Personal Interview - Intranet Screens (field office or National 800 Number)

Domestic Direct Deposit Application

POS 1

Personal Interview - Intranet Screens (field office or National 800 Number)

OMB: 0960-0634

Document [pdf]
Download: pdf | pdf
POS / Direct Deposit: Screen Package
Table of Contents
1. POS Menu (PEMUSM) ...........................................................................................Error! Bookmark not defined.
2. POS Selection List (PESL) ........................................................................................Error! Bookmark not defined.
1. POS Future Address/Direct Deposit/ Phone (PEAF) .......................................................................................... 4
2. POS Address/Direct Deposit/Phone (PEAD) ....................................................................................................... 5

POS
POS MENU
Ln
No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24

0
1
C
0
L
U
M
N
*
O
N
E

1
2
3
4
5
6
7
7
2345 678 901 234 56 78 9012 345 678 901 23 45 6789 012 345 678 90 12 3456 78 9 012 345 67 89 0123 456 789
POS 4.0
POS MEN U
PE MUS M50
AUTH ORI ZER : S SS SS SSSS S S SSS SSS SS S
FI ELD OF FI CE : SS S
MO D: SS

R
E
S
E
R
V
E
D

UNIT : X XXX XX

*SEL ECT : X

1 =EST ABL ISH
2 =UPD ATE
3 =QUE RY
4 =FUT URE US E

*NH SSN : X XXX XX XX X

5=FU TUR E U SE
6=FU TUR E U SE
7=PI A R ECO MP RE TR IEVA L
8=FU TUR E U SE.

PI C: XX X

BENE FIC IAR Y S AM E AS R EPO RTE R ( Y/ N) : A
REPO RTE R F IRS T NA ME: XXX XXX XXX X
REP ORT ER LAS T NA ME: XXX XXX XXX XX XX XXXX XXX
RELA TIO NSH IP TO B ENEF ICI ARY : X XX XX XXXX XXX XXX XX
REPO RTE R D AYT IM E PHON E: XXX XXX XX XX

**** *** *** *** *( LI NE 2 3 R ESE RVE D FO R AP PL I CAT ION S IN FORM ATI ON ) *** ** ** **** *** ***
**** *** *** *** *( LI NE 2 4 R ESE RVE D FO R OP ER A TIN G S YS TE MS I NFO RM A TIO N) ** **** *** **
SCREEN FR
MSOM

8
0

POS
POS SELECTION LIST
Ln
No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24

0
1
C
0
L
U
M
N
*
O
N
E

1
2
3
4
5
6
7
7
2345 678 901 234 56 78 9012 345 678 901 23 45 6789 012 345 678 90 12 3456 789 012 345 67 89 0123 456 789
PO S SE LECT ION LI ST
PE SL
NH S SN: SS SSS SS SS
N H N AME : S SS SS
SS SSS SSS SS
1=AD DR/ DIR DE P/ TE L
11 =CH IL D RELA TIO NSH IP
2 1=A LIE N T AX W ITHH OLD ING
2=NA ME COR REC TI ON
12 =NO NR EC EIPT
2 2=F ORE IGN A CT IONS
3=DE ATH /RE SSU RR EC T
13 =WO RK R EPOR TS
2 3=C ITI ZEN SH IP
4=MA RRI AGE /DI VO RC E
14 =HE AL TH INS EN ROL LME NT
2 4=L AWF UL PR ES ENCE
5=MI SC SUS P/T ER M/ REIN ST
15 =HE AL TH INS RE PLA CMN T CA RD 2 5 C ERT OF E LE CTIO N
6=DI SAB ILI TY CE SS ATIO N
16 =HM O DI SENR OLL MEN T
2 6=S TUD E NT
7=PR OVI SIO NAL P AY MENT S
17 =PA Y CY CLE
2 7=G OVT PE NS IO N OF FSE T
8=CD R S USP END /R ES UME
18 =PI A RE COMP S
2 8=A UTH ORI ZE D REP
9=DE V R EP SUS P/ RE INST ATE 19 =MI LI TA RY S ERV ICE UP DA TE
2 9=L ANG UAG E
R 10=C HIL D I N C AR E ISSU RES 20 =VO LU NT ARY TAX WI THH OL DI NG 3 0=S PEC IAL N OT ICE OPT ION
E
S PIC LAF DE SS I PS C BE NEF ICI ARY N AM E
DO B
SEL ECT AL L: X X XX
E SSS
SS
S SS S
S S SS SSS SSS SS S SS SSSS SSS SSS
S SS SS SSS XX XX XX XX X X XX
R SSS
SS
S SS S
S S SS SSS SSS SS S SS SSSS SSS SSS
S SS SS SSS XX XX XX XX X X XX
V SSS
SS
S SS S
S S SS SSS SSS SS S SS SSSS SSS SSS
S SS SS SSS XX XX XX XX X X XX
E SSS
SS
S SS S
S S SS SSS SSS SS S SS SSSS SSS SSS
S SS SS SSS XX XX XX XX X X XX
D SSS
SS
S SS S
S S SS SSS SSS SS S SS SSSS SSS SSS
S SS SS SSS XX XX XX XX X X XX
SSS
SS
S SS S
S S SS SSS SSS SS S SS SSSS SSS SSS
S SS SS SSS XX XX XX XX X X XX
SSS
SS
S SS S
S S SS SSS SSS SS S SS SSSS SSS SSS
S SS SS SSS XX XX XX XX X X XX
MO RE (Y/ N) : A
**** *** *** *** *( LI NE 2 3 R ESE RVE D FO R AP PL I CAT ION S IN FORM ATI ON ) *** ** ** **** *** ***
**** *** *** *** *( LI NE 2 4 R ESE RVE D FO R OP ER A TIN G S YS TE MS I NFO RM A TIO N) * * **** *** **
SCREEN FR
MSOM

