SI 02310: SSI Interfaces
TN 46 (12-13)
Exhibit A VA Extract and Legend
Exhibit B RRB Extract and Legend
Exhibit C Form SSA-3570 (RRB/SSR Interface RRB Payment History)
Exhibit D DOD Extract and Legend
Exhibit E Form SSA-2495 (Authorization to Disclose Internal Revenue Service Information)
Exhibit F SSR Prison Inmate Alert
A. Exhibit A – Department of Veterans Affairs (VA) Extract and Legend
1. VA Extract
Field # |
Record Location |
Field Name |
Field Size |
Field Format |
Description/Comments |
|---|---|---|---|---|---|
|
1 |
1-4 |
Record Length |
4 |
Numeric |
Will contain the total physical length of the record. Field will always be populated with value (number of bytes). |
|
2 |
5-13 |
VA File Number |
9 |
Alpha |
Field will contain the unique number assigned to the VBA record. Field will always be populated with a value. |
|
3 |
14-22 |
Veterans SSN |
9 |
Alpha Numeric |
Field will contain the Veteran’s Social Security number. If None=Send Spaces. |
|
4 |
23-31 |
Beneficiary SSN |
9 |
Alpha Numeric |
The Person Entitled to the VA benefit. Will belong to the Beneficiary getting the money. If None=Send Spaces. |
|
5 |
32-33 |
Payee Number |
2 |
Numeric |
Field will always be populated with a value. Field will contain a value indicating who is entitled to the benefit (Primary Beneficiary of the Award). |
|
6 |
34-35 |
Total Dependency Code |
2 |
Numeric |
The Total Dependency Code field will be populated with a value indicating the total number of dependents on the Primary Beneficiary Award. Standard Dependency Codes will be used except for the following: For Parents DIC-(91) Sole Surviving Parent (rate chart); (92) One of Two Parents with No Spouse (rate chart); and (93) One of Two Parents with Spouse (rate chart). For Apportionment Awards-(10) Spouse; (81) Children; and (50 or 60) Parents. Fields will always be populated with a value. Note: Total Dependency Code=How Many Dependents the Beneficiary is Eligible to receive $ for. |
|
7 |
36-37 |
THS Dependency Code |
2 |
Numeric |
The THS (Total Being Paid on This Award) Dependency Code field will be populated with a value indicating the total number of dependents the Beneficiary is actually being paid for on this award (i.e., dependents minus the apportioned dependents). Standard Dependency Codes will be used except for the following: For Parents DIC-(91) Sole Surviving Parent (rate chart); (92) One of Two Parents with No Spouse (rate chart). For Apportionment Awards-(10) Spouse; (81) Children; and (50 or 60) Parents. Fields will always be populated with a value. Note: THS Dep Code=How Many Dependents the Beneficiary is Actually Being Paid For. |
|
8 |
38 |
Record Type Code |
1 |
Alpha |
Field will contain a value indicating the basis for benefit payments. Field will always be populated with a value. Values for: (C) Comp; (G) Spouse DIC Pay Grade; (R) Spouse DIC Reform ;(A) Apportionment; (M) MOH; (I) Improved Pension Live; (D) Child DIC; (B) Spouse Improved Pension Death; (P) Parents DIC; (F) Child Improved Pension; (O) Override (GAO); and (X) Protected Rate (Old Law Pension, 306 Pension; Death Compensation and/or Special Parents DIC). |
|
9 |
39 |
The Current Award Status Code (formerly The Current Status of an Award) |
1 |
Alpha |
Award Status Code Values will be: (A) Active; (T) Terminated; (S) Suspended. Field will always be populated with a value. |
|
10 |
40 |
Beneficiary Gender Code |
1 |
Alpha |
Field will contain a value indicating the sex of the person entitled to benefit (Primary Beneficiary). Values are (F) Female and (M) Male, or Blank. If None (Unknown)=Send Spaces. |
|
11 |
41-70 |
First Name of Beneficiary |
30 |
Alpha |
Field will contain the first name of the person entitled to the benefit (Veteran or Payee other than Veteran). If None=Send Spaces. |
|
12 |
71-100 |
Middle Name of Beneficiary |
30 |
Alpha |
Field will contain the middle name of the person entitled to the benefit (Veteran or Payee other than Veteran). If None=Send Spaces. |
|
13 |
101-130 |
Last Name of Beneficiary |
30 |
Alpha |
Field will contain the last name of the person entitled to the benefit (Veteran or Payee other than Veteran). If None=Send Spaces. |
|
14 |
131-138 |
Beneficiary Birth Date |
8 |
Alpha Numeric |
Field will contain the date of birth for the person entitled to the benefit (Veteran or Payee other than Veteran). CCYYMMDD Format should reflect the Entitled Person. |
|
15 |
139-140 |
Beneficiary Aid & Attendance/ Housebound Code (Formerly Beneficiary Aid & Attendance/ Housebound Indicator) |
2 |
Alpha |
Field will contain a value if the Beneficiary is entitled to Aid & Attendance or Housebound benefits. Values are (AA) Aid & Attendance and (HB) Housebound. If None=Send Spaces. |
|
16 |
141-142 |
