HomeMy WebLinkAboutAPPLICATION FILE_12-218-000-5518Current Date 8/22/11
TEXAS COMMUNITY DEVELOPMENT
BLOCK GRANT PROGRAM
2008 SUPPLEMENTAL DISASTER RECOVERY FUND:
HURRICANES DOLLY AND IKE
NON -HOUSING ACTIVITIES APPLICATION
ROUND 2
City of La Porte
APPLICANT NAME
Council of Governments: H-GAC
City of La Porte
OVERVIEW
TDRA-DR Program Non -Housing Activities Application
1. This application is for non -housing activities.
All activities must have documented proof of an impact by a major natural disaster declared in 2008. There must be a clear
and compelling need related to a major natural disaster declaration, hurricane disaster relief, long-term recovery and/or
restoration of infrastructure. An activity underway prior to a Presidential disaster declaration will not qualify unless the
disaster impacted the project.
All eligible activities will be allowed so long as the activity is directly related to a major natural disaster declaration in 2008
through actual damage or a failure to function and is allowed under the State of Texas Plan Amendment No. 1 for Disaster
Recovery.
2. Applicants are encouraged to develop their community recovery projects in a manner that considers an integrated
approach to housing, Fair Housing obligations, economic revitalization, and overall community recovery. Consideration of
long-term planning processes is also highly encouraged.
3. The Texas Department of Rural Affairs (TDRA) is committed to Affirmatively Furthering Fair Housing (AFFH). Projects and
programs will be subject to detailed review by TDRA and by certain parties to the Conciliation Agreement to assure they are
consistent with the Conciliation Agreement, HUD's current fair housing guidance, and the state's and communities'
obligations to affirmatively further fair housing. Detailed information regarding AFFH will be available through mandatory
training sessions, TDRA sponsored guidance and technical assistance.
4. The Disaster Recovery Enhancement Fund (DREF) was established by HUD to promote the implementation of forward -
thinking recovery strategies that will reduce the risk of damage from a future disaster. Examples of these activities are the
development and adoption of forward -thinking land use plans, floodplain or critical fire and seismic hazard area buyout
programs, individual mitigation measures, and the implementation of modern disaster resistant building codes. Applicants
are highly encouraged to consider DREF eligibility when developing their projects.
S. For detailed Information regarding Application Instructions, see the Supplemental Disaster Recovery Non -Housing
Activities Application Guide.
Hyperlink to Application Guide Table of Contents
TEXAS DEPARTMENT OF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 1 Of 19
APPLICATION FOR TDRA-DR ASSISTANCE Shaded Area Below: OFFICE USE ONLY OMB Approval No.0348-0041
1. TYPE SUBMISSION
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APPLICANi IDENTIFIER
Application, Pre -application:
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Approval No.03, 8,0041
S. APPLICANT INFORMATION:
Legal Name:
City of La Porte
Organizational Unit:
Unit of local Government
Address (City, County State. and Zip Code) of aoolicant
NameMtle Ariencv or Comoanv Address Area Code Telephone and Fax Numbers
and e-mail address of applicant oreparer.
City of of La
GrantWorks, Inc.
Bruce Spltzengel, Consultant
it Parkway
City W Fairmont
2201 Northland Drive
La Porte, 77571
Austin, TX 78756
Harris County
Voice: 713.252.5872 Fax 281.937.7454
bruce@grantworks.net
6. EMPLOYER IDENTIFICATION NUMBER (EIN):
6a. DUNS NUMBER:
74-6001552
010804755
7. TYPE OF APPLICANT:
C. City or Township Government
8. TYPE OF APPLICATION:
® New ❑ Continuation Revision
9 NAME OF FEDERAL STATE AGENCY:
Texas Department of Rural Affairs: Disaster Recovery Division
10 CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER:
14-228 Title: Texas Community Development Block Grant Program (TDRA-DR)
11. PROJECT TYPE
Drainage and Flood Improvements
I )a TYPE OF APPLICATION:
Disaster Relief Supplemental Fund
12 TARGET AREA(S) AFFECTED BY THE PROJECT.
13, APPLICANT'S FISCAL YEAR:
Beginning Month: October Beginning Day: 01
Little Cedar Bayou Target Area
Ending Month: September Ending Day. 307
14 CONGRESSIONAL DISTRICTS: Representative: 128/129 Senate: 4/6/11 Congress: 2/14R2
15, ESTIMATED FUNDING:
16, IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS?
A. TDRA-DR REQUEST: $1,524,040.00
B. FEDERAL
Yes the preapplicatbn / application was made available to the State Executive
Order 12372 process for review on:
C. STATE:
Date:
D. APPLICANT:
® No
E. LOCAL
F. OTHER:
Program is not covered by E.O. 12372 -OR-
G. TOTAL $1,524,040.00
❑ Program has not been selected by the State for review
17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DE017
Yes. if'Yei , attach an explanation. ® No
18.TO THE BEST OF MY KNOWLEDGE AND BELIEF ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY
AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE CERTIFICATIONS AND CITIZEN PARTICIPATION PLAN INCLUDED
IN THE PROCEDURES SECTION OF THE TDRA-DR PROGRAM APPLICATION GUIDE IF THE ASSISTANCE IS AWARDED.
a Tvaed Name of the Aoolicant's Authorized Representatye:
Ron Bottoms
b Title of the Aoolicant s Authorized Representative-
c. Telephone Number
(281) 470-5011
City Manager
d Slonature of the Apulicant's Authorized Representative
DateRme Field
Previous Editions Not Usable STANDARD FORM 424 (REV-4-88)
Page 2 of 19
City of Lo Porte
L PROJECT APPROVAL INFORMATION
TDRA-DR Program Non -Housing Activities Application
1. Applicant is applying as one of the following: Non -entitlement
Yes
No N/A
2. Has the applicant chosen to self-administer the proposed project?
El
3. Has the applicant chosen to use a third -party grant administrator to administer the proposed project?
Identify the administrator selected. Nonentitlement entities are required to select third -party grant administrators
from the State Master List of Qualified Grant Administrators if using Disaster Recovery funds to pay for those services.
Name of Grant Administrator: GrantWorks, Inc.
Name of Alternate Administrator Choice: Riveron
Yes
No N/A
4. Has the applicant chosen to use an in-house engineer to perform engineering services for the proposed project?
❑
N
S. Has the applicant chosen to use a third -party engineer to perform engineering services for the proposed project?
®
❑ ❑
Identify the engineer selected. Nonentitlement entities are required to select third -party engineers from the State
Master List of Qualified Engineers if using Disaster Recovery funds to pay for those services.
Name of Selected Engineer/ Firm: Binkley & Barfield, Inc.
Name of Alternate Engineer/ Firm: HDR, Inc.
Affirmatively Furthering Fair Housing Worksheet
Please respond to the questions and requests below and provide specific support documentation as to what actions your organization
has taken to Affirmatively Further Fair Housing (AFFH). Further information will be provided in the Application Guide, through mandatory
training sessions, TDRA sponsored guidance and technical assistance.
Yes No N/A
1. We have conducted an Analysis of Impediments to Fair Housing (AI) in our area. ❑ N
2. We have not completed an AI in our area and rely on a regional or state Al for planning AFFH activities. N ❑ ❑
a. If you answered Yes, what is the date and title (geographic area covered) of the Al?
Consolidated Plan, Harris County Analysis of Fair Housing Impediments, 2008
b. Please provide the specific impediments to fair housing that were identified as a result of the Al.
Increased enforcement/awareness of fair housing laws, lack of lending/investment in disadvantaged communities, and barriers to
development of affordable housing.
c. Please provide specific actions that have been taken to address each of the identified impediments.
In addition, please specify what additional specific actions will be taken during the contract period to fulfill the jurisdiction's
obligation to Affirmatively Further Fair Housing. (See guidance provided by TDRA in the Application Guide and in the required
training.)
The City built 8 affordable homes with HOME and city matching funds. It donated city -purchased lots to the Habitat for Humanity
on which to build more affordable homes. During the project, it will build at least 4 more HOME units and donate more lots.
TEXAS DEPARTMENT OF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 3 of 19
City of Lo Porte
PROJECT APPROVAL INFORMATION
TDRA-DR Program Non -Housing Activities Application
® A copy of the relevant sections of the Al is enclosed with the application. (if other than the Texas Statewide Analysis of
Impediments) (Required)
3. Have you adopted a Certification to Affirmatively Further Fair Housing by Ordinance, Resolution, or other formal ❑ IZ
action? If so, please provide a copy.
It is important that the applicant demonstrate in the application that the projects being proposed and the specific AFFH activities being
planned are informed by whichever Analysis of Impediments was used. When the 2011 Statewide Analysis of Impediments is completed,
jurisdictions will be required to review it and incorporate relevant Items into their local AFFH activities. The projects must be tied to
damage or failure to function associated with Hurricane Dolly or Hurricane Ike.
NOTE: The following lists of activities are only partial lists of possible activities to address AFFH Issues. All AFFH activities should
be designed to address the particular impediments to fair housing Identified by each applicant in their area. Applicants are
advised to stay updated on TDRA's fair housing guidance and resources available on the TDRA website.
4. If you have not been using an Al to plan AFFH activities please describe the AFFH activities that you have conducted or plan to conduct
during the contract period to specifically address the following areas: (Please check all that apply)
❑Analyze and eliminate discrimination in the jurisdiction and foster understanding and Compliance.
(Please see Application Guide for additional methods, examples, and procedures.)
❑ Conduct an Analysis of Impediments to Fair Housing study, develop strategies to address impediments and report steps taken.
Hold an annual or a series of, public meetings/forums on fair housing, report Findings, and steps taken to address Fair Housing
concerns.
Conduct lender, sales or leasing Testing to investigate Complaints of Fair Housing abuses. (This is typically done in partnership
with, or in conjunction with, Fair Housing Centers, related non -profits, universities, or other specialized professionals.)
Review local building codes, zoning ordinances, master planning documents for potential barriers and inconsistencies with Fair
Housing laws and take steps to enable such policies to Affirmatively Further Fair Housing.
® Publicize the State's procedures regarding Fair Housing discrimination and develop and Implement local procedures to assist
individuals in filing complaints.
Encourage the media to promote fair housing awareness with a campaign of public service announcements and news releases,
® working cooperatively with stakeholders and organizations representing protected populations (race, color, religion, national
origin, sex/gender, disability and family status.)
Provide Fair Housing training to the jurisdiction's staff and housing consumers and put in place procedures for the jurisdiction to
affirmatively address Fair Housing abuses.
Conduct a survey to assess the community's housing needs and potential Fair Housing abuses, with particular attention to the
input from protected populations (race, color, religion, national origin, sex/gender, disability and family status).
❑ Other
TEXAS DEPARTMENT OF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 4 of 19
City of La Porte
L PROJECT APPROVAL INFORMATION
• TDRA-DR Program Non -Housing Activities Application
Certification to Affirmatively Further Fair Housing (AFFH)
Affirmatively Furthering Fair Housing is based upon the federal Fair Housing Act. Congress passed The Fair Housing Act on April 11, 1968.
The Act prohibits discrimination in all housing transactions on the basis of race, national origin, sex, color, religion, person with disabilities
(handicap), and familial status (i.e., households with/without children). The Fair Housing Act also requires HUD to administer the CDBG
program in a manner to affirmatively further fair housing (AFFH). Therefore, CDBG grantees (cities and counties) are required to certify
that they will affirmatively further fair housing. Action to AFFH should promote wider housing opportunities for all persons while
maintaining a nondiscriminatory environment in all aspects of the public and private housing markets.
Since 1983 the CDBG statute has contained a requirement that the grantee certify that it will affirmatively further fair housing. According
to the HUD Fair Housing Planning Guide an AFFH Certification should consist of the following:
• A written assertion
• Based upon supporting documentation
• Available for inspection by the Secretary, the Inspector General and the public
• Deemed accurate for purposes of this Act unless the Secretary determines otherwise after:
a. Inspecting the evidence
b. Providing due notice and opportunity for comment
TEXAS DEPARTMENT OF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 5 of 19
City of Lo Porte
LONG-TERM PLANNING
TDRA-DR Program Non -Housing Activities Application
Applicants are encouraged to develop their community recovery projects in a manner that considers an integrated approach to housing,
Fair Housing obligations, infrastructure, economic revitalization, and overall community recovery. Consideration of long-term planning
processes is also highly encouraged.
Provide a brief description of how the projects addressed in this application form part of an integrated approach to recovery.
The City of La Porte is located on the northwest shore of Trinity Bay, the inland extension of Galveston Bay in Harris County. The City
suffered a near -direct hit by Hurricane Ike on September 13, 2008 with high water marks reaching more than 13 feet at the Little Cedar
Bayou Harris County Flood Control District monitoring station. Heavy rains dumped up to 6 inches of rain during a short time. As a result,
the Little Cedar Bayou was inundated, its banks were breached and streets were flooded. (See attached NOAA Hurricane Ike Rainfall and
High Water Mark Maps).
Northwest La Porte neighborhoods are built around the Little Cedar Bayou which flows to the Trinity Bay. The northern portion of the
Bayou was constructed and the southern portion (south of Spencer Highway) Is natural stream bed. To avoid out of bank failures in this
neighborhood again, the City proposes to widen the Bayou from a start point at Sens Road to Its connection with the natural stream bed
at Spencer Highway. In doing so, the City will increase the conveyance capacity of the constructed northern end and lower the possibility
of flooding in this highly populated neighborhood.
In selecting this project, the City is continuing work on goals stated in its 2000 Comprehensive Plan of "enhancing the stability and quality
of neighborhoods," "maintaining an acceptable level of housing habitability; and providing 'well -maintained public facilities to protect
stable neighborhoods from deterioration and to preserve neighborhood integrity' During Hurricane Ike, flowing water that breached the
bayou left deposits of debris throughout ditches and on streets, preventing residents from re-entering their homes after the storm
passed. Improving the conveyance of the Bayou is a key part of the City's integrated approach to recovery and to ensuring the safety of
residents in future storms.
The target area is home to protected classes of Race, Households with Children and Disabled persons, and foreign -born residents, many of
whom entered the country since 1995 (National origin). The area has twice the percentage of foreign born residents as the City as a whole.
The percentage of disabled residents reaches 43%compared to 29%citywide. It has a higher percentage of single mothers (11%of
households) than the City as a whole (8%of households). In addition, more than one -quarter of the residents are Black, compared tojust
6%Citywide. One in four residents are Hispanic, compared to one in five citywide. In completing this project, the City is meeting its fair
housing obligations by providing basic public facilities to prevent future flooding in this northwest part of town where protected classes
reside. It will ensure that the public health, safety, and welfare of these residents would not be impacted in this neighborhood more than
others. Further, residents would have adequate use and enjoyment of their homes equal to other parts of the City, even during severe
storm events.
The City has taken action to upgrade homes in this area, working through the Harris County HOME program, and by donating lots for low-
income single-family housing built by Habitat for Humanity. It will continue to improve homes in the target area. Alleviating drainage
failures in the area must be go hand in hand with home building to protect residents and City and State affordable housing investments
and ensure a truly integrated recovery process.
TEXAS DEPARTMENT OF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 6 of 19
City of La Porte
" TABLE ><
TDRA-DR Program Non -Housing Activities Application
Table 1 Note: Adding a new project and selecting an activity creates pages below.
A project is defined as a discrete combination of: entity (i.e. city county, water supply corporation), activity (i.e. water, sewer, etc.)beneficiary population, and national objective. An
additional project is created when one or more of these factors is different. A site is defined as a discrete location for activities within a project. A project can have one or more
sites. For example, one water project that consists of three generators throughout a city consists of three sites, one for each generator.
Prof Activity Title # of Storm National Completion Total LMI % LMI TDRA-DR • Other Total
N Sites Impact Objective Method Benes Benes Benes Funds Funds Funds
1
5 Flood and Drainage Far
Little Cedar Bayou Drainage
1
Failure to FunctionLMl Bid/Contract
4,010
2,154
53.72%
$1,197,695
$0
$1,197,695
Acquisition
Engineering
so
$0
$0
$206,333
s0
$206,333
Project Delivery
$120,012
s0
$120,012
Project Delivery (Local)
$0
$0
$0
Project Delivery (Environmental)
Totals 4,010 1 2,154 1 53.72%
$0
$0
$0
$1,524,040
$0
1 $1,524,040
%of Engineering for total application: 13.54 %
*List the source(s) of all 'Other Funds' if applicable. No match is required on the part of the applicant.
None
TEXAS DEPARTDIENT OF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 7 of 19
City of La Porte
TABLE 2 - JUSTIFICATION OF RETAIL COSTS
0 TDRA-DR Program Non -Housing Activities Application
Project#1 Little Cedar Bayou Drainage Activity#5 Flood and Drainage Facilities
Materials/Facilities
$/Unit
Unit
City
Construction S
Acquisition $
Engineering $
Special Engr $
Ttl. Act. $
Pipeline Relocations
120,000
EA
3
$360,000.00
$0.00
$137,733.00
$68,600.00
$566,333.00
Site Preparation & Restoration
50,000
EA
1
$50,000.00
$0.00
$0.00
$0.00
$50,000.00
Excavation
5
CY
27,330
$136,650.00
$0.00
$0.00
$0.00
$136,650.00
Stabilized Construction Exit
2,100
EA
1
$2,100.00
$0.00
$0.00
$0.00
$2,100.00
Concrete Slope Paving (6' Min Thic
10.5
SY
836
$8,778.00
$0.00
$0.00
$0.00
$8,778.00
20'x4' Concrete Low Flow Section
240
LF
96
$23,040.00
$0.00
$0.00
$0.00
$23,040.00
Turf Establishment byHydromulch
0.25
SY
64,000
$16,000.00
$0.00
$0.00
$0.00
$16,000.00
Culvert
450
LF
85
$38,250.00
$0.00
$0.00
$0.00
$38,250.00
All Weather Access for Maintenanc
5.5
SF
82,100
$451,550.00
$0.00
$0.00
$0.00
$451,550.00
Underground Railroad Crossing
111,327
LS
1
$111,327.00
$0.00
$0.00
$0.00
$111,327.00
$1,197,695.00
$0.00
$137,733.00
$68,600.00
51,404,028.00
Identify and explain the annual projected operation and maintenance costs associated with the proposed activities.
Annual mowing $1,750 Culvert Cleaning $500
Identify and explain any special engineering activities.
Surveying, geotechnical and inspections.
Place Seal Below
TEXAS DEPARTMENTOF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 8 of 19
City of La Porte
TABLE 2 - JUSTIFICATION OF RETAIL COSTS
0 TDRA-DR Program Non -Housing Activities Application
City of la Porte slatonr@laportetx.gov 281-470-5060
Company Name: Email Address: Phone Number
Did applicant receive project scoping services/ estimate Quad Sheets from HNTB? Yes No
TEXAS DEPARTMENT OF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 9 of 19
City of La Porte
ENGINEERING ACTIVITY SCHEDULE
MRA-DR Program Non -Housing Activities Application
Project#1 Little Cedar Bayou Drainage Activity #5 Flood and Drainage Facilities
Engineering Activity Length in Months 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
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TEXAS DEPARTMENT OF RURALAFFAIRS 2008 SUPPLEMENTAL DISASI'ER RECOVERY FUND Page 10 of 19
City of La Porte
Y DESCRIPTION OF NEED BY PROJECT
o� hx TDRA-DR Program Non -Housing Activities Application
Provide full and complete answers to each of the questions below. Descriptions should include the cause of the damage (i.e. wind, wind
driven rain, rising water, etc...) or failure to function; current condition of the facility; and a detailed description of the project that
coincides with the information contained in both Tables 1 and 2.
All activities must have documented proof of an impact by either Hurricane Dolly or Hurricane Ike. There must be a clear and compelling
need related to the disaster declaration, hurricane disaster relief, long-term recovery and/or restoration of infrastructure.
Project #1 Little Cedar Bayou Drainage Activity #5 Flood and Drainage Facilities Add another site
Site# 1
Location: Add another location
On: Little Cedar Bayou From: W Barbours Cut Blvd To: Spencer Highway
Or provide a brief description of the location of the project activity.
Is map of service area and location of project attached?
Yes ® No
Map # or Title:
See Attached La Porte DRS Map
Please provide address if available:
1. Is a generator involved in this project?
Yes ❑ No
GPS Location: Latitude (required)
29°40'22"N
2. Describe the specific storm related condition that caused the failure to function:
GPS Location: Longitude (required)
95°2'45"W
Hurricane Ike caused more than 6 inches of rain and storm surge breaching the banks of the Bayou both upstream due to the rain
and downstream due to the surge.
3. Describe how the system failed to function:
Floodwaters breached the banks of Little Cedar Bayou overwhelming other drainage structures throughout the target area, flooding
streets and scattering so much debris that many residents were delayed in getting back to their homes for several days.
4. Describe the impacts on the community that resulted from the failure to function:
Significant flooding of homes in neighborhoods surrounding the Bayou due to upstream flooding from rain runoff and downstream
from the storm surge.
5. List materials submitted as documentation of the storm condition and the resulting system Impacts:
NOAA Rain and Harris County Flood Control Surge Data Maps for September 13, 2008
6. Describe how the proposed activities will prevent failure of the system affected by the hurricane and
the reoccurrence of the impacts:
The increased capacity increases the flow of storm water to Galveston Bay for the upstream (rain) area with Improved flow to
TEXAS DEPARTMENT OF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 11 of 19
City of La Porte
DESCRIPTION OF NEED BY PROJECT
TDRA-DR Program Non Housing Activities Application
Galveston Bay and for the downstream area allowing storm surge to penetrate further inland without spreading out of its banks.
7.Was there damage to this system?
Yes ❑ No
8. Will the assistance requested serve or be located on a Federal Installation?
Yes No
9. Will the assistance requested have any negative impact(s)or effect(s)on the environment?
Note:All funded applications will have to comply with Federal regulations regarding environmental clearance before funds are released.
Yes ❑ No
10. Is the site in a designated flood hazard area or floodplain?
Yes ® No ❑
11. Will the assistance requested cause the displacement of families,Individuals,farms,or businesses?
Families: Individuals: Farms: Business:
12. Is the applicant participating in the National Flood Insurance Program?
Yes ® No ❑
13. Does this project meet the national objective of Prevention/Elimination of Slums or Blight?
Yes No
14. What method was used to prioritize this project(s)for funding?
The City considered projects that would have the most benefit on improving drainage conditions for protected classes and their
homes. This project will further city goals of ensuring that properties of protected classes.
15.Why is this project a priority?
The project will alleviate channel flooding during large storm events and keep homes and city infrastructure safe and functioning.
16.Why is it important to fund this project now?
If the project is not funded in a timely manner,it is foreseeable that flooding of a greater magnitude will occur,compromising city
infrastructure and resident property along the Bayou.
17.Explain why this project cannot go forward without Round 2 Funds:
City is not able to address these needs without assistance and no other funding sources are available to build adequate drainage
infrastructure.
18. Does this project address the impediments identified in the Al,or otherwise,within your area?
Yes No
a. If no,what specific actions will you take during the contract period to address these Issues?
The city will complete a fair housing public awareness campaign and continue its efforts of lot donation and HOME participation to
build more affordable single-family housing throughout La Porte.
TEXAS DEPARTMENT OF RURAL AFFAIRS 2OO8 SUPPLEMENTAL DISASTER RECOVERY FUND Page 12 of 19
City of La Porte
y DESCRIPTION OF NEED BY PROJECT
TDRA-DR Program Non-Housing Activities Application
The following questions are designed to determine if the proposed project potentially meets the qualifications of the Disaster Recovery
Enhancement Fund,
A.Does the project include demolition,acquisition or relocation of homes or private sector employer structures in areas of severe disaster
risk,such as the 1 00-year floodplain,resulting in greenspace?
Yes No
B.Does the project include reduction of damage risks to residential structures,such as elevation and storm-hardening?
Yes No
C.Does the project include drainage improvements that reduce flood risk to residential properties?
Yes ® No
D.Does the project Include funding to hire code enforcement officials;develop or update disaster-resilient building codes;develop or
update zoning,design or development standards that are disaster-resilient;or training on enforcement of new codes and standards?
Yes ❑ No
E.Does the project include development and implementation of forward-thinking plans,such as land-use plans that reduce risk,hazard
mitigation plans and flood plain mapping?
Yes ❑ No
Describe how the project is consistent with the DREF guidelines listed above:
The proposed project shall provide drainage improvements reducing the flood risk to residential properties.
TEXAS DEPARTMENT OF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 13 of 19
City of La Porte
PROJECT BENEFICIARY INFORMATION
o� TDRA-DR Program Non-Housing Activities Application
Project#1 Little Cedar Bayou Drainage Activity#5 Flood and Drainage Facilities
Total Male Beneficiaries Total Female Beneficiaries Total Beneficiaries
2,027 1,983 4,010
Race #Non-Hispanic Beneficiaries #Hispanic Beneficiaries Total Beneficiaries
White 2,257 559 2,816
Black/African American 648 5 653
Asian 42 0 42
American Indian/Alaskan Native 16 5 21
Native Hawaiian/Other Pacific Islander 0 1 1
American Indian/Alaskan Native&White 0 0 0
Asian&White 0 0 0
Black/African American&White 0 0 0
Am.Indian/Alaskan Native&Black/African Am. 0 0 0
Other Multi-Racial 35 442 477
Activity Total: 4,010
1.Was a TDRA-DR Survey used to identify beneficiaries?
Yes ® No ❑ N/A ❑
2. Is survey documentation attached?
Yes ® No N/A LI
3. Was a prior survey utilized?
Yes ❑ No ® N/A ❑
4. Was 2000 Census information used to identify beneficiaries?
Yes ® No N/A
List all census tracts and block groups included in the project area for projects which are not citywide or countywide benefit. Be sure to identify the
total beneficiaries claimed for each area. A spreadsheet showing LMI benefit must be submitted in addition to completing this question. For
citywide or countywide projects,indicate'Citywide or'Countywide'and attach a spreadsheet.
CENSUS GEOGRAPHIC AREA DATA:
County Code Census Tract(s) Block Group(s) Persons Benefiting
201 3434 1-5 2,734
201 3435 2 759
201 3418 1 10
201 3435 3 28
201 3433 1-3 479
TEXAS DEPARTMENT OF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 14 of 19
City of La Porte
Y PROJECT BENEFICIARY INFORMATION
TDRA-DR Program Non-Housing Activities Application
5. Provide the number of project beneficiaries identified through each of the following methods:
TDRA-DR Survey: 517 2000 Census: 3,493
Direct Benefit: 0 Limited Clientele: 0
Describe the Target Area:
Citywide ❑ Countywide Area ® Limited Clientele/Direct Benefit ❑
6. If beneficiaries were identified by using a survey as opposed to using 2000 Census information,provide a detailed
explanation of the reason.
A survey was necessary as the service area for the project did not conform completely with recognized Census Geographic Areas.
7. Number of residential properties benefiting from the project?
2,445 residential properties,Source:Census,Hl (511)Data by Census block and door-to-door surveys.See attached spreadsheet,La
Porte Residential Property Count
8. Number of commercial properties benefiting from the project?
154,Source:Harris CAD,See Attached La Porte Commercial Properties Map
Applicant must attach source document(survey,tax rolls,zoning maps,etc.)
TEXAS DEPARTMENT OF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 15 of 19
City of La Porte
DRAINAGE IMPROVEMENTS
TDRA-DR Program Non-Housing Activities Application
Proj#: Title: Activity:
1 Little Cedar Bayou Drainage 5 Flood and Drainage Facilities
Click+to add another site.
Site# 1
1. What are the current drainage patterns in the targeted service area?(Provide map of drainage area for the facilities at this site and
location of improvements)
Flow travels centrally toward the Little Cedar Bayou and southward to Galveston Bay,with topography being fairly flat,ranging from
15 feet to 25 feet above sea level throughout the channel area.
2. Is the drainage in the targeted area controlled by natural terrain features(e.g.,natural gullies,unimproved creek beds,
natural slopes,etc.),or constructed and designed drainage facilities(e.g.,storm sewer,designed drainage channels,water
crossings,bar ditches,culverts,etc.),or a combination of both? Please describe the natural terrain features and the
constructed and designed drainage facilities in the area.
The Bayou is constructed in the far northwest target area and natural as the channel travels southward toward Spencer Highway.
Constructed ditches,underground storm drain,curb and gutter and culverts direct flow to the Bayou.
3. What are the planned drainage improvements and will these improvements connect into other existing drainage structures in
the area?
Widening of the constructed portions of Little Cedar Bayou with an access road for continuing maintenance to connect it to a newly-
constructed detention pond to assist with flood control.
4. How will they connect?
Via the natural stream bed of Little Cedar Bayou.
5. Will the planned drainage improvements adversely impact downstream structures or areas?
Yes ❑ No
6. Are other precautions needed for health/safety concerns such as fencing,underground drainage,etc?
Yes No
7. Will acquisition be necessary?
Yes No
8. Will these improvements remove homes from floodplains or protect from future storm damage?
Yes No
9. Will improvements alter the current federal and/or local floodplain(s)?
Yes No
10. Are the improvements in conjunction with road improvements?
Yes No
TEXAS DEPARTMENT OF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 16 of 19
City of La Porte
DRAINAGE IMPROVEMENTS
TDRA-DR Program Non-Housing Activities Application
Applicant must define the project area by submitting a map with this application that clearly identifies the location of proposed
construction activities and service area for the facilities at this site.
TEXAS DEPARTMENT OF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 17 of 19
City of La Porte
APPLICANT DISCLOSURES/UPDATE REPORT
TDRA-DR Program Non-Housing Activities Application
Part 1:Applicant/Recipient information Initial Report ® Update Report ❑ N/A
Part 2:Other Government Assistance Provided/Requested? Yes: ❑ No:
Part 3:Interested Parties -
Are there any persons with a reportable financial interest to disclose? Yes: ® No: ❑
Person With Reportable Interest Type of Participation In Project Financial Interest Financial Interest(%)
(Dollars)
GrantWorks,Inc. Administrative Services $120,012.00 8%
Binkley&Barfield,Inc. Engineering Services $206,333.00 14%
Part 4:Report on expected sources and uses of funds: N/A
Source of Funds Use of Funds
See Form 424,Project Summary,Table 1 See Project Summary,Table 2
TEXAS DEPARTMENrOF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 18 of 19
r
City of La Porte
ly ATTACHMENTS
' TDRA-DR Program Non-Housing Activities Application
Provide the following attachments(if applicable)In the order specified:
® 1. Project Map(s),including Census Maps/Documentation
fl 2. Memorandum of Understanding or Interlocal Agreement
3. Project Impact Documentation(for Urgent Need and Removal of Slums&Blight National Objectives)
4. Beneficiary Documentation(Survey Forms or Census)
® 5. Number of residential/commercial properties source documents
APPLICATION CHECKLIST
The following serves as an application checklist that each applicant must use to ensure that an application under the Disaster Recovery
Fund Is complete:
® Completed 424
® Project Approval Information(All questions must be answered)
® Project Summary
® Activity Specific Questions
® Table 1
® Project Beneficiary Information
Table 2 and/or HNTB Assessments
Applicant Disclosure/Update Report Form
o Urgent Need Form
o FEMA Form
Print Is my form complete?
