant

who had already obtained a job on their own, and is assisting them only with maintaining employment,

that participant would not be reported in FNPI 1e-g.

Examples of activities that may generate reportable outcomes for this indicator:

o Unemployed participants who obtained a job paying a living wage or higher as a result of

having been engaged in CSBG Eligible Entity programs specifically focused on employment

and training or placement (such as those funded by CSBG, TANF, WIOA or other sources).

o Unemployed participants who obtained a job paying a living wage or higher as the result

of having been engaged in case management or coaching focused on stability/economic

security.

o Unemployed parents of Head Start or other child development program who obtained

initial employment in the context of parent and family development services and earned

a living wage or higher.

Examples of activities that may generate reportable outcomes for this indicator:

o Participants who achieved and retained that employment for at least 90 days as a result

of having been engaged in a case management or coaching program. The retained

employment earned the participant a living wage or higher.

o Participants who found and retained employment (I have the same comment as above)an

initial 90-day probationary period as a result of a CSBG Eligible Entity employment

supports. The retained employment earned the participant a living wage or higher.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 13

FNPI 1g. The number of unemployed adults who obtained and retained employment for at least 180

days (with a living wage or higher).

This indicator measures participants who obtained a job and demonstrates that the participants were able

to retain the job for at least 180 days and earn a living wage or higher.

Note: Outcome data reported in this indicator, FNPI 1g, should also be reported in FNPI 1e and FNPI 1f. If

a participant obtained a job earning a living wage as a result of CSBG Eligible Entity assistance and retained

it for 90 days, this participant also qualifies for FNPI 1e (obtaining a job with a living wage). This is true

only if the participant obtained employment through the assistance of a CSBG Eligible Entity. If the Entity

serves a participant who had already obtained a job on their own, and is assisting them only with

maintaining employment, that participant would not be reported in FNPI 1e-g.

FNPI 1h. The number of employed participants in a career-advancement related program who entered

or transitioned into a position that provided increased income and/or benefits.

This performance indicator captures CSBG Eligible Entity efforts to help low-wage workers move toward

economic security.

Activities that may generate reportable outcomes for this indicator:

o Employed participants who engaged in a career advancement program and increased their

income or benefits. Career advancement programs could include:

 Continuing or vocational education

 Job referral or employment placement assistance

 Employment counseling/coaching

 On-the-job training

 Starting a micro-business

 Achieving daycare provider licensure

Report the total number of participants in all programs experiencing improved employment income as a

result of both direct service (funded by a variety of sources, including CSBG, JSAP, WIOA, TANF, Welfare

to Work, state/local/private programs), and as a result of partnerships with other agencies or

organizations in the community.

• FNPI 1h(1). Of the above, the number of employed participants who increased income from

employment through wage or salary amount increase.

Report the number of participants from the programs listed in FNPI 1h who increased their

income specifically through a wage or salary increase. The increased income should be directly

Examples of activities that may generate reportable outcomes for this indicator:

Participants engaged in a case management or coaching program who achieved

employment and retained that employment for at least 180 days.

o Participants placed in entry-level or higher jobs as a result of CSBG Eligible Entity

employment supports, and who maintained employment for 180 days.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 14

related to the advancement of skills obtained through the programs in FNPI 1h. Participants who

increase their income should be reported in both FNPI 1h(1) and FNPI 1h.

• FNPI 1h(2). Of the above, the number of employed participants who increased income from

employment through an increase in hours worked.

Report the number of participants from the programs listed in FNPI 1h who increased their

income specifically by increasing the number of hours worked. The increased hours should be

directly related to the advancement of skills obtained through the programs in FNPI 1h.

Participants who increased their income through increased hours should be reported in this

indicators FNPI 1h(2) and FNPI 1h. If the participant increased their wage/salary and hours

worked, then they should be reported in FNPI 1h, FNPI 1h(1) (wage/salary increase) and FNPI

1h(2) (hours increase).

• FNPI 1h(3). Of the above, the number of employed participants who increased benefits

related to employment.

Report the number of participants from the programs listed in FNPI 1h who increased their

employment-related benefits. The increased benefits should be directly related to the

advancement of skills obtained through the programs in FNPI 1h. Participants who increased their

benefits should be reported in this indicator FNPI 1h(3) and FNPI 1h. If the participant increased

their wage/salary, hours worked, and benefits, then they should be reported in FNPI 1h, FNPI

1h(1) (wage/salary increase), FNPI 1h(2) (hours increase), and FNPI 1h(3) (benefits increase).

FNPI 1z. Other Employment Outcome Indicator

Only report an "Other Outcome Indicator" if none of the current FNPIs capture the outcomes achieved by

the program. Sample language is provided below:

o FNPI 1z.1 The number of individuals or households who______________.

FNPI 2 Education and Cognitive Development Indicators

Education and Cognitive Development Overview:

Education and Cognitive Development indicators (Domain 2) collect data on outcomes achieved by

children, youth, parents/caregivers, and other adults with low-incomes who participated in CSBG Eligible

Entity programs.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 15

FNPI 2 collects data on unduplicated individuals based on activities that produce developmental and

educational outcomes for children, youth, parents/caregivers, and other adult participants.

Head Start and FNPI 2:

Head Start has established a number of child health, developmental, and school readiness objectives and

outcome expectations for participating youth. CSBG Eligible Entities with Head Start programs are asked

to report the number of youth that are deemed to have achieved health, developmental, and school

readiness objectives as defined by the program. For more information on the Head Start Performance

Standards and indicators, please visit here

Examples of activities that produce reportable outcomes for children (0-5):

o Head Start and Early Head Start

o State-funded preschool child development programs

o CSBG-funded child development/child care programs

o TANF-funded child care programs

o Preschool enrichment or developmental programs operated by partnering organizations

(including faith-based organizations) within the community in which children of agency

program participants are served, and the CSBG Eligible Entity is coordinating parent and

child services.

o Reading-at-grade-level programs

Examples of activities that produce reportable outcomes for children and youth:

o Before- and after-school recreational or enrichment programs for school-aged youth

o Mentoring programs for at-risk youth

o Youth and family counseling and peer support group activities

o Substance abuse prevention programs

o Teen pregnancy and STD prevention programs

o Educational skill enhancement programs

o After-school and summer youth employment training and placement programs

o Food and nutrition assistance and instructional programs

o Anger management and conflict resolution instruction

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 16

It is understood that the number of children reported as having achieved program goals in Head Start or

any other youth development program will have to be assessed using qualitative assessments of each

child’s physical growth and health indicators, developmental skill measurements, and/or educational

readiness scores. It is expected that Head Start programs have determined the best assessment or

measurement tools to use to document participant progress and achievement.

Indicators

FNPI 2a. The number of children (0 to 5) who demonstrated improved emergent literacy skills.

Report the total unduplicated count of children who increased their skills through direct service (funded

by a variety of sources, including CSBG, Head Start, TANF, Welfare to Work, state/local/private programs).

Emergent Literacy Skills refers to the knowledge and expertise or ability that lays the foundation for

reading and writing for infants and toddlers

https://eclkc.ohs.acf.hhs.gov/school-readiness/effective-practice-guides/language-literacy

Examples of activities that may generate reportable outcomes for this indicator:

o Children involved in Head Start, Early Head Start or other pre-

kindergarten or

kindergarten readiness program who learned and developed new vocabulary and literacy

skills.

o Children whose parents received support, counseling, education or coaching heard and

learned more words and demonstrated a better understanding of language.

o Children who attended a library reading program and demonstrated enhanced literacy

competence.

Examples of activities that produce reportable outcomes for parents and other adults:

o Parenting skill enhancement programs

o Family functioning skill enhancement programs, including focus on communications, conflict

resolution, supportive relationship building, responsibility sharing, and promotion of healthy

marriages

o Mental health and substance abuse treatment

o Family/domestic violence prevention, intervention, and remediation programs

o English Language Learner (ELL) programs

o Programs to prepare adults for earning high school diploma or equivalent

o Programs supporting attendance at community college, technical schools, trade schools, and

traditional four-year colleges

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 17

FNPI 2b. The number of children (0 to 5) who demonstrated skills for school readiness.

FNPI 2c. The number of children and youth who demonstrated improved positive approaches toward

learning, including improved attention skills.

Positive Approaches to Learning focuses on how children learn. It refers to the skills and behaviors that

children use to engage in learning. It incorporates emotional, behavioral, and cognitive self-regulation

under a single umbrella to guide teaching practices that support the development of these skills.

Note: No data is entered in FNPI 2c. This row will auto-populate totals from data entered for FNPI 2c(1)-

FNPI 2c(3)

• FNPI 2c(1). Early Childhood Education (ages 0-5)

Enter the total unduplicated number of children ages 0-5 who demonstrated positive approaches

to learning and improved their attention skills.

• FNPI 2c(2). 1st grade-8th grade

Enter the total unduplicated number of children in grades 1 through 8 who demonstrated positive

approaches to learning and improved their attention skills.

https://eclkc.ohs.acf.hhs.gov/school-readiness/article/approaches-learning

An example of an activity that may generate reportable outcomes for this indicator:

o Children enrolled in Head Start, Early Head Start or other pre-kindergarten or

kindergarten readiness program who exhibited signs of being ready to enter school,

such as enhanced/increased socialization and communication skills.

