Federal Parent Locator Service

Federal Case Registry

Interface Guidance Document

Document Version: 12.0

April 30, 2008

DCN: C8-02.01.10.02

Table of Contents

E. Data Dictionary [E-2](#data-dictionary)

####### Data Dictionary

This appendix includes the data definitions and descriptions for the
data fields contained in the FCR Input and Output Transaction Layouts.
Appendix G defines the Input Transaction Layouts. Appendix H defines the
Output Transaction Layouts.

This appendix lists the data fields in alphabetic order. The following
information is provided for each data field:

1.  **Name** -- The name of the field is provided as it appears on the
    input or output transaction layout description.

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1.  Type -- If the field is an input field, output field or both.

2.  Condition -- If the field is required for specified inputs. Fields
    on input transactions are required, conditionally required or
    optional. Fields on the output transactions are described as
    required or conditional. Conditional fields are present based on the
    information received on the input or available on the FCR database.

3.  Length --The size of the field on the record layout.

4.  Format -- If the field is alphabetic, numeric or alphanumeric.

5.  Values -- The acceptable values for the field.

6.  Description --A narrative explanation of the data field.

The following pages include the data fields that are accepted and/or
returned by the FCR.

+----------+-----------------------------------------------------------+
| Name     | 1099 ACCOUNT CODE                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Response Record                          |
+----------+-----------------------------------------------------------+
| Length   | 20                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces                       |
+----------+-----------------------------------------------------------+
| Des      | The payer's account number from the IRS-1099 system.      |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 AMOUNT 1 **through** 1099 AMOUNT 12                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Response Record                          |
+----------+-----------------------------------------------------------+
| Length   | 12                                                        |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 000000000000 through 999999999999                         |
+----------+-----------------------------------------------------------+
| Des      | The amount of assets being reported for the 1099 Locate.  |
| cription | The amount reported is in whole dollars. The 1099 Amount  |
|          | Indicator defines the type of asset amount being          |
|          | reported, and the 1099 Document Code identifies the       |
|          | source form of the information. This field contains all   |
|          | zeroes if amount is not available.                        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 AMOUNT INDICATOR 1 **through\                        |
|          | **1099 AMOUNT INDICATOR 12                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 01 -- Dividends                                           |
|          |                                                           |
|          | 1A -- MSA Contributions                                   |
|          |                                                           |
|          | 1B -- Current Contributions                               |
|          |                                                           |
|          | 1C -- Future Contributions                                |
|          |                                                           |
|          | 1D -- Rollover MSA Contributions                          |
|          |                                                           |
|          | 1E -- Gross Benefits                                      |
|          |                                                           |
|          | 1F -- Accelerated Benefits Paid                           |
|          |                                                           |
|          | 02 -- Interest                                            |
|          |                                                           |
|          | 2A -- Earnings on Distributive Excess Contributions       |
|          |                                                           |
|          | 2B -- MSA Gross Distributions                             |
|          |                                                           |
|          | 2C -- 28% Rate Gain                                       |
|          |                                                           |
|          | 2D -- Unrecaptured Section 1250 Gain                      |
|          |                                                           |
|          | 2E -- Section 1202 Gain                                   |
|          |                                                           |
|          | 2F -- ROTH Conversion Amount                              |
|          |                                                           |
|          | 03 -- Gross Winnings                                      |
|          |                                                           |
|          | 3A -- ROTH IRA Contribution                               |
|          |                                                           |
|          | 3B -- Education IRA Contribution                          |
|          |                                                           |
|          | 3C -- Student Loan Interest                               |
|          |                                                           |
|          | 3D -- Attorney Fees                                       |
|          |                                                           |
|          | 3E -- MSA Fair Market Value                               |
|          |                                                           |
|          | 3F -- Foreign Tax Paid                                    |
|          |                                                           |
|          | 04 -- Pensions and Annuities                              |
|          |                                                           |
|          | 06 -- Wages                                               |
|          |                                                           |
|          | 07 -- Allocated Tips                                      |
|          |                                                           |
|          | 08 -- Tax Withheld                                        |
|          |                                                           |
|          | 09 -- FICA Tax Withheld                                   |
|          |                                                           |
|          | 10 -- Taxable FICA Wages                                  |
|          |                                                           |
|          | 11 -- Taxable FICA Tips                                   |
|          |                                                           |
|          | 12 -- Advance Earned Income Credit                        |
|          |                                                           |
|          | 13 -- Taxable Grants                                      |
|          |                                                           |
|          | 14 -- Unemployment Compensation                           |
|          |                                                           |
|          | 15 -- Non-employee Compensation                           |
|          |                                                           |
|          | 16 -- Medical Payments                                    |
|          |                                                           |
|          | 17 -- Fishing Income                                      |
|          |                                                           |
|          | 18 -- Rents                                               |
|          |                                                           |
|          | 19 -- Royalties                                           |
|          |                                                           |
|          | 20 -- Other Income                                        |
|          |                                                           |
|          | 21 -- Winnings from Identical Wager                       |
|          |                                                           |
|          | 22 -- Savings Bonds                                       |
|          |                                                           |
|          | 23 -- Capital Gains                                       |
|          |                                                           |
|          | 24 -- Non-taxable Distribution                            |
|          |                                                           |
|          | 25 -- Deferred Compensation                               |
|          |                                                           |
|          | 26 -- Points Paid                                         |
|          |                                                           |
|          | 27 -- Cash Liquid Distribution                            |
|          |                                                           |
|          | 28 -- Non-cash Liquid Distributions Dividends Not         |
|          | Qualifying for Exclusion                                  |
|          |                                                           |
|          | 29 -- Refund Overpaid Interest                            |
|          |                                                           |
|          | 30 -- Substitute Payments for Dividends                   |
|          |                                                           |
|          | 31 -- Excess Golden Parachute                             |
|          |                                                           |
|          | 32 -- Business Income                                     |
|          |                                                           |
|          | 33 -- Investment Expense                                  |
|          |                                                           |
|          | 34 -- Medicare Tax Withheld                               |
|          |                                                           |
|          | 35 -- Property Fair Market Value                          |
|          |                                                           |
|          | 36 -- Medicare Wages                                      |
|          |                                                           |
|          | 37 -- Total Employee Contributions                        |
|          |                                                           |
|          | 38 -- Unrealized Appreciation                             |
|          |                                                           |
|          | 39 -- Other Income                                        |
|          |                                                           |
|          | 40 -- Interest Forfeiture                                 |
|          |                                                           |
|          | 41 -- Ordinary Dividends                                  |
|          |                                                           |
|          | 42 -- Amount of Transaction                               |
|          |                                                           |
|          | 43 -- Patronage Dividends                                 |
|          |                                                           |
|          | 44 -- Non-patronage Distribution                          |
|          |                                                           |
|          | 45 -- Retained Allocations                                |
|          |                                                           |
|          | 46 -- Redemption Amount                                   |
|          |                                                           |
|          | 47 -- Amount of Debt Cancelled                            |
|          |                                                           |
|          | 48 -- Interest Forgiven Amount                            |
|          |                                                           |
|          | 50 -- Real Estate Sales                                   |
|          |                                                           |
|          | 51 -- Buyer Real Estate Taxes                             |
|          |                                                           |
|          | 52 -- Amount of Contract                                  |
|          |                                                           |
|          | 53 -- Original Issue Discount                             |
|          |                                                           |
|          | 54 -- Agricultural Subsidies                              |
|          |                                                           |
|          | 55 -- Prior Year Refund                                   |
|          |                                                           |
|          | 56 -- Discharge of Indebtedness                           |
|          |                                                           |
|          | 57 -- Total CTR Transaction Amount                        |
|          |                                                           |
|          | 58 -- IRA Contributions                                   |
|          |                                                           |
|          | 59 -- Rollover IRA Contribution                           |
|          |                                                           |
|          | 60 -- Dependent Care                                      |
|          |                                                           |
|          | 61 -- Stocks and Bonds                                    |
|          |                                                           |
|          | 62 -- Bartering                                           |
|          |                                                           |
|          | 63 -- Aggregate Profit and Loss                           |
|          |                                                           |
|          | 64 -- Realized Profit and Losses                          |
|          |                                                           |
|          | 65 -- SEP Contributions                                   |
|          |                                                           |
|          | 66 -- Simple Contribution                                 |
|          |                                                           |
|          | 67 -- Life Insurance Cost (amount of IRA paid to life     |
|          | insurance)                                                |
|          |                                                           |
|          | 68 -- Mortgage Interest                                   |
|          |                                                           |
|          | 69 -- Debt Outstanding                                    |
|          |                                                           |
|          | 70 -- Debt Satisfied                                      |
|          |                                                           |
|          | 71 -- Fair Market Value                                   |
|          |                                                           |
|          | 72 -- Amount of Transaction                               |
|          |                                                           |
|          | 73 -- Ordinary Income K‑1                                 |
|          |                                                           |
|          | 74 -- Real Estate                                         |
|          |                                                           |
|          | 75 -- Other Rental                                        |
|          |                                                           |
|          | 76 -- Guaranteed Payments                                 |
|          |                                                           |
|          | 77 -- Section 179 Expense                                 |
|          |                                                           |
|          | 78 -- Repayments (a negative amount)                      |
|          |                                                           |
|          | 79 -- Workman's Compensation Offset (a negative amount)   |
|          |                                                           |
|          | 80 -- Gross Distributions                                 |
|          |                                                           |
|          | 81 -- Taxable Amount                                      |
|          |                                                           |
|          | 82 -- CMIR                                                |
|          |                                                           |
|          | 83 -- Previous Wages                                      |
|          |                                                           |
|          | 84 -- Code 'Q' Military Pay                               |
|          |                                                           |
|          | 85 -- Code 'R' Employer's Contribution to Medical Savings |
|          | Account                                                   |
|          |                                                           |
|          | 86 -- Code 'S' Employer's Contribution to Simple Account  |
|          |                                                           |
|          | 87 -- Code 'T' Expenses Incurred for Qualified Adoption   |
|          |                                                           |
|          | 88 -- Appraisal Value                                     |
|          |                                                           |
|          | 89 -- Eligible Capital Gains                              |
|          |                                                           |
|          | 90 -- Passive Income                                      |
|          |                                                           |
|          | 93 -- TY Repayments (Most recent available year)          |
|          |                                                           |
|          | 94 -- TY Repayments                                       |
|          |                                                           |
|          | 95 -- TY Repayments                                       |
|          |                                                           |
|          | 96 -- TY Repayments (Oldest available year)               |
|          |                                                           |
|          | 97 -- Short Term Capital Gain                             |
|          |                                                           |
|          | 98 -- Long Term Capital Gain                              |
|          |                                                           |
|          | 99 -- Crop Insurance                                      |
|          |                                                           |
|          | Spaces -- Information Not Available                       |
+----------+-----------------------------------------------------------+
| Des      | This code defines the type of asset being reported on the |
| cription | IRS source document. The IRS source document is           |
|          | identified by the 1099 Document Code.                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 DOCUMENT CODE                                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Response Record                          |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 15 -- Passport                                            |
|          |                                                           |
|          | 16 -- Greencard                                           |
|          |                                                           |
|          | 21 -- IRS W‑2 Form                                        |
|          |                                                           |
|          | 27 -- IRS 5498-MSA Form                                   |
|          |                                                           |
|          | 28 -- IRS 5498 Form                                       |
|          |                                                           |
|          | 32 -- IRS W‑2G Form                                       |
|          |                                                           |
|          | 42 -- IRS W-4 Form                                        |
|          |                                                           |
|          | 59 -- IRS 8596 Fed Contractor Form                        |
|          |                                                           |
|          | 61 -- IRS 8362 Casino CTR Form                            |
|          |                                                           |
|          | 63 -- IRS 4790 CMIR International CTR Form                |
|          |                                                           |
|          | 64 -- IRS 8300 Business Center Form                       |
|          |                                                           |
|          | 65 -- IRS K‑1 1065 Form                                   |
|          |                                                           |
|          | 66 -- IRS K‑1 1041 Form                                   |
|          |                                                           |
|          | 67 -- K‑1 1120S Form                                      |
|          |                                                           |
|          | 75 -- IRS 1099‑S Form                                     |
|          |                                                           |
|          | 79 -- IRS 1099‑B Form                                     |
|          |                                                           |
|          | 80 -- IRS 1099‑A Form                                     |
|          |                                                           |
|          | 81 -- IRS 1098 Form                                       |
|          |                                                           |
|          | 82 -- SSA‑1099 Form                                       |
|          |                                                           |
|          | 83 -- IRS 1098‑T Form                                     |
|          |                                                           |
|          | 84 -- IRS 1098‑E Form                                     |
|          |                                                           |
|          | 85 -- IRS 1099‑C Form                                     |
|          |                                                           |
|          | 86 -- IRS 1099‑G Form                                     |
|          |                                                           |
|          | 89 -- IRS 4789 Bank CTR Form                              |
|          |                                                           |
|          | 91 -- IRS 1099‑DIV Form                                   |
|          |                                                           |
|          | 92 -- IRS 1099‑INT Form                                   |
|          |                                                           |
|          | 93 -- IRS 1099‑LTC Form                                   |
|          |                                                           |
|          | 94 -- IRS 1099‑MSA Form                                   |
|          |                                                           |
|          | 95 -- IRS 1099 MISC Form                                  |
|          |                                                           |
|          | 96 -- IRS 1099‑OID Form                                   |
|          |                                                           |
|          | 97 -- IRS 1099‑PATR Form                                  |
|          |                                                           |
|          | 98 -- IRS 1099‑R Form                                     |
|          |                                                           |
|          | Spaces -- Information not available                       |
+----------+-----------------------------------------------------------+
| Des      | This code identifies the IRS document that is the source  |
| cription | of the information that is provided for the 1099 Locate.  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 FIRST NAME                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Response Record                          |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[not all spaces\]                 |
+----------+-----------------------------------------------------------+
| Des      | The first 15 characters of the first name of the person   |
| cription | that was submitted to the IRS for 1099 Locate.            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 LAST NAME                                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Response Record                          |
+----------+-----------------------------------------------------------+
| Length   | 20                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[not all spaces\]                 |
+----------+-----------------------------------------------------------+
| Des      | The first 20 characters of the last name of the person    |
| cription | that was submitted to the IRS for a 1099 Locate.          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 MATCH CODE                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Response Record                          |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00 -- Match made. IRS financial information returned      |
|          |                                                           |
|          | 06 -- Case Type changed from IV-D to Non IV-D, no         |
|          | information returned                                      |
|          |                                                           |
|          | 18 -- SSN not on IRS File. No financial information       |
|          | returned                                                  |
|          |                                                           |
|          | 19 -- Name submitted by the State does not match with SSA |
|          | name, no financial information returned                   |
|          |                                                           |
|          | 20 -- Information unavailable                             |
|          |                                                           |
|          | 39 -- Disclosure Prohibited, person associated with       |
|          | Family Violence                                           |
+----------+-----------------------------------------------------------+
| Des      | This code identifies the results of the match with        |
| cription | IRS-1099 system for the person.                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 PAYEE CITY                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the city of the payee's address from the IRS form |
| cription | that is the source of the information being reported.     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 PAYEE NAME 1                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the payee name from the IRS form that is the      |
| cription | source of the information being reported.                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 PAYEE NAME 2                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the second payee name from the IRS form that is   |
| cription | the source of the information being reported for the      |
|          | first line of the payee address, for example, the 'In     |
|          | Care of' information on the form.                         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 PAYEE STATE CODE                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the State code for the payee's address from the   |
| cription | IRS form that is the source of the information being      |
|          | reported.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 PAYEE STREET ADDRESS                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces                       |
+----------+-----------------------------------------------------------+
| Des      | This is the payee's street address or post office box     |
| cription | from the IRS form that is the source of the information   |
|          | being reported.                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 PAYEE ZIP CODE                                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999999 or spaces                     |
+----------+-----------------------------------------------------------+
| Des      | This is the payee Zip Code from the IRS form that is the  |
| cription | source of the information being reported.                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 PAYER CITY-STATE-ZIP                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces                       |
+----------+-----------------------------------------------------------+
| Des      | This is the payer's city, State code and Zip Code from    |
| cription | the IRS form that is the source of the information being  |
|          | reported.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 PAYER EIN                                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the payer's Employer Identification Number from   |
| cription | the IRS form that is the source of the information being  |
|          | reported.                                                 |
|          |                                                           |
|          | If 1099 Payer EIN is not available, this field contains   |
|          | all zeroes.                                               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 PAYER NAME 1                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the payer's name from the IRS form that is the    |
| cription | source of the information being reported.                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 PAYER NAME 2                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the second payer name from the IRS form that is   |
| cription | the source of the information being reported or the first |
|          | line of the payer address, for example, the 'In Care of'  |
|          | information on the form.                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | 1099 PAYER STREET ADDRESS                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces                       |
+----------+-----------------------------------------------------------+
| Des      | This is the payer's street address or post office box     |
| cription | from the IRS form that is the source of the information   |
|          | being reported.                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ACKNOWLEDGEMENT CODE                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR Case Acknowledgement/Error Record                 |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Query Acknowledgement/Error Record                |
+----------+-----------------------------------------------------------+
| Length   | 5                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | AAAAA -- Transaction accepted                             |
|          |                                                           |
|          | HOLDS -- Transaction pending SSN Verification             |
|          |                                                           |
|          | REJCT -- Transaction rejected                             |
+----------+-----------------------------------------------------------+
| Des      | This code identifies the record as accepted (AAAAA),      |
| cription | pending SSN verification (HOLDS) or rejected (REJCT). See |
|          | Appendix J, "Error Messages", for a complete list of the  |
|          | FCR-assigned error codes.                                 |
|          |                                                           |
|          | If the record was rejected, the Error Code will define    |
|          | the specific reason for the rejection.                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ACTION TYPE CODE                                          |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Required for the following input records:                 |
| ondition |                                                           |
|          | -   FCR Input Case Record                                 |
|          |                                                           |
|          | -   FCR Input Query Record                                |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record                |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR Case Acknowledgement/Error Record                 |
|          |                                                           |
|          | -   FCR Query Acknowledgement/Error Record                |
|          |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | FCR Input Case Record and related Acknowledgement/Error   |
|          | Record:                                                   |
|          |                                                           |
|          | A -- Add a new case to the FCR                            |
|          |                                                           |
|          | C -- Change a case previously added to the FCR            |
|          |                                                           |
|          | D -- Delete a case previously added to the FCR            |
|          |                                                           |
|          | \[Whenever a State closes a case on its system, using     |
|          | valid closure criteria under 45 CFR 303.11, the State     |
|          | must send a Delete Transaction to the FCR indicating the  |
|          | case has been closed.\]                                   |
|          |                                                           |
|          | FCR Input Person/Locate Request and related               |
|          | Acknowledgement/Error Record:                             |
|          |                                                           |
|          | A -- Add a person to a case on the FCR                    |
|          |                                                           |
|          | C -- Change a person previously added to the FCR          |
|          |                                                           |
|          | D -- Delete a person from a case previously added to the  |
|          | FCR                                                       |
|          |                                                           |
|          | L -- Initiate a request for Locate processing when a      |
|          | person is not being added to the FCR                      |
|          |                                                           |
|          | T -- Terminate an open Locate Request                     |
|          |                                                           |
|          | FCR Input Query Record and related output records:        |
|          |                                                           |
|          | A -- FCR Query Request for all FCR information on the     |
|          | person                                                    |
|          |                                                           |
|          | F -- FCR Query Request for other States' information on   |
|          | the person FCR Query/Proactive Match Response Record:     |
|          |                                                           |
|          | C -- Proactive FCR response for a new case, a change to,  |
|          | or deletion of, an existing case                          |
|          |                                                           |
|          | D -- SSA Date of Death File update                        |
|          |                                                           |
|          | F -- FCR Query response                                   |
|          |                                                           |
|          | P -- Proactive FCR response for a new person, a change    |
|          | to, or deletion of, an existing person                    |
+----------+-----------------------------------------------------------+
| Des      | For an input transaction, the code indicates the action   |
| cription | the FCR System should take for the transaction.           |
|          |                                                           |
|          | For an Acknowledgement/Error Output Record, this is the   |
|          | value received on the input transaction.                  |
|          |                                                           |
|          | For the FCR Query/Proactive Match Response Record, this   |
|          | code indicates the reason the output transaction is being |
|          | generated, i.e., a Query Response or Proactive Match      |
|          | results.                                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ADDITIONAL FIRST NAME 1 **through\                        |
|          | **ADDITIONAL FIRST NAME 4 **or\                           |
|          | **ADDITIONAL FIRST NAME 1 TEXT **through\                 |
|          | **ADDITIONAL FIRST NAME 4 TEXT                            |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A', 'C' or 'L'                             |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[No imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This is an Additional First Name that the submitter has   |
| cription | associated with the person who was submitted to the FCR,  |
|          | which may be useful in locating or identifying the        |
|          | person.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ADDITIONAL LAST NAME 1 **through\                         |
|          | **ADDITIONAL LAST NAME 4 **or\                            |
|          | **ADDITIONAL LAST NAME 1 TEXT **through\                  |
|          | **ADDITIONAL LAST NAME 4 TEXT                             |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A', 'C' or 'L'                             |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-) or spaces \[No imbedded spaces or |
|          | special characters other than hyphen (-)\]                |
+----------+-----------------------------------------------------------+
| Des      | This is an additional last name that the submitter has    |
| cription | associated with the person who was submitted to the FCR,  |
|          | which may be useful in locating or identifying the        |
|          | person.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ADDITIONAL MIDDLE NAME 1 **through\                       |
|          | **ADDITIONAL MIDDLE NAME 4 **or\                          |
|          | **ADDITIONAL MIDDLE NAME 1 TEXT **through\                |
|          | **ADDITIONAL MIDDLE NAME 4 TEXT                           |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A', 'C' or 'L'                             |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[No imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This is an Additional Middle Name that the submitter has  |
| cription | associated with the person who was submitted to the FCR,  |
|          | which may be useful in locating or identifying the        |
|          | person.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ADDITIONAL SSN 1 thru ADDITIONAL SSN 2                    |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A' or 'C'                                  |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998, or all spaces \[not all      |
|          | sixes\]                                                   |
+----------+-----------------------------------------------------------+
| Des      | This is an Additional SSN the submitter has associated    |
| cription | with the person who was submitted to the FCR, which may   |
|          | be useful in locating or identifying the person.          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ADDITIONAL SSN 1 VALIDITY CODE(s) **through\              |
|          | **ADDITIONAL SSN 2 VALIDITY CODE                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | This field contains one of the following codes to         |
|          | indicate the validity of the Additional SSN(s) submitted: |
|          |                                                           |
|          | N -- The Additional SSN and Name combination that was     |
|          | submitted for this person was not verified by SSA's SSN   |
|          | Verification Routines, but the Name Matching Routine has  |
|          | identified it as a probable name match.                   |
|          |                                                           |
|          | V -- The Additional SSN 1or SSN 2 and Name combination    |
|          | submitted was verified by the SSA SSN verification        |
|          | routines.                                                 |
|          |                                                           |
|          | U -- The Additional SSN 1or SSN 2 and Name combination    |
|          | submitted was not verified by the SSA SSN verification    |
|          | routines.                                                 |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the results of the SSA SSN            |
| cription | Verification for the person's Additional SSN 1 and/or SSN |
|          | 2 that the submitter has associated with the person who   |
|          | was submitted to the FCR, which may be useful in locating |
|          | or identifying the person.                                |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ADDRESS FORMAT INDICATOR                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | C -- City, State and Zip Code breakdown                   |
|          |                                                           |
|          | F -- Free Format: Lines separated by a '\\' with an       |
|          | isolated Zip Code when present                            |
|          |                                                           |
|          | X -- Fixed Format: Street Address Lines 1 through 4,      |
|          | city, State and Zip Code breakdown                        |
|          |                                                           |
|          | Space -- No address                                       |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the format of the Street Address      |
| cription | Lines 1 through 4, city, State and Zip Code in the        |
|          | Returned Address Field.                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ADDRESS INDICATOR TYPE                                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Record                |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- Employer Address                                     |
|          |                                                           |
|          | 2 -- Employee Address                                     |
|          |                                                           |
|          | 3 -- Employer Optional Address                            |
|          |                                                           |
|          | Space -- Information not provided                         |
+----------+-----------------------------------------------------------+
| Des      | This code indicates whether the address that was provided |
| cription | is the employer's, the employee's or the employer's       |
|          | optional address.                                         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ADDRESS SCRUB INDICATOR 1                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | BA -- Bad address: FINALIST determined it to be an        |
|          | undeliverable address                                     |
|          |                                                           |
|          | CH -- Changed address: The address was corrected and is   |
|          | considered by FINALIST to be deliverable                  |
|          |                                                           |
|          | EA -- Empty address: No address is present in record. The |
|          | address was not provided by the Locate source.            |
|          |                                                           |
|          | FA -- Foreign Address: There is a value in the foreign    |
|          | country code that is other than spaces or 'US'            |
|          |                                                           |
|          | GA -- Good address: FINALIST has determined it to be a    |
|          | deliverable address                                       |
|          |                                                           |
|          | IA -- Unrecognized Address Format Indicator: The Address  |
|          | Format Indicator must be either 'C', 'F' or 'X'. (Applies |
|          | to FCR Locate Response Records only)                      |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the general status of the edited      |
| cription | address.                                                  |
|          |                                                           |
|          | For FCR Locate Responses, the values are 'BA', 'CH',      |
|          | 'EA', 'FA', 'GA' and 'IA'.                                |
|          |                                                           |
|          | For NDNH Locate Responses, the values are 'BA', 'CH',     |
|          | 'EA', 'FA' and 'GA'.                                      |
|          |                                                           |
|          | For NDNH Proactive Match Responses, the values are 'CH',  |
|          | 'FA' and 'GA'.                                            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ADDRESS SCRUB INDICATOR 2 **through\                      |
|          | **ADDRESS SCRUB INDICATOR 3                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | BR -- Bad range: House number is out of range for that    |
|          | street                                                    |
|          |                                                           |
|          | BU -- Bad unit number: The unit number in a               |
|          | multi-dwelling unit has a non-standard format, is out of  |
|          | range or is missing. In PO Box addresses the box number   |