TEXAS DEPARTMENT OF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 19 of 19
Attachment: Project Map(s)/Census Map(s)
1...
f s ria
Morgan's Point
Prolact Location Iatart point) .A,
LaPoe
Project Location lend pdnt) 1✓n. „
29'39'63N 95.20"W f 4
Project Map t
11: : '
La Porte, Texas t
DRS Round 2
Phase 1 M h.
1 t
mao
cwm n tfr
Attachment: Beneficiary Documentation (Survey Forms or Census)
La Porte Combination Calculations
BLKG LOWM LOWMOD LOWMOD %BG
COUNTYNAME PLACENAME TRACT RP OD UNIV PCT POP100 Served
Harris County La Porte city 343400 1 50 66 75.76% 118
Harris County La Porte city 343400 1 222 489 45.40% 405
La Porte Data(CT 3434, BG 1)Combined 272 555 49.01% 523
Subtract Census Pop of unserved blocks:Blocks 1000-
1006 112
;Total T 3434,BGl) TT IT 11 781
BLKG LOWM LOWMOD LOWMOD
COUNTYNAME PLACENAME TRACT RP OD UNIV PCT POP100
Harris County La Porte city 343400 2 388 517 75.05% 578
Subtract Census Pop of unserved blocks:Blocks 2000-
2001, 2015-2018,2036-2039 80
Total(CT 3434,BG2) 374 75.05% 498 8616%
BLKG LOWM LOWMOD LOWMOD
COUNTYNAME PLACENAME TRACT RP OD UNIV PCT POP100
;Harris County La Porte city 343400_ 3 235 525 4476%-553 100.00%
BLKG LOWM LOWMOD LOWMOD
COUNTYNAME PLACENAME TRACT RP OD UNIV PCT POP100
Harris County La Porte city 343400 4 146 487 29.98% 469
Subtract Census Pop of unserved blocks:Block 4000 1
`Total CT 3434,BG4 140 29.98% 468 99.79%,
BLKG LOWM LOWMOD LOWMOD
COUNTYNAME PLACENAME TRACT RP 00 UNIV PCT POP100
Hrri County _, _La thIT 0 5 467 843_ 55.40% 804 100.00%!
;Combined CT 3434,BG 1-5,served population �__ 1417. �— 51.65% 2,734 '•
BLKG LOWM LOWMOD LOWMOD
COUNTYNAME PLACENAME TRACT RP OD UNIV PCT POP100
Harris County La Porte city 343500 2 539 1,065 50.61% 1,207
Subtract Census Pop of unserved blocks: Blocks 2000-
2008,2017-2019 448
Total(CT 3435,BG2) 384 50.61% 759 62.88%
'no residential benefit in Cl 3418,BG 1,Blk 1003
"less than 60%benefit in Ci 3433,CT 3418,BG land 3435,BG 3:surveys provided
:'O_343_4, BG 1-S,served population 1417 51.83% 2,734
,Cr BG2,served population 384 V�W50,59% 7591
Survey(Sens Rd/Western District Survey) 318 66.39% 479
Survey(CT3418, BG1,Blk 1000) 10 100.00% 10
Survey(CT 3435, BG 3,Blk 3030) 25 89.29% 28
Total Combined Service Area 2154 53.72% 4, 110
Sep. 29. 2010 4:27PM City of La Porte No. 1904 P. 2/4
x TxCDBG Survey Tabulation Form
Applicant: LaPorte(CT3435.BIk30301 County: Harris County Region: Houston-Galveston 16
1. Number of Households Receiving Project Benefits: 10
2. Required Sample Size: 10
3. Number of Households Contacted: 10
4. Number.of Households Responding to the Survey. 9
5. Survey Response Rate: 90.00%
6. 7. 8. 9. 10. 11.
Family Size Number of Responses Number of Low/Mod Number of Nan Number of Low/Mod Number of Non-
(Households) Responses Low/Mod Responses Persons Low/Mod Persons
1 1 1 0 1 0
2 4 4 0 8 0
3 1 1 0 3 0
4 2 2 0 8 0
5 1 1 0 5 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
Total: 9 9 0 25 0
12. Total Persons Surveyed: 25
13. Average Family Size of Respondents: 2.78
14. Numberof Households From Sample Not Surveyed: 1
IS. Total Non-Low/Mod Persons Including Non-Responses From Sample: 3
16.Total Beneficiaries: 28
17. Total Low/Mod Beneficiaries 25
Pb.Total Number of LMI Households(Based on Sample): 9
18. Low/Mod Percentage(Based on Sample) 89.29%
19. Total Vacancies: 1
HH-80%County I 5 HH-SO%CountyMFl 2 HH-30%CountyMFl 2
Persons-80% ountyMFl 16 Persons-50%County MFI 4 Persons-30%CountyMFI 5
CERTIFICATION I,TH EL E OF FOR ThIS JURISDICTION,CERTiFIES THATTHE INFORMA11ON IN THIS REPORT ANDThE SURVEY
LOCATIONS FO I 1 TO F MY KNOWLEDGE AND WAS REPORTED IN ACCORDANCE WITH THE ACCOMPANYING INSTRUCTIONS.
Signature: Title: City Manager
Street Address: 604W Fairmont Parkway
Oty La Porte Zip Code: 77571-621 S
Phone Number. (281)470-5011 Date: 0
Sep. 29. 2010 4:27PM City of La Porte No. 1904 P. 3/4
TxCDBG Survey Tabulation Form
Applicant; La Porte(CT341QPoma!Blk1000) County. Harris County Region: Houston-Galveston 16
1. Number of Households Receiving Project Benefits; 4
2. Required Sample Size: 4
3. Number of Households Contacted: 4
4. Number of Households Responding to the Survey. 4
5. Survey Response Rate. 100.00%
6. 7. B• 9. 10. 11.
Family She Number of Responses Number ofLow/Mod Number of Non Number of Low/Mod Number of Non-
(Households) Responses Low/Mod Responses Persons Low/Mod Persons
1 0 0 0 0 0
2 2 2 0 4 0
3 2 2 0 6 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
Total: 4 4 0 10 0
12. Total Persons Surveyed: 10
13. Average Family Size of Respondents: 2.50
14. Number of Households From Sample Not Surveyed; 0
15. Total Non-Low/Mod Persons Including Non-Responses From Sample: 0
16. Total Beneficiaries: 10
17. Total Low/Mod Beneficiaries: 10
17b.Total Number of LMI Households(Based on Sample); 4
18. Low/Mod Percentage(Based on Sample) 100.00%
19. Total VacancikFIAL
0
HH-80%CountyFl -50%County MFl 1 HH-30%CountyMFl 1
Persons-BO% oPersons-50%County MFl 0 Persons-30%County MFl 0
CERTIFICATION I,T C ISJURISDICTION,CERTIFIESTHATTHEINFORMATIONINTHISREPORTANDTHESURVEY
LOCATIONS FO IOWLEDGE AND WAS REPORTED IN ACCORDANCE WITH THE ACCOMPANYING INSTRUCTIONS.
Signature: TIUe: City Manager
Street Address: 604W Fairmont Parkway
City: La Porte Zip Code: 77571-6215
PhoneNumber. (281)470-5011 Date:
Sep. 29. 2010 4:27PM City of La Porte No. 1904 P. 4/4
TxCDBG Survey Tabulation Form
Applicant: LaPorte(SensRd/WestemDistriN County. Harris County Region: Houston-Galveston 16
1. Number of Households Recelving Project Benefits: 160
2. Required Sample Size: 160
3. Number of Households Contacted: 160
4. Number of Households Responding to the Survey: 134
5. Survey Response Rate: .83.75%
6. 7. 8. 9. 10. 11.
FamilySize Number of Responses Number of Low/Mod Number of Non Number of Low/Mod Number of Non-
(Households) Responses Low/Mod Responses Persons Low/Mod Persons
1 8 7 1 7 1
2 48 37 11 74 22
3 36 25 11 75 33
4 23 20 3 80 12
5 17 14 3 70 15
6 2 2 0 12 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
Total: 134 105 29 318 83
12. Total Persons Surveyed: 401
13. Average Family Size of Respondents: 2.99
14. Number of Households From Sample Not Surveyed: 26
15. Total Non-Low/Mod Persons Including Non-Responses From Sample: 161
16. Total Beneficiaries: 479
17. Total low/Mod BeneficWdes: 318
17b.Total Number of LMI Households(Based on Sample): 105
18. Low/Mod Percentage(Based on Sample) 66.39%
19.Total Vacancies: 11
HH-80%CountyAntyMFI148
HI -50%CountyMFi 41 HH-30%County MIN 14
Persons-80%CPersons-5O%County MFl 128 Persons-30%County MFl 42
CERTIFICATION: TR THIS JURISDICTION.CERTIFIES THAT THE INFORMATION IN THIS REPORT AND THE SURVEY
LOCATIONS FOR 1 KNOWLEDGE AND WAS REPORTED IN ACCORDANCE WITH THE ACCOMPANYING INSTRUCTIONS.
Signature: Tide: City Manager
Street Address: 604W Fairmont Parkway
City: La Porte Zip Code: 77571.6215
Phone Number: (281)470-5011 Date: 04Z p
La Porte Race Count. (T%IM05 Data)
CEO_NAME L
P000002 P001003 P006004 P006005 P00WM P001007 P00IW6 P008006 PW6010 P0M011 P001012 P005013 P001014 P001015 P001016 P001017
Total Total TOW Total Total TWO TOW
Total TotalalTotal TotalTOYI TOW
Total popuYtlen: 4w�laDen: gIlllbn: g0ule0on:gwtlObn:NO population: population: Total population: population: popuMlbn PP ' 'Not Hagnk P401 Hkgnk HYt1cw population: Hkgnkw Hkgnk or gOutal0 Hkgnk Hagnk or
porn'
population: not N01 Not patio NO Hkpwlk population HbgnkO Hbgnk IWgNc er
Geopnpry or lalno: or la0q: Or latlq:Na1MIAYp:Blac IAYw: or Latin; LOGO:NO L,ObwF HkPenk w VOr AmerkJn HwgWC Hansen aW Or La1M: er la. Hk an LaYn: Or AOkan ArMrbn Lam' NtlM BOrq T.UWn WMo: BwM WnerTot W meY WM NTYe rw0Indian aM pMracermer can IMbn andHonllan WMr raceYens bM a \ abuse Block 100]Block Gmu 1.Census TractTract3416 a.La Pone W Sa 50 2 0 1 0 0 1 0 0 0 0 0 0 0 0
Bloc\1016 Bloc\Gm I Census Tnw 3433 la POM ca 23 21 0 1 0 0 0 1 0 0 0 0 0 0 0 0
Bbck 2001 Bbck G 2 Cansus TWct 3431 La P..cr, 676 462 47 II 0 0 0 0 S 116 122 D 0 0 0 ST 5
Block 2005 Blot\Gmu 2.Census Tnw 3431 La Pale c . 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Block 3000,Block Group 3,Cansq Tract 3433.La Pale ely, 587 455 400 26 D 14 0 4 T 112 71 0 0 0 0 38 3
Block 3023.Block Group 3.Conn Taw 3433.La Pala ely. 3 3 ] 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Block 30]0 Block Group 3.Census tract 3435 La Pa10 cay. 29 10 15 4 0 0 0 0 0 ID 6 0 0 0 0 2 0
Bock 3031 Bloc\Grou 3.Coaou TrW 3435 La Pone 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Block Group'.Census Tract 3434.La Pona ely,Southeast Hanb 523 363 298 02 0 T 0 0 6 140 46 0 0 0 0 02 2
Block GrOup 2.Census Tract 3434.La Pone cay,Southeast IW M 576 521 52 450 3 1 0 0 2 5T 15 0 0 0 1 36 5
Block Group 3.Census Tract 3434.La Pone cay,Southeast Harrk 553 403 ]D 56 1 16 0 0 1 150 101 1 0 0 0 42 a
Block Groups,COmus Tract 3434 La Pale ely,SDu1Mnl Wrtk 460 307 26] 38 0 0 0 0 2 162 1" 0 3 0 0 52 3
Block Gmu 5 Cam.Trot 3434 Le Pona cay.Southeast Harris 604 577 4,4 142 I I4 0 0 6 227 137 5 2 0 0 01 22
Block Gwup2,Cermus Tract 3435 La Potl.cty,SOOIMW Harris 1207 600 714 02 10 5 0 I 12 343 161 1 2 0 0 163 16
5416 4101 3007 616 22 16 0 5 43 1365 765 7 7 0 1 543 62
VAi6e—.lion HbpwYc 3087 0.512705011 '2356'
MI0.,HHgnk 765 0.13644566 559
Black Non Wapnk 016 COMM 640'.
Black.Wsgnk 7 0.00127598 1.
AWn,lion IWpaNc 51 0.01057237 421
AWn.HkgYc 0 0 0
Armrwn MYNAIasW NOM,Non Nsgnk 22 0.00401021 161
ArnMan M WFOOSLN1 Nate,Wegnk 7 0.00127501 5,
NOM WwaWto,Mr PKMc ISYrtler,Non Hkgnk 0 OI 0
NOen IlawaiaNOtw P. ISWCet,Hkgnk 1 0,00010225 l4
OIMr,Non WagWc 40 0,00074654 35,
p(hol IWp�Nc 505 0.11026071 002:
La Porte Gender Backup Documentation
CEO_NAME P012001 P012002 P012026
Total Total Total
Geography population: population: population:
Total Male Female
Block Group 1,Census Tract 3434.La Porte city,Southeast Harris CCD,Harris County.Texas 523 277 246
Block Group 2.Census Tract 3434,La Porte city.Southeast Harris CCD,Harris County,Texas 578 285 293
Block Group 3.Census Tract 3434,La Porte city.Southeast Harris CCD,Harris County,Texas 553 284 269
Block Group 4,Census Tract 3434,La Porte city.Southeast Harris CCD,Harris County,Texas 469 237 232
Block Groups.Census Tract 3434,La Porte city,Southeast Harris CCD,Harris County,Texas 804 402 402
Block Group 2.Census Tract 3435,La Porte city,Southeast Harris CCD,Hams County,Texas 1207 589 618
Block o roue I,Census Tract 3418(part). a Porte city. ou eas ams am
County,Texas 54 25 29
31ock 1018.BlockGroup 1.Census Tract 3433,La Porte city,Southeast Hams CCD,Ham
Coun ,Texas 23 11 12
Block ,Block Group 2.census Tract 3433.La Porte city,Southeast Hams ccO.Ham
County.Texas 676 360 316
Blocko Group 2,census Tract 3433,La Porte city, ou eas ams cUD,Ham
County,Texas 0 0 0
Block oGroup 3,census Tract 3433,La Porte cityou eas Hams Ham
County.Texas 567 288 279
310ck 023,BlockGroup 3,Census Tract 3433,La Porte city,Southeast Hams cCD,Harri
County,Texas 3 2 1
Block aGroup a,census Tract 3435.La Porte city.Southeast Hams am
County.Texas 29 13 16
Block oGroup 3,Census tract 3435.La Porte city,Southeast Hams Ham
County.Texas 0 0 0
5486 2773 2713
5486 0.5054685 0.49453153
4010 2027 1983
Attachment:Source Documents for number of residential/commercial properties
NOTE:
Residential properties count derived from either(a) LMI Survey—see survey tabulation in previous
attachment(add households and vacant units); (b)Census—see LMI Documentation Spreadsheet for
SF3 data from TDRA in previous attachment;or both (a)and (b)—see LMI Documentation Spreadsheet
for calculation combining previous source data.
Commercial properties count determined by visual survey, source document follows.
La Porte Residential Property Count/Beneficiary Block List
H1. Housing Units 1 -Universe: Housing Units
Data Set: Census 2000 Summary File 1 (SF 1) 100-Percent Data
GEOID GEO_ID2 SUMLEVEL H001001
Geographic
Geography Identifier Geography Identifier Housing units: Total
Summary Level
Block Group 3, Census
Tract 3417, Harris
County, Texas
3001 482013417003001 100 3
3002 482013417003002 100 8
3003 482013417003003 100 15
3004 482013417003004 100 71
3005 482013417003005 100 0
3006 482013417003006 100 0
3007 482013417003007 100 0
3008 482013417003008 100 0
3009 482013417003009 100 0
3010 482013417003010 100 0
3011 482013417003011 100 11
3012 482013417003012 100 0
3013 482013417003013 100 4
3014 482013417003014 100 34
3015 482013417003015 100 24
3016 482013417003016 100 0
3017 482013417003017 100 26
3018 482013417003018 100 1
Block Group 1, Census
Tract 3418, Harris
County, Texas
1001 482013418001001 100 4
1002 482013418001002 100 6
1003 482013418001003 100 26
1004 482013418001004 100 0
1014 482013418001014 100 0
1015 482013418001015 100 0
1016 482013418001016 100 0
Block Group 1, Census
Tract 3433, Harris
County, Texas
1000 482013433001000 100 0
1001 482013433001001 100 0
1002 482013433001002 100 0
1003 482013433001003 100 0
1004 482013433001004 100 135
1005 482013433001005 100 4
1006 482013433001006 100 17
1007 482013433001007 100 29
1008 482013433001008 100 21
1009 482013433001009 100 20
1010 482013433001010 100 12
1011 482013433001011 100 110
1012 482013433001012 100 6
1013 482013433001013 100 10
1014 482013433001014 100 16
1015 482013433001015 100 0
1016 482013433001016 100 12
1017 482013433001017 100 0
1019 482013433001019 100 0
Block Group 1, Census
Tract 3434, Harris
County, Texas
1000 482013434001000 100 100
1001 482013434001001 100 0
1002 482013434001002 100 0
1003 482013434001003 100 0
1004 482013434001004 100 0
1005 482013434001005 100 0
1006 482013434001006 100 0
1007 482013434001007 100 23
1008 482013434001008 100 26
1009 482013434001009 100 17
Block Group 2, Census
Tract 3434, Harris
County, Texas
2000 482013434002000 100 4
2001 482013434002001 100 6
2002 482013434002002 100 14
2003 482013434002003 100 0
2004 482013434002004 100 0
2005 482013434002005 100 0
2006 482013434002006 100 0
2007 482013434002007 100 1
2008 482013434002008 100 1
2009 482013434002009 100 1
2010 482013434002010 100 14
2011 482013434002011 100 3
2012 482013434002012 100 10
2013 482013434002013 100 9
2014 482013434002014 100 6
2015 482013434002015 100 2
2016 482013434002016 100 0
2017 482013434002017 100 2
2018 482013434002018 100 3
2019 482013434002019 100 85
2020 482013434002020 100 0
2021 482013434002021 100 8
2022 482013434002022 100 2
2023 482013434002023 100 9
2024 482013434002024 100 5
2025 482013434002025 100 4
2026 482013434002026 100 0
2027 482013434002027 100 2
2028 482013434002028 100 0
2029 482013434002029 100 1
2030 482013434002030 100 4
2031 482013434002031 100 5
2032 482013434002032 100 6
2033 482013434002033 100 8
2034 482013434002034 100 2
2035 482013434002035 100 3
2036 482013434002036 100 6
2037 482013434002037 100 6
2038 482013434002038 100 2
2039 482013434002039 100 7
2040 482013434002040 100 5
2041 482013434002041 100 7
2042 482013434002042 100 6
2043 482013434002043 100 3
Block Group 3, Census
Tract 3434, La Porte 482019364541440343400
city 3 091 256
Block Group 4, Census
Tract 3434, La Porte 482019364541440343400
city 4 091 185
Block Group 5, Census
Tract 3434, La Porte 482019364541440343400
city 5 091 310
Block Group 2, Census
Tract 3435, La Porte 482019364541440343500
city, 2 091 452
Block Group 3, Census
Tract 3435, La Porte
city
3019 3
2,259
Survey Households Block Substitution
BG1, CT3433 1018
BG2, CT3433 2003 160
BG3, CT3433 3000
vacants 11
BG1, CT3418 art 1000 4
BG3, CT3435 3030 10
vacants 1
RESIDENTIAL PROPERTY COUNT/TARGET AREA 2,445
C---'
a w"
Morgan's Point
e i
r 11 i e j t - S \ia
P y Y'r
1 s�+
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La Porte, Texas I - I
154 Commercial Properties _
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Attachment:Signed 424 and Table 2
(also submitted in paper copy)
APPLICATION FOR TDRA-OR ASSISTANCE Shaded Area Below:OFFICE USE ONLY OMB Approval No.0348-004)
1.TYPE OF SUBMISSION LDATESUBMfl1tD: APPUCANTIDENTIFIER:
Anollcatlon: Pre-aoollcntlon:
Construction 0 Construction 3 DATE RECEIVED BY STATE: STATE APPLICATION IDENTIFIER:
Non-Constructlon ❑ Non-Coosnuction
4 DATE RECEIVED BY FEDERAL AGENCY: FEDERAL IDENTIFIER:
OMB Approval No.0348.004J
Leoal Name: Organizational Unit
City of La Porte Unit of Local Government
Address(City.County.State.and Zip Code)of applicant Name/ilile Agencyor Comnany.Address.Area Code Telephone and Fax Numbers.
and e-mail address of applicant oreoarer.
GrantWorks,Inc
City of La Porte Bruce Spltzengel,Consultant
604W Fairmont Parkway 2201 Northland Drive
La Porte,TX 77571 Austin,TX 78756
Harris County Voice:7131525872 Fax 281.937.7454
bruce@gra ntworks net
A EMPLOYER IDENTIFICATION NUMBER(FiN): St DIJNS NUMBER
746001552 010804755
7 TYPE Of APPLICANT, 8 TYPE OF APPLICATION:
C.City or Township Government ® New 0 Continuation 0 Revision
9 NAME OF FEDERAL/STATE AGENCY: 10.CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER
Texas Department of Rural Affairs:Disaster Recovery Division 14-228 Tltlr.Texas Community Development Block Grant PGiant Program(TDRA-OR)
11 PROJECTTYPE Ila TYPE OF APPLICATION
Drainage and Flood Improvements Disaster Relief Supplemental Fund
12 TARGET AREA(O AFFECTED BY THE PROJECT:
Beginning Month: October Beginning Day: 01
Little Cedar Bayou Target Area
Ending Month: September Ending Day: 30
Representative. 128/129 Senate: 4/6/11 Congress: 2/14/22
15 ESTIMATED FUNDING•
16.15 APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS?
A TOM-DR REQUEST: $1,524,040.00
Yes the preapplication/application was made available to the State Executive
8.FEDERAL ❑ Order 12372 process for review on:
C STATE Date:
D.APPLICANT:
No
E LOCAL'
F OTHER Program Is not covered by EO.12372 -OR-
G.TOTAL $1,524,040.00 ❑ Program has not been selected by the State for review
ills THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
Yes. If'Yes',attach an explanation. ®No
18.TO THE BEST OF MY KNOWLEDGE AND BELIEF ALL DATA IN THIS APPLICATION/PREAPPLICATON ARE TRUE AND CORRECT.THE DOCUMENT HAS BEEN DULY
AUTHORIZED BY THE GOVE NG BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE CERTIFICATIONS AND CITIZEN PARTICIPATION PLAN INCLUDED
IN THE PROCEDURES ON F THE TDRA-DR PROGRAM APPLICATION GUIDE IF THE ASSISTANCE IS AWARDED.
b Toe of the A olicant's Authorized Reoresentativt c.Telephone Number
Ron Bott City Manager (281)470-5011
Date/Tlme Flel
Previous Editions Not Usable STANDARD FORM 424(REV-4-88)
Page 2 of 17
OFD City of Lo Porte
TABLE 2 - JUSTIFICATION OF RETAIL COSTS
`SAS` TDRA-DR Program Non-Housing Activities Application
Project#1 Little Cedar Bayou Drainage Activity#5 Flood and Drainage Facilities
Materials/Facilities $/Unit Unit Qty Construction$ Acquisition$ Engineering$ Special Engr$ Ttl.Act.$
Pipeline Relocations 120,000 EA 3 $360,000.00 $0.00 $137,733.00 $68,600.00 $566,333.00
Site Preparation&Restoration 50,000 EA 1 $50,000.00 $50,000.00
Excavation 5 CY 27,330 $136,650.00 $136,650.00
Stabilized Construction Exit 2,100 EA 1 $2,100.00 $2,100.00
Concrete Slope Paving(6"Min Thic 105 SY 836 $8,778.00 $8,778.00
20'x4'Concrete Low Flow Section 240 LF 96 $23,040.00 $23,040.00
Turf Establishment byHydromulch 0.25 SY 64,000 $16,000.00 $16,000.00
Culvert 450 LF 85 $38,250.00 $38,250.00
All Weather Access for Maintenanc 5.5 SF 82,100 $451,550.00 $451550.00
Underground Railroad Crossing 111,327 LS 1 $111,327.00 $111,327.00
$1,197,695.00 $0.00 $137,733.00 $68,600.00 $1,404,028.00
dentify and explain the annual projected operation and maintenance costs associated with the proposed activities.
Annual Mowing$1,750 Culvert Cleaning$500
dentify and explain any special engineering activities.
Surveying,geotechnical and inspections.
Place Seal Below
TEXAS DEPARTMENT OF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 7 of 18
J
City of La Porte
TABLE 2 - JUSTIFICATION OF RETAIL COSTS
`? rS.' TDRA-DR Program Non-Housing Activities Application
it
'SiQ�ti
4 BSIOgAL� .'
City of La Porte slatonr@laportetx.gov 281-470-5060
Company Name: Email Address: Phone Number
Did applicant receive project scoping services/estimate Quad Sheets from HNTB? Yes fl No
TEAS DEPARTMENT OF RURAL AFFAIRS 2008 SUPPLEMENTAL DISASTER RECOVERY FUND Page 8 of 18
Attachment:Source Census Tables for Fair Housing Planning Demographics
(referenced in Long Term Planning section)
ATTACHMENT-FAIR HOUSING PROTECTED CLASS CENSUS DATA
La Porte,DRS Drains pe Project
Census Table Nos
P62,P53,DP-2,OP-3
I w
I z
>12 oa 0
Income(SFI) i
Target LRNa' $16,086 12.32% $37,828 53.72%
City $21,178 7.51% $55,810 29.45%
State $19,817 12.00% $39,927 43.50%
-Target WI determined by partial survey from 2008/partial census.I MI for Target Area also detannned by partial atrvey from
2010 PP
Ca
Raca/Eatnicity(SF1) is
P9 Taal 2.982 32.585
While 1,797 50% 26,518 81%
Black 801 27% 2,108 6%
AI or AN 18 1% 313 1%
Asian 39 1% 445 1%
Native Haw/Other Pacifc 4 0% 43 0%
Some Other Race 323 11% 3,158R478%—
P19007
P11 Hisparsc 736 25% 6,520
Z
P19 Children in Housatalds(SF1) irc
P190001 Total Households 1068 10,928
P190002 Households with one or more people under 18 yaps MO 41% 5,192
Households withc draMamale householder 116 11% 888
$2 L
P23 Elderly(SF1) ea
P230001 Total Households 1,068 10,928
P23 Households with one or more people over 65 years 223 21% 1.520 14%
P23000Z Households over 65 wM one persoMiving alone 82 8% 507 5%
ai 2
P41 Oluded(SFJIBIock Group) 'K —
Total Population,SF3(Sears and over) 2,658 29,565
P410001 Total Disabilities Tallied(Percent of Pop Disabled) 1138 43% 8,640 29%
P410014 Taal Disabietiea over 65(Percent Disabled over 65) 299 26% 2224 26%
P20 Origin(5F3) u M e 0
P020001 Total HWshdds 1,035 10,918 7,397,294
P020002 Engeah 805 78% 8.616 79% 5,078,188 69%
P020003 Spanish 212 26% 1,949 23% 1,918,988 26%
P020004 Linguistically Isolated 33 3% 214 2% 460,634 6%
P21
P021001 Total Population 2,861 31.899 20.851.820
P021013 Total foreign ban 333 12% 1,829 6% 2.899,642 14%
P22
P022001 Total foreign ban 333 1,829 2.899,642
P022002 1995 to Marts 200O 65 20% 265 16% 791,434 27%
P022003 1990-1994 29 9% 321 18% 544,090 19%
P022004 1985-1989 16 5% 165 9% 398.395 14%
P022005 1980-1984 55 17% 330 18% 393,223 14%
P022006 1975-1979 94 28% 233 13% 290,453 10%
P022007 1970-1974 18 5% 179 10% 182,296 6%
P022008 1965-1969 35 11% 113 6% 99,595 3%
P022009 Before1965 23 7% 203 11% 200.158 7%
Sotrce:American Fadfrder,US Census Bueau,www.unaua gw,SF1 And SF3 datasats
RaceiEthnicity
La Porte, DRS Drainage Project
as
z >'
Category
Total 2,982 32,585
White 1,797 60% 26,518 81%
Black 801 27% 2,108 6%
AI or AN 18 1% 313 1%
Asian 39 1% 445 1%
Native Haw/Other Pacifc 4 0% 43 0%
Some Other Race 323 11% 3,158 10%
Hispanic 736 25% 6,520 20%
Target Blocks
GEO NAME P009001 P009002 P009003 P009004 P009005 P009006 P009007 P011001
Native
American People who
Black or Hawaiian
Total races Indian and Some other are
While African Asian and Other
Census Tract 3434.La Porte dry, tallied American Alaska Pacific race Hispanic or
Southeast Harris CCD,Harris Native Latino
Islander
County,Texas
Block Group alone or in combination with one or more other races
Block Grou 1 531 339 88 0 7 3 94 140
Block Group 2 585 74 465 3 1 1 41 57
Block Grou 3 560 437 58 1 16 0 48 150
Block Group 4 474 376 40 3 0 0 55 162
Block Grou 5 832 571 150 11 15 0 85 227
TOTAL 2,982 1,797 801 18 39 4 323 736
HH with Children
La Porte, DRS Drainage Project
of w
Z
P19 m e it
P190001 Total Households 1,068 10,928
P190002 Households with one or more people under 18 years 440 41% 5,192 48%
P19007 Households with children/female householder 116 11% 888 8%
Target LRNs
GEO_NAME P019001 P019002 P019007
Households Female
with one or household
Census Tract 3434,La Households more people er; no
Porte city,southeast under 18 husband
Hams CCD,Harris years present
County.Texas
Block Group
Block Grou 1 194 78 15
Block Group 2 201 86 45
Block Grou 3 231 80 15
Block Grou 4 162 70 18
Block Group 5 280 126 23
TOTAL 1,068 440 116
Seniors in Project Area
La Porte, DRS Drainage Project
d y
IMZ
P23 A e
P230001 Total Households 1,068 10,928
P230002 Households with one or more people over 65 years 223 21% 1,520 14%
P230003 Households over 65 with oneperson/living alone 82 8% 507 5%
Target LRNs
CEO_NAME P023001 P023002 P023003
Households
Households with one or
Households: with one or more people
Total more people 65 years and
65 years and over: 1-
over person
Census Tract 3434,La Porte city,Southeast Harris CCD,Harris household
County,Texas
Block Group
Block Grou 1 194 32 10
Block Group 2 201 60 24
Block Grou 3 231 40 15
Block Grou 4 162 30 11
Block Group 5 280 61 22
TOTAL 1,068 223 82
P20 11EHaD LANGUAGEBY UNGOJISTE ISOLATION 1141.