Examples of activities that may generate reportable outcomes for this indicator:

o Children enrolled in Head Start, Early Head Start or other pre-kindergarten or

kindergarten readiness program who improved their approaches to learning and

demonstrated improved attention skills.

o Youth involved in after-school enrichment programs who demonstrated increase

learning abilities.

o Youth involved in mentoring programs who demonstrated an increased ability to

attend to schoolwork.

o Youth participating in one-on-one tutoring programs who demonstrated improved

study habits.

Outcomes achieved by participating in service learning programs.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 18

• FNPI 2c(3). 9th grade-12th grade

Enter the total unduplicated number of children in grades 9-12 who demonstrated positive

approaches to learning and improved their attention skills.

FNPI 2d. The number of children and youth who are achieving at basic grade level (academic, social, and

other school success skills).

Note: No data is entered in FNPI 2d. This row will auto-populate totals from data entered for FNPI 2d(1)-

FNPI 2d(3).

• FNPI 2d(1). Early Childhood Education (ages 0-5)

Enter the total unduplicated number of children ages 0-5 who demonstrated basic grade-level

achievement (academic, social, and other school success).

• FNPI 2d(2). 1st grade-8th grade

Enter the total unduplicated number of children in grades 1 - 8 who demonstrated basic grade-

level achievement at basic grade level (academic, social, and other school success).

• FNPI 2d(3). 9th grade-12th grade

Enter the total unduplicated number of children in grades 9-12 who demonstrated basic grade-

level achievement (academic, social, and other school success).

Examples of activities that may generate reportable outcomes for this indicator:

o Children enrolled in Head Start, Early Head Start or other pre-

kindergarten or

kindergarten readiness program who demonstrated grade-level achievements.

o Youth involved in after-school academic programs demonstrated basic grade-level

achievements.

o Youth attending a case management, counseling or other supportive program operated

by a CSBG Eligible Entity who demonstrated basic grade-level achievements.

o Youth participating in a mentoring program who demonstrated increased social skills.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 19

FNPI 2e. The number of parents/caregivers who improved their home environments.

Improving home environments is the progress toward having a safe home free of violence, where

children are nurtured, food and books are readily available, and parents and children have resiliency skills

for tough times. Depending on the service provided, there will be different methods of assessment and

documentation to confirm that the home environment has been approved. CSBG Eligible Entities pursuing

this outcome/indicator should develop appropriate methods for documenting that the outcome has been

achieved.

Report the unduplicated number achieving this outcome.

FNPI 2f. The number of adults who demonstrated improved basic education.

Basic education includes the basic skills adults need, such as reading, writing, math, English language

proficiency, and problem solving, to be productive workers and citizens. This can also include the basic

education needed as a prerequisite to obtain additional education. For example, in order to be accepted

to college and take college level courses, a participant must first complete and pass a basic math course.

Examples of activities that may generate reportable outcomes for this indicator:

o Adults attending a reading, writing or other basic skills class who demonstrated improved

knowledge.

o Adults completing adult basic education courses in English language proficiency financed

by CSBG or by Refugee Resettlement Program funds who improved their employment

opportunities and income.

o Adults who participated in a literacy program and improved their basic education skills.

Examples of activities that may generate reportable outcomes for this indicator:

o Parents/caregivers attending a strengths-based parenting training operated by the CSBG

Eligible Entity who display skills improving their home environments.

o Parents/caregivers in formal case management, counseling or other support programs

who attend a parent support group, learning new skills and exhibiting an improved home

environment.

o Parents/caregivers learn nutrition and cooking skills and demonstrate an improved home

environment.

o Parents/caregivers attend an anger management group and demonstrate an improved

home environment.

o Parents/caregivers who participate in a home visiting program demonstrate an increase

in reading/learning materials available to their children.

o Parents/caregivers who participate in a program to improve their executive functioning

and learn new skills that improve the home environment.

o Parents/caregivers participate in a mentoring, cohort or circle of support that provide

increased social capital and knowledge that improves their home environment.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 20

FNPI 2g. The number of individuals who obtained a high school diploma and/or obtained an equivalency

certificate or diploma.

Note: This outcome can include both youth and adults.

FNPI 2h. The number of individuals who obtained a recognized credential, certificate, or degree relating

to the achievement of educational or vocational skills.

Note: This outcome can include both youth and adults.

FNPI 2i. The number of individuals who obtained an Associate degree.

Examples of activities that may generate reportable outcomes for this indicator:

o Participants in CSBG Eligible Entity case-management or coaching programs who earned

a high school diploma or obtained an equivalency certificate through partnerships with

local schools or other federal and state programs.

o Participants in a CSBG Eligible Entity High School Equivalency (HSE) test preparation

program who obtained their HSE.

Examples of activities that may generate reportable outcomes for this indicator:

o Parents of children in a Head Start program who earned a recognized credential,

certificate, or degree because of CSBG Eligible Entity support.

o Participants in CSBG Eligible Entity-coordinated stability programs who earned a

recognized credential, certificate, or degree because of financial planning, student loan

and federal grant assistance from the CSBG Eligible Entity and TANF-supported child care

or transportation subsidies.

o Participants in a case management or coaching program supported by several federal,

state, and local programs who earned a certificate as part of their preparation for seeking

employment.

An example of an activity that may generate reportable outcomes for this indicator:

o Participants in CSBG Eligible Entity case management, coaching or other support programs

who earned an associate degree.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 21

FNPI 2j. The number of individuals who obtained a bachelor’s degree.

FNPI 2z. Other Education and Cognitive Development Outcome Indicator

Only report an "Other Outcome Indicator" if none of the current FNPIs capture the outcomes achieved by

the program. Sample language is provided below:

o FNPI 2z.1. The number of individuals or households who______________.

FNPI 3 Income and Asset Building Indicators

Income and Asset Building Overview:

Income and Asset Building Indicators (Domain 3) collects data on outcomes achieved by unduplicated

participants with low-incomes in CSBG Eligible Entity programs by either:

• Increasing their ability to meet basic needs (Meeting basic needs is the ability to have consistent

access to food, safe and stable shelter [including utilities] and ensure the safety of participants

and their family.)

• Increasing their assets

• Increasing their ability to manage and use resources (Asset Utilization) or

• Improving financial well-being.

Applicable Activities

FNPI 3 collects outcome data on participants who achieved outcomes as a result of either:

• Stand-alone asset enhancement or case management/coaching programs or

Examples of activities that may generate reportable outcomes for this indicator:

o Participants who earned a bachelor’s degree through a work support program employing

students with low-incomes to help them through college.

o Participants who earned a bachelor’s degree through a partnership with the CSBG Eligible

Entity and a local community college that provides coaching and an on-campus study

center to mothers with low-incomes.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 22

• Asset enhancement or case management/coaching services as part of broader intervention.

• CSBG Eligible Entities are only expected to report on basic needs indicators as applicable to the

CSBG Eligible Entity's programs. When reporting on indicators related to basics needs, CSBG

Eligible Entities can provide their own definition or select from national, state, or locally defined

models. CSBG Eligible Entities must identify in the General Comments Section the basic needs

definition used. In general, basic needs is to have consistent access to food, safe and stable shelter

[including utilities] and ensure the safety of participants and their family.)

Indicators

FNPI 3a. The number of individuals who achieved and maintained capacity to meet basic needs for 90

days.

Note: This is an unduplicated count of individuals. Only report the participants who attend classes, case

management/coaching sessions, or other training here who met their basic needs for 90 days. This does

not include the number of people in the participant’s household. If multiple household/family members

are participating in the activities (for example, if spouses are both participating in coaching sessions), then

they are both counted as individuals.

Some examples of activities that may be offered as stand-alone programs or integrated in with

other programs include:

o CSBG Eligible Entity activities that result in an improved sense of financial wellbeing

such as classes to improve participant credit scores or how to purchase a home.

o Individual Development Accounts (IDAs).

o Financial counseling or coaching.

Examples of activities that may generate reportable outcomes for this indicator:

o CSBG Eligible Entity programs that help participants manage household income and

resources, including instruction in household budgeting, consumer education, and the use

of financial services within the community.

o Financial coaching activities that provide information, knowledge and support on a range

of financial empowerment topics that may include, savings, credit repair, avoiding

predatory lending, budgeting, and selecting safe banking products.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 23

FNPI 3b. The number of individuals who achieved and maintained capacity to meet basic needs for 180

days.

Similar to FNPI 3a, this is an unduplicated count of individuals. Report participants who have met their

basic needs for 180 days. Participants reported in FNPI 3b should also be reported above in FNPI 3a. This

does not include the number of people in the participant’s household. If multiple household/family

members are participating in the activities (for example, spouses are both participating in coaching

sessions), then they are both counted as individuals.

FNPI 3c. The number of individuals who opened a savings account or IDA.

This is an unduplicated count of individuals. Report the number of individuals who opened accounts, not

the number of accounts or the number of people in the participant’s household.

FNPI 3d. The number of individuals who increased their savings.

This is an unduplicated count of individuals. This does not include the number of people in the

participant’s household.

Participants reported here may be also be reported in FNPI 3c only if they opened a savings account and

increased savings. Participants who had existing accounts and increased their savings as a result of

activities they participated in with the CSBG Eligible Entity should be reported here.

