TN 31 (08-17)
DI 39506.250 State Agency Schedule for Equipment Purchases for SSA Disability Programs - Form SSA-871
A. Purpose of Form SSA-871
Use Form SSA-871(State Agency Schedule for Equipment Purchases for SSA Disability Programs) to report disbursements for electronic data processing (EDP) and non-EDP equipment purchases within a quarter.
B. How to file Form SSA-871
We require Form SSA-871 only if the Disability Determination Service (DDS) purchased and upgraded EDP equipment or purchased other equipment during the quarter reported.
Submit copies as follows:
Send one copy, no later than day 30, after close of the quarter.
Email SSA Headquarter, Office of Disability Determination, ^DCO ODD DDRWM Controls.
SSA Regional Office