Form FNS-388A SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM PROJECT AREA D

OMB Control Number 0584-0083
Expiration Date xx/xx/xxxx

Appendix H FNS 388A

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

6. ACTUAL ISSUANCE

NON-PUBLIC
ASSISTANCE

SIGN DATE

LAST UPDATED BY LAST UPDATED ON

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