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pdfFORM APPROVED OMB NO.0584-0081
Expiration Date XX/XX/XXXX
SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM PROJECT AREA DATA FORMAT
2. REPORT MONTH & YEAR
This suggested format is provided to ensure consistent reporting nationwide. The actual participation and issuance data reported (FNS-388 Report Attachment)
shall be figures calculated from the annual or automated issuance documents from which households received their allotments.
AGENCY CODE:
3. PROJECT AREA
CODE & NAME
PARTICIPATION
4. NUMBER OF PERSONS
PUBLIC
ASSISTANCE
NAME OF AUTHORIZED OFFICIAL
NON-PUBLIC
ASSISTANCE
TITLE OF AUTHORIZED OFFICIAL
FORM FNS-388A (10/09) Previous Editions are Obsolete
5. NUMBER OF HOUSEHOLDS
PUBLIC
ASSISTANCE
STAMP DATE
SBU
6. ACTUAL ISSUANCE
NON-PUBLIC
ASSISTANCE
SIGN DATE
LAST UPDATED BY LAST UPDATED ON
Electronic Version Designed in Adobe 8.1 version
File Type | application/pdf |
File Modified | 2009-10-13 |
File Created | 2008-12-04 |