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OMM/OCFS/OTDA Materials: INFs Issued by OTDA
01 INF 17: Revisions To Manual Notices
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01 INF-17
The purpose of this INF is threefold:
1. To introduce the following revised (08/01) Temporary Assistance (TA), Medical Assistance (MA), Food Stamp Benefits (FS), Services and Child Assistance Program (CAP) manual client notices (Attachments 2-21):
• LDSS-3152: “Action Taken On Your Food Stamp Case”
• LDSS-3152NYC: “Action Taken On Your Food Stamp Case” (NYC)
• LDSS-3153: “Continuing Your Food Stamp Benefits”
• LDSS-3156: “Notice Of Food Stamp Overpayment (Demand Letter)” (Timely and Adequate)
• LDSS-3156NYC: “Notice Of Food Stamp Overpayment (Demand Letter)” (Timely and Adequate) (NYC)
• LDSS-3620: “Notice Of Intent To Change Food Stamp Benefits” (Timely and Adequate)
• LDSS-3620NYC: “Notice Of Intent To Change Food Stamp Benefits” (Timely and Adequate) (NYC)
• LDSS-3621: “Notice Of Intent To Change Food Stamp Benefits (Adequate Only)
• LDSS-3621NYC: “Notice Of Intent To Change Food Stamp Benefits” (Adequate Only) (NYC)
• LDSS-3969A: “Notice of Action On Your Application/Benefit For The Child Assistance Program, Status of Medical Assistance, Food Stamp Benefits and Services” (Part A)
• LDSS-3969B: “Notice of Action On Your Application/Benefit For The Child Assistance Program, Status of Medical Assistance, Food Stamp Benefits and Services” (Part B)
• LDSS-4013A: “Action Taken On Your Application: Public Assistance, Food Stamp Benefits and Medical Assistance Coverage” (Adequate Only) (Part A
• LDSS-4013B: “Action Taken On Your Application: Public Assistance, Food Stamp Benefits and Medical Assistance Coverage” (Adequate Only) (Part B)
• LDSS-4014A: “Action Taken On Your Recertification: Public Assistance, Medical Assistance, Food Stamp Benefits” (Adequate Only) (Part A)
• LDSS-4014B: “Action Taken On Your Recertification: Public Assistance, Medical Assistance, Food Stamp Benefits” (Adequate Only) (Part B)
• LDSS-4015A: “Notice of Intent To Change Benefits: Public Assistance, , Food Stamp Benefits, Medical Assistance and Services” (Timely and Adequate) (Part A)
• LDSS-4015B: “Notice of Intent To Change Benefits: Public Assistance, , Food Stamp Benefits, Medical Assistance and Services” (Timely and Adequate) (Part B)
• LDSS-4016A: “Notice of Intent To Change Benefits: Public Assistance, Medical Assistance, Food Stamp Benefits and Services” (Adequate Only) (Part A)
• LDSS-4016B: “Notice of Intent To Change Benefits: Public Assistance, Medical Assistance, Food Stamp Benefits and Services” (Adequate Only) (Part B)
• LDSS-4053: “FS Repayment Agreement”.
2. To obsolete the following two client notices:
• LDSS-4017: “Notice Of Intent To Change Food Stamp Benefits” (Timely and Adequate)
• LDSS-4018: “Notice Of Intent To Change Food Stamp Benefits (Adequate Only).
3. To provide the following desk aid (Attachment 1):
• Notices Required for Delayed Recertification
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Created: 10/3/2001
Updated: 11/1/2002
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