Spouse Aid & Attendance/ Housebound Code (Formerly Spouse Aid & Attendance/ Housebound Indicator) |
2 |
Alpha |
Field will contain a value if the dependent Spouse is entitled to Aid & Attendance or Housebound benefits. Values are (AA) Aid & Attendance and (HB) Housebound. If None=Send Spaces. |
|
17 |
143 |
$90 Rate Indicator |
1 |
Alpha |
Values are (Y) Yes or (N) No. Field will always be populated with a value. If an Improved Pension Bene (Veteran or Surviving Spouse) with no dependents is in a Medicaid-approved nursing home, the indicator will be set to “Y.” If a Veteran in receipt of Improved Pension with no dependents is in a VHA or Contract Nursing Home, the indicator will be set to “Y.” Note: If there is an Institutionalization Decision of Private Nursing Home Care or VHA or Contract Nursing Home Care in VETSNET, the indicator will be set to “Y.” |
|
18 |
144 |
Vet Married to Vet Indicator |
1 |
Alpha |
Values are (Y) Yes or (N) No. This field indicates if the Beneficiary is married to another Beneficiary (Spouse). A value of “Y” will only be generated if both Beneficiaries are in receipt of Pension benefits. If a Vet Married to Vet Pension award is generated through rate override (GAO), the indicator will be set to “N.” Field will always be populated with a value. |
|
19 |
145 |
Incarceration Indicator (Formerly Prison Code) |
1 |
Alpha |
Values=(Y) Yes or (N) No. Field will always be populated with a value. Note: If the Primary Beneficiary has an Incarceration decision, the value will be set to “Y.” |
|
20 |
146-148 |
Station Number |
3 |
Numeric |
Field will always contain the Station of Jurisdiction of the award. Field will always be populated with a value. |
|
21 |
149-151 |
Percent of Disability |
3 |
Numeric |
Field will only be populated if the Beneficiary is receiving Compensation (Service Connected Disability) benefits. |
|
22 |
152-153 |
SMC Payment Code |
2 |
Alpha Numeric |
If there is no entitlement to SMC, send spaces. Default=Spaces. |
|
23 |
154-161 |
SMC Amount |
8 |
Numeric |
Field will always be populated with a value. Default=0 (zeros). Note: Field will contain the monthly SMC rate amount from the SMC Codes and Rate chart. |
|
24 |
162-169 |
Disability Comp Basic Rate |
8 |
Numeric |
Field will contain the combined percentage (%) rate based on the Disability Compensation-Basic Rates chart without any dependents or SMC add-ons. Default=0 (zeros). Field will display a monthly amount. Note: Field will contain the amount of service connected compensation a Veteran Beneficiary is entitled to based on his/her combined degree only (without dependents or SMC). |
|
25 |
170-181 |
Entitlement Code |
12 |
Alpha Numeric |
Field will contain the Entitlement Code from the current award line based on the type of benefit, branch and period of service. Field will always be populated with a value. |
|
26 |
182-193 |
Change Reason |
12 |
Alpha |
Field will contain the reason for change in award based on the Change Reason Hierarchy List. Default=Spaces. |
|
27 |
194-205 |
Suspense Reason |
12 |
Alpha |
Field will contain the reason for award in suspense status based on the Suspense Hierarchy List. Default=Spaces. |
|
28 |
206-213 |
Date of Suspense |
8 |
Alpha Numeric |
Format is (CCYYMMDD). Default=Spaces. Note: Suspense Date= Last Paid Date (Date Last Paid). |
|
29 |
214-221 |
Total Gross Award Amount |
8 |
Numeric |
Total Gross Award Amount=The total amount of cash benefits that a family unit is entitled to per award. Field will always be populated with a value. Default=0 (zeros). Note: Field will display monthly amount. |
|
30 |
222-229 |
Total Gross Award Date |
8 |
Alpha Numeric |
Field will contain the award effective date of the Total Gross Award Amount. Format is (CCYYMMDD). Field will always be populated with a value. |
|
31 |
230-237 |
Payment Amount |
8 |
Numeric |
Payment Amount=The final recurring amount of the payment that goes to the Beneficiary. Field will always be populated with a value. Note: Field will display monthly amount paid to each beneficiary. |
|
32 |
238 |
Pay Month/ Frequency Code |
1 |
Numeric |
Values are: (0)= Monthly; (3)= Quarterly; (2)= Semi-Annual; (1)= Annual. Field will always be populated with a value. |
|
33 |
239-246 |
Beneficiary Income Amount |
8 |
Numeric |
Beneficiary Income Amounts=All income for Beneficiary. Field will always be populated with a value. Default=0 (zeros). Note: Field will display total annual amount. |
|
34 |
247 |
Beneficiary Earned Income Indicator |
1 |
Alpha |
Values=(Y)Yes or (N)No. Field will always be populated with a value. Note: If the Beneficiary has any earned income, set the indicator to (Y). |
|
35 |
248 |
Beneficiary Retirement Code |
1 |
Alpha |
Values=(B)Black Lung; (C)Civil Service Retirement; (O)Other (Type Unknown); (M)=Military Retirement; (R) Railroad Retirement Board; (S)Social Security; and (X)Multiple Retirement Codes. If None=Send Spaces. |
|
36 |
249-256 |
Beneficiary Retirement Amount |
8 |
Numeric |
Beneficiary Retirement Amount=Total Amount of All Retirement Income for Beneficiary. Note: Field will display annual amount. If the Beneficiary is not in receipt of retirement benefits, send (0) zeros. |
|
37 |
257-264 |
Spouse Income Amounts |
8 |
Numeric |
Spouse Income Amounts=All Income for the Spouse. Field will always be populated with a value. Default=0 (zeros). Field will display the total annual amount. Note: If Spouse Income is used to calculate the IVAP, it will be in the SSA Record Layout for VA Interface. |
|
38 |
265 |
Spouse Earned Income Indicator |
1 |
Alpha |
Values=(Y) Yes or (N) No. Field will always be populated with a value. Note: If the Spouse has any earned income that is used to calculate the IVAP, set the indicator to (Y). |
|
39 |
266 |
Spouse Retirement Code |
1 |
Alpha |
Values=(B)Black Lung;(C)Civil Service Retirement; (O)Other (Type Unknown); (M)Military Retirement; (R)Railroad Retirement Board; (S)Social Security; and (X)Multiple Retirement Codes. If None=Send Spaces. |
|
40 |
267-274 |
Spouse Retirement Amount |
8 |
Numeric |
Spouse Retirement Amount=Total Amount of All Retirement Income for the Spouse. Note: Field will display annual amount. |
|
41 |
275-282 |
MAPR Amount |
8 |
Numeric |
MAPR=Maximum Annual Pension Rate. Field will always be populated for Pension (Income Based) Benefits. Default=0 (zeros). Note: Field will display annual amount. |
|
42 |
283-290 |
MAPR without A&A/HB Amount (Formerly MAPR without Amount) |
8 |
Numeric |
This field includes the Maximum Annual Pension Rate without A&A of Housebound Field will always be populated with a value for Pension (Income Based) Benefits. Default=0 (zeros). Note: Field will display annual amount. |
|
43 |
291 |
Programmatic Overpayment Indicator |
1 |
Alpha |
Values=(Y) Yes or (N) No. Field will always be populated with a value. Note: Indicator will be set to (Y) if a30B A/R exists with a deduction amount. If not, the indicator will be set to (N). |
|
44 |
292-299 |
Total Deduction Amount |
8 |
Numeric |
Field will always be populated with a value. Default=0(zeros). Note 1: Total Deduction Amount=Total Deduction Amount Being Taken Out of Monthly Recurring Check. Note 2: Field will display monthly amount. Note 3: VA will only send data for those deductions that are on the SSA approved list. |
|
45 |
300-307 |
Total Withholding Amount |
8 |
Numeric |
Field will always be populated with a value. Default=0 (zeros). Note 1: Field will display monthly amount. Note 2: VA will only send data for those withholdings that are on the SSA approved list. Note 3: If there are two or more withholdings, VA will send the total amount of all the withholdings. |
|
46 |
308-315 |
Total A/R Amount |
8 |
Numeric |
Field will always be populated with a value. Default-0 (zeros). Note 1: Total A/R Amount=Total Amount Being Taken Out of Monthly Check. Note 2: Field will display monthly amount. Note 3: VA will only send data for those A/Rs that are on the SSA approved list. |
|
47 |
316-323 |
Total Proceeds Amount |
8 |
Numeric |
Field will be populated with a default value equal to zeros (0). Note: Field will remain in SSA Record Layout for VA Interface. SSA would like a default value of zeros sent at this time. |
|
48 |
324-331 |
Total Apportionment Amount |
8 |
Numeric |
Field will always be populated with a value. Default=0 (zeros). Note 1: Field will contain the total amount of all Apportionments on the Primary Beneficiary award. Note 2: Field will display monthly amount. |
|
49 |
332-339 |
Income for VA Purposes |
8 |
Numeric |
Field will only be populated for Pension (Income Based) benefits. Default=0 (zeros). Note: Field will display annual amount. |
|
50 |
340-347 |
Medical Expenses Amount |
8 |
Numeric |
Field will only be populated for Pension (Income Based) benefits. Default=0 (zeros). Note 1: Field will display the total amount of medical expenses reported to VA for the family unit. Note 2: Field will contain an annual amount. |
|
51 |
348 |
Fiduciary Indicator |
1 |
Alpha |
Values=(Y) Yes or (N) No. Field will always be populated with a value. Note: Field will contain a (Y) value if a 3rd Party (not the Beneficiary) is receiving the payment. |
|
52 |
349 |
DIC 2 Year Kicker Indicator |
1 |
Alpha |
Values=(Y) Yes or (N) No. Field will always be populated with a value. Note: Set the value to (Y) if the surviving spouse has one or more children under the age of 18 on the award and has entitlement to the transitional benefit (38 USC 1311(f)). |
|
53 |
350 |
DIC 8 Year Kicker Indicator |
1 |
Alpha |
