Federal Parent Locator Service

Intergovernmental Referral Guide

Release 08-01 -- Major

April 4, 2008

Release Specifications

Document Version 2.0

January 4, 2008

Administration for Children and Families

Office of Child Support Enforcement

370 L'Enfant Promenade S.W.

Washington, DC 20447

DCN: C8-02.07.81.02

This document was prepared for the United States Department of Health
and Human Services, Office of Child Support Enforcement under Contract
Number NIH CIOSP 263-01-D-0054 by Lockheed Martin Information Systems &
Global Services, Incorporated. The work was authorized in compliance
with the following specific prime task order:

> Delivery Order Number: HHS-ACF-2006-C2500M
>
> Delivery Order Title: Intergovernmental Referral Guide
>
> Document Date: January 2008

Table of Contents

1\. Add New Address Type for State Regional and Child Support Offices
(OCSE Ref #2165)
[1-1](#add-new-address-type-for-state-regional-and-child-support-offices-ocse-ref-2165)

1.1 Summary of Changes [1-1](#summary-of-changes)

1.2 Background [1-1](#background)

1.3 Description of Changes [1-1](#description-of-changes)

1.4 Impact on States [1-1](#impact-on-states)

1.5 Output Record Specification [1-1](#output-record-specification)

1.6 Input Record Specification [1-2](#input-record-specification)

2\. Remove 'Add New Address' Button from View Only Screens (OCSE Ref
#2254)
[2-1](#remove-add-new-address-button-from-view-only-screens-ocse-ref-2254)

2.1 Summary of Changes [2-1](#summary-of-changes-1)

2.2 Background [2-1](#background-1)

2.3 Description of Changes [2-1](#description-of-changes-1)

2.4 Impact on States [2-1](#impact-on-states-1)

2.5 Output Record Specification [2-1](#output-record-specification-1)

2.6 Input Record Specification [2-1](#input-record-specification-1)

3\. Display the "International Records? Yes or No" Option with the "All
Records" Download Section (OCSE Ref #2257)
[3-1](#display-the-international-records-yes-or-no-option-with-the-all-records-download-section-ocse-ref-2257)

3.1 Summary of Changes [3-1](#summary-of-changes-2)

3.2 Background [3-1](#background-2)

3.3 Description of Changes [3-1](#description-of-changes-2)

3.4 Impact on States [3-1](#impact-on-states-2)

3.5 Output Record Specification [3-1](#output-record-specification-2)

3.6 Input Record Specification [3-1](#input-record-specification-2)

4\. Add Tribal Address Information to the IRG System (OCSE Ref #2283)
[4-1](#add-tribal-address-information-to-the-irg-system-ocse-ref-2283)

4.1 Summary of Changes [4-1](#summary-of-changes-3)

4.2 Background [4-1](#background-3)

4.3 Description of Changes [4-1](#description-of-changes-3)

4.4 Impact on States [4-1](#impact-on-states-3)

4.5 Output Record Specification [4-1](#output-record-specification-3)

4.6 Input Record Specification [4-2](#input-record-specification-3)

5\. Add ACF "Footer" and "Last Modified Date" to All IRG Screens (OCSE
Ref #2302)
[5-1](#add-acf-footer-and-last-modified-date-to-all-irg-screens-ocse-ref-2302)

5.1 Summary of Changes [5-1](#summary-of-changes-4)

5.2 Background [5-1](#background-4)

5.3 Description of Changes [5-1](#description-of-changes-4)

5.4 Impact on States [5-1](#impact-on-states-4)

5.5 Output Record Specification [5-1](#output-record-specification-4)

5.6 Input Record Specification [5-1](#input-record-specification-4)

A. IRG Output Record Layout [A-1](#irg-output-record-layout)

List of Charts

Chart A‑1: IRG Address Record Layout for Download of Location Codes and
Addresses to States A-2

# Add New Address Type for State Regional and Child Support Offices (OCSE Ref #2165)

The Intergovernmental Referral Guide (IRG) system is being modified to
allow States to enter contact information for up to 30 State regional
offices per State and 20 child support offices per county. The
organizational code associated to these address types will be modified
to accommodate the expansion.

## Summary of Changes

The IRG will have 30 address types available for State regional office
and 20 address types per county available for State child support
offices. The organizational code will be changed to allow for expansion.