|          | does not match the Zip+4 code. Standardization was        |
|          | attempted.                                                |
|          |                                                           |
|          | BX -- Missing State code or missing both State code and   |
|          | Zip Code: Assigning State or Zip Code was attempted       |
|          |                                                           |
|          | CA -- Correction of a misspelled or non-standard street   |
|          | name was successful                                       |
|          |                                                           |
|          | CC -- Correction of a misspelled or non-standard city     |
|          | name was successful                                       |
|          |                                                           |
|          | CZ -- Correction of Zip Code was successful               |
|          |                                                           |
|          | MA -- Mismatched address: The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name)                   |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code: Correction of the    |
|          | Zip Code was attempted                                    |
|          |                                                           |
|          | NC -- Non-determined city name: Correction of the city    |
|          | name was attempted                                        |
|          |                                                           |
|          | NZ -- Non-determined Zip Code: Correction of the Zip Code |
|          | was attempted but failed                                  |
|          |                                                           |
|          | Spaces -- the value is spaces if the Address Scrub        |
|          | Indicator 1 contains 'EA', 'FA', 'GA' or 'IA'             |
+----------+-----------------------------------------------------------+
| Des      | This code gives further detail on the status of the       |
| cription | edited address. Also refer to Section 6.7.3.1, "Address   |
|          | Editing of Locate Responses", and Section 6.10.1.1,       |
|          | "Address Editing of Proactive Match Responses".           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ANNUAL SALARY -- DoD                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 000000 through 999999                                     |
+----------+-----------------------------------------------------------+
| Des      | This is the employee's annual salary (dollars only).      |
| cription |                                                           |
|          | If salary is not available, this field contains zeroes.   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ANNUAL SALARY                                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 7                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 0000000 through 9999999                                   |
+----------+-----------------------------------------------------------+
| Des      | The employee's annual salary (dollars only).              |
| cription |                                                           |
|          | If salary is not available, this field contains zeroes.   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | APO‑FPO INDICATOR                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Y -- Provided address is an APO or FPO                    |
|          |                                                           |
|          | Space -- Provided address is not an APO or FPO, or        |
|          | information not available                                 |
+----------+-----------------------------------------------------------+
| Des      | This code indicates that the provided city, State and Zip |
| cription | Code are a military APO or FPO overseas address.          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ASSOCIATED PERSON 1 DATE OF BIRTH **through\              |
|          | **ASSOCIATED PERSON 3 DATE OF BIRTH                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format or spaces                 |
+----------+-----------------------------------------------------------+
| Des      | This is the date of birth of an associated person in a    |
| cription | matched case on the FCR. If the associated person does    |
|          | not exist, this field is all spaces.                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ASSOCIATED PERSON 1 DATE OF DEATH **through\              |
|          | **ASSOCIATED PERSON 3 DATE OF DEATH                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format or spaces                 |
+----------+-----------------------------------------------------------+
| Des      | If applicable, this is the SSA-recorded date of death,    |
| cription | for an associated person.                                 |
|          |                                                           |
|          | If not applicable, the field contains spaces.             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ASSOCIATED PERSON 1 FIRST NAME **through\                 |
|          | **ASSOCIATED PERSON 3 FIRST NAME                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or all spaces \[No imbedded spaces or        |
|          | special characters\]                                      |
+----------+-----------------------------------------------------------+
| Des      | The first name of an associated person in a matched case  |
| cription | on the FCR.                                               |
|          |                                                           |
|          | If the associated person does not exist, this field is    |
|          | all spaces.                                               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ASSOCIATED PERSON 1 LAST NAME **through\                  |
|          | **ASSOCIATED PERSON 3 LAST NAME                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or all spaces \[No imbedded spaces or        |
|          | special characters other than hyphen(-)\]                 |
+----------+-----------------------------------------------------------+
| Des      | This is the last name of an associated person in a        |
| cription | matched case on the FCR.                                  |
|          |                                                           |
|          | If the associated person does not exist, this field is    |
|          | all spaces.                                               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ASSOCIATED PERSON 1 MIDDLE NAME **through\                |
|          | **ASSOCIATED PERSON 3 MIDDLE NAME                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or all spaces \[No imbedded spaces or        |
|          | special characters\]                                      |
+----------+-----------------------------------------------------------+
| Des      | This is the middle name of an associated person in a      |
| cription | matched case on the FCR.                                  |
|          |                                                           |
|          | If the associated person does not exist, this field is    |
|          | all spaces.                                               |
|          |                                                           |
|          | If a middle name is not on file for the associated        |
|          | person, this field is all spaces.                         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ASSOCIATED PERSON 1 OTHER STATE/TERRITORY MEMBER ID       |
|          | **through\                                                |
|          | **ASSOCIATED PERSON 3 OTHER STATE/TERRITORY MEMBER ID     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, special characters, or spaces   |
+----------+-----------------------------------------------------------+
| Des      | This is the receiving State's Member ID assigned to the   |
| cription | associated person in a matched case on the FCR.           |
|          |                                                           |
|          | If the associated person does not exist, this field is    |
|          | all spaces.                                               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ASSOCIATED PERSON 1 PARTICIPANT TYPE **through\           |
|          | **ASSOCIATED PERSON 3 PARTICIPANT TYPE                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | CH -- Child                                               |
|          |                                                           |
|          | CP -- Custodial Party                                     |
|          |                                                           |
|          | NP -- Non-custodial Parent                                |
|          |                                                           |
|          | PF -- Putative Father                                     |
|          |                                                           |
|          | Spaces -- The associated person does not exist            |
+----------+-----------------------------------------------------------+
| Des      | This is the Participant Type of an associated person in a |
| cription | matched case on the FCR.                                  |
|          |                                                           |
|          | If the associated person does not exist, this field is    |
|          | all spaces.                                               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ASSOCIATED PERSON 1 SEX CODE **through\                   |
|          | **ASSOCIATED PERSON 3 SEX CODE                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | F -- Female                                               |
|          |                                                           |
|          | M -- Male                                                 |
|          |                                                           |
|          | Space -- The associated person does not exist or a Sex    |
|          | Code is not on file.                                      |
+----------+-----------------------------------------------------------+
| Des      | This is the gender of an associated person on the         |
| cription | FCR-matched record.                                       |
|          |                                                           |
|          | If the associated person does not exist, this field is    |
|          | all spaces.                                               |
|          |                                                           |
|          | If the Sex Code is not on file for the associated person, |
|          | this field is all spaces.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ASSOCIATED PERSON 1 SSN **through\                        |
|          | **ASSOCIATED PERSON 3 SSN                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998 or all spaces \[not all       |
|          | sixes\]                                                   |
+----------+-----------------------------------------------------------+
| Des      | This is the verified SSN for an associated person on the  |
| cription | FCR matched record.                                       |
|          |                                                           |
|          | If the associated person does not exist, this field is    |
|          | all spaces.                                               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ASSOCIATED PERSON 1 STATE MEMBER ID **through\            |
|          | **ASSOCIATED PERSON 3 STATE MEMBER ID                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, special characters, or spaces   |
+----------+-----------------------------------------------------------+
| Des      | This is the receiving State's Member ID assigned to an    |
| cription | associated person who matched an associated person in the |
|          | matched case.                                             |
|          |                                                           |
|          | If the associated person does not exist, this field is    |
|          | all spaces.                                               |
|          |                                                           |
|          | If this is not in the receiving State's case, this field  |
|          | is all spaces.                                            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ATTORNEY ADDRESS CITY NAME                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-) or spaces                         |
+----------+-----------------------------------------------------------+
| Des      | This is the city name for the attorney.                   |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ATTORNEY ADDRESS FOREIGN COUNTRY INDICATOR                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Mandatory for the following output record:                |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- The address of the Attorney is in a foreign country  |
|          |                                                           |
|          | Space -- The address of the Attorney is in the U.S.       |
+----------+-----------------------------------------------------------+
| Des      | This indicates if the attorney address that was provided  |
| cription | is a U.S. or foreign address.                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ATTORNEY ADDRESS FOREIGN COUNTRY NAME                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 25                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the foreign country name of the address for the   |
| cription | attorney.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ATTORNEY ADDRESS SCRUB 1 CODE                             |
+----------+-----------------------------------------------------------+
| Type     | Output                                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic, A through Z                                   |
+----------+-----------------------------------------------------------+
| Values   | BA -- Bad address: FINALIST determined it to be an        |
|          | undeliverable address. The address is left unchanged.     |
|          |                                                           |
|          | CH -- Changed address: The address was corrected and is   |
|          | considered by FINALIST to be deliverable.                 |
|          |                                                           |
|          | EA -- Empty address: No address is present in record. The |
|          | address was not provided by the source.                   |
|          |                                                           |
|          | FA -- Foreign Address: The address is not edited and is   |
|          | left unchanged because the value in the foreign country   |
|          | code is other than spaces or 'U.S'.                       |
|          |                                                           |
|          | GA -- Good address: FINALIST has determined it to be a    |
|          | deliverable address.                                      |
+----------+-----------------------------------------------------------+
| Des      | This is the Address Scrub Code to indicate the results of |
| cription | the address editing of the address information that is    |
|          | returned in the response.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ATTORNEY ADDRESS SCRUB 2 CODE                             |
+----------+-----------------------------------------------------------+
| Type     | Output                                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic, A through Z                                   |
+----------+-----------------------------------------------------------+
| Values   | If Address Scrub Code 1 is 'BA', this field contains one  |
|          | of these codes:                                           |
|          |                                                           |
|          | BR -- Bad range. The house number is out of range for     |
|          | that street. This type of address error cannot be         |
|          | corrected.                                                |
|          |                                                           |
|          | BU -- Bad unit number. In a multi-dwelling unit, the unit |
|          | number has a non-standard format, is out of range, or is  |
|          | missing. In PO Box addresses, the box number does not     |
|          | match the Zip+4 code. Standardization was attempted.      |
|          |                                                           |
|          | BX -- Missing State code or missing State code and Zip    |
|          | Code. Assigning a State or Zip Code was attempted.        |
|          |                                                           |
|          | MA -- Mismatched address. The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name).                  |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code. Correction of the    |
|          | Zip Code was attempted.                                   |
|          |                                                           |
|          | NC -- Non-determined city name. Correction of the city    |
|          | name was attempted.                                       |
|          |                                                           |
|          | NZ -- Non-determined Zip Code. Correction of the Zip Code |
|          | was attempted but failed.                                 |
|          |                                                           |
|          | If Attorney Address Scrub Code 1 is 'CH', this field      |
|          | contains one of these codes:                              |
|          |                                                           |
|          | BU -- Bad unit number. In a multi-dwelling unit, the unit |
|          | number has a non-standard format, is out of range or is   |
|          | missing. In PO Box addresses, the box number does not     |
|          | match the Zip+4 code. Standardization was successful.     |
|          |                                                           |
|          | BX -- Missing State code or missing State code and Zip    |
|          | Code. Assigning a State or Zip Code was successful.       |
|          |                                                           |
|          | CA -- Corrected address. A misspelled or non-standard     |
|          | street name was successfully corrected in the Response    |
|          | Record.                                                   |
|          |                                                           |
|          | CC -- Corrected city name. Correction of the misspelled   |
|          | or non-standard city name was successful.                 |
|          |                                                           |
|          | CZ -- Corrected Zip Code. Correction of the Zip Code was  |
|          | successful.                                               |
|          |                                                           |
|          | MA -- Mismatched address. The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name).                  |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code. Correction of the    |
|          | Zip Code was successful.                                  |
|          |                                                           |
|          | NC -- Non-determined city name. Correction of the city    |
|          | name was successful.                                      |
|          |                                                           |
|          | If the Address Scrub 1 Code contains 'EA', 'FA' or 'GA',  |
|          | this field contains spaces.                               |
+----------+-----------------------------------------------------------+
| Des      | This is a code that further defines the results of        |
| cription | address editing of the address information that is        |
|          | returned in the response.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ATTORNEY ADDRESS SCRUB 3 CODE                             |
+----------+-----------------------------------------------------------+
| Type     | Output                                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic, A through Z                                   |
+----------+-----------------------------------------------------------+
| Values   | If Address Scrub Code 1 is 'BA', this field contains one  |
|          | of these codes:                                           |
|          |                                                           |
|          | BR -- Bad range. The house number is out of range for     |
|          | that street. This type of address error cannot be         |
|          | corrected.                                                |
|          |                                                           |
|          | BU -- Bad unit number. In a multi-dwelling unit, the unit |
|          | number has a non-standard format, is out of range, or is  |
|          | missing. In PO Box addresses, the box number does not     |
|          | match the Zip+4 code. Standardization was attempted.      |
|          |                                                           |
|          | BX -- Missing State code or missing State code and Zip    |
|          | Code. Assigning a State or Zip Code was attempted.        |
|          |                                                           |
|          | MA -- Mismatched address. The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name).                  |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code. Correction of the    |
|          | Zip Code was attempted.                                   |
|          |                                                           |
|          | NC -- Non-determined city name. Correction of the city    |
|          | name was attempted.                                       |
|          |                                                           |
|          | NZ -- Non-determined Zip Code. Correction of the Zip Code |
|          | was attempted but failed.                                 |
|          |                                                           |
|          | If Attorney Scrub Code 1 is 'CH', this field contains one |
|          | of these codes:                                           |
|          |                                                           |
|          | BU -- Bad unit number. In a multi-dwelling unit, the unit |
|          | number has a non-standard format, is out of range or is   |
|          | missing. In PO Box addresses, the box number does not     |
|          | match the Zip+4 code. Standardization was successful.     |
|          |                                                           |
|          | BX -- Missing State code or missing State code and Zip    |
|          | Code. Assigning a State or Zip Code was successful.       |
|          |                                                           |
|          | CA -- Corrected address. A misspelled or non-standard     |
|          | street name was successfully corrected in the Response    |
|          | Record.                                                   |
|          |                                                           |
|          | CC -- Corrected city name. Correction of the misspelled   |
|          | or non-standard city name was successful.                 |
|          |                                                           |
|          | CZ -- Corrected Zip Code. Correction of the Zip Code was  |
|          | successful.                                               |
|          |                                                           |
|          | MA -- Mismatched address. The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name).                  |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code. Correction of the    |
|          | Zip Code was successful.                                  |
|          |                                                           |
|          | NC -- Non-determined city name. Correction of the city    |
|          | name was successful.                                      |
|          |                                                           |
|          | If Address Scrub Code 1 is 'BA' or 'CH' and a third       |
|          | address scrub code was not generated by the address       |
|          | editor, this field contains spaces.                       |
+----------+-----------------------------------------------------------+
| Des      | This is a code that further defines the results of        |
| cription | address editing of the address information that is        |
|          | returned in the response.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ATTORNEY ADDRESS STATE CODE                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | Standard State abbreviation value set                     |
+----------+-----------------------------------------------------------+
| Des      | This is the State code for the attorney.                  |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ATTORNEY ADDRESS STREET 1 TEXT                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, hyphen (-) or spaces            |
+----------+-----------------------------------------------------------+
| Des      | This is the first line of the street address of the       |
| cription | attorney.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ATTORNEY ADDRESS STREET 2 TEXT                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, hyphen (-) or spaces            |
+----------+-----------------------------------------------------------+
| Des      | This is the second line of the street address of the      |
| cription | attorney.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ATTORNEY ADDRESS ZIP CODE                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the Zip code (domestic or foreign) for the        |
| cription | attorney.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ATTORNEY FIRST NAME                                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 20                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the first 20 characters of the first name of the  |
| cription | attorney.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ATTORNEY LAST NAME                                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-) or spaces                         |
+----------+-----------------------------------------------------------+
| Des      | This is the first 30 characters of the last name of the   |
| cription | attorney.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ATTORNEY PHONE EXTENSION NUMBER                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the phone number extension of the attorney.       |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ATTORNEY PHONE NUMBER                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 10                                                        |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the phone number of the attorney.                 |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | BATCH ERROR CODE 1 **through** BATCH ERROR CODE 5         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Routine Batch Response Header Record              |
+----------+-----------------------------------------------------------+
| Length   | 4                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 5000 through 5999 or spaces                               |
+----------+-----------------------------------------------------------+
| Des      | This is a numeric code that is returned to the State that |
| cription | identifies the error detected with a batch submitted to   |
|          | the FCR. There are two classifications of error codes. A  |
|          | warning code indicates an error was detected but it was   |
|          | not sufficiently critical to force rejection of the       |
|          | entire batch. A rejection error code indicates that a     |
|          | critical error was detected and the batch is rejected.    |
|          |                                                           |
|          | See Appendix J, "Error Messages," for a complete list of  |
|          | the FCR assigned error codes.                             |
+----------+-----------------------------------------------------------+
| [        | []{.mark}                                                 |
| ]{.mark} |                                                           |
+----------+-----------------------------------------------------------+
| Name     | BATCH NUMBER                                              |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Required for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Transmission Header Record                        |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR Routine Batch Response Header Record              |
|          |                                                           |
|          | -   FCR Case Acknowledgement/Error Record                 |
|          |                                                           |
|          | -   FCR Query Acknowledgement/Error Record                |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Query/Proactive Match Response Record with Action |
|          |     Type Code 'F'                                         |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000 through 999999 or spaces                           |
+----------+-----------------------------------------------------------+
| Des      | This is unique number that is assigned by the submitter   |
| cription | of FCR input transactions to identify the batch of        |
|          | transactions submitted. Batch Numbers can not be          |
|          | duplicated between transmissions. The submitter's Batch   |
|          | Number is returned in the related FCR output records      |
|          | listed above.                                             |
|          |                                                           |
|          | For an FCR Query/Proactive Match Response Record with     |
|          | Action Type Code 'C', 'D' or 'P', this field is spaces.   |
|          |                                                           |
|          | Spaces in the batch number are allowed only on the FCR    |
|          | Query/Proactive Match Response Record.                    |
|          |                                                           |
|          | **Note:** Do not send more than one FCR transaction batch |
|          | in a single day unless specifically authorized by OCSE.   |
+----------+-----------------------------------------------------------+
| [        | []{.mark}                                                 |
| ]{.mark} |                                                           |
+----------+-----------------------------------------------------------+
| Name     | BENEFIT AMOUNT                                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 11                                                        |
+----------+-----------------------------------------------------------+
| Format   | Signed Numeric                                            |
+----------+-----------------------------------------------------------+
| Values   | 00000000000 through 99999999999                           |
+----------+-----------------------------------------------------------+
| Des      | This is the monetary amount of Unemployment Insurance     |
| cription | benefits a person received during a Reporting Period. The |
|          | last two positions are implied to be to the right of the  |
|          | decimal point.                                            |
|          |                                                           |
|          | If there is no Benefit Amount, this field is always       |
|          | positive, or contains all zeroes.                         |
|          |                                                           |
|          | If the information is not available, this field is always |
|          | positive, or contains all zeroes.                         |
+----------+-----------------------------------------------------------+
| [        | []{.mark}                                                 |
| ]{.mark} |                                                           |
+----------+-----------------------------------------------------------+
| Name     | BENEFIT AMOUNT -- MBR                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 000000 through 999999                                     |
+----------+-----------------------------------------------------------+
| Des      | This is the monthly dollar amount of a person's SSA       |
| cription | benefit.                                                  |
|          |                                                           |
|          | If there is no Benefit Amount -- MBR, the amount is       |
|          | always positive or contains all zeroes.                   |
|          |                                                           |
|          | If the information is not available, this amount is       |
|          | always positive, or contains all zeroes.                  |
+----------+-----------------------------------------------------------+
| [        | []{.mark}                                                 |
| ]{.mark} |                                                           |
+----------+-----------------------------------------------------------+
| Name     | BLACK LUNG ENTITLEMENT CODE                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | D -- Death termination                                    |
|          |                                                           |
|          | E -- Entitled                                             |
|          |                                                           |
|          | N -- Nonpayment                                           |
|          |                                                           |
|          | P -- Pending entitlement                                  |
|          |                                                           |
|          | T -- Terminated (other than death)                        |
|          |                                                           |
|          | Space -- No Black Lung entitlement                        |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's Black Lung entitlement |
| cription | code.                                                     |
+----------+-----------------------------------------------------------+
| [        | []{.mark}                                                 |
| ]{.mark} |                                                           |
+----------+-----------------------------------------------------------+
| Name     | BLACK LUNG PAYMENT AMOUNT                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric in COBOL format 9(4)V99                           |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's Black Lung payment     |
| cription | amount.                                                   |
+----------+-----------------------------------------------------------+
| [        | []{.mark}                                                 |
| ]{.mark} |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CAN and BIC                                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 12                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | This is the first nine characters of the Claim Account    |
|          | Number (CAN). The last three characters contain the       |
|          | Beneficiary Identification Code (BIC), or spaces. BIC     |
|          | codes from SSA are 2-bytes or 3-bytes. Listed below are   |
|          | the 2-byte and 3-byte BIC codes that are returned from    |
|          | SSA:                                                      |
|          |                                                           |
|          | & and O -- Combined A and B beneficiary in the same       |
|          | payment                                                   |
|          |                                                           |
|          | A or A00 -- Primary claimant                              |
|          |                                                           |
|          | B or B00 -- Aged wife, age 62 or over (1^st^ claimant)    |
|          |                                                           |
|          | B1 or B01 -- Aged husband, age 62 or over (1^st^          |
|          | claimant)                                                 |
|          |                                                           |
|          | B2 or B02 -- Young wife, with a child in her care (1^st^  |
|          | claimant)                                                 |
|          |                                                           |
|          | B3 or B03 -- Aged wife (2^nd^ claimant)                   |
|          |                                                           |
|          | B4 or B04 -- Aged husband (2^nd^ claimant)                |
|          |                                                           |
|          | B5 or B05 -- Young wife (2^nd^ claimant)                  |
|          |                                                           |
|          | B6 or B06 -- Divorced wife, age 62 or over (1^st^         |
|          | claimant)                                                 |
|          |                                                           |
|          | B7 or B07 -- Young wife (3^rd^ claimant)                  |
|          |                                                           |
|          | B8 or B08 -- Aged wife (3^rd^ claimant)                   |
|          |                                                           |
|          | B9 or B09 -- Divorced wife (2^nd^ claimant)               |
|          |                                                           |
|          | BA or B10 -- Aged wife (4^th^ claimant)                   |
|          |                                                           |
|          | BD or B13 -- Aged wife (5^th^ claimant)                   |
|          |                                                           |
|          | BG or B16 -- Aged husband (3^rd^ claimant)                |
|          |                                                           |
|          | BH or B17 -- Aged husband (4^th^ claimant)                |
|          |                                                           |
|          | BI or B18 -- Obsolete code -- no longer being used        |
|          |                                                           |
|          | BJ or B19 -- Aged husband (5^th^ claimant)                |
|          |                                                           |
|          | BK or B20 -- Young wife (4^th^ claimant)                  |
|          |                                                           |
|          | BL or B21 -- Young wife (5^th^ claimant)                  |
|          |                                                           |
|          | BN or B23 -- Divorced wife (3^rd^ claimant)               |
|          |                                                           |
|          | BP or B25 -- Divorced wife (4^th^ claimant)               |
|          |                                                           |
|          | BQ or B26 -- Divorced wife (5^th^ claimant)               |
|          |                                                           |
|          | BR or B27 -- Divorced husband, age 62 or older (1^st^     |
|          | claimant)                                                 |
|          |                                                           |
|          | BT or B29 -- Divorced husband (2^nd^ claimant)            |
|          |                                                           |
|          | BW or B32 -- Young husband (2^nd^ claimant)               |
|          |                                                           |
|          | BY or B34 -- Young husband, with a child in his care      |
|          | (1^st^ claimant)                                          |
|          |                                                           |
|          | C1 or C01 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | C2 or C02 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | C3 or C03 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | C4 or C04 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | C5 or C05 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | C6 or C06 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | C7 or C07 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | C8 or C08 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | C9 or C09 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | CA or C10 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | CB or C11 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | CC or C12 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | CD or C13 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | CE or C14 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | CF or C15 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | CG or C16 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | CH or C17 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | CI or C18 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | CJ or C19 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | CK or C20 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | CL or C21 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | CM or C22 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | CN or C23 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | CO or C24 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | CP or C25 -- Child (includes minor, student or disabled   |
|          | child)                                                    |
|          |                                                           |
|          | D or D00 -- Aged widow, age 60 or over (1^st^ claimant)   |
|          |                                                           |
|          | D1 or D01 -- Aged widower, age 60 or over (1^st^          |
|          | claimant)                                                 |
|          |                                                           |
|          | D2 or D02 -- Aged widow (2^nd^ claimant)                  |
|          |                                                           |
|          | D3 or D03 -- Aged widower (2^nd^ claimant)                |
|          |                                                           |
|          | D4 or D04 -- Widow (remarried after attainment of age 60) |
|          | (1^st^ claimant)                                          |
|          |                                                           |
|          | D5 or D05 -- Widower (remarried after attainment of age   |
|          | 60) (1^st^ claimant)                                      |
|          |                                                           |
|          | D6 or D06 -- Surviving divorced wife, age 60 or over      |
|          | (1^st^ claimant)                                          |
|          |                                                           |
|          | D7 or D07 -- Surviving divorced wife (2^nd^ claimant)     |
|          |                                                           |
|          | D8 or D08 -- Aged widow (3^rd^ claimant)                  |
|          |                                                           |
|          | D9 or D09 -- Remarried widow (2^nd^ claimant)             |
|          |                                                           |
|          | DA or D10 -- Remarried widow (3^rd^ claimant)             |
|          |                                                           |
|          | DC or D12 -- Surviving divorced husband, age 60 or over   |
|          | (1^st^ claimant)                                          |
|          |                                                           |
|          | DD or D13 -- Aged widow (4^th^ claimant)                  |
|          |                                                           |
|          | DG or D16 -- Aged widow (5^th^ claimant)                  |
|          |                                                           |
|          | DH or D17 -- Aged widower (3^rd^ claimant)                |
|          |                                                           |
|          | DJ or D19 -- Aged widower (4^th^ claimant)                |
|          |                                                           |
|          | DK or D20 -- Aged widower (5^th^ claimant)                |
|          |                                                           |
|          | DL or D21 -- Remarried widow (4^th^ claimant)             |
|          |                                                           |
|          | DM or D22 -- Surviving divorced husband (2^nd^ claimant)  |
|          |                                                           |
|          | DN or D23 -- Remarried widow (5^th^ claimant)             |
|          |                                                           |
|          | DP or D25 -- Remarried widower (2^nd^ claimant)           |
|          |                                                           |
|          | DQ or D26 -- Remarried widower (3^rd^ claimant)           |
|          |                                                           |
|          | DR or D27 -- Remarried widower (4^th^ claimant)           |
|          |                                                           |
|          | DS or D28 -- Surviving divorced husband (3^rd^ claimant)  |
|          |                                                           |
|          | DT or D29 -- Remarried widower (5^th^ claimant)           |
|          |                                                           |
|          | DV or D31 -- Surviving divorced wife (3^rd^ claimant)     |
|          |                                                           |
|          | DW or D32 -- Surviving divorced wife (4^th^ claimant)     |
|          |                                                           |
|          | DX or D33 -- Surviving divorced husband (4^th^ claimant)  |
|          |                                                           |
|          | DY or D34 -- Surviving divorced wife (5^th^ claimant)     |
|          |                                                           |
|          | DZ or D35 -- Surviving divorced husband (5^th^ claimant)  |
|          |                                                           |
|          | E or E00 -- Mother (widow) (1^st^ claimant)               |
|          |                                                           |
|          | E1 or E01 -- Surviving divorced mother (1^st^ claimant)   |