Values=(Y) Yes or (N) No. Field will always be populated with a value. Note: Set the value to (Y) if at the time of the Vet’s death, the Vet was in receipt of or entitled to receive compensation for a service connected disability rated totally disabling (including a rating based on individual un-employability) for a continuous period of at least 8 years preceding death AND the surviving spouse was married to the Vet for those same 8 years (38 USC 1311 (a)(2)). |
|
54 |
351-352 |
DIC Pay Grade Code |
2 |
Alpha Numeric |
Field will be populated with a value if the Beneficiary is being paid DIC benefits based on the Veteran’s pay grade. Default=Spaces. |
|
55 |
353 |
Foreign Address Indicator |
1 |
Alpha |
Values=(Y) Yes or (N) No. Field will always be populated with a value. Note: Field will contain a (Y) value if there is an address with a country code. |
|
56 |
354 |
Address Type Code (formerly Address Type Indicator) |
1 |
Alpha |
Values=(C) Corporate and (B) BDN. Field will always be populated with a value. |
|
57 |
355-854 |
Address Data |
500 |
Alpha |
Will contain 1 of 2 address formats. (B) Address Type will contain the standard BDN 120 position address (6 lines of 20 positions each). (C) Address Type will contain the following fields (i.e., layout): Address Name (35 bytes); Address Fiduciary Type (50 bytes); Address Name Beneficiary (90 bytes); Address Line 1 (35 bytes); Address Line 2 (35 bytes); Address Line 3 (35 bytes); City Name (30 bytes); State Name (2 bytes); Country Type Name (50 bytes); Foreign Postal Code (16 bytes); Province Name (35 bytes); Territory Name (45 bytes); Military Postal Type (12 bytes); Military Post Office (12 bytes) and Filler 18 bytes. |
|
58 |
855-859 |
Zip Code |
5 |
Numeric |
If None=Send Spaces. Note: If the record has a foreign address, the field will be populated with zeros (0). |
|
59 |
860-867 |
Spouse Date of Birth |
8 |
Date |
Format is (CCYYMMDD). If None=Send Spaces. |
|
60 |
868-876 |
Spouse SSN |
9 |
Alpha Numeric |
If None=Send Spaces. |
|
61 |
877-906 |
Spouse First Name |
30 |
Alpha |
If None=Send Spaces. |
|
62 |
907-936 |
Spouse Middle Name |
30 |
Alpha |
If None=Send Spaces. |
|
63 |
937-966 |
Spouse Last Name |
30 |
Alpha |
If None=Send Spaces. |
|
64 |
967-974 |
Child 1 Date of Birth |
8 |
Alpha Numeric |
Format is (CCYYMMDD). If None=Send Spaces. |
|
65 |
975-983 |
Child 1 SSN |
9 |
Alpha Numeric |
If None=Send Spaces. |
|
66 |
984-1013 |
Child 1 First Name |
30 |
Alpha |
If None=Send Spaces. |
|
67 |
1014-1043 |
Child 1 Middle Name |
30 |
Alpha |
If None=Send Spaces. |
|
68 |
1044-1073 |
Child 1 Last Name |
30 |
Alpha |
If None=Send Spaces. |
|
69 |
1074 |
Child 1 School Indicator (New Field) |
1 |
Alpha |
Values (Y) Yes or (N) No. Field will always be populated with a value. Rule: If the child is over the age of 18 and ins school, set the indicator to “Y.” If the child is not over the age of 18 or not in school, set the indicator to “N.” |
|
70 |
1075-1082 |
Child 2 Date of Birth |
8 |
Alpha Numeric |
Format is (CCYYMMDD). If None=Send Spaces. |
|
71 |
1083-1091 |
Child 2 SSN |
9 |
Alpha Numeric |
If None=Send Spaces. |
|
72 |
1092-1121 |
Child 2 First Name |
30 |
Alpha |
If None=Send Spaces. |
|
73 |
1122-1151 |
Child 2 Middle Name |
30 |
Alpha |
If None=Send Spaces. |
|
74 |
1152-1181 |
Child 2 Last Name |
30 |
Alpha |
If None=Send Spaces. |
|
75 |
1182 |
Child 2 School Indicator (New Field) |
1 |
Alpha |
Values (Y) Yes or (N) No. Field will always be populated with a value. Rule: If the child is over the age of 18 and in school, set the indicator to “Y.” If the child is not over the age of 18 or not in school, set the indicator to “N.” |
|
76 |
1183-1190 |
Child 3 Date of Birth |
8 |
Alpha Numeric |
Format is (CCYYMMDD). If None=Send Spaces. |
|
77 |
1191-1199 |
Child 3 SSN |
9 |
Alpha Numeric |
If None=Send Spaces. |
|
78 |
1200-1229 |
Child 3 First Name |
30 |
Alpha |
If None=Send Spaces. |
|
79 |
1230-1259 |
Child 3 Middle Name |
30 |
Alpha |
If None=Send Spaces. |
|
80 |
1260-1289 |
Child 3 Last Name |
30 |
Alpha |
If None=Send Spaces. |
|
81 |
1290 |
Child 3 School Indicator (New Field) |
1 |
Alpha |
Values (Y) Yes or (N) No. Field will always be populated with a value. Rule: If the child is over the age of 18 and in school, set the indicator to “Y.” If the child is not over the age of 18 or not in school, set the indicator to “N.” |
|
82 |
1291-1298 |
Child 4 Date of Birth |
8 |
Alpha Numeric |
Format is (CCYYMMDD). If None=Send Spaces. |
|
83 |
1299-1307 |
Child 4 SSN |
9 |
Alpha Numeric |
If None=Send Spaces. |
|
84 |
1308-1337 |
Child 4 First Name |
30 |
Alpha |
If None=Send Spaces. |
|
85 |
1338-1367 |
Child 4 Middle Name |
30 |
Alpha |
If None=Send Spaces. |
|
86 |
1368-1397 |
Child 4 Last Name |
30 |
Alpha |
If None=Send Spaces. |
|
87 |
1398 |
Child 4 School Indicator (New Field) |
1 |
Alpha |
Values (Y) Yes or (N) No. Field will always be populated with a value. Rule: If the child is over the age of 18 and in school, set the indicator to “Y.” If the child is not over the age of 18 or not in school, set the indicator to “N.” |
|
88 |
1399-1406 |
Child 5 Date of Birth |
8 |
Alpha Numeric |
Format is (CCYYMMDD). If None=Send Spaces. |
|
89 |
1407-1415 |
Child 5 SSN |
9 |
Alpha Numeric |
If None=Send Spaces. |
|
90 |
1416-1445 |
Child 5 First Name |
30 |
Alpha |
If None=Send Spaces. |
|
91 |
1446-1475 |
Child 5 Middle Name |
30 |
Alpha |
If None=Send Spaces. |
|
92 |
1476-1505 |
Child 5 Last Name |
30 |
Alpha |
If None=Send Spaces. |
|
93 |
1506 |
Child 5 School Indicator (New Field) |
1 |
Alpha |
Values (Y) Yes or (N) No. Field will always be populated with a value. Rule: If the child is over the age of 18 and in school, set the indicator to “Y.” If the child is not over the age of 18 or not in school, set the indicator to “N.” |
|
94 |
1507-1514 |
Child 6 Date of Birth |
8 |
Alpha Numeric |
Format is (CCYYMMDD). If None=Send Spaces. |
95 |
1515-1523 |
Child 6 SSN |
9 |
Alpha Numeric |
If None=Send Spaces. |
|
96 |
1524-1553 |
Child 6 First Name |
30 |
Alpha |
If None=Send Spaces. |
|
97 |
1554-1583 |
Child 6 Middle Name |
30 |
Alpha |
If None=Send Spaces. |
|
98 |
1584-1613 |
Child 6 Last Name |
30 |
Alpha |
If None=Send Spaces. |
|
99 |
1614 |
Child 6 School Indicator (New Field) |
1 |
Alpha |
Values (Y) Yes or (N) No. Field will always be populated with a value. Rule: If the child is over the age of 18 and in school, set the indicator to “Y.” If the child is not over the age of 18 or not in school, set the indicator to “N.” |
|
100 |
1615-1622 |
Child 7 Date of Birth |
8 |
Alpha Numeric |
Format is (CCYYMMDD). If None=Send Spaces. |
|
101 |
1623-1631 |
Child 7 SSN |
9 |
Alpha Numeric |
If None=Send Spaces. |
|
102 |
1632-1661 |
Child 7 First Name |
30 |
Alpha |
If None=Send Spaces. |
|
103 |
1662-1691 |
Child 7 Middle Name |
30 |
Alpha |
If None=Send Spaces. |
|
104 |
1692-1721 |
Child 7 Last Name |
30 |
Alpha |
If None=Send Spaces. |
|
105 |
1722 |
Child 7 School Indicator (New Field) |
1 |
Alpha |
Values (Y) Yes or (N) No. Field will always be populated with a value. Rule: If the child is over the age of 18 and in school, set the indicator to “Y.” If the child is not over the age of 18 or not in school, set the indicator to “N.” |
|
106 |
1723-1730 |
Child 8 Date of Birth |
8 |
Alpha Numeric |
Format is (CCYYMMDD). If None=Send Spaces. |
|
107 |
1731-1739 |
Child 8 SSN |
9 |
Alpha Numeric |
If None=Send Spaces. |
|
108 |
1740-1769 |
Child 8 First Name |
30 |
Alpha |
If None=Send Spaces. |
|
109 |
1770-1799 |
Child 8 Middle Name |
30 |
Alpha |
If None=Send Spaces. |
|
110 |
1800-1829 |
Child 8 Last Name |
30 |
Alpha |
If None=Send Spaces. |
|
111 |
1830 |
Child 8 School Indicator (New Field) |
1 |
Alpha |
Values (Y) Yes or (N) No. Field will always be populated with a value. Rule: If the child is over the age of 18 and in school, set the indicator to “Y.” If the child is not over the age of 18 or not in school, set the indicator to “N.” |
|
112 |
1831-1838 |
Child 9 Date of Birth |
8 |
Alpha Numeric |
Format is (CCYYMMDD). If None=Send Spaces. |
|
113 |
1839-1847 |
Child 9 SSN |
9 |
Alpha Numeric |
If None=Send Spaces. |
|
114 |
1848-1877 |
Child 9 First Name |
30 |
Alpha |
If None=Send Spaces. |
|
115 |
1878-1907 |
Child 9 Middle Name |
30 |
Alpha |
If None=Send Spaces. |
|
116 |
1908-1937 |
Child 9 Last Name |
30 |
Alpha |
If None=Send Spaces. |
|
117 |
1938 |
Child 9 New School Indicator (New Field) |
1 |
Alpha |
Values (Y) Yes or (N) No. Field will always be populated with a value. Rule: If the child is over the age of 18 and in school, set the indicator to “Y.” If the child is not over the age of 18 or not in school, set the indicator to “N.” |
|
118 |
1939-1946 |
Father Date of Birth |
8 |
Alpha Numeric |
Format is (CCYYMMDD). If None=Send Spaces. |
|
119 |
1947-1955 |
Father SSN |
9 |
Alpha Numeric |
If None=Send Spaces. |
|
120 |
1956-1985 |
Father First Name |
30 |
Alpha |
If None=Send Spaces. |
|
121 |
1986-2015 |
Father Middle Name |
30 |
Alpha |
If None=Send Spaces. |
|
122 |
2016-2045 |
Father Last Name |
30 |
Alpha |
If None=Send Spaces. |
|
123 |
2046-2053 |
Mother Date of Birth |
8 |
Alpha Numeric |
Format is (CCYYMMDD). If None=Send Spaces. |
|
124 |
2054-2062 |
Mother SSN |
9 |
Alpha Numeric |
If None=Send Spaces. |
|
125 |
2063-2092 |
Mother First Name |
30 |
Alpha |
If None=Send Spaces. |
|
126 |
2093-2122 |
Mother Middle Name |
30 |
Alpha |
If None=Send Spaces. |
|
127 |
2123-2152 |
Mother Last Name |
30 |
Alpha |
If None=Send Spaces. |
NOTE: The VA Extract File will display the children present on the VA Interface from youngest to oldest based on date of birth.
2. VA Legend
a. General Payee Number Codes
Description |
Value |
|---|---|
Veteran |
00 |
Spouse or Surviving Spouse |
10 |
Child #1 |
11 |
Child #2 |
12 |
Child #3 |
13 |
Child #4 |
14 |
Child #5 |
15 |
Child #6 |
16 |
Child #7 |
17 |
Child #8 |
18 |
Child #9 |
19 |
Father |
50 |
Mother |
60 |
b. Payee Number Codes for Awards Under 38 U.S.C. 421(a) Only
Description |
Value |
|---|---|
Spouse or Surviving Spouse |
70 |
Child #1 |
71 |
Child #2 |
72 |
Child #3 |
73 |
Child #4 |
74 |
Child #5 |
75 |
Child #6 |
76 |
Child #7 |
77 |
Child #8 |
78 |
Child #9 |
79 |
Institutional Award to Veteran Under 38 CFR 3.852 |
99 |
c. Record Type Codes
Description |
Value |
|---|---|
Apportionment |
A |
Spouse Improved Pension Death |
B |
Compensation |
C |
Child Dependency Indemnity Compensation (DIC) |
D |
Month of Death (MOD) |
E |
Child Improved Pension |
F |
Spouse Dependency Indemnity Compensation (DIC) Pay Grade |
G |
Improved Pension Live |
I |
Medal of Honor (MOH) |
M |
Override |
O |
Parent Dependency Indemnity Compensation (DIC) |
P |
Spouse Dependency Indemnity (DIC) Reform |
R |
Protected Rate |
X |
d. Entitlement Codes
Description |
Value |
|---|---|
Converted BDN Entitlement Code |
CV |
Death DIC – Korean Conflict |
37 |
Death DIC – Mexican Border Period |
67 |
Death DIC – Peacetime |
47 |
Death DIC – Persian Gulf War |
07 |
Death DIC – Philippine – WWII |
97 |
Death DIC – Philippine Peacetime |
99 |
Death DIC – Special Allowance – Korean Conflict |
39 |
Death DIC – Special Allowance – Peacetime |
49 |
Death DIC – Special Allowance – Vietnam Era |
79 |
Death DIC – Special Allowance – WWI |
29 |
Death DIC – Vietnam Era |
77 |
|
Death DIC – WWI |
17 |
Death DIC – WWII |
27 |
Death DIC – War with Spain |
57 |
Death Improved Pension – Korean Conflict |
3D |
Death Improved Pension – Mexican Border Period |
6D |
Death Improved Pension – Peacetime |
4D |
Death Improved Pension – Persian Gulf War |
0D |
Death Improved Pension – Vietnam Era |
7D |
Death Improved Pension – WWI |
1D |
Death Improved Pension – WWII |
2D |
Death Improved Pension – War with Spain |
5D |
Death Pension – PL86-211-Korean Conflict |
38 |
Death Pension – PL86-211-Mexican Border Period |
68 |
Death Pension – PL86-211-Vietnam Era |
78 |
Death Pension – PL86-211-WWI |
18 |
Death Pension – PL86-211-WWII |
28 |
Death Pension – PL86-211-War with Spain |
58 |
Death Pension-Protected-Civil War |
86 |
Death Pension-Protected-Indian War |
66 |
Death Pension-Protected-Korean Conflict |
36 |
Death Pension-Protected-WWI |
16 |
Death Pension-Protected-WWII |
26 |
Death Pension-Protected-War with Spain |
56 |
Death Compensation-Korean Conflict |
35 |
Death Compensation-Peacetime |
45 |
Death Compensation-Philippine WWII |
95 |
Death Compensation-Vietnam Era |
75 |
Death Compensation-Wartime-WWI |
15 |
Death Compensation-Wartime-WWII |
25 |
Disability Compensation-Korean Conflict |
31 |
Disability Compensation-Mexican Border Period |
61 |
Disability Compensation-Peacetime |
41 |
Disability Compensation-Persian Gulf War |
01 |
Disability Compensation-Philippine-WWII |
91 |
Disability Compensation-Vietnam Era |
71 |
Disability Compensation-WWI |
11 |
Disability Compensation-WWII |
21 |
Disability Compensation-Month of Death |
51 |
Disability Improved Pension-Korean Conflict |
3L |
Disability Improved Pension-Mexican Border Period |
6L |
Disability Improved Pension-Persian Gulf War |
0L |
Disability Improved Pension-Vietnam Era |
7L |
Disability Improved Pension-WWI |
1L |
Disability Improved Pension-WWII |
2L |
Disability Improved Pension-Month of Death |
43 |
Disability Pension-PL86-211/670-Korean Conflict |
34 |
Disability Pension-PL86-211/670-Mexican Border |
64 |
Disability Pension-PL86-211/670-Vietnam Era |
74 |
Disability Pension-PL86-211/670-WWI |
14 |
Disability Pension-PL86-211/670-WWII |
24 |
Disability Pension-PL86-211/670-War with Spain |
54 |
Disability Pension-Protected(SAW 90 Days) KC |
32 |
Disability Pension-Protected(SAW 90 Days) WWI |
12 |
Disability Pension-Protected(SAW 90 Days) WWII |
22 |
Disability Pension-Protected-War with Spain |
52 |
EOR – PL2-73/PL743 |
05 |
Medal of Honor-Civil War |
8M |
Medal of Honor-Gulf War |
0M |
Medal of Honor-Korean Conflict |
3M |
Medal of Honor-Mexican Border |
6M |
Medal of Honor-Peacetime |
4M |
Medal of Honor-Philippines |
9M |
Medal of Honor-Spanish American War |
5M |
Medal of Honor-Vietnam Era |
7M |
Medal of Honor-World War I |
1M |
Medal of Honor-World War II |
2M |
e. Current Award Status Codes
Description |
Value |
|---|---|
Active |
A |
Terminated |
T |
Suspended |
S |
f. Change Reason Codes
Description/Value |
SSA Conversion |
|---|---|
Original Award |
00 |
Entitled Month of Death (MOD) Benefit |
90 |
|
Month of Death Benefits End (MODEND) |
99 |
Death of Beneficiary (DB) |
22 |
Failed to Furnish Requested Evidence (FFRE) |
16 |
Compensation Rating Adjustment (31) |
37 |
Change in Spouse Status (23) |
15 |
Forfeiture (FORF) |
04 |
No Longer A&A (NLAA) |
51 |
Change in Parent Status |
24 |
Hospitalized Basic Pension Adjustment |
01 |
Hospitalized SMC Adjustment |
38 |
Incarceration Adjustment |
13 |
Pension Rating Adjustment |
27 |
Special Monthly Compensation Adjustment |
32 |
Special Monthly Entitlement Adjustment |
40 |
Special Monthly Pension Adjustment |
33 |
Countable Income Adjustment |
15 |
Not on SSA Hierarchy or None |
Blank |
B. Exhibit B – Railroad Board Extract
Railroad Record Format:
The following explains the railroad record format. The fields that you will need to reference have been blocked.
RRB RECORD FORMAT - PAYMENT RUN OPF MM/DD/YY1
HUN2 000000000 SSR PERSON TYPE 3
BENE NAME 4 RRB ID 0000000005 RR BIC 6
BENE SS 0000000007 RRB DOB MMDDYY COB 00 EMP SN 000000000
RR STATUS 0 RR RATE $$$.¢¢8 SMIB DED $$.¢¢9 SUPP ANNU AMT $$.¢¢1 0
CAN 000000000 BIC 00 SS DOB MMDDYY SS STATUS SS AMT $$$.¢¢
RCD NO 0 BENE TYPE 00 TERM/SUSP CODE 00 TERM/SUSP DATE MMYY
TOT RATE $$$.¢¢PREV TOT RATE $$$.¢¢PREV RATE $$$.¢¢
RR ACCR AMT .00 SUPP ACCR AMT .00 SS ACCR AMT .00
ACCT DATE MMDDYY CUR AWD 0 PART AWD 0 POL CODE 0
ZIP CODE 00000 ADDR
LEGEND:
1- Date of RRB Run
2- Housed - under number
3- Type record: Individual, Eligible Spouse, Ineligible Spouse or Parent 1, Parent 2 (points to the person on the SSIRD for Analysis; not identifying information)
4- Beneficiary
5- RRB Claim Number
6- RRB BIC: RA, RH-railroad employee JA-joint award or dual entitlement
MA, MH-spouse PA, PD, PH - parent
WA, WD, WH-widow(er) CA, CD, CH-consolidated family award
7-Beneficiary's SSN
8- RR Rate: This is the basic railroad benefit which the recipient is entitled to after SMIB is deducted.
9- SMIB Ded: This is the amount of the SMIB premium being deducted.
10 - Supp Annu Amt: This is an extra RR benefit which a small number of RR beneficiaries receive.
C. Exhibit C - Form SSA-3570 (RRB/SSR Interface RRB Payment History)
D. Exhibit D - Department of Defense (DOD) Extract and Legend
DOD/SSI INTERFACE - DOD EXTRACT
RUN DATE: 99/99/99
HUN: 999-00-9999 SSN: 999-00-9999 PERTYP: 9 NAME: XXXXXXXXXXX
TYPE OF BENEFICIARY: XXXXXXXX SBP BENEFIT TYPE: 9
DATE OF BIRTH RETIREE: 99/99/9999 YR OF BIRTH SURVIVING SPOUSE: 9999 YR OF BIRTH YOUNGEST CHILD: 9999
BENEFICIARY ADDRESS: XXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXX
ZIP CODE: 99999
MILITARY CLAIM NUMBER: 999999999 MILITARY SERVICE BRANCH: X FAN: XX
DATE OF ENTITLEMENT: 99/99/9999
RETIREE CURRENT PAY STATUS: X
MONTHLY COUNTABLE PENSION: $9999.99
DATE TERMINATED/SUSPENDED: 99/99/99
REASON TERMINATED/SUSPENDED: X
1. DOD Extract Legend
Data |
Source |
Definition |
Possible Entries |
|---|---|---|---|
Run Date |
DOD |
Effective date of extract |
MMDDYY |
|
HUN |
SSR |
Housed-Under Number |
|
|
SSN |
SSR |
Military Beneficiary's SSN |
|
|
PER TYPE |
SSR |
Military Beneficiary's SSI |
|
|
NAME |
DOD |
Military Beneficiary's Name |
|
|
Type of Beneficiary |
DOD |
Type of Military Benefit |
Retiree, RSFPP, SBP |
SBP Benefit |
DOD |
Type of SBP Benefit |
1 = Spouse Only |
|
Type |
Received (if applicable) |
2 = Child Only |
|
3 = Spouse and Child |
|||
4 = Insurable Interest |
|||
5 = Death on Active Duty |
|||
|
6 = Minimum Income Widow |
|||
Date of Birth Retiree |
DOD |
Retiree's Date of Birth |
MM/DD/YYYY |
Year of Birth Surviving Spouse |
DOD |
Surviving Spouse's Year of Birth |
YYYY |
Year of Birth Youngest Child |
DOD |
Youngest Child's Year of Birth |
YYYY |
Beneficiary Address |
DOD |
Beneficiary's Address |
|
|
Zip Code |
DOD |
Beneficiary's Zip Code |
|
|
Military Claim Number |
DOD |
Beneficiary' Military Claim Number (suffixes not included) |
|
|
Military |
DOD |
Military Retiree's |
A = Army |
|
Service |
Branch of Service |
N = Navy |
|
|
Branch |
F = Air Force |
||
|
M = Marines |
|||
|
FAN |
DOD |
DOD FAN Code (For DOD Internal Purposes) |
|
|
Date of Entitlement |
DOD |
Beneficiary Date of Entitlement to Military Benefits |
MM/DD/YYYY |
|
Retiree |
DOD |
DOD Retiree Pay Status |
1 = Receiving Retired Pay |
|
Current |
2 = Currently entitled |
||
|
Pay Status |
to retired pay but not being paid (no survivor remittance required) |
||
|
3 = Currently entitled to retired pay but not being paid (required survivor remittance) |
|||
|
4 = Terminated from entitlement during last reporting period |
|||
|
Monthly Countable Income |
DOD |
Countable Military Pension for Month of Run (equals “taxable income” ) |
$$$$¢¢ |
|
Date |
DOD |
Last month military benefits paid |
MM/DD/YY |
|
Reason |
DOD |
Reason for termination |
Terminated/Suspended Codes |
Terminated/ |
of military benefits |
Retirees: |
|
|
Suspended |
|||
|
|
|
|
A = death B = recalled to active duty C = removed from TDRL D = removed from TDRL E = TDRL suspended F = waiver for civil service G = VA Offset H = dual comp/pay cap offset J = pay refused K = suspended whereabouts unknown L = suspended suspected death M = suspended misc. reasons Z = code not applicable |
|
Termination/Suspension codes |
|||
|
RSFPP: |
|||
|
|
|
|
A = death B = remarriage C = child annuitant past age limit D = child annuitant no longer in school E = incapacitated child recovery F = suspected death G = certificate of eligibility not returned Z = code not applicable |
|
|
|
|
SBP: |
|
|
|
|
A = death B = remarriage C = child annuitant pay age limit D = child annuitant no longer in school E = incapacitated child recovery F = income of annuitant over limit G = DIC award amount greater than annuity amount H = child annuity superseded by reinstatement of surviving spouse J = suspected death K = certificate of eligibility not returned Z = code not applicable |
2. Explanation of Abbreviations
TDRL - Temporary Disability Retirement List
RSFPP - Retired Serviceman's Family Protection Plan
SBP - Survivor Benefit Plan
DIC - Dependency and Indemnity Compensation
E. Exhibit E Form SSA-2495 (Authorization to Disclose Internal Revenue Service Information)
F. Exhibit F - SSR Prison Inmate Alert
SSR Prison Inmate Alert
|
|
|
|---|---|
Run Date: MM/DD/YY |
DO: 999 |
SSN: xxx-00-xxxx |
Name Doe, M |
Date of Confinement: MM/YY
Mailing Address: 123 Any St. Anytown ST xxxxx
Residence Address: 432 Any St. Anytown ST xxxxx
Correctional Facility Code: 9999
Concurrent Title II/XVI Eligibility Code: Y
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