Dakota County Community Development Agency
**** **** ****** **., *****, MN 55123
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Online Application Summary
Profile
Chad Mundt
Inver Grove Hts., MN 55077
Applied Date: 4/8/2023 3:02:59 PM
Application Status: Submitted
Office:
Home: 651-***-****
FAX:
E-mail: *******@*****.***
Household Information
Name Member SSN DOB Age Gender
Chad Mundt Head of Household XXX-XX-9936 7/13/1975 47 M Income
Annual Income: 7,000.00
Special Needs Access
Displaced
Homeless
X None
Hearing Access
Mobility Access
Sight Access
X None
Other Details
Dakota County Community Development Agency
1228 Town Centre Dr., Eagan, MN 55123
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If you do not live in Dakota County, Minnesota, does any adult member of your household work or go to school full- time in Dakota County, Minnesota? If yes, please provide the employer or school name and location (city).
Live in Dakota county
Senior Housing Applicants Only – Do you have immediate family members (mother, father, son, daughter, brother or sister) living in Dakota County, Minnesota? If so, please list their name, address and relationship to you.
no
Do or will you be receiving rental assistance? If yes, please indicated the source (ie. Section 8, Bridges, FUP, VASH, ESG, COC, etc.).
no
Do you receive any other types of public assistance (ie. MFIP, GA, child care, medical, SNAP)? Answer yes or no. no
If you are homeless, do you receive services from Dakota County? If so, please indicate the type of services. not homeless
Preferences Waiting list
Dakota County Ties Description Status Reason
Senior Dakota County Ties - Family in
County
Colleen Loney Manor Pending
2021 Housing Choice Voucher
(Section 8)
Pending
Public Housing Pending
Senior Housing - 1 Bedroom Pending
Dakota County Community Development Agency
1228 Town Centre Dr., Eagan, MN 55123
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THERE ARE LAWS TO PROTECT YOUR RIGHTS TO INFORMATION AND PRIVACY Under the Minnesota Government Practices Act (M.S. 13.01 through 13.88) you have the right to know: A. WHAT IS THE PURPOSE AND INTENDED USE OF THE INFORMATION THE CDA COLLECTS? Within the context of the CDA Public Housing and Section 8 Programs, the information we collect from you or about you (or from other individuals or agencies authorized by you) is collected, used and disseminated for the administration and management of legally authorized programs. The information we collect about you is classified under Minnesota law as: (1) Public - anyone can see the information; (2) Private - only you and those authorized by law or by you can see the information; or (3) Confidential - you cannot see the information although those persons authorized by law can. The private classification applies to most of the information we collect about you.
The purposes and uses of this information are for one or more of the following reasons: 1. To help us determine whether you are eligible to participate or to continue to participate in the CDA’s housing program for which you have applied. 2. To enable us to establish the level of rent you must pay in accordance with federal law. 3. To assist the CDA in maintaining or upgrading its housing stock. 4. To enable the CDA to comply with legal requirements governing its and other agencies legislative mandates.
B. YOUR RIGHTS WHEN SUPPLYING INFORMATION (M.S. 13.04) The information you are asked to provide to the CDA is information necessary for our determination of your eligibility for housing program benefits. Collection of this information is authorized by the Federal Housing Act of 1937, as amended, and by the Minnesota Housing and Redevelopment Authority Act, M.S. 462.11, et seq. While you have the right to refuse to supply the information we request, the CDA may not be able to provide you with the housing assistance. If you feel that certain information we request is an unwarranted invasion of your privacy, contact the CDA’s responsible authority. C. WHO HAS ACCESS TO THE PRIVATE INFORMATION WE COLLECT ABOUT YOU? Depending upon the housing program and as authorized by state, local, or federal law, the information we maintain may be
shared with:
1. U.S. Department of Housing and Urban Development 2. CDA employees and contractors and CDA selected volunteer agencies serving you or your dwelling unit
3. Owner of Section 8 unit in which you reside
4. Dakota County Department of Human Services
5. Dakota County Department of Economic Security
6. School Districts
Dakota County Community Development Agency
1228 Town Centre Dr., Eagan, MN 55123
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7. Fire Department and Paramedics when an emergency situation or investigation requires the sharing of information
8. Utility companies servicing Dakota County to ensure that CDA rental units are maintained as required by the lease
9. U.S. Census Bureau
10. The City/Township and its various departments (those needing access to information) in which you receive CDA assistance
11. Federal, State or Local auditors
12. Researchers who are granted access to the data for the purposes of preparing summary data 13. Other Local, State and Federal agencies as may be required by law 14. Personnel of the welfare system, as defined below, who are authorized by federal law to access the data and require said data to verify identity; determine eligibility, amount of assistance, and the need to provide services to an individual or family across programs, coordinate services for an individual or family; evaluate the effectiveness of programs; assess parental contribution amounts; and investigate suspected fraud, and to administer federal funds or programs. See also, Minn. Stat. §13.46, subd. 2(6).
“Welfare system” is defined at Minn. Stat. §13.46, subd. 1(c) to include the Department of Human Services, local social services agencies, county welfare agencies, county public health agencies, county veteran services agencies, county housing agencies, private licensing agencies, Dakota County child support enforcement, and other entities under contract to any of the above agencies to the extent specified in the contract. If any criminal or civil investigation is begun regarding you or your family’s receipt of benefits from this Agency or any other social services agency, information may also be shared with County, State, Local or Federal staff members who conduct such investigations pursuant to State and Federal Law. Information may also be shared with the appropriate judicial bodies.
We may deny parental access to private data when the minor, who is the subject of the data, requests that we deny such access. We may require the minor to submit a written request that the data be withheld. The written request shall set forth the reasons for denying parental access and shall be signed by the minor. Unless otherwise authorized by status of federal law, government agencies with whom we share private information must also treat the information as private. Other non-government agencies with whom we share private information must likewise treat that information as private. When you are no longer being served by the CDA, we will keep your file only until state and federal retention requirements are met. D. WHO HAS ACCESS TO THE CONFIDENTIAL INFORMATION WE COLLECT ABOUT YOU? Information collected as part of the CDA’s investigation in preparation for actual or potential litigation involving you is confidential information when it is contained in correspondence between the CDA and our attorney. Only the CDA and our attorney and those persons authorized by Local, State and Federal law may have access to the information. You do, however, have the right to know if information about you has been classified confidential.
E. WHAT INFORMATION DO YOU HAVE ACCESS TO?
You or your authorized representative or guardian may request to be shown information about yourself that is maintained by the CDA and that is classified as private. There is no cost for this service, but there may be a copy charge for copies which you would like made. According to Minnesota law, after you have been shown private information about yourself and have been informed of its meaning, the data need not be again shown to you for six months thereafter, unless a dispute or legal action concerning your privacy rights is pending or additional data about you has been collected.
F. HOW CAN YOU CONTEST THE ACCURACY OR COMPLETENESS OF INFORMATION IN YOUR FILE? Write to us describing the nature of your disagreement. Send this information to: Responsible Authority, Dakota County CDA, 1228 Town Centre Drive, Eagan, MN 55123. We will act on your letter within thirty (30) days in accordance with the Minnesota Government Data Practices Act. If you have any other questions about your privacy rights, please contact CDA’s Responsible Authority. Dakota County Community Development Agency
1228 Town Centre Dr., Eagan, MN 55123
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