Hud 27054 Form PDF Details

The HUD 27054 form plays a crucial role in managing access to the Line of Credit Control System/Voice Response System (LOCCS/VRS), an essential component in the disbursement process for grantees of the U.S. Department of Housing and Urban Development (HUD). Designed to protect the integrity and security of financial transactions, this form requires comprehensive information from users seeking authorization to access the system. New users, as well as those needing to reinstate or modify their access, must navigate a series of steps, including the provision of personal details, organizational affiliation, and the specific HUD program areas they wish to access. Notably, the process emphasizes security through the mandatory provision of a social security number as a unique identifier, underscoring the government's commitment to safeguarding against unauthorized access. Moreover, the inclusion of notarization for certain actions further reinforces the system's security measures. With an approval process that involves multiple layers of verification by organizational chiefs, notaries, and HUD program offices, the HUD 27054 form illustrates the complex, yet necessary, bureaucratic steps involved in granting access to federal financial systems. These procedures reflect a broader effort to ensure the prudent management of public funds, demonstrating how administrative forms like the HUD 27054 are critical to the functioning of federal housing programs and the prevention of fraud.

QuestionAnswer
Form NameHud 27054 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameseloccs access authorization form, loccs online, hud 27054e, loccs form

Form Preview Example

LOCCS

Voice Response System

Access Authorization Form

OMB Approval No. 2535-0102

U.S. Department of Housing

(exp. 11/30/2016)

and Urban Development

 

See Instructions, Public Burden, and Privacy Act statements on back before completing this form

This form is to be approved by the recipient’s

The Program Office will forward the original form to:

For overnight delivery send to:

(or grantee’s) chief executive officer. For

 

U.S. Dept. of Housing and Urban Development

U.S. Dept. of Housing and Urban Development

new users, reinstate users, and resend

 

Chief Financial Officer, FYM

 

Chief Financial Officer, FYM

user ID, retain a copy and send a notarized

Attention: User Support Branch

 

Attention: User Support Branch

original to your HUD Program Office for

 

PO Box 23774

 

451 7th Street SW, Room 3114

review.

 

 

Washington, DC 20026-3774

 

Washington, DC 20410

1. Type of Function (mark one)

 

 

2a. User ID (please leave blank)

2b. Social Security Number (SSN)

1

New User

5

Add New Program Area or Tax ID

(CFO USE ONLY)

(mandatory)

2

Reinstate User

6

Change Tax ID

 

 

 

3

Terminate User

7

Change Address

 

 

 

4

Reset Password for Active Users

8

Resend User ID

 

 

 

 

 

9

Name Change

 

 

 

3. Authorized User’s Name (last, first, mi) Print or Type

Title (mandatory)

Office Telephone Number (include area code)

Complete Mailing Address

4. Recipient Organization for which Authority is being Requested

Tax ID

Organization’s Name

E-Mail Address

Tax ID

Organization’s Name

 

 

Tax ID

5a. LOCCS Program Area

Organization’s Name

5b. Program Name

5c. Q = Query Only

D = Project Drawdown

6. Authorized User’s Signature

Date (mm/dd/yyyy)

I authorize the person identified above to access LOCCS via the Voice Response System.

7. Approving Official’s Name (last, first, mi) Print or Type

Office Telephone Number (include area code)

8.Notary (must be different from user

and approving official) Seal, Signature, and Date Notarized (mm/dd/yyyy)

Title

Social Security Number (mandatory)

Complete Mailing Address

E-Mail Address

Approving Official’s Signature

Date (mm/dd/yyyy)

9. HUD Program Office Point of Contact’s Name (last, first, mi) Print or Type

Title

HUD Program Office Point of Contact’s Signature

Office Telephone Number (include area code)

E-Mail Address

Date (mm/dd/yyyy)

WARNING: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802)

Previous editions are obsolete.

Page 1 of 1

Form HUD-27054 (11/2013)

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 VRS 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 Development (HUD) to collect all the information which will be used by HUD to protect disbursement data from fraudulent actions. The Housing and Community 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 Form

1.Type of Function:

(1)New User: User does not currently have a LOCCS user ID. Form must be notarized with original signatures.

(2)Reinstate User: Used to reinstate the user's access authorization in LOCCS. Form must be notarized with original signatures.

(3)Terminate User: Used to immediately terminate the user's access authorization in LOCCS.

(4)Reset Password for Active Users: A temporary password will be mailed back to the user to inform him/her of the reset password's value. The user will be required to change the password on the next access to LOCCS.

(5)Add New Program Area or Tax ID: User has a current User ID and will be increasing access capability.

(6)Change Tax ID: User has a current ID and will be changing the Tax ID. This function is not to be used to change approving official, or substitute a user. Contact Program Office for procedures.

(7)Change Address: User is changing the current mailing address.

(8)Resend User ID. User has no knowledge of existing User ID.

(9)Name Change. User is requesting their name to be changed.

2.a. User ID: This block will be filled in by the User Support Branch.

b.Social Security Number. Mandatory. Used to preclude duplicate issuance of authorization for the same person. See the Privacy Act Statement above. [Do not use Federal Tax

ID Number]

3.User Information: All fields are mandatory. Failure to enter any of these fields will cause the HUD-27054 to be rejected. Enter the user's last name, first name, and middle initial. Enter the user's office phone number. Enter user's mailing address, city, state and zip code. Enter user’s e-mail address.

4.Recipient Organization for which authority is being requested. This will identify the organization the user will be representing. Enter the organization's Tax ID and organization name.

5.Program Authority. Identify the HUD program areas this user will be authorized to access for the recipient organization and

then enter the corresponding code(s)/name(s). See http://portal.hud.gov/hudportal/documents/huddoc?id=prgareas.pdf

a.Enter the 3 or 4-character LOCCS Program Area.

b.Enter the Program Name.

c.Enter "Q" for Query only access or "D" for Project Drawdown access. Users who select Project Drawdown access will automatically receive Query access.

6.Signature/Date. The signature of the user requesting access And the date (mm/dd/yyyy) this authorization was signed.

7.Approval. All fields are mandatory.

Enter the name, office telephone number, title, social

social security number, office address, signature and date of the approving official representing the grantee. Approving officials cannot approve themselves for access to the system, and must be the user’s supervisor.

8.Notary. Must be different from user and approving official. The official who notarizes the form shall include his/her seal, signature, and date (mm/dd/yyyy). Notary should notarize both signatures. Notary is only required for new user and reinstate user.

9.Program Office Validation. The HUD Program Office must validate that the grantee is the correct official accessing the grant. The Program Official shall include his/her name, office telephone number, title, e-mail address, signature, and date (mm/dd/yyyy).

Previous editions are obsolete.

Page i

Form HUD-27054 (11/2013)