TN 28 (06-05)
Each initial notice of overpayment whether computer generated by the AONS or produced
manually in an FO will include the following:
The cause of the overpayment, the amount of the overpayment and the months it occurred;
A monthly list of the amounts that were paid and the amounts that should have been
A request for refund of the full amount of the overpayment;
A proposed rate of adjustment of 10 percent when the overpaid individual continues
to receive SSI payments not subject to the payment limit for FLA-D. The notice states
a date (month and year) at least 60 days in the future on which such adjustment will
Except for members of the Ellender Case in New York State (see GN 02210.214), a discussion of adjustment of title II benefits when the overpaid individual is
not currently receiving SSI payments, but does receive Social Security benefits;
A discussion of the right of the individual to request a waiver of overpayment collection
and/or a reconsideration of the facts of the overpayment; and
An explanation on how to request waiver/reconsideration.
Unless it is excluded from AONS (SM 01310.305), the initial overpayment notice is
At least 22 days after the overpayment is detected if a Notice of Planned Action is
At the same time the overpayment is detected if the overpayment affects retroactive
months only. In this case the SSA-L8100 and the overpayment notice are issued on the
The initial overpayment notice is also delayed:
When the overpayment period (SI 02201.005B.3.) extends into a future month.
The overpayment is less than $1.00. Recovery action is not initiated against such
overpayments and the individual is never notified (SI 02260.030).
The FO should not send a manual initial notice of overpayment until:
After the end of the Goldberg/Kelly due process period; or
A pending initial appeal of the reduction, suspension or termination of payment amount
is resolved; or
Until the 60-day appeal period following the disability cessation notice or notice
affirming disability cessation has passed. If an appeal is timely filed, do not issue
the overpayment notice nor pursue recovery until all appeals are exhausted. (See GN 02201.009B.7.); or
The 61st day following the referral of the case to OIG for possible fraud. (See GN 02201.050AD.3)
NOTE:AONS notices are not released until after the last excess payment has been made or
after the end of the Goldberg/Kelly period (see SM 01310.320 and NL 00803.300).
A manual notice is not sent and the overpayment is waived (see SI 02260.030B.) when the overpayment is less than $30.01 unless:
The overpayment can be recovered by netting (See SM 01311.160 - SM 01311.170; SI 02220.015; SI 02220.015A.5 - SI 02220.015B); or
The overpayment can be added to a prior unresolved overpayment. The individual can
be notified of both overpayments in one notice.
The case is referred to OIG for possible fraud. Delay the notice until the 61st day following the referral to OIG. (See GN 02201.050AD.3)
If a recipient reports an event which will cause his/her payment amount to be reduced,
suspended, or terminated he/she has the right to request continuation of the prior
payment. Such requests must be within 10 days from receipt of the advance notice (i.e.,
the SSA-L8155, Notice of Planned Action).
If an appeal is timely filed (or filed after the 10-day period but good cause is established),
the prior payment will continue until you make the initial appeal decision. Resume
recovery after you make a determination on the request for waiver and/or reconsideration
(See SI 02220.001A.3.c and SI 02260.001B.3.b).
NOTE:Appeal rights are described in SI 02301.300 through SI 02301.315.
Use the SSA-L8170-U3, Notice of Overpayment - Check Adjustment Proposed when the recipient
is in current pay status and not subject to the payment limit for FLA-D to:
Propose recovery of the overpayment at the 10 percent rate.
State that if the overpayment is not refunded in full we will withhold 10 percent
of the recipient’s total monthly income (countable income plus SSI and State supplementary
payment) or the amount of the check, whichever is less.
Use the SSA-L8171-U3, Notice of Overpayment -Refund Possible:
To request full refund from overpaid individuals who are not currently eligible for
payment or are subject to the payment limitation (FLA-D) or in payment status E01.
To request full refund of the overpayment when the only alternative is recovery by
installments; i.e. the overpaid person does not receive Title II payments. Includes
members of the Ellender Case in New York State (see GN 02210.214).
Use the SSA-L8172-U3, Notice of Overpayment -Refund Requested (Cross Program Recovery
For individuals in nonpayment status (see SI 02220.010B.2.b above) who are receiving title II benefits.
To request full refund of the overpayment and to offer cross-program adjustment.
NOTE: Due to court decisions, cross-program recovery cannot be offered to members of the
Ellender Case in New York State (see GN 02210.214).
Use a SSA-L8171-U3, not a SSA-L8172-U3.
See SM 01310.300 for automated overpayment notices. See NL 00803.300 for notice content and procedure, optimum use, etc.
Generally, do not send a manual notice before the case appears on the monthly overpayment
listing. If you do send a manual overpayment notice, make sure that one of the exceptions
to AONS processing in SM 01310.305 applies.
When fraud is suspected, do not send a notice until the 61st day following the day the case was referred to OIG for possible fraud. (See GN 02201.050AD.3)
See SI 02220.010A.3 about the timing of the automated notice.
See NL 00803.110 and SI 02220.010A for the content of the overpayment notice.
When posting reported changes that may cause an overpayment follow SM 01311.050. If
you want to send a manual notice, suppress the AONS notice unless you are certain
that an AONS exclusion will apply.
SSA-L8176-U2, Notice of Overpayment - Representative Payee Cover Sheet.
Use with the notice of overpayment when initially informing the overpaid individual
and payee of the overpayment.
See NL 00803.150 for instructions on use of the SSA-L8176-U2.
NL 00803.300, Examples of manual and AONS overpayment notices .
GN 02215.260, Examples of common usage overpayment forms and notices (e.g. sample of compromise
settlement summaries and notices, DOJ referral, etc.).