Form HUD-27054E "Eloccs Access Authorization Form"

What Is Form HUD-27054E?

Form HUD-27054E, eLOCCS Access Authorization Form is a Department of Housing and Urban Development (HUD) form. The Line of Credit Control System (LOCCS) is the HUD's primary grant and subsidy system among its multiple applications. It takes care of disbursement and cash flow for the majority of HUD grant programs.

The latest edition of the form was released in April 2017 and is available for digital filing. Download a fillable PDF version of the Form HUD-27054E down below or find it on the HUD website.

Form HUD-27054, LOCCS Voice Response System Access Authorization is a related form.

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Form HUD-27054E Instructions

The eLOCCS implemented a Single Sign-on solution allowing the grant recipients to be recognized and authenticated based on their Secure System IDs, thus no longer requiring a separate sign-in to eLOCCS. The recipients use the system to request funds from HUD by signing into Secure Systems and selecting a Line of Credit Control System link. HUD-27054E Form needs to be completed, notarized and sent via U.S. Mail to the Program Office for review. The LOCCS system generates an Access Authorization email informing the user that their eLOCCS access authorization form has been processed, thus enabling grantees to access their eLOCCS account.

This form is to be approved by the recipient's (or grantee's) Chief Executive Officer or a person in a similar position. The form is then sent to your HUD Program Office for review and approval. Make sure you retain a copy for your records. If you are the grantee, mail the form to your grant program officer. If you are a program officer, mail the completed and certified form to the following address: OCFO, User Support Branch (FYMU) 451 7th Street SW, Room 3114, Washington, DC 20410

When completing the eLOCCS Form 27054E, follow all instructions provided. Detailed instructions can be found on the form itself or on the HUD website. This form should never be emailed. The original Form 27054E should be mailed to the HUD Point of Contact (POC), or the eLOCCS SME.

All fields on the form are mandatory. Failure to enter any of the fields on the form will cause your application to be rejected and returned for correction. Fill out the first sections selecting the type of function (new user, reinstate user, etc.). Approving officials and users must register with Secure Systems to obtain their Secure Systems User ID to fill out the second section. Enter the number of authorization pages, the signature of the user, and date in MM/DD/YYYY format. The signature of the notary should be different from that of the approval official. The HUD program officer must validate that the data on the form is accurate and that the grantee is indeed the correct official accessing the grant. In Section 9, Program Area Authorization, enter the reason and all the related information on more than one sheet, if needed. Do the same for the next section, Multiple Organizations. Three initials and dates are required at the bottom of the form: authorized users', approving official's and HUD Program Officer's initials and date.

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Download Form HUD-27054E "Eloccs Access Authorization Form"

