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eLOCCS U.S. Department of Housing and Urban …

OMB Approval No. 2535-0102. Department of Housing (exp. 4/30/2020). 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 Branch (FYMU) 451 7th Street SW, Room 3114, Washington, DC 20410.)

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.

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  Department, Urban, Housing, Department of housing and urban

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