Examples of activities that may generate reportable outcomes for this indicator:

o A CSBG Eligible Entity participant in a financial coaching program who opened a savings

account.

o A CSBG Eligible Entity participant in an IDA program who opened an IDA.

An example of an activity that may generate reportable outcomes for this indicator:

o A CSBG Eligible Entity participant with a savings account or an IDA who deposited money

and increased their balance.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 24

FNPI 3e. The number of individuals who used their savings to purchase an asset.

This is an unduplicated count of individuals.

Participants reported here may also be reported in FNPI 3c and FNPI 3d only if they opened a savings

account and increased savings. Participants who used savings and purchased an asset independent of

working with a CSBG Eligible Entity should not be reported here.

• FNPI 3e(1) Of the above, the number of individuals who purchased a home.

Report the number of people from FNPI 3e who used their savings specifically to purchase a home.

This indicator is an unduplicated individual count and does not include the number of people in

the household—only the person who purchased a home. Participants who used savings to

purchase a home independent of working with a CSBG Eligible Entity should not be reported here.

FNPI 3f. The number of individuals who improved their credit scores.

Report the number of participants in CSBG Eligible Entity programs who improved their credit scores as a

result of working with the CSBG Eligible Entity.

FNPI 3g. The number of individuals who increased their net worth.

Report the number of participants in CSBG Eligible Entity programs who increased their net worth as a

result of working with the Entity.

Net worth is defined as the total value of the participant’s assets, minus the participant’s total amount of

debt.

FNPI 3h. The number of individuals engaged with the Community Action Agency who report improved

financial well-being.

This indicator is an unduplicated count of people who report improved financial well-being A tool the

CSBG Eligible Entities can use to measure financial well-being is the CFPB Financial Well-Being Scale

An example of an activity that may generate reportable outcomes for this indicator:

o Participants in CSBG Eligible Entity programs such as IDAs or housing programs who

accumulated economic resources that enabled them to invest in assets, such as creating

a small business, pursuing higher education, or purchasing a home. In some programs

designed for certain target population

s (teens exiting foster care, rural places)

automobiles may be identified as an allowable asset purchase.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 25

survey. The survey needs to be delivered at intake and at intervals as determined by the program in order

to accurately report progress. CSBG Eligible Entities can select to use a different scale to measure financial

well-being but should have an assessment tool and process in place.

Financial well-being is a state of being wherein an individual has control over day-to-day and month-to-

month finances; have the capacity to absorb a financial shock; are on track to meet your financial goals;

and have the financial freedom to make the choices that allow an individual to enjoy life

FNPI 3z. Other Income and Asset Building Outcome Indicator

Only report an "Other Outcome Indicator" if none of the current FNPIs capture the outcomes achieved by

the program. Sample language is provided below:

o FNPI 3z.1 The number of individuals or households who______________.

FNPI 4 Housing Indicators

Housing Indicators Overview:

Housing indicators (Domain 4) collect data on outcomes achieved by the unduplicated number of

individuals in households with low incomes participating in CSBG Eligible Entity programs by:

• Accessing emergency housing

• Obtaining and maintaining stable housing

• Reducing eviction or foreclosure

• Improving a home’s safety

NOTE: All indicators in the housing domain pertain to households. However, this is an unduplicated

count of individuals. Report the individuals in the households who obtain these outcomes. If a family of

four obtained the outcome, then report four (4).

Applicable Activities

The FNPI 4 housing indicators collects data on participants in households who achieved outcomes as a

result of either:

• A stand-alone housing program or

• Housing services as part of broader case management/coaching or other CSBG Eligible Entity

program.

https://files.consumerfinance.gov/f/201501_cfpb_report_financial-well-being.pdf

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 26

CSBG Eligible Entities are only asked to report on housing indicators as applicable to the CSBG Eligible

Entity's programs. Include CSBG Eligible Entity programs funded by CSBG, HUD, USDA, Weatherization,

and other funding sources.

Note: All indicators in this domain count the number of individuals within households, not households.

For example, if a household of four obtains housing, then four (4) will be reported.

Indicators

FNPI 4a. The number of households experiencing homelessness who obtained safe temporary shelter.

In this indicator, report the unduplicated number of individuals in each household who obtain an

outcome.

Examples of activities that may generate reportable outcomes for this indicator:

o The CSBG Eligible Entity operates an emergency shelter and provided temporary shelter to

individuals in households experiencing homelessness.

o The CSBG Eligible Entity has a voucher program in partnership with their city and provided

emergency motel vouchers to individuals in households experiencing homelessness.

o The CSBG Eligible Entity assessed needs and eligibility for other partners in the community,

provided referrals to the local shelter, and received confirmation that the household member

experiencing homelessness stayed in the shelter.

This report uses HUD’s definition of homeless:

• People who are living in a place not meant for human habitation, in emergency shelter, in

transitional housing, or are exiting an institution where they temporarily resided. The only

significant change from existing practice is that people will be considered homeless if they are

exiting an institution where they resided for up to 90 days (previously 30 days) and were in a

shelter or a place not meant for human habitation immediately prior to entering that institution.

• People who are losing their primary nighttime residence, which may include a motel, hotel, or a

doubled-up situation, within 14 days and lack resources or support networks to remain in housing.

(HUD had previously allowed people who were being displaced within 7 days to be considered

homeless.)

• Families with children or unaccompanied youth who are unstably housed and likely to remain in

that state. This new category of homelessness applies to families with children or unaccompanied

youth who have not had a lease or ownership interest in a housing unit in the last 60 or more days

or more, have moved two or more times within the last 60 days, and who are likely to continue

to be unstably housed because of disability or other barriers to employment.

• People who are fleeing or attempting to flee domestic violence, have no other residence, and lack

the resources or support networks to obtain other permanent housing.

See HUD’s Hearth Act rule

for more information.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 27

FNPI 4b. The number of households who obtained safe and affordable housing

In this indicator, report the unduplicated number of individuals in each household.

Safe and affordable is defined as the CSBG Eligible Entity deems it appropriate, considering community

conditions. Safe typically means that there are no health or safety risks. Affordable typically means that

a family spends no more that 30% of its income on housing.

Only include individuals in households that the CSBG Eligible Entity directly assisted through its programs

or as part of partner referrals. Do not count households that secured housing independently of the CSBG

Eligible Entity.

FNPI 4c. The number of households who maintained safe and affordable housing for 90 days.

Report the number of individuals in households who remained in a safe and affordable housing situation

for 90 days. These individuals may have been reported in FNPI 4b, or they may be individuals that entered

a CSBG Eligible Entity program while already in safe and affordable housing and had maintained that

housing. Do not include individuals who remained housed, but who were not engaged in case

management or other housing services and programs operated by the CSBG Eligible Entity.

FNPI 4d. The number of households who maintained safe and affordable housing for 180 days.

Report the number of individuals in households who remained in a safe and affordable housing situation

for 180 days. These individuals may have been reported in FNPI 4b and FNPI 4c or they may be individuals

that entered a CSBG Eligible Entity program while already in safe and affordable housing and had

maintained that housing. Do not include individuals who remained housed, but who were not engaged in

case management or other housing services and programs operated by the CSBG Eligible Entity.

Examples of activities that may generate reportable outcomes for this indicator:

o Individuals in a participating household that received a Section 8 housing voucher and

obtained safe and affordable housing as a result of having been engaged in the CSBG

Eligible Entity’s case management program and receiving its support.

o Individuals in a household that secured adequate housing through a housing program

operated by the CSBG Eligible Entity.

o Programs such as Self-Help Housing that helped individuals in households build their own

homes, case management programs that assisted them in securing housing on the open

market, or any housing program that offered subsidized housing.

o The CSBG Eligible Entity provided referrals to partner housing organizations and received

confirmation that the household obtained safe and affordable housing.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 28

FNPI 4e. The number of households who avoided eviction.

Report the number of individuals in households who avoided an eviction.

An eviction is the act of being expelled from a property, typically in a renter/landlord situation. CSBG

Eligible Entities may identify what constitutes a potential eviction and determine at the local level the

appropriate time to provide an intervention and the appropriate intervention.

FNPI 4f. The number of households who avoided foreclosure.

Report the number of individuals in households who avoided foreclosure.

FNPI 4g. The number of households who experienced improved health and safety due to improvements

within their home (e.g. reduction or elimination of lead, radon, carbon dioxide and/or fire hazards or

electrical issues, etc.).

In this indicator, report the unduplicated number of individuals in each household.

Examples of activities that may generate reportable outcomes for this indicator:

o Participants who received legal assistance and intervention when they were at risk of

imminent eviction from their place of residence.

o A CSBG Eligible Entity program that worked with landlords and tenants to mediate

situations that ultimately keep the tenant housed.

o Case management that connected the household to funding or a CSBG Eligible Entity

program that provided financial assistance to help households avoid eviction.

Examples of activities that may generate reportable outcomes for this indicator:

o Participants who received legal assistance and intervention when they were at risk of

imminent foreclosure from their place of residence.

o Case management that connected the household to funding or a CSBG Eligible Entity

program that provided financial assistance to help households avoid foreclosure.

