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PB Home  Back to OMM/OCFS/OTDA Materials: INFs Issued by OTDA    
Attached Document:
03-inf-11.pdf


OMM/OCFS/OTDA Materials: INFs Issued by OTDA

03 INF 11: Revisions to the LDSS-4791: "Important Information About What Changes You Must Report For Food Stamp Benefits"

I. Purpose
The purpose of this release is to introduce the revised, 2/03, version of the "Important Information About What Changes You Must Report For Food Stamp Benefits" form (LDSS-4791).

Use of the LDSS-4791 is a standardized way to provide Food Stamp Benefits households, in writing, with mandated information about six-month reporting rules and about the household's 130% Federal Poverty Gross Income Limits.

This form was originally introduced as an attachment in 01 ADM-9.

 

 

Created: 10/1/2004