Dais Sot Cwnos 2000$wllmery File 3ISF 3).SemSe Dew
Black Gaso
I(earl4 Block' Baud Block On. Black Ow Bbd Brat
lithe. x Urbn, 3.UiM 4.1)1*0. 4.100..,
cacao. Cacao. C.... amw. Cacao'
ne.l. al4, n.J 3434. w, rr.aa . n.e acv. rl.d3134.
la bb I.FbY l.14040 4.bb coy. y. L.Pfl
coy.. y. coy. W. NI.
-a— eoW.el terrlh.M earalr a Cal
Hands rb CCD. 140 CCD. Mel.CCO, Ruth CC=0 0, 140th CCD,
Ruth Ruth Math Nvrl. Ruth
Coat C..er, Curly. Car.+r, Car.+r. Is Poaw
Taos. Tau T.. Taaac Tans coy,TO... Taos(.Win
Td/: IS 190 24 05 241 10,01 1,03
Erpm 12 Ill 191 104 20. BOIl 495
1o.t 7 1 4 . b 0,941 212
I e n 4 n.
Not 11U II II 3 3 0 Ln 1)9
pino 1040E I 9 o I 231 Is
LFlpbla )
Wluptr I 9 9 I II. Is
K.n.MP b
Not 1
N1 BO
LWI
l Bach
IblhigaN
A MP..IIaN ho1.YE Mu.lvtlh 4M nMaa mmwnk.11 Yan.lb aM 401111.0.50
-Eagan u 12).wb.nmaEr k.n I.wrq..b.e.S.EnO.n yw--onto s,.>,a.
mambo l4y n.dyarhwar bn.NMvma MWNwol ErUN
P21.PtACEOFOIBJIjQLQIJZ NIP TA 1 -U±E52iIT-
Bled bud
11PW. Black arat Bbd Bud anau Bud ow
oche. 2.UnkM ;Wan 4Urbn SUntaq
Cacao.. Cape. Cam.. C. ... Came.
Tea 3434, Trail Wl T,.15434. T.3434, Tn.Y]O.,
I.PPrY UWa Ylbw I.P.h I.P.h
. dy, Soy. ay. coy. Sly.
M.ah CCD, Moth CCB. 14M."0. wth CCD. with CCD.
Ruth Ruth Moth Ruth Ruth
ca ly. C..+r. Curly. Chasm. Cana.tans Tans T..m Ta.s Tua Taos LAw
Tots: 40 51 Sr 4) b 31,899 2.861
Nasa 41 50 434 404 7Z 39m 2,528
Bonn,.40 Jn . .)1 21,n' 1,002
Bon,iSW fll B 25 134 184 4,20 648
Nodr. 29
MPasl 2 9 1 II 37 1,99 99
9M 21 7 B2 In 423
w. r 2 n 13 3400 97
Boannoas 4 I 5 439 18
Pwrb 0
US 154 4 4 49
Saints DI 27 34 28
Fwgiban 2 I 91 n 121 I. ]33
Mw.. ue
Ndlsz 1 12 5 71 ,00 185
.YCAR OF Cliff V ' T F I N-IQB1LE2UL.5DQtL
Block Baud
IIYU alm u... Block Ba Slack GuJI Bled arw
lithe. 2.IAbs 3,IFhe. lWbn Swee.
Cmaea C.ao. Caws — C.mm
Trail 5434, mad 540. P.544, Toad 3434, had vv,
I.Pot La P.th La Pad. I.P.h I.P..
coy, coy, coy, W. W.
B. CCO. MO 6= B.a1ra.1 faralraml ewrhr NN..t
RuthCCO, 440th CCD, MRuthRuthCOB, Moth CCD,
M.nR. — Moth Ruth Ruth
Candy, C..+r. 9..+r. CPupr. Csranr. 1.Pot
Tans Tau Tans Tam T.nm dry.Tents Tats IWI.
Tons: 3 1 91 n Iil 1,039 332
199540 1 I 31 2 20 05
199910/94 13 II 221 29
19651019/9 le II 16
19540144 9 9 2 33 55
1915.1129 v 2 le 3 23 94
1920.111. I9 I1 16
195.19% 11 I D 25
BMaa1W5 I I I 1 203 23
Disabilties Reported in LRNs
La Porte, DRS Drainage Project
em
P41 SF3 i rc .�'
Total POP 5 years and over 2,658 29,565
P410001 Total Disabilities Tallied(Percent of Pop Disabled) 1138 43% 8,640 29%
P410014 Total Disabilities Tallied for over 65(Percent of Disabled Over 65) 299 26% 2224 26%
P41.AGE BY TYPES OF DISABILITY FOR THE CIVILIAN NONINSTITUTIONALIZED POPULATION 5 YEARS AND OVER WITH
DISABILITIES(191-Universe:Total disabilities tallied for the civilian noninstitutionalized population 5 years and over with disabilities
Data Set:Census 2000 Summary File 3(SF 3)-Sample Data
Census Tract 3434,Urban,La Porte ay.Southeast Block Block
Harris CCD,Harris County,Texas Block Group I(part) Block Group 2 Group 3 Block Group 4 Groups La Porte
Total disabilities tallied: 154 424 325 90 145 8.640 1138
Total disabilities tallied for people 5 to 15 years: 0 17 17 0 9 487
Sensory disability 0 0 0 0 0 67
Physical disability 0 0 7 0 0 47
Mental disability 0 17 10 0 9 310
Self-care disability 0 0 0 0 0 63
Total disabilities tallied for people 161064 years: 130 244 245 80 97 5.929
Sensory disability 0 7 18 0 11 453
Physical disability 22 52 60 7 31 1,237
Mental disability 15 49 22 7 0 611
Sell-care disability 0 12 7 9 4 242
Gooutside-home disability 44 52 53 6 23 993
Employment disability 49 72 85 51 28 2,393
Total disabilities tallied for people 65 years and over: 24 163 63 10 39 2.224 299
Sensory disability 0 35 6 0 6 303
Physical disability 12 42 23 0 17 680
Mental disability 6 35 5 5 0 277
Sell-care disability 6 22 6 0 5 357
Gooulidebome disability 0 29 23 5 11 607
Attachment: Fair Housing Ordinance or other Adopted Policy
STRATEGIES TO ADDRESS IMPEDIMENTS TO FAIR HOUSING CHOICE
The 2008 analysis indicates that Harris County is committed to promoting fair housing choice in
an affirmative manner. Also, Harris County recognizes that barriers to fair housing exist and will
pursue the following strategies to continue to "affirmatively further fair housing choice." They
are listed as follows:
Strategy One: Aggressively enforce and enhance existing fair housing laws.
To continue the enhancement of the principles of Fair Housing, CEDD and its subrecipients
should undertake an aggressive fair housing program that includes:
• Information on fair housing issues
• Public Education, particularly during National Fair Housing campaign events
• Counseling
• Conciliation
• Referral and follow-up for fair housing compliance and/or redress
• Pro-active rental testing for fair housing compliance
Strategy Two: Eliminate discriminatory lending.
The County should investigate methods to encourage reinvestment by private lending institutions
in needed areas of its jurisdiction. Public-private strategies will be developed to promote
reinvestment in housing and other sectors, particularly in disadvantaged communities.
Strategy Three: Eliminate barriers to affordable housing development.
The County should work to educate community groups about the benefits of affordable housing
development at the front end of the development so they can have empowering input in the
development process. In this fashion, community groups are included in the overall process.
CEDD continues to promote and provide technical assistance for the review and revision of land-
use regulations in cooperative cities to allow for the development of affordable, accessible
housing.
Strategy Four: Encourage educational activities that promote awareness about fair housing
and individuals rights about fair housing choice.
Local public announcements should be created and sent to local media, including public
television, radio, and newspapers and placed on the CEDD website, particularly during National
Fair Housing events. Pamphlets should also be developed and given to the general public.
Additionally, posters should be sent to non-profits, civil rights groups, and community action
agencies on fair housing law.
Strategy Five: Encourage assistance to families.
Activities should be undertaken by those entities that have a vested interest in the rental and sale
of housing to lower income families. These activities could include:
• Mortgage lending counseling
• Rental maintenance counseling
• Referral programs for home seekers and renters
• Budget/credit counseling for first time homebuyers
Fair Housing Plan 40
Raised 2008
Attachment: Documentation of Failure to Function/Impact
r n 12.6ft
Hurricane Ike High Water Marks
Harris County
123 ft 146 _ r�
aft
12.3in .
• USGS High Water Marks
<5 b • HCFCD Alert High Water Marks
11 .A ft
.-çs. 11.2 ft • FEMA High Water Marks
O • HCFCD High Water Marks
'J �} Drainage Network
1`e 3 f l County Boundary
12.0 ft
1 0 0.5 1 2
i c a j I l Miles
ft 9 /� DATA SOURCES
i
� l(V HANI-HCFCD.FEMA,NOM,USGS.H6FCD Ab1 Data
4 Dralrvge Nalwork(Heel CouMyl-HCFCO
f1� Lrltliciron aouMery-NGAC
��}M TrlafiwrY4on HG4C
'�,^f�N- 10.9 ft NTheOTE5.
1 A `uF A.re"ned tads ed n as Houstoap aren-Galveston,
Galveersed from the 5 Council
e G ooaap
I J- D t re ommel HCFrk CD H,,h Water M-Gel ...holrea Counrence the GeOgapArt
espeean
d l Eleve. HCFCD H19 0 NAVO. 001 adjustment
just are referenced to ater
ay O ®aYM are
re err 100art an 1888 GS High p1 er Math
FEMA reoigh Vbler Marty
n mae
NAVDelesat oser,o 8t NAVD USALERT Data
988 Nakvatro01 arestment
^ NAVp mMt.WrMnl. HCFCD ALERT Dare on 1988 NAV0.2G11 Adjustment
✓ OIMARiU09
9.7 ft N
r
9 9� Cmhel Rrh
[a]
w"I� .7 'ft. S
10.2ft 12.3 ft
13.7 10.4 La Porte City Limits
ft '402ft
9.9ftt
' Hurricane Ike Storm Surge
Harris County
J 4
y'.
a •
R
n t- k 14rr
-_ _y`
'—� �' �"^ Drainage Network 1 // ' County Boundary
.� '_- ..r.---
InunCation Depth(fl)
yt No Inundation
0 ' 2
i/ NC
/ 4-6
/1
8-8
•f 8-10
/
/ . >10
,
� 0 0.5 1 2
Miles
N
{ t"- oPmsouacas: Wb
t\ InuMamnbwela(1 ) NM
{ _ InuMalbn lr/ee(�P) NN9 S
1 1 * rno ion ea de eM ECo,M1oynenbev booed
on NwOMUDARa1d nNove2 4LC dc,.
j'.e5! ` ]CMNM/l1WRVM Yaagetbe om,w,ge.
me mauseb mina ereNek allnoa rye
pwYNO by FEMA L511 Sea Grml,Mw a
1 i .' r • caeq.NO andao:n:nPadshm cwnN.
uscs.Nou.a�bww ven>n. Wri.Canly
•� is.c (E :oaaazooe Med[mhd ddraf
:\
. ,r. � 1
)
Q La Porte City Limits
d,. _ M.°annn.5, !4.83 i n.
- c..w as
� r
1/ ' PaItSI
s 78.1668 mph
I' \�780212 mph
ad ., 78.2626 mph '\ , / 4
T ••
5.7 in. E ' tI
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5.41 in. Mu.° 51
gll y I a - _ \ a°
r T — 1
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t ` I Alkyl� _ _ —
F I
1 77.426 mph
sHeY I so-an9 ne ^ 77.36 mph
77.6705 mph ' `y 4
E,Jx,5, 602 ink! P"
l fl _ _
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S.nInul.5, ,
4
.5TIfr225 5.45 in,
xlPv 3 a ` L51 l \.:.
E N
_ d i Give
D E Io N LS, p $ $ 4 .°r9e \
n
EPadana Blvd A Wren St e-o 2 a w Y G
cKmY r a x SI R°bin 5, wP i z. y - S H'c°a PJ
° i 2 2.N.dlmn 5t
La Porte ; �$ "s < z \
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V WM.III St WMaIn Hwy w m '^ w
f . AS,u gw 3 5 EESa p 8/
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t caa.x L. o M1.Cagov. n °9wood or p5' 83.639 mph
WLn o L n P 76.824 mph
fr ° "d° 3 4 ° 77.1971 mph G5` q J w /
1 c y a [ Pecan* ttt.lStl $ 5.77 in
,,!! .
3 4 a Canal ad o P7 5.87 in w w w $
_ _ _ — jpir@pmfYY� — —
9 _ _ m I $
to
II I
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0.ee SwH 0.e WAS,
Genoa \ II _ 1Ndae.Rd \
\5.83 in. q B.nme GA
1 '°ere or
A \
N Hurricane Ike Rainfall Totals 6.08 in. \\ ......A.• ppfBe'Av A
La Porte, Texas ! cb.a,.to 41 5_57 i 1],_a.w°s^—\
9/13108 r _ -
Source: NOAA 1e q — 76.4439 mph
76.8741 mph 4
7 ...e.e. °ns samo,x
..s.mo w..wwu eo
\ Iw
\ / II Pin.Gully Rd
\ ,.C, /^ c 3 l ,.
m 5.85 in. - /iI 8
°e Mr e..m.ry
M 5.52 in. Red BNyI Rd
A ✓ —Hrcrest Or Heron Gr /."
sn...w.°e o.� � � m
.•' m Paaun way
`° vma.ow
L y z / r @ W Meyer Ave`
�•ny'°v 0 OS Miles.\ \� 'I — > EI,erLn
Sep. 29. 2010 4:27PM City of La Porte No. 1904 P. 3/4
TXCDBG Survey Tabulation Form
Applicant: La Porte(CT341$Partla/81kj000) County: Harris County Region: Houston-Galveston 16
1. Number of Households Receiving Project Benefits 4
2. Required Sample Size: 4
3. Number of Households Contacted: 4
4. Number of Households Responding to the Survey. 4
5. Survey Response Rate•. 100.00%
6. 7. 8. 9. 10. 11.
Family5tre Number of Responses Numberoflow/Mod Number of Non Number of low/Mod NumberofNon-
(Households) Responses Low/Mod Responses Persons Low/Mod Persons
1 0 0 0 0 0
2 2 2 0 4 0
3 2 2 0 6 0
4 0 0 0 0 0
5 0 0 • 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
Total: 4 4 0 10 0
12. Total Persons Surveyed: 10
13. Average Family Size of Respondents: 2.50
14. Number of Households From Sample Not Surveyed; 0
15. Total Non-Low/Mod Persons Including Non-Responses from Sample- 0
16 Total Beneficiaries: 10
17. Total Low/Mod Beneficiaries•. 10
17b.Total Number of LMI Households(Based on Sample); 4
1 S. Low/Mod Percentage(Based on Sample) 100.00%
19. Total VacancikPMl
0
HH-80%CountyFt -50%CountyMFl 1 HH-30%CountyMFl 1
Persons-80% rsons-50%CountyMFl 0 Persons-30%CountyMFl 0
CERTIFICATION LTTHIS JURISDICTION,CERTIFIES THAT THE INFORMATION IN THIS REPORT AND THE SURVEY
LOCATIONS FO INOWLEDGE AND WAS REPORTED IN ACCORDANCE WITH THE ACCOMPANYING INSTRUCTIONS.
Signature. Title: City Manager
Street Address: 604W Fairmont Parkway
City. La Porte Zip Code: 77571-6215
PhoneNumber (281)470-5011 Date: z
Harris County- La Porte-2010
CT 3417, BIk Grp 3, BIk 3000
Vlow, Low and Moderate Counts
Questionn:Street# Multiple Dir Street Name Persons 30 50 80 Status
1802 State Loop 410 3 3 Low
1806 State Loop 410 3 3 Low
1810 State Loop 410 2 2 Low
1822 State Loop 410 2 2 Low
People 0 0 10
HH 1 1 5
Count of Status Column Labels
Row Labels Low Grand Total
2 2 2
3 2 2
Grand Total 4 4
'Count of Status Column Labels
Row Labels Low Grand Total
State Loop 410 4 4
{Grand Total 4 4
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: /
Street Address: /k 2 Z -' t t4(O Zip Code: Phone:
Contact Attempts: Circle)
First Attempt: Date: ` ( 7/O Time: /OOf A.M' P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Z Median Income: $65,100 Males: Females:
Very Low-of or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Modqrate Income. 51%-80%AMP!
1 3 4 5 6 7 -8 9 10 11 U
$22,8 $ ,051 29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,50 41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMA
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian -
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: /
D 7 T //1 /
Street Address: �( coy) 1/I L) Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 4 77/0 Time: /O. OO �M. P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? c
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire far each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmi t
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 man thy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income:-51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 4f$26,051 29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to jto to to to to to to to to to
$36500 I $41,700 46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 _$68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 3 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: Q / / T,/
Street Address: Q V 2o.p "I "Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: Time: 25.5 P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. spans Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes 0
If yes,please complete an additional questionnaire/or each family that lives in this unit (Note: Do not include yourself as a member of another family or a/milies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-of or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,0 1 f$29,301 1 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,70Q $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%
1 2 3 4 5 6 7 § 9 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race p of His anic n ofNon-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG.Survey Questionnaire Interviewers Name: l y�
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ff
Street Address: ,/g"D '2- s " / cTO1n @0 Zip Code: Phone:
Contact Attempts: ,! ircle)
First Attempt: Date: /7(0 Time: /O. 0 g M P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. spouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another/am/fr or afmilie.
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
V Low-a rbelow30%AMFI
1 2 3 4 5 6 7 8 2 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: .31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income' 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 46,900 $52,100 $56,300 $60,450 $64,650, $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Modern Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race ft of Hispanic It of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / Substituted In For: - Substituted Out For
Sep. 29. 2010 4:27PM City of La Porte N0. 1904 P. 2/4
TxCDBG Survey Tabulation Form
Applicant. LoPorte(CT3435,81k3030) County: HarrlsCounry Region: Houston-GoWeston 16
1. Number of Households Receiving Project Benefits: 10
2. Required Sample Size: 10
3. Number of Households Contacted: 10
4. Number,of Households Responding to the Survey. 9
5. Survey Response Rate: 90.00%
6. 7. 8. 9. 10. 11.
FamiySize Number of Responses Number of Low/Mod Number of Non Number of Low/Mod Number of Non-
(Households) Responses Low/Mod Responses Persons Low/Mod Persons
1 1 1 0 1 0
2 4 4 0 8 0
3 1 1 0 3 0
4 2 2 0 8 0
S 1 1 0 5 0
6 0 0 0 0 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
Total: 9 9 0 25 0
12 Total Persons Surveyed: 25
13. Average Family Slze of Respondents; 278
14. Number of Households From Sample Not Surveyed: 1
15.Total Non-Low/Mod Persons Including Non-Responses From Sample: 3
16.Total Benefldaries: 28
17. Total Low/Mod Beneficiaries 25
17b.Total Number of LMI Households(Based on Sample): 9
18. Low/Mod Percentage(Based on Sample) 89.29%
19. Total Vacancies 1
HH-90%County I 5 HH-50%CountyMFl . 2 HH-30%CountyMFl 2
Persons-80% ountyMFR 16 Persons-50%County MFI 4 Persons-30%County MFl 5
CERTIFICATION LTH Eli OF FOR THIS JURISDICTION,CERTIFIESTHATTHE INFORMATION IN This REPORTANDTHESURVEY
LOCATIONS FO 1 ft
TO F MY KNOWLEDGE AND WAS REPORTED IN ACCORDANCE WITH THE ACCOMPANYING INSTRUCT10N5.
Signature: Title: City Manager
Street Address: 604W Fairmont Parkway
Oty La Porte Zip Code: 77571-6215
Phone Number. (281)470-5011 Date;
Harris County- La Porte-2010
CT 3435, Blk Grp 3, Blk 3030
Vlow, Low and Moderate Counts
Questi Street St Multiple Dir Street Name Persons 30 50 80 Status
401 Arizona 2 2 Low
403 Arizona 1 1 Low
405 Arizona 3 3 Low
407 Arizona 2 2 Low
409 Arizona NR
411 Arizona 2 2 Low
402 San Jancinto 5 5 Low
404 San Jancinto 4 4 Low
406 San Jancinto 4 4 Low
410 San Jancinto 2 2 Low
400 San Jancinto Vacant
People 5 4 16
HH 2 2 5
Count of Status Column Labels
Row Labels Low NR Vacant Grand Total
1 1 1
2 4 4
3 1 1
4 2 2
5 1 1
(blank) 1 1 2
[Grand Total 9 1 1 31
Count of Status Column Labels
Row Labels Low NR Vacant Grand Total
Arizona 5 1 6
San Jancinto 4 1 5
(Grand Total 9 1 1 it
2010 TxCDBG Survey Questionnaire InteMewersName: fy/
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: 1..�
Street Address: I� ` QJ', 2_01 o Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 9,' Time: o_c P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live In this unit?
3. Do any other families live in this unit? (Circle) Yes No
I/yes,please complete on additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as o member of another family or a/milies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below/or your County.
4. Family Size: L Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
12 3 4 5 6 7 8 2 10 11 12
$13,701 15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to J to to to to to to to to to to to
$22,800 I $26,050 4 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Mod rat Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 2 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Mod rate Income:Greater than 80%AMFI
2 3 4 5 6 7 8 8 1112> >$36,500 $41700 $46900 $52,100 $56,300 $60450 $64650 $68,800 $72950 [S77L1DO $81,300 $85,450
Race U of Hispanic N of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: w�
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ,./
Street Address: t 0 Lo. 'v'n Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 99,'7/0 Time: p ,tj A.M P.M. (Circle) z
Second Attempt: Date: r/ 7/Q Time: 2- ge A.M. M1 Response s' a Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire Jo'each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: T Median Income: $65,100 Males: Females:
Low-atorbelow30%AMFI
2 3 4 5 6 7 8 9 10 11 12
$ $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
4 8 61 7 8 9 1g 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Modp'ate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to •to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race It of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2
2010 TxCDBG Survey Questionnaire Interviewers Name: //j_- 7
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: 4,o L 7 /1 pi i*7o Zip Code: Phone:
Contact Attempts: Circle)
/First Attempt: Date: 7(7 O Time: //to A.M. P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espons Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or aJmill
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: / Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 Z 8 9 12 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 ISO $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to • to to to to to to to to
$22,800 $26,050 $29,300 $32,550' $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 4 5 6 7 8 2 10 11 12
$22,801 $26,051 $29,3 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to tot to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race Not Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 3 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: (l' /
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: (.� �-7
Street Address: 1`J / r 1' ?s 4 o Zip Code: Phone:
Contact Attempts: (Circle)
�r11 First Attempt: Date: 7 'g f Q Time: mo'/. t% �A:M? P.M. (Ci Second Attempt: Date: 9r 7fft, Time: Z A.M. espouse on-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? Z
3. Do any other families live in this unit? (Circle) Yes � vao/►
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmihbt)/
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County. a7
4. Family Size: !� Median Income: $65,100 Males: Females:
VeryLow-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 12 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 - 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21;151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,5 $41,700 46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AM!.!
2 3 4 5 6 7 8 9 12 11 12
> > > > > > > > > > >
$36,500 541,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ,IQ
Street Address: tI0C' ! P. '25,q o Zip Code: Phone:
Contact Attempts: ,t (Circle)
First Attempt: Date: 91 4 Time: // •/' P.M.
(Circle
Second Attempt Date: (O Time: 2i9D A.M. Response o-tl n-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated anon annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 2 10 11 12
$0 $0 . $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income. 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
_ Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 1 4 5 6 7 8 9 10 11 U
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race tl of Hispanic a of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: r Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name.,
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: t/ / P i Zip Code: Phone:
Contact Attempts: d Circle)
/.�
First Attempt: Date: (7 /� Time:f$./1 .M. P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. s ns Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? 2
3. Do any other families live in this unit? (Circle) Yes Nry
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.4. Family Family Size: v Median Income: $65,100 Males: Females:
Vet's'Low-ot or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income' 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,80 $26,051 p29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to jto to to to to to to to to to
536,50 $41,700 546,900 552,100 $56,300 560,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race It of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: Sin, Ls c.!,. � Zip Code: Phone:
Contact Attempts: (Circle)
FirstAttempt: Date: / 7 I Time: /z7'2 A.M P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Respon - Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people In your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes ifdo
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
V Low-at or below 30%AMFI
1 2 3 4 5 6 2 8 9 12 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
M erotelncome: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to I to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56;300 $ ,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80 AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: _ Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: 11 '' >/ —_--
L(
Street Address: . Oy fAny \ ,-J\b ZipCdde: Phone:
Contact Attempts: /� (Circle)
First Attempt: Date: T/ /0 Time: O 3 A.M P.M. (Circle)
Second Attempt: Date: Time: A.M. P. . esponse' Non-Response
Vacancy
'7'1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live In this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below/or your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-a or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to ito to to to to to to to
$13,700 $15,650 $17,6 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 § 2 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 .$56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: C Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: O q-Y 5 _ At]Zip Code: Phone:
Contact Attempts: (Circle)
i
First Attempt: Date:& Time: / 0 33 P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people In your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional questionnaire/or each family that lives in this unit. (Note: Do not include yourself as a member of another/amity or ofmili .
Compare your/amity's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below/or your County.
4. Family Size: Median Income: $65,100 Males: Females:
Ve Low-ot or below 30%AMFI
1 2 3 4 5 6 2 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 S 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 2,551 35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,9 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race ff of Hispanic t1 of Non-Hispanic
White
Black African American _
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 9 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: - /�✓/
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: yf' SA A .. iA G t ti Ib S Zip Code: Phone:
Contact Attempts: �Circlel
First Attempt: Date: (7/0 Time: -� M.� P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. _. espouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? 7
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another/amity or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below/or your County.
4. Family Size: Median Income: $65,100 Mates: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
/.- Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 I $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,05 " $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 - z 3 4 5 6 7 8 9 12 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic N of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /O Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: gtcYv SATTTDA G_L..4.D Zip Code: Phone:
Contact Attempts: �i (Circle)
Z
First Attempt: Date: Time: /o (6 (`p/'�M). P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response acancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your/amity's 2010 monthy/weekty income calculated anon annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 30 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Modera[ Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
-t TO BE COMPLETED BY ADMINISTRATIVE STAFF
,L - Substituted In For: Substituted Out For
1VI
Sep. 29. 2010 4:27PM City of La Porte No. 1904 P. 4/4
TxCDBG Survey Tabulation Form
Applicant: Lnporte(SensRd/WestemDistrict County. Harris County Region: Houston-Galveston 16
1. Number of Households ReceMng Project Benefits: 160
2. Required Sample Size: 160
3. Number of HouseholdsContacted: 160
4. Number of Households Responding to the Survey: 134
5. Survey Response Rate: .83.75%
6. 7. 8. 9. 10. 11.
FamllySize Number of Responses NumberofLow/Mad NumberofNon Number of Low/Mod NumberofNon-
(Households) Responses Low/Mod Responses Persons Low/Mod Persons
1 8 7 1 7 1
2 48 37 11 74 22
3 36 25 11 75 33
4 23 20 3 80 12
5 17 14 3 70 15
6 2 2 0 12 0
7 0 0 0 0 0
8 0 0 0 0 0
9 0 0 0 0 0
10 0 0 0 0 0
11 0 0 0 0 0
12 0 0 0 0 0
Total: 134 105 29 318 83
12. Total Persons Surveyed: 401
13. Average Family Size of Respondents: 2-99
14. Number of Households From Sample Not Surveyed: 26
15.Total Non-tow/Mod Persons Including Non-Responses From Samp)e-- 161
16. Total Beneficiaries: 479
17. Total Low/Mod Beneficiaries: 318
17b.Total Number of LMI Households(Based on Sample): 105
18. Low/Mod Percentage(Based on Sample) 6639%
19. Total Vacancies: 11
HH-80%CountyAMF50 HH-50%County MFl 41 HH-30%County MFl 14
Persons-80%C148 Persons-50%CountyMFI 128 Persons-30%CountyMFA 42
CERTIFICATION: ,TD AL FORTHIS JURISDICTION,CERTIFIES THATTHE INFORMATION IN THIS REPORT AND THE SURVEY
LOCATIONS FOR I OF MY KNOWLEDGE AND WAS REPORTED IN ACCORDANCE WITH THEACCOMPANYING INSTRUCTIONS.
