Government Apps

CDBG Local Income Survey

The data collection app is designed to be used by local communities that decide to conduct their own income survey in order to qualify their service area for Community Development Block Grant (CDBG) funds. The survey can determine if a CDBG-funded activity designed to benefit an area generally qualifies as primarily benefiting LMI persons. For more information about how to conduct a local income survey, please see HUD’s income survey toolkit.

CDBG Local Income Survey iPhone, iPad CDBG Local Income Survey Android CDBG Local Income Survey Web, Desktop
CDBG Local Income Survey

Survey Introduction

[Community] is applying for state and federal funding assistance for community development projects. The application requires accurate reporting of the average current income level of local families and it is vital that your family participate. This survey is voluntary and your individual responses will be kept confidential.


Area Name

Unique ID

Please Enter Family ID

Family ID Address

show house


Is the above address correct?


Is this your permanent residence?

How many people live at this address? (Include yourself.)

How many of the people living at this address are related to you by blood, marriage, or adoption? (Include yourself.)


family id

family address

What is the combined total annual income of all family members living here before taxes?

Prefers not to provide exact income

LMI Value H

Income Card Section

Is the combined income of all family members residing at this address (including any related, dependent persons over 65 or working dependent children over 18) above or below then the amount below?

Dollar amount

LMI Family


Which category best describes you? (You may select more than one option.)

Are you Hispanic/Latino

What is your sex/gender?

Does your family rent or own this property?

Is any member of your family age 62 or over?

Do any of your family members have a physical or mental condition that limits their daily activities or ability to work?

Please share your phone number below if we can contact you with questions about your survey responses. We won't use your number for any other purpose or share it outside of the research team.