|          |                                                           |
|          | E2 or E02 -- Mother (widow) (2^nd^ claimant)              |
|          |                                                           |
|          | E3 or E03 -- Surviving divorced mother (2^nd^ claimant)   |
|          |                                                           |
|          | E4 or E04 -- Father (widower) (1^st^ claimant)            |
|          |                                                           |
|          | E5 or E05 -- Surviving divorced father (widower) (1^st^   |
|          | claimant)                                                 |
|          |                                                           |
|          | E6 or E06 -- Father (widower) (2^nd^ claimant)            |
|          |                                                           |
|          | E7 or E07 -- Mother (widow) (3^rd^ claimant)              |
|          |                                                           |
|          | E8 or E08 -- Mother (widow) (4^th^ claimant)              |
|          |                                                           |
|          | E9 or E09 -- Surviving divorced father (widower) (2^nd^   |
|          | claimant)                                                 |
|          |                                                           |
|          | EA or E10 -- Mother (widow) (5^th^ claimant)              |
|          |                                                           |
|          | EB or E11 -- Surviving divorced mother (3^rd^ claimant)   |
|          |                                                           |
|          | EC or E12 -- Surviving divorced mother (4^th^ claimant)   |
|          |                                                           |
|          | ED or E13 -- Surviving divorced mother (5^th^ claimant)   |
|          |                                                           |
|          | EF or E15 -- Father (widower) (3^rd^ claimant)            |
|          |                                                           |
|          | EG or E16 -- Father (widower) (4^th^ claimant)            |
|          |                                                           |
|          | EH or E17 -- Father (widower) (5^th^ claimant)            |
|          |                                                           |
|          | EI or E18 -- Obsolete code -- no longer being used        |
|          |                                                           |
|          | EJ or E19 -- Surviving divorced father (3^rd^ claimant)   |
|          |                                                           |
|          | EK or E20 -- Surviving divorced father (4^th^ claimant)   |
|          |                                                           |
|          | EM or E22 -- Surviving divorced father (5^th^ claimant)   |
|          |                                                           |
|          | F1 or F01 -- Parent (father)                              |
|          |                                                           |
|          | F2 or F02 -- Parent (mother)                              |
|          |                                                           |
|          | F3 or F03 -- Parent (stepfather)                          |
|          |                                                           |
|          | F4 or F04 -- Parent (stepmother)                          |
|          |                                                           |
|          | F5 or F05 -- Parent (adopting father)                     |
|          |                                                           |
|          | F6 or F06 -- Parent (adopting mother)                     |
|          |                                                           |
|          | F7 or F07 -- Parent (2^nd^ alleged father)                |
|          |                                                           |
|          | F8 or F08 -- Parent (2^nd^ alleged mother)                |
|          |                                                           |
|          | G1 or G01 -- Claimants of lump-sum death benefits         |
|          |                                                           |
|          | G2 or G02 -- Claimants of lump-sum death benefits         |
|          |                                                           |
|          | G3 or G03 -- Claimants of lump-sum death benefits         |
|          |                                                           |
|          | G4 or G04 -- Claimants of lump-sum death benefits         |
|          |                                                           |
|          | G5 or G05 -- Claimants of lump-sum death benefits         |
|          |                                                           |
|          | G6 or G06 -- Claimants of lump-sum death benefits         |
|          |                                                           |
|          | G7 or G07 -- Claimants of lump-sum death benefits         |
|          |                                                           |
|          | G8 or G08 -- Claimants of lump-sum death benefits         |
|          |                                                           |
|          | G9 or G09 -- Claimants of lump-sum death benefits         |
|          |                                                           |
|          | J1 or J01 -- Primary Prouty entitled to Health Insurance  |
|          | Benefits (HIB) (less than three qualifying quarters QQs)) |
|          | (General Fund)                                            |
|          |                                                           |
|          | J2 or J02 -- Primary Prouty entitled to HIB (more than    |
|          | two QQs) (Retirement and Survivors Insurance (RSI) Trust  |
|          | Fund)                                                     |
|          |                                                           |
|          | J3 or J03 -- Primary Prouty not entitled to HIB (less     |
|          | than three QQs) (General Fund)                            |
|          |                                                           |
|          | J4 or J04 -- Primary Prouty not entitled to HIB (more     |
|          | than two QQs) (RSI Trust Fund)                            |
|          |                                                           |
|          | K1 or K01 -- Prouty wife entitled to HIB (less than three |
|          | QQs) (General Fund) (1^st^ claimant)                      |
|          |                                                           |
|          | K2 or K02 -- Prouty wife entitled to HIB (more than two   |
|          | QQs) (RSI Trust Fund) (1^st^ claimant)                    |
|          |                                                           |
|          | K3 or K03 -- Prouty wife not entitled to HIB (less than   |
|          | three QQs) (General Fund) (1^st^ claimant)                |
|          |                                                           |
|          | K4 or K04 -- Prouty wife not entitled to HIB (more than   |
|          | two QQs) (RSI Trust Fund) (1^st^ claimant)                |
|          |                                                           |
|          | K5 or K05 -- Prouty wife entitled to HIB (less than three |
|          | QQs) (General Fund) (2^nd^ claimant)                      |
|          |                                                           |
|          | K6 or K06 -- Prouty wife entitled to HIB (more than two   |
|          | QQs) (RSI Trust Fund) (2^nd^ claimant)                    |
|          |                                                           |
|          | K7 or K07 -- Prouty wife not entitled to HIB (less than   |
|          | three QQs) (General Fund) (2^nd^ claimant)                |
|          |                                                           |
|          | K8 or K08 -- Prouty wife not entitled to HIB (less than   |
|          | three QQs) (RSI Trust Fund) (2nd claimant)                |
|          |                                                           |
|          | K9 or K09 -- Prouty wife entitled to HIB (less than three |
|          | QQs) (General Fund) (3^rd^ claimant)                      |
|          |                                                           |
|          | KA or K10 -- Prouty wife entitled to HIB (more than two   |
|          | QQs) (RSI Trust Fund) (3^rd^ claimant)                    |
|          |                                                           |
|          | KB or K11 -- Prouty wife not entitled to HIB (less than   |
|          | three QQs) (General Fund) (3^rd^ claimant)                |
|          |                                                           |
|          | KC or K12 -- Prouty wife not entitled to HIB (more than   |
|          | two QQs) (RSI Trust Fund) (3^rd^ claimant)                |
|          |                                                           |
|          | KD or K13 -- Prouty wife entitled to HIB (less than three |
|          | QQs) (General Fund) (4^th^ claimant)                      |
|          |                                                           |
|          | KE or K14 -- Prouty wife entitled to HIB (more than two   |
|          | QQs) (RSI Trust Fund) (4^th^ claimant)                    |
|          |                                                           |
|          | KF or K15 -- Prouty wife not entitled to HIB (less than   |
|          | three QQs) (General Fund) (4^th^ claimant)                |
|          |                                                           |
|          | KG or K16 -- Prouty wife not entitled to HIB (more than   |
|          | two QQs) (RSI Trust Fund) (4^th^ claimant)                |
|          |                                                           |
|          | KH or K17 -- Prouty wife entitled to HIB (less than three |
|          | QQs) (General Fund) (5^th^ claimant)                      |
|          |                                                           |
|          | KJ or K19 -- Prouty wife entitled to HIB (more than two   |
|          | QQs) (RSI Trust Fund) (5^th^ claimant)                    |
|          |                                                           |
|          | KL or K21 -- Prouty wife not entitled to HIB (less than   |
|          | three QQs) (General Fund) (5^th^ claimant)                |
|          |                                                           |
|          | KM or K22 -- Prouty wife not entitled to HIB (more than   |
|          | two QQs) (RSI Trust Fund) (5^th^ claimant)                |
|          |                                                           |
|          | M or M00 -- Uninsured beneficiary (not qualified for      |
|          | automatic HIB)                                            |
|          |                                                           |
|          | M1 or M01 -- Uninsured beneficiary (qualified for         |
|          | automatic HIB but requests only Supplemental Medical      |
|          | Insurance Benefits (SMIB )                                |
|          |                                                           |
|          | T or T00 -- Fully insured beneficiaries who have elected  |
|          | entitlement only to HIB (usually, but not always, with    |
|          | SMIB), or Uninsured beneficiary or renal disease          |
|          | beneficiary only, or Deemed insured (hospital insurance   |
|          | only)                                                     |
|          |                                                           |
|          | T2 or T02 -- MQGE (\*CDB) (2^nd^ claimant)                |
|          |                                                           |
|          | T3 or T03 -- MQGE (CDB) (3^rd^ claimant)                  |
|          |                                                           |
|          | T4 or T04 -- MQGE (CDB) (4^th^ claimant)                  |
|          |                                                           |
|          | T5 or T05 -- MQGE (CDB) (5^th^ claimant)                  |
|          |                                                           |
|          | T6 or T06 -- MQGE (CDB) (6^th^ claimant)                  |
|          |                                                           |
|          | T7 or T07 -- MQGE (CDB) (7^th^ claimant)                  |
|          |                                                           |
|          | T8 or T08 -- MQGE (CDB) (8^th^ claimant)                  |
|          |                                                           |
|          | T9 or T09 -- MQGE (CDB) (9^th^ claimant)                  |
|          |                                                           |
|          | TA or T10 -- Medicare Qualified Government Employment     |
|          | (MQGE) primary beneficiary                                |
|          |                                                           |
|          | TB or T11 -- MQGE aged spouse (1^st^ claimant)            |
|          |                                                           |
|          | TC or T12 -- MQGE childhood disability benefits (CDB)     |
|          | (1^st^ claimant)                                          |
|          |                                                           |
|          | TD or T13 -- MQGE aged widow(er) (1^st^ claimant)         |
|          |                                                           |
|          | TE or T14 -- MQGE young widow(er)(1^st^ claimant)         |
|          |                                                           |
|          | TF or T15 -- MQGE parent (male)                           |
|          |                                                           |
|          | TG or T16 -- MQGE aged spouse (2^nd^ claimant)            |
|          |                                                           |
|          | TH or T17 -- MQGE aged spouse (3^rd^ claimant)            |
|          |                                                           |
|          | TJ or T19 -- MQGE aged spouse (4^th^ claimant)            |
|          |                                                           |
|          | TK or T20 -- MQGE aged spouse (5^th^ claimant)            |
|          |                                                           |
|          | TL or T21 -- MQGE aged widow(er) (2^nd^ claimant)         |
|          |                                                           |
|          | TM or T22 -- MQGE aged widow(er) (3^rd^ claimant)         |
|          |                                                           |
|          | TN or T23 -- MQGE aged widow(er) (4^th^ claimant)         |
|          |                                                           |
|          | TP or T25 -- MQGE aged widow(er) (5^th^ claimant)         |
|          |                                                           |
|          | TQ or T26 -- MQGE parent (female)                         |
|          |                                                           |
|          | TR or T27 -- MQGE young widow(er) (2^nd^ claimant)        |
|          |                                                           |
|          | TS or T28 -- MQGE young widow(er) (3^rd^ claimant)        |
|          |                                                           |
|          | TT or T29 -- MQGE young widow(er) (4^th^ claimant)        |
|          |                                                           |
|          | TU or T30 -- MQGE young widow(er) (5^th^ claimant)        |
|          |                                                           |
|          | TV or T31 -- MQGE disabled widow(er) (1^st^ claimant)     |
|          |                                                           |
|          | TW or T32 -- MQGE disabled widow(er) (1^st^ claimant)     |
|          |                                                           |
|          | TX or T33 -- MQGE disabled widow(er) (2^nd^ claimant)     |
|          |                                                           |
|          | TY or T34 -- MQGE disabled widow(er) (3^rd^ claimant)     |
|          |                                                           |
|          | TZ or T35 -- MQGE disabled widow(er) (4^th^ claimant)     |
|          |                                                           |
|          | W or W00 -- Disabled widow, age 50 or over (1^st^         |
|          | claimant)                                                 |
|          |                                                           |
|          | W1 or W01 -- Disabled widower, age 50 or over (1^st^      |
|          | claimant)                                                 |
|          |                                                           |
|          | W2 or W02 -- Disabled widow (2^nd^ claimant)              |
|          |                                                           |
|          | W3 or W03 -- Disabled widower (2^nd^ claimant)            |
|          |                                                           |
|          | W4 or W04 -- Disabled widow (3^rd^ claimant)              |
|          |                                                           |
|          | W5 or W05 -- Disabled widower (3^rd^ claimant)            |
|          |                                                           |
|          | W6 or W06 -- Disabled surviving divorced wife (1^st^      |
|          | claimant)                                                 |
|          |                                                           |
|          | W7 or W07 -- Disabled surviving divorced wife (2^nd^      |
|          | claimant)                                                 |
|          |                                                           |
|          | W8 or W08 -- Disabled surviving divorced wife (3^rd^      |
|          | claimant)                                                 |
|          |                                                           |
|          | W9 or W09 -- Disabled widow (4^th^ claimant)              |
|          |                                                           |
|          | WB or W11 -- Disabled widower (4^th^ claimant)            |
|          |                                                           |
|          | WC or W12 -- Disabled surviving divorced wife (4^th^      |
|          | claimant)                                                 |
|          |                                                           |
|          | WF or W15 -- Disabled widow (5^th^ claimant)              |
|          |                                                           |
|          | WG or W16 -- Disabled widower (5^th^ claimant)            |
|          |                                                           |
|          | WJ or W19 -- Disabled surviving divorced wife (5^th^      |
|          | claimant)                                                 |
|          |                                                           |
|          | WR or W27 -- Disabled surviving divorced husband (1^st^   |
|          | claimant)                                                 |
|          |                                                           |
|          | WT or W29 -- Disabled surviving divorced husband (2^nd^   |
|          | claimant)                                                 |
|          |                                                           |
|          | **Note:** Some BICs may be displayed as a three-position  |
|          | code (For example, 'B01', 'C01', and 'D09' can be         |
|          | interpreted as 'B1', 'C3' and 'D9'.                       |
|          |                                                           |
|          | If the 2nd and 3rd characters in the BIC are zero, these  |
|          | zeroes can be interpreted as spaces (For example, 'B00'   |
|          | can be interpreted as 'B'.))                              |
+----------+-----------------------------------------------------------+
| Des      | This is the Claim Account Number and Beneficiary          |
| cription | Identification Code that are assigned to the Title II     |
|          | beneficiary.                                              |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CASE CHANGE TYPE                                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record with Action |
|          |     Type Code 'C'                                         |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- Case Type change (Non IV-D to IV-D)                  |
|          |                                                           |
|          | 2 -- Case ID change                                       |
|          |                                                           |
|          | 3 -- Order Indicator change ('N' to 'Y')                  |
|          |                                                           |
|          | 4 -- Case is closed or person is deleted                  |
|          |                                                           |
|          | Spaces -- Information not available                       |
+----------+-----------------------------------------------------------+
| Des      | This is the type of case change that initiated the        |
| cription | generation of a Proactive Match Response Record with      |
|          | Action Type Code 'C'.                                     |
|          |                                                           |
|          | For an FCR Query/Proactive Match Response Record with     |
|          | Action Type Code 'F' or 'P', this field contains spaces.  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CASE ID                                                   |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Required for the following input records:                 |
| ondition |                                                           |
|          | -   FCR Input Case Record                                 |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A', 'C' or 'D'                             |
|          |                                                           |
|          | -   FCR Input Query Record                                |
|          |                                                           |
|          | Conditionally required for the following input record:    |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'L'                                         |
|          |                                                           |
|          | Optional for the following input record:                  |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'T'                                         |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
|          |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
|          |                                                           |
|          | -   FCR Data Inconsistency File Record                    |
|          |                                                           |
|          | -   FCR MSFIDM Response Record                            |
|          |                                                           |
|          | -   FCR Case Reconciliation Record                        |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR Case Acknowledgement/Error Record                 |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Query Acknowledgement/Error Record                |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, special characters, or all      |
|          | spaces                                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the submitter's assigned identifier for a IV-D    |
| cription | case or a Non IV-D order, which is to be added to the     |
|          | FCR, or received from the Federal Offset File, or the     |
|          | submitter's assigned identifier on a Locate Request when  |
|          | the person is not added to the FCR. The Case ID submitted |
|          | to the FCR should be unique for the submitter and should  |
|          | link to the case or order information stored on the       |
|          | submitter's system.                                       |
|          |                                                           |
|          | If present, it must not be all zeroes, contain an         |
|          | asterisk or backslash and the first position cannot be a  |
|          | space.                                                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CASE RECORDS ACCEPTED                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Response Trailer Record                           |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the number of accepted FCR Case                   |
| cription | Acknowledgement/Error Records included in the FCR batch   |
|          | response. Accepted records are identified with an         |
|          | Acknowledgement Code of 'AAAAA'.                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CASE RECORDS PENDING                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Response Trailer Record                           |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the number of FCR Case Acknowledgement/Error      |
| cription | Records included in the FCR batch response with an        |
|          | Acknowledgement Code of 'HOLDS' to indicate the           |
|          | acceptance or rejection of the case record submitted is   |
|          | pending the SSN verification or identification of a       |
|          | related Person Record or Records.                         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CASE RECORDS RECEIVED                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Response Trailer Record                           |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the number of FCR Input Case Records received by  |
| cription | the FCR in the batch.                                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CASE RECORDS REJECTED                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Response Trailer Record                           |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the number of FCR Case Acknowledgement/Error      |
| cription | Records included in the FCR batch response with a FCR     |
|          | Acknowledgement Code of 'REJCT'.                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CASE RECORDS RETURNED                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Reconciliation/Data Inconsistency File Trailer    |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the number of FCR Case Reconciliation Records     |
| cription | (with a Record Identifier of 'RD') that are contained on  |
|          | the file.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CASE TYPE                                                 |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Required for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Case Record with Action Type Code 'A'       |
|          |                                                           |
|          | Optional for the following input record:                  |
|          |                                                           |
|          | -   FCR Input Case Record with Action Type Code 'C'       |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR Case Acknowledgement/Error Record                 |
|          |                                                           |
|          | -   FCR Case Reconciliation Record                        |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | F -- IV-D                                                 |
|          |                                                           |
|          | N -- Non IV-D                                             |
|          |                                                           |
|          | Space -- Information not available                        |
+----------+-----------------------------------------------------------+
| Des      | This code indicates whether the child support case        |
| cription | submitted to the FCR is a IV-D case or a Non IV-D order.  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CATEGORY OF ASSISTANCE                                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A -- Aged                                                 |
|          |                                                           |
|          | B -- Blind                                                |
|          |                                                           |
|          | C -- AFDC                                                 |
|          |                                                           |
|          | D -- Disabled                                             |
|          |                                                           |
|          | F -- Food Stamps                                          |
|          |                                                           |
|          | H -- Health Maintenance                                   |
|          |                                                           |
|          | I -- Income Maintenance                                   |
|          |                                                           |
|          | J -- AFDC and/or Food Stamps                              |
|          |                                                           |
|          | K -- Food Stamps and Medicaid                             |
|          |                                                           |
|          | N -- Title XIX Medicaid Eligibility                       |
|          |                                                           |
|          | P -- Child Support Enforcement                            |
|          |                                                           |
|          | S -- Statement of Consent                                 |
|          |                                                           |
|          | U -- Unemployment Compensation                            |
|          |                                                           |
|          | Space -- None                                             |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's State exchange         |
| cription | categorical assistance code.                              |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CH FIRST NAME                                             |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[No imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This contains the first name of the child that was        |
| cription | provided by the submitter and was recorded on the FCR.    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CH LAST NAME                                              |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-), or spaces \[No imbedded spaces   |
|          | or special characters other than hyphen (-)\]             |
+----------+-----------------------------------------------------------+
| Des      | This contains the last name of the child that was         |
| cription | provided by the submitter and was recorded on the FCR.    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CH MEDICAL COVERAGE BEGIN DATE                            |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format or spaces.                |
+----------+-----------------------------------------------------------+
| Des      | This field, supplied by DMDC, contains the date that the  |
| cription | child became eligible for medical coverage.               |
|          |                                                           |
|          | If DMDC does not have a CH Medical Coverage Begin Date    |
|          | for a child, this field contains spaces.                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CH MEDICAL COVERAGE END DATE                              |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format or spaces.                |
+----------+-----------------------------------------------------------+
| Des      | This field, supplied by DMDC, contains the date that the  |
| cription | child's medical coverage ended, or will end (this can be  |
|          | a future date).                                           |
|          |                                                           |
|          | If DMDC does not have a CH Medical Coverage End Date for  |
|          | a child, this field contains spaces.                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CH MEDICAL COVERAGE INDICATOR                             |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Y -- The child has current medical coverage.              |
|          |                                                           |
|          | N -- The child does not have current medical coverage.    |
+----------+-----------------------------------------------------------+
| Des      | This contains a value to show if DMDC records indicate    |
| cription | that the child has medical coverage.                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CH MEDICAL COVERAGE SPONSOR CODE                          |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- The NCP is, or was, the sponsor for the child's      |
|          | current, or previous medical coverage.                    |
|          |                                                           |
|          | 2 -- The CP is, or was, the sponsor for the child's       |
|          | current, or previous medical coverage.                    |
|          |                                                           |
|          | 3 -- The PF is, or was, the sponsor for the child's       |
|          | current, or previous medical coverage.                    |
|          |                                                           |
|          | 4 -- Someone other than the NCP, CP or PF is, or was,     |
|          | providing the child's current or previous medical         |
|          | coverage.                                                 |
+----------+-----------------------------------------------------------+
| Des      | This contains a value that indicates the child's medical  |
| cription | coverage sponsor.                                         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CH MEMBER ID                                              |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces \[not all spaces\]    |
+----------+-----------------------------------------------------------+
| Des      | This contains the State-assigned Member ID that is stored |
| cription | on the FCR for the child.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CH MIDDLE NAME                                            |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[No imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This contains the middle name of the child that was       |
| cription | provided by the submitter and was recorded on the FCR.    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CH SSN                                                    |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998 or all spaces \[not all       |
|          | sixes\]                                                   |
+----------+-----------------------------------------------------------+
| Des      | This contains the SSN that is stored on the FCR as the    |
| cription | child's primary SSN or a verified multiple SSN.           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CH SSN VERIFIED INDICATOR                                 |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Y -- SSN/Name was verified.                               |
|          |                                                           |
|          | N -- SSN/Name was unverified.                             |
+----------+-----------------------------------------------------------+
| Des      | This contains an indicator that identifies if the child's |
| cription | SSN was verified or unverified on the FCR.                |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CITY                                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-) or spaces                         |
+----------+-----------------------------------------------------------+
| Des      | This is the name of the city for the person or person's   |
| cription | employer in the format designated by the Address Format   |
|          | Indicator. See Returned Address for format examples.      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CITY OF BIRTH                                             |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code of 'A', 'C' or 'L'                          |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[no imbedded spaces\]             |
+----------+-----------------------------------------------------------+
| Des      | This is the name of the city where a person was born.     |
| cription | This information is provided for a person when the        |
|          | submitter wants SSA to identify an SSN for that person.   |
|          | This information is used to identify the SSN but is not   |
|          | stored in the FCR.                                        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT ADDRESS CITY NAME                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-) or spaces                         |
+----------+-----------------------------------------------------------+
| Des      | This is the city name for the claimant.                   |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT ADDRESS FOREIGN COUNTRY INDICATOR                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Mandatory for the following output record:                |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- The address of the Claimant is in a foreign country  |
|          |                                                           |
|          | Space -- The address of the Claimant is in the U.S.       |
+----------+-----------------------------------------------------------+
| Des      | This field indicates if the claimant address provided is  |
| cription | a U.S. or foreign address.                                |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT ADDRESS FOREIGN COUNTRY NAME                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 25                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9                                  |
+----------+-----------------------------------------------------------+
| Des      | The foreign country name of the address for the claimant  |
| cription | contact.                                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT ADDRESS INFORMATION                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 240                                                       |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Spaces -- This field is not available at this time.       |
+----------+-----------------------------------------------------------+
| Des      | This is reserved for claimant address information.        |
| cription | Currently, this field is not available from SSA and       |
|          | contains spaces on the Title II Pending Claim.            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT ADDRESS SCRUB 1 CODE                             |
+----------+-----------------------------------------------------------+
| Type     | Output                                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic, A through Z                                   |
+----------+-----------------------------------------------------------+
| Values   | BA -- Bad address: FINALIST determined it to be an        |
|          | undeliverable address. The address is left unchanged.     |
|          |                                                           |
|          | CH -- Changed address: The address was corrected and is   |
|          | considered by FINALIST to be deliverable.                 |
|          |                                                           |
|          | EA -- Empty address: No address is present in record. The |
|          | address was not provided by the source.                   |
|          |                                                           |
|          | FA -- Foreign Address: The address is not edited and is   |
|          | left unchanged because the value in the foreign country   |
|          | code is other than spaces or 'U.S'.                       |
|          |                                                           |
|          | GA -- Good address: FINALIST has determined it to be a    |
|          | deliverable address.                                      |
+----------+-----------------------------------------------------------+
| Des      | This is the Address Scrub Code is used to indicate the    |
| cription | results of the address editing of the address information |
|          | returned in the response.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT ADDRESS SCRUB 2 CODE                             |
+----------+-----------------------------------------------------------+
| Type     | Output                                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic, A through Z                                   |
+----------+-----------------------------------------------------------+
| Values   | If Address Scrub Code 1 is 'BA', this field contains one  |
|          | of these codes:                                           |
|          |                                                           |
|          | BR -- Bad range. The house number is out of range for     |
|          | that street. This type of address error cannot be         |
|          | corrected.                                                |
|          |                                                           |
|          | BU -- Bad unit number. In a multi-dwelling unit, the unit |
|          | number has a non-standard format, is out of range, or is  |
|          | missing. In PO Box addresses, the box number does not     |
|          | match the Zip+4 code. Standardization was attempted.      |
|          |                                                           |
|          | BX -- Missing State code or missing State code and Zip    |
|          | Code. Assigning a State or Zip Code was attempted.        |
|          |                                                           |
|          | MA -- Mismatched address. The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name).                  |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code. Correction of the    |
|          | Zip Code was attempted.                                   |
|          |                                                           |
|          | NC -- Non-determined city name. Correction of the city    |
|          | name was attempted.                                       |
|          |                                                           |
|          | NZ -- Non-determined Zip Code. Correction of the Zip Code |
|          | was attempted but failed.                                 |
|          |                                                           |
|          | If Claimant Address Scrub Code 1 is 'CH', this field      |
|          | contains one of these codes:                              |
|          |                                                           |
|          | BU -- Bad unit number. In a multi-dwelling unit, the unit |
|          | number has a non-standard format, is out of range or is   |
|          | missing. In PO Box addresses, the box number does not     |
|          | match the Zip+4 code. Standardization was successful.     |
|          |                                                           |
|          | BX -- Missing State code or missing State code and Zip    |
|          | Code. Assigning a State or Zip Code was successful.       |
|          |                                                           |
|          | CA -- Corrected address. A misspelled or non-standard     |
|          | street name was successfully corrected in the Response    |
|          | Record.                                                   |
|          |                                                           |
|          | CC -- Corrected city name. Correction of the misspelled   |
|          | or non-standard city name was successful.                 |
|          |                                                           |
|          | CZ -- Corrected Zip Code. Correction of the Zip Code was  |
|          | successful.                                               |
|          |                                                           |
|          | MA -- Mismatched address. The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name).                  |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code. Correction of the    |
|          | Zip Code was successful.                                  |
|          |                                                           |
|          | NC -- Non-determined city name. Correction of the city    |
|          | name was successful.                                      |
|          |                                                           |
|          | If the Address Scrub 1 Code contains 'EA', 'FA' or 'GA',  |
|          | this field contains spaces.                               |
+----------+-----------------------------------------------------------+
| Des      | This contains a code to further define the results of     |
| cription | address editing of the address information that is        |
|          | returned in the response.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT ADDRESS SCRUB 3 CODE                             |
+----------+-----------------------------------------------------------+
| Type     | Output                                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic, A through Z                                   |
+----------+-----------------------------------------------------------+
| Values   | If Address Scrub Code 1 is 'BA', this field contains one  |
|          | of these codes:                                           |
|          |                                                           |
|          | BR -- Bad range. The house number is out of range for     |
|          | that street. This type of address error cannot be         |
|          | corrected.                                                |
|          |                                                           |
|          | BU -- Bad unit number. In a multi-dwelling unit, the unit |
|          | number has a non-standard format, is out of range, or is  |
|          | missing. In PO Box addresses, the box number does not     |
|          | match the Zip+4 code. Standardization was attempted.      |
|          |                                                           |
|          | BX -- Missing State code or missing State code and Zip    |
|          | Code. Assigning a State or Zip Code was attempted.        |
|          |                                                           |
|          | MA -- Mismatched address. The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name).                  |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code. Correction of the    |
