45 CFR §233.28

1. (a)State plans specifying retrospective budgeting shall require that recipients with earned income, other than income from self-employment, report that income to the agency monthly. The State may require recipients with unearned income, no income, or income from self-employment to report monthly. The agency shall provide a form for this purpose, which:
   1. (1)Is written in clear simple language;
   2. (2)Specifies the date by which the agency must receive the form and the consequences of a late or incomplete form, including whether the agency will delay or withhold payment if the form is not returned by the specified date;
   3. (3)Identifies an individual or agency unit the recipient should contact to receive prompt answers to questions about information requested on the form, and provides a telephone number for this purpose;
   4. (4)Includes a statement, to be signed by the recipient, that he or she understands that the information he or she provides may result in changes in assistance, including reduction or termination;
   5. (5)Advises the recipient if supplemental payments are available and the proper procedures for initiating a request; and
   6. (6)Advises the recipient of his or her right to a fair hearing on any decrease or termination of assistance or denial of a supplemental payment.
2. (b)The agency shall specify the date by which it must receive the monthly report. This date shall be at least 5 days from the end of the budget month and shall also allow the recipient at least 5 days to complete the report.
3. (c)The agency may consider a monthly report incomplete only if it is unsigned or omits information necessary to determine eligibility or compute the payment amount.
4. (d)The agency shall provide a stamped, self-addressed envelope for returning the monthly report.
5. (e)The agency shall make special provisions for persons who are illiterate or have other handicaps so that they cannot complete a monthly report form.