## Background

States requested additional address types to enter their State regional
and child support offices.

## Description of Changes

The IRG is being modified by creating additional address types to allow
States to enter additional contact information for their regional and
child support offices. The organizational code is being modified to
allow for the additional address types as well as for future expansion.
For example: Regional Office III with an organizational code of RTH will
have the organizational code changed to R03. Child Support Office I with
an organization code of CON will have the organizational code changed to
C01.

## Impact on States

This change will have no impact on States. Changes will only be made to
the database reference table. The States will have additional address
types to enter their contact data.

## Output Record Specification

Appendix A, "IRG Output Record Layout", Chart A-1, "IRG Address Record
Layout for Download of Location Codes and Addresses to States", lists
the new codes in the "Address Type 2" field (positions 4-6).

## Input Record Specification

This modification does not affect input record layouts.

# Remove 'Add New Address' Button from View Only Screens (OCSE Ref #2254)

## Summary of Changes

The IRG is being modified to remove the **Add New Address** button from
the State and Public users' view access pages. For State or Public view
access, if no addresses are associated with a Central OCSE, Regional
OCSE or International address type, the user currently receives the
message "No Address Available" with the **Add New Address** button
displayed. The **Add New Address** button should not appear.

## Background

State or Public users have view -- only access to the Central OCSE,
Regional OCSE or International address types. The **Add New Address**
button does not function, and should not appear.

## Description of Changes

The IRG is being modified to remove the **Add New Address** button from
the State and Public view access pages.

## Impact on States

There is no impact to State systems. This change involves only a user
interface change.

## Output Record Specification

This modification does not affect output record layouts.

## Input Record Specification

This modification does not affect input record layouts.

# Display the "International Records? Yes or No" Option with the "All Records" Download Section (OCSE Ref #2257)

## Summary of Changes

In the Address Download screen, the "International Records? Yes or No"
option is not currently located with the "All Records" download section.
This change will display the International Records option with the "All
Records" section.

## Background

The design of the screen does not clearly depict that the "International
Records? Yes or No" option pertains to the "All Records" option.

## Description of Changes

The IRG Address Download screen will be modified to accommodate the
change needed to include the "International Records? Yes or No" option
within the "All Records" download section. Adjustments will also be made
to accommodate the inclusion of Tribal address information in the IRG.

## Impact on States

There is no impact to State systems. This change involves only a user
interface change.

## Output Record Specification

This modification does not affect output record layouts.

## Input Record Specification

This modification does not affect input record layouts.

# Add Tribal Address Information to the IRG System (OCSE Ref #2283)

## Summary of Changes

The IRG system is being enhanced to provide current IRG functionality to
support Tribal addresses. The following enhancements will occur:

-   Contact information for federally-funded IV-D Tribes will be added.

-   Tribal contact information will be viewable by Public users.

-   A new security/access level will be created for Tribal
    Administrators to add, modify, and delete their Tribes' contact
    information.

-   A Tribal download report will be available.

-   All Tribal updates will be audited.

-   All access to Tribal information will be tracked.

## Background

The State, Tribal and OCSE Administrators are interested in expanding
the information available through the IRG to include Tribal data. The
contact information for the federally-funded Tribes will be added to the
IRG.

## Description of Changes

The IRG will be modified to add Tribes to all functions of the IRG. The
Tribal Administrators must be able to add, modify, or delete their
contact information. The OCSE and IRG Administrators must be able to
certify the Tribal contact information. All adds, modifies, and deletes
must be captured on the audit reports. The Tribal addresses must be
included in an address download. The IRG must track access to the Tribal
information by other users.

## Impact on States

This change will not require any change to State systems. A new user
interface screen will be developed for Tribes' use. All users will now
be able to access Tribal information.

## Output Record Specification

Appendix A, "IRG Output Record Layout", Chart A-1, "IRG Address Record
Layout for Download of Location Codes and Addresses to States", lists
the new codes in the "Address Type 1 and 2" fields (positions 1-6) for
Tribes.

## Input Record Specification

This modification does not affect input record layouts.

# Add ACF "Footer" and "Last Modified Date" to All IRG Screens (OCSE Ref #2302)

## Summary of Changes

All ACF sites and applications are required to have properly formatted
footers and last modified dates at the end of the webpage for
consistency with ACF Web Standards.

## Background

ACF is requiring all applications located on its website to present a
footer and a last modified date on all webpages.

