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Public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number. HUD implemented the Line of Credit Control System[Voice Response System (LOCCS/VRS) to process requests for payments to grantees. Grant recipients fill out a voucher form for the applicable HUD program with all the necessary information prior to making a telephone call using a touch tone telephone to initiate the drawdown process. The grantee will be prompted for entering the information and for confirming information that is spoken back by the VHS simulated voice. This information is required to obtain benefits under the U. S. Housing Act of 1937, as amended. The information requested does not lend itself to confidentiality. Privacy Act Statement: Public Law 97-255 , Financial Integrity Act, 31 U . S . C . 3512, authorizes the Department of Housing and Urban Develop- ment (HUD) to collect all the information which will be used by HUD to protect disbursement data from fraudulent actions . The Housing and Com- munity Development Act of 1987, 42 U . S . C.3543 authorizes HUD to collect the SSN . The purpose of the data is to safeguard the Line of Credit Control System (LOCCS) from unauthorized access. The data are used to ensure that individuals who no longer require access to LOCCS have their access capability promptly deleted . Provision of the SSN is mandatory. HUD uses it as a unique identifier for safeguarding the LOCCS from unauthorized access . This information will not be otherwise disclosed or released outside of HUD, except as permitted or required by law. Failure to provide the information requested on the form may delay the processing of your approval for access to LOCCS. Instructions for the LOCCS Voice Response Access Authorization Security Form 1 . Type of Function : 4 . Recipient Organization for which Authority is being re- 1 quested. This will identify the organization the user will be ( ) New User: Userdoess not currently have res. user ID. representing. Enter the organization's Tax ID and organiza- tion must be notarized with original signatures. g tion name. (2) Reinstate User: Used to renew the user's access autho- rization in LOCCS . Form must be notarized with original 5 . Program Authority. Identify the HUD program(s) this user signatures. will be authorized to access for the recipient organization and then enter the corresponding code(s)/name(s) . [Program (3) Terminate User: will immediately terminate the user's Office should provide this information.] access authorizations in LOCCS . - a./b . Contact your local HUD Field Office for the appropriate (4) Reset Password for active users : A temporary pass- 3 or 4-character LOCCS Program Area/Name word will be mailed back to the user to inform him/her of the reset password's value. The user will be required to change c . Enter either "Q " for Query only access , " D" for Project the password on the next access to LOCCS . Drawdown access . Users who select Project Drawdown access, Project Set-Up access, or Administrative Drawdown (5) Add new Program Area or Tax ID : User has a current access will automatically receive Query access. Persons who user ID and will be increasing access capability. have Project Set-Up Authority for a given Tax ID cannot also (6) Change Tax ID : User has a current ID and will be have Project Drawdown Authority for the same Tax ID . " S " changing the Tax ID. This function is not to be used to change and "A " are reserved for use with the HOME and HOPE approving official, or substitute a user. Contact Field Office Programs. contact for procedures. 6. Signature. The signature for whom access is being re- (7) Change Address : User is changing the current mailing quested and the date (mm/dd/yyyy) this authorization was address. signed. send 7 . Approval. Enter the name, title, SSN (social security num- User-ID um- Use ReLOUser-ID- User has no knowledge of existing ber), office phone, office address, signature and date from/ dd/yyyy) of the approving official representing the recipient 2 a. User ID : This block will be filled in by the LOCCS organization . Approving officials cannot approve them- Security Officer for all ID 's . selves for access to the system, and must be the user's b . Social Security Number : Mandatory . Used to preclude supervisor. duplicate issuance of authorization for the same person. See 8 . Notary. Must be different from user and approving official . the Privacy Act Statement above . [Do not user Federal Tax Seal and signature of the official who notarizes this form and ID Number] date (mm/dd/yyyy). Notary should notarize both signatures . 3 . User Information: All fields are mandatory. Failure to Notary is only required for new user and reinstate user. enter any of these fields will cause the security request to be rejected . Enter the user's last name, first name, and middle initial . Enter the user's office phone number. Include the area code. Enter user's mailing address, city, State and zip code. Previous editions are obsolete. Page i form HUD-27054 (06/2003)