Information Collection

eLOCCS Access Authorization Form

IC 261088 under ICR 202310-2535-001 · OMB 2535-0102.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 27054e eLOCCS Access Authorization Form	Form and Instruction
27054e eLOCCS Access Authorization Form 27054E Update as of 10-4-2023.pdf	Form and Instruction
27054e eLOCCS Access Authorization Form 27054E Update as of 10-4-2023.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	27054e	eLOCCS Access Authorization Form	27054E Update as of 10-4-2023.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,420

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,420	2,420
Annual IC Time Burden (Hours)	411	411
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.