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LDSS4014B NYC (Rev. 5/16) ACTION TAKEN ON YOUR RECERTIFICATION: PART B PA, MA, SNAP, Serve Recent PUBLIC ASSISTANCE, SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP), MEDICAL ASSISTANCE COVERAGE AND
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16-inf-15 attachment 30 is a form used for reporting specific financial information.
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The purpose of 16-inf-15 attachment 30 is to gather financial data for reporting and compliance purposes.
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