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Home My WebLink About20250977.tiffOMB Approval No. 2506-0171 exp 07/31/2025 IDIS Online Access Request U.S. Department of Housing and Urban Development Office of Community Planning and Development GRANTEE & REQUESTOR INFORMATION 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 purpose of the data is to safeguard the Integrated Disbursement and Information System (IDIS) from unauthorized access. The data are used to ensure that individuals who no longer require access to IDIS have their access capability promptly deleted. 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 IDIS. Public Reporting burden for this information collection is estimated to average 30 minutes including time for collecting, reviewing, and reporting data. HUD may not collect this information, and respondents are not required to complete this form, unless it displays a currently valid OMB Control Number. This section of the form is to be completed by the requestor. Complete all information accurately and clearly in its entirety to prevent delays in processing. Required fields are 1. Request Type 2. Five -Digit Pin 3. Requestor Name (Last, First, MI) 4. Office Email Address 5. Office Address 6. Office Phone Number/Ext. 7. Grantee Name in IDIS 8. Grantee Type. 9. Please Mark All Necessary Functions and Programs (NOTE: If no Functions or Programs are requested, a new requestor will be given rights to view activities and generate reports.) 10. Approval of State Subgrantee Request if applicable 11. Modules Requestor must review and acknowledge IDIS Online Rules of Behavior by signing the User Acknowledgement and Certification (name, signature, and date). GRANTEE APPROVING OFFICIAL This section of the form is to be completed by the grantee approving official. Complete all information accurately and clearly in its entirety to prevent delays in processing. Required fields are: 1. Approving Official's Name 2. Title 3. Office Phone/Ext 4. Office Address (street, city, state, zip) 5. Signature 6. Date Grantee Approving Official must sign, "I authorize the person above to have access to IDIS functions checked". ConTo+ LIFi /25 CC'. FI (cP,\a3) -7/Z4/ ZS 2025-0977 ROU7 Notary This section of the form is to be completed by an authorized notary. The Approving Official's signature must be notarized to verify the identity of the individual who signed this document using the appropriate notary certificate of the state, territory or insular area. Once completed, attach the completed notary certificate to this form and send to your local HUD CPD Field Office. If your state, territory or insular area does not require a notary certificate, use the space below for notary stamp. HUD FIELD OFFICES ONLY CPD field office staff must verify: 1. Ensure the requestor entered all required information accurately. 2. Ensure the grantee approving official information is completed and signed. 3. Ensure the form is notarized properly. Forms will not be processed without the Field Office Approval (CPD Director or Designee) signature. Once approved, scan and email the notarized form to IDISUseridRequests@hud.gov. Subject of all emails must include: 1. Grantee Name in IDIS 2. Requestor Name 3. CPD Field Office Forms received directly from grantees to the IDISUseridRequests@hud.gov mailbox will not be processed. OMB Approval No 2506-0171 cap 07/31/2025 I®15 Online Access Request U S Department of Housing and Urban Development Office of Community Planning and Development Pnvacy Act Statement Public Law 97 255 Financial Integnty Act 31 U 5 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 purpose of the data is to safeguard the Integrated Disbursement and Information System require access to IDIS have their access It abdny promptly deleted 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 IDIS Public Reporting burden for this information collection is estimated to average 30 minutes including time for collecting reviewing and reporting data HUD may not collect this information, and respondents are not required to complete this form unless it displays a currently valid OMB Control Number GRANTEE & REQUESTOR INFORMATION i REQUEST TYPE . - Role to be Performed. by, Headquarters •Rolefoti*Performed kiy Field or Local .IDrS,Admihistrator 1 New Request ❑ Drop from IDIS ❑ Renew Lapsed ID liti Change Function or Program Area ❑ 1 I Change Name ❑ Add Access for Another Grantee ❑ ti Please create a five digit pin that will be used for password resets ©0 Q 0 Di a ' 1 Requestor's Name (Last, First, MI) Office E-mail Address ) Patti'', Cheryl R cpattelli@weld gov Office Address Office Phone i 1150 O Street, Greeley, CO 80631 970-400-4451 GRANTEE TYPE City ❑ County Z State ❑Non -Profit ['Sub Grantee* ❑ I Grantee Name in IDIS a Weld County, Colorado I' Please Mark All Necessary Functions & Programs 5 Aut.:lied. • Set Up Activity Wil Request Drawdown WI ;I Functions . Approve Drawdown❑, Local IDIS Administrator Z Program reas CDBG ® HOME ❑ ESG ❑ HOPWA ❑ HESG ❑ HOPWA-C ❑ HTF ❑ ext Other — _ — _ If other, please specify name of program i *Approval of State Sub Grantee Request — CPD State Coordinator or State Official name, signature and date 4 Signature Date Name odules , Con Plan Create/Edit/Submit 67j Edit ❑ View ❑ Caper Create/Edit/Submit IY1 Edit ❑ View ❑ IDIS Online Rules of Behavior September 14, 2015 Introduction This Rules of Behavior (RoB) procedure was developed as a guide to ensure that all users of IDIS Online are made aware of their security responsibilities before accessing IDIS Online The RoB defines responsibilities and procedures for secure use of IDIS Online By reading and acknowledging these rules, users accept the responsibility to protect IDIS Online and data Users are accountable for their actions and the requirements to protect IDIS Online data and equipment from both malicious and accidental loss and damage These rules clearly delineate the responsibilities of and expectations for all individuals with access to IDIS Online Non-compliance with these rules will be enforced through sanctions commensurate with the level of infraction Responsibilities All authorized users who have access to IDIS Online are required to read, acknowledge understanding, and sign the RoB before accessing IDIS Online and associated data This acknowledgement must be completed annually thereafter By agreeing to and signing these rules, the user signifies 1 Understanding that access is given only to IDIS Online to which the user requires access in the performance of their official duties and the user will not attempt to access systems they are not authorized to access a 9 ALL PREVIOUS VERISONS OF THIS FORM WILL NOT BE ACCEPTED OR PROCESSED HUD FORM 27055 (10/2020) 2. Understanding of the IDIS Online Rules of Behavior (IDIS RoB) security requirements. 3. Acknowledgement that disciplinary action may be taken based on violation of the IDIS RoB. The IDIS Online System Security Administrator (SSA) verifies that the users who require access to IDIS Online have read and accepted (via signature on the acceptance form) this IDIS RoB. Other Policies and Procedures This IDIS RoB is intended to enhance and further define the specific rules each user must follow while accessing IDIS Online. The rules are consistent with the policy and procedures described in the following directives: Revision III, of "Security OMB of Circular Federal Automated No. A-130, Information Transmittal Resources." No. 3, Appendix https://www.whitehouse.gov/omb/circulars_a130_a130pre Privacy Act of 1974, as amended, S U.S.C. § 552a http://www.justice.gov%opcl/privacy-act-1974 18 USC 1030(x)4, "Accessing to Defraud and Obtain Value http://www.gpo.gov/fdsys/granule/USC0DE-2010-titlel8/USC0DE- 2010-titlel8-partl-chap47-sec1030/content-detail.htm NIST Developing February Special 2006 Security Publication Plans 800-18 for Information - Revision 1, Technology Guide for Systems, http://csrc.nist.gov/publications/nistpubs/800-18-Rev1/sp800-18- Rev1-final.pdf HUD Information Technology Security Policy Handbook http://portal.hud.gov/hudportal/HUD?srcgprogram_offices/admin istration/hudclips/handbooks/cio/2400.25 Application Rules Because written guidance cannot cover every contingency, you are asked to go beyond the stated rules, using your best judgment and highest ethical standards to guide your actions. These rules are based on Federal laws and regulations and HUD policies. As such there are consequences for non-compliance. The following IDIS RoB is the minimum rules for users who are requesting an IDIS Online user account: 1. You are aware of the existence of and penalty for violating 18 USC 1030 and abide by: a. The elements of 18 USC 1030(x)4, "Accessing to Defraud and Obtain Value" are: i. Knowingly accessing a protected computer without or in excess of authorization; ii. With intent to defraud; Access furthered the intended fraud; and iv. Obtain anything of value b. The pena ty for violating this statute includes a fine and imprisonment of not more than ten years, or both. 2. You must adhere to HUD's policy requiring a separation of duties between the requestor and approver for financial transactions: a. Effective December 14, 2001, the same person can no longer both request and approve a given draw down in IDIS Online. b. While individual persons may have the power to both request and approve draws, this rule prevents an individual from approving a draw that he or she created. IDIS Online requires two people to be involved in every draw down of funds 3. Currently, the IDIS Online Local Administrator initially defines what a person can do in IDIS Online, carrying out the wishes of each grantee's authorizing official — mayor, grant holder, CEO, CFO, etc. Some users have full rights, while others have limited rights of various kinds. You understand that you are given access only to IDIS Online to which you require access in trie performance of your official duties and that you will not attempt to access systems that you are not authorized to access. 