TN 3 (01-12)
DI 39569.600 Violations and Fraud in the Social Security Administration Programs and Operations
The Social Security Administration (SSA) must protect its programs against fraud, waste, and abuse. The Office of the Inspector General (OIG) investigates:
allegations of fraud, waste, and abuse within SSA programs and operations; and
suspected violations involving disability cases processed by federal employees, Disability Determination Services (DDS) employees, and contractors.
A. Examples of violations and fraud
Conflicts of interest
False evidence or alterations in documents
Fraud or misuse of contracting funds
Standards of conduct violations
B. Detecting, developing, and reporting violations or fraud
DDS management is responsible for reviewing cases selected by the Comprehensive Integrity Review Process (CIRP) to detect potential violations and fraud.
DDS employee responsibilities include:
NOTE: Use the SSA-e8551, Reporting Form for Programmatic Fraud, to report potential violations to the Office of the Inspector General (OIG) Office of Investigations Field Division (OIFD). Reports submitted via the electronic SSA-e8551 are automatically routed to the proper OIFD. Instructions for using the e8551 are in GN 04111.065.
GN 04110.005, Detecting Potential Criminal Violations and Fraud
GN 04110.010, Detecting and Developing Program Fraud
GN 04111.005, Reporting Guidelines for Program Violations
GN 04111.035, How the Disability Determination Services (DDS) Report Program Violations