Form 27054 A

Form 27054-a.pdf

Rural Innovation Fund

Form 27054 A

OMB: 2506-0188

Document [pdf]
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U.S. Department of Housing
and Urban Development

LOCCS Access Authorization
Security Form for HUD Staff

OMB Approval No. 2535-0102
(exp. 5/31/2010)

See the Privacy Act statement on the back before completing this form

This form is to be completed by the LOCCS user and signed by both the Personnel
Official and a LOCCS Access Authorizing Official. All entries are mandatory
unless specifically not applicable. Print all information clearly.
Send the completed form to:
U.S. Department of Housing
and Urban Development
Chief Financial Officer, FYM
P.O. Box 23774
Washington, DC 20026-3774

This form is used to request terminal access to Line of
Credit Control System (LOCCS). For users who require
other than a data query access, a Limited Background
Investigation package, e.g., SF-85P (95 edition only),
SF-87, and Fair Credit Reporting Authorization must
also be completed and submitted to the CFO Security
Office in Headquarters.
1.Type of Action (mark one)

2. Type of User (mark one)

New User
Reinstate User
Terminate User
Add new Program Area
Change Program Area
Change Address
6.

RAD
FO
OSS
ACH
HQ

User's Last Name

RO
OFA

Please read the instructions on Page Two carefully
before completing this form.
3. Region (2 digits)
(mandatory)

4. Field Office (2 digits)
(mandatory)

User's First Name

Middle Initial

8. User's Office Address

5. User ID (unless you're a new user)

7. User's Social Security Number

9. Office Telephone No.
(include area code & extension)

City

State

Zip Code

10. Office Correspondence Code (mandatory)

11. User's Signature

12. Access Requested (Skip this part if the Type of User code is "HAO," ACH," or "OSS.")

Program
Area

Query

CFO Only
Payment
Banking
Cntrl DE

13. Personnel Office Certification for User

CFO Only CFO Only
Voucher
Entry

Verify

Field
Office
Admin.

I certify that:
HQ
Admin.

o NACI completed (date-mm/dd/yyyy) (required for all
employees) ___________________ is on file.
o A Limited Background Investigation package, e.g., SF85P (95 edition only), SF-87, and Fair Credit Reporting
Authorization was submitted to the Personnel Security
Branch on
(date-mm/dd/yyyy)

___________________

Personnel Official's Title

Phone Number

Personnel Official's Signature

Date (mm/dd/yyyy)

13a.Personnel Office Certification for Approving Official

14. LOCCS Access Authorizing Official: Mandatory data. Printed name, social security
number, title, phone number, and signature of the LOCCS Access Authorizing Official.
The approving official should be the supervisor or higher level of manager of the person
cited on line 6. The LOCCS Access Authorizing Official must file a Limited
Background Investigation package, e.g., SF-85P (95 edition only), SF-87, and Fair
Credit Reporting Authorization.
LOCCS Access Authorizing Official
Name of Supervisor or Line Manager
Title

Social Security Number

file.

A Limited Background Investigation package, e.g., SF85P (95 edition only), and SF-87, and Fair Credit
Reporting Authorization was submitted to the Personnel
Security Branch on
(date-mm/dd/yyyy)

__________________

Personnel Official's Title

Phone Number

Personnel Official's Signature

Date (mm/dd/yyyy)

Office Telephone Number

Office Mailing Address

Supervisor or Line Manager's Signature

I certify that:
o NACI completed (date-mm/dd/yyyy)__________________ is on

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
form HUD-27054-A (06/2003)
Page 1 of 1

Instructions for
LOCCS Access Authorization
Security Form (for HUD Staff)
1.

