Form Hud-40203 - Youthbuild Planning Grant Request Voucher For Grant Payment Page 2
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2Public reporting burden for this collection of information is estimated to average 15 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. This agency may
not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number.
HUD implemented the Line of Credit Control System/Voice Response System (LOCCS/VRS) to process requests for payments to grantees. Grant recipients
fill out a voucher form for the applicable HUD program with all the necessary information prior to making a telephone call using a touch tone telephone to
initiate the drawdwon process. The grantee will be prompted for entering the information and for confirming information that is spoken back by the VRS
simulated voice. This information is required to obtain benefits under the U.S. Housing Act of l937, as amended. The information requested does not lend
itself to confidentiality.
Instructions for the Request Voucher for Grant Payment for Youthbuild
1.
Voucher Number: 051 is the prefix to all Youthbuild voucher
6a. Grantee Organization's Tax Identification No: Enter the
numbers. The remaining 6 digits will be assigned by LOCCS/
tax (employer) Identification Number (TIN).
VRS during the telephone call. The entire 9-digit number will
8.
Grant Number: Enter the project number that appears on the
have to be entered prior to ending the call.
Grant Agreement.
2.
LOCCS Program Area: YB
9.
Type of Funds Requested: Youthbuild grant VRS draw-
3.
Enter the period covered by this request.
downs are directed against specific funding categories called
Budget Line Item (BLIs). LOCCS associates a 4-digit number
4.
Type of Disbursement: Check "partial" until the final request
with each line item. Enter the amount requested in each
for grant funds is made.
category and the total funds requested under item 10, Voucher
5.
Voice Response No: Enter the 10 digit Voice Response
Total.
System (VRS) project number which was sent to you by mail.
11. Name & phone number (including area code) of the person
Your regular HUD project number will be repeated back for
who completed this voucher.
verification after the VRS project number is entered.
12. Name and title of person authorized to request funds.
6.
Grantee Organization’s Name:
Enter the name of the
organization requesting funds. It must be the same name that
13. Signature of the person identified in item 12.
appears on the Grant Agreement.
14. Date of this Request: Enter the date item 13 was signed.
form HUD-40203 (2/94)
page 2 of 2
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