TN 30 (03-02)
DI 39506.202 State Agency Report of Obligations for SSA Disability Programs - Form SSA-4513 and Form SSA-4513 Addendum
A. Policy - reporting current year obligations
Form SSA-4513 is required quarterly from each State agency. Obligations must be reported on a cumulative basis from the beginning of the fiscal year. The report should be accompanied by Form SSA-4513 Addendum—as appropriate—to report the status of unliquidated obligations, explain any adjustments, submit copy of indirect cost agreement, etc.
1. Filing instructions
Submit copies of each form (SSA-4513 and SSA-4513 Addendum) as follows:
the original (with signature) should be sent to SSA Central Office no later than the 30th day after the close of the quarter, and
a copy should be sent to the SSA regional office.
2. Mailing address
The original should be sent to SSA Central Office at the following address: Social Security Administration
Office of Disability Determinations
Division of DDS Resource and Workload Management
3570 Annex Building
640l Security Boulevard
Woodlawn, MD 21235-6401
B. Policy - reporting prior years’ obligations
Obligations for prior years must be accounted for separately. A separate Form SSA-4513 will be prepared--on a quarterly basis--for each fiscal year for which unliquidated obligations remain.
Each report will reflect the line item and the cumulative amounts from October 1 of the fiscal year to which it relates through the end of the current report period.
EXAMPLE: If at the beginning of fiscal year 2001, unliquidated obligations remain for fiscal years 1999 and 2000, two separate SSA-4513s would be submitted by October 30, 2000:
one covering obligations incurred during fiscal year 1999 (October 1, 1998 through September 30, 1999), and
one covering obligations incurred during fiscal year 2000 (October 1, 1999 through September 30, 2000).
The reports should clearly identify the fiscal year being reported.