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

 

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 NAME HOW TO COMPLETE
1 BENEFICIARY IDENTIFICATION CODE Enter the BIC of the deceased
 
2 YEAR Enter the last 2 digits of the year the beneficiary died
 
3 FACTOR ANALYSIS CODE Enter the FAC of DI
 
4 EARNINGS Leave blank
 
5 MONTHS Enter 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: 05/01/1990
Rev:05/01/1990