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pdfU.S. DEPARTMENT OF AGRICULTURE
Food and Nutrition Service
STATE ISSUANCE AND
PARTICIPATION ESTIMATES
DUE DATE: By the 19th of each month, phone data to
the appropriate FNS Regional Office and mail the
original to the FNS Regional Office.
FORM APPROVED OMB NO. 0584-0081
EXPIRATION DATE 01/31/2007
According to the Paperwork Reduction Act 1995, no persons are required to
respond to a collection of information unless it displays a valid OMB control
number. The valid OMB control number for this information collection is
0584-0081. The time required to complete this information collection is
estimated to average 7.1 hours per response, including the time to review
instructions, search existing data resources, gather the data needed, and
complete and review the information.
CURRENT MONTH
PREVIOUS MONTH
SECOND
PRECEDING MONTH
MONTH/YEAR
MONTH/YEAR
MONTH/YEAR
ORIGINAL ESTIMATE
REVISED ESTIMATE
REVISED ESTIMATE
ORIGINAL ESTIMATE
REVISED ESTIMATE
ACTUAL/FINAL
1. STATE AND CODE
2. ISSUANCE (DOLLARS)
3. NUMBER OF PARTICIPATING PEOPLE
(a) NON ASSISTANCE (SEE SPECIAL INSTRUCTIONS FOR MARCH AND SEPTEMBER REPORTING OF THIS ITEM)
(b) PUBLIC ASSISTANCE (SEE SPECIAL INSTRUCTIONS FOR MARCH AND SEPTEMBER REPORTING OF THIS ITEM)
4. NUMBER OF PARTICIPATING HOUSEHOLDS
ORIGINAL ESTIMATE
REVISED ESTIMATE
ACTUAL/FINAL
(a) NON ASSISTANCE (SEE SPECIAL INSTRUCTIONS FOR MARCH AND SEPTEMBER REPORTING OF THIS ITEM)
(b) PUBLIC ASSISTANCE (SEE SPECIAL INSTRUCTIONS FOR MARCH AND SEPTEMBER REPORTING OF THIS ITEM)
5. REMARKS
DATE
NAME OF AUTHORIZED OFFICIAL
FORM FNS-388 (03-04) Previous editions are obsolete
Electronic Version Designed in JetForm 5.01 version
TITLE OF AUTHORIZED OFFICIAL
ORIGINAL - FNS REGIONAL OFFICE
U.S. DEPARTMENT OF AGRICULTURE
Food and Nutrition Service
STATE ISSUANCE AND
PARTICIPATION ESTIMATES
DUE DATE: By the 19th of each month, phone data to
the appropriate FNS Regional Office and mail the
original to the FNS Regional Office.
FORM APPROVED OMB NO. 0584-0081
EXPIRATION DATE 01/31/2007
According to the Paperwork Reduction Act 1995, no persons are required to
respond to a collection of information unless it displays a valid OMB control
number. The valid OMB control number for this information collection is
0584-0081. The time required to complete this information collection is
estimated to average 7.1 hours per response, including the time to review
instructions, search existing data resources, gather the data needed, and
complete and review the information.
CURRENT MONTH
PREVIOUS MONTH
SECOND
PRECEDING MONTH
MONTH/YEAR
MONTH/YEAR
MONTH/YEAR
ORIGINAL ESTIMATE
REVISED ESTIMATE
REVISED ESTIMATE
ORIGINAL ESTIMATE
REVISED ESTIMATE
ACTUAL/FINAL
1. STATE AND CODE
2. ISSUANCE (DOLLARS)
3. NUMBER OF PARTICIPATING PEOPLE
(a) NON ASSISTANCE (SEE SPECIAL INSTRUCTIONS FOR MARCH AND SEPTEMBER REPORTING OF THIS ITEM)
(b) PUBLIC ASSISTANCE (SEE SPECIAL INSTRUCTIONS FOR MARCH AND SEPTEMBER REPORTING OF THIS ITEM)
4. NUMBER OF PARTICIPATING HOUSEHOLDS
ORIGINAL ESTIMATE
REVISED ESTIMATE
ACTUAL/FINAL
(a) NON ASSISTANCE (SEE SPECIAL INSTRUCTIONS FOR MARCH AND SEPTEMBER REPORTING OF THIS ITEM)
(b) PUBLIC ASSISTANCE (SEE SPECIAL INSTRUCTIONS FOR MARCH AND SEPTEMBER REPORTING OF THIS ITEM)
5. REMARKS
DATE
NAME OF AUTHORIZED OFFICIAL
FORM FNS-388 (03-04) Previous editions are obsolete
Electronic Version Designed in JetForm 5.01 version
TITLE OF AUTHORIZED OFFICIAL
COPY - STATE AGENCY
INSTRUCTIONS
GENERAL: Form FNS-388 is a State agency report of issuance and participation
in the Food Stamp Program. Each State agency shall submit the Form FNS-388
data to the FNS regional office no later than the 19th day of each month.
