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

FieldField PositionField TypePartDescription
11ANID CodeType of Record: C=Regular
A=Alien
22-10NSocial Security NumberThe SSN belonging to the individual named in the record.
311-40ANRecipient'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.
441ANCouple IndicatorC - The recipient is a member of a couple
I - eligible individual; may have ineligible spouse
542ANForced Pay IndicatorF - Forced Pay
    Status
Blank - Not Forced
    Pay
643ANCategory of SupplementationA - Aged
B - Blind
D - Disabled

Monthly Forced Payments

744-46ANCounty of SupplementationRepresents county of residence; UNK indicates unknown
847-49SNNumber of Forced Pay ChecksNumber paid to recipient during reporting month
950-58SNFederal amount PaidTotal Federal amount paid to recipient during reporting month

Daily Forced Payments

1059-67SNState amount PaidTotal State amount paid to recipient during reporting month
1168-70SNNumber of Forced Pay ChecksNumber paid to recipient during reporting month
1271-79SNFederal amount PaidTotal Federal amount paid to recipient during reporting month

Automated One-Time Payment

1380-88SNState amount PaidTotal State amount paid to recipient during reporting month
1489-91SNNumber of A-OTP ChecksNumber paid to
recipient during reporting month
1592-100SNFederal Amount PaidTotal Federal amount paid to
recipient during reporting month

Automated Systems-Calculated Payments

16101-109SNState Amount PaidTotal State amount paid to recipient during reporting month
17110-112SNNumber of Automated Systems-Calculated ChecksNumber of payments to recipient during reporting month
18113SNNumber of
Quarters Used
Number of quarters accounted for and paid during reporting month (1-7 quarters)
19114-116NSegment 1 - year and quarterYYQ indicates what year and quarter
Example : a Feb. 88 check is described “881”; July 88 check as “883”
 117-125SNFederal amount PaidNet Federal amount of check
 126-134SNState amount PaidNet State amount of check
 135-143SNFederal amount WithheldFederal amount Withheld from recipient's payment
 144-152SNState amount WithheldState amount Withheld from recipient's payment
20153-155NSegment 2 - year and quarterSee Description for Segment 1 -
 156-164SNFederal amount PaidNext most recent quarter
 165-173SNState amount Paid 
 174-182SNFederal amount Withheld 
 183-191SNState amount Withheld 
21192-194NSegment 3 - Year and quarterSee Description for Segment 1 -
 195-203SNFederal Amount PaidNext most recent quarter
 204-212SNState Amount Paid 
 213-221SNFederal Amount Withheld 
 222-230SNState Amount Withheld 
22231-233NSegment 4 - Year and quarterSee Description for Segment 1 -
 234-242SNFederal Amount PaidNext most recent quarter
 243-251SNState Amount Paid 
 252-260SNFederal Amount Withheld 
 261-269SNState Amount Withheld 
23270-272NSegment 5 - Year and quarterSee Description for Segment 1 -
 273-281SNFederal Amount PaidNext most recent quarter
 282-290SNState Amount Paid 
 291-299SNFederal Amount Withheld 
 300-308SNState Amount Withheld 
24309-311NSegment 6 - Year and quarterSee Description for Segment 1 -
 312-320SNFederal Amount PaidNext most recent quarter
 321-329SNState Amount Paid 
 330-338SNFederal Amount Withheld 
 339-347SNState Amount Withheld 
25348-350NSegment 7 - Year and quarterSee Description for Segment 1 -
 351-359SNFederal Amount PaidAll other quarters
 360-368SNState Amount Paid 
 369-377SNFederal Amount Withheld 

Unnegotiated Checks

 378-386SNState Amount Withheld 
26387-389SNNumber of Unnegotiated ChecksNumber of checks deemed unnegotiated this reporting month
27390-398SNFederal Amount - CreditTotal Federal amount credited in this reporting month
28399-407SNState amount - creditTotal State amount credited in this
reporting month
29408-416SNFederal amount - debitTotal Federal amount - subsequently cashed or returned

Windfall Offset

30417-425SNState Amount - DebitTotal State amount - Subsequently cashed or returned
31426-434SNFederal amount offsetTotal Federal amount offset in the reporting month-credit or debit
32435-443SNState amount offsetTotal State amount offset in the reporting month - credit or debit

Overpayment Credit

33444-464ANFillerFuture Use
34465-473SNOverpayment-
Federal Credit -
current FY
Total Federal amount Withheld - current FY
35474-482SNOverpayment - State Credit -
current FY
Total State amount Withheld - current FY
36483-491SNOverpayment-
Federal Credit - prior FY
Total Federal amount Withheld - prior FY

Postentitlement Adjustments

37492-500SNOverpayment - State Credit - prior FYTotal State amount Withheld - prior FY
38501-509SNFederal Overcharges Recovered - CreditTotal Federal amount Recovered and credited in
reporting month
39510-518SNFederal Overcharges Recovered - DebitTotal Federal amount Recovered and debited in
reporting month.
40519-527SNFederal Under-charges Paid - CreditTotal Federal amount Paid and credited in reporting month
41528-536SNFederal Under- charges Paid -
Debit
Total Federal amount Paid and debited in reporting month
42537-545SNState Overcharges Recovered - creditTotal State amount Recovered and credited in
reporting month
43546-554SNState Overcharges Recovered - DebitTotal State amount Recovered and
debited in reporting month
44555-563SNState Undercharges Paid - CreditTotal State amount Paid and credited in reporting month

Double-Check Negotiations

45564-572SNState Undercharges Paid - DebitTotal State amount Paid and Debited in reporting month
46573-581SNFederal amount - current FYTotal Federal amount - current FY - this reporting month
47582-590SNState amount -
current FY
Total State amount - current FY - this reporting month
48591-599SNFederal amount - prior FYTotal Federal amount - prior FY - this reporting month

Returned Checks/Direct Deposit Refunds

49600-608SNState amount -
prior FY
Total State amount - prior FY - this reporting month
50609-611SNNumber of RC/DDR current FYTotal number of current FY RC/ DDRs
received in reporting month
51612-620SNFederal amount - current FYTotal Federal amount RC/DDR - this reporting month
52621-629SNState amount -
current FY
Total State amount RC/DDR - this reporting month
53630-632SNNumber of RC/DDR - prior FYTotal number of prior FY RC/ DDRs
received in reporting month
54633-641SNFederal amount - prior FYTotal Federal amount RC/DDR - this reporting month

Emergency Advanced Payments

55642-650SNState amount - prior FYTotal State amount RC/DDR - this
reporting month
56651-659SNEAP - Federal
amount paid
Total Federal amount EAPs paid this reporting month
57660-668SNEAP - State amount paidTotal State amount EAPs paid this
reporting month
58669-677SNEAP - Federal amount collectedTotal Federal amount EAPs
collected this
reporting month

Cash Refunds

59678-686SNEAP State amount collectedTotal State amount EAPs collected this reporting month
60687-695SNFederal amount - current FYTotal Federal amount refunded, current FY, in
reporting month
61696-704<