## Description of Changes

The IRG will be modified to have a footer and last modified date on all
webpages used to add, modify, and delete address types and contact
information.

## Impact on States

There is no impact to State systems. This change involves only a user
interface change.

## Output Record Specification

This modification does not affect output record layouts.

## Input Record Specification

This modification does not affect input record layouts.

####### IRG Output Record Layout

This appendix contains the record specifications for the IRG output
record that is affected by the changes made for this release.

Chart A-1 presents the IRG Address Record Layout For Download of
Location Codes and Addresses to States with changes highlighted in
turquoise.

+--------------+-----+---+---+---------------------------------------+
| Chart A‑1:   |     |   |   |                                       |
| IRG Address  |     |   |   |                                       |
| RecorD       |     |   |   |                                       |
| Layout for   |     |   |   |                                       |
| Download of  |     |   |   |                                       |
| Location     |     |   |   |                                       |
| Codes and    |     |   |   |                                       |
| Addresses to |     |   |   |                                       |
| States       |     |   |   |                                       |
|              |     |   |   |                                       |
| OMB Control  |     |   |   |                                       |
| No:          |     |   |   |                                       |
| 0970-0209    |     |   |   |                                       |
| Expiration   |     |   |   |                                       |
| Date:        |     |   |   |                                       |
| 03/31/2009   |     |   |   |                                       |
+==============+=====+===+===+=======================================+
| Field Name   | Lo  | L | A | Description                           |
|              | cat | e | / |                                       |
|              | ion | n | N |                                       |
|              |     | g |   |                                       |
|              |     | t |   |                                       |
|              |     | h |   |                                       |
+--------------+-----+---+---+---------------------------------------+
| Address Type | 1-3 | 3 | A | Type of Address                       |
| 1            |     |   |   |                                       |
|              |     |   |   | FED -- Federal                        |
|              |     |   |   |                                       |
|              |     |   |   | INT -- International                  |
|              |     |   |   |                                       |
|              |     |   |   | LOC -- County/Local                   |
|              |     |   |   |                                       |
|              |     |   |   | STA -- State                          |
|              |     |   |   |                                       |
|              |     |   |   | [TRB -- Tribal]{.mark}                |
+--------------+-----+---+---+---------------------------------------+
| Address Type | 4-6 | 3 | A | Type of Address                       |
| 2            |     |   |   |                                       |
|              |     |   |   | **[If Address Type 1 =                |
|              |     |   |   | LOC]{.underline}**                    |
|              |     |   |   |                                       |
|              |     |   |   | AGO -- Attorney General               |
|              |     |   |   |                                       |
|              |     |   |   | CHC -- Chancery Court                 |
|              |     |   |   |                                       |
|              |     |   |   | CLC -- Clerk of the Court             |
|              |     |   |   |                                       |
|              |     |   |   | COL -- Collection Agency              |
|              |     |   |   |                                       |
|              |     |   |   | CTC -- Circuit Court                  |
|              |     |   |   |                                       |
|              |     |   |   | [C01 -- Child Support Office          |
|              |     |   |   | I]{.mark}                             |
|              |     |   |   |                                       |
|              |     |   |   | [C02 -- Child Support Office          |
|              |     |   |   | II]{.mark}                            |
|              |     |   |   |                                       |
|              |     |   |   | [C03 -- Child Support Office          |
|              |     |   |   | III]{.mark}                           |
|              |     |   |   |                                       |
|              |     |   |   | [C04 -- Child Support Office          |
|              |     |   |   | IV]{.mark}                            |
|              |     |   |   |                                       |
|              |     |   |   | [C05 -- Child Support Office          |
|              |     |   |   | V]{.mark}                             |
|              |     |   |   |                                       |
|              |     |   |   | [C06 -- Child Support Office          |
|              |     |   |   | VI]{.mark}                            |
|              |     |   |   |                                       |
|              |     |   |   | [C07 -- Child Support Office          |
|              |     |   |   | VII]{.mark}                           |
