TN 1 (06-88)

GN 01061.035 Completing Item 7 of the SSA-101-U3 for Underpayments

A. Introduction

This section describes UP entries only for item 7 of the SSA-101-U3.

B. Exhibit

G-GN 01061.035B

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C. Procedure

This chart shows how to complete the fields in item 7 for UP awards

NOTE:Do notcomplete item 7 if you combine the UP with a survivors award to the UP recipient

Key:The #is the number of the field in the exhibit above

#FULL FIELD NAMEHOW TO COMPLETE
1BENEFICIARY IDENTIFICATION CODEEnter the BIC of the deceased
   
2YEAREnter the last 2 digits of the year the beneficiary died
   
3FACTOR ANALYSIS CODEEnter the FAC of DI
   
4EARNINGSLeave blank
   
5MONTHSEnter an X in month of death
   

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0201061035
GN 01061.035 - Completing Item 7 of the SSA-101-U3 for Underpayments - 05/01/1990
Batch run: 01/27/2009
Rev:05/01/1990