SI 02901.755 Parts of the Individual Case Record

A. Introduction

You need to know the parts of the individual case record. It is comprised of 66 discrete fields. The chart below provides the information you require in order to use the FAX data.

B. Exhibit

Field Field Position Field Type Part Description
1 1 AN ID Code Type of Record: C=Regular
A=Alien
2 2-10 N Social Security Number The SSN belonging to the individual named in the record.
3 11-40 AN Recipient's Name
Exception : If alien, DATE OF
ENTRY plus Alien code, positions 36-40
Surname, First Name, Middle Initial of Individual. If Alien, MMYY plus alien code F, I, L, R or S.
4 41 AN Couple Indicator C - The recipient is a member of a couple
I - eligible individual; may have ineligible spouse
5 42 AN Forced Pay Indicator F - Forced Pay
    Status
Blank - Not Forced
    Pay
6 43 AN Category of Supplementation A - Aged
B - Blind
D - Disabled

Monthly Forced Payments

7 44-46 AN County of Supplementation Represents county of residence; UNK indicates unknown
8 47-49 SN Number of Forced Pay Checks Number paid to recipient during reporting month
9 50-58 SN Federal amount Paid Total Federal amount paid to recipient during reporting month

Daily Forced Payments

10 59-67 SN State amount Paid Total State amount paid to recipient during reporting month
11 68-70 SN Number of Forced Pay Checks Number paid to recipient during reporting month
12 71-79 SN Federal amount Paid Total Federal amount paid to recipient during reporting month

Automated One-Time Payment

13 80-88 SN State amount Paid Total State amount paid to recipient during reporting month
14 89-91 SN Number of A-OTP Checks Number paid to
recipient during reporting month
15 92-100 SN Federal Amount Paid Total Federal amount paid to
recipient during reporting month

Automated Systems-Calculated Payments

16 101-109 SN State Amount Paid Total State amount paid to recipient during reporting month
17 110-112 SN Number of Automated Systems-Calculated Checks Number of payments to recipient during reporting month
18 113 SN Number of
Quarters Used
Number of quarters accounted for and paid during reporting month (1-7 quarters)
19 114-116 N Segment 1 - year and quarter YYQ indicates what year and quarter
Example : a Feb. 88 check is described “881”; July 88 check as “883”
117-125 SN Federal amount Paid Net Federal amount of check
126-134 SN State amount Paid Net State amount of check
135-143 SN Federal amount Withheld Federal amount Withheld from recipient's payment
144-152 SN State amount Withheld State amount Withheld from recipient's payment
20 153-155 N Segment 2 - year and quarter See Description for Segment 1 -
156-164 SN Federal amount Paid Next most recent quarter
165-173 SN State amount Paid
174-182 SN Federal amount Withheld
183-191 SN State amount Withheld
21 192-194 N Segment 3 - Year and quarter See Description for Segment 1 -
195-203 SN Federal Amount Paid Next most recent quarter
204-212 SN State Amount Paid
213-221 SN Federal Amount Withheld
222-230 SN State Amount Withheld
22 231-233 N Segment 4 - Year and quarter See Description for Segment 1 -
234-242 SN Federal Amount Paid Next most recent quarter
243-251 SN State Amount Paid
252-260 SN Federal Amount Withheld
261-269 SN State Amount Withheld
23 270-272 N Segment 5 - Year and quarter See Description for Segment 1 -
273-281 SN Federal Amount Paid Next most recent quarter
282-290 SN State Amount Paid
291-299 SN Federal Amount Withheld
300-308 SN State Amount Withheld
24 309-311 N Segment 6 - Year and quarter See Description for Segment 1 -
312-320 SN Federal Amount Paid Next most recent quarter
321-329 SN State Amount Paid
330-338 SN Federal Amount Withheld
339-347 SN State Amount Withheld
25 348-350 N Segment 7 - Year and quarter See Description for Segment 1 -
351-359 SN Federal Amount Paid All other quarters
360-368 SN State Amount Paid
369-377 SN Federal Amount Withheld