Examples of activities that may generate reportable outcomes for this indicator:

o Households that received weatherization assistance to remove dangerous or substandard

insulation, thus enabling family members to experience improved health.

o The weatherization program installed measures that improved the health and safety of

the family.

o A program that installed carbon monoxide detectors.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 29

Note: This is primarily a weatherization indicator and more specifically, a place where outcomes obtained

by using Health and Safety dollars could be reported.

FNPI 4h. The number of households with improved energy efficiency and/or energy burden reduction in

their homes.

In this indicator, report the unduplicated number of individuals in each household.

Note: This is primarily a weatherization indicator.

FNPI 4z. Other Housing Outcome Indicator

Only report an "Other Outcome Indicator" if none of the current FNPIs capture the outcomes achieved by

the program. Sample language is provided below:

o FNPI 4z.1 The number of individuals or households who______________.

FNPI 5 Health and Social/Behavioral Development Indicators

Health and Social/Behavioral Development Overview:

Health and Social/Behavioral Development indicators (Domain 5) collect data on the unduplicated

number of individuals who achieve outcomes as a result of CSBG Eligible Entity activities by:

• Improving a participant’s physical, mental, or behavioral health,

• Increasing a participating household members’ interaction skill,

• Demonstrating a participant’s ability to live independently; or

• Decreasing a participating household member’s recidivism rate.

Applicable Activities

FNPI 5 collects outcome data on participants who achieved outcomes as a result of either:

• Stand-alone household support programs or projects or

• Health and social/behavioral services as part of broader programs.

CSBG Eligible Entities are only expected to report on health and social/behavioral development indicators

as applicable to the CSBG Eligible Entity's programs.

An example of an activity that may generate reportable outcomes for this indicator:

o Households that received weatherization assistance to improve the energy efficiency of

the home and reduce the household’s energy burden.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 30

Note: Indicators in this section should be supported by documentation that indicates improvements have

occurred in individuals. Programs of this nature generally require assessment of the individual’s conditions

before services begin. Program methodologies may vary, and the FNPIs allow for great flexibility; however,

CSBG Eligible Entities should consider using methodologies that are best practices for the particular

medical, or mental and behavioral health fields and would pass scrutiny among professionals in the field.

Indicators

FNPI 5a. The number of individuals who demonstrated increased nutrition skills (e.g., cooking, shopping,

and growing food).

Note: While this type of program may benefit all household members, this is an individual count. Only

report the participants in the program who improved their skills. Ensure that there is some assessment in

place to measure whether or not a participant achieved the outcome.

FNPI 5b. The number of individuals who demonstrated improved physical health and well-being.

Note: CSBG Eligible Entities who plan to report on this indicator should have a definition for what it means

to improve health and wellbeing. A measurement tool to determine improvement should be

implemented. Tracking an individual’s health and wellbeing could include a number of indicators such as

reduction of injuries from falls, reduced blood pressure, weight reduction, improved affects from asthma,

vision, hearing, mobility improvements, or a variety of other measurable changes.

Examples of activities that may generate reportable outcomes for this indicator:

o A CSBG Eligible Entity that operates a Cooking Matters program or other classes on how

to shop for and prepare food.

o A CSBG Eligible Entity that runs a community garden and offers classes on how to grow

and prepare food from the garden.

o A Head Start program that provides a comprehensive nutrition component for parents.

Examples of activities that may generate reportable outcomes for this indicator:

o A CSBG Eligible Entity that offers a physical exercise program to improve the health of

seniors and prevent falls.

o A CSBG Eligible Entity that offers a weekly exercise group for Head Start parents.

o A CSBG Eligible Entity Family Planning program that provides services that improve health

and has a methodology for measuring positive changes in health

o A CSBG Eligible Entity program that deploys community health workers into

neighborhoods and tracks each individual participant’s health changes over time.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 31

Resource for potential assessment tools:

• Quality of Life Index

FNPI 5c. The number of individuals who demonstrated improved mental and behavioral health and well-

being.

Note: CSBG Eligible Entities reporting in this indicator should have an identified assessment tool in place

to measure change over time. Many federal and state programs may have a tool for assessment.

Resource for potential assessment tool:

• SAMHSA-HRSA Center for Integrated Health Solutions

FNPI 5d. The number of individuals who improved skills related to the adult role of parents/ caregivers.

Note: CSBG Eligible Entities who plan to report in this indicator should have an assessment tool in place

to measure change over time and to be able to report in this indicator.

An example of an activity that may generate reportable outcomes for this indicator:

o Individuals who met regularly with a mental health provider and demonstrated improved

mental and behavioral well-being through assistance from the CSBG Eligible Entity.

Examples of activities that may generate reportable outcomes for this indicator:

o A CSBG Eligible Entity that operates a Strengthening Families program or other strengths-

based skill-building program where participants learn and improve their skills in parenting

or caregiving.

o A weekly caregiver class held at the CSBG Eligible Entity where participants who attend

regularly improve their caregiving skills.

o A CSBG Eligible Entity’s home visiting program that provides activities for parents and

other caregivers that improves their parenting and caregiving skills.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 32

FNPI 5e. The number of parents/caregivers who demonstrated increased sensitivity and responsiveness

in their interactions with their children.

Note: CSBG Eligible Entities who plan to report in this indicator should have an assessment tool in place

to measure change over time.

FNPI 5f. The number of seniors (65+) who maintained an independent living situation.

Independent Living is a living situation where the individual has freedom to make their own decisions,

control over their financial, legal, or medical situation, and assistance in overcoming physical or mental

barriers to independence.

FNPI 5g. The number of individuals with disabilities who maintained an independent living situation.

Examples of activities that may generate reportable outcomes for this indicator:

o CSBG Eligible Entity Head Start parents who attended parenting classes and demonstrated

increased sensitivity and responsiveness to their children.

o A CSBG Eligible Entity that utilizes a variety of funding sources to offer parenting skills

enrichment courses for adult participants in a number of its programs. The courses are

designed to help parents improve their ability to:

 Communicate with their children.

 Establish and

maintain appropriate structure, boundaries, and common

expectations within the family.

 Reduce the incidence of physical or emotional abuse through better anger

management and alternative approaches to parent-child conflict resolution.

Examples of activities that may generate reportable outcomes for this indicator:

o A CSBG Eligible Entity that operates home health care services that allow seniors to stay

in their homes.

o A CSBG Eligible Entity that operates a home delivered meals program that helps seniors

stay in their homes.

o A CSBG Eligible Entity in a rural area that operates a transportation program for seniors

that provides rides for medical appointments and grocery shopping. Seniors who need

these services are enrolled in a support program that, in addition to providing the rides,

provides home visits and follow-up to make sure the seniors are maintaining a healthy

living situation.

An example of an activity that may generate reportable outcomes for this indicator:

o The number of individuals with disabilities who continue to live independently during the

reporting period as a result of receiving one or more services.

 Services that could aid someone in obtaining this outcome could include home

health aides who help the individual complete Activities of Daily Living (ADLs) such

as bathing or cleaning. Other services could include transportation to doctors’

visits or home-delivered meals.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 33

Note: If a senior also has a disability, they may be reported in FNPI 5f and this indicator (FNPI 5g).

FNPI 5h. The number of individuals with chronic illness who maintained an independent living situation.

Note: If a senior also has a disability and a chronic illness, they may be reported in FNPI 5f, FNPI 5g and

this indicator (FNPI 5h).

A chronic illness is a human health condition or disease that is persistent or otherwise long lasting in its

effects, often defined as lasting more than three months. Common chronic illnesses include cancer,

asthma, diabetes, HIV/AIDS, COPD, depression, and many others.

A disability is a physical or mental impairment that substantially limits one or more of an individual’s

major life activities.

FNPI 5i. The number of individuals with no recidivating event for six months.

A recidivistic event occurs when, after an individual is released from custody (jail, prison, or other

correctional facility), they violate their probation or parole and are returned to custody.

• FNPI 5i(1). Youth (ages 14-17)

Report the number of youth (ages 14-17) with no recidivistic events within six months of release

from custody. The youth reported here in FNPI 5i(1) should also be reported in FNPI 5i.

• FNPI 5i(2). Adults (ages 18+)

Report the number of adults (ages 18+) with no recidivistic events within six months of release

from custody. The adults reported here in FNPI 5i(2) should also be reported in FNPI 5i.

An example of an activity that may generate reportable outcomes for this indicator:

o The number of individuals with chronic illnesses who continue to live independently

during the reporting period as a result of receiving one or more services.

 Services that could aid someone in obtaining this outcome include prescription

delivery services or cleaning services.

Examples of activities that may generate reportable outcomes for this indicator:

o A CSBG Eligible Entity that operates a case management, mentoring or other supportive

services program that works with individuals so that they do not return to jail, prison or

other correctional facility.

o A CSBG Eligible Entity that operates an afterschool program that teaches youth the skills

they need to prevent them from returning to juvenile detention or other correctional

facility.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 34

• FNPI 5z. Other Health and Social/Behavioral Development Outcome Indicator

Only report an "Other Outcome Indicator" if none of the current FNPIs capture the outcomes

achieved by the program. Sample language is provided below:

o FNPI 5z.1) The number of individuals or households ______________.

FNPI 6 Civic Engagement and Community Involvement Indicators

Civic Engagement and Community Involvement Overview:

Civic Engagement and Community Involvement indicators (Domain 6) collects data on the unduplicated

number of individuals with low-incomes who achieve outcomes as a result of CSBG Eligible Entity activities

by:

• Increasing the leadership skills, social networks, and knowledge to improve conditions in the

community.

