Youthbuild Program

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Youthbuild Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 585

Information Collection 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: 86	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	172	-244	416
Annual IC Time Burden (Hours)	3,440	-8,220	11,660
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.