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.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0439506202
DI 39506.202 - State Agency Report of Obligations for SSA Disability Programs - Form SSA-4513 and Form SSA-4513 Addendum - 02/20/2015
Batch run: 02/20/2015
Rev:02/20/2015