|          | Zip Code was attempted.                                   |
|          |                                                           |
|          | NC -- Non-determined city name. Correction of the city    |
|          | name was attempted.                                       |
|          |                                                           |
|          | NZ -- Non-determined Zip Code. Correction of the Zip Code |
|          | was attempted but failed.                                 |
|          |                                                           |
|          | If Claimant Address Scrub Code 1 is 'CH', this field      |
|          | contains one of these codes:                              |
|          |                                                           |
|          | BU -- Bad unit number. In a multi-dwelling unit, the unit |
|          | number has a non-standard format, is out of range or is   |
|          | missing. In PO Box addresses, the box number does not     |
|          | match the Zip+4 code. Standardization was successful.     |
|          |                                                           |
|          | BX -- Missing State code or missing State code and Zip    |
|          | Code. Assigning a State or Zip Code was successful.       |
|          |                                                           |
|          | CA -- Corrected address. A misspelled or non-standard     |
|          | street name was successfully corrected in the Response    |
|          | Record.                                                   |
|          |                                                           |
|          | CC -- Corrected city name. Correction of the misspelled   |
|          | or non-standard city name was successful.                 |
|          |                                                           |
|          | CZ -- Corrected Zip Code. Correction of the Zip Code was  |
|          | successful.                                               |
|          |                                                           |
|          | MA -- Mismatched address. The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name).                  |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code. Correction of the    |
|          | Zip Code was successful.                                  |
|          |                                                           |
|          | NC -- Non-determined city name. Correction of the city    |
|          | name was successful.                                      |
|          |                                                           |
|          | If the Address Scrub 1 Code contains 'BA' or 'CH', and a  |
|          | third address scrub code was not generated by the address |
|          | editor, this field contains spaces.                       |
+----------+-----------------------------------------------------------+
| Des      | This code further defines the results of address editing  |
| cription | of the address information that is returned in the        |
|          | response.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT ADDRESS STATE CODE                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | Standard State abbreviation value set                     |
+----------+-----------------------------------------------------------+
| Des      | This is the State code for the claimant.                  |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT ADDRESS STREET 1 TEXT                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, hyphen (-) or spaces            |
+----------+-----------------------------------------------------------+
| Des      | This is the first line of the street address of the       |
| cription | claimant.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT ADDRESS STREET 2 TEXT                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, hyphen (-) or spaces            |
+----------+-----------------------------------------------------------+
| Des      | This is the second line of the street address of the      |
| cription | claimant.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT ADDRESS ZIP CODE                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the zip code (domestic or foreign) for the        |
| cription | claimant.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT BIRTH DATE                                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | Valid date in CCYYMMDD format                             |
+----------+-----------------------------------------------------------+
| Des      | This is the date of birth of the claimant owner from the  |
| cription | insurer data match.                                       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT BUSINESS PHONE NUMBER                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 10                                                        |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the business phone number of the claimant.        |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT BUSINESS PHONE EXTENSION NUMBER                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the business phone number extension of the        |
| cription | claimant.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT CELL PHONE NUMBER                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 10                                                        |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the cell phone number of the claimant.            |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT DRIVER LICENSE NUMBER                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 20                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the driver license number of the claimant.        |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT DRIVER LICENSE STATE CODE                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | Standard State abbreviation value set                     |
+----------+-----------------------------------------------------------+
| Des      | This is the State code for the claimant's driver's        |
| cription | license.                                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT FIRST NAME                                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 20                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the first 20 characters of the first name of the  |
| cription | claimant.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT GENDER CODE                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | F -- Female                                               |
|          |                                                           |
|          | M -- Male                                                 |
|          |                                                           |
|          | Space -- Information Not Available                        |
+----------+-----------------------------------------------------------+
| Des      | This contains the code that indicates the gender of the   |
| cription | claimant.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT HOME PHONE NUMBER                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 10                                                        |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the phone number of the claimant.                 |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT ITIN NUMBER                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 000000000-999999999                                       |
+----------+-----------------------------------------------------------+
| Des      | This is the Individual Taxpayer Identification Number for |
| cription | the claimant.                                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT LAST NAME                                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-) or spaces                         |
+----------+-----------------------------------------------------------+
| Des      | This is the first 30 characters of the last name of the   |
| cription | claimant.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT MIDDLE NAME                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the first 16 characters of the middle name of the |
| cription | claimant.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT OCCUPATION TEXT                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the occupation of the claimant.                   |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIMANT PROFESSIONAL LICENSE NUMBER                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the professional license number of the claimant.  |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIM TYPE CODE                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | AU -- Auxiliary                                           |
|          |                                                           |
|          | DI -- Disability                                          |
|          |                                                           |
|          | RI -- Retirement                                          |
|          |                                                           |
|          | SU -- Survivor Benefits                                   |
|          |                                                           |
|          | Spaces -- if the claim type is unavailable.               |
+----------+-----------------------------------------------------------+
| Des      | This field contains a code that identifies the            |
| cription | beneficiary's claim type on the Title II Pending Claim.   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CLAIM UPDATE INDICATOR                                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Mandatory for the following output record:                |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- Updated information on previously provided insurance |
|          | claim match                                               |
|          |                                                           |
|          | Space -- New insurance claim match                        |
+----------+-----------------------------------------------------------+
| Des      | This indicates if this is an update to previously         |
| cription | provided information on a claim. It is set by the         |
|          | Insurance Match system.                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CORRECTED/ADDITIONAL/MULTIPLE SSN                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998 or all spaces \[not all       |
|          | sixes\]                                                   |
+----------+-----------------------------------------------------------+
| Des      | This is the SSN that was used in the NDNH search if the   |
| cription | SSN that matched with the NDNH record was a corrected,    |
|          | additional or multiple SSN. The SSN Match Indicator       |
|          | contains the code to indicate if the SSN was corrected or |
|          | is an additional or multiple.                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | COUNTY CODE                                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 3                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | This is the three-character county FIPS Code for the      |
|          | county that is responsible for any mandatory or optional  |
|          | supplemental payment. The code represents the Title II    |
|          | beneficiary's county of residence unless another county   |
|          | has jurisdiction.                                         |
+----------+-----------------------------------------------------------+
| Des      | The Title II beneficiary's county code for the            |
| cription | jurisdiction responsible for payment.                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CP DEATH INDICATOR                                        |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | N -- CP is not deceased.                                  |
|          |                                                           |
|          | Y -- CP is deceased.                                      |
+----------+-----------------------------------------------------------+
| Des      | This field, supplied by DMDC, contains a value that shows |
| cription | if DMDC records indicate that the CP is deceased.         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CP FIRST NAME                                             |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[no imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This contains the first name of the CP that was provided  |
| cription | by the submitter and recorded on the FCR.                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CP LAST NAME                                              |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-), or spaces \[No imbedded spaces   |
|          | or special characters other than a hyphen (-)\]           |
+----------+-----------------------------------------------------------+
| Des      | This contains the last name of the CP that was provided   |
| cription | by the submitter and recorded on the FCR.                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CP MEDICAL COVERAGE INDICATOR                             |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | N --The CP is not in the military as active duty, retiree |
|          | or special civilian.                                      |
|          |                                                           |
|          | Y --The CP is in the military as active duty, retiree or  |
|          | special civilian.                                         |
+----------+-----------------------------------------------------------+
| Des      | This contains a value that shows if DMDC records indicate |
| cription | that the CP has medical coverage.                         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CP MEMBER ID                                              |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces \[not all spaces\]    |
+----------+-----------------------------------------------------------+
| Des      | This contains the State-assigned Member ID that is stored |
| cription | on the FCR for the CP.                                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CP MIDDLE NAME                                            |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[no imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This field contains the middle name of the CP that was    |
| cription | provided by the submitter and recorded on the FCR.        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CP SSN                                                    |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998 or all spaces \[not all       |
|          | sixes\]                                                   |
+----------+-----------------------------------------------------------+
| Des      | This field contains the SSN that is stored on the FCR as  |
| cription | the CP's primary SSN or a verified multiple SSN.          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CP SSN VERIFIED INDICATOR                                 |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | N -- SSN/Name was unverified.                             |
|          |                                                           |
|          | Y -- SSN/Name was verified.                               |
+----------+-----------------------------------------------------------+
| Des      | This field contains a value that identifies if the CP SSN |
| cription | was verified or unverified on the FCR.                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CURRENT PAYMENT STATUS CODE                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 3                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | The current SSI code from the values in the Payment       |
|          | Status Code Field                                         |
+----------+-----------------------------------------------------------+
| Des      | This is the Title XVI recipient's current payment status  |
| cription | code.                                                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | CUSTODY CODE                                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 3                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | AGY -- Social agency                                      |
|          |                                                           |
|          | CHD -- Natural, adopted or stepchild (as payee for a      |
|          | parent)                                                   |
|          |                                                           |
|          | ESP -- Essential person is payee                          |
|          |                                                           |
|          | FDM -- Federal mental institution                         |
|          |                                                           |
|          | FDO -- Federal non-mental institution                     |
|          |                                                           |
|          | FIN -- Financial organization                             |
|          |                                                           |
|          | FTH -- Natural or adoptive father                         |
|          |                                                           |
|          | GPR -- Grandparent                                        |
|          |                                                           |
|          | MTH -- Natural or adoptive mother                         |
|          |                                                           |
|          | NPM -- Nonprofit mental institution                       |
|          |                                                           |
|          | NPO -- Nonprofit non-mental institution                   |
|          |                                                           |
|          | OFF -- Public official                                    |
|          |                                                           |
|          | OTH -- Other                                              |
|          |                                                           |
|          | PRM -- Proprietary mental institution                     |
|          |                                                           |
|          | PRO -- Proprietary non-mental institution                 |
|          |                                                           |
|          | PYE -- Payee has custody                                  |
|          |                                                           |
|          | REL -- Other relative (includes in-laws)                  |
|          |                                                           |
|          | RPD -- Representative payee is being developed            |
|          |                                                           |
|          | SEL -- Living by self                                     |
|          |                                                           |
|          | SFT -- Stepfather                                         |
|          |                                                           |
|          | SLM -- State/local mental institution                     |
|          |                                                           |
|          | SLO -- State/local non-mental institution                 |
|          |                                                           |
|          | SMT -- Stepmother                                         |
|          |                                                           |
|          | SPO -- Spouse                                             |
|          |                                                           |
|          | Spaces -- Not applicable                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the indicator of who has physical custody of the  |
| cription | Title XVI recipient.                                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DATE OF ADDRESS                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in the format indicated by the Date of       |
|          | Address Format Indicator                                  |
|          |                                                           |
|          | 00000000 -- Date not available                            |
+----------+-----------------------------------------------------------+
| Des      | This is the date of the address provided by the Locate    |
| cription | source.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DATE OF ADDRESS FORMAT INDICATOR                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 -- 00000000, date not available                         |
|          |                                                           |
|          | 1 -- CCYYMM00, century, year, month                       |
|          |                                                           |
|          | 2 -- CCYYQ000, century, year, quarter                     |
|          |                                                           |
|          | 3 -- CCYY0000, century, year                              |
|          |                                                           |
|          | 4 -- CCYYMMDD, century, year, month, day                  |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the format of the Date of Address.    |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DATE OF BIRTH                                             |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Conditionally required for the following input record:    |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A' or 'L'                                  |
|          |                                                           |
|          | Optional for the following input record:                  |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'C'                                         |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Locate Source Response Record                     |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR Data Inconsistency File Record                    |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format or spaces. If this field  |
|          | does not have a properly-formatted valid date, it         |
|          | contains spaces.                                          |
+----------+-----------------------------------------------------------+
| Des      | This is the Date of Birth (DOB) for a person being added  |
| cription | to the FCR or who is the subject of a Locate Request. The |
|          | DOB that is in the FCR Locate Request Response Record and |
|          | the FCR NDNH Locate/Proactive Match Response Record is    |
|          | the DOB residing in the Locate source's records.          |
|          |                                                           |
|          | If the information is not available, this field is all    |
|          | spaces.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DATE OF CONFINEMENT                                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format or spaces. If this field  |
|          | does not have a properly-formatted valid date, it         |
|          | contains spaces.                                          |
+----------+-----------------------------------------------------------+
| Des      | This is the prisoner's initial date of confinement, as    |
| cription | reported to SVES by the prison.                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DATE OF CURRENT TITLE II ENTITLEMENT                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMM format, or spaces.                 |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the date that the Title II beneficiary was        |
| cription | initially eligible for Title II benefits for the current  |
|          | period of entitlement.                                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DATE OF DEATH                                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format or spaces.                |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the person's Date of Death on the FCR Locate      |
| cription | Response Record or the Date of Death resident in the      |
|          | Locate source's records.                                  |
|          |                                                           |
|          | If Date of Death is not applicable to the person, is not  |
|          | available, or is invalid, this field contains spaces.     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DATE OF DEATH SOURCE CODE                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- SSA District Office (DO) notification or manual      |
|          | adjustment                                                |
|          |                                                           |
|          | 2 -- Electronic Death Registration Notification           |
|          | (completed by doctor, hospital, funeral director, etc)    |
|          |                                                           |
|          | 3 -- Master Beneficiary Record (MBR) Notification         |
|          |                                                           |
|          | 4 -- Treasury returned check notification                 |
|          |                                                           |
|          | 5 -- Returned check from Treasury with no date of death   |
|          | shown (Date of Death Field contains the date of           |
|          | transaction)                                              |
|          |                                                           |
|          | 6 -- State notification                                   |
|          |                                                           |
|          | Space -- Not applicable                                   |
+----------+-----------------------------------------------------------+
| Des      | This is the source of the Title XVI recipient's date of   |
| cription | death.                                                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DATE OF HIRE                                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format or spaces                 |
+----------+-----------------------------------------------------------+
| Des      | This is the date the employee was hired.                  |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DATE OF INITIAL TITLE II ENTITLEMENT                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMM format, or spaces.                 |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the date that the Title II beneficiary was        |
| cription | initially eligible for Title II benefits.                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DATE OF TITLE II SUSPENSION OR TERMINATION                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMM format, or spaces.                 |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the date that the event which caused the          |
| cription | suspension or termination of Title II benefits for this   |
|          | beneficiary occurred.                                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DATE OF TITLE XVI APPEAL                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format, or spaces.               |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
| Des      | If applicable, this field contains the most recent appeal |
| cription | action date for the Title XVI recipient.                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DATE OF TITLE XVI ELIGIBILITY                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMM format, or spaces.                 |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
| Des      | If applicable, this field contains the application date,  |
| cription | final onset date or date that the Title XVI recipient     |
|          | attained the age of 65 years, whichever is later.         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DATE STAMP                                                |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Required for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Transmission Header Record                        |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR Routine Batch Response Header Record              |
|          |                                                           |
|          | -   FCR Reconciliation/Data Inconsistency File Header     |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Pending Resolution Batch Response Header Record   |
|          |                                                           |
|          | -   FCR Locate Response Batch Header Record               |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format                           |
+----------+-----------------------------------------------------------+
| Des      | This is the date the submitter is sending the batch of    |
| cription | input transactions to the FCR or the date the FCR is      |
|          | sending the batch of output transactions to the           |
|          | submitter. Submitters must ensure that the date stamp in  |
|          | the FCR Transmission Header is the current date.          |
|          | Transmissions should not be pre- or post-dated.           |
|          |                                                           |
|          | **Note:** Do not send multiple FCR transaction batches in |
|          | a single day unless specifically authorized by OCSE.      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DEFERRED PAYMENT DATE                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMM format, or spaces.                 |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's initial date on which  |
| cription | the first or next deferred payment can be made.           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DIRECT DEPOSIT INDICATOR                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | C -- Checking                                             |
|          |                                                           |
|          | E -- Electronic Benefits Transfer (This additional value  |
|          | is for Title II only)                                     |
|          |                                                           |
|          | S -- Savings                                              |
|          |                                                           |
|          | Space -- None                                             |
+----------+-----------------------------------------------------------+
| Des      | This is the method that is used to send direct deposit    |
| cription | payments to the Title II or Title XVI beneficiary.        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DISTRICT OFFICE MAILING ADDRESS LINE 1 **through\         |
|          | **DISTRICT OFFICE MAILING ADDRESS LINE 4 **or\            |
|          | **DISTRICT OFFICE MAILING ADDRESS LINE 1 TEXT **through\  |
|          | **DISTRICT OFFICE MAILING ADDRESS LINE 4 TEXT             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 22                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Alphanumeric characters                                   |
+----------+-----------------------------------------------------------+
| Des      | This field contains the SSA's District Office mailing     |
| cription | address that appears for the recipient.                   |
|          |                                                           |
|          | If no address is being returned, these fields are spaces. |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DISTRICT OFFICE MAILING ADDRESS CITY **or\                |
|          | **DISTRICT OFFICE MAILING ADDRESS CITY NAME               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 28                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-) or spaces                         |
+----------+-----------------------------------------------------------+
| Des      | This field contains the city name that is associated with |
| cription | the SSA District Office Address.                          |
|          |                                                           |
|          | If not applicable, this field contains spaces.            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DISTRICT OFFICE MAILING ADDRESS STATE **or\               |
|          | **DISTRICT OFFICE MAILING ADDRESS STATE CODE              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A two-character alphabetic FIPS State code                |
+----------+-----------------------------------------------------------+
| Des      | This field contains the two-character State abbreviation  |
| cription | that is associated with the District Office mailing       |
|          | address.                                                  |
|          |                                                           |
|          | If not applicable, this field contains spaces.            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DISTRICT OFFICE MAILING ADDRESS ZIP CODE                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric or spaces                                    |
+----------+-----------------------------------------------------------+
| Values   | A two-character alphabetic ZIP State code                 |
+----------+-----------------------------------------------------------+
| Des      | This field contains the ZIP code that is associated with  |
| cription | the SSA District Office Mailing Address.                  |
|          |                                                           |
|          | If not applicable, this field contains spaces.            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DoD AGENCY STATUS INDICATOR                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A -- Active duty employee                                 |
|          |                                                           |
|          | C -- Civilian employee                                    |
|          |                                                           |
|          | R -- Reserve employee                                     |
|          |                                                           |
|          | Space -- QW or W-4 not reported by DoD or information not |
|          | available                                                 |
+----------+-----------------------------------------------------------+
| Des      | This is code indicates a DoD employee's employment type.  |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DoD PAY GRADE/RANK                                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 4                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Military pay grades/ranks:                                |
|          |                                                           |
|          | ME01 through ME09 -- Enlisted Grades                      |
|          |                                                           |
|          | W01 through W04 -- Warrant Officer Grades                 |
|          |                                                           |
|          | O01 through O10 -- Officer Grades                         |
|          |                                                           |
|          | Civilian or Reserve pay grades/ranks:                     |
|          |                                                           |
|          | MO -- Navy Canal Zone Manual (Non-supervisory)            |
|          |                                                           |
|          | MS -- Navy Canal Zone Manual (Supervisory)                |
|          |                                                           |
|          | NM -- Navy Canal Zone Non-Manual                          |
|          |                                                           |
|          | NU -- Navy Foreign Nationals Ungraded                     |
|          |                                                           |
|          | AG -- Navy Foreign Nationals Graded                       |
|          |                                                           |
|          | MG -- DMA Canal Zone Wage Grade                           |
|          |                                                           |
|          | Spaces -- DoD Pay Grade/Rank not supplied                 |
+----------+-----------------------------------------------------------+
| Des      | This is the military pay grade/rank or the civilian or    |
| cription | reserve pay grade for the person. Military personnel is a |
|          | single letter code (rank), followed by two digits that    |
|          | identify the grade. Civilian or reserve personnel pay     |
|          | grades is a two-letter code followed by two digits that   |
|          | identify the grade. The additional codes are defined in   |
|          | the *OPM's Guide to Personnel Data*, located at:          |
|          |                                                           |
|          | [http://www.opm.gov](http://www.opm.gov/)                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DoD SERVICE/AGENCY CODE                                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 4                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | AR -- Army                                                |
|          |                                                           |
|          | AF -- Air Force                                           |
|          |                                                           |
|          | CG -- Coast Guard                                         |
|          |                                                           |
|          | CR -- Civil Service Retired                               |
|          |                                                           |
|          | DD -- Other DoD                                           |
|          |                                                           |
|          | NF -- Non-Appropriated Funds                              |
|          |                                                           |
|          | JB -- Judicial Branch                                     |
|          |                                                           |
|          | EX -- EXOP                                                |
|          |                                                           |
|          | NO -- NOAA                                                |
|          |                                                           |
|          | NV -- Navy                                                |
|          |                                                           |
|          | PH -- Public Health                                       |
|          |                                                           |
|          | ZZ -- Unknown Agency                                      |
|          |                                                           |
|          | MC -- Marine Corps                                        |
|          |                                                           |
|          | 1TNF -- AAFES NAF                                         |
|          |                                                           |
|          | 2ZNF -- AFMWR NAF                                         |
|          |                                                           |
|          | 3GNF -- ARMY NAF                                          |
|          |                                                           |
|          | 4PNF -- BUPERS NAF                                        |
|          |                                                           |
|          | 5XNF -- NEXCOM NAF                                        |
|          |                                                           |
|          | 6MNF -- Marine Corps NAF                                  |
|          |                                                           |
|          | Spaces -- Information Not Available                       |
+----------+-----------------------------------------------------------+
| Des      | This is the service branch or agency within DoD where the |
| cription | person is employed. If the DoD Status Code is equal to    |
|          | '7', this field contains a four-character code as defined |
|          | in the *OPM's Guide to Personnel Data*.                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | DoD STATUS CODE                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- Civilian DoD                                         |
|          |                                                           |
|          | 2 -- Active duty military                                 |
|          |                                                           |
|          | 3 -- Retired military (pay status)                        |
|          |                                                           |
|          | 4 -- Reserve military (pay status)                        |
|          |                                                           |
|          | 6 -- Administrative Office of U.S. Courts (AOUSC)         |
|          |                                                           |
|          | 7 -- Civilian Non-DoD                                     |
|          |                                                           |
|          | 8 -- Civilian retiree                                     |
|          |                                                           |
|          | B -- Executive Office of the President (EXOP) employee    |
|          |                                                           |
|          | E -- Retired military (non-pay status)                    |
|          |                                                           |
|          | F -- Reserve military (non-pay status)                    |
|          |                                                           |
|          | G -- Army Non-Appropriated Fund (Army NAF) employee       |
|          |                                                           |
|          | M -- Marine Corps Non-Appropriated Fund (Marine Corps     |
|          | NAF) employee                                             |
|          |                                                           |
|          | P -- Bureau of Personnel Non-Appropriated Fund (BUPERS    |
|          | NAF)                                                      |
|          |                                                           |
|          | T -- Army and Air Force Exchange Service (AAFES)          |
|          |                                                           |
|          | X -- Navy Exchange Commission Non-Appropriated Fund       |
|          | (NEXCOM)                                                  |
|          |                                                           |
|          | Y -- Navy Non-Appropriated Funds (Navy NAF) employee      |
|          |                                                           |
|          | Z -- Air Force Moral Welfare Recreation (AFMWR NAF)       |
|          |                                                           |
|          | Space -- Information is not available                     |
+----------+-----------------------------------------------------------+
| Des      | This is the status of the person's employment with DoD.   |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | EMPLOYER ADDRESS CITY NAME                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 2         |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-) or spaces                         |
+----------+-----------------------------------------------------------+
| Des      | This is the city name for the employer.                   |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | EMPLOYER ADDRESS FOREIGN COUNTRY INDICATOR                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Mandatory for the following output record:                |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 2         |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- The address of the employer is in a foreign country  |
|          |                                                           |
|          | Space -- The address of the employer is in the U.S.       |
+----------+-----------------------------------------------------------+
| Des      | This field indicates if the employer address that is      |
| cription | provided is a U.S. or foreign address.                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | EMPLOYER ADDRESS FOREIGN COUNTRY NAME                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 2         |
+----------+-----------------------------------------------------------+
| Length   | 25                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the foreign country name of the address for the   |
| cription | employer.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | EMPLOYER ADDRESS SCRUB 1 CODE                             |
+----------+-----------------------------------------------------------+
| Type     | Output                                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 2         |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic, A through Z                                   |
+----------+-----------------------------------------------------------+
| Values   | BA -- Bad address: FINALIST determined it to be an        |
|          | undeliverable address. The address is left unchanged.     |
|          |                                                           |
|          | CH -- Changed address: The address was corrected and is   |
|          | considered by FINALIST to be deliverable.                 |
|          |                                                           |
|          | EA -- Empty address: No address is present in record. The |
|          | address was not provided by the source.                   |
|          |                                                           |
|          | FA -- Foreign Address: The address is not edited and is   |
|          | left unchanged because the value in the foreign country   |
|          | code is other than spaces or 'U.S'.                       |
|          |                                                           |
|          | GA -- Good address: FINALIST has determined it to be a    |
|          | deliverable address.                                      |
+----------+-----------------------------------------------------------+
| Des      | This is the Address Scrub Code that indicates the results |