8
0

POS
FUTURE POS ADDRESS/DIRECT DEPOSIT/PHONE
Ln
No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24

0
1
C
0
L
U
M
N
*
O
N
E

1
2
3
4
5
6
7
7
2345 678 901 234 56 78 9012 345 678 901 23 45 6789 012 345 678 90 12 3456 789 012 345 67 89 0123 456 789
POS
FU TUR E P OS AD DR ESS/ D IR ECT DE PO SI T/PH ONE
PE AF
NH: SSS SSS SSS S SS SS S SSS SSS SSS
B N: S SSS SSS SS SS SS S SS SSS SSS SS
PI C: SSS
PAY CYC LE: SS SS SS SSSS SSS SSS CY C RU N PR OC DT: SS SS SS CYC RE ASO N: SS SS SSSS SSS SSS
LEGE ND 1: SSS SS SS SSSS SSS SSS SSS SS
L EG EN D 2: SS SSS SSS SS SS SSSS SSS SSS
LEGE ND 3: SSS SS SS SSSS SSS SSS SSS SS
L EG EN D 4: SS SSS SSS SS SS SSSS SSS SSS
ADDR ESS 1: PP PP PP PPPP PPP PPP PPP PP P
AD DR ES S 2: PP PPP PPP PP PP PPPP PPP PPP
ADDR ESS 3: PP PP PP PPPP PPP PPP PPP PP P
AD DR ES S 4: PP PPP PPP PP PP PPPP PPP PPP
CITY : P PPP PPP PP PP PPPP PPP PPP P
STA TE: pp
ZIP: PP PPP
STAT E & CO UNT Y CO DE : PP PPP
DI STR ICT OF FI CE COD E: PPP
COUN TRY : P PPP PP PP PPPP PPP PPP PPP P
C ONS UL AR COD E: PPP
FORE IGN PO STA L ZO NE: PPP PPP PPP PP PP PP
GE OGR APH IC C ODE: PP PPP
R FUTU RE EFF ECT IV E DATE (M MCC YY) : PP PPPP
FUT URE M OV E DA TE (MM DDC CY Y) : PP PPP PPP
E CANC EL ADD RES S (Y ): A
S
E DIRE C T DEP OSI T RO UTIN G T RAN SIT N UM BER: PP PPP PPP P
A CCO UNT T YP E (C /S) : P
R DEPO SIT OR ACC OU NT NUM BER : P PPP PP PP PPPP PPP P
C ANCE L D IRE CT DE PO SIT (Y) : A
V FUTU RE EFF ECT IV E DATE (M MCC YY) : PP PPPP
E SELE CT PHO NE CO DE : P
1= HOM E
2= WO RK
3=N ON E
4 =U NK
5= OTH ER
6= AT TY 7=M OBI LE.
D PHON E N UMB ER: P PP PPPP PPP PPP PP
SELE CT PHO NE TY PE : P
1= DOM EST IC
2=FO REI GN.
FUTU RE EFF ECT IV E DATE (M MDD CCY Y) : PPPP PPP P
CA NCE L PH ONE (Y) : A
DOES AL L T HE DA TA ON THI S S CRE EN A PPLY TO D / E S SN S SSSS SSS S S SS (Y /N ): A
REVI EW CUR REN T EV ENTS (Y ): A
D ELE TE (Y) : A
TRA NS FE R TO : X XXX
**** *** *** *** *( LI NE 2 3 R ESE RVE D FO R AP PL I CAT ION S IN FORM ATI ON ) *** ** ** **** *** ***
**** *** *** *** *( LI NE 2 4 R ESE RVE D FO R OP ER A TIN G S YS TE MS I NFO RM A TIO N) ** **** *** **
SCREEN FR
MSOM

The screen allows for input of direct deposit routing and routing transaction number, deposit
payment code, depositor account number, and the option to cancel direct deposit.