Signature: Tide: City Manager
Street Address: 604W Fairmont Parkway
City: La Porte Zip Code: 77571-621S
Phone Number: (281)470-5011 Datt o9/i / o
Harris County- La Porte-2010
Sens Rd/Western District
Vlow, Low and Moderate Counts
Quest Street# Multiple Dir Street Name Persons 30 50 80 Status
1 300 Battleview NR
2 320 Battleview 2 High
3 420 Battleview 2 High
4 428 Battleview NR
5 500 Battleview 5 High
6 516 Battleview NR
7 520 Battleview 2 2 Low
8 524 Battleview 3 High
9 601 Battleview 2 2 Low
10 11633 Battleview 2 High
11 11515 N D St 2 High
12 11605 N D St 3 High
13 11621 N D St NR
14 11626 N D St 2 2 Low
15 11628 N D St 3 High
16 11727 N D St 4 4 Low
17 11801 N D St 2 High
18 11805 N D St 3 High
19 11510 Flintlock NR
20 11604 Flintlock 2 High
21 11607 Flintlock 3 High
22 11608 Flintlock 5 5 Low
23 11620 Flintlock 4 4 Low
24 11621 Flintlock 2 2 Low
25 11623 Flintlock 4 High
26 11629 Flintlock 5 High
27 11630 Flintlock 3 High
28 11631 Flintlock 2 2 Low
29 11518 N H St NR
30 11522 N H St 2 High
31 11526 N H St 3 High
32 11527 N H St NR
33 11531 N H St NR
34 11611 N H St NR
35 11657 N H St 2 2 Low
36 11692 N H St . 4 High
37 11701 N H St 3 High
38 11702 N H St NR
39 11715 N H St 1 High
40 11801 N H St 2 High
41 11802 N H St 3 High
42 11803 N H St NR
43 11804 N H St 5 5 Low
44 11806 N H St NR
45 11807 N H St NR
46 2040 1 Sens Rd 1 1 Low
47 2040 2 Sens Rd 2 2 Low
48 2040 4 Sens Rd NR
49 2040 5 Sens Rd 3 3 Low
50 2040 6 Sens Rd 2 2 Low
51 2040 7 Sens Rd 3 3 Low
52 2040 9 Sens Rd NR
53 2040 10 Sens Rd 2 2 Low
54 2040 11 Sens Rd 3 3 Low
55 2040 12 Sens Rd 2 2 Low
56 2040 13 Sens Rd 4 4 Low
57 2040 14 Sens Rd S 5 Low
58 2040 16 Sens Rd 3 3 Low
59 2040 17 Sens Rd 4 4 Low
60 2040 18 Sens Rd 4 4 Low
61 2040 19 Sens Rd NR
62 2040 21 Sens Rd NR
63 2040 23 Sens Rd 4 4 Low
64 2040 24 Sens Rd 2 2 Low
65 2040 25 Sens Rd NR
66 2040 26 Sens Rd 4 4 Low
67 2040 27 Sens Rd 4 4 Low
68 2040 28 Sens Rd 5 5 Low
69 2040 29 Sens Rd 3 3 Low
70 2040 32 Sens Rd 5 5 Low
71 2040 33 Sens Rd 2 2 Low
72 2040 35 Sens Rd 2 2 Low
73 2040 36 Sens Rd 5 5 Low
74 2040 37 Sens Rd 2 2 Low
75 2040 38 Sens Rd 3 3 Low
76 2040 39 Sens Rd 2 2 Low
77 2040 40 Sens Rd 2 2 Low
78 2040 42 Sens Rd 5 5 Low
79 2040 43 Sens Rd 2 2 Low
80 2040 44 Sens Rd 4 4 Low
81 2040 46 Sens Rd 2 2 Low
82 2040 47 Sens Rd 2 2 Low
83 2040 48 Sens Rd 3 3 Low
84 2040 49 Sens Rd 1 1 Low
85 2040 50 Sens Rd NR
86 2040 54 Sens Rd 2 2 Low
87 2040 55 Sens Rd 5 5 Low
88 2040 56 Sens Rd 1 1 Low
89 2040 57 Sens Rd 6 6 Low
90 2040 58 Sens Rd 3 3 Low
91 2040 61 Sens Rd 1 1 Low
92 2040 62 Sens Rd 4 4 Low
93 2040 63 Sens Rd 3 3 Low
94 2040 64 Sens Rd 2 2 Low
95 2040 65 Sens Rd NR
96 2040 66 Sens Rd 4 4 Low
97 2040 67 Sens Rd 2 2 Low
98 2040 68 Sens Rd 3 3 Low
99 2040 69 Sens Rd 2 2 Low
100 2040 70 Sens Rd NR
101 2040 71 Sens Rd 3 3 Low
102 2040 72 Sens Rd 2 2 Low
103 2040 73 Sens Rd 3 High
104 2040 74 Sens Rd 2 2 Low
105 2040 75 Sens Rd 3 3 Low
106 2040 76 Sens Rd 4 4 Low
107 2040 77 Sens Rd 3 3 Low
108 2040 78 Sens Rd 1 1 Low
109 2040 79 Sens Rd 3 3 Low
110 2040 80 Sens Rd 4 4 Low
111 2040 81 Sens Rd 2 2 Low
112 2040 82 Sens Rd 3 3 Low
113 2040 83 Sens Rd 2 2 Low
114 2040 84 Sens Rd 5 5 Low
115 2040 85 Sens Rd 4 4 Low
116 2040 86 Sens Rd 2 2 Low
117 2040 87 Sens Rd 2 2 Low
118 2040 88 Sens Rd 3 3 Low
119 2040 89 Sens Rd 5 5 Low
120 2040 91 Sens Rd 3 3 Low
121 2040 93 Sens Rd 4 4 Low
122 2040 94 Sens Rd 3 3 Low
123 2040 96 Sens Rd 3 3 Low
124 2040 97 Sens Rd 5 5 Low
125 2040 98 Sens Rd 4 4 Low
126 2040 100 Sens Rd 4 4 Low
127 2040 101 Sens Rd 2 2 Low
128 2040 102 Sens Rd 1 1 Low
129 2040 103 Sens Rd 1 1 Low
130 2040 104 Sens Rd 3 3 Low
131 2040 105 Sens Rd 3 3 Low
132 2040 107 Sens Rd 2 2 Low
133 2040 108 Sens Rd 6 6 Low
134 2040 109 Sens Rd 3 3 Low
135 2040 110 Sens Rd 2 2 Low
136 2040 111 Sens Rd 2 2 Low
137 2040 112 Sens Rd 3 3 Low
138 2040 113 Sens Rd 2 2 Low
139 2040 114 Sens Rd 2 2 Low
140 2040 115 Sens Rd 2 High
141 2040 116 Sens Rd 4 4 Low
142 2040 117 Sens Rd 4 4 Low
143 2040 118 Sens Rd 5 5 Low
144 2040 119 Sens Rd 2 2 Low
145 2040 120 Sens Rd 3 3 Low
146 2040 121 Sens Rd 4 4 Low
147 2040 122 Sens Rd 2 2 Low
148 2114 Sens Rd NR
149 2118 Sens Rd 3 High
150 2200 Sens Rd NR
151 2202 Sens Rd 4 High
152 2204 Sens Rd 2 High
153 2226 Sens Rd NR
154 2410 Sens Rd NR
155 2101 Shirley Ln 5 High
156 2105 Shirley Ln 3 3 Low
157 2113 Shirley Ln 5 5 Low
158 2207 Shirley Ln 5 5 Low
159 2209 Shirley Ln NR
160 2211 Shirley Ln 2 High
11703 N H St Vacant
2040 22 Sens Rd Vacant
2040 30 Sens Rd Vacant
2040 31 Sens Rd Vacant
2040 34 Sens Rd Vacant
2040 45 Sens Rd Vacant
2040 60 Sens Rd Vacant
2040 90 Sens Rd Vacant
2040 92 Sens Rd Vacant
2040 95 Sens Rd Vacant
2040 99 Sens Rd Vacant
People 42 128 148
HH 14 41 50
Harris County- La Porte-2010
Sens Rd/Western District
Vlow, Low and Moderate Counts
Count of Status Column Labels
1Row Labels High Low NR Vacant Grand Total
1 1 7 8
2 11 37 48
3 11 25 36
4 3 20 23
5 3 14 17
6 2 2
(blank) 26 11 37
Grand Total 29 105 26 11 171
Count of Status Column Labels
Row Labels High Low NR Vacant Grand Total
Battleview 5 2 3 10
D St 5 2 1 8
Flintlock 5 4 1 10
H St 7 2 8 1 18
Sens Rd 5 92 12 10 119
Shirley Ln 2 3 1 6
!Grand Total 29 105 26 11 1711
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 ' Harris - H-GAC 16
Respondent's Information:
Street Address: 300 5Ai//t Vie s..' Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 1/ l° Time://;'3O P.M.
Second Attempt: Date: �2 2- (O Time: S A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
if yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as o member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 _ 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 50 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 56 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,40O
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 2 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race - It of Hispanic Stof Non-Hispanic
White
Black African'American "'— "" " ""'�' _ _. _-_ .. .. _ _
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: ' Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: -t ��
Street Address: } . '+ ( y/:L j) Zip Phone:
Contact Attempts: (Circle)
First Attempt:- : - Date: - • Ji/ o Time:'-2:y6 A.M. -• P . - - - (Circle)
Second Attempt: Date: Time: A.M. P.M. espon Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? ' (Circle) Yes No
If yes,please complete on additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or a/milies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly Income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-5O%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 - 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 i 3 4 5 6 7 8 9 10 11 12
> I > 111 > I > > > > > > > >
$36,500 $41,7 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race Itof Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial -
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire IntervlewersName:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: (� t '
Street Address: �To \7 ➢ �t \J L( irj Zip Code: Phone:
Contact Attempts: (Circle)
FirstAttempt: - Dater -to( ( S . Time:- Z% CD . A.M. _ .-� - (Circle)
Second Attempt: Date: Time: A.M. P.M. 1te5pon9e Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? 2-
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmiiles.
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County. /1
4. Family Size: 2- Median Income: $65,100 Males: Females:
Ve Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 ¢ 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 1 4 8 6 7 8 9 12 II 3
> A > > > > > > > > > >
$36,500 41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race It of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 2 Substituted In For: Substituted Out For
it
2010 TxCDBG Survey Questionnaire Interviewers Name: 1OO
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: 12#' D p/V`t.t&J Zip Code: _ Phone:
Contact Attempts: (Circle)
First Attempt:. .. - Date.-.9t2 li : - Time: --2;$ A.M: •-• & (circle)
Second Attempt: Date: i' 10 Time: 33'Q Aj. P.M. Response spun Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live In this unit?
3. Do any other families live in this unit? (Circle) ' Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 `7 I 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 J $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 •7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
I > > > > > > > > > I > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic R of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan n Native and White
Other PGtulti-Racial .. ' - 1'
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: L I Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /9
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: j,
Street Address: 5 (� ;/�-1 `(� \-\ �4'Q W Zip Code: Phone:
Contact Attempts: t (Circle)
First Attempt:-.- . • --• > Date:- '-2-((c7 - Time- -2. ✓f6 A.M. - (Circle)
Second Attempt: Date: Time: A.M. P.M. espon Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live In this unit?
3. Do any other families live In this unit?- (Circle) Yes o
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or ofmilies
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County,
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 - $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 . $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 2 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
on oderate Income:Greater than 80%AMA
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,10 56,300 $60,450 $64,650 $68,800 $72,950 $77,100 I $81,300 $85,450
Race tt of Hispanic Ii of Non-Hispanic
White
Black African American _
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Mufti-Racial .
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: / t)
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: '51 )p tJ r \G l(, ! .J J Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt. _ .. _ .. Date: -Z b • Time: - !'Po - -A.M.• •1 • - - (Circle
Second Attempt: Date: •12 '0 Time: : 55 A.M P.M. Response Non-Respon Vacancy
ti'M.'-TP'mY✓TA�1>•:'��,Y\"%IFVM�i�1w��+uy;�vnn���I'JYY1p'+I J/]�'>�TA�'�V I�,.Y+1' -�O - g-e�ilYr��(M�T. � t 4.-. .. �
o M - .
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? ' - (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit.. (Note: Do not include yourself as a member of another family or fmilies.)
Canpare your family's 2009 annual adjusted gross Income,or your family's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 30 it 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > I > > > > > > > >
$36,500 $41,700 $46,900 $52,100 I $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial" .. - ' - - -
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /_ Substituted In For: Substituted Out For
!3
2010 TxCDBG Survey Questionnaire Interviewers Name: /4-9
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: _1t.'�-
Street Address: S 1Wn �A "I e y,,Q 1 Zip Code: Phone:
Contact Attempts: (Circle)
FirstAttempt:- . - - • - - Dater• Q.2�L.!l . • Timer b3 A.M. • -P 3�. Gip . (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
r , ,......5K.w:Mcn..�.Rv-e•::.+�,�is.:.....:,a•:r;+s:..t=a.1.w.:.tom-+,-r+. .r•-W-s'...; -te.,,..-"4eMa.•r _.,..i. ,—�•..---Yom.. . --•-�-- _ -.
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) - Yes No
If yes,please complete on additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as o member of another family or ofmilie
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very tow-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 - $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 30 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 3 4 5 6 7 8 9 10 11 12
$22,801 $26,05 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 13
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic .U of Non-Hispanic
White
Black African American _
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial" - ' ' -
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /W)
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ( J Q }r�I-I
Street Address: %� ` l) p ` l \ V (',j-r Zip Code: Phone:
Contact Attempts: 2, (Circle)/.
. - •FirstAttempt: - - - • Dater. -L 1 l a Time: 37:11) - A.M. t . - - (Circle)
Second Attempt: Date: Time: A.M. P.M. pt;oa ~ Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? - - (Circle) Yes o
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as o member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 ¢ 7 8 2 10 11 12
> > 11 > > > > > > > > > >
$36,500 $41,700 $46,900 2,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450(1Race It of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
(t
'2D10 TxCDBG Survey Questionnaire Interviewers Name: 1�`)
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ft.
Street Address: I J r1�l \I 1 1.W Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: -L / 0 —• Time:-3 3.Cr - -A.M. •- :- - ^^ (Circle)
Second Attempt: Date: Time: A.M. P.M. RSs�gns€ Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? ' - (Circle) Yes
lives,please complete on additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or ofmilies.)
compote your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Vet',Low-of or below 30%AMFI
.._.1. ""-2 - - -3 . : .-,.. .4 e..7 '—,5 , :_..,6., _.:. .-,-.7,-,_.. +....8-' _' 9 _ l0 '" 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $D $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $2 0 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 J 3 4 5 6 7 8 9 10 11 12
$22,801 $26, 1/ 29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian -
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: p Substituted In For: Substituted Out For
1 ::
2010 TxCDBG Survey Questionnaire Interviewers Name: !�
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: 1 r
Street Address: 111� �� P I,4 k J b Zip Code: Phone:
Contact Attempts: �S (Circle)
• First Attempt: --- > Date: �� (P - lime:--3; 'D y• A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. /gefpo7lsse' Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete on additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another/amity or afmi ies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-of or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic B of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
ether Multi-Racial "- _
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / p Substituted In For: Substituted Out For
IE
1U1U'lxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: l S I N12 s+. Zip Code: Phone:
Contact Attempts: / (Circle)
First Attempt: . - - - .Date:-.(p ''/(O - Time: 22. 3-y^ • •A.M. - -- - - - (Circle)
Second Attempt: Date: Time: A.M. P.M. e o Non-Response Vacancy
..+rw.+-,.+w,.c..r.w-.. . . . • eT-+w. - +,- : p--•n=—�—`.. ter---
1. Including yourself,how many people usually live In this unit?
2. Including yourself,how many people in your family usually live In this unit?
3. Do any other families live in this unit? (Circle) Yes - `
If yes,please complete an additional questionnaire far each family that lives in this unit. (Note: Do not include yourself as a member of another family or ofmili
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 '6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12'
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,50d $41,700,/1 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race • not Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: t I Substituted In For: Substituted Out For
b
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: ` I \, S S k/ /> 5 f Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt:-. - / ZJ ( 2-."G� - - --- _
p Date:- � o ••�� Time: - D•�- � A.M. �. (Circle)-
SecondAttempt: Date: Time: A.M. P.M. pons Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? '�
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? - (Circle) Yes No
I/yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or of
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4' 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7' 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 12 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 2 8 2 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race It of Hispanic II of Non-His anic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2
ZU1U TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: ! I Ip 2 C F. Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt:... _. -. Date: 9- t (° .. Time -s/l . A.M. g:: - - (Circle)
Second Attempt: Date: '2/Z-(O Time: : YO P.M. Response Vacancy
+ _,. w___. +iw.+__ --. .�•��-e-.._.-.
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people In your family usually live in this unit?
3. Do any other families live In this unit? - (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Law Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 - $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate lncome:'51%?80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 _ $43,001__ _$45,5$1.__- $48,151_-._$50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMA
1 2 3 4 5 6 7 8 9 10 11 13
> > > > > > I > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: ,3
Substituted In For: Substituted Out For
t
2010 TxCDBG Survey Questionnaire Interviewers Name: /_ '/
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: ) l (p 2 IP Al 1) S'1 . Zip Code: Phone:
Contact Attempts: i, (Circle)
First Attempt: Date:. - -2tf . . Time: '2L30 A.M. - - (Circle)
Second Attempt: Date: Time: A.M. P.M. ns Non-Response Vacancy
._
1. Including yourself,how many people usually live in this unit? T /
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes /�o
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated anon annual basis,to the income eligibility figures
listed below for your county.
4. Family S 7
ize: /' Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $o $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 f$30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI.
1 JIZIN 7 8 9 10 11 12
$22,80 $26,051 29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $4 .900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Mod ro a Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: (5'" Substituted In For: Substituted Out For
7
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: n �r �/�
Street Address: ' ffb 2 O / .J t 51. Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: - Dater b i_/CD - Time: " ? 'I- 1. A.M. - - (Circle)
Second Attempt: Date: Time: A.M. P.M. Re S Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? 3
3. Do any other families live in this unit? ' ' (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 11 7 8- 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 I $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI;.
1 . 2 3 4 5 3 7 8 9 10 11 12
- - 2 ,. 4$2 ,Q3, - 2. „$.3 $35,2Q),;` -•$32, R1,., „$3Q 1_,..443,001 $45,551 $48,151 $50,801 $53,401
to to to to to ' "to ' to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,70 $46,900 $52, 00 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: S Substituted In For: Substituted Out For
H
2010 TxCDBG Survey Questionnaire Interviewers Name: ZZ�
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: I� �
Street Address: l at 1 $3 I 1 S f', Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: .. - Date: ('•2-/ /D- -Time:'- 2-'2(-- • A.M: - I1 - (Circle)
Second Attempt: Date: Time: A.M. P.M. spa Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete on additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilie.
Compare your family's 2009 annual adjusted grass income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:_
males:
_ ___.__ _ _,.-__-_-_-_-_.__c,,_-.__-__--_--'_4_ . _- - ,_h., �: _
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
ModerateIncome: 51%-80%AMFI.
1 2 3 4 5 6 7 8 9 10 11 12
da+ - 8 -. -_$. -- •.$ _$.3 5. - 535 2p" - 3,.QQk, - _.5.55. 568:x5 . : . 55.9,SQx,,, $53,901..
to - - to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
on-Low-ond-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 1Q it U
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 ' $77,100 $81,300 $85,450
Race It of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /6 Substituted In For: Substituted Out For
Z
2010 TxCDBG Survey Questionnaire Interviewers Name: /-49
Place County Name: Region: �!
La Port-2010 Harris H-GAC 16
Respondent's Information: p
Street Address: 1 l 0 0 , /\f 5'f' Zip Code: Phone:
Contact Attempts: y/ (Circle)
First Attempt:.-�_ Date:• - 2.(• V • _. Time: - L:t (- •- -A.M.- - - (Circle) -
Second Attempt: Date: Time: A.M. P.M. ponse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? Z
3. Do any other families live in this unit? - (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmiliee
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 month y/weekly income calculated anon annual basis,to the income eligibility figures
listed below for your County.
2-
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 _ $15,650 $17,600 $19,550 $21,150 .$22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51% 80%AMFI -
1 2 1 4 5 ¢ J 7 8 9 10 11 12
-• J22,$QL s„$76 05 •- $@UQL. ;S3L8Q1.. -$409-01:: -$13,P01....- ;.5.4$,5@ - .$445i.,. $50,80k, .,$53,901
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 j $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-ond-Moderote Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic 4 of Non-Hispanic
White -
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: ,'7 Substituted In For: Substituted Out For
3
2010 TxCDBG Survey Questionnaire Interviewers Name: �U]
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: p
Street Address: 1 p S Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt - -.. . - . Date:, Z/ / V Time: . % - A.M. d •-- (Circle)
Second Attempt: Date: Time: A.M. P.M. Res Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or oamilies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 6 6 7 8 2 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 8 6 7 8 9 10 11 12
, ;J22A0A.. J26 _$2flQAA. .$IZask. ..4t52 $ .8 . $4PAQx .543, . ..$ 5 „$98,35 _:$50,801:,,..$53,4o1...—
to to to to to to to -_ to to to to to
$36,500 $41,700 00 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate In m :Greater than 80%AMFI
1 2 3 4 6 6 7 8 9 10 11 13
> > > > > > > > > > > >
$36,500 $41.70(\ $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: I V Substituted In For: Substituted Out For
(
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: II
Street Address: "51 b l l I.r P Zip Code: Phone:
Contact Attempts: (Circle)
FirstAttempt: - - •. I Date: t 71(0 --- Time: - .- 4.-if.... AM '-A.M.-• 9 - ' Circle
Second Attempt: Date: S 2 2 1 D Time:. P.M. Response n-Respons - Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live In this unit?
3. Do any other families live In this unit? - ' -_ - - ' ' . = (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or aamilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated anon annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at orb Iow30%AMFI
�1. ' 2 -- -- --'-3 ..-4. . .5 z.-. ,.6 . 17. rB. "'g'-__ 30, . .11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 529,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 fl2 3 4 5 6 7 8 9 10 11 12
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race St of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /n Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: 'J,
Place County Name: Region.`
La Port-2010 Harris H-GAC 16
Respondent's Information: J �'/ yI
Street Address: //[� D 1"` l 1 � 1 /t, 6 lb Zip Code: Phone:
Contact Attemots: u (Circle)
First-Attempt:- -- •- --•-- Date: 4 Z/ /a- • Time:, '-3' (S -'AM. 1 •6 , -c --.- (Circle)
Second Attempt: Date: Time: A.M. P.M. spon Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people In your family usually live in this unit? Z
3. Do any other families live in this unit?,, - - (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of onotherfamily or ofmili
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 month y/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your county. "/11
4. Family Size: L. Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
..1 :2 _>3 r4-. . -5.. n.,r.r.6.c-rr. 11, 7� - ,-..8 -s ..�.9 .-10"•-`.12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to toto
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 ,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 2 4 5 6 7 8 2 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 2 8 2 10 11 12
> > > > > > > > > > > >
$36,500 41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and BlackAfrican American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: w Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: Iv/
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: /
Street Address: / / 6 t t4JJ ot,`l2ipCode: Phone:
Contact Attempts: (Circle)
•First Attempt - -Date: t-Z'(1 o --Time: 3: 2 ! - -A.M. - - (Circle)
Second Attempt: Date: Time: A.M. P.M. spun Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? '{
2. Including yourself,how many people in your family usually live in this unit? ✓
3. Do any other families live In this unit? - ' - - • - (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
..1. ,2 ,3. _ -..4... • "5'r-.. ..m b- .. i'.+:qv� ro+ .8� _ •.'"9 "10' - `11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 n900
4 5 6 7 8 9 14 11 12> > > > > > > > > > >$36,500 $41,700 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic N of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: I 1b i) ( r N1.J I o . Zip Code: Phone:
Contact Attempts: (Circle)
• FirstAttempt Date: ,Q(-Zi ( D Time - (5 A.M. - 6 � (Circle)
Second Attempt: Date: Time: A.M. P.M. esponser Non-Response Vacancy
....................
.,'. _. -.. f .. ,-rww�c•-a.-�i+,.r+s�:.ae.r.-.r..rvc-.+w�.�r:.�-+�.q+y..o=�-.....«---rr-"r-+.-.
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? - (Circle) Yes td�
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
.1 ..:0: ,..2 :. -x ..3.. --:4 -re5 '--). 6... ^17 ` ' .' 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 8 4 6 6' 7 8 9 10 11 12
$13,701 $15,651 _ $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
oderate Income: 51%-80%AMFI
1 2 3 4 S• 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,55 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to ao to to
$36,500 $41,700 $46,900 $52,100 $56,300 60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non- -and- denote Income:Greater than 80%AMFI
1 2 8 4_ ¢ 2 8 2 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race If of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi=Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: ZZ Substituted In For: Substituted Out For
6f
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: / '-- / / //
Street Address: /( & 2 7 `l✓I (ht, " Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt:- - Date: Y—Z( i • - Time: 3'. ( 2 . - A.M. - --- - (Circle)
i ,•. l
Second Attempt: Date: Time: A-M. P.M. Espouse � Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit?• h - . (Circle) £ Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or ofmilies.
Compare your family's 2009 annual odj sled gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,30 $32,551 $3 ,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to Jto to to to to to to to
$36,500 $41,700 $46,900 52,100 $16,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 S 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic U of Non-Hispanic
White
Black African American _
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: f? Substituted In For: Substituted Out For
(B
2010 TxCDBG Survey Questionnaire Interviewers Name: /t 2V
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: I - 1y
Street Address: u In 1 1 ` I r"\ I Zip Code: Phone:
Contact Attempts: (Circle)
FirstAttempt:. Date:-; 'Z.( ( O Time: 3-� - -• A.M. ,rwlVl.-.- - - -- (Circle) -
Second Attempt: Date: Time: A.M. P.M. espouse' Non-Response Vacancy
r.—..,v:...:-+ +...5", r; ws+•— w-r...w, ,s _ .. . ,ea-...^t-^.- ......." .�..,.', � ._--.i2._._
1. Including yourself,how many people usually live in this unit?
. Z
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live In this unit? `-' "-" -' - `' (Circle) Yes
If yes,please complete on additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilie3>}�
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
V
4. Family Size: - Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI-at or below 30%AMFI
.2... .3..>.., ., y..- 5.. ,.,.-r.6..,.� _"�Z— — ;8-._ . .9 ''11 12"
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
• $13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
7 8 9 10 11 12
$22,804f $26,051 $2$,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to Jto to to to to to to to to to
$36,500 $41,700 %46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 ¢ 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race R of Hispanic ft of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 2.f Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: (
I 1,
Street Address: , L t.'3 • "A Zip Code: Phone:
Contact Attempts: (Circle)
FirstAttemfit..-._ • - Date:- 21,10--- Time: ;,30 A.M.- -• f ?• - (Circle)
Second Attempt: Date: Time: A.M. P.M. ons Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? .
3. Do any other families live in this unit? ` ' • ' '• - (Circle) - Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
. x11'__.., . ...2•. . 3....,. • —4 .. ..x-5..:0• .-.e:+be.:.r i..+.7ar _+.,.«g. .�.. �..-.9_ _ ....1O "` - . 11. .12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32;050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non- w-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 2 8 2 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 2,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: t' Substituted In For: Substituted Out For
Zf
2010 TxCDBG Survey.Questionnaire Interviewers'Name: `1r�
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: c
Street Address: `\q `1 ` `s -\ o ,V- Zip Code: Phone:
Contact Attempts: 22 (Circle)
FirstAttempt: . - . - Date:-- - G 11 ° - - Time:- 7.1-}-3-- A.M.-- • t9- - - (Circle)
Second Attempt: Date: Time: A.M. P.M. espo Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? " ' - (Circle) Yes
If yes,please complete an additional questionnaire for each farniy that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: T��TTT�� Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 .. - "2- ...yy R —�4.,...<. y"5-.-' :4 '6,.—.e�,-:..a7 ,.t t8.._..- ' '9" < 10 - 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to. to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 U $56,300 $60,4'SQ $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Ho Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's information: q, — I'
Street Address: ( I L. O P I• (o L k Zip Code: Phone:
Contact Attempts: 4 (Circle)
First Attempt:-. --- - - Date:•C-- Z(- f•a - lime: 3: o% .- .-A.M. .- (Circle)
Second Attempt: Date: Time: A.M. P.M. Respons Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live inthis unit? (Circle) Yes / o 1
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself os a member of another family or afmilies. -mil
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > >
$36,500 $41,700 46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic K of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
12
ZULU [xCDB6 Survey Questionnaire Interviewers Name: w%
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: I G 3 I I Z ( t 0 (/ Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt:. . - - - Date:-& h I IQ- -Time: +3 ( '--.A.M. — •- ---• (Circle)'
Second Attempt: Date: Time: A.M. P.M. espouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit?• - • (Circle) Yes �0
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or ofmilies. f
Compare your family's 2009 annual adjusted gross income,or your family's 2010monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below far your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
.1. . 3 ' — .-r3Mi r :..q x�5a _ 6z.+¢ """7 ...,:�B�. ...9-r X10 _.
` • 11
$0 $0 $0 $0 �. $0 $0 $0 $0 v T $0 $0 '.12
$0
to to to to to to to to to toto
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 ,050
Low Income: 31%-50%AMFI
1 2 3 4 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 4 6 7 8 9 10 11 12
$22,501 26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to2 to to to to to to to to to to to
$36,5 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 _ 1 4 5 6 7 8 9 10 11 13
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: p Substituted In For: Substituted Out For
"�C
2010 TxCDBG Survey Questionnaire Interviewers Name: %h
Place County Name:' Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: 7 t, 5t -Zip Code: Phone:
Contact Attempts: / (Circle)
FirstAttempt - - - Date: 4 -?(/0.-- Time: ^f••7 S • AM. - '
Second Attempt: Date: 12 ( 0 Time: 7i AM. P.M. Response -Respon Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? - (Circle) Yes No
If yes,please complete an additional questionnbire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very tow-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 .$24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 S 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income:'51%-80%AMFI - '
2 3 4 5 -6 7 8 9 10 11 12
..._to .. to . ._ to __
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic If of Non-Hispanic
White
Black African American _
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial . — -' - ' " - -
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 2y Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ^L•r� 1
Street Address: ✓ El S`1 Zip Code: Phone:
Contact Attempts: / (Circle)
FirstAttempt:- S-.- Date: -,Lf/(7. .-_ . Time:- /-56 A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. ' R sponse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit?— - - (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family oral
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your county. 2
4. Family Size: Median Income: $65,100 Males: FeTmalles:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%=80%AMFI -
1 2 3 4 5 6 7 8 9 10 11 12
jg
_._ to _,.. , 'to,, _ ._td_ . . - td- .. to. , _ _"to__ ...ta_ ...,to-_ • td'-. ... to '. to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial ""''"" `._• "' '_ ..- .
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 2 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: f�
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: r1y t
Street Address: 11 7 `A /V t S Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt:-- -Date: - .Z 0 - Time: '-I $3 -- -A.M. -- -. (Circle)
Second Attempt: Date: Time: - A.M. P.M. e onse Non-Response Vacancy
-.: - - :.. -et-wrn-•-,r+-..a„_ .+,- -...n- .r.cam.-- -•--
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? - - (Circle) Yes No
I/yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as o member of another family or ofmilies.)
Compare your-family's 2009 annual adjusted gross income,or your family's 2010 montliy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100- Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 j5 6 7 8 9 10 11 12
$0 $0 $0 $0 ISO $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 . $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income:51%-80%AMFI t•• -
1 2 3 4 5 6 7 8 9 10 11 12 kz -to. .--. to__-. . . .to_.- td_ .. . ..tp to. fc to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300. $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,7 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic It of Non-Hispanic
White
Black African American _
• Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander -
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: Lt /
Street Address: L S ' ") /V r` '+ Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: - Date: Z ;(o •• Time:- SV .- A.M.
- - - - (Circe)
Second Attempt: Date: a 1'Z%) Time: 7 P1' A.M P.M. Response Vacancy
--'^".•.n..�.-+�.va+k _ . . re.. ...,M:.--c:-r,�•=nom . .. +.�;.+...em.-..--r-•.,•yam....-.-.+«-.. �.---«.-.•-,- •- •--
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes • No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 '12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income- 51%-80%AMFI -
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,2
to . to to to to to'• to t6 .- ..._. to- .. _..- fo-.. _ to' t6- `
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater then 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > I > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic N of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White -
Other Multi-Racial ' - ' ' ' ` . -
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 32 Substituted In For: Substituted Out For
It
2010 TxCDBG Survey Questionnaire Interviewers Name: /J2
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ' I
Street Address: kJ I jti _Zip Code: Phone:
Contact Attempts: (Circle)
First Attempi:..-.-- - Date:-l-Ztip -. Time:- i/7 -- . A. , £'t? " + - jCsrc
Second Attempt: Date: 1n. I') Time: 7 $(. M P.M. Response .N n-Respo a Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? I . " (Circle) ' Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI •
1 2 3 4 5 6 7 8 9 10 11 12
,,$22,801 „$26,051 „$29,301 .532,551 _ $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 1 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic p of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial" " _
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 33 Substituted In For: Substituted Out For
l!