| cription | of the address editing of the address information that is |
|          | returned in the response.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | EMPLOYER ADDRESS SCRUB 2 CODE                             |
+----------+-----------------------------------------------------------+
| Type     | Output                                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | FCR Insurance Match Response Record -- Part 2             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic, A through Z                                   |
+----------+-----------------------------------------------------------+
| Values   | If Address Scrub Code 1 is 'BA', this field contains one  |
|          | of these codes:                                           |
|          |                                                           |
|          | BR -- Bad range. The house number is out of range for     |
|          | that street. This type of address error cannot be         |
|          | corrected.                                                |
|          |                                                           |
|          | BU -- Bad unit number. In a multi-dwelling unit, the unit |
|          | number has a non-standard format, is out of range, or is  |
|          | missing. In PO Box addresses, the box number does not     |
|          | match the Zip+4 code. Standardization was attempted.      |
|          |                                                           |
|          | BX -- Missing State code or missing State code and Zip    |
|          | Code. Assigning a State or Zip Code was attempted.        |
|          |                                                           |
|          | MA -- Mismatched address. The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name).                  |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code. Correction of the    |
|          | Zip Code was attempted.                                   |
|          |                                                           |
|          | NC -- Non-determined city name. Correction of the city    |
|          | name was attempted.                                       |
|          |                                                           |
|          | NZ -- Non-determined Zip Code. Correction of the Zip Code |
|          | was attempted but failed.                                 |
|          |                                                           |
|          | If Employer Address Scrub Code 1 is 'CH', this field      |
|          | contains one of these codes:                              |
|          |                                                           |
|          | BU -- Bad unit number. In a multi-dwelling unit, the unit |
|          | number has a non-standard format, is out of range or is   |
|          | missing. In PO Box addresses, the box number does not     |
|          | match the Zip+4 code. Standardization was successful.     |
|          |                                                           |
|          | BX -- Missing State code or missing State code and Zip    |
|          | Code. Assigning a State or Zip Code was successful.       |
|          |                                                           |
|          | CA -- Corrected address. A misspelled or non-standard     |
|          | street name was successfully corrected in the Response    |
|          | Record.                                                   |
|          |                                                           |
|          | CC -- Corrected city name. Correction of the misspelled   |
|          | or non-standard city name was successful.                 |
|          |                                                           |
|          | CZ -- Corrected Zip Code. Correction of the Zip Code was  |
|          | successful.                                               |
|          |                                                           |
|          | MA -- Mismatched address. The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name).                  |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code. Correction of the    |
|          | Zip Code was successful.                                  |
|          |                                                           |
|          | NC -- Non-determined city name. Correction of the city    |
|          | name was successful.                                      |
|          |                                                           |
|          | If the Address Scrub 1 Code contains 'EA', 'FA' or 'GA'   |
|          | this field contains spaces.                               |
+----------+-----------------------------------------------------------+
| Des      | This field contains a code that further defines the       |
| cription | results of address editing of the address information     |
|          | that is returned in the response.                         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | EMPLOYER ADDRESS SCRUB 3 CODE                             |
+----------+-----------------------------------------------------------+
| Type     | Output                                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 2         |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic, A through Z                                   |
+----------+-----------------------------------------------------------+
| Values   | If Address Scrub Code 1 is 'BA', this field contains one  |
|          | of these codes:                                           |
|          |                                                           |
|          | BR -- Bad range. The house number is out of range for     |
|          | that street. This type of address error cannot be         |
|          | corrected.                                                |
|          |                                                           |
|          | BU -- Bad unit number. In a multi-dwelling unit, the unit |
|          | number has a non-standard format, is out of range, or is  |
|          | missing. In PO Box addresses, the box number does not     |
|          | match the Zip+4 code. Standardization was attempted.      |
|          |                                                           |
|          | BX -- Missing State code or missing State code and Zip    |
|          | Code. Assigning a State or Zip Code was attempted.        |
|          |                                                           |
|          | MA -- Mismatched address. The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name).                  |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code. Correction of the    |
|          | Zip Code was attempted.                                   |
|          |                                                           |
|          | NC -- Non-determined city name. Correction of the city    |
|          | name was attempted.                                       |
|          |                                                           |
|          | NZ -- Non-determined Zip Code. Correction of the Zip Code |
|          | was attempted but failed.                                 |
|          |                                                           |
|          | If Attorney Address Scrub Code 1 is 'CH', this field      |
|          | contains one of these codes:                              |
|          |                                                           |
|          | BU -- Bad unit number. In a multi-dwelling unit, the unit |
|          | number has a non-standard format, is out of range or is   |
|          | missing. In PO Box addresses, the box number does not     |
|          | match the Zip+4 code. Standardization was successful.     |
|          |                                                           |
|          | BX -- Missing State code or missing State code and Zip    |
|          | Code. Assigning a State or Zip Code was successful.       |
|          |                                                           |
|          | CA -- Corrected address. A misspelled or non-standard     |
|          | street name was successfully corrected in the Response    |
|          | Record.                                                   |
|          |                                                           |
|          | CC -- Corrected city name. Correction of the misspelled   |
|          | or non-standard city name was successful.                 |
|          |                                                           |
|          | CZ -- Corrected Zip Code. Correction of the Zip Code was  |
|          | successful.                                               |
|          |                                                           |
|          | MA -- Mismatched address. The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name).                  |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code. Correction of the    |
|          | Zip Code was successful.                                  |
|          |                                                           |
|          | NC -- Non-determined city name. Correction of the city    |
|          | name was successful.                                      |
|          |                                                           |
|          | If the Address Scrub 1 Code contains 'BA' or 'CH' and a   |
|          | third address scrub code was not generated by the address |
|          | editor, this field contains spaces.                       |
+----------+-----------------------------------------------------------+
| Des      | This field contains a code that further defines the       |
| cription | results of address editing of the address information     |
|          | that is returned in the response.                         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | EMPLOYER. ADDRESS STATE CODE                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 2         |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | Standard State abbreviation value set                     |
+----------+-----------------------------------------------------------+
| Des      | This is the State code for the employer.                  |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | EMPLOYER ADDRESS STREET 1 TEXT                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 2         |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, hyphen (-) or spaces            |
+----------+-----------------------------------------------------------+
| Des      | This is the first line of the street address of the       |
| cription | employer.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | EMPLOYER ADDRESS STREET 2 TEXT                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 2         |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, hyphen (-) or spaces            |
+----------+-----------------------------------------------------------+
| Des      | This is the second line of the street address of the      |
| cription | employer.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | EMPLOYER ADDRESS POSTAL CODE                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 2         |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the Zip code (domestic or foreign) for the        |
| cription | employer.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | EMPLOYER NAME                                             |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   Insurance Match Standard Interface Record             |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | Optional for the following output record:                 |
|          |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 2         |
+----------+-----------------------------------------------------------+
| Length   | 45                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, hyphens, or spaces              |
+----------+-----------------------------------------------------------+
| Des      | This is the name of the person's employer as found on the |
| cription | NDNH QW or W-4 files, or as associated with an Insurance  |
|          | Claimant.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | EMPLOYER PHONE EXTENSION NUMBER                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 2         |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This field is the phone number extension of the           |
| cription | employer's contact.                                       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | EMPLOYER PHONE NUMBER                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 2         |
+----------+-----------------------------------------------------------+
| Length   | 10                                                        |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This field is the phone number of the employer's contact. |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | EMPLOYMENT INDICATOR                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | P -- Permanent                                            |
|          |                                                           |
|          | T -- Temporary                                            |
|          |                                                           |
|          | C -- Consultant                                           |
|          |                                                           |
|          | I -- Independent contractor                               |
|          |                                                           |
|          | Space -- Not available                                    |
+----------+-----------------------------------------------------------+
| Des      | The code to indicate a person's FBI or NSA employment     |
| cription | type.                                                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | EMPLOYMENT STATUS                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A -- Active                                               |
|          |                                                           |
|          | L -- On Annual Leave                                      |
|          |                                                           |
|          | M -- On Military Leave                                    |
|          |                                                           |
|          | I -- Inactive                                             |
|          |                                                           |
|          | R -- Retired                                              |
|          |                                                           |
|          | V -- Vacation                                             |
|          |                                                           |
|          | Space -- Not available                                    |
+----------+-----------------------------------------------------------+
| Des      | This code indicates a person's FBI or NSA employment      |
| cription | status.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ERROR CODE 1 **through** ERROR CODE 5                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Case Acknowledgement/Error Record                 |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Query Acknowledgement/Error Record                |
+----------+-----------------------------------------------------------+
| Length   | 5                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | > LE001 through LE999 -- Rejection errors identified for  |
|          | > a request for Locate                                    |
|          | >                                                         |
|          | > PE001 through PE999 -- Rejection errors identified for  |
|          | > a person or case record                                 |
|          | >                                                         |
|          | > QE001 through QE999 -- Rejection errors identified for  |
|          | > a Query                                                 |
|          | >                                                         |
|          | > TE001 through TE999 -- Rejection errors identified      |
|          | > during input transaction verification                   |
|          | >                                                         |
|          | > LW001 through LW999 -- Warning codes identified for a   |
|          | > request for Locate                                      |
|          | >                                                         |
|          | > PW001 through PW999 -- Warning codes identified for a   |
|          | > person or case record                                   |
|          | >                                                         |
|          | > QW001 through QW999 -- Warning codes identified for a   |
|          | > query                                                   |
|          | >                                                         |
|          | > TW001 through TW999 -- Non-critical errors identified   |
|          | > during input transaction verification                   |
|          | >                                                         |
|          | > Spaces -- No rejection error or warning code identified |
+----------+-----------------------------------------------------------+
| Des      | This is a code that is returned to the State to identify  |
| cription | the types of errors that were detected in processing the  |
|          | transaction received from the submitter. There are two    |
|          | classifications of error codes: warning and rejection. A  |
|          | warning code indicates an error was detected but that it  |
|          | was not sufficiently critical to force rejection of the   |
|          | record. The rejection error code indicates that a         |
|          | critical error was detected and the record is rejected.   |
|          | The second position of the code is a 'W' for warning      |
|          | codes and an 'E' for rejection errors.                    |
|          |                                                           |
|          | See Appendix J, "Error Messages", for a complete list of  |
|          | the error codes.                                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ESTIMATED SELF EMPLOYMENT AMOUNT                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric, in COBOL format 9999V99                          |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the Title XVI recipient's self-employment         |
| cription | estimated net income.                                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FAMILY VIOLENCE                                           |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record for records    |
|          |     with Action Type Code 'A' or 'C'                      |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | FV -- Designate the person as associated with child abuse |
|          | or domestic violence                                      |
|          |                                                           |
|          | XX -- Remove the designation that the person is           |
|          | associated with child abuse or domestic violence          |
|          |                                                           |
|          | Spaces -- No indication of Family Violence                |
+----------+-----------------------------------------------------------+
| Des      | This code is used by the State to indicate whether or not |
| cription | there is reasonable evidence that the related person is   |
|          | associated with family violence. The value of 'FV' is     |
|          | used to prevent the release of information for the        |
|          | associated person.                                        |
|          |                                                           |
|          | A Family Violence Indicator may be overridden by a court  |
|          | order, with information on the person being released in   |
|          | conjunction with the court order.                         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FATHER'S FIRST NAME                                       |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A', 'C' or 'L'                             |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[No imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This is the first name of the father of the person being  |
| cription | submitted to the FCR. This information is provided for a  |
|          | person when a submitter wants SSA to provide an SSN for   |
|          | that person. This information is used to identify the SSN |
|          | but is not stored in the FCR.                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FATHER'S LAST NAME                                        |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A', 'C' or 'L'                             |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-), or spaces \[No imbedded spaces   |
|          | or special characters other than hyphen (-)\]             |
+----------+-----------------------------------------------------------+
| Des      | This is the surname of the father of the person being     |
| cription | submitted to the FCR. This information is provided for a  |
|          | person when a submitter wants SSA to provide an SSN for   |
|          | that person. This information is used to identify the SSN |
|          | but is not stored in the FCR.                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FATHER'S MIDDLE INITIAL                                   |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A', 'C' or 'L'                             |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or space \[No special characters\]           |
+----------+-----------------------------------------------------------+
| Des      | This is the middle initial of the father of the person    |
| cription | being submitted to the FCR. This information is provided  |
|          | for a person when a submitter wants SSA to provide an SSN |
|          | for that person. This information is used to identify the |
|          | SSN but is not stored in the FCR.                         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FCR PRIMARY FIRST NAME                                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR Data Inconsistency File Record                    |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z or spaces \[No imbedded spaces or special     |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This is the first name that is stored on the FCR as the   |
| cription | person's primary first name based on the SSN and Name     |
|          | combination verification process.                         |
|          |                                                           |
|          | If the Person Record is rejected because an SSN was not   |
|          | provided and could not be found for the person, this      |
|          | field contains spaces.                                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FCR PRIMARY LAST NAME                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR Data Inconsistency File Record                    |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-), or spaces \[No imbedded spaces   |
|          | or special characters other than hyphen(-)\]              |
+----------+-----------------------------------------------------------+
| Des      | This is the last name stored on the FCR as the person's   |
| cription | primary last name based on the SSN and Name combination   |
|          | verification process.                                     |
|          |                                                           |
|          | If the Person Record is rejected because an SSN was not   |
|          | provided and could not be found for the person, this      |
|          | field contains spaces.                                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FCR PRIMARY MIDDLE NAME                                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Data Inconsistency File Record                    |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[No imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This is the middle name stored on the FCR as the person's |
| cription | primary middle name based on the SSN and Name combination |
|          | verification process.                                     |
|          |                                                           |
|          | If the Person Record is rejected because an SSN was not   |
|          | provided and could not be found for the person, this      |
|          | field contains spaces.                                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FCR PRIMARY SSN                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR Data Inconsistency File Record                    |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998 or all spaces \[not all       |
|          | sixes\]                                                   |
+----------+-----------------------------------------------------------+
| Des      | This is the SSN stored on the FCR as the person's primary |
| cription | SSN based on the SSN and Name combination verification    |
|          | process.                                                  |
|          |                                                           |
|          | If the Person Record is rejected because an SSN was not   |
|          | provided and could not be found for the person, this      |
|          | field contains spaces.                                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FCR QUERY/PROACTIVE MATCH RESPONSE RECORDS                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Response Trailer Record                           |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the number of FCR Query/Proactive Match Response  |
| cription | Records returned in the batch from the FCR.               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FCR QUERY RECORDS ACCEPTED                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Response Trailer Record                           |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the number of FCR Query Acknowledgement/Error     |
| cription | Records included in the FCR batch response with an        |
|          | Acknowledgement Code of 'AAAAA' to indicate the record    |
|          | was accepted for processing.                              |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FCR QUERY RECORDS RECEIVED                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Response Trailer Record                           |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the number of FCR Input Query Records included in |
| cription | the batch submitted to the FCR.                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FCR QUERY RECORDS REJECTED                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Response Trailer Record                           |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the number of FCR Query Acknowledgement/Error     |
| cription | Records included in the FCR batch response with an FCR    |
|          | Acknowledgement Code of 'REJCT'.                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FEDERAL OFFSET FILE LOCAL CODE                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 3                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the State-assigned Local Code for the case from   |
| cription | the Federal Offset File. The field may include a valid    |
|          | FIPS county code or another code assigned by the State.   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FEDERAL OFFSET FIRST NAME                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, special characters, or spaces \[not all      |
|          | spaces\]                                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the person's first name from the Federal Offset   |
| cription | File. The field may include hyphens or imbedded spaces.   |
|          |                                                           |
|          | **Note:** The First Name currently available from the     |
|          | Federal Offset File is only 10 positions. This field has  |
|          | been defined as 15 positions to be consistent with the    |
|          | specifications for submission of Federal Offset records.  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FEDERAL OFFSET LAST NAME                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 20                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, special characters, or spaces \[not all      |
|          | spaces\]                                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the person's last name from the Federal Offset    |
| cription | File. The field may include hyphens.                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FEIN                                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces                       |
+----------+-----------------------------------------------------------+
| Des      | This is the employer's Federal Employer Identification    |
| cription | Number as reported from the Federal agency or NDNH QW or  |
|          | W-4 file.                                                 |
|          |                                                           |
|          | If the information is not available, this field contains  |
|          | all spaces.                                               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FIPS COUNTY CODE                                          |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input records:                 |
| ondition |                                                           |
|          | -   FCR Input Case Record                                 |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record                |
|          |                                                           |
|          | -   FCR Input Query Record                                |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR Case Acknowledgement/Error Record                 |
|          |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
|          |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Query Acknowledgement/Error Record                |
|          |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
|          |                                                           |
|          | -   FCR Case Reconciliation Record                        |
|          |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 3                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 001 through 999 or spaces                                 |
+----------+-----------------------------------------------------------+
| Des      | Positions 3 through 5 of the FIPS Code for the county     |
| cription | within the submitting State where the FCR case is         |
|          | managed. Refer to the Department of Commerce FIPS Code    |
|          | Manual, *National Institute of Standards and Technology   |
|          | FIPS PUB 6-4 titled Counties and Equivalent Entities of   |
|          | the United States, Its Possessions, and Associated        |
|          | Areas*, for a list of these codes. FIPS Codes may also be |
|          | found on the Internet at                                  |
|          | [http://www.itl.nist.gov](http://www.itl.nist.gov/)       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FIRST NAME **or** FIRST NAME TEXT                         |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Required for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A' or 'L'                                  |
|          |                                                           |
|          | Optional for the following input record:                  |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'C'                                         |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[No imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This is the first name of the person who is being added   |
| cription | to or changed on the FCR, or who is the subject of a      |
|          | request for Locate. The person's First Name and Last Name |
|          | must be present when changing the person's SSN on the FCR |
|          | or adding an Additional SSN for the person.               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FOREIGN COUNTRY CODE                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | The two-digit alphabetic FIPS Code for a foreign country  |
|          | or spaces                                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the alphabetic FIPS Code of the foreign country   |
| cription | for a person or the person's employer in the format       |
|          | designated by the Address Format Indicator. Refer to      |
|          | Returned Address for examples of the formats.             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FOREIGN COUNTRY NAME                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 25                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, hyphen (-), or spaces           |
+----------+-----------------------------------------------------------+
| Des      | This is the name of the foreign country for a person or   |
| cription | the person's employer in the format designated by the     |
|          | Address Format Indicator. Refer to Returned Address for   |
|          | examples of the formats.                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FPLS NAME SENT/MATCHED INDICATOR                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- First Name, Middle Name, Last Name                   |
|          |                                                           |
|          | 2 -- Additional First Name 1, Additional Middle Name 1,   |
|          | Additional Last Name 1                                    |
|          |                                                           |
|          | 3 -- Additional First Name 2, Additional Middle Name 2,   |
|          | Additional Last Name 2                                    |
|          |                                                           |
|          | Space -- The Name or Additional Names did not match the   |
|          | name on the Locate source, or information is not          |
|          | available. (Only for Locate Response Codes '06', '10' and |
|          | '39'.)                                                    |
+----------+-----------------------------------------------------------+
| Des      | This code indicates which name was sent to the external   |
| cription | Locate source and whether a match was found.              |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | FPLS RESPONSE RECORDS                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Response Trailer Record                           |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the number of FPLS Locate Response Records        |
| cription | returned in the batch from the FCR.                       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | HEALTH INSURANCE BENEFIT INDICATOR                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | F -- Family                                               |
|          |                                                           |
|          | I -- Individual                                           |
|          |                                                           |
|          | Space -- Not available                                    |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the type of health insurance coverage |
| cription | held by an FBI or NSA employee.                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | HI OPTION CODE                                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | C -- None (Cessation of disability)                       |
|          |                                                           |
|          | D -- None (Coverage Denied)                               |
|          |                                                           |
|          | E -- Yes (Automatic; no premium necessary)                |
|          |                                                           |
|          | F -- None (Invalid enrollment terminated)                 |
|          |                                                           |
|          | G -- Yes (Good cause)                                     |
|          |                                                           |
|          | H -- None (Not eligible or did not enroll)                |
|          |                                                           |
|          | N -- Obsolete                                             |
|          |                                                           |
|          | P -- Railroad Board has jurisdiction                      |
|          |                                                           |
|          | R -- None (Refused coverage)                              |
|          |                                                           |
|          | S -- None (No longer under renal disease provision)       |
|          |                                                           |
|          | T -- None (Terminated for nonpayment of premiums)         |
|          |                                                           |
|          | W -- None (Withdrawal)                                    |
|          |                                                           |
|          | X -- None (Title II termination)                          |
|          |                                                           |
|          | Y -- Supplemental insurance (Part B) is payable           |
|          |                                                           |
|          | Space -- Not applicable                                   |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's Health Insurance (HI)  |
| cription | Option code.                                              |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | HI START DATE                                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | This is a valid date in CCYYMM format, or spaces.         |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
| Des      | The date that the Title II beneficiary became eligible    |
| cription | for health insurance (HI).                                |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | HI STOP DATE                                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | This is a valid date in CCYYMM format, or spaces.         |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
| Des      | The date that the Title II beneficiary's health insurance |
| cription | (HI) benefits ended.                                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURANCE CLAIM BENEFICIARY INDICATOR                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Y -- Yes, a beneficiary is associated with this insurance |
|          | claim.                                                    |
|          |                                                           |
|          | N -- No, a beneficiary is not associated with this        |
|          | insurance claim.                                          |
+----------+-----------------------------------------------------------+
| Des      | An indicator specifying whether a beneficiary is          |
| cription | associated with this claim.                               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURANCE CLAIM PAYOUT FREQUENCY CODE                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- One-Time                                             |
|          |                                                           |
|          | 2 -- Weekly                                               |
|          |                                                           |
|          | 3 -- Bi-Weekly                                            |
|          |                                                           |
|          | 4 -- Monthly                                              |
|          |                                                           |
|          | 5 -- Quarterly                                            |
|          |                                                           |
|          | 6 -- Annually                                             |
|          |                                                           |
|          | 7 -- Other                                                |
+----------+-----------------------------------------------------------+
| Des      | A code that is associated with the frequency of the       |
| cription | insurer claim payout.                                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURANCE CLAIM REPORTED DATE                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | CCYYMMDD                                                  |
+----------+-----------------------------------------------------------+
| Des      | The date the claim was reported by the claimant to the    |
| cription | insurer.                                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURANCE CLAIM STATUS CODE                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 -- Matched claim open at the time of the match by the   |
|          | Insurance Matcher.                                        |
|          |                                                           |
|          | 1 -- Matched claim closed at the time of the match by the |
|          | Insurance Matcher.                                        |
|          |                                                           |
|          | 9 -- The Insurer did not report the status of the matched |
|          | claim.                                                    |
+----------+-----------------------------------------------------------+
| Des      | The status of the claim.                                  |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURANCE CLAIM STATE CODE                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Standard State abbreviation value set                     |
+----------+-----------------------------------------------------------+
| Des      | The alphabetic code for the State in which the insurance  |
| cription | loss occurred.                                            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURANCE PRODUCT CLAIM TYPE                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Mandatory for the following output record:                |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 00 -- Life                                                |
|          |                                                           |
|          | 01 -- Automobile                                          |
|          |                                                           |
|          | 02 -- Automobile -- No Fault                              |
|          |                                                           |
|          | 03 -- Automobile -- Medical                               |
|          |                                                           |
|          | 04 -- Property Liability                                  |
|          |                                                           |
|          | 05 -- Workers' Compensation                               |
|          |                                                           |
|          | 06 -- Personal Injury                                     |
|          |                                                           |
|          | 07 -- General Liability                                   |
|          |                                                           |
|          | 08 -- Homeowners Liability                                |
|          |                                                           |
|          | 09 -- Medical Premise/Owners Policy                       |
|          |                                                           |
|          | 10 -- Product Liability                                   |
|          |                                                           |
|          | 11 -- Slip, Trip and Fall                                 |
|          |                                                           |
|          | 12 -- Other                                               |
|          |                                                           |
|          | 13 -- Unknown                                             |
+----------+-----------------------------------------------------------+
| Des      | The type of claim matched by the Insurance Matcher        |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURER ADDRESS STATE CODE                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Standard State abbreviation value set                     |
+----------+-----------------------------------------------------------+
| Des      | The State code for the insurer's contact.                 |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURER ADDRESS STREET 1 TEXT                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, hyphen (-) or spaces            |
+----------+-----------------------------------------------------------+
| Des      | The first line of the street address of the insurer's     |
| cription | contact.                                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURER ADDRESS STREET 2 TEXT                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, hyphen (-) or spaces            |
+----------+-----------------------------------------------------------+
| Des      | This is the second line of the street address of the      |
| cription | insurer's contact.                                        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURER ADDRESS CITY NAME                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | -   30                                                    |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, hyphen (-) or spaces            |
+----------+-----------------------------------------------------------+
| Des      | The city name of the insurer's contact.                   |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURANCE CLAIM LOSS DATE                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format                           |
+----------+-----------------------------------------------------------+
| Des      | The date of the insurance claim loss by the claimant.     |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURER CLAIM NUMBER                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9                                  |
+----------+-----------------------------------------------------------+
