2003 Policy Directives

• Administrative Directives (ADM)
• Informational Letters (INF)
• Local Commissioner Memoranda (LCM)

Administrative Directives (ADM)

• 2003 ADM-11 Emergency Assistance to Families (EAF): Changes to Part 372 of 18 NYCRR 372 and to the TANF State Plan
• 2003 ADM-10 TA Policy Changes: Lump Sum Set Asides And Resource Two-Year College Fund Exemption
• 2003 ADM-09 Regulatory Changes: Temporary Assistance (TA) Budgeting: Percentage Earnings Disregard Extended to Pregnant SNA Women and Trust Fund Policy Clarification
• 2003 ADM-08 Issuing Nonrecurring Temporary Assistance (TA) Emergency Payments and TANF Services Block Grant Payments on an Active Non-Temporary Assistance Food Stamp Case, an Active Medicaid Case or at the Time of a TA Application Denial
  • Attachment A: Allowable WMS Payment Types and Claiming Codes
• 2003 ADM-07 Temporary Assistance: New Shelter Allowances and Related Changes
  • Attachment A: LOCAL AGENCY MONTHLY SHELTER ALLOWANCE SCHEDULE WITH CHILDREN
  • Attachment B: LOCAL AGENCY MONTHLY SHELTER ALLOWANCE SCHEDULE WITHOUT CHILDREN
  • Attachment C: MODEL DISTRICT APPLICATION FOR SHELTER ALLOWANCE SUPPLEMENT
• 2003 ADM-06 Medication Grant Program (MGP) - The Need for Cooperation and Coordination Between Local Departments of Social Services and Mental Hygeine
  • Attachment 1: Model Memorandum of Understanding
  • Attachment 2: Medication Grant Program Application for Assistance Transmittal/Response Form
• 2003 ADM-05 Child Support and the Family Violence Option
  • Attachment: Notice Regarding Child Support Requirements for Victims of Domestic Violence
• 2003 ADM-04 Temporary Assistance (TA) Budgeting: 2003 Changes to the Earned Income Disregard and the Poverty Level Test
• 2003 ADM-03 New Food Stamp-Only Application Form
  • LDSS-4826: “Food Stamp Benefits Application” (11/02)
  • LDSS-4826-SP: “Food Stamp Benefits Application” (Spanish) (11/02)
  • LDSS-4826A: “How To Complete The Food Stamp Benefits Application” (11/02)
  • LDSS-4826A-SP: “How To Complete The Food Stamp Benefits Application” (Spanish) (11/02)
• 2003 ADM-02 Desk Reference for DV Screening under the Family Violence Option
  • LDSS-4813 Desk Reference For Domestic Violence Screening
• 2003 ADM-01 Eligibility of Alien Victims of Severe Forms of Trafficking in Persons (PDF 145k)

Informational Letters (INF)