When the 19th falls on a w eekend or holiday, the data shall be submitted the
first w orkday after the 19th. The data reported on the Form FNS-388 shall
provide Statew ide estimates for issuance and participation for the current and
previous month; the second preceding month shall reflect actual or final
participation data and revised estimates for issuance.
3. Enter the original estimate of the total number of people that participated
for the State or demonstration project for the current month.
A separate Form FNS-388 must be submitted for each alternative issuance
(noncoupon) demonstration project such as Supplemental Security Income (SSI)
cash-out, Welfare Reform Cash-out (WRC), Pure Cash-out (PCO), Electronic
Benefit Transfer (EBT), etc., and, for any other type of demonstration project
under the Food Stamp Program, w hen specified by FNS. Do not include such
separate data in the Statew ide Form FNS-388 for the regular (coupon) program.
4. Enter the original estimate of the total number of households that
participated for the State or demonstration project for the current month.
For estimated data only, dollar issuance values and participation numbers may
be provided to the nearest hundred.
ENTERING DATA: Each block of the Form FNS-388 should be completed in
accordance w ith the follow ing instructions:
1. Enter the State name; State 7-digit code; and, if applicable, the
demonstration project name (e.g., EBT, WRC, SSI, PCO) for w hich the report
is completed. Show the appropriate month and year in each column.
2. Enter the original best estimate of the net issuance value for the
State or demonstration project for the current month. The original estimate
is calculated from the master issuance file before households are issued
their allotments and then should be adjusted based on historical experience
for factors such as replacements, returns, etc.
Enter the revised estimate of the net issuance value for the State or
demonstration project for the preceding month. This figure may be a revised
estimate or actual issuance. This figure is based on the latest available
issuance records for the previous month including replacements. Benefits
issued and returned in the same month are not included in the issuance figure.
If records are not complete, use the latest data available and adjust the figure
based on historical experience.
Enter the revised estimate of the net issuance value for the State or
demonstration project for the second preceding month. This figure may be a
revised estimate or actual issuance. It shall include initial, combined,
supplemental, restored and replacement benefits regardless of w hether or not
any portion of this total w as improperly issued. The issuance figure shall not
include benefits issued and returned in the same month. For authorization
document systems include benefits issued for altered, counterfeit, duplicate,
expired, or stolen documents. In an EBT system, estimated or actual issuance
is the value of the allotment credited to the household' s account.
Enter the revised estimate of the total number of people that participated
for the State or demonstration project for the preceding month.
Enter the actual/final total number of people that participated for the second
preceding month based on documented issuance.
Enter the revised estimate of the total number of households that participated
for the State or demonstration project for the preceding month.
Enter the actual/final total number of households that participated for
the State or demonstration project for the second preceding month based on
documented issuance. Each household should be included in the count only
once, regardless of the number of allotments received.
5. The FNS accuracy standards for the issuance and participation information
are that the current month (original) estimate be w ith (+ ) or (-) 4 percent
(+ ) or (-) 2 percent of the actual levels. Provide an explanation of any
unusual circumstances that have caused issuance and participation data
to not meet these accuracy standards, such as disasters, industry shutdow ns, etc. The FNS-388 issuance data w ill be compared to net
issuance reported on line 8 of the FNS-46, Issuance Reconciliation Report.
The FNS-388 report should be signed and dated by the designated State
agency official, preferably that individual responsible for its completion.
Also, provide the title of the person w ho signed the form.
SPECIAL INSTRUCTIONS - Items 3(a), 4(a), and 4(b)
Provide non-assistance (NA) and public assistance (PA) data only for the
report months of January and July. The NA and PA totals for the actual
second preceding month (January and July) shall be reported on the March
and September FNS-388 reports. In addition, as an attachment to these tw o
reports, provide a Project Area Data should be submitted w ith the
FNS-388 State w ide report, provided that the Statew ide report w ill no be
delayed. Otherw ise, the January and July Project Area data shall be
submitted to FNS by April 19 and October 19, respectively or w ithin 30 days
from the due date of the FNS-388 Statew ide report.
NOTE: PA households are those food stamp households in w hich all
members are receiving income or benefits from TANF, SSI, or
means-tested GA program. All other food stamp households
are considered NA.
| File Type | application/pdf |
| File Title | FNS-388 STATE ISSUANCE AND PARTICIPATION ESTIMATES |
| Author | dwolfgang |
| File Modified | 2007-01-29 |
| File Created | 2007-01-29 |