Applicable Activities

FNPI 6 collects outcome data on participants who achieved outcomes as a result of either:

• Stand-alone community improvement programs or

• Community improvement initiatives that are part of a broader community initiative.

Note: Only CSBG Eligible Entity participants should be reported in this section. Low-income board

members who are participants of CSBG Eligible Entity programs may be reported here if the outcome is

obtained. If the Board member is not a participant, he/she should be reported only in Module 2 (B.3a.1).

Indicators

FNPI 6a. The number of Community Action program participants who increased skills, knowledge, and

abilities to enable them to work with Community Action to improve conditions in the community.

Examples of activities that may generate reportable outcomes for this indicator:

o Individuals who participated in a leadership development program to increase their skills

and knowledge.

Individuals who engaged in a peer-mentoring program.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 35

• FNPI 6a.1. Of the above, the number of Community Action program participants who

improved their leadership skills.

Report the number of participants who achieved the outcome listed in FNPI 6a.1 in 6a.

• FNPI 6a.2. Of the above, the number of Community Action program participants who

improved their social networks.

Report the number of participants who achieved the outcome listed in FNPI 6a.2 in 6a.

• FNPI 6a(3). Of the above, the number of Community Action program participants who

gained other skills, knowledge and abilities to enhance their ability to engage.

Report the number of participants who achieved the outcome listed in FNPI 6a.3 in 6a.

FNPI 6b. Other Civic Engagement and Community Involvement Outcome Indicator

Only report an "Other Outcome Indicator" if none of the current FNPIs capture the outcomes achieved by

the program. Sample language is provided below:

o FNPI 6b(1). The number of individuals or households who______________.

Examples of activities that may generate reportable outcomes for this indicator:

o The number of individuals who joined and engaged in their neighborhood association,

community board, advisory group, or similar organization.

o Individuals who participated in CSBG Eligible Entity leadership or peer mentoring

programs and engaged in civic activities.

Examples of activities that may generate reportable outcomes for this indicator:

o Individuals who joined a neighborhood association.

o Individuals who joined the Head Start Policy Council.

o Individuals who joined the parent involvement group at their local school.

An example of an activity that may generate reportable outcomes for this indicator:

o Individuals who completed U.S. citizenship classes or engaged in civic events.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 36

FNPI 7 Outcomes across Multiple Domains

Outcomes across Multiple Domains Overview:

Outcomes across Multiple Domains indicators collect data on the unduplicated number of individuals who

achieve one or more of the outcomes reported throughout any of the domains as a result of a CSBG

Eligible Entity. An individual who obtained employment (FNPI 1b) and a certificate or diploma (FNPI 2g)

may be reported in each of those indicators and reported here once. An individual who obtained only one

outcome may be reported in that indicator and also be reported here once.

The data from this indicator will help tell the story of how many lives were improved because of the CSBG

eligible Entity Network. Reporting on this indicator requires CSBG Eligible Entities to keep an unduplicated

count of individuals who achieved one or more outcomes reported in the FNPIs.

This indicator will provide data on how many individuals achieved one or more of the FNPIs. This will

allow for better understanding of the number of individuals with low incomes who were helped to become

stable and achieve economic security. This is different than adding up all the FNPI numbers which would

show the total number of outcomes achieved rather than the number of individuals who obtained the

outcomes.

It is expected that some CSBG Eligible Entities have the technological capacity to provide data for this

FNPI, and other CSBG Eligible Entities will need to consider how to move forward for future reporting

periods. It is also expected that FNPI 7 will provide CSBG Eligible Entities with valuable data that will help

them to manage and improve services.

Indicators

FNPI 7a. The number of individuals who achieved one or more outcomes as identified by the National

Performance Indicators in various domains.

Report any individual who achieves one or more outcomes across any domain in this report. This is an

unduplicated count. The individual should only be counted one time. The result will be an unduplicated

Examples of activities that may generate reportable outcomes for this indicator:

o A CSBG Eligible Entity that operates many programs

where an

individual/family/household achieved a variety of outcomes.

 For example, individuals could be in a two-generation approach program or

enrolled in multiple programs such as Head Start, financial coaching, utility

assistance, ESL, child care etc. Outcomes are often reached in each program for

one individual/household.

o A CSBG Eligible Entity Housing program participant who is in a household of one and

whose single outcome was having obtained safe and affordable housing as a result of the

work of the CSBG Eligible Entity may be reported here.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 37

(each individual counted once) count of all the individuals across the CSBG Eligible Entity who achieved

one or more FNPIs.

FNPI 7z. Other Outcome Indicator

Only report an "Other Outcome Indicator" if the current FNPIs do not capture the outcomes achieved by

the program. Sample language is provided below.

o FNPI 7z.1. The number of individuals or households ______________.

NOTE: CSBG Eligible Entities may consider reporting bundled services here. Sample language will be made

available on the NASCSP website

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 38

Module 4, Section B: Individual and Family Services (SRV)

Goal 1: Individuals and Families with low-incomes are stable and achieve economic security.

CSBG Eligible Entities will report unduplicated counts of individuals receiving any of the services listed on

the Individual and Family Services Form. The only time that services are reported as a result of a referral

is when an MOU is in place with a partnering agency and the participant is enrolled in a specific CSBG

Eligible Entity program.

CSBG Eligible Entities may provide certain services directly or may pay another organization, vendor or

entity for a service. For example, an Entity may provide transportation vouchers, pay tuition to a

certification program for a participant, or purchase dental services for adults so they can resolve issues

and maintain employment. In all three examples, the CSBG Eligible Entity should report these activities

as services delivered to participants.

All services are reported as an unduplicated count of people who obtain the service. Each CSBG Eligible

Entity and, in many cases, each program must define the point at which an individual is considered a

participant. This will help to accurately count the number of participants who receive a service. In this

section, only report participants who have received a service. A general approach that will be used for

Module 4, Section B is when an individual is assessed and eligible for services administered by the CSBG

Example of the relationship between FNPIs and services:

CSBG Eligible Entity of XYZ County operates a full-service case management program where

many participants seek services to help them obtain and retain employment. A participant in

the case management program is working toward goals related to Employment (FNPI 1). In

order to achieve the desired employment outcomes, the participant receives vocational

training (SRV 1a). The same participant also receives resume development (SRV 1j), interview

skills training (SRV 1k), and job referrals (SRV 1l), all provided by the case manager at the CSBG

Eligible entity. The case manager works across multiple domains and assists the participant in

obtaining SNAP (SRV 3l), transitional housing (SRV 4n) (provided by the housing department

at the CSBG Eligible Entity) and financial counseling (SRV 4b) (provided by the case manager).

During the reporting period, the participant obtained employment up to a living wage (FNPI

1b) and retained employment for 180 days (FNPI 1c and 1d). The participant would be

reported once in each of the following places:

Services: Vocational training (SRV 1a); Resume Development (SRV 1j); Interview Skills Training

(SRV 1k); Job Referrals (SRV 1l); SNAP Benefits (SRV 3l); Transitional Housing Placements (SRV

4n); Financial Coaching/Counseling (SRV 4b); and Case Management (SRV 7a).

Family National Performance Indicators: Unemployed adult who obtained employment up to

a living wage (FNPI 1b); Unemployed adult who maintained employment for 90 days (FNPI 1c);

Unemployed adult who maintained employment 180 days (FNPI 1d) and achieved one or more

outcomes in various domains (FNPI 7a).

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 39

Eligible Entity, they become a participant and are reported here. An individual may receive the same

services multiple times but should only be reported once under the service received. The individual may

be reported under more than one service, but only once under each service received.

SRV 1 Employment Services

All Employment Services (SRV 1a-1q) are intended to help participants obtain outcomes in the

Employment Domain of Module 4, Section A. These services include: Skills Training and Opportunities;

Job Search; Post-Employment Supports; and Employment Supplies. This list of services primarily supports

the outcomes in FNPI 1a – 1h. These services may also support outcomes in other FNPIs. It will likely take

multiple services across various domains for a participant to obtain one of the Employment outcomes in

the FNPIs.

Report the unduplicated number of participants who receive services. If a participant received the same

service more than once during the reporting period, only report that participant one time. The same

participant may be reported in more than one service

SRV 2 Education and Cognitive Development Services

All Education and Cognitive Development Services (SRV 2a-2cc) are intended to help participants obtain

outcomes in the Education and Cognitive Development Domain. These services include: Child/Young

Adult Education Programs; School Supplies; Extracurricular Programs; Adult Education Programs; Post-

Secondary Education Supports; Financial Aid Assistance; and Home Visits. This list of services supports

the outcomes in FNPI 2a – 2j. These services may also support outcomes in other domains, such as FNPI

3a (the number of individuals who achieved and maintained capacity to meet basic needs for 90 days)

within the Income and Asset Building Domain.

Report the unduplicated number of participants who receive services. If a participant received the same

service more than once during the reporting period, only report that participant one time. The same

participant may be reported in more than one service.

SRV 3 Income and Asset Building Services

All Income and Asset Building Services (SRV 3a-3q) are intended to help participants obtain outcomes in

the Income and Asset Building Domain. These services include: Training and Counseling Services; Benefit

Coordination and Advocacy; Asset Building; and Loans and Grants. This list of services primarily supports

the outcomes in FNPI 3a – 3h. These services may also support outcomes such as FNPI 4f (the number of

households who avoided foreclosure) within the Housing Domain.