| Des      | The insurance claim number.                               |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURER CONTACT EMAIL TEXT                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, period (.) or @                 |
+----------+-----------------------------------------------------------+
| Des      | The e-mail address of the insurer's contact.              |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURER CONTACT FAX NUMBER                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 10                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This field is the fax number for the insurer's contact.   |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURER CONTACT FIRST NAME                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 20                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | The first 20 characters of the first name of the          |
| cription | insurer's contact.                                        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURER CONTACT LAST NAME                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | The first 30 characters of the last name of the insurer's |
| cription | contact.                                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURER CONTACT PHONE EXTENSION NUMBER                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | The phone number extension of the insurer's contact.      |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURER CONTACT PHONE NUMBER                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 10                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | The phone number of the insurer's contact.                |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURER NAME                                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 45                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Variable, A through Z, 0 through 9, or spaces             |
+----------+-----------------------------------------------------------+
| Des      | The name of the insurer where the insurance claim is      |
| cription | maintained, and to whom the State is directed to send the |
|          | insurance intercept request for processing.               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURER PROVIDED SSN                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998, or all spaces                |
+----------+-----------------------------------------------------------+
| Des      | The SSN provided by the insurer.                          |
| cription |                                                           |
|          | If the SSN is different from the SSN populated in the     |
|          | Obligor SSN field, this data is populated on the output   |
|          | record.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURER RESPONSE DATE                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Mandatory for the following output record:                |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format                           |
+----------+-----------------------------------------------------------+
| Des      | The date that the insurer record was created or updated   |
| cription | by the insurer.                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | INSURER IDENTIFIER                                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000000 through 999999999                               |
+----------+-----------------------------------------------------------+
| Des      | The valid nine-digit Taxpayer Identification Number       |
| cription | assigned to the insurer. This identifier is also known as |
|          | the Federal Employer Identification Number (FEIN).        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | IRS-1099                                                  |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request with Action Type Code |
|          |     'A', 'C' or 'L'                                       |
|          |                                                           |
|          | Conditionally required for the following input record:    |
|          |                                                           |
|          | -   FCR Input Person/Locate Request with Action Type Code |
|          |     'T'                                                   |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Y -- Send a request for Locate to IRS-1009                |
|          |                                                           |
|          | Space -- Do not send a request for Locate to IRS-1099     |
+----------+-----------------------------------------------------------+
| Des      | An indicator used to request the IRS-1099 as an external  |
| cription | Locate source.                                            |
|          |                                                           |
|          | **Note:** In order to receive IRS information, submitters |
|          | must have an agreement on file with OCSE that they will   |
|          | adhere to IRS requirements for the security and use of    |
|          | the 1099 data. IRS regulations require that 1099 data not |
|          | be combined with any other Locate Response information.   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | IRS-1099 RECORDS                                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Response Trailer Record                           |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the number of IRS-1099 Locate Response Records    |
| cription | returned in the FCR Locate Response Batch.                |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | IRS 2^nd^ NAME RETURNED                                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 62                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-), or spaces                        |
+----------+-----------------------------------------------------------+
| Des      | This is the name of the person subject to the Locate as   |
| cription | found on the IRS joint tax return. The format varies as   |
|          | indicated by the IRS 2^nd^ Name Returned Format           |
|          | Indicator.                                                |
|          |                                                           |
|          | -   Free Format: Name returned, format unknown (62).      |
|          |                                                           |
|          | -   Fixed Format, single name: First Name (16), Middle    |
|          |     Name (16), Last Name + Suffix (30).                   |
|          |                                                           |
|          | -   Free Format, joint name: First Name + Middle Initial  |
|          |     & First Name + Middle Initial (32), Last Name +       |
|          |     Suffix (30). Example: Joe E. & Mary Smith.            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | IRS 2^nd^ NAME RETURNED FORMAT INDICATOR                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 -- No Name                                              |
|          |                                                           |
|          | 1 -- Name in Free Format                                  |
|          |                                                           |
|          | 2 -- Fixed format, single name                            |
|          |                                                           |
|          | 3 -- Free format, joint name                              |
|          |                                                           |
|          | Space -- Locate Source does not have the SSN on file      |
+----------+-----------------------------------------------------------+
| Des      | This is the format of the IRS 2^nd^ Name Returned.        |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | IRS NAME CONTROL                                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-), or spaces                        |
+----------+-----------------------------------------------------------+
| Des      | This is the first six (6) positions of the name returned  |
| cription | by the IRS for a Locate search.                           |
|          |                                                           |
|          | If the information is not available, this field contains  |
|          | spaces.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | IRS-U SSN                                                 |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Conditionally required for the following input record:    |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A' or 'L'                                  |
|          |                                                           |
|          | Optional for the following input record:                  |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'C'                                         |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999999 or all spaces                 |
+----------+-----------------------------------------------------------+
| Des      | This is the SSN of a spouse of the person being submitted |
| cription | to the FCR. This information is provided for a person     |
|          | when a submitter wants the IRS‑U process to provide an    |
|          | SSN for that person, and the spouse whose SSN is entered  |
|          | is the custodial parent. This information is used to      |
|          | identify the SSN but is not stored in the FCR.            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | IW001 WARNING CODE COUNT                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Reconciliation/Data Inconsistency File Trailer    |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the total number of records on the FCR Data       |
| cription | Inconsistency File that contained warning code **IW001**  |
|          | -- The Participant Type is 'PF' and the Order Indicator   |
|          | is 'Y'.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | IW002 WARNING CODE COUNT                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Reconciliation/Data Inconsistency File Trailer    |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the total number of records on the FCR Data       |
| cription | Inconsistency File that contained warning code **IW002**  |
|          | -- The Participant Type is 'CP', 'NP' or 'PF' and the     |
|          | participant age is less than 11 years.                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | IW003 WARNING CODE COUNT                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Reconciliation/Data Inconsistency File Trailer    |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the total number of records on the FCR Data       |
| cription | Inconsistency File that contained warning code **IW003**  |
|          | -- The Sex Code is not 'F' or 'M'.                        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | IW004 WARNING CODE COUNT                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Reconciliation/Data Inconsistency File Trailer    |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the total number of records on the FCR Data       |
| cription | Inconsistency File that contained warning code **IW004**  |
|          | -- The Participant Type is 'PF' and the Sex Code is 'F'.  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | LAF CODE                                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | This field contains a value for the Ledger Account File   |
|          | Code (LAF), which reflects the MBR (Master Beneficiary    |
|          | Record (Title II)), payment status for this beneficiary.  |
|          | LAF values are:                                           |
|          |                                                           |
|          | A -- Withdrawal for adjustment                            |
|          |                                                           |
|          | AA -- Adjusted to split PICs (Payment Identification      |
|          | Code) in advance file status                              |
|          |                                                           |
|          | AC -- PIA (Primary Insurance Amount) Correction           |
|          |                                                           |
|          | AD -- Adjusted for dual entitlement                       |
|          |                                                           |
|          | AE -- Withdrawn for recomputation under Section 142       |
|          | (Japanese internment credits)                             |
|          |                                                           |
|          | AF -- Transferred to another program service center or    |
|          | OIO (Office of International Operations). This code is no |
|          | longer valid since the implementation of the national     |
|          | MBR. Adjusted to cancel worker's compensation offset.     |
|          |                                                           |
|          | AJ -- Worker's compensation offset/public disability      |
|          | benefits cancelled                                        |
|          |                                                           |
|          | AM -- Withdrawn from HIB (Health Insurance Benefits)-only |
|          | status                                                    |
|          |                                                           |
|          | AP -- Withdrawn for change of PIC or post-entitlement     |
|          | action adjusted simultaneous entitlement                  |
|          |                                                           |
|          | AR -- Withdrawal of a beneficiary from LAF-S or T to      |
|          | place in current payment status                           |
|          |                                                           |
|          | AS -- Adjusted for simultaneous entitlement               |
|          |                                                           |
|          | AW -- Withdrawn to impose worker's compensation           |
|          | offset/public disability benefits                         |
|          |                                                           |
|          | A& -- Withdrawn from suspense or deferred status to be    |
|          | placed in current payment status                          |
|          |                                                           |
|          | A -- Withdrawn from current payment status to be placed   |
|          | in suspense or deferred status                            |
|          |                                                           |
|          | A0 -- Withdrawn to adjust reduction factor                |
|          |                                                           |
|          | A1 -- Withdrawn for recomputation under Section 229       |
|          | (non-contributory military credits after 1956)            |
|          |                                                           |
|          | A2 -- Withdrawn for 1965 or 1968 recomputation            |
|          |                                                           |
|          | A3 -- Withdrawn for recomputation under Sections 217 and  |
|          | 229 (non-contributory military credits before and after   |
|          | 1956)                                                     |
|          |                                                           |
|          | A4 -- Withdrawn for disability offset recomputation       |
|          |                                                           |
|          | A5 -- Withdrawn for recomputation not separately defined  |
|          |                                                           |
|          | A6 -- Withdrawn to recalculate PIA to include disability  |
|          | freeze                                                    |
|          |                                                           |
|          | A7 -- Withdrawn for recomputation under Section           |
|          | 217(non-contributory military credits before 1957)        |
|          |                                                           |
|          | A8 -- Record transferred from OIO to another program      |
|          | service center. This code is no longer valid since the    |
|          | implementation of the national MBR.                       |
|          |                                                           |
|          | A9 -- Withdrawn for adjustment action not separately      |
|          | defined                                                   |
|          |                                                           |
|          | B -- Abatement status                                     |
|          |                                                           |
|          | C -- Current payment status (except railroad payment)     |
|          |                                                           |
|          | D -- Deferred payment status                              |
|          |                                                           |
|          | DP -- Deferred because of Public Assistance               |
|          |                                                           |
|          | DW -- Deferred for Worker's Compensation/public           |
|          | disability benefit offset                                 |
|          |                                                           |
|          | D1 -- Deferred for Foreign work test                      |
|          |                                                           |
|          | D2 -- Deferred for annual retirement test                 |
|          |                                                           |
|          | D3 -- Deferred as an auxiliary because the primary        |
|          | beneficiary is LAF-D2                                     |
|          |                                                           |
|          | D4 -- Deferred for no child-in-care                       |
|          |                                                           |
|          | D5 -- Deferred as an auxiliary because the primary        |
|          | beneficiary is in LAF-D1                                  |
|          |                                                           |
|          | D6 -- Deferred to recover overpayments not separately     |
|          | defined                                                   |
|          |                                                           |
|          | D9 -- Deferred for reasons not separately defined         |
|          |                                                           |
|          | E -- Current payment certified to Railroad Retirement     |
|          | Board (RRB)                                               |
|          |                                                           |
|          | F -- Advanced filing for current payment through RRB      |
|          |                                                           |
|          | J -- Advance file current pay case                        |
|          |                                                           |
|          | K -- Advanced filing for deferred payment                 |
|          |                                                           |
|          | L -- Advanced filing for conditional payment              |
|          |                                                           |
|          | N -- Disallowed claim                                     |
|          |                                                           |
|          | ND -- Denied claim                                        |
|          |                                                           |
|          | P -- Delayed claim (adjudication pending)                 |
|          |                                                           |
|          | PB -- Delayed claim (beneficiary's claim not finally      |
|          | adjudicated)                                              |
|          |                                                           |
|          | PF -- Used with delayed claims to indicate the            |
|          | beneficiary is to be placed in conditional payment status |
|          | (LAF S) upon final adjudication. The second position      |
|          | character (subscript) has the same meaning as the         |
|          | subscript for S LAF.                                      |
|          |                                                           |
|          | PH -- Used with delayed claims to indicate the            |
|          | beneficiary is to be placed in conditional payment status |
|          | (LAF S) upon final adjudication. The second position      |
|          | character (subscript) has the same meaning as the         |
|          | subscript for S LAF.                                      |
|          |                                                           |
|          | PJ -- Used with delayed claims to indicate the            |
|          | beneficiary is to be placed in conditional payment status |
|          | (LAF S) upon final adjudication. The second position      |
|          | character (subscript) has the same meaning as the         |
|          | subscript for S LAF.                                      |
|          |                                                           |
|          | PK -- Used with delayed claims to indicate the            |
|          | beneficiary is to be placed in conditional payment status |
|          | (LAF S) upon final adjudication. The second position      |
|          | character (subscript) has the same meaning as the         |
|          | subscript for S LAF.                                      |
|          |                                                           |
|          | PL -- Used with delayed claims to indicate the            |
|          | beneficiary is to be placed in conditional payment status |
|          | (LAF S) upon final adjudication. The second position      |
|          | character (subscript) has the same meaning as the         |
|          | subscript for S LAF.                                      |
|          |                                                           |
|          | PM -- Used with delayed claims to indicate the            |
|          | beneficiary is to be placed in conditional payment status |
|          | (LAF S) upon final adjudication. The second position      |
|          | character (subscript) has the same meaning as the         |
|          | subscript for S LAF.                                      |
|          |                                                           |
|          | PP -- Used with delayed claims to indicate the            |
|          | beneficiary is to be placed in conditional payment status |
|          | (LAF S) upon final adjudication. The second position      |
|          | character (subscript) has the same meaning as the         |
|          | subscript for S LAF.                                      |
|          |                                                           |
|          | PT -- Claim has been terminated from delayed claims       |
|          | status                                                    |
|          |                                                           |
|          | PW -- Used with delayed claims to indicate the            |
|          | beneficiary is to be placed in conditional payment status |
|          | (LAF S) upon final adjudication. The second position      |
|          | character (subscript) has the same meaning as the         |
|          | subscript for S LAF.                                      |
|          |                                                           |
|          | P0-P9 -- Used with delayed claims to indicate the         |
|          | beneficiary is to be placed in conditional payment status |
|          | (LAF S) upon final adjudication. The second position      |
|          | character (subscript) has the same meaning as the         |
|          | subscript for S LAF.                                      |
|          |                                                           |
|          | R -- Kill Credit                                          |
|          |                                                           |
|          | Sx -- Conditional/Suspended statuses                      |
|          |                                                           |
|          | SB -- Benefits due but not paid (less than \$1.00)        |
|          |                                                           |
|          | SD -- Technical Dual Entitlement, either the beneficiary  |
|          | is entitled on another claim, or the disability family    |
|          | maximum provision has reduced the MBA to zero             |
|          |                                                           |
|          | SF -- Prouty beneficiary fails to meet residency          |
|          | requirement                                               |
|          |                                                           |
|          | SH -- Prouty beneficiary receiving government pension     |
|          |                                                           |
|          | SJ -- Alien suspension                                    |
|          |                                                           |
|          | SK -- Deportation                                         |
|          |                                                           |
|          | SL -- Beneficiary is in a barred payment country          |
|          |                                                           |
|          | SM -- Refused old age insurance benefits to get           |
|          | Medicare-only coverage (prior to 01/1981)                 |
|          |                                                           |
|          | SP -- Prouty beneficiary receiving public assistance      |
|          |                                                           |
|          | SS -- Nonpayment to post secondary students during summer |
|          | months                                                    |
|          |                                                           |
|          | SW -- Worker's Compensation/public disability benefit     |
|          | offset                                                    |
|          |                                                           |
|          | S0 -- Pending determination of continuing disability      |
|          |                                                           |
|          | S1 -- Beneficiary worked outside the United States        |
|          |                                                           |
|          | S2 -- Beneficiary worked inside the United States         |
|          |                                                           |
|          | S3 -- Suspended because the primary beneficiary worked in |
|          | the U.S.                                                  |
|          |                                                           |
|          | S4 -- Failed to have child-in-care                        |
|          |                                                           |
|          | S5 -- Primary beneficiary worked outside the United       |
|          | States                                                    |
|          |                                                           |
|          | S6 -- Development of a better (correct) address for mail  |
|          | or direct deposit, as appropriate                         |
|          |                                                           |
|          | S7 -- Prisoner suspension, suspension due to extended     |
|          | trial work period (EPE SGA); or suspension for refusing   |
|          | vocational rehabilitation (VR) services                   |
|          |                                                           |
|          | S8 -- Payee is being determined                           |
|          |                                                           |
|          | S9 -- Miscellaneous suspension                            |
|          |                                                           |
|          | TX -- Terminated status                                   |
|          |                                                           |
|          | TA -- Advance filing claim terminated before maturity     |
|          |                                                           |
|          | TB -- Mother/father benefits terminated because           |
|          | beneficiary is entitled to disabled widow(er)'s benefits  |
|          |                                                           |
|          | TC -- Disabled widow attained age 62 and is not entitled  |
|          | as an aged widow                                          |
|          |                                                           |
|          | TJ -- Advance filed claim terminated after maturity       |
|          |                                                           |
|          | TL -- Termination of post-secondary student               |
|          |                                                           |
|          | TP -- Terminated for change of payment identification     |
|          | code (PIC) on post-entitlement actions                    |
|          |                                                           |
|          | TX -- DIB (Disability Insurance Benefit) attained age 65  |
|          | (also used for auxiliary beneficiaries)                   |
|          |                                                           |
|          | T& -- Claim was withdrawn                                 |
|          |                                                           |
|          | T- -- Disability benefits terminated because of           |
|          | conversion to retirement benefits upon attainment of age  |
|          | 65                                                        |
|          |                                                           |
|          | T0 -- Benefits payable by some other agency               |
|          |                                                           |
|          | T1 -- Death of beneficiary                                |
|          |                                                           |
|          | T2 -- Dependent terminated due to death of primary        |
|          | beneficiary                                               |
|          |                                                           |
|          | T3 -- Beneficiary divorce, marriage or remarried          |
|          |                                                           |
|          | T4 -- Child beneficiary terminated because of attainment  |
|          | of age 18 or 19 and not disabled; mother/father           |
|          | terminated based on last child's attainment of age 16     |
|          |                                                           |
|          | T5 -- Entitled to other benefits                          |
|          |                                                           |
|          | T6 -- Child beneficiary is no longer attending school on  |
|          | full-time basis and is between ages 18 and 19, or a       |
|          | disabled child is no longer under a disability.           |
|          | Termination of a mother/father because of death or        |
|          | marriage of the last remaining child entitled to receive  |
|          | benefits                                                  |
|          |                                                           |
|          | T7 -- Child terminated because of adoption, mother/father |
|          | terminated because last entitled child adopted            |
|          |                                                           |
|          | T8 -- Primary Disability Insurance Benefit (DIB) no       |
|          | longer disabled; mother/father terminated because child   |
|          | no longer disabled                                        |
|          |                                                           |
|          | T9 -- Terminated for reasons not separately defined       |
|          |                                                           |
|          | U -- Active uninsured status                              |
|          |                                                           |
|          | W -- Withdrawal before entitlement                        |
|          |                                                           |
|          | Xx -- Adjusted/suspended/terminated/uninsured status      |
|          |                                                           |
|          | XD -- Withdrawal for adjustment                           |
|          |                                                           |
|          | XF -- Entitlement transferred to another program service  |
|          | center or OIO (Office of International Operations)        |
|          |                                                           |
|          | XK -- Beneficiary deported                                |
|          |                                                           |
|          | X+ -- SMI withdrawn; beneficiary entitled only to SMI     |
|          |                                                           |
|          | X0 -- Claim transferred to RRB (Railroad Retirement       |
|          | Board)                                                    |
|          |                                                           |
|          | X1 -- Death of beneficiary                                |
|          |                                                           |
|          | X5 -- Entitled to other benefits                          |
|          |                                                           |
|          | X7 -- Health insurance benefits (HIB)/Supplemental        |
|          | Medical Insurance Benefits (SMIB) terminated              |
|          |                                                           |
|          | X8 -- Payee being developed                               |
|          |                                                           |
|          | X9 -- Entitlement has been interrupted for reasons not    |
|          | separately defined                                        |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's Ledger Account File    |
| cription | Code.                                                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | LAST NAME **or** LAST NAME TEXT                           |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Required for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A' or 'L'                                  |
|          |                                                           |
|          | Optional for the following input record:                  |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'C'                                         |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-), or spaces \[No imbedded spaces   |
|          | or special characters other than hyphen (-)\]             |
+----------+-----------------------------------------------------------+
| Des      | This is the last name of the person who is being added    |
| cription | to, or changed on, the FCR, or who is the subject of a    |
|          | request for Locate. The person's First Name and Last Name |
|          | must be present when changing the person's SSN on the FCR |
|          | or adding an Additional SSN for the person.               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | LOCATE CLOSED INDICATOR                                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
|          |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | C -- This is the last Locate Response for this person for |
|          | this requestor.                                           |
|          |                                                           |
|          | Space -- This is not the last Locate Response for this    |
|          | person for this requestor.                                |
+----------+-----------------------------------------------------------+
| Des      | This code indicates if this Locate response is the last   |
| cription | response for this Locate Request.                         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | LOCATE REQUEST TYPE                                       |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Required for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'L' or 'T'                                  |
|          |                                                           |
|          | Optional for the following input record:                  |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A' or 'C'                                  |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | Required for the following output record:                 |
|          |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | AD -- Request for Adoption or Foster Care purposes        |
|          |                                                           |
|          | CS -- Request for IV-D purposes                           |
|          |                                                           |
|          | CV -- Request for Custody and Visitation Establishment or |
|          | Enforcement Purposes                                      |
|          |                                                           |
|          | LC -- Request for Locate Only for Child Support purposes  |
|          |                                                           |
|          | PK -- Request for Parental Kidnapping purposes            |
|          |                                                           |
|          | Spaces -- Information Not Available                       |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the purpose for the Locate Request.   |
| cription | This code determines the information that can be returned |
|          | to the submitter from the NDNH and the FPLS external      |
|          | Locate sources. Refer to Chart 6-14, "Types of Locate     |
|          | Requests" for an explanation of the authorization         |
|          | required for each Locate Request Type and the information |
|          | available.                                                |
|          |                                                           |
|          | If the response is due to a Proactive Match, this field   |
|          | contains spaces.                                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | LOCATE RESPONSE CODE                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 02 -- Beneficiary or person deceased (FBI, NSA or SSA)    |
|          |                                                           |
|          | 03 -- Beneficiary suspended (SSA)                         |
|          |                                                           |
|          | 05 -- SSN identified, no IRS address (IRS)                |
|          |                                                           |
|          | 06 -- FCR Case Type changed from IV-D to Non IV-D, IV-D   |
|          | case was closed, or person was deleted while Locate       |
|          | Request was pending: no information returned (All Locate  |
|          | Sources except Title II Pending Claim)                    |
|          |                                                           |
|          | 08 -- The submitted SSN for SVES Locate could not be      |
|          | verified by SVES (SVES). This Locate Response Code is not |
|          | returned to the Submitter and is an internal FCR code.    |
|          |                                                           |
|          | 09 -- The source's database is off-line or in maintenance |
|          | status and is not accessible (SVES)                       |
|          |                                                           |
|          | 10 -- Locate source does not have the SSN on file (All    |
|          | Locate Sources except Title II Pending Claim)             |
|          |                                                           |
|          | 12 -- Submitted name does not agree with Locate source    |
|          | name (DoD, DVA, FBI, IRS, NSA or SSA)                     |
|          |                                                           |
|          | 19 -- Address not on the SSA automated system (SSA)       |
|          |                                                           |
|          | 22 -- Good SSN, no record of earnings (SSA)               |
|          |                                                           |
|          | 28 -- Address not available from Locate Source (DoD, SSA, |
|          | FBI)                                                      |
|          |                                                           |
|          | 30 -- SSN matched, no address returned (DoD, FBI, NDNH)   |
|          |                                                           |
|          | 39 -- Disclosure prohibited, person associated with       |
|          | family violence (All Locate Sources except Title II       |
|          | Pending Claim. The Locate Response Code 39 is not         |
|          | returned to submitter for a Title II Pending Claim)       |
|          |                                                           |
|          | 40 -- SSN Identified, address provided (IRS)              |
|          |                                                           |
|          | 46 -- SSN matched, Locate Source name different from      |
|          | submitted name (NDNH)                                     |
|          |                                                           |
|          | 47 -- SSN matched, Locate Source name incomplete or       |
|          | missing (NDNH)                                            |
|          |                                                           |
|          | Space -- Address returned to State (All Locate Sources).  |
|          | On the Title II Pending Claim Response the Locate         |
|          | Response Code field contains spaces.                      |
+----------+-----------------------------------------------------------+
| Des      | A code that further clarifies the responses received from |
| cription | the Locate source.                                        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | LOCATE SOURCE 1 **through** LOCATE SOURCE 8               |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Conditionally required for the following input record:    |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'L' or 'T'                                  |
|          |                                                           |
|          | Optional for the following input record:                  |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A' or 'C'                                  |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 3                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | ALL -- Send search request to all available Locate        |
|          | sources (Does not Include IRS-1099)                       |
|          |                                                           |
|          | A01 -- Send a search request to the DoD. This code also   |
|          | sends a search request to the OPM                         |
|          |                                                           |
|          | A02 -- Send a search request to the FBI for their         |
|          | employees                                                 |
|          |                                                           |
|          | A03 -- Send a search request to NSA                       |
|          |                                                           |
|          | C01 -- Send a search request to the IRS (non-1099)        |
|          |                                                           |
|          | E01 -- Send a search request to the SSA                   |
|          |                                                           |
|          | F01 -- Send a search request to the DVA                   |
|          |                                                           |
|          | H01 -- Request a search of the NDNH                       |
|          |                                                           |
|          | Spaces -- Information not available                       |
+----------+-----------------------------------------------------------+
| Des      | A code that indicates the sources to be searched for a    |
| cription | request for Locate. The Locate Source codes must be       |
|          | entered consecutively (for example, Locate Source 2 must  |
|          | contain an entry if Locate Source 3 contains an entry.)   |
|          | The Locate Source Codes do not need to be entered in the  |
|          | alphanumeric sequence shown above.                        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | LOCATE SOURCE RESPONSE AGENCY CODE                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 3                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A01 -- Response from DoD                                  |
|          |                                                           |
|          | A02 -- Response from FBI                                  |
|          |                                                           |
|          | A03 -- Response from NSA                                  |
|          |                                                           |
|          | C01 -- Response from IRS                                  |
|          |                                                           |
|          | E01 -- Response from SSA                                  |
|          |                                                           |
|          | E04 -- FCR Title II Pending Claim Response Record         |
|          |                                                           |
|          | E05 -- FCR SVES Title II Locate Response Record           |
|          |                                                           |
|          | E06 -- FCR SVES Title XVI Locate Response Record          |
|          |                                                           |
|          | E07 -- FCR SVES Prisoner Locate Response Record           |
|          |                                                           |
|          | E10 -- FCR SVES Not Found Response Record                 |
|          |                                                           |
|          | F01 -- Response from DVA                                  |
|          |                                                           |
|          | H01 -- Response from NDNH -- NDNH data not available      |
|          | (Only for NDNH Match Type 'L' when the Locate Response    |
|          | Code equals '06', '10' or '39')                           |
|          |                                                           |
|          | H97 -- Response from NDNH UI                              |
