Unemployment Insurance Data Validation Program

Unemployment Insurance Data Validation Program

Subpopulation Specs 227 Changes 121812 (3).xlsx

Unemployment Insurance Data Validation Program

OMB: 1205-0431

Document [xlsx]
Download: xlsx | pdf

Overview

Pop 12
Pop 13
Pop 14
Pop 15

Sheet 1: Pop 12
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

Sheet 2: Pop 13
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.

Sheet 3: Pop 14
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

Sheet 4: Pop 15
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 Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00
© 2025 OMB.report | Privacy Policy