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See PB #08-01-ELI for information on change reporting households. Ten Day Change Reporting Households PD #12-16-ELI The following non-NYSNIP and non-TFSB households are subject to the ten day FS change reporting rules that require households to report certain changes within ten days after the end of the month in which the change occurred. • Households in which all adults are elderly or disabled without earned income • Migrant or seasonal farm worker households • Homeless (undomiciled – shelter code 23) households • Households with no income (earned or unearned) • Households certified for less than four months • Group home residents in receipt of Supplemental Security Income (SSI) or Social Security Disability (SSD) Households subject to ten day FS change reporting rules are required to report the following changes within ten days after the end of the calendar month in which the change occurred: • Changes in any source of income for anyone in the household • Changes in the household’s total earned income when it increases or decreases by more than $100 per month • Changes in the household’s total unearned income from a private source when it increases or decreases by more than $100 per month • Changes in the household’s total unearned income from a public source when it increases or decreases by more than $50 per month • Changes in household composition • Changes in residence • Changes in rent or mortgage for households that move to a new residence • Changes in the amount of court-ordered child support that the household is required to pay for a child residing outside of the FS household when it increases or decreases by more than $50 per month • For households subject to the resource limit, any change that will cause the household to exceed the resource limit FIA Policy, Procedures, and Training 2 Office of Procedures
See PB #08-13-OPE for information on six-month reporting rules for FS households. BACKGROUND The Periodic Report (LDSS-4310) must be signed, completed, and returned even if the household has no changes to report. Six-month Reporting Households PD #12-16-ELI All other non-NYSNIP, non-TFSB, and non-ten day FS change reporting FS households are six-month reporters and are subject to six-month reporting rules. These households will be mailed a Periodic Report (LDSS-4310) in the fifth month of their twelve month certification period which they must complete, sign, and return by the tenth day of the sixth month of their certification period. Except at recertification and on the Periodic Report, the only two changes that six-month reporting households must report are if the household’s gross income exceeds 130% of the poverty level and if the household contains an Able Bodied Adult Without Dependents (ABAWD) and the ABAWDs work hours go below 80 hours per month. Either of these changes must be reported within ten days after the end of the calendar month in which the change occurred. FS households that are subject to six-month reporting rules are sent the Important Information About What Changes You Must Report For Food Stamps (LDSS-4791) each year, which lists the monthly, weekly, and bi-weekly 130% poverty levels for their household size. This policy directive provides instructions regarding the processing of Periodic Reports for NCA FS households. Effective May 2008, the certification period for NCA FS households subject to six-month reporting rules was extended from six months to twelve months. However, in order to comply with reporting rules that were previously met by semiannual recertifications, these households are required to complete, sign, and return a State issued Periodic Report in the sixth month of their twelve month certification period. All NCA FS households subject to six-month reporting rules that have a twelve-month certification period will be mailed the Periodic Report on or about the Monday following the third Saturday of the fifth month of their certification period. The FS household must complete, sign, and return the Periodic Report by the tenth day of the sixth month of their certification period (to be considered timely) even if the household has no changes to report. The processing of a failure to complete, sign, or return the Periodic Report will result in a timely closing notice being sent to the household. The closing notice will include the Follow-Up to the Periodic Report (LDSS-4310A) and a postage paid return envelope. FIA Policy, Procedures, and Training 3 Office of Procedures
Page 1: FAMILY INDEPENDENCE ADMINISTRATION
Page 5 and 6: REQUIRED ACTION BULKING process. PD
Page 7 and 8: Periodic Reports Returned Signed an
Page 9 and 10: Increase in FS benefits Reported ch
Page 11 and 12: Participant brings the Food Stamp P
Page 13 and 14: PD #12-16-ELI All conferences conce
Page 15 and 16: Attachment A After you have scanned
Page 17 and 18: Attachment A The case number appear
Page 19 and 20: Attachment A If Undelivered is sele
Page 21 and 22: LDSS-4310 (Rev. 4/07) LDSS ADDRESS
Page 23 and 24: LDSS-4310A (Rev. 4/07) FOLLOW-UP TO
Page 25 and 26: LDSS-4791 (Rev. 2/03) IMPORTANT INF
Page 27 and 28: LDSS-4836 NYC (Rev 11/11) New York
Page 29: Form W-132S (S) LLF Rev. 3/8/12 Fav

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