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: ( ( kp ( . {l N S t. Zip Code: Phone:
Contact Attempts: 7 2 (Circle)
First Attempt: Date: L ( /O Time: l•• � A.M. C. : iCircle
Second Attempt: Date: 912 lg Time: g5q P.M. Response on-Res e Vacancy
..wr...�e.o ...w. -.-.,.,. .:_.x:....:s .-+-, ...w.--rat•. -,. -'r -
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? - • • (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or aamilies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 mouthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI _
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income:31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
M Berate Income: 51%--80%AMFI ' ,1 2 3 4 5 6 7 8 9 30 11 12
.-. ,. $22,801«, _$26,051 ..$29,301.,..„$32,551,._ ..$35,20L ...$37,801... ..$40,401..., .,$43,0014. ..$45,551..,.,$48,151.,. +$50,801.,. _.$53,401-. ._
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 1 4 S 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race It of His anic p of Non-His anic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
OtherMulti-Racial ' _ _ _ ______ _ _ _ _--
TO
BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: .� Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /�f
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: l •S1 L (4 T , Zip Code: Phone:
Contact Attempts: ^ AM.(Circle)
FirstAttempt; .• . .. ... Dater 2//O - Time -t^/" .. ,....
. ' ?' (Circle)'
Second Attempt: Date: Time: A.M. P. esponse Non-Response Vacancy
1. Including yourself,how many people usually live In this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? - (Circle) - Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: 2 Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 / / 2 3 4 5 6 7 4 9 10 11 . 12
..;.._, ,522,80 . ..<$26,051.,, $29,301,..,.$32,551,,. ,535,201,. ..$37,801., ..540,401,.;.$43,001., ..$45,551.,.,548;151..;.-$50,801.. •.$53,401-.
to to to to to to to to to to to to
$36,5 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race not Hispanic Stof Non-Hispanic
White
Black African American.,
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Rdclal " -
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 3s Substituted In For: Substituted Out For
(
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: p� /t 1
T Street Address: 1 \ t/ 1, (4 S • Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: Z((4 Time: /. W0 A.M. B:f01. (Circle)
Second Attempt: Date: Time: A.M. P.M. R sponse Non-Response Vacancy
.,.+. -s:.a r.a.m+n.w.,...r..ar+. r.,e�.; -.er y.s, .. n..-. ----. +a...... .--..:—. r••--•--"'+-.�-�,..-...._ . .
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? j�
3. Do any other families live in this unit? (Circle)' Yes /No 1
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your fatuity's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: __ Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 30 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $6
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI 1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI ,
1 2 3 4 5 6 7 8 9 10 11 12
.. .,$22,801„ ..,$26,051,-._,$29,301,,. .$32,55L. ..$35,201',.. ..$37,801•„..$40,401 „$43,001.,£ ,.$45,551-�F..$48,151,. -$50,801,. _$53,401--
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
on- w-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,9 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial. - - -
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Ne Substituted In For: Substituted Out For
(
2010 TxCDBG Survey Questionnaire Interviewers Name: /
Place County Name: Region:
La Port-2010 Harris• , H-GAC 16
Respondent's Information:
Street Address: 11 0 N Ft S j' , Zip Code: Phone:
Contact Attempts: (Circle)
P - p $.-.,_.. •. (Circle)
FirstAttem C -^�- � Dater-Z �'Z�l f >r � •-� Time:"/�%' A.M.-' "�•'
Second Attempt: Date: Time: A.M. P.M espon Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live In this unit? - (Circle) ' Yes Nd
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size_ Median Income: _ $65,100 .,_._. _..., Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 2 10 11 12
$0 $0 $0 $0 . $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-.50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 .$26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 2 10 11 12
,,,$22,801.,. ..$26,051. ..$29,301 , .,$32,551,. ,$35,201.,:.$37,801:_,.,$40,401,,,.,$43,001 y .,$45,551_...$48,151.-, +$50,801 ..$53,401- -
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic Nof Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial - - -
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 37 Substituted In For: Substituted Out For
2010.TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: n
Street Address: ` , Q L N 5'I. Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: f L /1 6 Time: l' 3'7 A. P. (circle
Second Attempt: Date: 9 ' 2 o Time: 9-.63 P.M. Response n- espo Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as o member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or belQw30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
• $13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-.50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
,.$22,801_ ,.$26,051... -$29,301., .$32,551- $35,201.. .$37,801 c ,.$40,401 .. ,$43,001,. ,.$45,551,. .$48,151. .$50,801_ _$53,401.
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 1 4 5 6 7 8 9 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic ff of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial -
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: �� Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: 1
Street Address: ' it. f 4, Zip Code: Phone:
Contact Attempts: (Circle)
• FirstAttempt: Date: - 2 I f 0 Time: I: 2 3 'A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? .� — '—_
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live In this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this uniL (Note: Do not include yourself as a member of another family or afmili
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 . $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 30 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,600 $45,550 $48,150 $50,800 $53,400
Mod rote Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 2 12 11 12
._$22,801-_ «$26,051„ ,$29,301_.. .,$32,551.,. ,.$35,201,. ,.$37,801,_ _$40,401,, ,$43,001,-$45,551.- .$48,151* ..$50,801.. 453,401 to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 12 1] 12
> > > > > > > > > > >
$36,500 J$41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,600 $72,950 $77,100 $81,300 $85,450
U of Hispanic fI of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/AlaskanNative and White
Other Multi-Racial • - - -
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 35 Substituted In For: Substituted Out For
1
2010 TxCDBG Survey Questionnaire Interviewers Name: /J
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: I D f 4 , Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: V. o Time: /- 2O A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Re ponse Non-Response Vacancy
1. Including yourself,how many people usually live In this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes o
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmih
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Z Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 S 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
.-$22,801.. :_$26,051„ „$29,30L.. _$32,551.. ,-$35,201 ..$37,801.. ..$40,401,.. _$43,001_. ..$45,551,.,, ..$48,151.... ..$50,801_, - $53,40L-
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
A > > > > > > > > > > >
$36,500 $41,700 L6,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial - -
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
70
2010 TxCDBG Survey Questionnaire Interviewers Name: /l/7
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ,t
Street Address: h y'j V y /o Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 42. 1 2 Time: / /i' A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live In this unit?
3. Do any other families live In this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or ofmdi
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 _ Males: Females: _
Very Low-of or below 30%AMFI
1 2 3 4 5 6 7 Q 3 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $6
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 5 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 ' $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 3 2 12 11 12
_$22,801,✓, $26,051,,. „$29,301.. ;,$32,551, $35,201., _$37,801 ,.$40,401 _$43,001—_$45,551`. $$48,151.:. _$50,801. _$53,401-+.
to to to to to to to to to to to to
S36,500 $41,700 ,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
on-Low-and-Moderate Income:Greater than 80%AMFI
1 2 _ 4 5 6 7 8 5 ≥•Q 11 '12
> > > > > > > > > > > >
$36,500 $41,700 $46,90 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial "- '
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: 1% 5 • Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: . (10 Time: :4 b A.M.
Second Attempt: Date: I 2' p Time: 1 :/O Q. P.M. Response Non_Respo Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to -
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 _ $29,301 $32,551 $35,201 . $37,801 $40,401__$43,001 -$45,551_....$48,151_ -$50,801-. -$53,401_. -
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race It of Hispanic U of Non-Hispanic .
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Y'L Substituted In For: Substituted Out For
2
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: V1
Street Address: 11 a p'Q (� 7j Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: C 2_((V Time: 1-i. A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as o member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size_ Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 - $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 2 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
rot Income: 51%-80%AMFI
1 • 2 3 4 _ 6 7 8 9 10 11 12
._._. $22,801_] $26,051,.._,$29,301_„ $32,551. _$35,20L- 37,801...> -$40,401 .-$43,001_ .$45,551_ ..$48,151.., -.$50,801 _ $53,401.
to to to to to to to to to [o to to
$36,500 $41,700 $46,900 $52,1 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
w-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 ¢ 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic It of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Muki-Racial - '
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: f/q Substituted In For: Substituted Out For
2
2010 TxCDBG Survey Questionnaire Interviewers Name: 449
Place County Name: Region:
La Port-2010 Harris WGAC 16
Respondent's Information: /� ln
Street Address: I L 4 W 'Y w 5 ` • Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 45 Z([O Time: (.•O7 A.M. M. (Circle
Second Attempt: Date: [ ~"L to Time: 1:1 r It�f try P.M. Response on-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire fat each family that lives in this unit. (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Vy Low-a or I w AM !
1 3 5 4 5 6 7 8 9 10 11 U
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 - $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
1:9w Income: 31%-50%AMFI
z 3 4 § § 7 § 2 14 11 13
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
McSrate Income: %-80%AMFI
1 3 5 4 5 6 7 a Q 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%ÂME
1 2 3 4 5 § 7 $ 4 10 13 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race a of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: ,/ Substituted In For: Substituted Out For
2-
2010 TxCDBG Survey Questionnaire Interviewers Name; ^J/�e
place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: 1 ' % ) 1 LA- 711 L ` • Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: Z_//0 Time: /:D 3 A.M. ONI. (Circl
Second Attempt: Date: Q 11 ) '1 Time: C% 17 P.M. Response N n-Respons Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete on additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculored on on annual basis,to the income eligibility figures
listed below for your County. -
4. Family Size: Median Income: $65,100 Males: Females:
Ve Low-a r below30%AM
1 2 3 4 5 6 7 8 2 129 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 1%-5 AMFI
1 2 3 4 5 ¢ Z ' 8 9 12 111 U
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
ModerateIncome: 1%-80%AMFI
1 2 3 4 5 ! 7 8 2 19 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Mod ra[ Incom :Greater than AMFI
1 2 8 4 5 ¢ 7 8 2 19 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race 0 of Hispanic 0 of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: �} Substituted In For: Substituted Out For
2-
2010 TxCDBG Survey Questionnaire Interviewers Name: _�✓/
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: a.�
Street Address: 9_v Y Zip Code: Phone:
Contact Attempts: , (Circle)
C 22
First Attempt: Date: ( ( D Time: A�. P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Respons Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? /
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmili
Compare your family's 2009 annual adjusted gross Income,or your family's 2010monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
�4. Family Size: Median Income: $65,100. Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13J Q0 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 2 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Incorne: 51%-80%AMFI
2 I 3 4 5 6 7 8 9 10 11 12
,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-tow-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race It of Hispanic U of Non-Hispanic
White
Black African American, -
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native _
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / Substituted In For: Substituted Out For
2010 TxCDBG'Survey,Questionnaire Interviewers Name: /427
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ID
. Zj/ y
Street Address: WW Zip Code: Phone:
Contact Attempts: /- 1n_ (Circle)
First Attempt: Date: ç2Z to Time: 4 �V A7vl• P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espons Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete on additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated an an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Z . Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600. $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 _ 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
"� " ' I Moderdtelncome: 51%-80%AMFI -
1 2 3 4 5 6 7 8 9 10 11 12
$22,8 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 . $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,5 541,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 _ 3 4 5 6 78 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68;800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic N of Non-Hispanic
White
Black African American•• .&, .a••-. .
Black African American and White -
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: C(7 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: 742
place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: /f
Street Address: d201' S&"nr ("V Zip Code: Phone:
Contact Attempts: (Circle)
C First Attempt: Date: t, 22 Lb Time: { s 3 P.M.9f
Second Attempt: Date: Time: A.M. P.M. Response on-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live In this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmilies.)
compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 I 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 6 6 7 8 9 10 11 Y2
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 I $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI'
2 3 4 5 6 7 8 I 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to •to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American-.--- - - -+- ^
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: //$ Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: 74
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: Cr- D \
Street Address: 2° (Co JtAj 4 '-c Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: % Zl (o Time: ( S° (1Qft P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete on additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Mates: Females:
Very Low-at or below 30%AMFI
1I 2 3 I4 5 6 7 8 9 10 11 12
$0 $0 S0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 -$17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,6(00�/
$17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,0 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 2 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 30 11 12
> > > > > > > > > I > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic not Non-Hispanic
White
Black African American- ,r
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: ^ Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /49
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: c -`+
Street Address: 7O `l' Vt.< Y! Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: Q Z t (o Time: OpN 7 ( 3i i P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as o member of another family or ofmilies.)
compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4..Family Size: Z Median Income: $65,100 Males: Females:
Very Low-at or below 30%A
1 2 3 4 5 6 7 8 I 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24;250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 3 4 5 6 7 8 9 10 11 12
$13,70 $/5,651 N $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to 14 to to to to to to to to to to
$22,804 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 I3 4 5 '6 7. 8 2 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 .$81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 30 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race p of Hispanic U of Non-Hispanic
White
Black African American -
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan.Native _
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: S0 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: c- I
Street Address: 20 7f 7 Zip Code: Phone:
Contact Attempts: C Y L 3 (Circle)
First Attempt: Date: 4 2- I J Time: l q. P. - (Circle
SecondAttempt: Date: S 2t 10 Time: 3 DO A.M. Respon Non-Res a Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live In this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Ver,Low-at or below 30%AMFI
1 2 3 4 5 6 7 B 9 10 11 I 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 B 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 ($29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to toto$36,500 $41,7006,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic N of Non-Hispanic
white
Black African American.-
Black African American and White
Asian
Asian and White
Native.Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American,lndian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: //0
Plac County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: CC )) �
Street Address: Z 0 SL.t«.t J^'p Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: Cj')2 e.10 Time: ( '('J P.M. (Cir
Second Attempt: Date: 4 2 2 1t Time: 4r-15 A.M. 19 Response on-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-of or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $6b,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 2 8 2 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race St of Hispanic ff of Non-Hispanic
White
Black African American. -Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native _
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 7 y Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: 142
Place County Name: Region:
La Port-2010 II 11 Harris H-GAC 16
Respondent's Information: C- -4-4-
Street Address: 2049 e.v+C 9 I D Zip Code: Phone:
Contact Attempts: 4� (Circle)
First Attempt: Date: c u _(o Time: C 3 t . P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. pose Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people In your family usually live in this unit? Z
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly Income calculated on an annual basis,to the income eligibility figures
listed below/or your County.
4. Family Size: 2 Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 ' 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500. $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 • 8 9 10 11 12
$13,701 $1 51 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
2 3 4 5 6 7 a 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic It of Non-Hispanic
White
Black African American.>..-c_.. ., ..,. ,. . ,.•. _
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native arid White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 5 3 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: C n I /
Street Address: 7i,,'O L I2- Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: r 2'+1 0 Time: Q 14 J \ P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. pons Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) - Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as o member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthyl weekly income calculated on on annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: 3 Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 I 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 so $0 so $0 $o
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 b 7 8 9 10 11 12
$13,701 $15,65 $1) 01 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 1$32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,406
Moderate Income: 51%-80%AMFI
1 7 3 4 5 6 2 8 2 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to ' to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-ond-Moderate Income:Greater than 80%AMFI
2 3 4 5 6 z _ 8 2 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race II of Hispanic h of Non-Hispanic
White
Black African Americanarc -u.to- - •—�Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: S�F Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 �1. Harris H-GAC 16
Respondent's Information: ./ -Y
Street Address: L l� I ( L Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 422.(O rime: t ' ' A1tiY. P.M." (Circle)
Second Attempt: Date: Time: A.M. P.M. o s Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? Z
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes Nd
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as o member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: 2 Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 _ 3 4 5 6 7 8 9 10 11 12
$0 50 0 $0 $0 $0 $0 50 $0 $0 $0 $0
to to Jto to to to to to to to to to
$13,70 $15,650 417,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
r
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI-- -
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 I $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 5S Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire - Interviewers Name: /l"9
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:Street Address: �o•( �4c .J` ` >7 Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: t ''r' Time: Q L P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live In this unit? (Circle) Yes No
If yes,please complete on additional questionnaire for each family that fives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 mouthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 =$EZ a 9 30 11 12$0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 0 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 ' $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to ta to to to to to to to
$22,800 $26,050 $29,300 I $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48150 $50,800 $53,400
Modeiatel e:ncdm 51%-80%AMFI '
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 j 1t32,551 $35,201 $37,801 $40,401, $43,001 $45,551 $48,151 - $50,801 $53,401
to to to to to to to to to to - to to
$36,500 $41,700 $46,909' $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderote Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 30 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic k df Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
• Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
• American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: $6 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /1
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: (C'
Street Address: to ct J k.t.s if Zip Code: Phone:
Contact Attempts: G (Circle)
First Attempt: Date: 4 2"+� 1 U Time: ?. L$ tS. P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. S n Non-Response Vacancy
1. Including yourself,how many people usually live In this unit?
2. Including yourself,how many people in your family usually live in this unit? C
3. Do any other families live in this unit? (Circle) Yes I`T
If yes,please complete an additional questionnaire for each family that lives In this unit. (Note: Do not include yourself as o member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Ver,Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 - 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,290" $37,800 $40,400 $43,000 $45,550 . $48,150 $50,800 $53,400
de to Income: 51%-80%AMFI
1 2 3 4 5 6 7" 8 9 10 11 12
$22,801 $26,651 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to [o to to to to to to to• $36,500 $41,700 $46,900 $52,1 $56,300 /{ $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non ow- d-Moderate Income:Greater than 80%AMFI
1 2 3 4 2 6 7 8 9 10 it 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic N of Non-Hispanic
White
Black African American.
Black African American add White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: S 7 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: ____
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: tj c{ b C /
Street Address: 7 / b Zip Code: Phone:
Contact Attempts: (Circle)
FirstAttempt: Date: 2 1 Time: Vi:' A.M. P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. R spans Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? 3
2. Including yourself,how many people in your family usually live In this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.) -
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: ___________ Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 , 2 8 2 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate income: 51%-80%AMFI
1 2 3 4 5 fi 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 it 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic #of Non-Hispanic
White
Black African American .
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: rp Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: 1—D
Place County Name: Region:
La Port-2010 - I Harris H-GAC 16
Respondent's Information: �1
Street Address: 1 / Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date:�C 121 O Time: 12 3 6> P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. s nse Non-Response Vacancy
4/
1. Including yourself,how many people usually live In this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes N�
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 $ 6 7 8 9 10 it 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 i $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 ,551 $35,201 $37,801 ' $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to // toj to to to to to to to to
$36,500 $41,700 $46,900 52, $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 S 6 7 8 - 2 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race IS of Hispanic U of Non-Hispanic
white
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
~" - TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: SG Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: / y
Street Address: 4^^� f ( D Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: g t2(o Time: Q! P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. s once Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? '/
2. Including yourself,how many people in your family usually live in this unit? /
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.) .
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: " Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 _ \ 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 0 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 - $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
MSerole income., 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 12 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-Hispanic
White
Black African American -
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
O
2010 TxCDBG Survey Questionnaire Interviewers Name: `/ yj
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: �}-
Street Address: a St /9 Zip Code: Phone:
Contact Attempts: (Circle)
FirstAttempt: Date: Z 2 Time: P.M. (Circle -�
Second Attempt: Date: Time: A.M. P.M. Response on-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives In this unit (Note: Do not include yourself as a member of anotherfamily or ofmilles.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income colculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: - $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 ¢ 7 - 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,Q51
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 7 3 4 5 6 7 8 9 30 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 : $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race II of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan.Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: (fit Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: C
Street Address: "( ." Zip Code: Phone:
Contact Attempts: 1(Circle)
Ti
First Attempt: Date: 29 1 o me: t3 P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Response n-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people In your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No If yes,please complete on additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmilies.)
Compare'your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 S 6 7 I8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 6 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
• to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 ,$50,800 $53,400
' ' Moderatelncome:-51%-80%AMFI
1 2 3 4 5 6 7 8 9 12 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 I $56,300 $60,450 $64,650 $68,800 $72;950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 • 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic It of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /C)
Place County Name: ReRion:
La Port-2010 Harris H-GAC 16
Respondent's Information: l 44-'
Street Address: 2flr.(0 Se.vs ("Ci 2 3 Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: Vito Time: Sr 0 P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. s ohse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes / __0
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmib )
Compare your/amity's 1009 annual adju ted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the Income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 I 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 fi 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to . to to to to to to to to to
$22,800 - $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Mdderafelnconie: 51%=80%AMFI
1 2 3 4 5 6 2 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,90 $52,1 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderote Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race $1 of Hispanic St of Non-Hispanic
White
Black African American.. --_ - - -
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: ,3 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /4'
Place County Name: Region:
La Port-2010 Harris H-GAC 16.
Respondent's Information: C L y I # {
Street Address: �f " 710 4 \ Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: C( L '( � Time: P.M.c.o 43A). (Circle)
Second Attempt: Date: Time: A.M. P.M. spa a Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32;050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to , to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 30 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race p of Hispanic It of Non-Hispanic
White
Black African American,• • —•* -. h, _, ._ . -
BlackAfrican American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
I/ TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / `Y Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /A/
Place County Name: Region:
La Port-2010 . Harris H-GAC 16
Respondent's Information: /'
Street Address: ' o �"t 1 / I Z f Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: bate: Q-tt(oTime: P.M.
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 ¢ 2 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,600 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 3 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,9b0 $52,100 $56,300 $60,450 $64,650 . $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 2 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race It of Hispanic if of Non-Hispanic
White
Black African American - -
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indiah/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire IntervlewersName: /OJ
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: J�1t �'
Street Address: �" Y o Se""_" Zip Code: Phone:
Contact Attempts: (Circle)
FirstAttempt: Date: Y12lto Time: P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espori Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
if yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 ' 8 2 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to
to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 •$53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 2 10 11 12
$22,801 $26,051 $29,301 f$32,ssl $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to t0 to to to to
$36,500 $41,700 $49o41ooJ $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic p of Non-Hispanic
White
Black African American - - - - �._-,
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 1P/_ Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /41
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: r
Street Address: 10 Y' S (1j 2 Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: t'.( o Time: 15 6 t0 P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. spans Non-Response Vacancy
3
1. Including yourself,how many people usually live in this unit? ?�
2. Including'yourself,how many people in your family usually live In this unit? ✓
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmdi
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-S0%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 . $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 ¢ 7 8 9 10 lu iii
$22,801 $26,051 V$29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,996 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 1Q 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race It of Hispanic St of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 9 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: Y
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: tP {O SA.., 3 ' Zip Code: Phone:
Contact Attempts: ,--'(Circle)
cs
First Attempt: Date: 1111O Time: Q (:Qt P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Respo Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? -s
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmilies.)�
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $o $o
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,15 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income- 51%-80%AMFI
1 2 3 4 5 6 7 8 2 12 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
-1 2 3 5 6 7 8 9 10 11 12
> > > > > > > > I > > >
$36,500 $41,700 $46,900L$524100, $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic II of Non-Hispanic
White
Black African American..-
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native-.
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 70 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: 1�
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: II } —1
Street Address: Z'1 0 f O J 7 Zip Code: Phone:
Contact Attempts: (Circle)
FirstAttempt: Date: 22 1 o Time: f( '((0 P.M. (Circle)
Second Attempt: Date: Time: A.M. P. Respo Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional questionnaire/or each family that ives in this unit. (Note: Do not include yourself as o member o/another family or ofmilies.
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly Income calculated on on annual basis,to the income eligibility figures
listed below/or your county.
4. Family Size: v Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 I4 5 6 7 8 I 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 . $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 2 10 11 12
$22,801 26,051 9,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $ 6,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 .. $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race it of Hispanic U of Non-Hispanic
White
Black African American -
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: -71
Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers'Name: /4Y2
Place County Name: Region: I
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: 2o-iO $Gs"s 35 Zip Code: Phone:
Contact Attempts: (Circle)
p
First Attempt: Date: 4110 Time: / 10 P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espon Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? 2
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete on additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or ofmilies.
Compote your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: v Median Income: $65,100 Males: Females:
Very Low-of or below 30%AMFI
1 I 2 $ 4 5 6 1 8 9 10 11 12
$0 $0 $0 $0 $0 $0 SO $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050 -
Low Income: 31%1%-50%AMFI
1 2 3 4 5 6 7 $ 2 10 11 12
$13,701 15,651 - $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 26,0541 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 553,400
Moderate Income: 51%-80%AMFI
1 Z 3 4 6 7 $ 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 . $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > • > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race H of Hispanic Hof Non-Hispanic
white
Black African American..,.. ., .._ .......... .-. ... ...>, ...
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 7,,Z-
Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: l/
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: Z (0 ç_ _1. P3b Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: S 22 to Time: g 37 P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M.7 espons Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? S
3. Do any other families live in this unit? (Circle) yes �bIQJ
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family,or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010monthy/weekly Income calculated on an annual basis,to the income eligibility figures
listed below for your County. rJ
4. Family Size: J Median Income: $65,100 Males: Females:
Veiy Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 30 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-S0%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,55 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,50 $35,200 37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,460
Berate Incdmei 51%-80%AMFI '
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 I $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-ond-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77100 $81,300 $85,450
Race U of Hispanic St of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: �73 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: 7' °
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ��
Street Address: Z' D 5�"'s 7 ( Zip Code: Phone:
Contact Attempts: Circle)
First Attempt: Date: 4 21 (0 Time: q 3.> P.M. (Circle)
Second Attempt: Date: Time: M. P.M. Response Non-Response Vacancy
a
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire/or each family that lives in this unit. (Note: Do not Include yourself as a member of another family or ofmilies.
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly Income calculated on an annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: 2 Median Income: $65,100 Males: Females:
V Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Law Income: 31%-SO%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,101 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $56,800 $53,400
Moderate Income: 51%-80%AMFI ,
1 2 a 4 5 6 7 8 2 10 11 12
$22,80 $26,051 29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
tof to to to to to to to to to to to
$36, O $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
. $36,500 . $41,700. $46,900_ $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian '
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 7,/ Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information [ S
Street Address: &^_i Zip Code: Phone:
Contact Attempts: _y,Circle)
First Attempt: Date: 5' it /J Time: L Zo Lei. P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. nse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? 3
3. Do any other families live in this unit? (Circle) Yes t�o
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not Include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on on annual basis,to the income eligibility figures
listed below/or your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 I 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $$15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 I 12
$13,701 $15 51 $17,601 19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to ft/ to to to to to to to to to
$22,800 $26, _ $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
- - ' Moderate Income: 51%-80%AMA -
1 2 3 4 5 6 I7 8 9 30 11 d2
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 r $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
L1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500._ _$41,700_ -.$46,900_:- _ $52,100 . _$56,300.. $60,450. $64,650 $68,800 $72,950 $77,100 $81,300 $85450.(
Race U of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 7S Substituted in For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /e
Place County Name: Region:
La Port-2010 ,,yv Harris H-GAC 16
Respondent's Information: // /�/7A /I �'" C.
Street Address: 7_ti.( /' C/ Zip Code: Phone:
Contact Attempts: G Ti (Circle)
4 First Attempt: Date: 22 1 0 me: r 2 f, 9. P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M Respons Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? 2
2. Including yourself,how many people in your family usually live in this unit? C
3. Do any other families live in this unit? (Circle) Yes lPS
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself os a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: 2 Median Income: $65,100 Males: Females:
Ver,Low-at or below 30%AMFI
1 a 1 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-SO%AMFI
1 2 3 4 5 ¢ 7 8 9 10 11 12
$13,701 $15,651 17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to V to to to to to to to to to to
$22,800k $26,05 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
2 3 4 5 6 7 8 Q 10 11 12 '
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 2 1O II 12
> > > > > > > > > > >
-ne-� „$36,500 _$41,700 .$46,900 $52,100 $56,300 - .$60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic N of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asiah and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 'e Substituted In For: Substituted Out For
2O1O TxCDBG Survey Questionnaire Interviewers Name: A/
Place County Name: Region:
La Port-2010 Harris H-GAC 16
eet
Re ddd dresinformation• � ' {' /D Zip Aress: /" t� Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 5t2,(4 Time: Q k3 P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. R nse Non-Response Vacancy
2
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live iri this unit? (Circle) Yes 'C12J
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 :$15,650 $17,600 $19,550 $21,150 $22,700. $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-S0%AMFI
1 2 3 4 5 6 7 8 • 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,058* $29,30O $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 a 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551. $35,201 - $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 1 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
,, $36,500, _$41,700_ _$46,900_ _ $52,100_. _$56,300_ $60,450, _$64,650 . $68,800$72,95__0 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
77
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: Po
J1 A�
Street Address: '1O 'E'C) Sc_-.- I( U 1/2- Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 1'2 11 O Time: ' . lc C.J'. P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. spouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes O
If yes,please complete an additional questionnaire/or each family that lives in this unit. (Note: Do not Include yourself as a member of onotherfamily or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 mouthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below/or your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 I4 5 6 7 I 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
w Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to f to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to 'to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race not Hispanic U of Non-Hispanic
White
Bla[k`Africar Ainiric5o `"-- '"--
Black African American and White
Asian
Asian and White '
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 7g Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: 7/9
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Resoondent's Information: J /� �
Street Address: `J cC_-� Xlp Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: Lit 10 Time: P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espouse Non-Response Vacancy
2-
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your/amity's 2010 mouthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your county. n
4. Family Size: y Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 / / 2 3 4 5 6 7 8 9 10 11 12
$13,70 15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,05 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI �__
1 7 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 I $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Nan-tow-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 2 10 ii 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American -"'•'^�""'�;-^'� `"---. P""
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 7 Q Substituted In For: Substituted Out For
2010 TXCDBG Survey Questionnaire Interviewers Name: /19
Place County Name: Region:
La Port-2010 Harris _ H-GAC 16
Respondent's Information: � �� ,I ,
Street Address: 'CO (`i Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 92?/D Time: 1 : 1) A.M P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. es e Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes 1Je�
If yes,please complete an additional quesdonnairefor each family that lives in this unit (Note: Do not include yourself as o member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your famly's 2010 monthyl weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3I 4 5 6 7 8 2 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to, to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53;400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 19 11 12
$22,801 $26,051 $29,301 32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 52,100 $56,300 $60,450 I $64,650 $68,800 $72,950 $77,100 $81,300 I $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 $ 9 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-Hispanic-
White
`-' Black-African`American -- - _- - . ._^.:w..�� ..
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific.Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /r a Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name;
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: C
Street Address: t01( /_e-.c ( 1 N Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: ?'2L U-' Time: 7.'( c1}..d) P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. span Non-Response Vacancy
?'