8
0

POS
POS ADDRESS/DIRECT DEPOSIT/PHONE
Ln
No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24

0
1
C
0
L
U
M
N
*
O
N
E

1
2
3
4
5
6
7
7
2345 678 901 234 56 78 9012 345 678 901 23 45 6789 012 345 678 90 12 3456 789 012 345 67 89 0123 456 789
POS
P OS ADD RE SS /DIR ECT DE POS IT /P HONE
PE AD
NH: SSS SSS SSS S SS SS S SSS SSS SSS
B N: S SSS SSS SS SS SS S SS SSS SSS SS
PI C: SSS
PAY CYC LE: SS SS SS SSSS SSS SSS CY C RU N PR OC DT: SS SS SS CYC RE ASO N: SS SS SSSS SSS SSS
LEGE ND 1: SSS SS SS SSSS SSS SSS SSS SS
L EG EN D 2: SS SSS SSS SS SS SSSS SSS SSS
LEGE ND 3: SSS SS SS SSSS SSS SSS SSS SS
L EG EN D 4: SS SSS SSS SS SS SSSS SSS SSS
*ADD RES S 1 : P PP PP PPPP PPP PPP PPP PP PP
AD DR ES S 2: PP PPP PPP PP PP PPPP PPP PPP
ADDR ESS 3; PP PP PP PPPP PPP PPP PPP PP P
AD DR ES S 4: PP PPP PPP PP PP PPPP PPP PPP
*CIT Y: PPP PPP PP PP PPPP PPP PPP PP
STA TE: PP
ZIP: PP PPP
STAT E & CO UNT Y CO DE : PP PPP
DI STR ICT OF FI CE COD E: PPP
COUN TRY : P PPP PP PP PPPP PPP PPP PPP PP P
C ONS UL AR COD E: PPP
FORE IGN PO STA L ZO NE: PPP PPP PPP PP PP PPPP
GE OGR APH IC C ODE: PP PPP
R IS R EP PAY EE RE SI DENC E A DDR ESS T HE SAM E A S I NPU T AD DRES S ( Y/N ): A
E DOES BE NEF ICI AR Y LIVE WI TH REP P AY EE ( Y/N ): A
S
E DIRE CT DEP OSI T RO UTIN G T RAN SIT N UM BER: PP PPP PPP P
A CCO UNT T YP E (C /S) : P
R DEPO SIT OR ACC OU NT NUM BER : P PPP PP PP PPPP PPP P
C ANCE L D IRE CT DE PO SIT (Y) : A
V DIRE CT EXP RES S (Y ): A
E SELE CT PAY MEN T EF FECT IVE DA TE: X
1=S S/S S/S SS S
2=S S/S S/S SS S.
D SELE CT PHO NE CO DE : P
1= HOM E
2= WO RK
3=N ONE
4 =U NK
5= OTH ER
6= AT TY 7=M OBI LE.
PHON E N UMB ER: P PP PPPP PPP PPP PP
SELE CT PHO NE TY PE : P
1= DOM EST IC
2=FO REI GN.
DOES AL L T HE DA TA ON THI S S CRE EN A PPLY TO D/ E S SN S SSSS SSS S S SS (Y /n ): A
ADD/ REV IEW FU TU RE EVE NTS (Y ): P
DE LET E ( Y) : A
TRA NS FE R TO : X XXX
**** *** *** *** *( LI NE 2 3 R ESE RVE D FO R AP PL I CAT ION S IN FORM ATI ON ) *** ** ** **** *** ***
**** *** *** *** *( LI NE 2 4 R ESE RVE D FO R OP ER A TIN G S YS TE MS I NFO RM A TIO N) ** **** *** **
SCREEN FR

This screen allows for input of direct deposit routing transaction number, deposit
payment code, depositor account number, the option to cancel direct deposit, and (yes or
no) on whether the individual’s beneficiary payments are received on a Direct Express
debit card.

8
0


File Typeapplication/pdf
Author297862
File Modified2012-07-19
File Created2012-07-19

© 2024 OMB.report | Privacy Policy