• 2003 INF-43 Food Stamp Deductions for Medical Expenses
• 2003 INF-42 Elimination of Social Security Numbers from SSI, Interim Assistance Reimbursement, and Social Security Checks
• 2003 INF-41 Revisions to Client Notices
• 2003 INF-40 SSA COLA for January 2004 - SSI and Food Stamp Charts
  • SSI Benefit Levels Chart effective January 1, 2004
  • Food Stamp Group Living Budget Data Chart
• 2003 INF-39 New Statewide “Common Application”, LDSS - 2921 Statewide (Rev. 7/03) and New Statewide “How to Complete” publication, PUB - 1301 Statewide (Rev. 7/03)
  • LDSS-2921 Statewide (Rev. 7/03)
  • PUB-1301 Statewide (Rev. 7/03)
• 2003 INF-38 Availability of the following forms in Arabic and Chinese:
  • LDSS-2921 Statewide-AR: “Common Application” (Rev.5/02) (Arabic)
  • PUB-1301 Statewide-AR: “How to Complete the Application” (Rev.5/02) (Arabic)
  • LDSS-2921 Statewide-CH: “Common Application” (Rev.5/02) (Chinese)
  • PUB-1301 Statewide-CH: “How to Complete the Application” (Rev.5/02)(Chinese)
• 2003 INF-37 Revision to Spanish Versions of the Client Information Books and the Introduction of Other Available Languages Including Russian, Arabic and Chinese
• 2003 INF-36 Digest of Laws of 2003 Relating to Programs of the Office of Temporary and Disability Assistance
  • Attachment: Digest of Laws
• 2003 INF-35 Clarification of Temporary Assistance Diversion Payment Types for Families
• 2003 INF-34 Limiting Emergency/Immediate Needs Grants Due to Frequent Applications for Recurring and Emergency Temporary Assistance
• 2003 INF-33 Revision of the LDSS-3151: “Food Stamp Change Report Form”: (Rev. 6/03)
  • Attachment - LDSS-3151 (Rev. 6/03)
• 2003 INF-32 LDSS-4682: Notification of Overpayment of Public Assistance to a Former Recipient and Demand For Repayment (5/03) and LDSS-4682 NYC: Notification of Overpayment of Public Assistance to a Former Recipient and Demand For Repayment (NYC) (5/03)
  • LDSS-4682: Notification of Overpayment of Public Assistance to a Former Recipient and Demand For Repayment (Rev.5/03)
  • LDSS-4682 NYC: Notification of Overpayment of Public Assistance to a Former Recipient and Demand For Repayment (NYC) (Rev.5/03)
• 2003 INF-31 Revision of the LDSS-3558: “Food Stamp Separate Determination Input Form” (Rev.5/03)
  • Attachment: LDSS-3558: “Food Stamp Separate Determination Input Form” (Rev.5/03)
• 2003 INF-30 HEAP Public Hearings on the Proposed 2003-2004 State Plan
  • Attachment A: Public Notice
  • Attachment B: Public Hearing Registration Form
• 2003 INF-29 Family Violence Option: Domestic Violence Liaison List
  • Attachment: Local County Domestic Violence Liaison Contact List
• 2003 INF-28 List of Out of State Contacts
  • Attachment: List of Out of State Contacts
• 2003 INF-27 Temporary Assistance Date of Eligibility
• 2003 INF-26 Introduction of a Statewide LDSS-3174: “Recertification Form” and the associated PUB-1313: “How to Complete” publication
  • Attachment 1: LDSS-3174 Statewide (Rev.5/03)
  • Attachment 2: PUB-1313 Statewide (Rev.5/03)
• 2003 INF-25 Temporary Assistance Questions and Answers
  • Attachment: Temporary Assistance Questions and Answers
• 2003 INF-24 Obsoletion of form, PUB-1350: “How To Get Your Cash Grant and Food Stamps” (Rev.10/97)
  • Attachment: PUB-1350: “How To Get Your Cash Grant and Food Stamps” (Rev.10/97)
• 2003 INF-23 LDSS-4579: “Alien Eligibility Desk Aid” (Rev.4/03)
  • Attachment: LDSS-4579: “Alien Eligibility Desk Aid” (Rev.4/03)
• 2003 INF-22 Temporary Assistance: Individuals in Residential Treatment Programs
• 2003 INF-21 Obsoletion of form, DSS-3666: “Documentation/Verification Desk Aid”
  • Attachment: DSS-3666: “Documentation/Verification Desk Aid” (Rev.6/99)
• 2003 INF-20 Availability of the Statewide Common Application and the How to Complete the Application in Spanish and Russian
  • LDSS-2921 Statewide-SP
  • LDSS-2921 Statewide-RU
  • PUB-1301 Statewide-SP
  • PUB-1301 Statewide-RU
• 2003 INF-19 Expired or Lost Immigration Documents
• 2003 INF-18 Obsolete Form DSS-2215: “Report of Claim/Benefit Restoration Determination” Food Stamp Program
  • Attachment: Obsolete Form DSS-2215: “Report of Claim/Benefit Restoration Determination Food Stamp Program” (Rev.10/83)
• 2003 INF-17 Recoupment Procedures When Temporary Assistance (TA) Recipients Change Districts
• 2003 INF-16 Revisions to the Food Stamp Benefits Budget Worksheets
  • Attachment I: LDSS-3114: Food Stamp Benefits Budget Worksheet
  • Attachment II: LDSS-3115: Food Stamp Benefits Budget Worksheet (Elderly and Disabled for Medical and/or Special Shelter Deductions)
• 2003 INF-15 Compromise of Food Stamp Claims for Overissuance
  • Attachment: LDSS-3156 Notice of Food Stamp Overpayment (Rev 2/03)
  • Attachment: LDSS-3156 (NYC) Notice of Food Stamp Overpayment (Rev 2/03)
• 2003 INF-14 Food Stamp Program Eligibility for Aliens
  • “Food Stamps for Immigrants” flyer
    • Arabic: “Food Stamps for Immigrants” flyer
    • Chinese “Food Stamps for Immigrants” flyer
    • Korean “Food Stamps for Immigrants” flyer
    • Russian “Food Stamps for Immigrants” flyer
    • Spanish “Food Stamps for Immigrants” flyer
  • Federal Guide to Documents
• 2003 INF-13 Revision to LDSS-4753: “Food Stamps- Request For Contact/Missed Interview”
  • Attachment: LDSS-4753: Food Stamps - Request For Contact/Missed Interview
• 2003 INF-12 Revision of the “Food Stamp Household Composition Desk Guide” (LDSS-4314) (Rev.1/03)
  • Attachment - LDSS-4314: Food Stamp Benefits Household Composition Desk Guide
• 2003 INF-11 Revisions to the LDSS-4791: “Important Information About What Changes You Must Report For Food Stamp Benefits”
  • Attachment 1 - LDSS-4791:“Important Information About What Changes You Must Report For Food Stamp Benefits” (Rev.2/03)
• 2003 INF-10 Food Stamp Program Questions and Answers: Application Processing, Six-Month Reporting, Transitional Benefits and Standard Utility Allowances
• 2003 INF-09 Revision of Client Information Books
  • Attachment 1 - DSS-4148A (11/02)
  • Attachment 2 - DSS-4148B (11/02)
  • Attachment 3 - DSS-4148C (11/02)
• 2003 INF-08 HEAP 2003-2004 Needs Assessment Public Hearings
  • Attachment: Notice of Public Hearings and Registration Form
• 2003 INF-07 State Sixty-Month Time Limit and Essential Persons
• 2003 INF-06 Revision of LDSS-4398: “WMS Non-Services Code Cards” (November 2002 Update) (PDF 117k)
  • LDSS-4398 (Rev.11/02) Index
  • LDSS-4398 (Rev.11/02) Screen 1
  • LDSS-4398 (Rev.11/02) Screen 2
  • LDSS-4398 (Rev.11/02) Screen 3
  • LDSS-4398 (Rev.11/02) Screen 4
  • LDSS-4398 (Rev.11/02) Screen 5
  • LDSS-4398 (Rev.11/02) Screen 6
  • LDSS-4398 (Rev.11/02) Screen 7
  • LDSS-4398 (Rev.11/02) (Green) ABEL and MBL Codes
• 2003 INF-05 Digest of Laws of 2002 Relating to Programs of the Office of Temporary and Disability Assistance (PDF 109k)
  • Attachment: Digest of Laws (PDF 75k)
• 2003 INF-04 Time Limit Counts and Family Assistance Payment Corrections (PDF 139k)
• 2003 INF-02 Revision of the LDSS-3151: “Food Stamp Change Report Form” (Rev. 1/03) (PDF 139k)
  • Attachment: LDSS-3151: “Food Stamp Change Report Form” (PDF 118k)
• 2003 INF-01 Earned Income Tax Credit and Other Tax Credits (PDF 135k)
  • Attachment I
    • EIC All Purpose Flyer English (PDF 59k)
    • EIC All Purpose Flyer Spanish (PDF 54k)
  • Attachment II - EIC Envelope Stuffer (PDF 48k)
  • Attachment III - EIC Federal Benefit Chart (PDF 61k)