1. Including yourself,how many people usually live In this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Vy Low-a or below 3 AMFI
ZN 3 4 6 6 7 8 9 10 11 12
$0 ( so , $D $o $0 $0 so $0 $0 so $D so
to to to to to to to to to to to to
$13,700 $15,650 1 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-S AMFI
7 3 4 6 6 7 a s 11 )
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 532,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: %-80%AMFI
1 3 3 _4 6 6 7 8 a 1' 11 12
$22,801 $26,051 $29,301 532,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Mod rate Incom :Greater than AMFI
2 3 4 6 6 7 a 3 in 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: q/ Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /wJ
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Addresi: 2e'(D S Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 2 22 t o Time: 7 :'14 P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. spouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? Z
3. Do any other families live in this unit? (Circle) Yes I�o
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or oamilies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your county. ^f
4. Family Size: 2, Median Income: $65,100 Males: Females:
V[ Low-a r low 0%AM
2 4 5 ¢ 7 a 9 10 U 3
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30500 $32,050
Low Income: 31%-50%AMFI
2 4 ¢ 6 7 a 9 ;1 3
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income' 51%- AMFI
2 3 4 ' ¢ 6 7 8 9 1Q 11 U
522,80,1 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 545,551 548,151 550,801 $53,401
to to to to to to to to to to to to
$36, $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non- ow n -M ra Incom :Greater than 80%AMF
[ 1 \j 2 3 4 ' f ¢ 2 fl $ IQ 11 3
> > > > > > > > I > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 j $72,950 $77,100 $81,300 $85,450
Race #of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 8 2 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: A�
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: �J #t//
Street Address: 2 t9 ca.-5 ( Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: ¶ 2 2t o Time: 7: Y 7 P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. a pons Non-Response Vacancy
1. Including yourself,how many people usually live In this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not Include yourself as o member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County. 27
4. Family Size: / Median Income: $65,100 Males: Females:
Very Low-at or below 30%AM
1 2 3 4 5 6 7 @ 2 10 Al 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 . $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 4 5 ¢ 7 a 2 12( 11 12
$13,701 $15,651 $17,60 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to J to to to to to to to to to
$22,800 $26,050 9,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
M d r A Income- 1%-80% MFI
1 2 3 4 5 ¢ 7 8 2 10 11 U
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 .$64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMA
1 2 3 4 5 6 7 ¢ 2 2 1 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic N of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and.Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number:h 2 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Pla"ce County Name: Region;
La Port-2010 Harris H-GAC 16
Respondent's Information: C ii \ 4,JG
Street Address: 784 D 5-t-- -t 1 t'tJ '17 ZIp Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: r2Z I d Time: 7: f0 P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. R pon Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people In your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No .
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below Jor your county.
4. Family Size: Median Income: $65,100 Males: Females:
yffy Low-a r below 30%AMFI
1800 $26,050
4 ¢ ¢ 7 8 9 10 'I 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0to to to to to to to to to to
$17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Inc m : 31%-S AM} 4 ¢ - ¢ 7 8 9$17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to
$29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
friEcrate Income: 51%- AMFI
1 3 3 4 ¢ ¢ 7 ¢ 2 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-an -Mod ra In ome:Greater than 80%AMFI
1 3 3 4 ¢ 6 7 a 9 12 13 12
> > > > > I > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 I $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race Is of Hispanic Is of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander American Indian/Alaskan Native -
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: rC Substituted in For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: `4)
Place County Name: Region:
La Port-2010 ,L Harris H-GAC 16
Respondent's Information: '- n ,4
Street Address: lb Sit-"1 1'0 5 0 Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 5 2 2 f b rime: 7. $ 3 A.M. P.M.
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people In your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afrhilles.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Veiy Low-at or below 0%AMFI
1 2 3 4 f 6 7 8 3 14 it 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Lpw Income: 31%-50%AMFI
1 2 3 4 3 f 2 3 2 1Q 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Modqrate Income: 51%-80%AMFI
1 2 3 4 fi 7 3 2 12 11 3
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Incom :Greater than 80%AM!!
1 2 3 4 S 6 7 3 2 19 13 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 I $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 6c Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Ramon:
La Port-2010 Harris H-GAC 16
Respondent's Information: (1Zi
Street Address: � 6 - 1"� C
C Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 2'2.1.0 Time: 7:55 CAM\.' P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espon a Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? L
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (circle) Yes No
If yes,please complete on additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
V Low-at rbelow3 AM
1 2 3 4 5 - ¢ 7 1 2 14 - 11 11
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250_. $25,850 $27,350 $28,950 $30,500 $32,050
&w Income: 31%-50%AMFI
1 a 4 fi 7 - a 2 14 Al 3
$13,701 $15 51 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $17,351 $28,951 $30,501 $32,051
to to to to to to to to to to to
$22,800 6,0 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
MD±rote Income: 51%-80%A l
1 2 4 S § 7- a 2 12 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53401
to to to to t0 to to - to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than AMFI
1 2 3 4 5 6 7 4 2 12 11 13
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 .$64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of His nic g of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: �6 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: //3
Place County Name: -Region:
La Port-2010 I�. Harris H-GAC 16
Respondent's Information: .`/�
Street Address: Z� i.J �"`^' SS Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 4-tit o Time: 7: 57 cZA5P.M. \\\\ (Circle)
Second Attempt: Date: Time: A.M. P.M. Respo�ee Non-Response Vacancy
1. Including yourself,how many people usually live In this unit? ������
2. Including yourself,how many people in your family usually live in this unit? S
3. Do any other families live in this unit? (Circle) Yes ± o )
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do notInclude yourself os a member of another family or ofmili .
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 month y/weekly income calculated on an annual basis,to the Income eligibility figures
listed below for your County.4. Family Size: J G Median Income: $65,100 Males: Females:
Very Low-at r belOW AMF
1 2 3 4 ¢ 6 7 § 2 }Q 1] 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
w Inc m : 1%-S0%AMFI
3 4 5 6 7 8 9 12 11 3
$13,701 $15,651 $17,601 $19,554 $21,151 22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 7,800 . $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
M r come: 51%-80%AMFI
1 3 4 ¢ 7 8 9 1� 11 12
$22,801 $26,051 $29,301 $32,551 $35,201_- $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 J $85,450
Non-tow-and-Moderate Income:Greater than 80%AMA
2 3 4 5 6 7 § 2 19 I 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic N of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American ,
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 87 Substituted In For: Substituted Out For
2010TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region;
La Port-2010 Harris H-GAC 16
Respondent's Information: \\ //
Street Address: 2 o Yo s...—.c J��O 7 to Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: ? 2't f o Time: 8:oo9 P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. nse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people In your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.
Compare your family's 2009 annual adjusted gross income,or your family's 2010 mouthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
yy Low-a low AM 1
4i)
¢ § $ 9 10 11 12
$0 so $0 $0 $0 $o $0 $0 $0 $0 $0
to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 1%-5 AMFI
3 4 ¢ . § - 7 § 9 12 11 3
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53A00
M.gjrote Income- 51%- AMFI
1 3 4 ¢ ¢ j § 9 1Q 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Law-and-Moderate Income:Greater than 80%AMFI
3 4 § § ? fl 2 10 11 ii.
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 j $77,100 $81,300 $85,450
Race #of Hispanic if of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American.)ndian/Alaskan Native
American Indian/Alaskan Native and Black African'American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: p p Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: l'J
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: //
Street Address: t9--`(0c...___ �o $7 Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 2. /O Time: Z A.M. (S (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? (42
3. Do any other families live in this unit? (Circle) Yes lN
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself os a member of another family or afmilie Y
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: � Median Income: $65,100 Males: Females:
�l' Very Low-at or below 30%AMFI
2 3 4 5 6I 7 8 9 30 UI 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $o
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
owl e: 31%-SO%AMFI
1 2 3 4 5 5N 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate lncom : 51%-80%AMFI
1 2 3 4 5 11 7 8 9 12 11 12 I
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801? $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 ¢ 7 $ 4 14 it 12
> > > > > > > > > > > )
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic St of Non-Hispanic
White
Black-AfiicanAmerlcan�'-
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: , Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: e �f ¢$
Street Address: 2 o'( P.. e ' 5 Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: C Z(t o Time:^7 : 3..2 A.M. P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. R span Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? 3
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another famiy or ofmilies.)
Compare your family's 2009 annual adjusted gross Income,or your fomly's 2010 monthy/weekly income calculated on an annual basis,to the Income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
V ow-a r b low FI AM
1 a $ 4 ¢ ¢ 7 $ 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 50
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 1%-50%AMFI
1 3 4_ ¢ 2 $ 2 12 11 U.
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Mcrote Income- 51%- AMFI
1 1 _ 4 ¢ ¢ 7 $ 4 12 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 '$40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to t0 t0 to to to to to t0
$36,500 $41,700 46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 3 $ 4_ ¢ ¢ 2 $ 2 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race St of Hispanic p of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: CD Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: /
Street Address: 700 ≤e` 1 1 0 y.( ( Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 4 '1t L ' Time: ? • 2 (• A.M. 6. (Circle)
Second Attempt: Date: Time: A.M. P.M. espouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
if yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmiiies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
V Low-0t or 10w30%AMFI
7 3 4 $ 6 7 6 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to . to to to '
$13,700 '$15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
_ Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 2 A 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to - to to-
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Modçrate Income: 1 -80%AMFI
1 2 3 4 6 6 7 8 9 12 11 12
$22,801 6,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-tow-and-Moderate Income:Greater than 80%AMA
2 3 4 5 6 7 8 2 12 11 12'
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race 11$Hispanic It of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other.Pacific Islander
American Indian/Alaskan Native .
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 9/ Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewee Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: �{ ,/ `/_ J
Street Address: 7 2� L y �-�"/ Il 6 Z Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: (2sle Time: 7: 1.'3 A.M. �1. (Circle)
Second Attempt: Date: Time: A.M. P.M. espo Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? Y"
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes [pl�
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not Include yourself as a member of another family or afmilies./-
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
V L w-at r I w AMFI
1 2 } 4 6 7 $ 9 10 11 12
so so so $0 ) $0 so so so $0 $0 $0 So
to to to to to to to to to to to to
$13,700 $15,650 $17, $19,5 $21,150 . $22,700 $24;250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Inc m : 31%-5 AMFI
1 a a 4 4 § 7 a 2 14 11 3
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 : $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000. $45,550 $48,150 $50,800 $53,400
Moderate Income 1%- AMFI
1 1 1 4 6 7 $ 2 12 11 3
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 552,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Grater than AMFI
2 3 4 5 6 7 @ 2 12 11 3
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100. $81,300 $85,450
Race IS of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian 1
Asian and White
Native HaWaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 92 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /2
Place County Name:. Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ,/ t4'/ ?
Street Address: (O T () .-"^? (O 7 Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: o Time: ?:2O A.M. P (Circle)
Second Attempt: Date: Time: A.M. P.M. ponse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? 7
3. Do any other families live In this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives In this unit (Note: Do not include yourself as a member of another family or ofmilles.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Male): Females:
_ V Low-atorb low O%AMF
1 2 3 4 5 6 7 2 9 12 11 12
$0 $0 $0 - $0 $0 $0 $0 $0 $0 $o $0 $0
to to to to to to to to to to to to
$13,700 $15,650. $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,956 $30,500 $32,050
Low income: 31%-S0%AMFI
1 2 4 5 6 7 2 9 14 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 " $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
ModerateIncome: 1%-80%AMFI
1 2 _ 4 5 6 7 $ 9 14 '31 12
$22,801 $26,05 $29,301 32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to Jto to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Nan-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 2 2 19 11 13
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic not Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan,Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: q7 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: C I
Street Address: Q° `('a $t_-t, /c)) Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: fit( t o Time: 7 A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. esp0 Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? 2-
2. Including yourself,how many people in your family usually live in this unit? 'It,-.'
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
3ry Low-at 1 w 30%AMFI
A 2 3 4 § § 7 $ 2 1D U 3
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $U
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050.
Low Income: 31%-50%AMA
A 3 4 § § 7 $ 9 }3 3
$13,701 $15,65 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 . 6,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
M derateIncome' 51%- AMFI
3 3 3 4 § § 7 $ 4
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 540,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80% MFI
1 2 3 4 ¢ ¢ 7 $ 9 - 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: /1il -f` s
Street Address: `� S 1(
G. ..C '4 b Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: c i( f 0 Time: 1 . ( S A.M.
Second Attempt: Date: Time: A.M. P.M. Response on-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives In this unit (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
VeryLow-at Or below 30%AMF
1 2 3 4 5 6 - 7 8 2 10 11 12
•50 $0. $0 $0 $0 $0 $0 $0 $0 $o $0 $0
to to to to to to to to to to to to
$13,700 :$15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
_ Moderate Income: 51%-80%AMFI
1 2 1 4 5 6 7 8 2 12 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 2 12 11 13
> > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White.
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial.
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey-Questionnaire Interviewers Name: /11
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ' {F 21
StreetAddress: O`{D �-4 ( a "�
2 Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: c 1.110 Time: 7i l Z A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Respon Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional questionnaire far each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilles.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated an an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
3&cv Low-a rbelow 30%AM
2 3 4 § 2 a 9 11 a
$0 $0 so $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
w Income: 31%-50%AMFI
1 3 3 4 I § 2 § 2 14 >3 12
$13,701 $15,651 $17,60 $19,551 1,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 5,200. $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
M d rate Income: 51%-80%AMF
3 3 3 a 5 § 2 § 4 I 11 3
$22,801 $26,051 $29,301 532,551 53S,201 $37,801 $40,401 .$43,001 $45,551 548,553 $50,901 553,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
A 2 4_ § $ 2IQ> > > > > > > > >$36,500 $41,700 1,$46200,9 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 .$81,300 $85,450
Race #of Hispanic p of Non-Hispanic
White '-
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Gy Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
RespoStreet dent'slnformation: �yO £f.� Pc,)
J 6'7 Zip
Address: `L ( Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: (7/?0 Time: 7:0 A.M. . (Circle)
Second Attempt: Date: Time: A.M. P.M. pone Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies) ,
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly Income calculated on an annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: _________ Median Income: $65,100 Males: Females:
V Low-at orb low30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $6
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150. $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AM@
14 2 3 4 5 6 7 8 9 ;AQ 17 13 _
$13;79'l $15,651 17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32:051
to to to to to to to to to to to to
$22,8 $26,050 9,300. $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,460
Moderate Income: 51%-80%AMFI
1 _ 3 4 5 6 2 8 2 _ 14 11 12
$22,801 $26,051 . $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 2 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 .$46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950. $77,100 $81,300 $85,450
Race #of Hispanic #of Non-His anic
White
Black African American. _ _ -
Black African American and White
Asian
Asian and White _
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native _ _
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White _
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: n7 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /49
Plac County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: /
Street Address: f Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: ¶ 2c (° Time: A.M. Q. (Circle)
Second Attempt: Date: Time: A.M. P.M. es se Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? 3
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives In this unit (Note: Do not include yourself as o member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the Income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
yry Low-a below 30%AMF
S 2 4 6 7 a 9 52 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
3 3 4 § § Z a 2 SQ 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
MQdrate lncomt %-80% 1
4 2 § 7 a 2 SQ 11 12
522,801 526,05 $2 ,3bt $32,551 535,201 537,801 $40,401 $43,001 545,551 548,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 6,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
3 3 3J 4 § § Z $ 3 52 11 3
> > > I > > > > > > > > >
$36,500 $41,700 $46,900 J $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: �r Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /A
Place County Name: Region:
La Port-2010 _ Harris H-GAC 16
Respondent's Information: C rf /,t
Street Address: Z O`l.' /C (0 r Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 4 2((o Time: ? r A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espo Non-Response Vacancy
1. Including yourself,how many people usually live In this unit?
2. Including yourself,how many people In your family usually live in this unit? 1-�
3. Do any other families live in this unit? (Circle) Yes (Jo
If Yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual a&justed gross income,or your family's 2010 mouthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at orb 10w 0%AMFI
1 2 3 4 5 ¢ 7 8 9 12 11 12
so $0 $0 $0 $0 $0 $6 so $0 so so so
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 .$25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 1 4 5 6 7 8 2 12 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351. $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 .. $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 • $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 _ 3 4 5 7 8 9 10 11 12
$22,804? . $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
tok to to to to to to to to to to to
$36,500 $41,700 6,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 1 4 5 6 7 8 9 12 Il 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic 8 of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Oei Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: ( '
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ! 4
Street Address: 20`f a s�^^r 7 Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: S 2t/o Time: zvo A.M. (Circle
Second Attempt: Date: Time: A.M. P.M. Response n-Respons Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
if yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not Include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
2 3 4 S 6 7 H 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 6 ¢ 7 8 9 1Q Al 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 . $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
M2srate Income: 51%-80%AMFI
1 23 4 ¢ - 6 - 7 8 9 12 1,1 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 23 4 a ¢ 7 8 2 10 Al 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number:l00 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /4
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ,
Street Address: Zo T J SA-rc di 7 Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: ? 24(O Time: `-s ( A.M. I� (Circle)
Second Attempt: Date: Time: A.M. P.M. espon Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No�
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 - Males: Females:
Very Low-at orb low 30%AMFI
1 2 3 4 5 6 7 B 2 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $,0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-S0%AMFI
2 3 4 5 6 2 1 9 12 11 U
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25;851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 4 5 6 7 8 2 14 11 12
,$22,801 $26,Ø1 $29,30 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to t&, to to to to to to to to to to ,
$36,500 $41,7 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Mod rate Income:Greater than 80%AMA
1 2 3 4 5 ¢ 7 8 2 12 11 12
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of HispanIc N of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian%Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White -
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /O/ Substituted in For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: ,4
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ,,pp /�
Street Address: G.I 5'«"i /' 7 L Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: StI LV Time: • SO A.M. (I.t� (Circle)
Second Attempt: Date: Time: A.M. P.M. pons Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family ar afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 mouthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 1 4 5 6 7 8 9 SQ it 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 8 4 5 ¢ 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 1 $26,050 . 29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 1 -80%AMFI
1 2 3 4 5 '6 7 8 2 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 SQ 11 U
> > I > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race II of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian .
Asian and White -
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and Wfiite
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number/el,. Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: U�J
fjçg County Name: Region:
La Port-2010- Harris H-GAC 16
Respondent's Information:
Street Address: 20 o )CAaZ . (hip Code: Phone:
Contact Attempts: / (Circle)
First Attempt: Date: f•2r j o Time: A.M. P.M. (Circle)
SecondAttempt: Date: Time: A.M. P.M. espOns Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live In this unit? (Circle) Yes No
If yes,please tompletE an additional questionnaire for each fomily that lives In this unit. (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
V Low-at orb low30%AMFI
1 2 3 4 5 6 7 8 2 10 11 12
$0 $0 $0 , $0 $0 $0 $0 $0 $0 $0 $0 $o
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700. $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 ¢ 7 8 2 12 if 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 4 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 2 12 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Son-tow-and-Moderate Income:Greater than 80%AMFI
7 a 4 10 11 13
> > 41 > > > > > > > > > >
$36,500 $41,70ó>4 $46,900 52,100. $56,300 $60,450 $64,650 , $68,800 $72,950 $77,100 $81,300 $85,450
Race 0 of Hispanic 0 of Non-Hispanic
White
Black African American
Black African American and White.
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native,and.Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /p3 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information P
: O
Street Address: �� ✓! Zip Code: Phone:
Contact Attempts: / 2 (Circle)
First Attempt: Date: f�I( o Time: 6' Y3 A.M. 0.. (Circle)
Second Attempt: Date: Time: A.M. P.M. pons Non-Response ti. Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
if yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or aamilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below/or your County.
4. Family Size: Median Income: $65,100 Males: Females:
Ve Law-a r 1ow30%AMFI
1 2 3 4 8 6 7 '8 T$2710 11 12
$0 $0 $0 $0 $0 $0 $0 $o $0 $0to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $ 50 $30,500 $32,()50
LowIncom : 31%- 0%AMFI
1 2 3 4 8 6 2 8 9 12 11 ,Si
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 3 4 8 6 7 8 9 10 11 12
$22,801 $26,0 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,7 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80% MFI
1 2 3 4 5 6 7 8 9 14 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-Hispanic .I
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other.Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
/O
2010 TxCDBG Survey Questionnaire Interviewers Name: /LL
Place County Name: Reaion:
La Port-2010 I e-75
.F.. Harris H-GAC 16.
Respondent's Information: 2a{O /4 "l`7
Street Address: 1 ) Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: L(10 Time: 6 • ?5 A.M. . (Circle)
Second Attempt: Date: Time: A.M. P.M. espouse Non-Response 7 Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes o
If yes,please complete an additional questionnaire/or each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)\)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below.30%AMFI
1 2 3 4 9 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 ' $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 . $19,550 $21;150 $22,700 $24,250 . $25,850 $27;350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI _
1 2 3 4 9 6 7 8 9 12 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351. $28,951 $30,501 $32,051.
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 , $43,000 $45,550 :$48,150 $50,800 $53,400
Mode/ate Income: 51%-80%AMFI
1 2 _ 4 ,5 6 ' 7 8 9 10 11 12
$22,801 $26,051 9,30 $32,551 $35,201 .$37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 00 $52,100 $56,300 $60,450 $64,650 .$68,800 $72,950 $77,100 $81,300 .$85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 1 9 12 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race It of Hispanic fi of Non-Hispanic
White-
Black African American
Black African American and White
Asian .
Asian and White
Native Hawaiian/Other Pacific Islander '
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: c Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /G
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: CC /J /
Street Address: 2s'<O �^"'� (` /—t b Zip Code: Phone:
Contact Attempts: 7 (Circle)
First Attempt: Date: 111 Time: L 3 A.M. & (Circle)
Second Attempt: Date: Time: A.M. P.M. nse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people In your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes IN6
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted grass income,or your family's 2010 monthy/weekly income calculated on an onnuol basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-a r low30%AMF
1 3 3 4 3 6 1 8 2 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $o $0 $o
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low income: 31%-50%AMFI
1 1 3 4 3 - 7 8 2 12 - 11 1;
$13,701 $15,651 $17,601. $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 - $26,050 $29,300 . $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Mod rote Income: 51%-80%AMP I
1 1 3 _ $ fd 7 8 2 10 11 12
$22,801 $26,051 $29,301 /$32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
on-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 "6 7 8 9 12 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race - #of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asiah
Asian and White
Native Hawailan/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan'Native and Black African American
American Indiari/Alaskan'Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 7O6 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's information: 2c { �! f n
Street Address: '� ( /7 7
( Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: t 2.(.(o Time: C ' 3 1 A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. . 9 Non-Response Vacancy
1. Including yourself,how many people usually live In this unit?
2. Including yourself,how many people in your family usually live In this unit?
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional questionnaire/or each family that lives in this unit (Note: Do not include yourself as a member of another family or a/milies.)�
Compare your family's 2009 annual adjusted gross Income,or your/amity's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
g 'Low-at or below 30%AMFI
2 3 4 5 ¢ 2 8 2 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $11,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 8 Z 8 2 12 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $56,800 $53,400
Moderate income: 51%-80%AMFI
1 2 3 4 8 8 Z 8 2 12 11 12
$22,801 526,051k $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to I to to to to to to to to to
$36,500 $41,700 "t46,900 52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-L w-and-M ro In m :Greater than #4M 1
1 2 3 4_ 8 Z • 8 2 14 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic N of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /p 7 Substituted in For: Substituted Out For
2010 TxCDBG.Suryey Questionnaire ' Interviewers Name: G1
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: q,, // $t
Street Addres Z
s: °e`O },i s.,S I` - 7& Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: y 2-1 /0 Time: 4 3 A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? \ (�
3. Do any other families live in this unit? (Circle) Yes 0
If yes,please complete an additional questionnaire for each family that lives in this unit(Note: Do not include yourself as a member of another family or dfmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low.-ot orb lots 30%AMFI
1 2 8 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $6 $0
to to to to to to to to to to to to
$13,700. $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,650.
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 • 8 9 >Q 11 u
$13,701 $15,651 $17,601 $19,551 $21,151 -$22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
2 3 4 5 6 7 ' & 9 12 11 12
$ 2,80 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 ' $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to,
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Law-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 11
> > > > > > > > > > >
$36,500 $41,700 $46,900 - .$52,100 $56,300 .$60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic It of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan.Native and Black African American
American Indian/Alaskan Nati a and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /O^ Substituted in For: Substituted Out For
2010 TxCDBG.Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: R nn `\
Street Address: `{`� / Zip Code: Phone:'
Contact Attempts: CC (Circle)
First Attempt: Date: 72110 Time: (o:2. g A.M. �P vl. (Circle)
Second Attempt: Date: Time: A.M. P.M. espon Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? 3
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live In this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilles.
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Ytv Low-a r below 0%AMF
1 2 3 '4 5 6 7 6 2 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to • to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-5 AMFI
2 3 4 5 6 7 8 9 10 11 3
$13,701 $15,651 17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 • $26,050 9,300 . $32,550 $35,200 $37,800 $40,400 . $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 $ 2 10 11 12 '
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-on -Mod rate Income:Greater than AMFI
1 2 3 4 5 ¢ 7 ¢ 9 10 11 U
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 .$77,100 $81,300 $85,450
Race #of Hispinlc #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American'Indian/Alaskan Native and Black African American _
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /OC Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: - Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: '2Ot4OC
Street Address: SaM at). I"�J p� Zip Code: Phone:
Contact Attempts: y (Circle)
r
First Attempt: Date: 92 i rim
e:me: (, 2 A.M. Q. (Circle)
Second Attempt: Date: Time: A.M. P.M. R nse Non-Response Vacancy
L/
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes Np
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilles.)
Compare your femily's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMF
1 2 $ 4 5 6 '7 8 9 IQ 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 SO $0 $0,
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 $ 4 5 fi 7 $ 9 12 II 3
$13,701 $15;651 $17,601 $19,55 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 r $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
p. qrote Income: 1%- AMFI
1 2 1' 4 6 6 7 $ Q 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 . .$60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than AMFI
2 3 4 5 6 7 $ ' $ 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race It of Hispanic St of Non-Hispanic
White
Black African American -
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: // b Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: �//.��(\
Street Address: 29,4 q \ ' Zip Code: Phone:
Contact Attempts: ! (Circle)
First Attempt: Date: Q Z(IJ rime: (9 ( 8' A.M. P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. esponse Non-Response Vacancy
2
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives In this unit (Note: Do not include yourself as a member of another family or ofmilles.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
yffy Low-at I w AMFI
I 1 3 4 5 ¢ 7 8 2 1Q 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 " $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 .$30,500 $32,050
Low Income: 31%-5 AMFI
1 1 3 4 ¢ - 6 -- 1 6 6.. SQ 1 SF
$13,701 • $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 a $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate-In om : 1 - AMF
1 1 3 4 5 6 7 $ s LQ 11 12
E
801 $26,051t4 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
0 to to to to to to to to to to' to"
500 $41,700 46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMfl
1 1 3 4 ¢ 6 7 Q $ SQ 31 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic #of Non-His anic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /1/ Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC i6
Respondent's Information: C
Street Address: 2 0'(0 -.C. O )_Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 92( o Time: A.M. P.M (Circle)
Second Attempt: Date: Time: A.M. P.M. espon Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? 3�2. Including yourself,how many people in your family usually live in this unit? 7
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not Include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 month y/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
_ V Low-a or low3 AMFI
1 2 3 4 6 2 a 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 ,.$15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMA -
1 2 3 4 8 § 7 8 9 LQ 11 u
$13;701 $15,6 f $17,601 $19,551- $21;151 -$22,701 ' $24;251- $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,05 $29,300 32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
ModerateIncome:.51%-80%AMFI
1 3 3 4 6 6 7 8 2 10 11 12
$22,801 T $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderat Income:Greater than 80%AMFI
1 3 3 4 6 6 7 8 9 12 II 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic N of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: //Z Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /�
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: 2°'t't7 Zip Code: Phone:
Contact Attempts: (Circle)��o
First Attempt: Date: 1110 Time: G:/ O A.M. U (Circle)
Second Attempt: Date: Time: A.M. P.M. RAZ Sn Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live In this unit? L/
3. Do any other families live in this unit? (Circle) - Yes
If yes,please complete an additional questionnaire for each family that lives In this unit (Note. Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures.
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 0%AMFI
1 j 3 4 5 ¢ 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to • to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27350 $28,950 $30,500 $32,050
Low Inc me: 1%-50%AMFI
1 j j 4 5 i2
§ 9 19 11 3
$13,701 $15,651 17,601 $19,551 $21;151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 26,050 $29,300 $32,550 $35,200 .$37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Mod iIncome: 51%-80%AMFI
3 4 6 7 4 2 12 a U.
$22,801 $26,051 $29,301 $32,551 $35,201 537,801 540,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 560,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greaterthan 80%AMFI
1 j 1 4 5 6 7 a 9 12 11 12
> > > > > i > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race II of Hispanic N of Non-Hispanic
White.
Black African American
Black African American and White
• Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black'African American -
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 113 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's information: �MZ (� - - r
Si ZI
Street Address: 2°4° ``d p Code: Phohe:
Contact Attempts: (Circle)
First Attempt: Date: q 2lto Time: •V 7 A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espons Non-Response - Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? 7.
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional puesdonnaire for each family that lives in this unit. (Note: Do not include yourself as a member of an family or ofmiles.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
yry Low-a orb low 3 AMFI
3 3 4 9 ¢ 7 8 2 10 11 17
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 . .$22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 3 3 4 9 ¢ 7 8 9 14 11 U
$13,701 $15,651 $17,601 $19,55 $21,151 )$3
,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
M d eel come: 51%-80%AMFI
1 j 3 4 2 ¢ -7 8 9 12 1 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2, 3 4 5 6 7 8 9 10 it 17
> > • > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic N of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White _
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American _
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: //� Substituted in For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: C 2( #p
Street Address: Zo`(o S°'^� l."\:' OS Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: t LI co Time: (g1O A.M. P.M. (Circle)
Second Attempt: Date: Time: A.M. espon Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?,
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives In this unit (Note: Do not Include yourself as a member of another family or ofmilies.)
Compote your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibliiry figures
listed below/or your County.
4. Family Size: Median Income: $65,100 Males: Females:
31ry Low-at or below AMF
1 2 3 4 5 6 Z $ $ 10 1 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0,
to to to to to to to to to to to to
$13,700 .$15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050. .
Ow Income: 31%-50%AMFI
1 1 3 4 $ 6 7 $ 2 12 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 1%-80% MFI
1 Z 3 4 5 6' 7 8 2 12 11 12
$22,801 $26,051 $29,301 32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 2,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
w-and-Mod rate In me:Greater than 80%AMFI
1 2 3 4 5 6 7 $ 9 12 11 '12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race p of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian I
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: � Substituted In For: Substituted Out For
//
2010 TxCDBG Survey Questionnaire Interviewers Name: _G/J
Place County Name: Region:
La Port-2010 _Harris H-GAC 16
Respondent's Information: - `j•\ •P'CoZip Address: L c'(� - wy ca C) O p Code: Phone:
Contact Attempts: (Circle)^
First Attempt: Date: 4 21r o Time: A.M. tb (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not Include yourself as a member of another family or ofmilles.)