Report the unduplicated number of participants who receive services. If a participant received the same

service more than once during the reporting period, only report that participant one time. The same

participant may be reported in more than one service.

SRV 4 Housing Services

All Housing Services (SRV 4a-4t) are intended to help participants obtain outcomes in the Housing Domain.

These services include: Housing Payment Assistance; Eviction Prevention Services; Utility Payment

Assistance; Housing Placement/Rapid Rehousing; Housing Maintenance & Improvement; and

Weatherization Services. This list of services primarily supports the outcomes in FNPI 4a – 4i. These

services may also assist participants in meeting other FNPIs. For example, a participant who receives SRV

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 40

4k (utility arrears payments) may meet the outcome in FNPI 3a (the number of individuals who achieved

and maintained capacity to meet basic needs for 90 days).

Report the unduplicated number of participants who receive services. If a participant receives the same

service more than once during the reporting period, only report that participant one time. The same

participant may be reported in more than one service.

SRV 5 Health and Social/Behavioral Development

All Health and Social/Behavioral Development Services (SRV 5a-5oo) are intended to help participants

obtain outcomes in the Health and Social/Behavioral Development Domain. These services include:

Health Services; Screening and Assessments; Reproductive Health Services; Wellness;

Mental/Behavioral Health; Support Groups; Dental Services, Screenings and Exams; Nutrition and

Food/Meals; and Family Skills Development. This list of services primarily supports the outcomes in FNPI

5a – 5j. However, these services may also support a participant obtaining outcomes such as FNPI 1c

(maintaining employment for 90 days) within other domains such as Employment.

Report the unduplicated number of participants who receive services. If a participant receives the same

service more than once during the reporting period, only report that participant one time. The same

participant may be reported in more than one service.

SRV 6 Civic Engagement and Community Involvement

All Civic Engagement and Community Involvement Services (SRV 6a-6f) are intended to help participants

obtain outcomes in the Civic Engagement and Community Involvement Domain. These services include:

Civic Engagement and Community Involvement Services (voter education and access, leadership training,

tri-partite Board membership, citizenship classes, getting-ahead classes, and volunteer training). This list

of services primarily supports the outcomes in FNPI 6a – 6b.

Report the unduplicated number of participants who receive services. If a participant receives the same

service more than once during the reporting period, only report that participant one time. The same

participant may be reported in more than one service.

SRV 7 Services Supporting Multiple Domains

All Services Supporting Multiple Domains (SRV 7a-70) are intended to help participants obtain outcomes

in the “Services Supporting Multiple Domains” Domain. These services include: Case Management;

Eligibility Determinations; Referrals; Transportation Services; Child Care; Elder Care; Identification

Documents; Re-Entry Services; Immigration Support Services; Legal Assistance; Emergency Clothing

Assistance; and Mediation/Customer Advocacy Interventions. This list of services could support

outcomes in different domains. Services may be reported here that are also similar to services reported

in a specific domain. For example, the referral service is found in a few different domains. If the referral

is specific to a domain, it should be reported in the specific domain. If a referral, is general and crosses

multiple domains such as a referral to a case management provider, the referral should be reported in

this section.

Report the unduplicated number of participants who receive services. If a participant receives the same

service more than once during the reporting period, only report that participant one time. The same

participant may be reported in more than one service.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 41

Services to Consider

The services included here may be difficult to get an accurate count of the number of participants who

receive these services. Rather, it would be easier to count the number of services provided rather than

the number of individuals served.

These services include: SRV 1l-Job referrals; SRV 1p-Interactions with employers; SRV 1q-Employment

Supplies; SRV 2k-School Supplies; SRV 2l-Before- and after-school activities;; SRV 4m-Temporary

Housing Placement; SRV 5m-Contraceptives; SRV 5o-STI/HIV Screenings; SRV 5w-Crisis response/call-in

responses; SRV 5gg-Community gardening activities; SRV 5jj-Food distribution; SRV 5nn-Kits/boxes; SRV

5oo-Hygiene facility utilizations; SRV 7c-Referrals; and SRV 7n-Emergency clothing assistance.

While reporting the count of services here does not align with the general instruction on reporting services in this

report, it is acceptable to do so for these specific services.

Module 4, Section C: All Characteristics Report - Data Entry Form

The All Characteristics Report collects data on all individuals and households, whether or not funded

directly by CSBG. This demographic information will strengthen the CSBG Annual Report by demonstrating

who is being served by CSBG Eligible Entities. Please note that this is a report and not intended to be a

tool to determine eligibility.

To obtain unduplicated counts, a CSBG Eligible Entity will need to have a system that distinguishes the

characteristics for each individual/household. To obtain an unduplicated count, a unique identifier will be

needed at the individual level. While some individuals and households may be served by several programs

within a reporting year and thus entered into multiple data systems (e.g., LIHEAP, WIC, etc.), they must

be reported as unduplicated individuals (in row A) and unduplicated households (in row B) in this report.

We recognize CSBG Eligible Entities have multiple data systems and may not immediately be able to have

an unduplicated count across several systems. If the CSBG Eligible Entity is not currently able to have

unduplicated counts across programs due to data systems issues, include those programs in rows E and F

at the end of this report. Additionally, indicate the programs in which these individuals and households

were enrolled.

Clarification on Duplication in the All Characteristics Report

For the CSBG Annual Report, it is important that CSBG Eligible Entities only report the unduplicated count

of participants. Therefore, when CSBG Eligible Entities are unable to verify data as unduplicated, that data

should not be reported. If a CSBG Eligible Entity is able to verify that a portion of its data is unduplicated,

it is appropriate to report that portion of the data. Make sure to provide a comment to that effect this

year and next year to explain the variance that will result from improved reporting. The top priority is to

maintain the integrity of the data reported, which is why it is critical that only unduplicated data is

included in the report. It is recognized, though, that this can be a challenge for CSBG Eligible Entities.

Include demographic data on all individuals and households served by the CSBG Eligible Entity, not only

those who are CSBG eligible. The CSBG Eligible Entity should determine when a client becomes a client

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 42

and report all clients in this report. The All Characteristics Report is for demographics collected on

individuals/ households receiving services from the CSBG Eligible Entity.

How to report partial information on participants:

The All Characteristic Report can accept the reporting of individuals about whom some, but potentially

not all, demographic information is collected. A single unique identifier is the only data point that needs

to be collected to ensure an unduplicated count in the All Characteristics Report.

All Characteristics Report

Total unduplicated number of all INDIVIDUALS about whom one or more characteristics

were obtained.

This is an unduplicated count of all individuals in a household served by any of the programs operated

by the CSBG Eligible Entity. To obtain unduplicated counts, a CSBG Eligible Entity will need to have a

system that distinguishes each individual. It is important to have a unique identifier, so individuals

served by multiple programs are only counted once for the demographics report, and services

provided to the individual can be linked and counted correctly in Module 4, Section B.

Total unduplicated number of all HOUSEHOLDS about whom one or more characteristics

were obtained.

This is an unduplicated count of all households served by the CSBG Eligible Entity. To obtain

unduplicated counts, a CSBG Eligible Entity needs a system that distinguishes to which household unit

each individual belongs. Some items collected on the characteristics report are related to household

conditions, so it is important to have an accurate, unduplicated count of households served by the

CSBG Eligible Entities.

The definition of “household” is one or more people living in the same home. If a state has a different

definition, CSBG Eligible Entities should refer to their state’s definition.

Individual level characteristics

Individual-level characteristics are self-reported.

1. Gender

Gender should be noted as Male, Female, Other, or Unknown/Not Reported. Report Other when an

individual self-identifies as something other than Male or Female. Use unknown or not reported when

gender is not known, or the client doesn’t report.

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 43

The options for Gender are as follows:

a. Male

b. Female

c. Other

d. Unknown/not reported

e. TOTAL (auto-calculated)

2. Age

Most CSBG Eligible Entities record the date of birth, and systems calculate ages annually to provide

this information.

The breakdowns for data collection of age are as follows:

a. 0-5

b. 6-13

c. 14-17

d. 18-24

e. 25-44

f. 45-54

g. 55-59

h. 60-64

i. 65-74

j. 75+

k. Unknown/not reported

l. TOTAL (auto calculated)

3. Education Levels

Please note that this Item only applies to youth ages 14-24 and adults over 25 years of age. The

education level is the last educational achievement obtained. For example, a 55-year-old individual

may report 10th grade as the highest level of educational achievement. They should be reported in

Grades 9-12 under their age bracket.

The breakdowns for data collection of education levels are as follows:

a. Grades 0-8

b. Grades 9-12/Non-Graduate

c. High School Graduate/Equivalency Diploma

d. 12 grade + Some Post-Secondary

e. 2- or 4-year College Graduate

f. Graduate of other post-secondary school

g. Unknown/not reported

h. TOTAL (auto calculated)

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 44

4. Disconnected Youth

Disconnected youth identifies the unduplicated number of youth who are neither working nor in

school and are enrolled in a CSBG Eligible Entity program. Youth is defined as ages 14-24.