|              |     |   |   |                                       |
|              |     |   |   | [C08 -- Child Support Office          |
|              |     |   |   | VIII]{.mark}                          |
|              |     |   |   |                                       |
|              |     |   |   | [C09 -- Child Support Office          |
|              |     |   |   | IX]{.mark}                            |
|              |     |   |   |                                       |
|              |     |   |   | [C10 -- Child Support Office          |
|              |     |   |   | X]{.mark}                             |
|              |     |   |   |                                       |
|              |     |   |   | [C11 -- Child Support Office          |
|              |     |   |   | XI]{.mark}                            |
|              |     |   |   |                                       |
|              |     |   |   | [C12 -- Child Support Office          |
|              |     |   |   | XII]{.mark}                           |
|              |     |   |   |                                       |
|              |     |   |   | []{.mark}                             |
+--------------+-----+---+---+---------------------------------------+
| []{.mark}    |     |   |   | [C13 -- Child Support Office          |
|              |     |   |   | XIII]{.mark}                          |
|              |     |   |   |                                       |
|              |     |   |   | [C14 -- Child Support Office          |
|              |     |   |   | XIV]{.mark}                           |
|              |     |   |   |                                       |
|              |     |   |   | [C15 -- Child Support Office          |
|              |     |   |   | XV]{.mark}                            |
|              |     |   |   |                                       |
|              |     |   |   | [C16 -- Child Support Office          |
|              |     |   |   | XVI]{.mark}                           |
|              |     |   |   |                                       |
|              |     |   |   | [C17 -- Child Support Office          |
|              |     |   |   | XVII]{.mark}                          |
|              |     |   |   |                                       |
|              |     |   |   | [C18 -- Child Support Office          |
|              |     |   |   | XVIII]{.mark}                         |
|              |     |   |   |                                       |
|              |     |   |   | [C19 -- Child Support Office          |
|              |     |   |   | XIX]{.mark}                           |
|              |     |   |   |                                       |
|              |     |   |   | [C20 -- Child Support Office          |
|              |     |   |   | XX]{.mark}                            |
|              |     |   |   |                                       |
|              |     |   |   | DAO -- District Attorney              |
|              |     |   |   |                                       |
|              |     |   |   | DTC -- District Court                 |
|              |     |   |   |                                       |
|              |     |   |   | FAC -- Family Court                   |
|              |     |   |   |                                       |
|              |     |   |   | FCC -- Family Court Commissioner      |
|              |     |   |   |                                       |
|              |     |   |   | FRC -- Friends of the Court           |
|              |     |   |   |                                       |
|              |     |   |   | JDR -- Juvenile and Domestic          |
|              |     |   |   | Relations Court                       |
|              |     |   |   |                                       |
|              |     |   |   | PAO -- Prosecuting Attorney           |
|              |     |   |   |                                       |
|              |     |   |   | RES -- Responding Agency              |
|              |     |   |   |                                       |
|              |     |   |   | SPO -- State Prosecutor               |
|              |     |   |   |                                       |
|              |     |   |   | SUP -- Superior Court                 |
|              |     |   |   |                                       |
|              |     |   |   | TLC -- Tribal Court                   |
|              |     |   |   |                                       |
|              |     |   |   | **[If Address Type 1 =                |
|              |     |   |   | STA]{.underline}**                    |
|              |     |   |   |                                       |
|              |     |   |   | AIP -- Automated Interstate Case      |
|              |     |   |   | Payment Requests Contact              |
|              |     |   |   |                                       |
|              |     |   |   | AIS -- Automated Interstate Case      |
|              |     |   |   | Status Requests Contact               |
|              |     |   |   |                                       |
|              |     |   |   | BVS -- Bureau of Vital Statistics     |
|              |     |   |   | Contact                               |
|              |     |   |   |                                       |
|              |     |   |   | CDC -- Collection and Distribution    |
|              |     |   |   | Contact                               |
|              |     |   |   |                                       |
|              |     |   |   | CEJ -- Continuing Exclusive           |
|              |     |   |   | Jurisdiction Contact                  |
|              |     |   |   |                                       |