Compote your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: "\_ Median Income: $65,100 Males: Females:
V Low-at or below AMFI
1 2 3 4 S 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700_ $24,250 $25,850 _ $27,350 $28,950 $30,500 $32,050
Low Income: 31%- AMFI
i 2 2 4 § ? a 2 1D 3d 3
$13,701 j 1&6S1 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $2 050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
ModerateIncome: 1 -80%AMFI
1 2 3 4 8 6 7 8 2 12 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 @ 2 10 II 3
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 .$56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race ff of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: //� Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H=GAC 16
Respondent's Information: -#]-
Street Address: 20 4 O ca_. .' $1 Zip Code: Phone:
Contact Attempts: (Circle)
q First Attempt: Date: L 2( t o Time: S r ' A.M. P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espons Non-Response �7 Vacancy
1. Including yourself,how many people usually live in this unit? L
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live In this,unit? (Circle) Yes No
If yes,please complete an additional questionnaire/or each family that lives in this unit (Note: Do not include yoursel/as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below/or j,our County.
4. Family Size: Median Income: $65,100 Males: Females:
V Low-at or low30%AMF
1 2 3 4 5 ¢ 7 8 ' 9 10 II 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $o $0 • $0..
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 - 1 4 1 7 8 9 12 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701. $24,251 $25,851 $27,351 $28;951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 ,$32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 _ 3 4 5 ¢ 2 . 8 2 12 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to - to to to to
$36,500 41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 1 4 5 - 6 7 8 9 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race -8 of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and-Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010TXCDBG.SurveyQuestionnaire InterviewersName:place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: (� \.\'D ci
Street Address: 2o'{° - 1 T� Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt Date: t1' ° Time: 5: Sp A.M. (Circle)
Second Attempt: Date: Time: - A.M. P.M. espons Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an odditional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual bosis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Ve Low-at or below 30%AMFI
1 2 3 4 $ 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 6 6 7 8 2 10 11 12
$13,701 $15,651 $ $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to
$22,800 •. $26,050 $' $,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 1%- AMFI
1 2 2 4_ 6 7 8 2 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 6 6 7 8 2 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 . $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race It of Hispanic It of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander -
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Mufti-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: //� Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: /j \ -q
Street Address: 2°q ` -a'1 U (Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt Date: 9 '1( 10 Time: 7• A.M.`t 7 (Circle)
Second Attempt: Date: Time: A.M. P.M. Respons Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? S
3. Do any other families live In this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
V Law-a r 1 w3 AM
1 2 9 4 6 7 a 9 12 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to -
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
ow Incom : 31%-.50%AMFI -
1 2 1 4 5 6 7 a 2 12 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to , to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
ModerateIncome- %-80%AMFI
2 1 ii 6 ' 7 8 9 - 14 11 23
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to -to to to to to to
$36,500 $41,700 $46,900 $52,100 L$56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Mod ra a Incom :Greater than 80%AMFI
1 2 3 4 @ 6 7 1 9 12 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic 8 of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Q Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: fCC
fjçg County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: c
Street Address: 2OLI O 5 cZ, ..+ Q l Zip Code: Phone:
Contact Attempts: (Circl
First Attempt: Date: Cj Zt l a Time: $ `ID A.M. P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. spa a Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? 3
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live In this unit? (Circle) Yes No
If yes,please complete on additional questionnaire Jor each family that lives In this unit (Note: Do not include yourself as a member of another family or o/milles.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly Income calculated on an annual basis,to the income eligibility figures
listed below/or your county. nc,,
4. Family Size: / Median Income: $65,100 Mates: Females:
Ve Low-a low3 AMFI
3 a _ 4 ¢ 6 Z 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $U
to to to to to to to to to to to to
$13,700 $15,650 17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 8 ¢ 7 8 9 10 17 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI -
3 3 4 § § a e 2 10 II ≥
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to t0 t0 to to to to to to t0 to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 '$72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic N of Non-Hispanic
White
Black African American
Black African American and White
Asian'
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native _
American Indian/AlaskanNative and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /LO Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: G
Street Address: 2.O' o S.e..+ r l 3 Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: f'2-It 0 Time: 5 : 3o A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espon Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes ( to
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,a your family's 2010 mouthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below/or your County.
4. Family Size: \ Median Income: $65,100 Males: Females:
Very Low-a or below AMF
1 2 3 4 S 6 7 8 3 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 SU
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%- AMFI
1 2 3 4 S 6 2 89 IQ 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
ModerateIncome'- 1 - AMFI
1 '2 .3 fi 2 $ 2 14 I 12
$22,801 $26,051 529,301 532,5 1 $35,201 $37,801 540,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to
t0 to t0 to
$36,500 $41,700 $46,900 a52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
-Low-and-Mod rote Income:Greater than 80%AM!!1 2 3 a 6 2 a @ l0 11
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic N of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Othei Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: ZI Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: f!✓�
Plac County Name: Region:
La Port-2010 Harris H-GAC 16 -
Respondent's Information: / L'G -
`�'� L'
Street Address: 29 � Q,,,�f V- ip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: s2uo Time: s: 2 A.M. P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? 3
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live-In this unit? (Circle) Yes No
If yes,please complete an additional questionnaire Jot each family that lives in this unit. (Note: Do not include yourself as a member of another famiy or ofmilles.)
Compare your family's 2009 annual adjusted glass Income,or your/amity's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below/of your County.
4. Family Size: Median Income: $65,100 Males: Females:
yy Low-a r below 3 AMFI
3 3 3 4_ 6 6 7 8 9 12 Li 12
$o $o $o $o $o so So So So So $0 So
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
L w income: 31%-50%AMFI
j 2 8 4 8 6 7 8 - 9 10 - 11 ia
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to •to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400•
Moderate Income: 51%-80%AMFI
3 8 4 8 6 7 ' 8 4 12 11 12
$22,801 $26,0 1 29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 .$50,801 $53,401
,to to' to to t0 to to to t0 to to to
$36,500 $41,700 900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
No - w-an -Mod rate In m :Greater than 80%AMFI
A 3 3 4 f S 2 8 2 12 Al U
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race Il of Hispanic 8 of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
Amercan Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 22 Substituted In For: Substituted Out For
2010TxCDBGSurvey.Questionnaire Interviewers Name: _r!J
Place County Name: Region:
La Port-2010, Harris H-GAC 16
Respondent's Information: ��0 c.Z. /
Street Address: o�..5 Zip Code: Phone:
Contact Attempts: qq (Circle)
First Attempt: Date: CZ.tto Time: S•(L( A.M. (Circle) .,
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? 3
2. Including yourself,how many people in your family usually live in this unit? 3
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include.yourself as o member of another family or afmilies.)
Compare your family'2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median income: $65,100 Males: Females:
Ve Low-at or below 30%AMF
1 3 4 § § 7 a 2 10 ≥3 12
$0 $0 $o $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to co to to to to to to
$13,700 $15,65 . $17,600 .. $ ,550 $21.150 • $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
_ Low In[ m : 31%-SO%AMFI
1 2 3 4 § 7 a LQ 11 13
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
_ Mod rate Income: 51%.- AMFI
1 7 3 4 6 7 a § 14 11 "12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to t0 t0 t0 t0 t0 to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than AMFI
1 3 3 a § § 7 a @ l0 11
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race 0 of Hispanic N of Non-Hispanic'
White
Black African American _
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American _
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /Z 3 Substituted In For: Substituted Out For
2010TxCDBG Survey Que5tiohnalre Interviewers Name: f`J
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: 2 J — p
Street Address: Saws Y ( '?Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 92 (IQ Time: S: I O A.M. /P.M.J (Circle)
Second Attempt: Date: Time: A.M. P.M. spouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? J
3. Do any other families live in this unit? (Circle) Yes Tlo�
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmille
Compare your family's 2009 annual adjusted gross income,or your family's 2010 man thy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Ve Low-at or below 30%AMFI
1 7 3 4 6 6 7 8 9 12 1} 12'
$0 $0 $0 $0 $0 $0 $0 $0 $0 $o $0 $o
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 .$21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
w Income: 31%- O%AMFI
7 3 4 6 6 7 8 9 12 3} 3
$13,701 $15,651 $17,601 $19,5 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to Id to I to to to to to to to
.$22,800 $26,050 $29,300_ $3 , 50 $352004 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51 - AMFI
1 2 3 6 6 7 8 -@ '10 13 12
$22,801 $26,051 $29,301 $32,551 . $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401.
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
2 3 4 6 6 7 a Q >•Q 3
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race It of Hispanic 8 of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-
Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /.L4 Substituted In For: Substituted Out For
2010 TxCDBG.Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: J G^'� I/ ff— Q�/
Street Address: G9 I 5 l e Zip Code: Phone:
Contact Attempts: (Circle)
FirstAttempt: Date: Z 21 f0 Time: 5: P ) A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espo Non-Response Vacancy
t
1. Including yourself,how many people usually live In this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live In this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself os o member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
fisted below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
V Low-at or below AMF
1 2 3 4 6 6 2 6 2 12 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 , $32,050
Low Income: 31%- 0%AMP!
1 2 .2 4 6 6 7 8 2 22 11 U
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
M d ro Income: 51%-80%AMFI
1 2 3 4 6 6 7 8 2 10 11 U
$22,801 $26,051 $29,301 $32,551 35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 552,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-L wand-Mod rate Income:Greater than 80%AMFI
1 2 114 6 6 7 Q 2 22 j] 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-His anic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / 2 7 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Porte-2010 Harris H-GAC 16
Respondent's Information: l� \
Street Address: 2-c' yo < ! V 1OO Zip Code: Phone:
Contact Attempts: (Circle'
I
FirstAttempt: Date: l Z( l 0 Time: $' 03 A.M. P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. spouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes o\
If yes,please complete an additional questionnaire far each family that lives in this uniL (Note: Do not include yourself as a member of another family or ofmilies.)��JJ
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 2 8 2 10 11 12 1
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 . 7 8 9 10 11 12
$13,701 $15,651 $17, 01 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to t to to to to to to to to to
$22,800 $26,050 $29,3 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race II of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White -
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /2(1 Substituted In For: Substituted Out For
2O10TxCDBGSurvey.Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 ( Harris H-GAC 16
Respondent's Information: . n
ZoS,_..-.5 d
Street Address: 1_PJ Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 2/ 1° Time: /J- 73 P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. nse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live In this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
compare your/amity's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below/or your County.
4. Family Size: Median Income: $65,100 Males: Females:
yçy Low-at r below AMF
1 2 3 4 8 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 -S0
to to to to to to to to to to to to,
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 1%-S0%AMFI
1 2 3 4 $ 9 7 8 9 12 ]1 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 : $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Mcirate Income: 1%-80%AM I
1 3 4 $ 6 7 8 9 10 11 12
522,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Grater than 8 AMFI
1 2 3 4 3 6 7 8 9 19 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race Not Hispanic N of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native _
American Indiah/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
.Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: �,,J
Street Address: 2" `o ≤R`�'t I � / yZ Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 9 z/ o Time: /f' 3 ' P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. spa Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? /
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes N
If yes,please complete an additional questionnaire/or each family that lives in this unit. (Note: Do not include yourself os a member of another family or afmilles.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/vieeky income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Site: \ Median Income: $65,100 Males: Females:
Very Low-at o low 30%AM
1 2 3 4 2 6 2 8 9 10 11 17
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
— 3 3 4 6 6 7 8 9 10 11 17
$13,70 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 .$48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 3 3 4 6 6 7 8 2 10 11 12
$22,801 $26,051 $29,301 $32,551 -$35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to •to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
No - ow-and-M d r e In m :Greater than AMFI
1 3 3 4 S 6 7 fl 2 10 11 13
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race 0 of Hispanic tl of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial -
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / Z 9 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Re ion:
La Port-2010 Harris H-GAC 16
Respondent's Information: J-1�
Street Address: ' ip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: g2, 10 rime: 1/,'3 3 49 P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? I
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that ives in this unit (Note: Do not include yourself as o member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
Ve Low-at or below 30%AMFI
1 2 3 4 5 6 2 a 2 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13;700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
2 3 4 5 ' 6 7 8 9 10 11 12
$13,70 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
_$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to • to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 § 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic N of Non-Hispanic
White
Black African American - - - - -
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White - _
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: (29 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondents Information: j C _ ///���
Street Address: 2 O ` -X�'` /O1 Zip Code: Phone:
Contact Attempts: . (Circle)
First Attempt: Date: z/('o Time: P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. spouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? 3
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes ((N
If yes,please complete an additional questionnaire for each family that lives In this unit (Note: Do not include yourself as o member of another family or afmilies.
Compare your family's 2009 annual adjusted grass income,or your family's 2010 monthy/weekly Income calculated on an annual basis,to the income eligibility figures
listed below fa your county.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-.a orb low3 AMF
1 2 $ 4 5 6 '7 $ 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 . 50 $0 $0 $0 $0
to to to to to to to to t0 to to to
$13,700 $15,650 17,600 , $19,550. $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 $ 4 S $ 7 ' $ 2 12 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,306 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Mgi.rate Income: 51%-80%AMFI
1 2 3 4 5 ' 6 7_ .a 2 14 ' 11 12'
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,851 $53,401
to to to to to to to to to to to to
$36300 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
N -Low-and-Moderate Income:Greater than 80%AMFI
1 2 $ 4 5 6 Z $ 2 14 11 12
> > > > > > > > > > >
[$36,'500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race tt of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander -
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 130 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: !0 )
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: C
Street Address: 1 J .R M S t QSzip Code: Phone:
Contact Attempts: ,,// (Circle)
Ti
First Attempt: Date: 2//0 me: :*— P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. ns Non-Response fns Vacancy
1. Including yourself,how many people usually live in this unit? -_f✓-t
2. Including yourself,how many people in your family usually live In this unit? ((��
3. Do any other families live in this unit? (Circle) Yes 0
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
V Low-at orb low AMF
1 2 I 3 4 5 6 7 8 4 19 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%- AMFI
1 2 1 4 5 6 7 a 8 12 11 13
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to - to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,600 $45,550 $48,150 $50,800 $53,400
_ d rot Income: 1%- AMFI
1 2 _ 4 5 § - 2- $ 2 12 11 12
$22,801 $26,051 $29,301 32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to t0 to t0 t0 to to to to to to
$36,500 $41,700 52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-tow-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 $ 2 10 11 13
> > > > > > > > > > > >
$36,500 $441,700 .$46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic N of Non-Hispanic
White
Black African American
Black African American and White _
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: LQ
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent'slnformation: J fjo ,`)
Street Address: 1 0 ", �"' ' ' 1 O1 Zip Code: Phone:
Contact Attempts: ..// (Circle)
First Attempt: Date: 211P Time: /,'5 6 P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espon a Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself os a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 mouthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: ___________ Median Income: $65,100 Males: Females:
VEV Low-at or below 3 AMF
1 2 3 4 § 6 7 8 9 LQ 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-So%AMFI
3 a 5 6 Z § 2 12 ll 3
$13,701 , $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to ' to to to to to to .
$22,800 c. 26,050 $29,300 $32,550, $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate income: 51%-80%AMFI
1 7 3 4 5 6 7 § 2 12 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to'
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 ' $72,950 $77,100 $81,300 $85,450
Non-L w-on -Mod r t In m :Greater than 80%AMFI
1 3 3 4 5 6 7 § 2 10 I 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 .$64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-His anic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native -
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
/32-
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: o � C (�1\
Street Address: � J ' 'J ` U I to8 Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: ZI rJ rime: f/ Ys £ P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. espons Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live In this unit?
3. Do any other families live in this unit? (Circle) Yes Snq
if yes,please complete on additional questionnaire for each family that lives in this unit (Note: Do not include yourself os a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your county.____________
4. Family Size: Median Income: $65,100 Males: Females:
V Low-a or 1 w 0%AMF
1 2 3 4 5 6 7 8 2 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
.pw4no 1%-S AMFI
1 2 3 4 5 8 7 8 9 19 11 12
$13,701 $15,651 $17,601 $19,551 $21,1 $22,701 24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 . $26,050 $29,300 $32,550 $35,2 k7,800 0,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate e: •80%AMFI
1 j 3 4 5 '6 7 8 4 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 2 14 II 12
> > > > .> > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-Hispanic
white
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /�� Substituted In For: Substituted Out For
2010 TxCbBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: C I/�\ �4
Street Address:. 04 a S 1`J v U 5 Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 52 f0 Tithe: //f3 c3 P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? ' 3
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes . No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ufmilies.)
Compare your fdmily's 2009 annual adjusted gross income,or your fgmily's 2010 monthy/weekly income calculated on an annual basis,to the Income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-a r b low 0%AM
1 2 3 4 $ 6 7 $ 9 10 11 12 -
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 so
to to to to to ' to to to to to to to
$13,700 $15,650. 17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Income: 31%-S AMFI
1 2 3 4 6 $ 7 8 9 12 11 1
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,b51
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 1%• AMFI
1 2 2 4 6 6 7 $ 9 10 I 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,861 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Mod ra[ In om :Greater than 80%#4MFI
1 2 3 4 $ $ 7 $ 9 12 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: (J
r Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: !�
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: �1 `/
Street Address: L o-I C J¢-w4 ((O Zip Code: Phone:
Contact Attempts: ? ,(Circle)
First Attempt: Date: 5i 2//U. Time: //-•�l 4Q P.M. (Circle)
SecondAtiempt: Date: Time: A.M. P.M. spa a Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people In your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes to
if yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
_ Low-at orbelow 30%AMF
1 2 3 4 ¢ ¢ 7 8 9 10 11 1Z
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to .to to to to to to to to to to
$13,700 $15,650. $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
L wIncome: 1%-50%AMFI
1 2 1 4 5 ¢ 7 8 2 10 II 3
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 •$26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Mod rot Income: 1%-80%AMFI
1 - ; 1 4 ¢ 6 7 8 2 12 11 12
$22, $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to -to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
_ Non-Low-and-ModerateIncome:Great r than 80%AMFI
1 3 3 4 5 6 7 a-2 10 11 U
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 I $72,950 $77,100 $81,300 $85,450
Race N of Hispanic N of Non-Hispanic I
White
Black African American
Black African American and White
Asian.
Asian"and White
Native Hawaiian/Other Pacific Islander
Americari.lndian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /3ç Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name:
La Port-2010 Harris H-GAC 16
Respondent's Information: C 12 -4.
Street Address: o 0 I( 1 I Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 2/eo Time: ?G.> A.M. c (Circle)
Second Attempt: Date: Time: A.M. P.M. espouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? 2
2. Including yourself,how many people in your family usually live In this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Z Median Income: $65,100 Males: Females:
yffY tow-at or below3 AMFI
1 2 I 3 4 ¢ 6 7 8 9 10 UI 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 SO ,
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 -$25,850 $27,350 $28,950 $30,500 $32,U50
Low Income: 31%-5O%AMFI
1 / ' Z Ti 4 5 ¢ 7 - 8 9 12 11 .0
$13,70 $15,651 $ 7,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,8 $26,050. 29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Mod rat Income: 51%-80%AMFI -
1 3 4 ¢ ¢ 7 Q 9 12 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
t0 t0 t0 to t0 to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-tow-ond-Mod rote Incom :Greater than 80%AMFI
1 3 3 4 5 6 7 $ 9 19 11 17
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 .$68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American _
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan.Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskari Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / ?r_ Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: / 9
Place Countv'Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: 2" '?' ' ( '`r ( Z Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: ?//D Time: l 2:0? A.M. .t . (Circle)
Second Attempt: Date: Time: A.M. P.M. spans Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? 3
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes N
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilles.))
Compare your family's 2009 annual adjusted gross income,or your/amity's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below/or your County.
4. Family Size: Median Income: $65,100 Males: Females:
Ve L w-o r 1 w AM@
a 4 ¢ a $ 9 11t3!2,05]0
$0 $0 $0 $0 $0 $0 $o $0 $0 $0 $0to to to to to to to to to toto$13,700 $15,650 $17600 $19550 $21,150 $22,700 $24,250 $25850 $27350 $28950 $30
low Income: 31%_50%AMFI
1 2 1 4 ¢ ¢ 1 @ 9 10 11 U .
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,360 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Mod rate Income: 1%-80%AMFI
1 2 4 ¢ 6 7 - a 2 12 It 12
$22,801 $26,051 29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to ' to 'to to to to
$36,500 $41,700 4 ,900 52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-tow-and-Moderate Income:Greater than AMF
1 2 9 4 5 ¢ 7 8 9 12 II 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race tt of Hispanic It of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /3 7 Substituted in For: Substituted Out For
2010 TxCDBG Survey Questionnaire InterviewersName: /49
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: 2o4 p� ,µ l �
Street Address: O � %-1 I< H' l Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: ZI f• Time: / Z'6 G A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. once Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes o
if yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilles.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy y/weekly income colculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-atow-at orb low 0%AMF
1 3 3 4 5 6 7 $ 2 1Q 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0,
to to to to to to to to to to to to
$13,700 $15,650 - $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
} 2 '3 4 ¢ ¢ 7 8 9 ≥Q 11 12
$13,70 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 26,050 $29,300 $32,550 $35,200 $37,800 . .$40,400 $43,000 $45,550 $48,150 $50,800 $53,400
M derate Income: 1 -80%AMFI
1 3 4 ¢ 6 2 8 2 1Q 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401. $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to 'to to
$36,500 $41;700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 585,450
Non-tow-and-Mod ro In om :Greater than 80%AMFI
1 2 3 4 5 ¢ 2 $ 9 10 ]1} 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race a of Hispanic Il of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 2g Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /c2
place County Name: Region:
La Port-2010 nnn I Harris H-GAC 16
Respondent's Information: .' ^
Street Address: !� ', th ii. Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: / L/ o Time: /2:07 A.M. . (Circle)
Second Attempt: Date: Time: A.M. P.M. espon a Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live In this unit? (Circle) Yes No
If yes,please complete on additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
V Low-atow-at orbelow AM 1
1 1 3 4 5 8 7 8 2 10 11 ii
$0 $0 $0 $0 $0 $0 $0 $0 so 50 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 1%-50%AMFI
1 2 1 4 8 8 7 8 4 12 11 3
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
M d rat Income: 51%- AMFI
1 q 8 6 7 8 8 12 11 12'
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 .$53,401
to to Ito to to to to to to to to to
$36,500 1,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-tow-and-Moderate Income:Greater than 80%AME!
1 2 3 4 5 6 7 a 8 12 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
It of Hispanic U of Non-Hispanic
Race
White .
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native'and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: 1g"/ Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ( i IJ Street Address: 2-o`(J ?a....< Zip Code: Phone:
Contact Attempts: - (Circle)
First Attempt: Date: 2 t i o Time: /2:13 A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? -7
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live In this unit? (Circle) Yes No
if yes,please complete on additional questionnaire for each family that lives in this unit (Note: Do not Include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: 2 Median Income: $65,100 Males: Females:
very Low-at or below AM
7 8 9 12 11 12
$0 $o so $0 $0 so $0 so $0 $0 so
to •o to to to to to to to to to to
$13,70 5,65 17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
iv Income: 31%-5 %AMFI
1 , 2 4 ¢ 6 7 8 9 12 11 13
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
ModerateIn Come: 51%-80%AMFI
3 2 3 4 5 ' 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Incm rater than 80%AMFI
1 ) -% 3 4 5 ¢ 7 2 9 12 11 12
> > > > > > > > > > > >
$36,500 41,700 46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77;100 $81,300 $85,450
Race U of Hispanic 0 of Non-Hispanic
White
Black African American
Black African American and White -
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /n
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: n\\Street Address: L'o` a `;
S-�.S J Xf- ip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: f 21/3 Time: / 2.16 A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No)
if yes,please complete an additional questionnaire for each Tamil y that lives in this unit (Note: Do not include yourself os o member of another family or afmilies.
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your Counry.�
4. Family Size: L Median Income: $65,100 Males: Females:
Very Low-at or 10w3 AM
3 2 4 6 7 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 •$15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 3 %-S0%AMFI
2 3 4
7 2 10 11_ 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32;051
to to to to to to to to to to to to
$22,800 . $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Mod rate Income:me: 51%- AM
2 q 6 7 8 9 12 11 12
$22,801 $26,051 $29,301 $32,551 35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to jto to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
-"<n-taw-and-Moderate Income:Greater than AMFI
1 2 3 4 f 7 a Q 10 1>< 3
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-His anic
White.
Black African American
Slick African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: ,// Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Pic County Name: Region:
La Port-2010 Harris H-CAC 16
Respondent's Information:
Street Address: b`(O ≤i.c" S t4 ¼ 1 Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: gZ /J Time: 1-:/ 9 A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as o member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Ve Low-a orb low AMF
1 2 } 4 ¢ 6 7@ 9 19 12_ .
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,7b0 $15,650 $17,600 9,550_ $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
L wincom : %3 - 0%AMFI
F$22800
S7@$15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,05 to to to to to to to to to to to
$26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Mod rate Income: 1%-80%AMFI
.1 2 3 4 ¢ 6 7 8 2 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450. $64,650 $68,800 . $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Incm :Greater than 80%AMFI
1 2 3 4 6 '7 1 2 12 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race It of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White -
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondents Information: ��O 1 `�
Street Address: \ Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 41 2 (/0 Time: ( La/ A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. nse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes N
If yes,please complete an additional questionnaire for each/amity that lives in this unit (Note: Do not include yourself as a member of another/amity a afmilies.)
Compare your family's 2009 annual adjusted gross income,or your/amity's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below Jar your County.
�4. Family Size: Median Income: $65,100 Males: Females:
V Low-at or below 30%AMF
1 2 3 4 5 6 7 8 2 10 U U
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
_ Low Inc in : 31%-50%AMFI
2 '3 4 $ 6 7 - a 2 3} 13
$13,701 $15;651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,651 $27,351 $28,951 $30,501 $32,051
to to to to tor / to to to to to to to
$22,800 $26,050 $29,300 $32,550 5,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
o rat Incom : 51 -80%AMFI
1 2 1 q 6 6 7 8 2 iQ 31 12
$22,801 $26,051 $29,301 $32,551 $35,203 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Incom :Greater than 80%AMFI
2 4 6 7 a 2 d3 ii
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: - 1l/C
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: O,
Street Address: �J 'c 0 �y,,,,t 1 ( Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 1-11, Time: I2. 1' / A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. sponse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? '2-
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes 0
if yes,please complete an additional questionnaire for each family that lives In this unit (Note: Donor include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
Very tow- t or below3 AMFI
1 I 2 3 4 5 6 ' 7 8 9 12 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 .$19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
L w Income: 31 - 0%AMFI
1 2 3 4 9 ¢ 7 . 8 2 14 11 U
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 . $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate In orn : 1%- AMFI
2 3 4 8 6 7 8 9 12 ≥•3 12
$22,801 6,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to \to to to to to to to to to to to
$36,500 41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Mod ro Inc m :Greater than 80%AMFI
1 2 3 4_ 5 t 7 8 9 10 U 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race IS of Hispanic St of Non-Hispanic
White -
Black African American
Black African American and White
Asian
Asian and White _
Native Hawailan/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: A`// Substituted In For: Substituted Out For
2010 TxCDBG-Survey Questionnaire Interviewers Name: l�
Plac County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: C
Street Address: 2-{0 IA...c 1 2 b Zip Code: Phone:
Contact Attempts: (Circle)
/
First Attempt: Date: 7 "o' Time: /Z: 1.1 A.M. [R. (Circle)
Second Attempt: Date: Time: A.M. P.M. espons Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live In this unit?
3. Do any other families live in this unit? (Circle) Yes 110\
if yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)�1
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated an an annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
TT V l w- rb I w 0%AMFI
1 2 _ 4 8 7 8 9 12 11 12
$0 $0 $0 $0 $0 $0 SD. $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-S AMFI
1 3 1 4 § § 7 8 9 14 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,d51
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
M deratIncome; 51 -80%AM 1
1 2 3 4 8 § 2 .8 9 22 it 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Modern Income:Greater than 80%AMFI
1 2 8 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race ISof Hispanic #of Non-Hispanic I
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other PacificIslander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name;
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: l O'1O c. ...._4 ` . Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: Z((O Time: (2. '3'D A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. esppnse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes
I/yes,please complete on additional questionnaire for each family that lives in this unit. (Note: Pb not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
Y.uv tow at or below 3 AMFI
1 7 3 4 8 6I 7 8 2 10 1] 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 So
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22;700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-.50%AMFI
2 8 4 8 6 7 8 9 1O 11 12
$13,7b1 $15,651 $17,601 $1�,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to
$22,800 $26,050 $29,300 $30 $35,200 $37,800 .$40,400 $43,000 $45,550 $48,150 $50,800 $53,400
M d rate In"om : 1%-80%AMFI
1 3 3 4 8 f 7 8 9 1Q 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to t0" to to to to'
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Mod rot In :Greater than 80%AMFI
1 2 3 4 8 f 7 8 9 30 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race Uof Hispanic Uof Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indiari/Alaskan Native
American Indian/Alaskan Native and Black African American
American.Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number:/1{(e Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ./Street Address: 2 O 'I'D Q11`S 6 Ln
P I llip Code: Phone:
Contact Attempts: (Circle)
/,First Attempt: Date: 7 2(/0 Time: (j '3`" A.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? t 7
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or afmilies.
Compare ydur family's 2009 annual adjusted gross income,or your family's 2010 mouthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County. ^
4. Family Size: /l , Median Income: $65,100 Males: Females:
Very tow-a or below 30%AMF
a 4 ¢ 5 7 a 9 10 1} 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 1%-50%AMFI
1 _ 1 4 ¢ 7 a 2 12 II 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to J to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 1%-80%AM
1 2 1 4 5 6 7 ' 8 9 1Q 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-tow-and-Moderate Income:Greater than 80%AMFI
1 1 4 5- ¢ 7 a 2 1Q 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race Not Hispanic N of Non-His "anic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number:/(7 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010. Harris H-GAC 16
Street ddreslnformation: ,� \ 1A. " P'1`e7 n
Street Address: Zip Code: Phone:
Contact Attempts: (Circle)���
First Attempt: Date: . 21 (0' Time: /2,*37 A.M. )('y (Cir
Second Attempt: Date: Time: A.M. P.M. Response n- esponse Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself os a member of another family or ofmilles.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below AMF
1 2 3 4 5 6 7 - @ 9 12 11 U '
$0 $0 $0 $0 $0 so $0 $0 $0 $0 50 $0
to to to to to to- to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income:31%=5 AMFI
1 3 1 4 5 ' ¢ 7 @ 9 12 13 17
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 1%-80%AMFI
1 3 3 a 5 ¢ ? § 9 12 1_1 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 ¢ 7 a 9 12 1 12
> > > > > > > > > > > >
.$36,500 $41,700 $46,900 $52,100 1.$562300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic U of Non-Hispanic
White
Black African American I
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
Americin Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other-Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: �(/J
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's information: C
Street Address: 1, t ' \ V Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 2 Ca Time: / 2•Y? A.M. tbl'. (Circle)
Second Attempt: Date: Time: A.M. P.M. espo Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? 3
2. Including yourself,how many people in your farryry usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as o member of another family or afmilies.)
