Complete number 30 as directed on the form. For MSSICS applications, the Income Menu
(IMEN) screen (MSOM MSSICS 014.002) records the type of income received. After completing
the IMEN, the system displays the appropriate income detail screens necessary to complete
See SI 00605.025A.1 through SI 00605.025A.6.
REMINDER: Ask the claimant to report any income received or expected to be received beginning
with the first moment of the reference date month.
If you need additional space, use “Remarks.”
1. Person Receiving Income
Identify the recipient of the income.
Identify all income generically.
EXAMPLE: If the individual receives a pension from a former employer, enter only “private
pension.” If he receives a Department of Veterans Affairs (VA) payment, and the type
of VA payment is not material to eligibility, it is enough to note “VA payment.”
Note here if expected income is a one-time payment or will continue at regular intervals.
(If income is paid other than monthly, the date last paid is required for MSSICS claims.)
Use this column to identify source of income unless source is obvious from income
specified in “Type of Income” column, such as VA pension.
Note here if any payment received for food or shelter is received in cash or in kind.
Consider any exclusion applicable (including court ordered support paid by an ineligible
spouse or parent) to the alleged income which could result in countable income low
enough to permit payment. Remember that the allocation for an ineligible child reduces
the amount of income available for deeming. See the guide to unearned income exclusions
in SI 00830.099, and refer to SI 00820.500 - SI 00820.520 and SI 00820.102 for earned income exclusions. If necessary, provide the claimant with SSA Publication No. 05-10060 Incentives To Help You Return To Work.