|              |     |   |   | CNT -- CSENet Contact                 |
|              |     |   |   |                                       |
|              |     |   |   | COC -- Copy of Order Contact          |
+--------------+-----+---+---+---------------------------------------+
|              |     |   |   | CRG -- Central Registry Contact       |
|              |     |   |   |                                       |
|              |     |   |   | EAC -- Employer Assistance Contact    |
|              |     |   |   |                                       |
|              |     |   |   | EFT -- Electronic Funds Transfer      |
|              |     |   |   | Contact                               |
|              |     |   |   |                                       |
|              |     |   |   | EIW -- Employer Income Withholding    |
|              |     |   |   | Contact                               |
|              |     |   |   |                                       |
|              |     |   |   | FDM -- Financial Institution Data     |
|              |     |   |   | Match Contact                         |
|              |     |   |   |                                       |
|              |     |   |   | GCL -- Guideline Calculations Contact |
|              |     |   |   |                                       |
|              |     |   |   | GTI -- Genetic Testing and Interstate |
|              |     |   |   | Teleconferencing Contact              |
|              |     |   |   |                                       |
|              |     |   |   | IPC -- Interstate Policy Contact      |
|              |     |   |   |                                       |
|              |     |   |   | IRG -- Intergovernmental Referral     |
|              |     |   |   | Guide Contact                         |
|              |     |   |   |                                       |
|              |     |   |   | IVD -- State IV-D Director            |
|              |     |   |   |                                       |
|              |     |   |   | NHR -- New Hire Reporting Contact     |
|              |     |   |   |                                       |
|              |     |   |   | NMS -- National Medical Support       |
|              |     |   |   | Contact                               |
|              |     |   |   |                                       |
|              |     |   |   | NVD -- Non IV-D Contact               |
|              |     |   |   |                                       |
|              |     |   |   | PAF -- Paternity Acknowledgement      |
|              |     |   |   | Forms Contact                         |
|              |     |   |   |                                       |
|              |     |   |   | PAT -- Paternity Acknowledgement      |
|              |     |   |   | Copies Contact                        |
|              |     |   |   |                                       |
|              |     |   |   | PDC -- Passport Denial Contact        |
|              |     |   |   |                                       |
|              |     |   |   | PFR -- Putative Father Registry       |
|              |     |   |   |                                       |
|              |     |   |   | PRC -- Privatization Contact          |
|              |     |   |   |                                       |
|              |     |   |   | PRW -- PRWORA-Administrative          |
|              |     |   |   | Policies, Procedures Contact          |
|              |     |   |   |                                       |
|              |     |   |   | PYR -- Payment Records Contact        |
|              |     |   |   |                                       |
|              |     |   |   | [R01 -- Regional Office I]{.mark}     |
|              |     |   |   |                                       |
|              |     |   |   | [R02 -- Regional Office II]{.mark}    |
|              |     |   |   |                                       |
|              |     |   |   | [R03 -- Regional Office III]{.mark}   |
|              |     |   |   |                                       |
|              |     |   |   | [R04 -- Regional Office IV]{.mark}    |
|              |     |   |   |                                       |
|              |     |   |   | [R05 -- Regional Office V]{.mark}     |
|              |     |   |   |                                       |
|              |     |   |   | [R06 -- Regional Office VI]{.mark}    |
|              |     |   |   |                                       |
|              |     |   |   | [R07 -- Regional Office VII]{.mark}   |
+--------------+-----+---+---+---------------------------------------+
| []{.mark}    |     |   |   | [R08 -- Regional Office VIII]{.mark}  |
|              |     |   |   |                                       |
|              |     |   |   | [R09 -- Regional Office IX]{.mark}    |
|              |     |   |   |                                       |
|              |     |   |   | [R10 -- Regional Office X]{.mark}     |
|              |     |   |   |                                       |
|              |     |   |   | [R11 -- Regional Office XI]{.mark}    |
|              |     |   |   |                                       |
|              |     |   |   | [R12 -- Regional Office XII]{.mark}   |
|              |     |   |   |                                       |
|              |     |   |   | [R13 -- Regional Office XIII]{.mark}  |
|              |     |   |   |                                       |
|              |     |   |   | [R14 -- Regional Office XIV]{.mark}   |
|              |     |   |   |                                       |
|              |     |   |   | [R15 -- Regional Office XV]{.mark}    |
|              |     |   |   |                                       |
|              |     |   |   | [R16 -- Regional Office XVI]{.mark}   |
