Louisiana Community Development Block Grant (LCDBG) Coronavirus Response Needs Assessment

The priority ranking of High, Medium, Low, and No Need is intended to determine the areas of highest need as a result of coronavirus (COVID-19) and the projects and programs in which the State should focus its efforts and CDBG Cares Act funding.

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* 1. Public Services: Please rank the need for each of the following by selecting High, Medium, Low, or No Need.

	High	Medium	Low	No Need
Health Services (example: Provide testing, diagnosis or other services at a fixed or mobile location.)	Health Services (example: Provide testing, diagnosis or other services at a fixed or mobile location.) High	Health Services (example: Provide testing, diagnosis or other services at a fixed or mobile location.) Medium	Health Services (example: Provide testing, diagnosis or other services at a fixed or mobile location.) Low	Health Services (example: Provide testing, diagnosis or other services at a fixed or mobile location.) No Need
Senior Citizen Services (example: Deliver meals on wheels to quarantined individuals or individuals that need to maintain social distancing due to medical vulnerabilities.)	Senior Citizen Services (example: Deliver meals on wheels to quarantined individuals or individuals that need to maintain social distancing due to medical vulnerabilities.) High	Senior Citizen Services (example: Deliver meals on wheels to quarantined individuals or individuals that need to maintain social distancing due to medical vulnerabilities.) Medium	Senior Citizen Services (example: Deliver meals on wheels to quarantined individuals or individuals that need to maintain social distancing due to medical vulnerabilities.) Low	Senior Citizen Services (example: Deliver meals on wheels to quarantined individuals or individuals that need to maintain social distancing due to medical vulnerabilities.) No Need
Youth Services	Youth Services High	Youth Services Medium	Youth Services Low	Youth Services No Need
Substance Abuse Services	Substance Abuse Services High	Substance Abuse Services Medium	Substance Abuse Services Low	Substance Abuse Services No Need
Mental Health Services	Mental Health Services High	Mental Health Services Medium	Mental Health Services Low	Mental Health Services No Need
Employment Training (example: Carry out job training to expand the pool of health care workers and technicians that are available to treat disease within a community.)	Employment Training (example: Carry out job training to expand the pool of health care workers and technicians that are available to treat disease within a community.) High	Employment Training (example: Carry out job training to expand the pool of health care workers and technicians that are available to treat disease within a community.) Medium	Employment Training (example: Carry out job training to expand the pool of health care workers and technicians that are available to treat disease within a community.) Low	Employment Training (example: Carry out job training to expand the pool of health care workers and technicians that are available to treat disease within a community.) No Need
Services for Homeless Persons	Services for Homeless Persons High	Services for Homeless Persons Medium	Services for Homeless Persons Low	Services for Homeless Persons No Need
Subsistence Payments (Payments for families impacted by coronavirus for items such as food, clothing, housing or utilities for up to 6 months. Payments must be made directly to provider.)	Subsistence Payments (Payments for families impacted by coronavirus for items such as food, clothing, housing or utilities for up to 6 months. Payments must be made directly to provider.) High	Subsistence Payments (Payments for families impacted by coronavirus for items such as food, clothing, housing or utilities for up to 6 months. Payments must be made directly to provider.) Medium	Subsistence Payments (Payments for families impacted by coronavirus for items such as food, clothing, housing or utilities for up to 6 months. Payments must be made directly to provider.) Low	Subsistence Payments (Payments for families impacted by coronavirus for items such as food, clothing, housing or utilities for up to 6 months. Payments must be made directly to provider.) No Need

Other Public Services Need (please specify)

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* 2. Economic Development: Please rank the need for each of the following by selecting High, Medium, Low, or No Need.