Local Commissioner Memoranda (LCM)

• 2003 LCM-10 Child Support Incentives—Federal Fiscal Year 2002 (FFY 2002)
  • Attachments - Includes Attachment #1 Adjustment of Actual to Reported Incentives - FFY 2002 and Attachment #2 Estimated Incentives — FFY 2004
• 2003 LCM-09 Refunds of Treasury Offset Program (TOP) Monies
• 2003 LCM-08 Safeguarding of Personal Information for Food Stamp and Temporary Assistance Applicants and Recipients
• 2003 LCM-07 Food Stamp Management Evaluation Procedures
  • Attachment A: Food Stamp Management Evaluation Review Schedule
  • Attachment B-1: FFY 2003 Food Stamp Management Evaluation Food Stamp Application Processing
    Self -Assessment Instrument
  • Attachment B-2: FFY 2003 Food Stamp Management Evaluation (Outside NYC)
• 2003 LCM-06 Adminstrative Cap State Fiscal Year 2003-04
  • Attachment: Adminstrative Cap 2003-04
• 2003 LCM-05 Termination of Certain Food Stamp Overissuance Claims April 8, 2003 Revision (Original Release dated April 7, 2003)
• 2003 LCM-04 Child Support Incentives — Federal Fiscal Years (FFY) 2000 and 2001
  • Attachment file includes: Attachment #1 Adjustment of Actual to Reported Incentives FFY 2000, Attachment #2 Adjustment of Actual to Reported Incentives FFY 2001, Attachment #3 Estimated Incentives — FFY 2003
• 2003 LCM-03 Food Stamp Program Civil Rights Complaint Procedures
  • Attachment 1 - Bureau of Equal Opportunity Development (EOD) Civil Rights Complaint Form
  • Attachment 2 - Civil Rights Complaint Compliance Agreement
• 2003 LCM-02 New Hires Match
• 2003 LCM-01 Clothing Allowance Under the Emergency Assistance to Adults Program