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OMB Approval No. 2535-0102
(exp. 4/30/2020)
U.S. Department of Housing
eLOCCS
and Urban Development
Access Authorization Form
(exp
See Instructions, Public Burden, and Privacy Act statements before completing this form
This form is to be approved by the recipient’s (or grantee’s) Chief Executive Officer or equivalent. All forms must be sent to your HUD Program Office for
review and approval. Retain a copy. MANDATORY REQUIREMENT: New User, Reinstate User and Change Secure Systems ID must be NOTARIZED.
GRANTEE – Mail form to your grant program officer. PROGRAM OFFICER: Required to mail the completed and certified form to: OCFO, User Support
th
Branch (FYMU) 451 7
Street SW, Room 3114, Washington, DC 20410.
1. Type of Function(s)
2a. Secure Systems ID
2b. New Secure Systems ID
(mandatory)
(if changing ID)
1
New User
5
Revise Authorizations
2
Reinstate User
6
Name/Address Change
3
Terminate User
7
Other ______________________
4
Change Secure Systems ID
3. Authorized User’s Name (last, first, mi) Print or Type
Title (mandatory)
Office Telephone Number
(include area code)
Complete Mailing Address
E-Mail Address
4. Authorizations (see next page) are required for New User, Reinstate User and Revise Authorization functions. Attach one
Number of Authorization Pages
or more authorization pages as needed. Record the number of attached pages to the right. Each page should be initialed by
Attached
the Approving Official and HUD Program Office POC.
5. Authorized User’s Signature
Date (mm/dd/yyyy)
I authorize the person identified above to access eLOCCS via HUD’s Secure Systems.
6.LOCCS Approving Official Name (last, first, mi) Print or Type
7. Notary (must be different from user
Title
and approving official) Seal, Signature, and
Date Notarized (mm/dd/yyyy)
E-Mail Address
Secure Systems User ID (mandatory)
Complete Mailing Address
Office Telephone Number
(include area code)
Approving Official’s Signature
Date (mm/dd/yyyy)
Title
8. HUD Program Office Point of Contact’s Name (last, first, mi) Print or Type
Office Telephone Number (include area code)
E-Mail Address
Date (mm/dd/yyyy)
HUD Program Office Point of Contact’s Signature
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 2
Form HUD-27054E (4/2017)
OMB Approval No. 2535-0102
(exp. 4/30/2020)
U.S. Department of Housing
eLOCCS
and Urban Development
Access Authorization Form
(exp
See Instructions, Public Burden, and Privacy Act statements before completing this form
This form is to be approved by the recipient’s (or grantee’s) Chief Executive Officer or equivalent. All forms must be sent to your HUD Program Office for
review and approval. Retain a copy. MANDATORY REQUIREMENT: New User, Reinstate User and Change Secure Systems ID must be NOTARIZED.
GRANTEE – Mail form to your grant program officer. PROGRAM OFFICER: Required to mail the completed and certified form to: OCFO, User Support
th
Branch (FYMU) 451 7
Street SW, Room 3114, Washington, DC 20410.
1. Type of Function(s)
2a. Secure Systems ID
2b. New Secure Systems ID
(mandatory)
(if changing ID)
1
New User
5
Revise Authorizations
2
Reinstate User
6
Name/Address Change
3
Terminate User
7
Other ______________________
4
Change Secure Systems ID
3. Authorized User’s Name (last, first, mi) Print or Type
Title (mandatory)
Office Telephone Number
(include area code)
Complete Mailing Address
E-Mail Address
4. Authorizations (see next page) are required for New User, Reinstate User and Revise Authorization functions. Attach one
Number of Authorization Pages
or more authorization pages as needed. Record the number of attached pages to the right. Each page should be initialed by
Attached
the Approving Official and HUD Program Office POC.
5. Authorized User’s Signature
Date (mm/dd/yyyy)
I authorize the person identified above to access eLOCCS via HUD’s Secure Systems.
6.LOCCS Approving Official Name (last, first, mi) Print or Type
7. Notary (must be different from user
Title
and approving official) Seal, Signature, and
Date Notarized (mm/dd/yyyy)
E-Mail Address
Secure Systems User ID (mandatory)
Complete Mailing Address
Office Telephone Number
(include area code)
Approving Official’s Signature
Date (mm/dd/yyyy)
Title
8. HUD Program Office Point of Contact’s Name (last, first, mi) Print or Type
Office Telephone Number (include area code)
E-Mail Address
Date (mm/dd/yyyy)
HUD Program Office Point of Contact’s Signature
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 2
Form HUD-27054E (4/2017)
Use one of the blocks below to enter requested authorizations as needed for the Type of Function checked in block 1. Most users should use block 9.
Use block 10 if you are requesting access for multiple organizations under the same program area (for example, SCMF users need access to many
organizations). Use multiples of this Authorization page as needed. Enter the number of Authorization pages used in block 4.
9. Program Area Authorizations
Reason:
Organization
Organization Tax ID:
Name:
Q =Query
Program Area
Program Area Name
D=Drawdown
10. Multiple Organizations for a Single Program Area
Reason:
Program
Program Area:
Area Name:
Q =Query
Organization Tax ID
Organization Name
D=Drawdown
11a. Authorized User’s Initials and date
11b. Approving Official’s Initials and date
11c. HUD Program Office Initials and date
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 2 of 2
Form HUD-27054E (4/2017)
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.
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 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 eLOCCS have their access capability promptly deleted. Provision of the Secure Systems ID is mandatory. HUD uses it as a unique identifier
for safeguarding the eLOCCS 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 eLOCCS.
Instructions for the
eLOCCS Access Authorization Form
For more information, including the LOCCS program area codes and names, go to the following webpage:
http://portal.hud.gov/hudportal/HUD?src=/program_offices/cfo/loccs_guidelines
1.
Type of Function:
4. Authorizations: Enter the number of authorization pages
(1) New User: User does not currently have eLOCCS
used. Not needed for all functions.
access. Form must be notarized with original signatures.
5. Signature/Date: The signature of the user requesting access
(2) Reinstate User: Used to reinstate the user's access
and the date (mm/dd/yyyy) this authorization was signed.
authorization in eLOCCS. Form must be notarized with
original signatures.
6. Approval Official: Enter the name, office telephone number,
title, Secure Systems User ID, office address, signature and date
(3) Terminate User: Used to immediately terminate the
of the approving official representing the grantee organization.
Approving officials cannot approve themselves for access to the
user's access authorization to eLOCCS.
system, and must be the organizations chief executive officer or
(4) Change Secure Systems ID: Used to change the Secure
equivalent.
Systems ID recorded in eLOCCS.
7. Notary. Must be different from user and approving official.
(5) Revise Authorizations: Used to add, change, or delete
The official who notarizes the form shall include his/her seal,
the eLOCCS authorizations for an existing user. Use Reason
signature, and date (mm/dd/yyyy). Notary should notarize both
in block 9 or 10 to describe the purpose of the revision.
signatures. Notary is only required for new user, reinstate user
and change Secure Systems ID functions.
(6) Name/Address Change: User is changing name, email,
telephone or address information.
8. Program Office Validation. The HUD Program Office must
validate that the grantee is the correct official accessing the
(7) Other: Use only as directed by the LOCCS Security staff.
grant, and all data as it appears on the form for accuracy. The
Program Official shall include his/her name, office telephone
number, title, e-mail address, signature, and date (mm/dd/yyyy).
2a.
Secure Systems User ID: Field is mandatory. Approving
Officials and Users must register with Secure Systems to obtain
9. Program Area Authorizations: Enter the reason,
their Secure Systems User ID. It is a required field on this form. If
organization Tax ID and name, the program area codes and
you do not have your Secure Systems ID or have questions,
names, and Q for Query or D for Drawdown (which includes query
contact your Program Office for procedures.
access). Use multiple pages as needed.
2b.
New Secure Systems User ID: Use only when correcting
Use Reason to explain the authorization request. For example,
“new user”, “updating authorization”, “changing Tax ID”, or as
the Secure Systems ID that eLOCCS has associated with the
user.
directed by HUD.
3. User Information: All fields are mandatory. Failure to
10. Multiple Organizations: Enter reason. Enter multiple
enter any of these fields will cause the HUD-27054E to be
organization Tax IDs and names and Q for Query or D for
rejected and returned for correction. Enter the user's last name,
Drawdown for a single program area code and name. Use
first name, and middle initial. Enter the user's office phone
multiple pages as needed.
number. Enter user's mailing address, city, state and zip code.
Enter user’s e-mail address.
11. Required:
11a. Authorized Users intiials and date
11b. Approving Official’s intials and date
11c. HUD Program Officer’s initials and date
Previous editions are obsolete.
Page i
Form HUD-27054E (4/2017)

Video Instructions for Form HUD-27054E

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