Unnegotiated Checks

378-386 SN State Amount Withheld
26 387-389 SN Number of Unnegotiated Checks Number of checks deemed unnegotiated this reporting month
27 390-398 SN Federal Amount - Credit Total Federal amount credited in this reporting month
28 399-407 SN State amount - credit Total State amount credited in this
reporting month
29 408-416 SN Federal amount - debit Total Federal amount - subsequently cashed or returned

Windfall Offset

30 417-425 SN State Amount - Debit Total State amount - Subsequently cashed or returned
31 426-434 SN Federal amount offset Total Federal amount offset in the reporting month-credit or debit
32 435-443 SN State amount offset Total State amount offset in the reporting month - credit or debit

Overpayment Credit

33 444-464 AN Filler Future Use
34 465-473 SN Overpayment-
Federal Credit -
current FY
Total Federal amount Withheld - current FY
35 474-482 SN Overpayment - State Credit -
current FY
Total State amount Withheld - current FY
36 483-491 SN Overpayment-
Federal Credit - prior FY
Total Federal amount Withheld - prior FY

Postentitlement Adjustments

37 492-500 SN Overpayment - State Credit - prior FY Total State amount Withheld - prior FY
38 501-509 SN Federal Overcharges Recovered - Credit Total Federal amount Recovered and credited in
reporting month
39 510-518 SN Federal Overcharges Recovered - Debit Total Federal amount Recovered and debited in
reporting month.
40 519-527 SN Federal Under-charges Paid - Credit Total Federal amount Paid and credited in reporting month
41 528-536 SN Federal Under- charges Paid -
Debit
Total Federal amount Paid and debited in reporting month
42 537-545 SN State Overcharges Recovered - credit Total State amount Recovered and credited in
reporting month
43 546-554 SN State Overcharges Recovered - Debit Total State amount Recovered and
debited in reporting month
44 555-563 SN State Undercharges Paid - Credit Total State amount Paid and credited in reporting month

Double-Check Negotiations

45 564-572 SN State Undercharges Paid - Debit Total State amount Paid and Debited in reporting month
46 573-581 SN Federal amount - current FY Total Federal amount - current FY - this reporting month
47 582-590 SN State amount -
current FY
Total State amount - current FY - this reporting month
48 591-599 SN Federal amount - prior FY Total Federal amount - prior FY - this reporting month

Returned Checks/Direct Deposit Refunds

49 600-608 SN State amount -
prior FY
Total State amount - prior FY - this reporting month
50 609-611 SN Number of RC/DDR current FY Total number of current FY RC/ DDRs
received in reporting month
51 612-620 SN Federal amount - current FY Total Federal amount RC/DDR - this reporting month
52 621-629 SN State amount -
current FY
Total State amount RC/DDR - this reporting month
53 630-632 SN Number of RC/DDR - prior FY Total number of prior FY RC/ DDRs
received in reporting month
54 633-641 SN Federal amount - prior FY Total Federal amount RC/DDR - this reporting month

Emergency Advanced Payments

55 642-650 SN State amount - prior FY Total State amount RC/DDR - this
reporting month
56 651-659 SN EAP - Federal
amount paid
Total Federal amount EAPs paid this reporting month
57 660-668 SN EAP - State amount paid Total State amount EAPs paid this
reporting month
58 669-677 SN EAP - Federal amount collected Total Federal amount EAPs
collected this
reporting month

Cash Refunds

59 678-686 SN EAP State amount collected Total State amount EAPs collected this reporting month
60 687-695 SN Federal amount - current FY Total Federal amount refunded, current FY, in
reporting month
61 696-704 SN State amount -
current FY
Total State amount refunded, current FY, in reporting month
62 705-713 SN Federal amount - prior FY Total Federal amount refunded, prior FY, in reporting month

Manual One-Time Payments

63 714-722 SN State amount -
prior FY
Total State amount refunded, prior FY, in reporting month
64 723-725 SN Number of MOTPs Paid Total number of MOTPs paid
recipient in the
reporting month
65 726-734 SN Federal amount MOTPs Total Federal amount MOTPs paid recipient in
reporting month
66 735-743 SN State amount MOTPs Total State amount MOTPs paid
recipient in reporting month

C. Reference

Glossary of Terms, SI 02901.720


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0502901755
SI 02901.755 - Parts of the Individual Case Record - 04/27/2001
Batch run: 04/27/2001
Rev:04/27/2001