| Population 12 Subpopulations | ||||||||||||||
| Overpayments Established by Cause | ||||||||||||||
| 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | ||
| (Step 1G) (Rule 1) | (Step 1G) (Rule 2) | (Step 4) | (Step 33) | (Step 34) | (Step 36) | (Step 37A) | (Step 37B) | (Step 37C) | (Step 45A) | (Step 45B) | (Step 45C) | (Step 6A) | ||
| (Step 6B) | ||||||||||||||
| Subpop # | ETA 227A Line and Column | SSN | Unique ID | Program Type | Type of Overpayment | Cause of Overpayment | Date Established | UI Amount | Federal Amount | EB Amount | Accumulated UI Amount | Accumulated Federal Amount | Accumulated EB Amount | Date of Original Monetary |
| OVERPAYMENTS (12.1 through 12.27) | ||||||||||||||
| 1) Random Sample: 60 or 200 (includes review of folders); 2) Supplemental sample--missing strata; 3) Supplemental sample--outliers by dollars | ||||||||||||||
| 12.1 | 101 (2, 4, 5) | Required | Required if State maintains a unique ID | UI | Fraud | Single Claimant | Within the Quarter | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Blank or ≥ 0 | ≥ 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Required |
| 112 (2, 4, 5) | ||||||||||||||
| 12.2 | 101 (2, 4, 5) | Required | Required if State maintains a unique ID | UI | Fraud | Multi Claimant Schemes* | Within the Quarter | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Blank or ≥ 0 | ≥ 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Required |
| 102 (2, 4, 5) | ||||||||||||||
| 112 (2, 4, 5) | ||||||||||||||
| 12.3 | 104 (2, 4, 5) | Required | Required if State maintains a unique ID | UI | Nonfraud | Reversals | Within the Quarter | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Blank or ≥ 0 | ≥ 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Required |
| 113 (2, 4, 5) | ||||||||||||||
| 12.4 | 105 (2, 4, 5) | Required | Required if State maintains a unique ID | UI | Nonfraud | State Agency Errors* | Within the Quarter | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Blank or ≥ 0 | ≥ 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Required |
| 113 (2, 4, 5) | ||||||||||||||
| 12.5 | 106 (2, 4, 5) | Required | Required if State maintains a unique ID | UI | Nonfraud | Employer Errors* | Within the Quarter | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Blank or ≥ 0 | ≥ 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Required |
| 113 (2, 4, 5) | ||||||||||||||
| 12.6 | 107 (2, 4, 5) | Required | Required if State maintains a unique ID | UI | Nonfraud | Claimant Errors* | Within the Quarter | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Blank or ≥ 0 | ≥ 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Required |
| 113 (2, 4, 5) | ||||||||||||||
| 12.7 | 108 (2, 4, 5) | Required | Required if State maintains a unique ID | UI | Nonfraud | Other | Within the Quarter | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Blank or ≥ 0 | ≥ 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Required |
| 113 (2, 4, 5) | ||||||||||||||
| 12.8 | 109 (4, 5) | Required | Required if State maintains a unique ID | UI | Penalty | Within the Quarter | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Blank or ≥ 0 | ≥ 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Required | |
| 12.9 | 101 (3, 5) | Required | Required if State maintains a unique ID | UCFE or UCX | Fraud | Single Claimant | Within the Quarter | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | 0 | Must be blank or 0 | Required |
| 112 (3, 5) | ||||||||||||||
| 12.1 | 101 (3, 5) | Required | Required if State maintains a unique ID | UCFE or UCX | Fraud | Multi Claimant Schemes* | Within the Quarter | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | 0 | Must be blank or 0 | Required |
| 102 (3, 5) | ||||||||||||||
| 112 (3, 5) | ||||||||||||||
| 12.11 | 104 (3, 5) | Required | Required if State maintains a unique ID | UCFE or UCX | Nonfraud | Reversals | Within the Quarter | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | 0 | Must be blank or 0 | Required |
| 113 (3, 5) | ||||||||||||||
| 12.12 | 105 (3, 5) | Required | Required if State maintains a unique ID | UCFE or UCX | Nonfraud | State Agency Errors* | Within the Quarter | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | 0 | Must be blank or 0 | Required |
| 113 (3, 5) | ||||||||||||||
| 12.13 | 106 (3, 5) | Required | Required if State maintains a unique ID | UCFE or UCX | Nonfraud | Employer Errors* | Within the Quarter | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | 0 | Must be blank or 0 | Required |