4. You are prohibited from misusing IDIS Online, i.e., exceeding your authority. Your level of access to IDIS Online is limited to ensure your access is not more than necessary to perform your legitimate tasks or assigned duties. If you believe you are being granted access that you should not have, you must immediately notify the IDIS Online SSA via email at IdisUseridRequests@hud.gov. 5. You must immediately notify your Supervisor, CPD Field Office Administrator, and/or your Local Grantee Administrator if your access/privilege are no longer required, termination, promotion, and transferred. 6. You must maintain the confidentiality of your authentication credentials such as your password. Do not reveal your authentication credentials to anyone and do not record passwords on paper or in electronic form. 7. You must report a I security incidents or suspected incidents (e.g., lost passwords, improper or suspicious acts) related to IDIS Online to the HUD Computer Incident Response Team at CIRT@hud.gov. 8. Your IDIS Online password expires every 90 days, so ensure you access IDIS at least once a month. Users who do not use IDIS within a 90 day period will find their accounts are de -activated. ALL PREVIOUS VERISONS OF THIS FORM WILL NOT BE ACCEPTED OR PROCESSED HUD FORM 27055 ( 10/2020) Page 2 of 3 9 You must follow proper logon/logoff procedures You must manually Iogon to your session, do not store your password locally on your system or utilize any automated Iogon capabilities You must promptly logoff when session access is no longer needed If a logoff function is unavailable, you must close your browser Never leave your computer unattended while logged Into IDIS Online 10 You must not establish any unauthorized interfaces between IDIS Online and other non -HUD systems 11 Your access to IDIS'Online constitutes your consent to the retrieval and disclosure of the information within the scope of your authorized access, subject to the Privacy Act, and applicable Federal laws 12 You must safeguard IDIS Online resources against waste, loss, abuse, unauthorized use of disclosure, and misappropriation 13 You must not process classified national security information on IDIS Online 14 You must not browse, search or reveal IDIS Online data except in accordance with that which is required to perform your legitimate tasks or'assigned duties You must not retrieve data, or in any other way disclose data, for someone who does not have authonty to access that information 15 By your signature or electronic acceptance (such as by clicking an acceptance button on the screen), you must agree to these rules User Acknowledgement and Certification— 1 acknowledge and certify that I 1 I understand the IDIS RoB and Federal Government policies as set forth above regarding security awareness and practices when accessing and utilizing IDIS Online 2 I have read and understand the IDIS RoB governing my use of IDIS Online and agree to abide by them 3 I understand my responsibilities and the penalties for NOT ADHERING to the IDIS Rob 4 I understand that failure to comply will result in disciplinary action against me which may include, but are not limited to, a verbal or -written warning, removal of system access, reassignment to other duties, demotion, suspension, reassignment, termination, and possible criminal and/or civil prosecution Requestor Name Cheryl rattelll Signature Cheryl Patten' 2Y.2V0;, egg ctn, Date 04/07/25 GRANTEE APPROVING OFFICIAL ea y Approving Official's Name , Perry L Buck ' y Title Chair, Board of Weld County Commissioners Office Phone ext 970-400-4200 '1OfficeAddress (Street, City, State, Zip) 1150 O Street, Greeley, CO 80631 ' I Signature 'Perry Buck I g noV909 3 -0600 Date 4/9/2025 I authorize the person above to have access to IDIS functions checked HUD FIELD OFFICES NOTARY The Approving Official's signature must be notarized to verify the identity of the individual who signed this j 1 document using the appropnate notary certificate of the state, territory or insular area Once completed, attach i the completed notary certificate to this form and send 1, to your local HUD CPD Field Office If your state, territory or insular area does not require a notary Icertificate, use the space below 1 Date 4/9/2025 Signature I� t Houstan Aragon D'gaaaYda 7,''ffi"A'a9°" 9 Damzozsoaosfoffm-0soa d Field Office Approval (CPD Director or — �^ Designee)Name Benjamin Alamprese Signature �, �` ate 5/30/25 ALL PREVIOUS VERISONS OF THIS FORM WILL NOT BE ACCEPTED OR PROCESSED Page 3 of 3 HUD FORM 27055 (10/2020( State of Colorado ss County of Weld Integrated Disbursement and Information System (IDIS) Online Access Request for Cheryl Pattelli, Chief Financial Officer and Director of the Department of Finance, subscribed and sworn before me this 9th of April, 2025, by Perry L. Buck, as Chair, Board of Weld County Commissioners. Witness my hand and official seal: Man.e. akar/ Notary Public My Commission Expires: September 20, 2028 HOUSTAN MARIE ARAGON NOTARY PUBLIC STATE OF COLORADO NOTARY 1D 20244035426 M COMMISSION EXPIRES SEPTEMBER 20, 2028 Hello