Compare your fdmity's 2009 annual adjusted grass income,or your family's 2010 month y/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
�4. Family Size: Median Income: $65,100 Males: Females:
Vy Low-o or below 30%AM
1 2 1 4 6 7 a 9 10 11 13
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%- AMFI
1 2 1 4 a 6 ..7 - a 2 14 11 3
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 .$35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 3 1 4 a 6 7 8 2 12 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to. to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 a § ? a 2 12 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 )$524100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native.Hawiaiian/Other Pacific Islanaer
American Indian/Alaskan Native
Amercan Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: ^ Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: Gam/
Place County Name: Rein•
La Port-2010 Harris H-GAC 16
Respondent's Information: /� fin/
Street Address: 1�'LQO l`cS r` Zip Code: Phone'.
Contact Attempts: (Circle)
First Attempt: Date: 't ( o Time: 12:S? A.M. 6b. (Girt
Second Attempt: Date: Time: A.M. P.M. Response on-Respons Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
if yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not Include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 man thy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below AMFI
1 2 3 4 6 6 7 I $ $ 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to •to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,50O $32,050
L w Infom : 31%-50 AMFI
1I 2 1 4 5 6 7 $ 9 12 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 .$32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 1%-80%AMFI
1 2 3 4 $ 6 7 $ 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Incm Greater than 80%AMFI
1 2 1 4 5 ¢ 2 $ 2 12 > 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race P of Hispanic P of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /S6 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: pp 'n! J
Street Address: 1 O$ � f` H Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: Zl r0 Time: t s A.M. 9t.t+t' (Circle)
Second Attempt: Date: Time: A.M. P.M. spouse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete on additional questionnaire for each family that lives In this unit (Note: Do not include yourself os a member of another family or ofmilies.
Compare your family's 2009 annual adjust gross income,or your family's 2010 month y/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Y &tow at r below 30%AMFI
1 2 } 4 5 6 7 2 2 12 U 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 . $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $31,050
L wlncom : 1%-50 AMF
1 2 4 5 ¢ 7 a9 31 3
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 - $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate come:-51%-80%AMFI
1 2 3 4 5 6 7 8 8 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52;100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 581,300 $85,450
n- w-and-Mod ra Income:Greater than 80%AMFI
1 2 8 4 5 6 7 8 8 SQ 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,9 $52,1 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
• Race fI of Hispanic #of Nan-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Nature
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /6/ Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: (�'
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: !� r� 'K\
Street Address: L, LO 7-Q Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 4 Pt to Time: /2• J A.M. .tv (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live In this unit? z
2. Including yourself,how many people In your family usually live In this unit?
3. Do any other families live In this unit? (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmill;Fs.
Compare your family's 2009 annual adjusted gross income,or your family's 2010monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Z Median Income: $65,100 Males: Females:
Very Low-at of below 0%AMFI
2 3 4 6 6 7 $ 9 12 11 12
$0 $0 $0 $0 $0 •$0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550- $21,150 $22,700.. $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
2 3 4 $ -
7 a 9 12, II 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 -$35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 1%-80%AMFI
1 a 9 4 9 6 7 a 2 10 i} 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to To
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Inc m :Greater than 80%AMFI
1 3 3 4 5 6 7 $ 9 10 13 13
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race - N of Hispanic k of Non-Hispanic
White
Black African American .
Black African American and White .
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black-African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /Sz Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: !�
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: ti
Street Address: 1 pt..-5 R jj Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: L (LO Time: ,,Q . f A.M.
Second Attempt: Date: Time: A.M. P.M. Response No -Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmiiies.)
Compare your family's 2009 annual adjusted gross income,or your family's 1010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at r below 0%AM 1
1 2 8 4 5 ¢ 7 8 9 10 13 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600. .$19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMA
1 2 8 q 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
ModerateIncome: 1%-80%AMFI
13 3 4 $ S2 8 2 12 11 121
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Modest Income:Greater than 80%,AMFI
1 3 8 4 $ 6 7 U 9 14 U 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 .$52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic not Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: S 3 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire , Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: Z 'fí b 51& l' Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 7-Ito Time: 3 yz A.M. •. a. (Circle
Second Attempt: Date: Time: A.M. P.M. Response on-Res a Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No.
If yes,please complete an additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI _
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race II of Hispanic R of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /s�. Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris' H-GAC 16
Respondent's Information: t1 I h -
Street Address: v ( `IM, ( \ 4 Zip Code: Phone:
Contact Attempts: G� (Circle)!
First Attempt: Date::Q.r'2'/ (U-- Time: -Z -(S --• A.M. �ne
(Circle)
Second Attempt: Date: Time: A.M. P.M. Non-Response Vacancy
.. rd-t�""-'^++:-....st-s+-=t- ..^..:..,.-.*---.n,-.a,.-.r+. ..ter. - .._�._ .�.._-.
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit? ✓
3. Do any other families live in this unit? - (Circle) Yes o
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross Income,or your fomlly's 2010 monthy/weekly Income calculated anon annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 _ Males: - Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income:.31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI - -
1 2 3 4 5 6 7 8 9 10 11 j 12
_JZ &k 9 3 _ , 5 - $3SQA .,.5.32, . .. a.S9.0.40 -- . -J45,552a. 8.151+g J5DA014iZ3.4Q.1 ..
to -to"" '- to"-" - -to^--- "�to ` ' to t6 ' to to to -to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 I $85,450
Non-L d-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$36,500 $41,700 $46,900 $52,100 56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race tl of Hispanic P of Non-Hispanic
White
Black African American Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: / __- Substltuted in For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: lv/
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Res ntponde 's Infor n:matio n
Street Address: LI D Sip Code: Phone:
Contact Attempts: (Circle)
FirstAttempt -- Date:4 •2/f° • -- Time:- .2: j Z - - A.M: - • ..V . - - - (Circle)
Second Attempt: Date: Time: A.M. P.M. sponse Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
•2. Including yourself,how many people in your family usually live In this unit?
3. Do any other families live in this unit?- (Circle) Yes N
If Yes,please complete on additional questionnaire for each famiy that lives in this unit. (Note: Do not include yourself as o member cionother family or ofmilies.
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 month y/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700- $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850. $27,350 $28,950 $30,500 $32,050
Low Income: 31%-SO%AMFI _
1 2 3 4 5 6 "7 8 9 10 11 12
$13,701 $15,651 $17,601 9,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 29,300 2,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%;80%AMFI -
1 2 3 -4 - 5 6 7 8 9 10 11 12
- 2 4S-±: - 9 0 .: $3z.5�1 ..:$ 5 Qty.:$3Z.8 a$4Q,4Q1.,, - 43 QQ"- 545.551 :_$48.151.$50,801., ,.$53,401,,:
to'"` to .. tom" to, -• to . - to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 2 12 11 12
> > > > > > > > > > >
• $36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race p of Hispanic II of Non-Hispanic
White
Black African American _ _ _ _
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /s� Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: l�
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: -. c.1
Street Address: ( ( J^ I rl Zip Code: Phone:
Contact Attempts: (Circle)
FirstAttempt:• - - Date: 1 (.(y Time:- • 2-•00r: - A.M. t - - . (Circle)
Second Attempt: Date: Time: A.M. P.M. Respons Non-Response Vacancy
1. Including yourself,how many people usually live in this unit? S�
2. Including yourself,how many people in your family usually live in this unit? S
3. Do any other families live in this unit?' - (Circle) ' Yes
If yes,please complete an additional questionnaire for each family that lives In this unit. (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32;051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 .$40,400 $43,000 $45,550 $48,150 $50,800 $53,400
oderate Income: 1 -80%AMFI :,
1 2 3 4 5 6 ' 7 8 9 10 11 12
. . . .-$2JQL 4Q05L' . ,a.J2a . 32,5 , .A$5,2.}' :$3Z$QA. $4 ,4A3:. 3, S4$. - a -- 50,80]..
to ' W - [o - t6t to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic #of Non-Hispanic
White
Black African American _
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /S7 Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /4
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: I
Street Address: ks C 1 .Zip Code: Phone:
Contact Attempts: (Circle)
• First Attempt: . . Date: 4' O- - Time:•--Z D7- ^ - A.M. '- (Circle)
Second Attempt: Date: Time: A.M. P.M. esponse Non-Response Vacancy
. - .. . . _ :. _ e-�^+-,a.+.t -.r•...+wti-.!.�-.v--.(' ' _-•-__.
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) ' Yes Mo
If yes,please complete on additional questionnaire for each family that lives in this unit. (Note: Do not include yourself as a member of another family or ojmilies. J
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 month y/weekly Income calculated on on annual basis,to the income eligibility figures
listed below far your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 so so $0 $0 $0 so so so so $0
to to to to to to to to to to to ito
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350- $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI _
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $3 ,051
to to to to to to to to to to to 'to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $56,800 $53,400
eratelncome- 51%-80%AMF1 • _ •
1 2 3 4 5 6 7 8 9 10 Al 12
$26,051 $fl301 S3255k - - - 50,801 $53,401
to o . _ . _ o- - , . .. o..D. -- o. , - to- .. ..to . . _._to ,. -. o_ ._ to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non- w-and-Moderate Income:Greater than 80%AMA
1 2 1 a S • 6 7 8 9 12 21 Al
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race N of Hispanic #of Non-Hispanic
White
Black African American - . - - . - . - - &--- - -- --
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial -' '
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /S8 Substituted In For: - Substituted Out For
2010 TxCDBG Su rvey Questionnaire Interviewers Name: /c
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: tI oq
Street Address: t'�O 1 La,:. ulj Zip Code: Phone:
Contact Attempts: (Circle)
FirstAttempt: • - Date: 'f-2.110 ••• -- Time:- -Z.•:a 1i-- A.M. -• - (Circle)
Second Attempt: Date: Time: A.M. P.M. Response n- es , se Vacancy
Date:
,.,Y-•- •��,.:-+.Time;..v.To+ti�.r..:r,•rA..•+e•.-«�-.a P.M.a—:.+-_ te. . . . .z..`_ . ..t-.•-,_-_-"'_
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people In your family usually live In this unit?
3. Do any other families live in this unit? (Circle) Yes ' No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compote your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your county.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
• $13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI _
1 2 3 4 5 .6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Modqrate Income 1%-8O%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
522,801 - - - - -
to o . o.. . .to- .._ - to." ..._._to. to.:... __ 'to...._ _..to .to"__ to _. __ to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic b of Non-Hispanic
White
_ Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White -
Other Multi-Racial . ...,,. . _ . .- ..
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: /Sy Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: `'s \ /h r •�'-� Zip Code: Phone:
Contact Attempts: (Circle)
FirsfAttem t: - — -. Date:- - C_I ----'Time:- ..2. .o�. A.M.
p � �A.ioL-� (Circle)
Second Attempt: Date: Time: A.M. P.M. spans Non-Response Vacancy
2
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3.-Do any other families live in this unit? -' ' . - (Circle) Yes
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as o member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: 37 �.....d.^ Median income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 Z 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI -
1 2 3 4 5 6 7 8 9 10 11 12
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
fjfz 3 4 5 6 7 @ 2 12 11 3
> > > > > > > > > > > >
$36,500 41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race It of Hispanic 11 of Non-Hispanic
White
_ Black African American _ __ __
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskah Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial" "' - _ _ _ „
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: ,r Substituted In For: Substituted Out For
201OTxCDBG Survey Questionnaire Interviewers Name: //'
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: O
Street Address: I pJ4 S ; , Zip Code: Phone:
Contact Attempts: (Circle)
FirstAttempt: Date: "!'.� �"' •' Times%"t/.•ZL A.M. . (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response acaney
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly Income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,760 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low income: 31%-50%AMFI
1 2 3 4 5 ` - 6- 7 8 9 10 11 t12
$13,701 $15,651. $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to 'to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6'' 7 - 8 9 10 11 12
._$22,801,,, .$26,051,.. _.$29,301-„x.$32,551„ _$35,201,,.. „$37,801. :,$40,401,,. .$43,001.:. .$g5,5S1 w .$48,151 ..$50,801_. $53,401-.
to to to to to to to to to to to -to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race - Nof Hispanic N of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native -
Amerj--'..a�„/4laskan Native and Black African American
Ame( 1
Other v - . ...
TOub BE COtedMPLEFoTED BY ADMINISTRATIVE STAFF
L�W Sstitu In r: Substituted Out For
49
2010 TxCDBG Survey Questionnaire Interviewers Name: /"
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: rj t •(� )'k ,� - �'2 Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: I' ID Time: P.M.P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
'3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives In this unit. (Note: Do not include yourself as a member of another family or oamilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-of or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 I $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51% 80%AMFh'- -
1 2 3 4 5 6 7 8 9 10 11 12
-$22,801 $26,051 .$29,301 . $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to 'to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 10 AlZI
> > > > > > > >$36,500 $41,700 $46,900 $52,100 $56300 $60,450 . $64,650 $68,800 $72,950 $77,100 $81,300
Race U of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Plate County Name: Region:
La Port-2010 Harris• H-GAC 16
Respondent's Information: 4{-
StreetAddress: 2o r•(O S-... f 3'0 Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: S11 i.o Time: $ S P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response acancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No_
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 31 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0.
to to to to to to to to to to to to
$13,760 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: %-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to -to to to to Ib to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 -12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to 'to
$36,500 $41,700 $46,900 I $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 S 6 7 8 9 10 11 12
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 .$72,950 $77,100 $81,300 $85,450
Race - N of Hispanic a of Non-Hispanic
White
Black African American..- . . -
Black African American and White
Asian
Asian and White -.
Native Hawaiian/Other Pacific Islander .
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: A)
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: '2 'K C> $ .,, Q -J 3 k Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: c Yt( o Time: •SI P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacant
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete on additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 2 3 4 5 6 7 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to 'to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 5 6 7 8 9 10 11 •12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 i $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-end-Moderate Income:Greater than 80%AMFI
1 2 3 4 - 5 6 7 8 9 10 11 3
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 j $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian'
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: lam'
Place County Name: ReRion:
La Port-2010 Harris H-GAC 16
Respondents Information: C
Street Address: ` O 5a_ie f 31'
Zip Code: Phone:
Contact Attempts: C (Circle)
fi ,/
First Attempt: ((( Date: f 271 r, Time: 7, 3 P.M. (Circle)
Second Attempt: \ Date: - Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questidnnaire for each family that lives in this unit (Note: Do not Include yourself as a member of another family or ofmilies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County. -
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or below 30%AMFI
1 2 3 4 5 6' 7 8 9 10 In 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-.S0%AMFI
1 2 3 4 • 5 6 2 8 9 10 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 .$40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%-80%AMFI
1 2 3 4 '5 6 7 8 9 12 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 , $48,151 $50,801 $53,401
to to to to to to' to to to to to to
$36,500 $41,700 I $46,900 $52,100 i $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income::Greater than 80%AMFI
1 2 3 4 5 6 7 8 9 . 19 11 12
> > > > > > > > > > > >
$36,500 .$41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American - - - -Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /42
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: /� \Street Address: cc O l� 'f l[
Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: S 1' t a Time: 4 :( a A P.M. (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacari
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live In this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire/or each family that lives In this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross Income,or your family's 2010 man thy/weekly income calculated on on annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
V Low-at or b
2 2 4 6 a a 4 lU 11
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650. $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Law Income: 31%-50%AMFI
1 2 3 4 6 7 a 9 12 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,056 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
frjsderate Income- 51 -80%AMFI
- 1 2 1 4 f 7 $ 4 12 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-L wand-Mod ra In om :Greater than 80%AMFI
1 2 3 4 ¢ 7 ¢ 9 10 1.1 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 .$77,100 $81,300 $85,450
Race 0 of Hispanic p of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: /�
Place County Name;, Region:
La Port-2010 / Harris H-GAC 16
Respondent's information: 20 dr / /J l j ,�
Street Address: tti"Y J` C) (/C/Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: 2 Z'f (O Time: '7.2P A.M. . (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live In this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as o member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your family's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
verytow-at orb low AMFI
1 3 4 2 a 9 10 13 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to _
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
_ Low Income: 31%-50%AM@
2 4 5 f 7 a 9 1O 11 -.
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300. $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
M d rat ' c me: 5 -80%AMFI
1 3 q 6 7 a 2 10 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 ¢ 7 a $ 30 j] 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 . $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race U of Hispanic U of Non-Hispanic
White
Black African American.
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: ✓J
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: �1
Street Address: 2 O 4`0 S.a'`^�t �C.� O Zip Code: Phone:
Contact Attempts: (Circle)
First Attempt: Date: ' Time: 5:y A.M. (Circle)
'Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacant:
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live In this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete on bdditional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your family's 2009 annual adjusted gross income,or your famiy's 2010 monthy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
V Low-at or below 3 AMF
1 2 3 4 $ 6 7 8 4 10 11 ' 12
$0 50 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 - $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income:.31%-50%AMFI
1 2 3 4 $ f 7 8 3 12f 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 . $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%- AM 1
1 2 3 4 1 8 7 $ 2 i 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-tow-and-Moderate Income:Greater than 80%AMFI
1 2 3 4 $ ¢ Z $ $ 12111 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race #of Hispanic ft of Non-Hispanic
White -
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American'Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information: G
Street Address: 1 O'{o a• l L Zip Code: Phone: -
Contact Attempts: (Circle)
First Attempt: Date: Q fr•o Time: 5•2 1 ? A.M. "Etj (Circle)
•
Second Attempt: Date: Time: A.M. P.M. Response Non-Response acancy
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes N6
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilies.)
Compote your family's 2009 annual adjusted gross income,or your family's 2010 man thy/weekly income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Very Law-a r below 3 AMF
1 I 2 1 4 5 6 7 8 I 9 12 11 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to,
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
2 3 4 ¢ ¢ 7 $ 2 12 it 32
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to ,to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
Moderate Income: 51%- AM
1 2 3 4 ¢ ¢ 7 8 2 12 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53;401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Law-and-Moderate Income:Greater than AMFI
1 2 3 4 5 ¢ 2 $ 4 14 11 13
> > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race p of Hispanic U of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White-
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan.Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted in For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name:
Place County Name: Region:
La Port-2010 Harris H-& c 16
Respondent's Information: CC-- n
Street Address: 2 "4o `�'"s l` S Zip Code: Phone:
Contact Attempts: C (Circle)
^
Ti
First Attempt: Date: LLI O me: 5.Lo A.M. "CPS (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response Vacancy
1. Including yourself,how many people usually live in this unit?
2.Including yourself,how many people in your family usually live in this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire for each family that lives in this unit (Note: Do not include yourself as a member of another family or ofmilles.)
Compare your family's 2009 annual adjusted grass Income,or your family's 2010 monthy/weekly Income calculated on an annual basis,to the income eligibility figures
listed below for your County.
4. Family Size: Median Income: $65,100 Males: Females:
Vex Low-at r below 30%AMFI
1 2 $ 4 $ 6 7 $ 9 LQ U 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650. $17,600 $19,550 $21,150 $22,700. $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50%AMFI
1 3 4 2 $ 8 ?3 11 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 1.532,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,860 $53,400
M rat Income m AMFI
1 3 $ d4 5 6 7 $ 2 12 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-Moderate Income:Greater than 80%AMFI
1 23 4 5 6 7 $ 4 3 12
> > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 1 $771100 $81,300 $85,450
Race U of Hispanic It of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
2010 TxCDBG Survey Questionnaire Interviewers Name: __ �
Place County Name: Region:
La Port-2010 Harris H-GAC 16
Respondent's Information:
Street Address: 4 t7 S '-4 1 , ! / Zip Code: Phone:
Contact Attempts: (Circle)
FrstAttempt: Date: Z( a Time: 5.b"f A.M. ➢:MJ (Circle)
Second Attempt: Date: Time: A.M. P.M. Response Non-Response scanty
1. Including yourself,how many people usually live in this unit?
2. Including yourself,how many people in your family usually live In this unit?
3. Do any other families live in this unit? (Circle) Yes No
If yes,please complete an additional questionnaire Jot each family that lives in this unit (Note: Do not include yourself as a member of another family or afmilies.)
Compare your/amity's 2009 annual adjusted gross Income,or your/amity's 2010 month y/weekly income calculated on an annual basis,to the income eligibility figures
listed below/or your county.
4. Family Size: Median Income: $65,100 Males: Females:
Very Low-at or low 3 AM I
1 2 3 4 $ 6 7 ' 6 9 10 3 12
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
to to to to to to to to to to to to
$13,700 $15,650 $17,600 $19,550 $21,150 $22,700 $24,250 $25,850 $27,350 $28,950 $30,500 $32,050
Low Income: 31%-50 AMFI
1 2 3 4 6 6 7 8 9 10 II 12
$13,701 $15,651 $17,601 $19,551 $21,151 $22,701 $24,251 $25,851 $27,351 $28,951 $30,501 $32,051
to to to to to to to to to to to to
$22,800 $26,050 $29,300 $32,550 $35,200 $37,800 $40,400 $43,000 $45,550 $48,150 $50,800 $53,400
M d rate Income: 1%-80%AMFI
1 3 3 q_, 6 6 Z 8 9 19 11 12
$22,801 $26,051 $29,301 $32,551 $35,201 $37,801 $40,401 $43,001 $45,551 $48,151 $50,801 $53,401
to to to to to to to to to to to to
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Non-Low-and-ModerateIncom :Greater than 80%AMFI
1 2 4 5 6 7 4 2 30 11 12
> > > > > > > > > > > >
$36,500 $41,700 $46,900 $52,100 $56,300 $60,450 $64,650 $68,800 $72,950 $77,100 $81,300 $85,450
Race Not Hispanic N of Non-Hispanic
White
Black African American
Black African American and White
Asian
Asian and White
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native
American Indian/Alaskan Native and Black African American
American Indian/Alaskan Native and White
Other Multi-Racial
TO BE COMPLETED BY ADMINISTRATIVE STAFF
Questionnaire Number: Substituted In For: Substituted Out For
CITY OF LA PORTE
ORGANIZATIONAL CHART
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No Application Public Hearing held at Locality
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City of La Porte
Established 1892
June 27,2011
Mr.Steve Swango
Texas Dept. of Rural Affairs—Disaster Recovery Division
P.O. Box 17900
Austin,Texas 78760
Re: Notice of Complainants Request for Additional Information(May 12, 2011).
Dear Mr. Swango:
The City of La Porte has reviewed this notice and reviewed the comments with our grant administrator,
Bruce Spitzengel of GrantWorks,who consulted with the TDRA Fair Housing Compliance Consultant as
advised.
As requested in the Complainant's letter,the City will perform the.following activities:
1) The City will work with and coordinate with local Fair Housing advocates and non-profits to
better understand what the barriers are and how to overcome those identified.
2) The City will augment the FHAST activities for those items specifically identified in the Harris
County Analysis of Impediments.
3) The City is willing to engage in a regional fair housing planning process working with the State
Fair Housing Consultant to identify details of such a regional fair housing planning*process.
The City looks'forward to working with TDRA on our Disaster Recovery efforts.
Sincerely,
Louis R. Igb
/Mayor
City of La Pone
604 W. Fairmont Pkwy. • La Porte,Texas 77571 • (281)471-5.020
WWW:FORA.TRXAS.(:OV TDRA GOVERNING BOA141)
£700 N.Cong,ear Ateunc,Suite 220 \ O) I(/j Or.Wallaec Kluaanonn,Choir
An do,Trms 79,mi ` d Var Aldm.Viwchair Or.Abduc lk,la,,.1'rerteuy
P:5t,-Xf6-67a/y<o-5g4.ao4a 4~ 1 �S ApindUunCau.i3AuxrTAl Staples IUwne llarmr
P.'51a-936fiT/6 IkaaG.Akab ilr.CiurtesGrahaln
i•r)' 7' .� Woody Audcia, Bryan Kllaker
MISSION: 4 tit J6'b C7culcs N.Bull ISlrick Wallxc
T.enhance the quality of life U ' CLaHcs S.(Charlie)titan,
for rural'Pexa,s. (7 - Ixmninaalirrclnr
� * �
.GOVERNOR ItICK PERRY
I . :y•.Ii .�,;(t -1 ix i.. )( -': 'i : Ii• _ .••j
NOTICE OF COMPLAINANTS REQUEST FOR ADDITIONAL INFORMATION
January 28, 2011 ',:: l ;,; t.
The Honorable Louis R. Rigby i.,;.q._ vt,,
Mayor, City of La Porte
604 W. Fairmont Parkway " r't A
La Porte,Texas 77571 /- 1Q- I I YD
Dear Mayor Rigby:
The Complainants in the Conciliation Agreement have requested additional information,regarding the Disaster Recovery
Round 2 Phase 1 application submitted byyourjurlsdiction'
Per Section II.A.3.5 of the United States'Departrrteht of HoGsing and Urban'Dev-elopment-Conciliation Agreement dated
May 25, 2010,,the Complainants have a ten-day period within which to lodge an.objection stating how the:Program*
does not comply with the Conciliation Agreement. Upon mutual consent of TDRA and the Complainants,the'Objection
Period may extended.t Complainants may, while deciding whether to object or not, ask.questions;to and request
clarifications directly from•theconsultant. The Complainants have exercised this option and are•requesting additional
information mga"rding your,applieation The ten-day review period has been placed on hold,;while,,this additional
information is provided by your community. ` II I . v w
. .. • t•' . . .- a .i ... .1 1; . .• ,,) . -I.•
This information has been provided in an e-mail to: Mr. Bruce Soitzengel,GrantWorks, Inc.
• Please see the"attached request for'informatlon provided by the Complainants to TDRA.M
• TDRA strongly recommends.that you contact the TDRA Compliance Consultant, Maryellen Lewis at (517)974-
.. .. . • 1' ,- •n•- �- I , . , i. ,
4406 or by a-mail at FairHousing@tdra.texas.Kov for guidance on demonstrating compliance with Fair Housing
provisions. a, •, s y
• All necessary information must be uploaded to DashPort by: February 11,2011
Failure to provide this information may result in an objection being lodged by the Complainants. As specified by the
Conciliation Agreement,an objection would Impede TDRA from awarding Round 2 Phase 1 funds. Please do not hesitate
to contact me for additional assistance or information at (512)463-8741.
Sincerely,
, f ,
Cecil Pennington f
Manager, Planning and Development
Attachment: Complainant request for additional information
CC:Applicable Council of Government
Page 1 of 1
(AUTHORIZED SIGNATORY FOR COMPLAINANTS)
FOR TDRA USE ONLY:
DATE RECEIVED BY TDRA:
Page 2 of 2
11919V.TDRA.TEXAS.GOV R TOM GOVERNING BOARD
1700 N.Congress Asenur,Snke no V Dr.Wallace Klussrnann,Chair
Austin,Terns 787WDasid Alders,Poe Choir Dr.Markle Bobo,5rrnimy
P.512-936-6702/8005444042 (OF
Aarindlure CommisslonerTodd Staples Reme uar
e Fa* i DcmG.,U$U Dr.C4wlesGrahamWoodyMdegn K.a Tucker
MISSION: ChmleaN.Uatts P$dckWallaceTo enhance the quality u/life ChartesS.(Chortle)Stonerson Uforntral Temps. Executive Director
GOVERNOR RICK PERRY
COMPLAINANT NOTICE OF OBJECTION(OR NO OBJECTION)TO APPLICATION
APPLICANT NAME: La Porte
Application for Project(s)No.: All Projects
DATE: July 1,2011
COMPLAINANT CONTACT PERSON: Ms.Madison Sloan,Staff Attorney
PHONE U512-473-2800 ext.108
FAX# 512-473.2813
EMAIL: msloan@texasappleseed.net
RETURN BY FAX TO(512)447-5329 \' ft
REVIEW DETERMINATION: _X_No Objection _Objection - _ objecfion To Entire Application
_ Objection To Specificprojeci(s)-'
` 't rwithin the application.
Project IVs Objected to:
Based on the commitments laid out in the City's letter of June 27,2011,we have no objections tothis application.''
IF OBJECTION 15 BEING MADE: rjF'( r
PLEASE PROVIDE THE SPECIFIC OBJECTIONS) BEING MADE REGARDING THIS APPLICATION. PLEASE REFERENCE THE
PROJECT#IF APPLICATION CONTAINS MULTIPLE PROJECTS:
PLEASE PROVIDE THE SPECIFIC CONCILIATION AGREEMENT RELATED BASIS FOR THE OBJECTION(S):
Page 1 of 2
COMPLAINANT REQUEST FOR ADDITIONAL INFORMATION
APPLICANT NAME: La Porte
Application for Project(s)No.: , • ta.'
DATE APPLICATION DELIVERED TO COMPLAINANT:
COMPLAINANT CONTACT PERSON: Ms. Madison Sloan.Staff Attorney
PHONE U512-473-2800 ext.108
FAX U512-473-2813
512-473-2813
EMAIL: msioan texasappleseed net
RETURNED BY FAX TO(512)936-0356
We request the following information in order to determine whether the City of La Porte's drainage project is consistent
with HUD's current Fair Housing Guidance and the Conciliation Agreement. We appreciate the City's commitment to
undertake an expedited process of developing a meaningful and compliant analysis and plan through the FHAST form,
subject to explicit review for consistency with HUD's current Fair Housing Guidance, and approval by the State of Texas
and its independent fair housing consultant.
........................... .........._.................._...... ......._....._................ _-.._............._..............._....._._..._.................... _...... ........... ......
• Despite the fact that the city has over 2500 rental units, HUD data shows no Section 8 voucher holders,and
according to other data available to us, no DHAP voucher holders In the city.This in itself is an Impediment to
Fair Housing and raises serious concerns regarding Fair Housing compliance. In addition, the City has a very
small African-American population,and a larger Hispanic population that are both highly concentrated.
However, the City proposed no major fair housing activities In its application. Please describe what activities the
City of La Porte will undertake to identify and address these impediments.
• The City indicated that the following Impediments identified by the Harris County Analysis of Impediments
applied in its jurisdiction: Increased enforcement/awareness of fair housing laws, lack of lending/investment in
disadvantaged communities,and barriers to development of,affordable housing. However, the City also
indicates that it has only taken steps to address the need for affordable housing. What actions will the City
undertake to address these identified impediments to fair housing?
• La Port is over 70%non-Hispanic white and has a relatively high median Income. In order to affirmatively further
fair housing the City will need to engage in a regional fair housing planning process.Would the City of La Porte
be willing to also engage in such a process with the surrounding communities? If so,we request that the state
fair housing consultant propose the details of such a regional fair housing planning process and a proposed
budget and source of funds.
S ^rSa Pagelof2
CITY OF LA PORTE
Organizational Chart
ORGANIZATION CHART
Citizens
City Attorney Mayor and Municipal Court
City Council Judge
City Secretary
Emergency Management City Manager Human Resources
Economic Development TI7Admnj
Information Technology
GolfParks&Recreation
ciao I I Main. Recreation Park Maim. Special
House Svcs
Fire/EMS Police Finance I Public I Planning
Works
Prevention Patrol Accounting I I I I inspections
Airport IWme Water
Suppression CID Tax Collection IS
EMS Admin Purchasing Water II Wastewater Phoning&
Production Treatment Engineering
Support Svc Utility Billing
Res.Solid water
Waste Distribution
LP Water II comm.sdid
_ II I
Aud o ty Watt.
Or A
Admin Motor Pool
H
~ J
o to
Streets
re arA
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