| 113 (3, 5) | ||||||||||||||
| 12.14 | 107 (3, 5) | Required | Required if State maintains a unique ID | UCFE or UCX | Nonfraud | Claimant Errors* | Within the Quarter | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | 0 | Must be blank or 0 | Required |
| 113 (3, 5) | ||||||||||||||
| 12.15 | 108 (3, 5) | Required | Required if State maintains a unique ID | UCFE or UCX | Nonfraud | Other | Within the Quarter | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | 0 | Must be blank or 0 | Required |
| 113 (3, 5) | ||||||||||||||
| 12.16 | 109 (5) | Required | Required if State maintains a unique ID | UCFE or UCX | Penalty | Within the Quarter | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | Must be blank or 0 | |||
| 12.17 | 101 (2, 4, 5) | Required | Required if State maintains a unique ID | UI | Fraud | Agency Employee Benefit | Within the Quarter | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Blank or ≥ 0 | ≥ 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | Required |
| 111 (2, 4, 5) | ||||||||||||||
| 112 (2, 4, 5) | ||||||||||||||
| 12.18 | 101 (3, 5) | Required | Required if State maintains a unique ID | UCFE or UCX | Fraud | Agency Employee Benefit | Within the Quarter | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | 0 | Must be blank or 0 | Required |
| 111 (3, 5) | ||||||||||||||
| 112 (3, 5) | ||||||||||||||
| 12.19 | 101 (20, 21) | Required | Required if State maintains a unique ID | EB | Fraud | Single Claimant | Within the Quarter | Must be blank or 0 | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | 0 | Required |
| 112 (20, 21) | ||||||||||||||
| 12.2 | 101 (20, 21) | Required | Required if State maintains a unique ID | EB | Fraud | Multi Claimant Schemes* | Within the Quarter | Must be blank or 0 | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | 0 | Required |
| 102 (20, 21) | ||||||||||||||
| 112 (20, 21) | ||||||||||||||
| 12.21 | 101 (20, 21) | Required | Required if State maintains a unique ID | EB | Fraud | Agency Employee Benefit | Within the Quarter | Must be blank or 0 | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | 0 | Required |
| 111 (20, 21) 112 (20, 21) | ||||||||||||||
| 12.22 | 104 (20, 21) | Required | Required if State maintains a unique ID | EB | Nonfraud | Reversals | Within the Quarter | Must be blank or 0 | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | 0 | Required |
| 113 (20, 21) | ||||||||||||||
| 12.23 | 105 (20, 21) | Required | Required if State maintains a unique ID | EB | Nonfraud | State Agency Errors* | Within the Quarter | Must be blank or 0 | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | 0 | Required |
| 113 (20, 21) | ||||||||||||||
| 12.24 | 106 (20, 21) | Required | Required if State maintains a unique ID | EB | Nonfraud | Employer Errors* | Within the Quarter | Must be blank or 0 | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | 0 | Required |
| 113 (20, 21) | ||||||||||||||
| 12.25 | 107 (20, 21) | Required | Required if State maintains a unique ID | EB | Nonfraud | Claimant Errors* | Within the Quarter | Must be blank or 0 | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | 0 | Required |
| 113 (20, 21) | ||||||||||||||
| 12.26 | 108 (20, 21) | Required | Required if State maintains a unique ID | EB | Nonfraud | Other | Within the Quarter | Must be blank or 0 | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | 0 | Required |
| 113 (20, 21) | ||||||||||||||
| 12.27 | 109 (21) | Required | Required if State maintains a unique ID | EB | Penalty | Within the Quarter | Must be blank or 0 | Must be blank or 0 | > 0 | Must be blank or 0 | Must be blank or 0 | |||
| Population 13 Subpopulations | ||||||||||
| Overpayment Reconciliation Activities | ||||||||||
| Overpayment Reconciliation Transaction Occurred during | ||||||||||
| Reporting Quarter Being Validated | ||||||||||
| ETA 227 – Section C | ||||||||||
| 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | ||
| (Step 1H) | (Step 1H) | (Step 4) | (Step 33) | (Step 38) | (Step 39) | (Step 40A) | (Step 40B) | (Step 40C) | ||
| (Rule 1) | (Rule 2) | |||||||||
| Sub | ETA 227C | |||||||||
| pop # | Line and Column | SSN | Unique ID | Program | Type of Overpayment | Type of Reconciliation Activity | Date of Reconciliation Activity | UI Reconciliation Amount | Federal Reconciliation Amounta | EB Reconciliation Amount |
| Type | ||||||||||
| OVERPAYMENT RECONCILIATION TRANSACTIONS (13.1 through 13.57) | ||||||||||
| 1) Random sample: 30 or 100 (includes review of folders); 2) Supplemental sample-missing strata; 3) Supplemental sample--outliers by dollars | ||||||||||
| 13.1 | 303 (11, 12) | Required | Required if State maintains a unique ID | UI | Fraud | Cash | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.2 | 304 (11, 12) | Required | Required if State maintains a unique ID | UI | Fraud | Benefit Offset | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.3 | 305 (11, 12) | Required | Required if State maintains a unique ID | UI | Fraud | State Income Tax Offset* | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.4 | 306 (11, 12) | Required | Required if State maintains a unique ID | UI | Fraud | By Other State | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.5 | 307 (11, 12) | Required | Required if State maintains a unique ID | UI | Fraud | Other | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.6 | 309 (11, 12) | Required | Required if State maintains a unique ID | UI | Fraud | Write-Off | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.7 | 310 (11, 12) | Required | Required if State maintains a unique ID | UI | Fraud | Addition | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.8 | 311 (11, 12) | Required | Required if State maintains a unique ID | UI | Fraud | Subtraction | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.9 | 303 (12) | Required | Required if State maintains a unique ID | UCFE or UCX | Fraud | Cash | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.10 | 304 (12) | Required | Required if State maintains a unique ID | UCFE or UCX | Fraud | Benefit Offset | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.11 | 305 (12) | Required | Required if State maintains a unique ID | UCFE or UCX | Fraud | State Income Tax Offset* | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.12 | 306 (12) | Required | Required if State maintains a unique ID | UCFE or UCX | Fraud | By Other State | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.13 | 307 (12) | Required | Required if State maintains a unique ID | UCFE or UCX | Fraud | Other | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.14 | 309 (12) | Required | Required if State maintains a unique ID | UCFE or UCX | Fraud | Write-Off | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.15 | 310 (12) | Required | Required if State maintains a unique ID | UCFE or UCX | Fraud | Addition | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.16 | 311 (12) | Required | Required if State maintains a unique ID | UCFE or UCX | Fraud | Subtraction | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.17 | 303 (13, 14) | Required | Required if State maintains a unique ID | UI | Nonfraud | Cash | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.18 | 304 (13, 14) | Required | Required if State maintains a unique ID | UI | Nonfraud | Benefit Offset | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.19 | 305 (13, 14) | Required | Required if State maintains a unique ID | UI | Nonfraud | State Income Tax Offset* | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.20 | 306 (13, 14) | Required | Required if State maintains a unique ID | UI | Nonfraud | By Other State | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.21 | 307 (13, 14) | Required | Required if State maintains a unique ID | UI | Nonfraud | Other | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.22 | 308 (13, 14) | Required | Required if State maintains a unique ID | UI | Nonfraud | Waived | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.23 | 309 (13, 14) | Required | Required if State maintains a unique ID | UI | Nonfraud | Write-Off | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.24 | 310 (13, 14) | Required | Required if State maintains a unique ID | UI | Nonfraud | Addition | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.25 | 311 (13, 14) | Required | Required if State maintains a unique ID | UI | Nonfraud | Subtraction | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.26 | 303 (14) | Required | Required if State maintains a unique ID | UCFE or UCX | Nonfraud | Cash | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.27 | 304 (14) | Required | Required if State maintains a unique ID | UCFE or UCX | Nonfraud | Benefit Offset | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.28 | 305 (14) | Required | Required if State maintains a unique ID | UCFE or UCX | Nonfraud | State Income Tax Offset* | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.29 | 306 (14) | Required | Required if State maintains a unique ID | UCFE or UCX | Nonfraud | By Other State | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.30 | 307 (14) | Required | Required if State maintains a unique ID | UCFE or UCX | Nonfraud | Other | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.31 | 308 (14) | Required | Required if State maintains a unique ID | UCFE or UCX | Nonfraud | Waived | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.32 | 309 (14) | Required | Required if State maintains a unique ID | UCFE or UCX | Nonfraud | Write-Off | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.33 | 310 (14) | Required | Required if State maintains a unique ID | UCFE or UCX | Nonfraud | Addition | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.34 | 311 (14) | Required | Required if State maintains a unique ID | UCFE or UCX | Nonfraud | Subtraction | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.35 | 303 (22) | Required | Required if State maintains a unique ID | EB | Fraud | Cash | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.36 | 304 (22) | Required | Required if State maintains a unique ID | EB | Fraud | Benefit Offset | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.37 | 305 (22) | Required | Required if State maintains a unique ID | EB | Fraud | State Income Tax Offset* | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.38 | 306 (22) | Required | Required if State maintains a unique ID | EB | Fraud | By Other State | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.39 | 307 (22) | Required | Required if State maintains a unique ID | EB | Fraud | Other | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.40 | 309 (22) | Required | Required if State maintains a unique ID | EB | Fraud | Write-Off | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.41 | 310 (22) | Required | Required if State maintains a unique ID | EB | Fraud | Addition | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.42 | 311 (22) | Required | Required if State maintains a unique ID | EB | Fraud | Subtraction | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.43 | 303 (23) | Required | Required if State maintains a unique ID | EB | Nonfraud | Cash | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.44 | 304 (23) | Required | Required if State maintains a unique ID | EB | Nonfraud | Benefit Offset | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.45 | 305 (23) | Required | Required if State maintains a unique ID | EB | Nonfraud | State Income Tax Offset* | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.46 | 306 (23) | Required | Required if State maintains a unique ID | EB | Nonfraud | By Other State | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.47 | 307 (23) | Required | Required if State maintains a unique ID | EB | Nonfraud | Other | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.48 | 308 (23) | Required | Required if State maintains a unique ID | EB | Nonfraud | Waived | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.49 | 309 (23) | Required | Required if State maintains a unique ID | EB | Nonfraud | Write-Off | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.50 | 310 (23) | Required | Required if State maintains a unique ID | EB | Nonfraud | Addition | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.51 | 311 (23) | Required | Required if State maintains a unique ID | EB | Nonfraud | Subtraction | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.52 | 314 (11, 12) | Required | Required if State maintains a unique ID | UI | Fraud | Federal Income Tax Offset* | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.53 | 314 (12) | Required | Required if State maintains a unique ID | UCFE or UCX | Fraud | Federal Income Tax Offset* | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.54 | 314 (13, 14) | Required | Required if State maintains a unique ID | UI | Nonfraud | Federal Income Tax Offset* | Required | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 13.55 | 314 (14) | Required | Required if State maintains a unique ID | UCFE or UCX | Nonfraud | Federal Income Tax Offset* | Required | Must be blank or 0 | > 0 | Must be blank or 0 |
| 13.56 | 314 (22) | Required | Required if State maintains a unique ID | EB | Fraud | Federal Income Tax Offset* | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| 13.57 | 314 (23) | Required | Required if State maintains a unique ID | EB | Nonfraud | Federal Income Tax Offset* | Required | Must be blank or 0 | Must be blank or 0 | > 0 |
| *These values are abbreviated in the record layout data format specifications (see Appendix I) but are shown here in their entirety for informational purposes. | ||||||||||
| aFor Subpopulations 13.9 through 13.16 and Subpopulations 13.26 through 13.34, the federal amount is the federal share of a joint UI-Federal claim. | ||||||||||
| Table A.14.1 | ||||||||||
| Population 14 Subpopulations | ||||||||||
| Age of Overpayments | ||||||||||
| 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | ||
| (Step 1G) | (Step 1G) | (Step 36) | (Step 4) | (Step 44) | (Step 33) | (Step 42A) | (Step 42B) | (Step 42C) | ||
| ETA 227C | (Rule 1) | (Rule 2) | ||||||||
| ETA 227E | Type of | UI | Federal | EB | ||||||
| Sub | Report, Line, | SSN | Unique ID | Date Established | Program | Active | Overpayment | Balance at | Balance at | Balance at |
| pop # | and Column | Type | Collection | End of Qtr | End of Qtr | End of Qtr | ||||
| 14.1 | E501 (18, 19) | Required | Required if State maintains a unique ID | Requireda | UI | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | ||
| Age ≤ 90 days | ||||||||||
| 14.2 | E502 (18, 19) | Required | Required if State maintains a unique ID | Requireda | UI | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | ||
| Age 91-180 days | ||||||||||
| 14.3 | E503 (18, 19) | Required | Required if State maintains a unique ID | Requireda | UI | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | ||
| Age 181-270 days | ||||||||||
| 14.4 | E504 (18, 19) | Required | Required if State maintains a unique ID | Requireda | UI | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | ||
| Age 271-360 days | ||||||||||
| 14.5 | E505 (18, 19) | Required | Required if State maintains a unique ID | Requireda | UI | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | ||
| Age 361-450 days | ||||||||||
| 14.6 | E506 (18, 19) | Required | Required if State maintains a unique ID | Requireda | UI | Y or N* | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 | |
| Age > 450 days | ||||||||||
| 14.7 | E501 (19) | Required if State maintains a unique ID | Requireda | UCFE or UCX | Must be blank or 0 | > 0 | Must be blank or 0 | |||
| Age ≤ 90 days | Required | |||||||||
| 14.8 | E502 (19) | Required | Required if State maintains a unique ID | Requireda | UCFE or UCX | Must be blank or 0 | > 0 | Must be blank or 0 | ||
| Age 91-180 days | ||||||||||
| 14.9 | E503 (19) | Required | Required if State maintains a unique ID | Requireda | UCFE or UCX | Must be blank or 0 | > 0 | Must be blank or 0 | ||
| Age 181-270 days | ||||||||||
| 14.10 | E504 (19) | Required | Required if State maintains a unique ID | Requireda | UCFE or UCX | Must be blank or 0 | > 0 | Must be blank or 0 | ||
| Age 271-360 days | ||||||||||
| 14.11 | E505 (19) | Required if State maintains a unique ID | Requireda | UCFE or UCX | Must be blank or 0 | > 0 | Must be blank or 0 | |||
| Age 361-450 days | Required | |||||||||
| 14.12 | E506 (19) | Required | Required if State maintains a unique ID | Requireda | UCFE or UCX | Y or N* | Must be blank or 0 | > 0 | Must be blank or 0 | |
| Age > 450 days | ||||||||||
| 14.13 | C312 (11, 12) | Required | Required if State maintains a unique ID | Requiredb | UI | N or D* | Fraud | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 14.14 | C312 (13, 14) | Required | Required if State maintains a unique ID | Requiredb | UI | N or D* | Nonfraud | > 0 | > 0 if joint claim; otherwise blank or 0 | Must be blank or 0 |
| 14.15 | C312 (12) | Required | Required if State maintains a unique ID | Requiredb | UCFE or UCX | N or D* | Fraud | Must be blank or 0 | > 0 | Must be blank or 0 |
| 14.16 | C312 (14) | Required | Required if State maintains a unique ID | Requiredb | UCFE or UCX | N or D* | Nonfraud | Must be blank or 0 | > 0 | Must be blank or 0 |
| 14.17 | C312 (22) | Required | Required if State maintains a unique ID | Requiredb | EB | N or D* | Fraud | Must be blank or 0 | Must be blank or 0 | > 0 |
| 14.18 | C312 (23) | Required | Required if State maintains a unique ID | Requiredb | EB | N or D* | Nonfraud | Must be blank or 0 | Must be blank or 0 | > 0 |
| 14.19 | E501 (25) | Required | Required if State maintains a unique ID | Requireda | EB | Must be blank or 0 | Must be blank or 0 | > 0 | ||
| Age ≤ 90 days | ||||||||||
| 14.20 | E502 (25) | Required | Required if State maintains a unique ID | Requireda | EB | Must be blank or 0 | Must be blank or 0 | > 0 | ||
| Age 91-180 days | ||||||||||
| 14.21 | E503 (25) | Required | Required if State maintains a unique ID | Requireda | EB | Must be blank or 0 | Must be blank or 0 | > 0 | ||
| Age 181-270 days | ||||||||||
| 14.22 | E504 (25) | Required | Required if State maintains a unique ID | Requireda | EB | Must be blank or 0 | Must be blank or 0 | > 0 | ||
| Age 271-360 days | ||||||||||
| 14.23 | E505 (25) | Required | Required if State maintains a unique ID | Requireda | EB | Must be blank or 0 | Must be blank or 0 | > 0 | ||
| Age 361-450 days | ||||||||||
| 14.24 | E506 (25) | Required | Required if State maintains a unique ID | Requireda | EB | Y or N* | Must be blank or 0 | Must be blank or 0 | > 0 | |
| Age > 450 days |
| Population 15: Overpayment Investigations and Establishments by Mode | |||||||||
| 2 | 3 | 4 | 5 | 6 | 7 | 8 | |||
| (Step 1G) | (Step 1G) | (Step 33) | (Step 35) | (Step 36) | (Step 37A) | (Step 46) | |||
| (Rule 1) | (Rule 2) | (Step 37B) | |||||||
| Subpop | ETA 227B | SSN | Unique ID | Type of Overpayment | Detection Method | Date | Amount | Overpayment Established by Investigation | |
| # | Line and Column | Established | |||||||
| OVERPAYMENTS (15.01 through 15.21) | |||||||||
| 1) Random Sample: 60 or 200 (includes review of folders); 2) Supplemental sample--missing strata; 3) Supplemental sample--outliers by dollars | |||||||||
| 15.01 | 202 (6) | Required | Required if State maintains a unique ID | Must be blank | Wage Crossmatch | Required | Must be blank or 0 | N | |
| 15.02 | 203 (6) | Required | Required if State maintains a unique ID | Must be blank | IB Crossmatch | Required | Must be blank or 0 | N | |
| 15.03 | 210 (6) | Required | Required if State maintains a unique ID | Must be blank | NDNH | Required | Must be blank or 0 | N | |
| 15.04 | 204 (6) | Required | Required if State maintains a unique ID | Must be blank | SDNH | Required | Must be blank or 0 | N | |
| 15.05 | 205 (6) | Required | Required if State maintains a unique ID | Must be blank | Multiclaimant | Required | Must be blank or 0 | N | |
| 15.06 | 206 (6) | Required | Required if State maintains a unique ID | Must be blank | Special Project | Required | Must be blank or 0 | N | |
| 15.07 | 202 (7, 8) | Required | Required if State maintains a unique ID | Fraud | Wage Crossmatch | Required | > 0 | Y | |
| 15.08 | 203 (7, 8) | Required | Required if State maintains a unique ID | Fraud | IB Crossmatch | Required | > 0 | Y | |
| 15.09 | 210 (7, 8) | Required | Required if State maintains a unique ID | Fraud | NDNH | Required | > 0 | Y | |
| 15.10 | 204 (7, 8) | Required | Required if State maintains a unique ID | Fraud | SDNH | Required | > 0 | Y | |
| 15.11 | 205 (7, 8) | Required | Required if State maintains a unique ID | Fraud | Multiclaimant | Required | > 0 | Y | |
| 15.12 | 206 (7, 8) | Required | Required if State maintains a unique ID | Fraud | Special Project | Required | > 0 | Y | |
| 15.13 | 207 (7, 8) | Required | Required if State maintains a unique ID | Fraud | Other Controllable | Required | > 0 | ||
| 15.14 | 208 (7, 8) | Required | Required if State maintains a unique ID | Fraud | Noncontrollable | Required | > 0 | ||
| 15.15 | 202 (9, 10) | Required | Required if State maintains a unique ID | Nonfraud | Wage Crossmatch | Required | > 0 | Y | |
| 15.16 | 203 (9, 10) | Required | Required if State maintains a unique ID | Nonfraud | IB Crossmatch | Required | > 0 | Y | |
| 15.17 | 210 (9, 10) | Required | Required if State maintains a unique ID | Nonfraud | NDNH | Required | > 0 | Y | |
| 15.18 | 204 (9, 10) | Required | Required if State maintains a unique ID | Nonfraud | SDNH | Required | > 0 | Y | |
| 15.19 | 206 (9, 10) | Required | Required if State maintains a unique ID | Nonfraud | Special Project | Required | > 0 | Y | |
| 15.20 | 207 (9, 10) | Required | Required if State maintains a unique ID | Nonfraud | Other Controllable | Required | > 0 | ||
| 15.21 | 208 (9, 10) | Required | Required if State maintains a unique ID | Nonfraud | Noncontrollable | Required | > 0 | ||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |