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U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATION FOR CHILDREN AND FAMILIES OMB Clearance No: 09700571 Expiration Date: 12312019Low Income Household Water Assistance Program (LIH WAP) Consolidated
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hhs 93499 Low Income Household is a form used to report income and household information for individuals or families who fall below a certain income threshold.
Individuals or families who meet the income eligibility criteria are required to file hhs 93499 Low Income Household form.
To fill out hhs 93499 Low Income Household form, individuals or families need to provide information including income, household size, and any other required documentation.
The purpose of hhs 93499 Low Income Household form is to determine eligibility for various assistance programs based on income level.
Information such as income, household size, assets, and any other relevant details must be reported on hhs 93499 Low Income Household form.
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