	High	Medium	Low	No Need
Microenterprise-a commercial enterprise that has 5 or fewer employees, 1 or more of whom owns the enterprise. (example: Provide technical assistance, grants, loans, and other financial assistance to establish, stabilize, and expand microenterprises to address economic disruption and coronavirus response.)	Microenterprise-a commercial enterprise that has 5 or fewer employees, 1 or more of whom owns the enterprise. (example: Provide technical assistance, grants, loans, and other financial assistance to establish, stabilize, and expand microenterprises to address economic disruption and coronavirus response.) High	Microenterprise-a commercial enterprise that has 5 or fewer employees, 1 or more of whom owns the enterprise. (example: Provide technical assistance, grants, loans, and other financial assistance to establish, stabilize, and expand microenterprises to address economic disruption and coronavirus response.) Medium	Microenterprise-a commercial enterprise that has 5 or fewer employees, 1 or more of whom owns the enterprise. (example: Provide technical assistance, grants, loans, and other financial assistance to establish, stabilize, and expand microenterprises to address economic disruption and coronavirus response.) Low	Microenterprise-a commercial enterprise that has 5 or fewer employees, 1 or more of whom owns the enterprise. (example: Provide technical assistance, grants, loans, and other financial assistance to establish, stabilize, and expand microenterprises to address economic disruption and coronavirus response.) No Need
Loans to Businesses (example: Avoid job loss caused by business closures related to social distancing and economic disruption by providing short-term working capital assistance to small businesses to enable retention of jobs.)	Loans to Businesses (example: Avoid job loss caused by business closures related to social distancing and economic disruption by providing short-term working capital assistance to small businesses to enable retention of jobs.) High	Loans to Businesses (example: Avoid job loss caused by business closures related to social distancing and economic disruption by providing short-term working capital assistance to small businesses to enable retention of jobs.) Medium	Loans to Businesses (example: Avoid job loss caused by business closures related to social distancing and economic disruption by providing short-term working capital assistance to small businesses to enable retention of jobs.) Low	Loans to Businesses (example: Avoid job loss caused by business closures related to social distancing and economic disruption by providing short-term working capital assistance to small businesses to enable retention of jobs.) No Need
Job-Specific Training (Retrain unemployed due to pandemic for new industry, increase number of healthcare workers for COVID response)	Job-Specific Training (Retrain unemployed due to pandemic for new industry, increase number of healthcare workers for COVID response) High	Job-Specific Training (Retrain unemployed due to pandemic for new industry, increase number of healthcare workers for COVID response) Medium	Job-Specific Training (Retrain unemployed due to pandemic for new industry, increase number of healthcare workers for COVID response) Low	Job-Specific Training (Retrain unemployed due to pandemic for new industry, increase number of healthcare workers for COVID response) No Need

Other Economic Development Need (please specify)

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* 3. Public Facilities: Please rank the need for each of the following by selecting High, Medium, Low, or No Need.

	High	Medium	Low	No Need
Acquisition (example: Acquire and rehabilitate, or construct, a group living facility that may be used to centralize patients undergoing treatment.)	Acquisition (example: Acquire and rehabilitate, or construct, a group living facility that may be used to centralize patients undergoing treatment.) High	Acquisition (example: Acquire and rehabilitate, or construct, a group living facility that may be used to centralize patients undergoing treatment.) Medium	Acquisition (example: Acquire and rehabilitate, or construct, a group living facility that may be used to centralize patients undergoing treatment.) Low	Acquisition (example: Acquire and rehabilitate, or construct, a group living facility that may be used to centralize patients undergoing treatment.) No Need
Public Facilities-Construction (example: Construct a facility for testing, diagnosis, or treatment.)	Public Facilities-Construction (example: Construct a facility for testing, diagnosis, or treatment.) High	Public Facilities-Construction (example: Construct a facility for testing, diagnosis, or treatment.) Medium	Public Facilities-Construction (example: Construct a facility for testing, diagnosis, or treatment.) Low	Public Facilities-Construction (example: Construct a facility for testing, diagnosis, or treatment.) No Need
Public Facilities-Rehabilitation (example: Rehabilitate a community facility to establish an infectious disease treatment clinic.)	Public Facilities-Rehabilitation (example: Rehabilitate a community facility to establish an infectious disease treatment clinic.) High	Public Facilities-Rehabilitation (example: Rehabilitate a community facility to establish an infectious disease treatment clinic.) Medium	Public Facilities-Rehabilitation (example: Rehabilitate a community facility to establish an infectious disease treatment clinic.) Low	Public Facilities-Rehabilitation (example: Rehabilitate a community facility to establish an infectious disease treatment clinic.) No Need

Other Public Facilities Need (please specify)

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* 4. Housing: Please rank the need for each of the following by selecting High, Medium, Low, or No Need.

	High	Medium	Low	No Need
Housing-limited to rehabilitation. (example: Make interim improvements to private properties to enable an individual patient to remain quarantined on a temporary basis.)	Housing-limited to rehabilitation. (example: Make interim improvements to private properties to enable an individual patient to remain quarantined on a temporary basis.) High	Housing-limited to rehabilitation. (example: Make interim improvements to private properties to enable an individual patient to remain quarantined on a temporary basis.) Medium	Housing-limited to rehabilitation. (example: Make interim improvements to private properties to enable an individual patient to remain quarantined on a temporary basis.) Low	Housing-limited to rehabilitation. (example: Make interim improvements to private properties to enable an individual patient to remain quarantined on a temporary basis.) No Need

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* 5. Are there any other funding sources available for the needs identified in Questions 1-4? If so, what are they?

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* 6. Are there any other needs in the jurisdiction that are a result of the coronavirus (COVID-19)?

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* 7. Are there any other funding sources available for the other needs identified in Question 6? If so, what are they?

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* 8. Contact information for person completing the needs assessment.

Name:

Title:

Municipality/Parish:

Email address:

Phone number:

Date: