| 
                         Question 
                        
                      | 
                     
                     
                         Response 
                        
                      | 
                     
                     
                         Action Required 
                        
                      | 
                     
                  
                  
                     
                     | 
                         1 
                        
                      | 
                     
                     
                         Name 
                        
                      | 
                     
                     
                         Evaluate the SSR with the Numident for accuracy. Contact the beneficiary if there
                           is a discrepancy.
                         
                        
                      | 
                     
                  
                  
                     
                     | 
                         SSN 
                        
                      | 
                     
                     
                         Evaluate the SSR with Numident for accuracy. Contact the beneficiary if there is a
                           discrepancy.
                         
                        
                      | 
                     
                  
                  
                     
                     | 
                         Residence Address 
                        
                      | 
                     
                     
                         Compare and evaluate with the SSR for accuracy. Make necessary systems changes for
                           all programs involved.
                         
                        
                      | 
                     
                  
                  
                     
                     | 
                         Blank 
                        
                      | 
                     
                     
                         Contact the beneficiary and refer to Documentation of Efforts Taken To Obtain Evidence/Information
                           VB 01503.215.
                         
                        
                      | 
                     
                  
                  
                     
                     | 
                         2 
                        
                      | 
                     
                     
                         Name 
                        
                      | 
                     
                     
                         Evaluate the SSR with Numident for accuracy. Contact the payee if a discrepancy exists. 
                        
                      | 
                     
                  
                  
                     
                     | 
                         SSN 
                        
                      | 
                     
                     
                         Evaluate the SSR with Numident for accuracy. Contact the payee if a discrepancy exists. 
                        
                      | 
                     
                  
                  
                     
                     | 
                         Blank 
                        
                      | 
                     
                     
                         If the SSR lists the payee, contact the payee and refer to Documentation of Efforts
                           Taken To Obtain Evidence/Information VB
                              
                              01503.215.
                         
                        
                        If the SSR lists no payee, go to Question 3. 
                        
                      | 
                     
                  
                  
                     
                     | 
                         3 
                        
                      | 
                     
                     
                         Yes 
                        
                      | 
                     
                     
                         Refer to the date of death line. 
                        
                      | 
                     
                  
                  
                     
                     | 
                         Date 
                        
                      | 
                     
                     
                         Update the system with the death information. 
                        
                        Refer to Processing Reports of Death GN 02602.050.
                         
                        
                      | 
                     
                  
                  
                     
                     | 
                         Date blank 
                        
                      | 
                     
                     
                         No action, unless the “Yes” block is checked. If the block is checked, develop for
                           evidence of death. Refer to GN
                              
                              02602.070 Procedure for Resolving Death Alerts and Exceptions.
                         
                        
                      | 
                     
                  
                  
                     
                     | 
                         No 
                        
                      | 
                     
                     
                         No action needed. Go to Question 4. 
                        
                      | 
                     
                  
                  
                     
                     | 
                         4 
                        
                          
                        
                          
                        
                          
                        
                          
                        
                      | 
                     
                     
                         Yes 
                        
                      | 
                     
                     
                         Review 4A. 
                        
                      | 
                     
                  
                  
                     
                     | 
                         No 
                        
                      | 
                     
                     
                         No action. Go to Question 5. 
                        
                      | 
                     
                  
                  
                     
                     | 
                         Blank 
                        
                      | 
                     
                     
                         If the beneficiary states “yes” to the question but leaves the dates blank or incomplete,
                           contact the beneficiary. Refer to Documentation of Efforts Taken To Obtain Evidence/Information
                           VB 01503.215.
                         
                        
                      | 
                     
                  
                  
                     
                     | 
                         Chart 
                        
                      | 
                     
                     
                         Review “From” and “To” dates that the beneficiary returned to the U.S. as suspension
                           and reinstatement of payments, depending on the date they occurred.
                         
                        
                        See Details:  
                        
                        
                           - 
                              
                                 • 
                                 
                                    VB 01503.100 – Cessation of Residence Outside the United States (Loss of Foreign Residence).
                                     
                                    
                                  
                               
                            
                           - 
                              
                                 • 
                                 
                                    VB 01503.110 – Beneficiary Reports Going To (or is in) the United States.
                                     
                                    
                                  
                               
                            
                           - 
                              
                                 • 
                                 
                                    VB 01503.115 – Beneficiary is Not Relinquishing Foreign Residence or U.S. Visit Not Expected To
                                       Exceed 1 Full Calendar Month.
                                     
                                    
                                  
                               
                            
                           - 
                              
                           
 
                           - 
                              
                                 • 
                                 
                                    VB 01503.120 – Beneficiary is Relinquishing Foreign Residence or Expects U.S. Visit To Exceed
                                       1 Full Calendar Month.
                                     
                                    
                                  
                               
                            
                           - 
                              
                           
 
                         
                        
                      | 
                     
                  
                  
                     
                     | 
                         Chart 
                        
                      | 
                     
                     
                         Blank – Contact the beneficiary if Question 4 is marked “Yes”. 
                        
                        Refer to Documentation of Efforts Taken To Obtain Evidence/Information VB 01503.215.
                         
                        
                      | 
                     
                  
                  
                     
                     | 
                         5 
                        
                      | 
                     
                     
                         Yes 
                        
                      | 
                     
                     
                         Go to date field. 
                        
                      | 
                     
                  
                  
                     
                     | 
                         Date 
                        
                      | 
                     
                     
                         Review date of deportation. The suspension and reinstatement of payments depends on
                           the date on which the event occurs.
                         
                        
                        Refer to: 
                        
                        
                           - 
                              
                           
 
                           - 
                              
                                 • 
                                 
                                    VB 00205.205 – Removal or Deportation From the United States.
                                     
                                    
                                  
                               
                            
                         
                        
                      | 
                     
                  
                  
                     
                     | 
                         Date 
                        
                      | 
                     
                     
                         Blank – Contact the beneficiary and refer to Documentation of Efforts Taken To Obtain
                           Evidence/Information VB 01503.215.
                         
                        
                      | 
                     
                  
                  
                     
                     | 
                         No 
                        
                      | 
                     
                     
                         No action. 
                        
                      | 
                     
                  
                  
                     
                     | 
                         Blank 
                        
                      | 
                     
                     
                         Contact the beneficiary and refer to Documentation of Efforts Taken To Obtain Evidence/Information
                           VB 01503.215.
                         
                        
                      | 
                     
                  
                  
                     
                     | 
                         6 
                        
                          
                        
                          
                        
                      | 
                     
                     
                         Yes 
                        
                      | 
                     
                     
                         Go to Question 7. 
                        
                      | 
                     
                  
                  
                     
                     | 
                         No 
                        
                      | 
                     
                     
                         Review the SSR. Contact the beneficiary if there is a discrepancy 
                        
                      | 
                     
                  
                  
                     
                     | 
                         Blank 
                        
                      | 
                     
                     
                         Contact the beneficiary unless Question 7 is completed. Refer to Documentation of
                           Efforts Taken To Obtain Evidence/Information VB 01503.215.
                         
                        
                      | 
                     
                  
                  
                     
                     | 
                         7 
                        
                      | 
                     
                     
                         Chart 
                        
                      | 
                     
                     
                         Review the SSR and evaluate with responses. 
                        
                        See Details: 
                        
                        
                           - 
                              
                           
 
                           - 
                              
                                 • 
                                 
                                    VB 01503.805 – Processing Reports of Change In Other Benefit Income.
                                     
                                    
                                  
                               
                            
                           - 
                              
                                 • 
                                 
                                    VB 01503.810 – Determining The Change In Other Benefit Income.
                                     
                                    
                                  
                               
                            
                         
                        
                      | 
                     
                  
                  
                     
                     | 
                         Chart 
                        
                      | 
                     
                     
                         Blank – Contact the beneficiary if Question 6 is marked “Yes.” Refer to Documentation
                           of Efforts Taken To Obtain Evidence/Information VB 01503.215.
                         
                        
                      | 
                     
                  
                  
                     
                     | 
                         Remarks 
                        
                      | 
                     
                     
                         Yes 
                        
                      | 
                     
                     
                         Review this section for additional information or for further explanations to the
                           other questions.
                         
                        
                      | 
                     
                  
                  
                     
                     | 
                         No 
                        
                      | 
                     
                     
                         No follow-up needed. 
                        
                      | 
                     
                  
                  
                     
                     | 
                         Signature 
                        
                      | 
                     
                     
                         Yes 
                        
                      | 
                     
                     
                         No action. 
                        
                      | 
                     
                  
                  
                     
                     | 
                         No 
                        
                      | 
                     
                     
                         Contact the beneficiary, as SSA requires a signature by the beneficiary or representative
                           payee.
                         
                        
                        Refer to: 
                        
                        
                           - 
                              
                                 • 
                                 
                                    VB 01503.215 – Documentation of Efforts Taken To Obtain Evidence/Information.
                                     
                                    
                                  
                               
                            
                           - 
                              
                           
 
                         
                        
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