|              |     |   |   |                                       |
|              |     |   |   | [R17 -- Regional Office XVII]{.mark}  |
|              |     |   |   |                                       |
|              |     |   |   | [R18 -- Regional Office XVIII]{.mark} |
|              |     |   |   |                                       |
|              |     |   |   | [R19 -- Regional Office XIX]{.mark}   |
|              |     |   |   |                                       |
|              |     |   |   | [R20 -- Regional Office XX]{.mark}    |
|              |     |   |   |                                       |
|              |     |   |   | [R21 -- Regional Office XXI]{.mark}   |
|              |     |   |   |                                       |
|              |     |   |   | [R22 -- Regional Office XXII]{.mark}  |
|              |     |   |   |                                       |
|              |     |   |   | [R23 -- Regional Office XXIII]{.mark} |
|              |     |   |   |                                       |
|              |     |   |   | [R24 -- Regional Office XXIV]{.mark}  |
|              |     |   |   |                                       |
|              |     |   |   | [R25 -- Regional Office XXV]{.mark}   |
|              |     |   |   |                                       |
|              |     |   |   | [R26 -- Regional Office XXVI]{.mark}  |
|              |     |   |   |                                       |
|              |     |   |   | [R27 -- Regional Office XXVII]{.mark} |
|              |     |   |   |                                       |
|              |     |   |   | [R28 -- Regional Office               |
|              |     |   |   | XXVIII]{.mark}                        |
|              |     |   |   |                                       |
|              |     |   |   | [R29 -- Regional Office XXIX]{.mark}  |
|              |     |   |   |                                       |
|              |     |   |   | [R30 -- Regional Office XXX]{.mark}   |
|              |     |   |   |                                       |
|              |     |   |   | SDU -- State Disbursement Unit        |
|              |     |   |   |                                       |
|              |     |   |   | SLA -- State Long Arm Statute and     |
|              |     |   |   | Process Contact                       |
|              |     |   |   |                                       |
|              |     |   |   | SLC -- State Lien Contact             |
|              |     |   |   |                                       |
|              |     |   |   | SPA -- State Paternity                |
|              |     |   |   | Acknowledgement Hospital Contact      |
+--------------+-----+---+---+---------------------------------------+
|              |     |   |   | SPC -- Service of Process Contact     |
|              |     |   |   |                                       |
|              |     |   |   | SPL -- State Parent Locator Service   |
|              |     |   |   |                                       |
|              |     |   |   | TOC -- Tax Offset Coordinator         |
|              |     |   |   |                                       |
|              |     |   |   | UCW -- Unemployment Compensation      |
|              |     |   |   | Withholding                           |
|              |     |   |   |                                       |
|              |     |   |   | WCW -- Workers Compensation           |
|              |     |   |   | Withholding                           |
|              |     |   |   |                                       |
|              |     |   |   | **[If Address Type 1 =                |
|              |     |   |   | FED]{.underline}**                    |
|              |     |   |   |                                       |
|              |     |   |   | CEN -- OCSE Central Office            |
|              |     |   |   |                                       |
|              |     |   |   | REG -- OCSE Region                    |
|              |     |   |   |                                       |
|              |     |   |   | **[If Address Type 1 =                |
|              |     |   |   | INT]{.underline}**                    |
|              |     |   |   |                                       |
|              |     |   |   | FRC -- Foreign Country                |
|              |     |   |   |                                       |
|              |     |   |   | **[[If Address Type 2 =               |
|              |     |   |   | TRB]{.underline}]{.mark}**            |
|              |     |   |   |                                       |
|              |     |   |   | [T01 -- Tribal Office 1]{.mark}       |
|              |     |   |   |                                       |
|              |     |   |   | [T02 -- Tribal Office 2]{.mark}       |
+--------------+-----+---+---+---------------------------------------+
| FIPS Code    | 7-8 | 2 | A | [Depending on the type of address     |
|              |     |   | / | being added, the code will be         |
|              |     |   | N | selected. State, Territory Code or    |
|              |     |   |   | Country (e.g., '04') or Tribal Code   |
|              |     |   |   | ('90').]{.mark}                       |
+--------------+-----+---+---+---------------------------------------+
| County Code  | 9   | 3 | A | [County FIPS Code (e.g.,              |
|              | -11 |   | / | '000')]{.mark}                        |
| (Local Code) |     |   | N |                                       |
|              |     |   |   | [International City or Province       |
| I            |     |   |   | (e.g., '045', or space out the first  |
| nternational |     |   |   | '0' as a placeholder).]{.mark}        |
