Form FNS-46 Issuance Reconciliation Report

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FORM APPROVED OMB NO. 0584-0080
U.S. DEPARTMENT OF AGRICULTURE - Food and Nutrition Service

ISSUANCE RECONCILIATION REPORT
NOTE: Report is due 90 days after end of report month.

According to the Paperwork Reduction Act of 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 0584-0080. The time required to complete this
collection is estimated to average 8 hours per response, including the time to review instructions, search existing data sources, gather the data
needed, and complete and review the information collection.
1. NAME AND ADDRESS OF RECONCILIATION POINT 2. TYPE OF REPORT

4. CONSOLIDATED RECONCILIATION REPORT

Initial Report

Final
MO

Revision
YEAR

FOR

NUMBER OF PROJECT AREAS

NUMBER OF ISSUANCE POINTS

3. PROJECT CODE FOR RECONCILIATION POINT

5. Issuance Systems Used

AUTH. DOC.

DIR. ACCESS

DIR. MAIL

OTHER *

FEDERAL OBLIGATIONS
6. Total Issuance this month
7. Returns during current month
8. Net Issuance (Line 6 minus Line 7)
9. Value of authorized replacement(s) transacted
MASTER FILE RECONCILIATION
10. Issuance record not found on Master Iss. File
11. Value of unauth. duplicate/replace. transacted
12. All other Issuances not documented
and reconciled by final report
TRANSACTION RECONCILIATION (Record-for-issuance)
13. Altered/counterfeit auth. docs. transacted
14. Expired authorization documents transacted
15. Lost/stolen blank auth. docs. transacted
16. Out-of-State auth. doc. or card transacted
17. Auth. doc. with no photo-ID no. transacted
18. Unsigned/unstamped auth. doc. transacted
19. Other invalid issuance
OTHER ISSUANCE LIABILITIES
20. Unauthorized Issuance after FNS directive
21. Unauthorized Issuance in court order/settlement
TOTALS
22. Total overissuance (Add lines 10 through 21)
23. Total valid issuance (Line 8 minus Line 22)
24. REMARKS (* Specify and/or describe)

I CERTIFY that this report was compiled in accordance with the procedures set forth in the food Stamp Program Regulations. I further certify that this report is true
and correct and I understand that I make these certifications under penalty of law.
25. DATE

26. SIGNATURE

Form FNS-46 (12-97) Previous Editions Are Obsolete

27. TITLE

SBU

Electronic Form Version Designed in Adobe 7.1 Version

INSTRUCTIONS
(Form FNS-46)
General: Form FNS-46, Issuance Reconciliation Report is used
to account for benefits issued during a report month. This
report shall be completed at each issuance reconciliation point.
For each type of issuance system, there should be 1) a Master
Issuance File having a composite of all certified households; 2)
a Record-for-issuance File (generated from the Master issuance
File) containing all authorized issuances to be made for the
report month; and 3) a procedure for posting issuances made to
a Record -for-issuance File to the Master Issuance File. For
lines 10-21 below, the phase, "Enter total value of all..." applies.
The number of occurrences may be added in parentheses after
the description on each line, if so desired.
1. Show the complete name and address of the reconciliation
point where this report is prepared.
2. Indicate the month and year for which the report is being
prepared, and whether the report being submitted is the initial,
final, or a revision.
3. Enter the project code for the reconciliation point.
4. Indicate the number of project areas and issuance points
involved.
5. Check the column(s) which describes your issuance
system(s) and in which you will report your losses. If this is a
consolidated report, losses may be reported under more than
one type of issuance system. Do not enter amounts in shaded
blocks.
AUTHORIZATION DOCUMENT - Any system using an authorization document which has to be signed by the household, and
which has to be reconciled.
DIRECT ACCESS - Any system in which an issuance agent is
able to access the Master Issuance File (or the Record-forissuance File) directly, either through a terminal, or manually,
as in a Household Issuance Record (HIR) system.
DIRECT MAIL - A system in which benefits are mailed directly
to participating households.
OTHER - For reporting reconciliation in SSI cash-out areas;
on-line and off-line electronic benefits transfer (EBT) systems
(Federally-approved demonstrations, state-operated pilots, and
permanent); any new issuance system developed under a
welfare reform initiative; and, any system in use and not
described above, including systems which may use a form of
benefits other than coupons. Specify and/or describe any other
issuance systems used. More than one "other" system should
be reported on a separate FNS-46.
6. Coupons (benefits) issued this month, to include all new
Federal obligations from initial, supplemental, restored and
replacement benefits and obligations resulting from exchanges
of coupons for any reason, regardless of whether or not any
portion of this total was improperly issued.
7. Coupons (benefits) returned for any reason, to include
coupons for which an exchange was made, coupons which;
were unclaimed or undeliverable, and mutilated or improperly
manufactured coupons. This total includes coupons officially
destroyed, as well as those returned to inventory, and
represents coupons which are no longer Federal obligations.

8. Net issuance, determined by subtracting benefits returned
from total issuance.
9. When both an original and an authorized replacement issuance
have been issued/transacted, show only the value of the replacement(s).
10. Benefits issued with no documentation (household record) on
the Master File.
11. When both an original and an unauthorized replacement or
duplicate issuance have been issued/transacted, show only the
value of the replacements.
12. All issuances which have not been documented and reconciled
by submission of the month's final report.
13. Altered and counterfeit authorization documents which are
transacted, to include ATPs, electronic benefit transfer cards,
authorization register, which are reconciled, etc.
14. Benefits issued through authorization documents after the
expiration dates shown on the documents.
15. Benefits issued through transacted authorization documents
which have been lost or accidentally destroyed before reconciliation, and the value of all stolen blank authorization documents
which are transacted.
16. Benefits issued from authorization documents or electronic
cards not issued in this State.
17. Benefits issued from authorization documents in photo-ID
required area, for which there were no photo-ID serial number
annotations, and for which the authorization documents were
found to be not valid.
18. Benefits issued from authorization documents which were
not signed by the household, or date-stamped by the issuance
agent, and which were found to be not valid.
19. The value of all other invalid issuances.
20. Benefits erroneously issued during the effective period of
an order to reduce, suspend or cancel allotments (7 CFR 271.7)
21. Coupons issued as the result of a court order or settlement
agreement not reported to FNS.
22. Benefits, if any, which were overissued (total Lines 10-21).
23. Enter the amount representing net issuance minus overissuance (Line 8 minus line 22).
24. If any entries above require an explanation please enter the
information here.
25. Enter the date this form is signed.
26. Signature of individual authorized to account for the
issuance of benefits.
27. Show the full title of the individual signing in Line 26.