|          |                                                           |
|          | H98 -- Response from NDNH QW                              |
|          |                                                           |
|          | H99 -- Response from NDNH W-4                             |
+----------+-----------------------------------------------------------+
| Des      | A code that indicates the source of the Locate            |
| cription | information returned in the Locate Response Record.       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | LOCATE SOURCE SPECIFIC INFORMATION                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 220                                                       |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, hyphen (-), or spaces           |
+----------+-----------------------------------------------------------+
| Des      | A field that contains subset fields of specific           |
| cription | information received from the Locate sources. The format  |
|          | of this field varies by each specific Locate source as    |
|          | indicated by the Locate Source Response Agency Code.      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MATCHED CASE ID                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or special characters           |
+----------+-----------------------------------------------------------+
| Des      | The State Case ID on the FCR for the matched record.      |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MATCHED CASE ORDER INDICATOR                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Y -- The State system has a record of the existence of a  |
|          | support order for a child, or a parent with whom the      |
|          | child is living, that is applicable to this case          |
|          |                                                           |
|          | N -- The State system has no record of the existence of   |
|          | support order applicable to this case                     |
|          |                                                           |
|          | Space -- If Action Type Code = 'D'                        |
+----------+-----------------------------------------------------------+
| Des      | This is the Order Indicator on the FCR for the matched    |
| cription | record.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MATCHED CASE STATE/TERRITORY CODE                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | The numeric FIPS State or territory code                  |
+----------+-----------------------------------------------------------+
| Des      | This is the two-position numeric FIPS Code for the State  |
| cription | or territory on the matched record.                       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MATCHED CASE TYPE                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | F -- IV-D Case                                            |
|          |                                                           |
|          | N -- Non IV-D Case                                        |
|          |                                                           |
|          | Space -- If Action Type Code = 'D'                        |
+----------+-----------------------------------------------------------+
| Des      | This is the Case Type of the matched case on the FCR.     |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MATCHED FCR CASE REGISTRATION DATE                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format                           |
+----------+-----------------------------------------------------------+
| Des      | This is the date that the matched record was added to the |
| cription | FCR.                                                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MATCHED FCR FIPS COUNTY CODE                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 3                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A numeric FIPS County Code or spaces                      |
+----------+-----------------------------------------------------------+
| Des      | This is the FIPS County Code on the FCR for the matched   |
| cription | record.                                                   |
|          |                                                           |
|          | For the FCR Query response when the FIPS County Code is   |
|          | not present on the FCR for the person, this field         |
|          | contains spaces.                                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MATCHED MEMBER ID                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces \[not all spaces\]    |
+----------+-----------------------------------------------------------+
| Des      | This is the State Member ID of the person matched on the  |
| cription | FCR.                                                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MATCHED PARTICIPANT TYPE                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | CH -- Child                                               |
|          |                                                           |
|          | CP -- Custodial Party                                     |
|          |                                                           |
|          | NP -- Non-custodial Parent                                |
|          |                                                           |
|          | PF -- Putative Father                                     |
|          |                                                           |
|          | Spaces -- If Action Type Code = 'D'                       |
+----------+-----------------------------------------------------------+
| Des      | This is the Participant Type of the person matched on the |
| cription | FCR.                                                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MATCHED PERSON ADDITIONAL FIRST NAME 1 **through\         |
|          | **MATCHED PERSON ADDITIONAL FIRST NAME 4                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[No imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This is an Additional First Name recorded on the FCR for  |
| cription | the matched person.                                       |
|          |                                                           |
|          | If an Additional First Name is not present on the FCR for |
|          | the matched person, this field contains spaces.           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MATCHED PERSON ADDITIONAL LAST NAME 1 **through\          |
|          | **MATCHED PERSON ADDITIONAL LAST NAME 4                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-) or spaces \[No imbedded spaces or |
|          | special characters other than hyphen (-)\]                |
+----------+-----------------------------------------------------------+
| Des      | This is an additional Last Name recorded on the FCR for   |
| cription | the matched person.                                       |
|          |                                                           |
|          | If an Additional Last Name is not present on the FCR for  |
|          | the matched person, this field contains spaces.           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MATCHED PERSON ADDITIONAL MIDDLE NAME 1 **through\        |
|          | **MATCHED PERSON ADDITIONAL MIDDLE NAME 4                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z or spaces \[No imbedded spaces or special     |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This is an Additional Middle Name recorded on the FCR for |
| cription | the matched person.                                       |
|          |                                                           |
|          | If Additional Middle Name is not present on the FCR for   |
|          | the matched person, this field contains spaces.           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MATCH TYPE CODE                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | N -- Title II Pending Claim-to-FCR proactive response for |
|          | new information that is added to the Title II Pending     |
|          | Claim File.                                               |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the action that initiated the         |
| cription | generation of the Title II Pending Claim-to- FCR          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MATCHED PERSON DATE OF DEATH                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date                                              |
|          |                                                           |
|          | 99999999 -- SSA removed an erroneous date of death        |
|          |                                                           |
|          | Spaces -- A valid date of death is not applicable to the  |
|          | matched person or a valid date of death is not available. |
+----------+-----------------------------------------------------------+
| Des      | This is the date of death, in CCYYMMDD format, for the    |
| cription | person matched in the FCR.                                |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MBC AMOUNT 1 **through** MBC AMOUNT 8                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric in COBOL format 9999V99                           |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's first through eighth   |
| cription | Monthly Benefit Credited (MBC) amounts. The monthly Title |
|          | II benefit is due after any appropriate dollar rounding   |
|          | but prior to the actual collection of any obligation of   |
|          | the beneficiary. This amount may appear after an          |
|          | individual dies. States must check the LAF CODE and MBC   |
|          | TYPE to determine if payment was issued.                  |
|          |                                                           |
|          | If not applicable, this field is spaces.                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MBC DATE 1 **through** MBC DATE 8                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMM format, or spaces. If this field   |
|          | does not have a properly-formatted valid date, it         |
|          | contains spaces.                                          |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's first through eighth   |
| cription | Monthly Benefit Credited (MBC) dates. The MBC Amount is   |
|          | paid in the month after this date.                        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MBC NUMBER OF ENTRIES                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 0 through 8                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's number of MBC amount,  |
| cription | date, and type fields.                                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MBC TYPE 1 **through** MBC TYPE 8                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | C -- Benefits Paid (Credited)                             |
|          |                                                           |
|          | E -- Benefits not paid (not credited), due to             |
|          | delayed/pending or suspense                               |
|          |                                                           |
|          | N -- Benefits not Paid (not credited)                     |
|          |                                                           |
|          | Space -- Benefits not paid (not credited) or not          |
|          | applicable                                                |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's first through eighth   |
| cription | Monthly Benefit Credited (MBC) benefit type.              |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MEMBER ID                                                 |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Required for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A', 'C' or 'D'                             |
|          |                                                           |
|          | Optional for the following input record:                  |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'L'                                         |
|          |                                                           |
|          | Conditionally required for the following input record:    |
|          |                                                           |
|          | -   FCR Input Query Record                                |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR Data Inconsistency File Record                    |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
|          |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Query Acknowledgement/Error Record                |
|          |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, special characters, or spaces   |
+----------+-----------------------------------------------------------+
| Des      | This is the submitter's unique identifier for a person    |
| cription | who is a participant in a case that is present on or is   |
|          | being added to the FCR, or who is the subject of a Locate |
|          | Request.                                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MIDDLE NAME **or** MIDDLE NAME TEXT                       |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A', 'C' or 'L'                             |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[No imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This is the middle name of the person who is being added  |
| cription | to, or changed on, the FCR or the subject of a request    |
|          | for Locate.                                               |
|          |                                                           |
|          | If the Middle Name is present, First and Last Name must   |
|          | be present also.                                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MOTHER'S FIRST NAME                                       |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A', 'C' or 'L'                             |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z or spaces \[No imbedded spaces or special     |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This is the given name of the mother of the person being  |
| cription | submitted to the FCR. This information is provided for a  |
|          | person when a submitter wants SSA to provide an SSN for   |
|          | that person. This information is used to identify the SSN |
|          | but is not stored in the FCR.                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MOTHER'S MAIDEN NAME                                      |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A', 'C' or 'L'                             |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error/      |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-), or spaces \[No imbedded spaces   |
|          | or special characters other than hyphen (-)\]             |
+----------+-----------------------------------------------------------+
| Des      | This is the maiden name of the mother of the person being |
| cription | submitted to the FCR. This information is provided for a  |
|          | person when a submitter wants SSA to provide an SSN for   |
|          | that person. This information is used to identify the SSN |
|          | but is not stored in the FCR.                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MOTHER'S MIDDLE INITIAL                                   |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A', 'C' or 'L'                             |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   Person/Locate Request Acknowledgement/Error Record    |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or space \[No special characters\]           |
+----------+-----------------------------------------------------------+
| Des      | This is the middle initial of the mother of the person    |
| cription | being submitted to the FCR. This information is provided  |
|          | for a person when a submitter wants SSA to provide an SSN |
|          | for that person. This information is used to identify the |
|          | SSN but is not stored in the FCR.                         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI ACCOUNT BALANCE                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 7                                                         |
+----------+-----------------------------------------------------------+
| Format   | Signed numeric                                            |
+----------+-----------------------------------------------------------+
| Values   | 0000000 through 9999999                                   |
+----------+-----------------------------------------------------------+
| Des      | This is the whole dollar balance or value of the matched  |
| cription | MSFI account. The account balance may be a negative       |
|          | amount. The last position of the field is signed.         |
|          | Brokerage firms reporting margin accounts may report the  |
|          | balance as either the value of the payee's equity         |
|          | position or the value of the account less any borrowed    |
|          | amount. Zeros indicate the account was closed or the MSFI |
|          | elected not to provide the balance of the account. The    |
|          | MSFI Account Balance Indicator is '0' if the MSFI elected |
|          | not to provide the balance of the account.                |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI ACCOUNT BALANCE INDICATOR                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 -- The account balance was not provided by the MSFI     |
|          |                                                           |
|          | 1 -- The average account balance was provided (whether    |
|          | daily, monthly, etc.)                                     |
|          |                                                           |
|          | 2 -- The account balance provided was as of the day of    |
|          | the MSFIDM                                                |
+----------+-----------------------------------------------------------+
| Des      | This code defines the content of the MSFI Account Balance |
| cription | Field as it was provided by the MSFI.                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI ACCOUNT FULL LEGAL TITLE                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 100                                                       |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, special characters, or spaces   |
+----------+-----------------------------------------------------------+
| Des      | This is the full title associated with the payee's        |
| cription | account matched by the MSFI. The MSFI may provide this    |
|          | information for trust accounts or accounts with other     |
|          | legal titles (i.e., Law Office of...) to assist in the    |
|          | processing of lien/levy requests. This field may include  |
|          | special characters (hyphen) or imbedded spaces.           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI ACCOUNT TYPE                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 00 -- Not Applicable                                      |
|          |                                                           |
|          | 01 -- Savings Account                                     |
|          |                                                           |
|          | 04 -- Checking Demand Deposit Account                     |
|          |                                                           |
|          | 05 -- Term Deposit Certificate                            |
|          |                                                           |
|          | 06 -- Collateral account                                  |
|          |                                                           |
|          | 11 -- Money Market Account                                |
|          |                                                           |
|          | 12 -- IRA/Keogh Account                                   |
|          |                                                           |
|          | 14 -- ERISA Plan Account                                  |
|          |                                                           |
|          | 16 -- Cash Balances                                       |
|          |                                                           |
|          | 17 -- Compound Account, includes investment accounts      |
|          | where portions of the balance are in differing funds --   |
|          | stocks, money market funds, bonds, etc.                   |
|          |                                                           |
|          | 18 -- Other                                               |
+----------+-----------------------------------------------------------+
| Des      | This code defines the type of account that was matched by |
| cription | the MSFI.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI ADDRESS SCRUB INDICATOR 1                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following record:                        |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | GA -- Good address                                        |
+----------+-----------------------------------------------------------+
| Des      | This code describes the status of the edited address.     |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI ADDRESS SCRUB INDICATOR 2 **through\                 |
|          | **MSFI ADDRESS SCRUB INDICATOR 3                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following record:                        |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Spaces                                                    |
+----------+-----------------------------------------------------------+
| Des      | This is reserved for future use.                          |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI CITY                                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 29                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[not all spaces\]                 |
+----------+-----------------------------------------------------------+
| Des      | This is the city where the MSFI has requested the States  |
| cription | to direct the request for liens/levies for MSFIDM         |
|          | responses. This field may include imbedded blanks.        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI FOREIGN COUNTRY INDICATOR                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- The address of the MSFI is in a foreign country      |
|          |                                                           |
|          | Space -- The address of the MSFI is in the U.S.           |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the MSFI address is in a foreign      |
| cription | country.                                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI MATCHED ACCOUNT 2^ND^ PAYEE SSN                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998 or spaces                     |
+----------+-----------------------------------------------------------+
| Des      | This is the SSN of a secondary account holder on the MSFI |
| cription | matched account.                                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI MATCHED ACCOUNT FOREIGN COUNTRY INDICATOR            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- The address of the payee is in a foreign country     |
|          |                                                           |
|          | Space -- The address of the payee is in the U.S.          |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the payee address is in a foreign     |
| cription | country.                                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI MATCHED ACCOUNT LOCATION STATE CODE                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | A through Z                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the valid two position State code for the State   |
| cription | where the matched MSFI account resides or was originally  |
|          | opened. The State where the account is located can be     |
|          | used to identify the State or States authorized to submit |
|          | lien/levy requests to the MSFI.                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI MATCHED ACCOUNT NAME                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, special characters, or spaces \[not all      |
|          | spaces\]                                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the payee's name on the matched MSFI account. The |
| cription | MSFI Payee Indicator indicates if the name in this field  |
|          | is the primary account owner or a secondary account       |
|          | owner. The name is returned in the format stored by the   |
|          | MSFI for the account (e.g., last name and first name, or, |
|          | first name, middle initial, and last name). The field may |
|          | include special characters (comma, dash, etc.) or         |
|          | imbedded spaces.                                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI MATCHED ACCOUNT PAYEE ADDRESS SCRUB INDICATOR 1      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | BA -- Bad address: FINALIST determined it to be an        |
|          | undeliverable address                                     |
|          |                                                           |
|          | CH -- Changed address: The address was corrected and is   |
|          | considered by FINALIST to be deliverable                  |
|          |                                                           |
|          | EA -- Empty address: No address is present in record. The |
|          | address was not provided by the MSFI.                     |
|          |                                                           |
|          | FA -- Foreign Address: There is a value in the foreign    |
|          | count code that is other than spaces or 'US'              |
|          |                                                           |
|          | GA -- Good address: FINALIST has determined it to be a    |
|          | deliverable address                                       |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the general status of the edited      |
| cription | address.                                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI MATCHED ACCOUNT PAYEE ADDRESS SCRUB INDICATOR 2      |
|          | **through** MSFI MATCHED ACCOUNT PAYEE ADDRESS SCRUB      |
|          | INDICATOR 3                                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following record:                     |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | BR -- Bad range: House number is out of range for that    |
|          | street                                                    |
|          |                                                           |
|          | BU -- Bad unit number: The unit number in a               |
|          | multi-dwelling unit has a non-standard format, is out of  |
|          | range or is missing. In PO Box addresses the box number   |
|          | does not match the Zip+4 code. Standardization was        |
|          | attempted.                                                |
|          |                                                           |
|          | BX -- Missing State code or missing both State code and   |
|          | Zip Code: Assigning State or Zip Code was attempted       |
|          |                                                           |
|          | CA -- Correction of a misspelled or non-standard street   |
|          | name was attempted                                        |
|          |                                                           |
|          | CC -- Correction of a misspelled or non-standard city     |
|          | name was attempted                                        |
|          |                                                           |
|          | CZ -- Correction of Zip Code was attempted                |
|          |                                                           |
|          | MA -- Mismatched address: Street name is not found in     |
|          | city (the address may be deliverable because some         |
|          | addresses do not require a street name)                   |
|          |                                                           |
|          | MX -- Mismatched State and Zip code: Correction of the    |
|          | Zip Code was attempted                                    |
|          |                                                           |
|          | NC -- Non-determined city name: Correction of the city    |
|          | name was attempted                                        |
|          |                                                           |
|          | NZ -- Non-determined Zip Code                             |
|          |                                                           |
|          | Spaces -- MSFI Matched Account Payee Address Scrub        |
|          | Indicator 1 contains 'EA', 'FA' or 'GA'                   |
+----------+-----------------------------------------------------------+
| Des      | This code gives further detail on the status of the       |
| cription | edited address. Also refer to Section 10.1.4, "Address    |
|          | Editing of MSFIDM Responses".                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI MATCHED ACCOUNT PAYEE CITY                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 29                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces                       |
+----------+-----------------------------------------------------------+
| Des      | This is the city of a payee's address on the matched MSFI |
| cription | account. This field may include imbedded spaces.          |
|          |                                                           |
|          | If the MSFI has the address of the MSFI Matched SSN, it   |
|          | is in this field.                                         |
|          |                                                           |
|          | If the MSFI does not have the address of the MSFI Matched |
|          | SSN, it may return the address of the other account       |
|          | owner.                                                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI MATCHED ACCOUNT PAYEE DATE OF BIRTH                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format or zeros                  |
+----------+-----------------------------------------------------------+
| Des      | The date of birth of the MSFI matched account owner. All  |
| cription | zeros indicate that a date of birth was not provided by   |
|          | the MSFI.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI MATCHED ACCOUNT PAYEE STATE                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the two position State code of a payee's address  |
| cription | on the matched MSFI account. If the MSFI has the address  |
|          | of the MSFI Matched SSN, it is in this field.             |
|          |                                                           |
|          | If the MSFI does not have the address of the MSFI Matched |
|          | SSN, it may return the address of the other account       |
|          | owner.                                                    |
|          |                                                           |
|          | If the MSFI Matched Account Foreign Country Indicator is  |
|          | a space, the MSFI Matched Account Payee State is in the   |
|          | United States. If the MSFI Matched Account Foreign        |
|          | Country Indicator is a '1', the MSFI Matched Account      |
|          | Payee State is in a foreign country.                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI MATCHED ACCOUNT PAYEE STREET ADDRESS                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, special characters, or spaces   |
+----------+-----------------------------------------------------------+
| Des      | This is the payee's street address on the matched MSFI    |
| cription | account. The field may include special characters or      |
|          | imbedded spaces.                                          |
|          |                                                           |
|          | If the MSFI has the address of the MSFI Matched SSN, it   |
|          | is in this field.                                         |
|          |                                                           |
|          | If the MSFI does not have the address of the MSFI Matched |
|          | SSN, it may return the address of the other account       |
|          | owner.                                                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI MATCHED ACCOUNT PAYEE ZIP CODE                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the Zip Code of a payee on the matched MSFI       |
| cription | account. The Zip Code is broken into two parts. The first |
|          | five positions contain the high-level postal Zip Code.    |
|          | The last four positions further define the postal         |
|          | location. The last four positions may be spaces.          |
|          |                                                           |
|          | If the MSFI has the address of the MSFI Matched SSN, it   |
|          | is in this field.                                         |
|          |                                                           |
|          | If the MSFI does not have the address of the MSFI Matched |
|          | SSN, it may return the address of the other account       |
|          | owner.                                                    |
|          |                                                           |
|          | If a '1' is present in the MSFI Foreign Country           |
|          | Indicator, the Zip Code may include alphabetic            |
|          | characters.                                               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI MATCHED ACCOUNT PRIMARY SSN                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998 or spaces                     |
+----------+-----------------------------------------------------------+
| Des      | This is the SSN of the primary owner of the MSFI matched  |
| cription | account if the primary owner is not the MSFI Matched SSN  |
|          | and the information is provided by the MSFI.              |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI MATCHED ACCOUNT STATUS INDICATOR                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 0 -- Matched account open at the time of the MSFI match   |
|          |                                                           |
|          | 1 -- Matched account closed at the time of the MSFI match |
|          |                                                           |
|          | 2 -- Matched account inactive at the time of the MSFI     |
|          | match                                                     |
|          |                                                           |
|          | 9 -- MSFI did not report the status of the matched        |
|          | account                                                   |
+----------+-----------------------------------------------------------+
| Des      | This code describes the status of the payee's account.    |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI MATCHED SSN                                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998                               |
+----------+-----------------------------------------------------------+
| Des      | This is the SSN from the Federal Offset File that was     |
| cription | sent to the MSFI and matched to a payee account on the    |
|          | MSFI Database.                                            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI MATCH YEAR/MONTH                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMM format                             |
+----------+-----------------------------------------------------------+
| Des      | The century, year and month the quarterly MSFIDM Inquiry  |
| cription | File was generated for the MSFI.                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI NAME                                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, special characters, or spaces   |
|          | \[not all spaces\]                                        |
+----------+-----------------------------------------------------------+
| Des      | This is the name of the institution where the account     |
| cription | resides for the MSFI responding to the MSFIDM. The name   |
|          | is used by the States to direct the request for           |
|          | liens/levies for MSFIDM responses. This field may include |
|          | special characters (hyphen) or imbedded spaces.           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI NAME MATCH FLAG                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 -- The MSFI was unable or elected not to match to the   |
|          | payee's last name                                         |
|          |                                                           |
|          | 1 -- The first four positions of the matched account's    |
|          | payee last name matched the first four positions of the   |
|          | last name on the MSFIDM Inquiry File                      |
|          |                                                           |
|          | 2 -- The first four positions of the matched account's    |
|          | payee last name did not match to the first four positions |
|          | of the last name on the MSFIDM Inquiry File               |
+----------+-----------------------------------------------------------+
| Des      | This code indicates if in addition to the SSN match the   |
| cription | MSFI successfully matched the first four positions of the |
|          | last name from the Inquiry File to the matched account on |
|          | the MSFI Database.                                        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI OTHER PAYEE ACCOUNT NAME                             |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, special characters, or spaces                |
+----------+-----------------------------------------------------------+
| Des      | This is the name of a secondary or other payee associated |
| cription | with a matched MSFI account if the MSFI Matched SSN is    |
|          | the primary account owner. This field may include special |
|          | characters (comma, dash, etc.) or imbedded spaces.        |
|          |                                                           |
|          | If the MSFI Matched SSN is not the primary account owner, |
|          | this field may contain the name of the primary account    |
|          | owner. The name is returned in the format stored by the   |
|          | MSFI for the account (e.g., last name and first name, or, |
|          | first name, middle initial and last name).                |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI PAYEE ACCOUNT NUMBER                                 |
+----------+-----------------------------------------------------------+
| Type     | Output field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 20                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, special characters, or spaces   |
|          | \[not all spaces\]                                        |
+----------+-----------------------------------------------------------+
| Des      | This is the unique number assigned to the payee's account |
| cription | by the MSFI. This field may include special characters    |
|          | (hyphens) or imbedded spaces.                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI PAYEE INDICATOR                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 -- The SSN matched the account owner who is the sole    |
|          | owner of the account                                      |
|          |                                                           |
|          | 1 -- The SSN matched the secondary account owner          |
|          |                                                           |
|          | 2 -- The SSN matched the primary account owner and there  |
|          | is a secondary owner(s) on the account                    |
+----------+-----------------------------------------------------------+
| Des      | This code defines the SSN's ownership on the account      |
| cription | matched by the MSFI.                                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI PAYEE LAST NAME CONTROL                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 4                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the first four positions of the MSFI account      |
| cription | holder's name that the MSFI compared to the name          |
|          | submitted on the MSFIDM Inquiry File.                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI SECOND FINANCIAL INSTITUTION NAME                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, special characters, or spaces   |
+----------+-----------------------------------------------------------+
| Des      | This is the name or company designation that is used to   |
| cription | indicate a location to which to route requests should be  |
|          | sent.                                                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI STATE                                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | A valid alphabetic FIPS State code                        |
+----------+-----------------------------------------------------------+
| Des      | This is the State where the MSFI has requested the States |
| cription | to direct the request for liens/levies for MSFIDM         |
|          | responses.                                                |
|          |                                                           |
|          | If the MSFI Foreign Country Indicator is a space, the     |
|          | State entered is in the United States.                    |
|          |                                                           |
|          | If the MSFI Foreign Country Indicator is a '1', the State |
|          | entered is in a foreign country.                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI STREET ADDRESS                                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, special characters, or spaces   |
|          | \[not all spaces\]                                        |
+----------+-----------------------------------------------------------+
| Des      | This is the street address where the MSFI has requested   |
| cription | the States to direct the request for liens/levies for     |
|          | MSFIDM data matches. This field may include special       |
|          | characters (hyphens) or imbedded spaces.                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI TIN                                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999999                               |
+----------+-----------------------------------------------------------+
| Des      | This is the Federal Tax Identification Number for the     |
| cription | Multistate Financial Institution where the account        |
|          | resides.                                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI TRUST FUND INDICATOR                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 -- Not a registered trust/escrow account or the account |
|          | is closed                                                 |
|          |                                                           |
|          | 1 -- UTMA/UGMA Account                                    |
|          |                                                           |
|          | 2 -- IOLTA Account                                        |
|          |                                                           |
|          | 3 -- Mortgage Escrow Account                              |
|          |                                                           |
|          | 4 -- Security Deposits (including Real Estate)            |
|          |                                                           |
|          | 5 -- Other Trust/Escrow                                   |
|          |                                                           |
|          | 6 -- Information not available                            |
+----------+-----------------------------------------------------------+
| Des      | This code indicates if the MSFI matched account is a      |
| cription | registered escrow or trust account.                       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFI ZIP CODE                                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces \[not all spaces\]    |
+----------+-----------------------------------------------------------+
| Des      | This is the Zip Code where the MSFI has requested the     |
| cription | States to direct the request for liens/levies for MSFIDM  |
|          | data matches. The Zip Code is broken into two parts. The  |
|          | first five positions contain the high level postal Zip    |
|          | Code, and the last four positions further define the      |
|          | postal location. The last four positions may be spaces.   |
|          |                                                           |
|          | If a '1' is present in the MSFI Foreign Country           |
|          | Indicator, the Zip Code may include alphabetic            |
|          | characters.                                               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFIDM RESPONSE DATE                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR MSFIDM Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format                           |
+----------+-----------------------------------------------------------+
| Des      | This is the century, year, month and day that the FCR     |
| cription | MSFIDM Response Record was created for a MSFI's quarterly |
|          | match to the Federal Offset File.                         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MSFIDM RESPONSE RECORDS                                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Response Trailer Record                           |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | The total number of MSFIDM Locate Response Records        |
| cription | returned in the batch from the FCR.                       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MULTIPLE SSN                                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998 (not all sixes)               |