Type of Action:
New User: User does not currently have a LOCCS User ID.
Reinstate User: Used to renew the user accesss authorization in LOCCS - Field personnel must send to Employee
Service Center, HQ Personnel must go to Personnel Security
in HQ.
Terminate User: will cause immediate termination of the
user’s access to LOCCS.
Add New Program Area. User has a current user ID and will
be increasing access capability - only list new areas.
Change Program Area: User has a current ID and will be
changing the user information or the access privileges currently assigned.
Change Address. User has a current ID and will be changing
current mailing address.
2. Type of User: Identify the user as follows:
FO = Field Office Personnel
OSS = Office of Finance and Accounting Systems Staff
(HQ only)
ACH = Automated Clearing House team in the Office of
Finance and Accounting (OFA)
RAD = Regional Accounting Division
OFA = Operational area -- except for OFA’s System Staff or
the "ACH" team
HQ = Headquarters Program Personnel
RO = Regional Program Staff
3-4. Region/Field Office: Enter numeric region and Field Office
code for the user.
5. User ID: Enter your 6-digit LOCCS User ID if you are a
current user. Mandatory
6-11. Self explanatory / Mandatory.
12. Access Requested: (If the User Type is “HAO,” or “OSS,”
skip to items 13-14.)
Enter the 3 or 4-character LOCCS Program Area in column
1. Headquarters program staff will provide you with the
appropriate code(s).
Mark, in the appropriate column, the access privileges requested:
Mark “Query” only if no other classification is desired. This
will allow the user to query all data for the HUD program
within their Field Office, Regional, or Headquarters control.
Mark “Payment/ Banking Control Data Entry” if you are
an employee of the CFO National Accounting Center, a
“RAD” type of user, and your job function will be assigning
a grant to a Tax ID Number or entering payment/banking
data.

Mark “Voucher Entry” if you are a “RAD” type of user, and
an employee of the CFO National Accounting Center and
your job function will be to enter vouchers into LOCCS.
Mark “Verify” if you are a “RAD” type of user, and an
employee of the CFO National Accounting Center, and your
job function is to confirm payment/banking data and/or
vouchers entered by the RAD.
Mark “Field Office Administration” if you require authority to approve/reject a payment that has been sent by LOCCS
to program staff for approval prior to payment. This option
will also give the user the ability to record receipt of outstanding program documents/forms, enter program budget
data for grants, and record receipt of Section 8 Financial
Settlement Reviews. You must work in the region for which
you are applying.
Mark “Headquarters Administration” if you are an “HQ”
type of user and you require access to screens for overall
program management.
13. Personnel Office Certification: Completing this box by the
Office of Personnel is mandatory. It must be filled in only by
a Personnel Official. The name, title, and phone number of
the Personnel Officer are required. The Personnel Official
must also record the dates that the NACI clearance was
completed and the date the SF-85P was sent to the Personnel
Security Branch. Failure to obtain a Personnel Official’s
signature will result in access being denied.
The LOCCS user must have a “National Agency Check with
Inquiry” (NACI) investigation completed before they will be
granted any LOCCS access. The LOCCS user will not be able
to receive other than “Query” authority, for any program, if
they have not completed a SF-85P, Background Investigation form.
To be valid at HUD, the clearance contained in the user's
personnel file must have been issued by a Federal Agency not
more than fifteen (15) years ago. NACI and Limited Background Investigations over 15 years old will not be accepted.
If the NACI is over fifteen years old, the Office of Personnel
must initiate and receive a new NACI before they can sign
this form.
14. LOCCS Access Authorizing Official: Mandatory data.
Printed name, social security number, title, phone number,
and signature of the LOCCS Access Authorizing Official.
The approving official should be the supervisor or higher
level of manager of the person cited on line 6. The LOCCS
Access Authorizing Official must file a Limited Background Investigation package, e.g., SF-85P(95 edition
only), SF-87, OF-306, and Fair Credit Reporting Authorization.

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.
Previous editions are obsolete

Page i

form HUD-27054-A (06/2003)


File Typeapplication/pdf
File Title27054-a
Subject27054-a
AuthorELK
File Modified2010-03-02
File Created2001-12-10

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