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Beneficiary Verification Summary by Service Area <br /> Form N = 3 <br /> A B i C D E F G H I I J <br /> ENTER ! ENTER ACTIVITIES TO BE ENTER ENTER ENTER ENTER ENTER ENTER CALCULATE CALCULATE <br /> SERVICE COMPLETED IN EACH SERVICE AREA TOTAL # OF TOTAL # OF TOTAL # OF TOTAL # TOTAL TOTAL # <br /> PERCENT OF PERCENT <br /> AREA #/ BENEFIT ( USE MORE THAN ONE LINE FOR HOUSEHOLDS ( HH IN RESPONSES HH RESPOND- OF VLI # OF OF ALL VLI <br /> OF LMI <br /> SURVEY MULTIPLE ACTIVITIES) THE SERVICE AREA REQD ING TO THE BENEFI- j LMI BENEFI- BENEFIT BENEFIT j <br /> METHOD* ( UNIVERSE-COL H ) SURVEY CIARIES BENEFI- CIARIES (F ❑ H ) (G ❑ H ) <br /> CIARIES <br /> Sewer hookups <br /> 1 / B met need ! 42 42 42 25 60 70 35 . 70 85 . 70 <br /> 1 / B New Sewer Line 42 42 42 25 60 70 35 . 70 85 . 70 <br /> met need (same as above) <br /> 2 / B I Flood and Drainage <br /> 50 50 50 40 80 100 40 . 00 80 . 00 <br /> i —1 <br /> %----------------- <br /> - � 0/0 <br /> - <br /> �__ % <br /> % % <br /> % <br /> j 134 134 134 90 200 240 <br /> * A = Random Sample, B = Small Service Area , C = Census, D = Survey, not more than five years old , from previous <br /> CDBG award <br /> If a random survey was conducted , include as an appendix a description of the methodology which describes the basis <br /> of the universe, the <br /> confidence interval selected , and the procedures used to contact the initial sample before surveying an alternate . The sample <br /> and alternates must <br /> be selected from a random number generator website (such as random . org ) and a print out of those numbers included <br /> in the appendix . <br /> 18 <br />