There is one data point to collect this information:

a. Youth ages 14-24 who are neither working or in school

5. Health

Disabling Condition: Report the unduplicated number of individuals who have self-identified as having

a disabling condition and those who do not.

Health Insurance: In 5b, report the unduplicated number of individuals who have some type of health

insurance and those who do not. If an individual is reported as having health insurance, they should

also be included in 5c(1) – 5c(8). Report health insurance status only for individuals in the household.

If an individual/household reports having more than one type of insurance, include them under each

type of insurance they have.

Data points collected in Item 5 are as follows:

a. Disabling Condition (Yes, No, Unknown)

b. Health Insurance (Yes, No, Unknown) If an individual reported that they had Health

Insurance, identify the source of health insurance below.

c. Health Insurance Sources:

1. Medicaid: a federally funded and state-administered program that provides

health insurance to individuals and families with low-incomes.

2. Medicare: a single-payer, national social insurance program administered by the

United States federal government.

3. State Children’s Health Insurance Program: a program administered by the

United States Department of Health and Human Services that provides matching

funds to states for health insurance to families with children who have low-

incomes.

4. State Health Insurance for Adults: a state-funded and administered health

insurance program.

5. Military Health Care: is a program administered by the Department of Defense

that provides health insurance to active and retired military and their family.

Individuals receiving health benefits through the Veterans Administration should

also be reported here.

6. Direct-Purchase: health insurance purchased directly from the insurer or through

the Health Insurance Exchange under the Affordable Care Act.

7. Employment-Based: insurance provided by an employer.

8. Unknown/not reported: all participants who have no information to report.

Additionally, Indian Health Services should be reported here.

9. Total (auto-calculated)

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 45

Note: Individuals receiving medical services from Indian Health Services (IHS) should be reported

under Unknown/not reported.

6. Ethnicity/Race

Information is collected both on Ethnicity (Hispanic or not Hispanic) and Race of program participants.

These are two separate categories that align with data collection by the U.S. Census Bureau. An

individual who reports Hispanic, Latino or Spanish Origin for ethnicity in Item 6a will also report a race

from the categories in Item 6b. Likewise, an individual who reports Not Hispanic, Latino or Spanish

Origin will also report a race in 6b.

While ethnicity and race are self-reported, definitions of each category are identified below. If the

ethnicity or race are unknown or not collected, include the unduplicated count of those individuals in

the unknown/not reported data point.

a. Ethnicity

1. Hispanic, Latino or Spanish Origins: the terms “Hispanic,” “Latino,” and “Spanish”

are used interchangeably. Some individuals identify with all three terms while

others may identify with only one of these three specific terms. Hispanics or

Latinos who identify with the terms “Hispanic,” “Latino,” or “Spanish” are those

who classify themselves in one or more of the specific Hispanic, Latino, or Spanish

categories (“Mexican,” “Puerto Rican,” or “Cuban”) as well as those who indicate

that they are “another Hispanic, Latino, or Spanish origin.” People who do not

identify with any of the specific origins listed on the questionnaire but indicate

that they are “another Hispanic, Latino, or Spanish origin” are those who may

identify as Argentinian, Colombian, Dominican, Nicaraguan, Salvadoran,

Spaniard, or other Spanish cultures or origins. Origin can be viewed as the

heritage, nationality group, lineage, or country of birth of the person or the

person’s parents or ancestors before their arrival in the United States. People

who identify their origin as Hispanic, Latino, or Spanish may be of any race.

2. Not Hispanic, Latino or Spanish Origins

3. Unknown/not reported

4. Total (auto calculated)

b. Race

1. American Indian or Alaska Native: a person having origins in any of the original

peoples of North and South America (including Central America) and who

maintains tribal affiliation or community attachment.

2. Asian: a person having origins in any of the original peoples of the Far East,

Southeast Asia, or the Indian subcontinent including, for example, Cambodia,

https://www2.census.gov/programs-surveys/acs/tech_docs/subject_definitions/2016_ACSSubjectDefinitions.pdf

https://www.census.gov/topics/population/race/about.html

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 46

China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand,

and Vietnam.

3. Black or African American: a person having origins in any of the Black racial

groups of Africa.

4. Native Hawaiian and Other Pacific Islander: a person having origins in any of the

original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

5. White: a person having origins in any of the original peoples of Europe, the

Middle East, or North Africa.

6. Other: includes all other responses not included in the White, Black or African

American, American Indian or Alaska Native, Asian, and Native Hawaiian or Other

Pacific Islander race categories described above.

7. Multi-race (two or more of the above)

8. Unknown/not reported

9. Total (auto-calculated)

7. Military Status

Report the unduplicated number of veterans and individuals in active military for any branch of the

military. This information is not required of participants who are under 18 years old. If systems

cannot support skip logic, then it is acceptable to report individuals under 18 or who have no military

status here as unknown/not reported. This information should be collected only on program

participants.

a. Veteran: Veteran status is used to identify people with active duty military service and

service in the military Reserves and the National Guard. Veterans are men and women

who have served (even for a short time), but are not currently serving, on active duty in

the U.S. Army, Navy, Air Force, Marine Corps, or the Coast Guard, or who served in the

U.S. Merchant Marine during World War II. People who served in the National Guard or

Reserves are classified as veterans only if they were ever called or ordered to active duty,

not counting the 4-6 months for initial training or yearly summer camps. All other civilians

are classified as nonveterans. These data are used primarily by the Department of

Veterans Affairs (VA) to measure the needs of veterans.

b. Active Military: an individual who is in the military full time. They work for the military,

may live on a military base, and can be deployed at any time. Persons in the Reserve or

National Guard are not full-time active duty military personnel, although they can be

deployed at any time, should the need arise.

c. Unknown/not reported

d. Total (auto-calculated)

https://www.census.gov/topics/population/race/about.html

https://www2.census.gov/programs-

surveys/acs/tech_docs/subject_definitions/2016_ACSSubjectDefinitions.pdf

https://www.va.gov/vetsinworkplace/docs/em_activeReserve.html

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 47

Note: Individuals who have no military status should be reported in Unknown/not reported.

8. Work Status (Individuals 18+)

Work status is collected on all program participants 18 and older. Definitions of work status are listed

below. Individuals may be reported in one or more category. For example, an individual who is retired

but also working part-time could be reported in both categories.

a. Employed Full-Time: working at least 30 hours each week.

b. Employed Part-Time: working less than 30 hours each week.

c. Migrant Seasonal Farm Worker: an individual who is either a seasonal farmworker or a

migrant farmworker.

d. Unemployed (Short-Term, six months or less): the individual has not worked for six

months or less and is actively seeking work.

e. Unemployed (Long-Term, more than six months): the individual has not worked for

more than six months and are actively looking for work.

f. Unemployed (Not in Labor Force): the individual is not working outside the home and is

not actively looking for work. This category consists mainly of students, homemakers,

seasonal workers interviewed in an off season who were not looking for work,

institutionalized persons, and persons doing only incidental unpaid family work (less than

15 hours during the reference week).

g. Retired: individuals who have concluded their working career. Typically, someone who

currently has income from their former employer, Social Security or both.

h. Unknown/not reported

i. Total (auto-calculated)

Household-Level Characteristics

Household-level characteristics collect an unduplicated count of household characteristics. Household

characteristics should be collected for all household members on behalf of the program participant

or applicant for each individual household member. Any household situations that do not fit within

the listed categories can be reported in Other. Any household for whom an item is not collected can

be reported in unknown/not reported.

NOTE: Totals may or may not equal items A or B.

9. Household Type

Based on the composition of the participant’s household, only one of the seven household types

should be noted. If the household type of the participant is not reflected in one of these types, please

mark “Other.” If more than one member of the household receives services, the household should

only be counted once. If the data is not collected, report the household in 9i., Unknown/not

https://www.irs.gov/affordable-care-act/employers/identifying-full-time-employees

https://www.doleta.gov/programs/who_msfw.cfm

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 48

reported. Item 9j should never exceed Item B in this report. Definitions of household type are listed

below.

a. Single Person: a single individual who comprises the household. This should equal the

Household Size of a Single person (10a).

b. Two Adults, No Children: the Head of Household is an adult; another Non Head of

Household member is also an adult.

c. Single Parent, Female: the Head of Household is a Female and has at least one child.

d. Single Parent, Male: the Head of Household is a Male and has at least one child.

e. Two-Parent Household: the Head of Household has a Spouse or Partner and there is at

least one child in the household.

f. Non-related Adults with Children: two adults who are not related by blood or marriage

with at least one child in the household.

g. Multigenerational Household: a household where three or more generations of the

family live under one roof.

h. Other: any situation that does not fit in the above categories.

i. Unknown/not reported

j. Total (auto calculated)

10. Household Size

Report the size of the household. The definition of “household” is one or more people living in the

same home. Item 10a should be the exact same as Item 9a.

a. Single Person

b. Two

c. Three

d. Four

e. Five

f. Six or more

g. Unknown/not reported

h. Total (auto-calculated)

11. Housing

Report the household’s housing situation. Each household should only be reported once. Definitions

of housing type are listed below.

a. Own: a household owns its home. This can include a single-family home, mobile home,

apartment, condo, or any other dwelling that is considered owned.

b. Rent: a household who makes regular payments to a landlord for the use of property or

land.

https://www2.census.gov/programs-

surveys/acs/tech_docs/subject_definitions/2016_ACSSubjectDefinitions.pdf

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 49

c. Other permanent housing: a household who resides in housing that the household does

not rent or own, but it is permanent. This can also include living situations where a

participant lives with a family member and does not rent or own the property or some

type of supported housing program.

d. Homeless: for the purposes of this report, please refer to HUD’s definition of homeless,

summarized below:

• People who are living in a place not meant for human habitation, in emergency

shelter, in transitional housing, or are exiting an institution where they temporarily

resided. The only significant change from existing practice is that people will be

considered homeless if they are exiting an institution where they resided for up to 90

days (previously 30 days) and were in a shelter or a place not meant for human

habitation immediately prior to entering that institution.

• People who are losing their primary nighttime residence, which may include a motel,

hotel, or a doubled-up situation, within 14 days and lack resources or support

networks to remain in housing. (HUD had previously allowed people who were being

displaced within 7 days to be considered homeless.)

• Families with children or unaccompanied youth who are unstably housed and likely

to remain in that state. This new category of homelessness applies to families with

children or unaccompanied youth who have not had a lease or ownership interest in

a housing unit in the last 60 or more days or more, have moved two or more times

within the last 60 days, and who are likely to continue to be unstably housed because

of disability or other barriers to employment.

• People who are fleeing or attempting to flee domestic violence, have no other

residence, and lack the resources or support networks to obtain other permanent

housing.

See HUD’s Hearth Act rule for more information.

e. Other: any situation that does not fit into the above definitions.

f. Unknown/not reported

g. Total (auto-calculated)

12. Level of Household Income - (HHS Guideline percentages)

This Item refers to income levels of households served compared to the current HHS Poverty Income

Guidelines, published annually in the Federal Register

. Please record the number of households

served at each of the nine percentage ranges of the poverty level. It is understood that CSBG Eligible

Entities operate programs where income eligibility will exceed CSBG guidelines. Please report all

income levels served.

a. Up to 50%

b. 51% to 75%

c. 76% to 100%

d. 101% to 125%

e. 126% to 150%

f. 151% to 175%

g. 176% to 200%

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 50

h. 201% to 250%

i. 251% and over

j. Unknown/not reported

k. Total (auto-calculated)

13. Sources of Household Income

Please enter the sources of income received by all individuals in the household. As a household may

have several sources of income, please identify the category below that best represents the

household. Definitions of the types of household income are listed below.

a. Income from Employment Only: employment is the only source of income in the

household. Employment income includes wages, salaries, and self-employment income.

If a household is reported here, they will not be reported in 13b.

b. Income from Employment and Other Income Source: income from employment and

other sources such as those listed in items 14 and 15.

c. Income from Employment, Other Income Source, and Non-Cash Benefits: income from

employment, from any other sources and from non-cash benefits such as those listed in

Item 15.

d. Income from Employment and Non-Cash Benefits: income from employment and from

non-cash benefits such as those listed in Item 15.

e. Other Income Source Only: income not from employment or a non-cash benefit.

Examples include retirement income or other income.

f. Other Income Source and Non-Cash Benefits: income from another source and non-cash

benefits such as those listed in Item 15.

g. No Income: the household has no source of income.

h. Non-Cash Benefits Only: income only from non-cash benefits such as those listed in Item

15.

i. Unknown/not reported

j. Total (auto-calculated)

14. Other Income Source

Report the sources of income for all individuals in a household.

a. TANF: Temporary Assistance for Needy Families (TANF) program.

b. Supplemental Security Income (SSI): federal assistance under the Social Security program

designed to help aged, blind, and disabled people who have little or no income. SSI is

awarded to individuals who have no work or too few work credits to qualify for SSDI.

c. Social Security Disability Income (SSDI): federal assistance under the Social Security

program designed to help aged, blind, and disabled people who have little or no income.

Individuals in this program have enough work credits to qualify for assistance.

https://www.acf.hhs.gov/ofa/programs/tanf

https://www.ssa.gov/ssi/text-over-ussi.htm

https://www.ssa.gov/disability/

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 51

d. VA Service-Connected Disability Compensation: a benefit paid to veterans with

disabilities that are the result of a disease or injury incurred or aggravated during active

military service.

e. VA Non-Service-Connected Disability Pension: a needs-based benefit paid to wartime

veterans who meet certain age or non-service-connected disability requirements.

f. Private Disability Insurance: a disability payment paid from a private disability insurance

policy.

g. Workers’ Compensation: supplemental income paid to a worker who had been hurt on

the job.

h. Retirement Income from Social Security: Social Security that is being received by a former

worker who earned enough work credits to receive a monthly payment.

i. Pension: any type of income earned from private pensions, e.g., company retirement, IRA

income or 401(k).

j. Child Support: income paid/received by one parent of a child or children to another to

assist in supporting the basic needs of the child(ren).

k. Alimony or other Spousal Support: income paid/received by one spouse typically as an

agreement in a divorce to assist in supporting the other individual’s basic needs.

l. Unemployment Insurance: income received from an unemployment insurance fund by a

worker whose job was terminated for any reason other than wrong doing.

EITC: The Earned Income Tax Credit, EITC or EIC, is a benefit for working

people with low to moderate income. To qualify, a person must meet certain

requirements and file a tax return, even if they do not owe any tax or are not

required to file. EITC reduces the amount of taxes owed and may give a refund.

m. Other: any other income source that does not fit within the above categories.

n. Unknown/not reported

15. Non-Cash Benefits

Report the unduplicated types of non-cash benefits received by all members of a household. A

household should be unduplicated in each row but can be reported multiple times in the total. For

example, multiple members of a household may have SNAP, but the household should only be

reported once in the SNAP row. Similarly, a household that receives SNAP, LIHEAP, and Public

Housing would be represented once in each category.

Definitions of these non-cash benefits are listed below.

a. SNAP: the Supplemental Nutrition Assistance Program provides nutrition assistance to

families. Some states have their own name for this federal program, formerly known as

food stamps.

https://www.benefits.va.gov/compensation/

https://www.benefits.va.gov/pension/

https://www.dol.gov/general/topic/workcomp

https://www.ssa.gov/benefits/retirement/

https://www.irs.gov/credits-deductions/individuals/earned-income-tax-credit

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 52

b. WIC: the Special Supplemental Nutrition Program for Women Infants and Children

provides nutrition assistance to expectant and new mothers.

c. LIHEAP: the Low Income Home Energy Assistance Program provides energy assistance to

households.

d. Housing Choice Voucher: a HUD-subsidized housing voucher program that gives

households a choice in where they live.

e. Public Housing: HUD-subsidized housing. Public housing is site-based in locations

predetermined by the local Housing Authority.

f. Permanent Supportive Housing: a HUD program that uses a model that combines low-

barrier affordable housing, health care, and supportive services to help individuals and

families lead more stable lives. This type of housing is typically used to house formerly

homeless individuals and families.

g. HUD-VASH: a partnership between HUD and the VA that combines the Housing Choice

Voucher and VA funding to provide housing assistance to homeless veterans.

h. Child Care Voucher: state or federally subsidized child care that allows families access to

quality child care.

i. Affordable Care Act Subsidy: the subsidy a family receives through the federal Affordable

Care Act to assist with paying health insurance premiums.

j. Other: any non-cash benefit that is not listed above.

k. Unknown/not reported

Number of Individuals Who May or May Not be Included in the Totals Above - (due to

data collection system integration barriers)

Please list the unduplicated number of individuals served in each program. These individuals may have

been included in Item A., and some or all of Item B., but due to system interoperability issues an

unduplicated count could not be obtained for particular programs.

For example, an individual is served by an employment program, housing assistance and LIHEAP. The

CSBG Eligible Entity has a common database that includes data for the employment and housing

programs, so an unduplicated count is obtained from data entered for the employment and housing

programs and will be reported in Item A. and items under C. LIHEAP data is maintained in a separate

data system. The CSBG Eligible Entity is not yet able to include LIHEAP data in the common database,

so it may unduplicate the count of individuals/households served across all three programs. LIHEAP

data will be reported in Item E. The CSBG Eligible Entity is not able to determine how many of the

LIHEAP individuals/households may also have been served in the employment and housing program

and included in the common database.

https://www.hud.gov/topics/housing_choice_voucher_program_section_8

Release Date: December 6, 2018 CSBG Annual Report Instruction Manual: Module 4- Version 2 53

Number of Households Who May or May Not be Included in the Totals Above - (due to

data collection system integration barriers)

Please list the unduplicated number of households served in each program. These households may

have been included in Item B., but due to system interoperability issues an unduplicated count could

not be obtained for particular programs.

As an example, a household is served by a CSBG-funded program, LIHEAP, and Head Start. CSBG and

LIHEAP share a common database with other CSBG Eligible Entity programs, but the Head Start

program is not yet using the system. Head Start program information is maintained in a separate data

system; therefore, the CSBG Eligible Entity does not have an unduplicated count of Head Start

households. The CSBG Eligible Entity will report unduplicated data for the CSBG and LIHEAP programs

in items A., B., and C. Head Start data will be reported in items E. and F. The CSBG Eligible Entity is

unable to determine how many Head Start households might be included in the All Characteristics

Report, or more importantly, what other services the household might be receiving, and the outcomes

achieved.