Ame
rican Rescue Plan Act
(ARPA)
Policies and Procedures
Beneficiary Checklist
City of Pomona
Fiscal
Policies & Procedures
Number:
Effective Date:
Approval
BE
NEFICIARY
CATEGORY
CRITERIA CRITERIA MET?
Impacted
Individuals and
Households
Household income at or below 300 percent of the Federal Poverty Guidelines or 65 percent of the area median?
Did the individual or anyone in the household experience unemployment during the pandemic?
Did the individual or household experience increased food or housing insecurity during or as a result of the pandemic? Does the individual or anyone in the household qualify for any of the following federal benefits:
Children’s Health Insurance Program (CHIP)
Childcare Subsidies through Child Care Development Fund (CCDF) Program
Medicaid/MediCal
Attachment No. 3
City of Pomona
ARPA Policies & Procedures
Beneficiary Checklist
For programs providing affordable housing:
Households that qualify for National Housing Trust Fund and Home Investment Partnership Programs
For programs addressing lost instructional time in K-12 schools:
Any student that lost access to in-person instruction for a significant period of time
If any of the above criteria met, the Impacted individual or household is a Beneficiary
Disproportionately
Impacted
Individuals and
Households
Household income at or below 185percent of the Federal Poverty Guidelines or 40 percent of the area median?
Does the individual live in or is the household located in a Qualified Census Tract?
Does the individual or anyone in the household qualify for any of the following federal benefits:
Temporary Assistance for Needy Families (TANF)
Supplemental Nutrition Assistance Program (SNAP)
Free-and Reduced-Priced Lunch (NSLP) and/or School
Breakfast (SBP) programs
Medicare Part D Low-Income Subsidies
Supplemental Security Income (SSI)
Head Start and/or Early Head Start
Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
City of Pomona
ARPA Policies & Procedures
Beneficiary Checklist
Section 8 Vouchers
Low-Income Home Energy Assistance Program (LIHEAP)
Pell Grants
If any of the above criteria met, the Disproportionately Impacted individual or household is a Beneficiary
City of Pomona
ARPA Policies & Procedures
Beneficiary Checklist
Impacted
Small Business
Does the business meet the following:
have 500 or fewer employees
is independently owned and operated
is not the dominant business in its field of operation Did the business experience financial insecurity during the pandemic?
Did the business incur decreased revenue or gross receipts during or as a result of the pandemic?
Did the business experience increased costs as a result of the pandemic?
Did/does the business have difficulty to weather financial hardship due to the pandemic?
Did the business experience challenges covering payroll, rent or mortgage, and other operating costs as a result of the pandemic?
If first criteria and any of the other criteria are met, the impacted small business is a beneficiary
City of Pomona
ARPA Policies & Procedures
Beneficiary Checklist
Disproportionately
Impacted
Small Business
Does the business meet the following:
have 500 or fewer employees
is independently owned and operated
is not the dominant business in its field of operation Is the small business operating in a Qualified Census Tract? Is the small business operated by a Tribal government or on Tribal land?
Is the small business operating in a U.S. Territory?
If first criteria and any of the other criteria are met, the disproportionately impacted small business is a beneficiary
City of Pomona
ARPA Policies & Procedures
Beneficiary Checklist
Impacted
Nonprofit
Organizations
Is the nonprofit organized as a 501(c)(3) or 501(c)(19) tax exempt organization?
Did the non-profit experience decreased revenue (i.e. from donations and fees) as a result of (or during) the pandemic?
Did the non-profit experience increased costs (i.e. uncompensated increases in service need) as a result of the pandemic?
Did the non-profit experience financial insecurity as a result of the pandemic?
Did/does the nonprofit have difficulty to weather financial hardship due to the pandemic?
Did the non-profit experience challenges covering payroll, rent or mortgage, and other operating costs as a result of the pandemic?
If the nonprofit is a 501(c)(3) or 501(c)(19) and any of the above criteria are met, it is an Impacted Nonprofit Beneficiary
Disproportionately
Impacted
Nonprofit
Organizations
Is the nonprofit organized as a 501(c)(3) or 501(c)(19) tax exempt organization?
Is the nonprofit operating in a Qualified Census Tract? Is the nonprofit operated by a Tribal government or on Tribal land? Is the nonprofit operating in a U.S. Territory?
If the nonprofit is a 501(c)(3) or 501(c)(19) and any of the above criteria are met, it is a Disproportionately Impacted Nonprofit Beneficiary
City of Pomona
ARPA Policies & Procedures
Beneficiary Checklist
Impacted
Industries
Does the business operate in the travel, tourism or hospitality sector? If not in travel, tourism, or hospitality:
Experienced at least 8 percent employment loss from pre- pandemic levels, or
Is experiencing comparable or worse economic impacts as the national tourism, travel, and hospitality industries as of the date of the final rule
If either criteria are met, the Impacted Industry is a Beneficiary