| City or      |     |   |   |                                       |
| Province     |     |   |   | [BIA Code of Tribal -- when Address   |
|              |     |   |   | Type equals Tribal (TRB) (e.g., '123' |
|              |     |   |   | or 'S04')]{.mark}                     |
+--------------+-----+---+---+---------------------------------------+
| [Collection  | 12  | 2 | N | [Defaulted to zero (i.e.,             |
| Agency or    | -13 |   |   | '00')]{.mark}                         |
| I            |     |   |   |                                       |
| nternational |     |   |   | [International ID is zero or          |
| ID]{.mark}   |     |   |   | space.]{.mark}                        |
|              |     |   |   |                                       |
| [Tribal      |     |   |   | [Tribal is zero (i.e., '00')]{.mark}  |
| Loca         |     |   |   |                                       |
| tion]{.mark} |     |   |   |                                       |
+--------------+-----+---+---+---------------------------------------+
| Department   | 14  | 3 | A | Department Name                       |
| Name         | -48 | 5 |   |                                       |
+--------------+-----+---+---+---------------------------------------+
| Title        | 49  | 3 | A | Title                                 |
|              | -83 | 5 |   |                                       |
+--------------+-----+---+---+---------------------------------------+
| Street       | 84- | 3 | A | First Line of Street Address          |
| Address Line | 118 | 5 | / |                                       |
| 1            |     |   | N |                                       |
+--------------+-----+---+---+---------------------------------------+
| Street       | 1   | 3 | A | Second Line of Street Address         |
| Address Line | 19- | 5 | / |                                       |
| 2            | 153 |   | N |                                       |
+--------------+-----+---+---+---------------------------------------+
| City         | 1   | 3 | A | Name of the City                      |
|              | 54- | 0 |   |                                       |
|              | 183 |   |   |                                       |
+--------------+-----+---+---+---------------------------------------+
| State or     | 1   | 2 | A | State Abbreviation or Country Name    |
| Country      | 84- | 0 |   |                                       |
|              | 203 |   |   |                                       |
+--------------+-----+---+---+---------------------------------------+
| ZIP Code     | 2   | 9 | N | U.S. ZIP Code                         |
|              | 04- |   |   |                                       |
|              | 212 |   |   |                                       |
+--------------+-----+---+---+---------------------------------------+
| Area Code    | 2   | 3 | N | Telephone Area Code                   |
|              | 13- |   |   |                                       |
|              | 215 |   |   |                                       |
+--------------+-----+---+---+---------------------------------------+
| Exchange     | 2   | 3 | N | Telephone Exchange                    |
|              | 16- |   |   |                                       |
|              | 218 |   |   |                                       |
+--------------+-----+---+---+---------------------------------------+
| Sequence     | 2   | 4 | N | Telephone Number                      |
| Number       | 19- |   |   |                                       |
|              | 222 |   |   |                                       |
+--------------+-----+---+---+---------------------------------------+
| Extension    | 2   | 5 | N | Telephone Extension                   |
| Number       | 23- |   |   |                                       |
|              | 227 |   |   |                                       |
+--------------+-----+---+---+---------------------------------------+
| Action Code  | 228 | 1 | A | A -- Address added                    |
|              |     |   |   |                                       |
|              |     |   |   | C -- Address changed                  |
|              |     |   |   |                                       |
|              |     |   |   | D -- Address deleted                  |
+--------------+-----+---+---+---------------------------------------+
| Facsimile    | 2   | 3 | N | Facsimile Telephone Area Code         |
|              | 29- |   |   |                                       |
|              | 231 |   |   |                                       |
+--------------+-----+---+---+---------------------------------------+
| Facsimile    | 2   | 3 | N | Facsimile Telephone Exchange          |
| Exchange 1   | 32- |   |   |                                       |
|              | 234 |   |   |                                       |
+--------------+-----+---+---+---------------------------------------+
| Facsimile    | 2   | 4 | N | Facsimile Telephone Number            |
| Sequence     | 35- |   |   |                                       |
| Number       | 238 |   |   |                                       |
+--------------+-----+---+---+---------------------------------------+
| Record Date  | 2   | 8 | N | System-generated date when record is  |
|              | 39- |   |   | added, changed, or deleted: CCYYMMDD  |
|              | 246 |   |   |                                       |
+--------------+-----+---+---+---------------------------------------+
| Filler       | 247 | 1 | A | Filler                                |
|              |     |   | / |                                       |
|              |     |   | N |                                       |
+--------------+-----+---+---+---------------------------------------+