№ files_lp_3_process_7_071645
This form is used by households to report their income for determining eligibility for free or reduced-price meals under the USDA program, based on specific guidelines for income levels.
Year: 2022-2023
Region / City: United States
Topic: Household income reporting for SNAP, SSI, Medicaid participants
Document Type: Form
Organization: U.S. Department of Agriculture (USDA)
Author: U.S. Department of Agriculture (USDA)
Target Audience: Households participating in SNAP, SSI, or Medicaid
Period of Validity: July 1, 2022 – June 30, 2023
Approval Date: July 1, 2022
Amendment Date: Not specified
Price: 8 / 10 USD
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