Information Collection

Youthbuild Program

IC 27439 under ICR 201002-2506-001 · OMB 2506-0142.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2506-0142 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF-1199A Youthbuild Program	Form and Instruction
SF-1199A Direct Deposit Sign-up Form sf1199a.pdf	Form and Instruction
HUD-27054 LOCCS Voice Response System Access Authorization 27054.pdf	Form and Instruction
HUD 40201 Youthbuild Reports 40201.pdf	Form and Instruction

IC Title:

Youthbuild Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 585

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SF-1199A	Direct Deposit Sign-up Form	sf1199a.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-27054	LOCCS Voice Response System Access Authorization	27054.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD 40201	Youthbuild Reports	40201.pdf	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	12,000	12,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.