Summary of CPD/PIH/HSG Minority Business Enterprise Activity
HUD FORM 2516-A
1. FIELD OFFICE CONTACT PERSON # of Grantees No. of Grantees Reporting Summary Report (check one)
Period
in Report in Jurisdiction Oct. 1 - Sept. 30
2. STATE REPORT NAME: Fiscal YEAR CPD _____ PH _____ HSG _____ IH ______
PHONE 2005
3. TRIBE FAX # DATE SUBMITTED
E-mail:
WHITE HISPANIC ASIAN/PACIFIC NATIVE AFRICAN HISIDIC
TOTAL MBE WOB'S
AMERICANS AMERICANS AMERICANS AMERICANS AMERICANS JEWS
GRANTEE TOTAL # TOTAL # $ # $ # $ # $ # $ # $ # $ # $
CONTRACTS CONTRACT $
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
Page 1
Summary of CPD/PIH/HSG Minority Business Enterprise Activity
HUD FORM 2516-A
1. FIELD OFFICE CONTACT PERSON # of Grantees No. of Grantees Reporting Summary Report (check one)
Period
in Report in Jurisdiction Oct. 1 - Sept. 30
2. STATE REPORT NAME: Fiscal YEAR CPD _____ PH _____ HSG _____ IH ______
PHONE 2005
3. TRIBE FAX # DATE SUBMITTED
E-mail:
WHITE HISPANIC ASIAN/PACIFIC NATIVE AFRICAN HISIDIC
TOTAL MBE WOB'S
AMERICANS AMERICANS AMERICANS AMERICANS AMERICANS JEWS
GRANTEE TOTAL # TOTAL # $ # $ # $ # $ # $ # $ # $ # $
CONTRACTS CONTRACT $
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
TOTALS 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00
TOTAL w/o WOB $0.00 TOTAL w/WOB $0.00
Page 2
Instructions for Completing the MBE Form 2516a
1. OSDBU receives a hard copy of the actual 2516a filled out by the Field Office after the Program
Area contact receives and reviews the forms to prepare the analysis.
2. Do not compile the report by Hub office. The information must reflect the contracts issued by
each State and reported by Field Office as indicated by the first two entries on the form.
3. All MBE submissions must be on the 2516a excel spreadsheet form distributed for the 2005 reporting
period, also available at http://www.hud.gov/offices/osdbu/forms.cfm
4. All 2516a forms must include the information highlighted in red in the top portion of the form:
* Name of Field Office
* Name of the State being reported
* Tribe (if applicable)
* Contract Person
o Name
o Phone
o Fax Number
o E-Mail
* Number of Grantees listed on the form
* Number of Grantees in that Jurisdiction
* The reporting period never changes and is printed on the form
* The Fiscal Year of the report
* The date submitted
* The Program Area
5. The information in the "Grantee Column" should reflect the name of the city or county that receives
the grant, NOT the Housing Authority or subgrantee.
6. All Columns on the form must be completed where applicable, most important and commonly missed
are the:
* Total Number of Contracts
* Total Number of Contract Dollars
* Total Number of contracts in each ethnic category
7. The distributed form for the 2005 reporting period (an Excel Spreadsheet) also has two (2) rows and
two (2) columns shaded. Do Not Type In These Areas.
The formulas will calculate the totals across and down, which reduces the chance of human error and
the hassle or need of a calculator. And, most importantly it significantly reduces the time needed to
produce the report.