|          |                                                           |
|          | Spaces -- The original SSN was used for this Locate       |
|          | Request.                                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the multiple SSN, as provided by the FCR, which   |
| cription | was used for this Locate Request.                         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MULTIPLE SSN INDICATOR                                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | M -- Additional/multiple SSN                              |
|          |                                                           |
|          | X -- Multiple SSN from a corrected SSN                    |
|          |                                                           |
|          | Space -- The original SSN was used for this search        |
+----------+-----------------------------------------------------------+
| Des      | This code indicates if a multiple SSN was used for this   |
| cription | Locate Request.                                           |
|          |                                                           |
|          | If this field is an 'M' or 'X', the SSN that was used in  |
|          | the match is in the Multiple SSN field.                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | MULTIPLE SSN 1 through MULTIPLE SSN 3                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998 or all spaces \[not all       |
|          | sixes\]                                                   |
+----------+-----------------------------------------------------------+
| Des      | This is the additional valid SSN that SSA's records have  |
| cription | associated with the person. The FCR will accept and store |
|          | from the SSA process up to three additional valid SSNs    |
|          | for a person. Spaces will indicate that valid multiple    |
|          | SSNs were not found for the person.                       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | NAME MATCHED CODE                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- First letter of First Name, first four letters of    |
|          | Last Name                                                 |
|          |                                                           |
|          | 2 -- First letter of Additional First Name 1, first four  |
|          | letters of Additional Last Name 1                         |
|          |                                                           |
|          | 3 -- First letter of Additional First Name 2, first four  |
|          | letters of Additional Last Name 2                         |
|          |                                                           |
|          | Space -- The Name or Additional Names did not match the   |
|          | name on the Title II Pending Claim record                 |
+----------+-----------------------------------------------------------+
| Des      | This code indicates which FCR name matched the Title II   |
| cription | Pending Claim record's name.                              |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | NAME RETURNED                                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 62                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-), or spaces \[No imbedded spaces   |
|          | or special characters other than hyphen (-)\]             |
+----------+-----------------------------------------------------------+
| Des      | This is the name that was returned by the Locate source.  |
| cription | The format varies as denoted by the Name Returned         |
|          | Indicator. The formats are:                               |
|          |                                                           |
|          | -   Free format: 62 positions for any name or names       |
|          |                                                           |
|          | -   Fixed format, single name: 16 position first name, 16 |
|          |     position middle name, 30 position last name and       |
|          |     suffix                                                |
|          |                                                           |
|          | -   Free format, joint name: 32-position first name,      |
|          |     middle initial & first name, middle initial, 30       |
|          |     position last name and suffix. Example: Joe E. & Mary |
|          |     Smith.                                                |
|          |                                                           |
|          | If the Locate Response Code is '06' or '10', this field   |
|          | contains spaces.                                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | NAME RETURNED INDICATOR                                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 -- No name returned                                     |
|          |                                                           |
|          | 1 -- Free format name, arrangement of name fields unknown |
|          |                                                           |
|          | 2 -- Fixed format name, single name                       |
|          |                                                           |
|          | 3 -- Free format name, joint name (surname appears in     |
|          | fixed location)                                           |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the format of the Name Returned       |
| cription | Field.                                                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | NCP DEATH INDICATOR                                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | N -- NCP is not deceased.                                 |
|          |                                                           |
|          | Y -- NCP is deceased.                                     |
+----------+-----------------------------------------------------------+
| Des      | This field, supplied by DMDC, contains a value that shows |
| cription | if DMDC records indicate that the NCP is deceased.        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | NCP FIRST NAME                                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[no imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This field contains the first name of the NCP that was    |
| cription | provided by the submitter and recorded on the FCR.        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | NCP LAST NAME                                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-), or spaces \[no imbedded spaces   |
|          | or special characters other than a hyphen (-)\]           |
+----------+-----------------------------------------------------------+
| Des      | This field contains the last name of the NCP that was     |
| cription | provided by the submitter and recorded on the FCR.        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | NCP MEDICAL COVERAGE INDICATOR                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | N --The NCP is not in the military as active duty,        |
|          | retiree or special civilian.                              |
|          |                                                           |
|          | Y --The NCP is in the military as active duty, retiree or |
|          | special civilian.                                         |
+----------+-----------------------------------------------------------+
| Des      | This field contains a value that shows if DMDC records    |
| cription | indicate that the NCP has medical coverage.               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | NCP MEMBER ID                                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces \[not all spaces\]    |
+----------+-----------------------------------------------------------+
| Des      | This field contains the State-assigned Member ID that is  |
| cription | stored on the FCR for the NCP.                            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | NCP MIDDLE NAME                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[no imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This field contains the middle name of the NCP that was   |
| cription | provided by the submitter and recorded on the FCR.        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | NCP SSN                                                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998 or all spaces \[not all       |
|          | sixes\]                                                   |
+----------+-----------------------------------------------------------+
| Des      | This field contains the SSN that is stored on the FCR as  |
| cription | the Non Custodial Parent's primary SSN or a verified      |
|          | multiple SSN.                                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | NCP SSN VERIFIED INDICATOR                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | N -- SSN/Name was unverified                              |
|          |                                                           |
|          | Y -- SSN/Name was verified.                               |
+----------+-----------------------------------------------------------+
| Des      | This field contains a value that identifies if the NCP    |
| cription | SSN was verified or unverified on the FCR.                |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | NDNH MATCH TYPE                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | L -- NDNH Locate Request Response                         |
|          |                                                           |
|          | N -- NDNH-to-FCR Proactive Response for new information   |
|          | added to the NDNH                                         |
|          |                                                           |
|          | P -- FCR-to-NDNH Proactive Response for a new person or a |
|          | change to an existing person on the FCR, or a change in   |
|          | Case Type on the FCR from Non IV-D to IV-D                |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the action that initiated the         |
| cription | generation of the FCR NDNH Locate/Proactive Match         |
|          | Response Record.                                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | NDNH NAME SENT/MATCHED INDICATOR                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- First letter of First Name, first four letters of    |
|          | Last Name                                                 |
|          |                                                           |
|          | 2 -- First letter of Additional First Name 1, first four  |
|          | letters of Additional Last Name 1                         |
|          |                                                           |
|          | 3 -- First letter of Additional First Name 2, first four  |
|          | letters of Additional Last Name 2                         |
|          |                                                           |
|          | 4 -- Name from QW incomplete, or missing name not used in |
|          | the match                                                 |
|          |                                                           |
|          | Space -- The Name or Additional Names did not match the   |
|          | name on an NDNH record                                    |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the name that was sent to the NDNH or |
| cription | the name that matched the NDNH record.                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | NDNH RESPONSE RECORDS                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Response Trailer Record                           |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the total number of NDNH Locate Response Records  |
| cription | returned in the batch from the FCR.                       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | NET MONTHLY TITLE II BENEFIT                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric in COBOL format 9999V99                           |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's net (of all            |
| cription | deductions) monthly benefit.                              |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | NEW MEMBER ID                                             |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'C'                                         |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, special characters, or spaces   |
+----------+-----------------------------------------------------------+
| Des      | This field is used to change the Member ID for a person   |
| cription | who has been added on the FCR. Refer to Member ID for a   |
|          | further explanation of this field.                        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | OBLIGOR MATCH CODE                                        |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   Insurance Match Standard Interface Record             |
|          |                                                           |
|          | Mandatory for the following output record:                |
|          |                                                           |
|          | -   FCR Insurance Match Response Record -- Part 1         |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00 -- Name and Address                                    |
|          |                                                           |
|          | 01 -- Name and DOB                                        |
|          |                                                           |
|          | 02 -- Name and SSN                                        |
|          |                                                           |
|          | 03 -- SSN                                                 |
|          |                                                           |
|          | 04 -- SSN and Address                                     |
|          |                                                           |
|          | 05 -- SSN and DOB                                         |
|          |                                                           |
|          | 06 -- Name, SSN, and Address                              |
|          |                                                           |
|          | 07 -- Name, SSN, and DOB                                  |
|          |                                                           |
|          | 08 -- SSN, Address, and DOB                               |
|          |                                                           |
|          | 09 -- Name, SSN, Address, and DOB                         |
+----------+-----------------------------------------------------------+
| Des      | This code shows the result of the insurer match of the    |
| cription | obligor's identifying information against insurance claim |
|          | data as performed by the Insurance Matcher.               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ORDER INDICATOR                                           |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Required for the following input records:                 |
| ondition |                                                           |
|          | -   FCR Input Case Record with Action Type Code 'A'       |
|          |                                                           |
|          | Optional for the following input record:                  |
|          |                                                           |
|          | -   FCR Input Case Record with Action Type Code 'C'       |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   FCR Case Acknowledgement/Error Record                 |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR Case Reconciliation Record                        |
|          |                                                           |
|          | -   FCR Data Inconsistency File Record                    |
|          |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | N -- The State system has no record of the existence of a |
|          | support order applicable to this case.                    |
|          |                                                           |
|          | Y -- The State system has a record of the existence of a  |
|          | support order for a child, or a parent with whom the      |
|          | child is living, which is applicable to this case.        |
|          |                                                           |
|          | Space -- Information not available                        |
+----------+-----------------------------------------------------------+
| Des      | This code indicates whether there is a known support      |
| cription | order associated with this case.                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | OTHER NAME                                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | The other name that is used by the Title XVI recipient.   |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | OTHER SSN                                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998, or all spaces \[not all      |
|          | sixes\]                                                   |
+----------+-----------------------------------------------------------+
| Des      | This is the additional and/or multiple SSN that is        |
| cription | associated with the person who was submitted to the FCR,  |
|          | and was used in the match process.                        |
|          |                                                           |
|          | If the SSN Match Code is an 'M', this field contains the  |
|          | Additional/Multiple SSN that was used in the match. The   |
|          | SSN in this field is different from the SSN in the SSN    |
|          | field on FCR Title II Pending Claim Response Record.      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PARTICIPANT TYPE **or** PARTICIPANT TYPE CODE             |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Required for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A'                                         |
|          |                                                           |
|          | Optional for the following input record:                  |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'C'                                         |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR Data Inconsistency File Record                    |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
|          |                                                           |
|          | -   FCR SVES Title II Locate Response Record (on          |
|          |     FCR-to-SVES proactive matches)                        |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record (on         |
|          |     FCR-to-SVES proactive matches)                        |
|          |                                                           |
|          | -   FCR SVES Prisoner Locate Response Record (on          |
|          |     FCR-to-SVES proactive matches)                        |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | CH -- Child                                               |
|          |                                                           |
|          | CP -- Custodial Party                                     |
|          |                                                           |
|          | NP -- Non-custodial Parent                                |
|          |                                                           |
|          | PF -- Putative Father (allowed for IV-D cases only)       |
|          |                                                           |
|          | Spaces -- Information Not Available                       |
+----------+-----------------------------------------------------------+
| Des      | This code defines the participant's relationship in the   |
| cription | child support case.                                       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PAYEE ADDRESS SCRUB INDICATOR 1                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following record:                        |
| ondition |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | BA -- Bad address: FINALIST determined it to be an        |
|          | undeliverable address                                     |
|          |                                                           |
|          | CH -- Changed address: The address was corrected and is   |
|          | considered by FINALIST to be deliverable                  |
|          |                                                           |
|          | EA -- Empty address: No address is present in the record. |
|          | The address was not provided by the IRS                   |
|          |                                                           |
|          | GA -- Good address. FINALIST has determined it to be a    |
|          | deliverable address                                       |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the general status of the edited      |
| cription | address.                                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PAYEE ADDRESS SCRUB INDICATOR 2 through\                  |
|          | PAYEE ADDRESS SCRUB INDICATOR 3                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following record:                     |
| ondition |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | BR -- Bad range: House number is out of range for that    |
|          | street                                                    |
|          |                                                           |
|          | BU -- Bad unit number: The unit number in a               |
|          | multi-dwelling unit has a non-standard format, is out of  |
|          | range or is missing. In PO Box addresses, the box number  |
|          | does not match the Zip+4 code. Correction was attempted.  |
|          |                                                           |
|          | BX -- Missing State code, or missing both State code and  |
|          | Zip Code: Assigning State or Zip Code was attempted       |
|          |                                                           |
|          | CA -- Correction of a misspelled or non-standard street   |
|          | name was attempted                                        |
|          |                                                           |
|          | CC -- Correction of a misspelled or non-standard city     |
|          | name was attempted                                        |
|          |                                                           |
|          | CZ -- Correction of Zip Code was attempted                |
|          |                                                           |
|          | MA -- Mismatched address: The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name)                   |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code : Correction of the   |
|          | Zip Code was attempted                                    |
|          |                                                           |
|          | NC -- Non-determined city name: Correction of the city    |
|          | name was attempted                                        |
|          |                                                           |
|          | NZ -- Non-determined Zip Code: Correction of the Zip Code |
|          | was attempted but failed                                  |
|          |                                                           |
|          | Spaces -- Payee Address Scrub Indicator 1 contains 'EA'   |
|          | or 'GA'                                                   |
+----------+-----------------------------------------------------------+
| Des      | This code gives further detail on the status of the       |
| cription | edited address. Also refer to Section 6.7.3.1, "Address   |
|          | Editing of Locate Responses".                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PAYEE COUNTY OF JURISDICTION                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 3                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A three-character FIPS county code, or spaces             |
+----------+-----------------------------------------------------------+
| Des      | This is the Title XVI payee's county of jurisdiction      |
| cription | responsible for payment. The code represents the Title    |
|          | XVI payee's county of residence unless another county has |
|          | jurisdiction.                                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PAYEE DISTRICT OFFICE CODE                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 3                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Alphanumeric characters                                   |
+----------+-----------------------------------------------------------+
| Des      | This is the code for the SSA District Office (DO) that    |
| cription | services the Title XVI recipient's claim.                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PAYEE MAILING ADDRESS CITY                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | This field contains the city that is associated with the  |
|          | payee's mailing address. If not applicable, this field    |
|          | contains spaces.                                          |
+----------+-----------------------------------------------------------+
| Des      | This is the Title XVI payee's city of residence.          |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PAYEE MAILING ADDRESS LINE 1 through\                     |
|          | PAYEE MAILING ADDRESS LINE 3                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Alphanumeric characters                                   |
+----------+-----------------------------------------------------------+
| Des      | This field contains the payee name and mailing address    |
| cription | that appears for the recipient or their representative    |
|          | payee. This field contains the edited street address that |
|          | was supplied by SVES. The three edited street address     |
|          | lines are top justified as follows:                       |
|          |                                                           |
|          | -   Payee name and non-standard address lines (if present |
|          |     in the input address) followed by:                    |
|          |                                                           |
|          | -   The urbanization name for Puerto Rican addresses (if  |
|          |     present in the input address and if requiring URB)    |
|          |     followed by:                                          |
|          |                                                           |
|          | -   The standardized and scrubbed street address line.    |
|          |                                                           |
|          | If no address is being returned, these fields are spaces. |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PAYEE MAILING ADDRESS STATE                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A two-character alphabetic FIPS State code                |
+----------+-----------------------------------------------------------+
| Des      | This field contains the two-character alphabetic FIPS     |
| cription | State code that is associated with the payee's mailing    |
|          | address.                                                  |
|          |                                                           |
|          | If not applicable, this field contains spaces.            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PAYEE STATE OF JURISDICTION                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A two-character FIPS State code, or spaces                |
+----------+-----------------------------------------------------------+
| Des      | This is the Title XVI recipient's State of jurisdiction   |
| cription | responsible for payment. The code represents the Title    |
|          | XVI recipient's State of residence unless another State   |
|          | has jurisdiction.                                         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PAYEE ZIP CODE                                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Nine numeric digits, or five numeric characters followed  |
|          | by spaces                                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the five-character numeric Zip Code that contains |
| cription | the Title XVI recipient's mailing address Zip Code.       |
|          |                                                           |
|          | If available, the last four positions is the Zip Plus     |
|          | Four portion. Otherwise, the last four positions are      |
|          | spaces.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PAYMENT STATUS CODE                                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 3                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | The following descriptions, 'C' through 'T' apply to the  |
|          | first position of the code:                               |
|          |                                                           |
|          | C -- Indicates the recipient is eligible for SSI/State    |
|          | Supplement payments                                       |
|          |                                                           |
|          | E -- Indicates eligibility for Federal and/or State       |
|          | benefits based on the Eligibility computation, but no     |
|          | payment is due based on the Payment computation           |
|          |                                                           |
|          | H -- Indicates a case in "hold" status, final disposition |
|          | is pending                                                |
|          |                                                           |
|          | M -- Indicates a case is under manual control. Case is    |
|          | known as "forced Payment" although payment may not be     |
|          | involved                                                  |
|          |                                                           |
|          | N -- Indicates the applicant is not eligible for          |
|          | SSI/State Supplement payments or that a previously        |
|          | eligible recipient is no longer eligible                  |
|          |                                                           |
|          | P -- Provisional, possible reinstatement (obsolete)       |
|          |                                                           |
|          | S -- Indicates recipient may still be eligible for        |
|          | SSI/State Supplement payments, but payment is being       |
|          | withheld                                                  |
|          |                                                           |
|          | T -- Indicates SSI/State Supplement eligibility is        |
|          | terminated.                                               |
|          |                                                           |
|          | Second and third positions are the reason for the status. |
|          | Specific codes are:                                       |
|          |                                                           |
|          | C01 -- Current Pay                                        |
|          |                                                           |
|          | E01 -- Eligible for Federal and/or State benefits based   |
|          | on the eligibility computation, but no payment is due     |
|          | based on the payment computation                          |
|          |                                                           |
|          | E02 -- First month of eligibility for claims filed on or  |
|          | after 08/22/96. Claimant is eligible for a payment in     |
|          | that month but is *not* due a payment                     |
|          |                                                           |
|          | H10 -- Living arrangement change is in progress           |
|          |                                                           |
|          | H20 -- Marital status change is in progress               |
|          |                                                           |
|          | H30 -- Resource change is in progress                     |
|          |                                                           |
|          | H40 -- Student status change is in progress               |
|          |                                                           |
|          | H50 -- Head of household change is in progress            |
|          |                                                           |
|          | H60 -- Hold pending receipt of date of death              |
|          |                                                           |
|          | H70 -- Hold pending transmission of one-time payment data |
|          |                                                           |
|          | H80 -- Early input                                        |
|          |                                                           |
|          | H90 -- Systems limitation involved. A Social Security     |
|          | District Office (DO) must manually compute and input      |
|          | payment amounts                                           |
|          |                                                           |
|          | M01 -- Force Payment (Recipient may be in payment or      |
|          | non-payment status)                                       |
|          |                                                           |
|          | M02 -- Force Payment (Recipient may be in payment or      |
|          | non-payment status)                                       |
|          |                                                           |
|          | N01 -- Non-pay (Countable income exceeds Title XVI        |
|          | Federal benefit rate)                                     |
|          |                                                           |
|          | N02 -- Non-pay (Recipient is inmate of public             |
|          | institution)                                              |
|          |                                                           |
|          | N03 -- Non-pay (Recipient is outside of the U.S.)         |
|          |                                                           |
|          | N04 -- Non-pay (Recipient's non-excludable resources      |
|          | exceed Title XVI limitations)                             |
|          |                                                           |
|          | N05 -- Non-pay (Unable to determine if eligibility        |
|          | exists)                                                   |
|          |                                                           |
|          | N06 -- Non-pay (Recipient failed to file for other        |
|          | benefits)                                                 |
|          |                                                           |
|          | N07 -- Non-pay (Cessation of the recipient's disability)  |
|          |                                                           |
|          | N08 -- Non-pay (Cessation of the recipient's blindness)   |
|          |                                                           |
|          | N09 -- Non-pay (Recipient refused vocational              |
|          | rehabilitation without good cause)                        |
|          |                                                           |
|          | N10 -- Non-pay (Recipient refused treatment for drug      |
|          | addiction)                                                |
|          |                                                           |
|          | N11 -- Non-pay (Recipient refused treatment for           |
|          | alcoholism)                                               |
|          |                                                           |
|          | N12 -- Non-pay (Recipient voluntarily withdrew from       |
|          | program)                                                  |
|          |                                                           |
|          | N13 -- Non-pay (Not a citizen or an eligible alien)       |
|          |                                                           |
|          | N14 -- Non-pay (Aged claim denied for age)                |
|          |                                                           |
|          | N15 -- Non-pay (Blind claim denied. Applicant not blind)  |
|          |                                                           |
|          | N16 -- Non-pay (Disability claim denied. Applicant not    |
|          | disabled)                                                 |
|          |                                                           |
|          | N17 -- Non-pay (Failure to pursue claim by the applicant) |
|          |                                                           |
|          | N18 -- Non-pay (Failure to cooperate)                     |
|          |                                                           |
|          | N19 -- Non-pay (Recipient has voluntarily terminated      |
|          | participation in the SSI program)                         |
|          |                                                           |
|          | N20 -- Non-pay (Recipient fails to furnish a required     |
|          | report)                                                   |
|          |                                                           |
|          | N22 -- Non-pay (Inmate of a penal institution)            |
|          |                                                           |
|          | N23 -- Non-pay (Not a U.S. resident)                      |
|          |                                                           |
|          | N24 -- Non-pay (Convicted of felony of fraudulently       |
|          | misrepresenting residence in two or more States           |
|          | (effective through 11/99)).Non-pay -- Administrative      |
|          | sanctions penalty imposed because claimant has provided   |
|          | false or misleading Statements to obtain benefits         |
|          | (effective 12/99 until present)                           |
|          |                                                           |
|          | N25 -- Non-pay (Claimant is fleeing to avoid prosecution  |
|          | for, or custody or confinement after conviction for, a    |
|          | crime which is a felony (or in New Jersey a high          |
|          | misdemeanor) under the laws of the place from which       |
|          | he/she flees, or is violating a condition of probation or |
|          | parole imposed under Federal or State law)                |
|          |                                                           |
|          | N27 -- Non-pay (Disability terminated due to a            |
|          | substantial gainful activity)                             |
|          |                                                           |
|          | N30 -- Non-pay (Slight impairment -- medical              |
|          | consideration alone, no visual impairment)                |
|          |                                                           |
|          | N31 -- Non-pay (Capacity for substantial gainful activity |
|          | -- customary past work, no visual impairment)             |
|          |                                                           |
|          | N32 -- Non-pay (Capacity for substantial gainful activity |
|          | -- other work, no visual impairment)                      |
|          |                                                           |
|          | N33 -- Non-pay (Engaging in substantial gainful activity  |
|          | despite impairment, no visual impairment)                 |
|          |                                                           |
|          | N34 -- Non-pay (Before 03/09/91: Impairment no longer     |
|          | severe at time of adjudication and did not last 12        |
|          | months, no visual impairment effective 03/09/91: Child    |
|          | under age 18, impairment(s) disabling for a period of     |
|          | less than 12 months)                                      |
|          |                                                           |
|          | N35 -- Non-pay (Impairment is severe at time of           |
|          | adjudication but not expected to last twelve months, no   |
|          | visual impairment)                                        |
|          |                                                           |
|          | N36 -- Non-pay (Insufficient or no medical data           |
|          | furnished)                                                |
|          |                                                           |
|          | N37 -- Non-pay (Failure or refusal to submit to           |
|          | consultative examination)                                 |
|          |                                                           |
|          | N38 -- Non-pay (Applicant does not want to continue       |
|          | development of the claim)                                 |
|          |                                                           |
|          | N39 -- Non-pay (Applicant willfully fails to follow       |
|          | prescribed treatment)                                     |
|          |                                                           |
|          | N40 -- Non-pay (Impairment(s) does not meet or equal      |
|          | listing (disabled child under age 18 only), no visual     |
|          | impairment)                                               |
|          |                                                           |
|          | N41 -- Non-pay (Slight impairment -- medical condition    |
|          | alone, visual impairment)                                 |
|          |                                                           |
|          | N42 -- Non-pay (Capacity for substantial gainful activity |
|          | -- customary work, visual impairment)                     |
|          |                                                           |
|          | N43 -- Non-pay (Capacity for substantial gainful activity |
|          | other work, visual impairment)                            |
|          |                                                           |
|          | N44 -- Non-pay (Before 03/09/91: Engaging in substantial  |
|          | gainful activity (SGA) despite impairment, visual         |
|          | impairment Effective 03/09/91: Child under 18, impairment |
|          | not severe                                                |
|          |                                                           |
|          | N45 -- Non-pay (Impairment no longer severe at time of    |
|          | adjudication and did not last twelve months, visual       |
|          | impairment or denial of child's claim)                    |
|          |                                                           |
|          | N46 -- Non-pay (Impairment is severe at time of           |
|          | adjudication but not expected to last twelve months,      |
|          | visual impairment)                                        |
|          |                                                           |
|          | N47 -- Non-pay (Insufficient, or no, medical evidence     |
|          | furnished, visual impairment)                             |
|          |                                                           |
|          | N48 -- Non-pay (Failure, or refusal, to submit            |
|          | consultative examination, visual impairment)              |
|          |                                                           |
|          | N49 -- Non-pay (Applicant does not want to continue       |
|          | development of the claim, visual impairment)              |
|          |                                                           |
|          | N50 -- Non-pay (Applicant willfully fails to follow       |
|          | prescribed treatment, visual impairment)                  |
|          |                                                           |
|          | N51 -- Non-pay (Before 03/09/91: Impairment does not meet |
|          | or equal listing (disabled child under age 18 only),      |
|          | visual impairment effective 03/09/91: Child under 18.     |
|          | Individual Functional Assessment (IFA) shows              |
|          | impairment(s) not of comparable severity, visual          |
|          | impairment)                                               |
|          |                                                           |
|          | N52 -- Non-pay (Deleted from the State rolls before 01/73 |
|          | payment)                                                  |
|          |                                                           |
|          | N53 -- Non-pay (Deleted from the State rolls after 01/73  |
|          | payment)                                                  |
|          |                                                           |
|          | N54 -- Non-pay (A Social Security District Office unable  |
|          | to locate applicant)                                      |
|          |                                                           |
|          | N55 -- Impairment due to DAA (non-visual impairment)      |
|          |                                                           |
|          | N56 -- Impairment due to DAA (visual impairment)          |
|          |                                                           |
|          | P01 -- Possible reinstatement pending development by SGA  |
|          | (obsolete)                                                |
|          |                                                           |
|          | S0 -- Suspended (Suspension of payments due to report of  |
|          | death by Treasury, potential automated death case)        |
|          |                                                           |
|          | S01 -- Suspended (Suspension of payments due to report of |
|          | death by Treasury, potential automated death case)        |
|          |                                                           |
|          | S04 -- Suspended (System is awaiting disability           |
|          | determination (system generated)                          |
|          |                                                           |
|          | S05 -- Suspended (Substantial gainful activity decision   |
|          | pending)                                                  |
|          |                                                           |
|          | S06 -- Suspended (Recipient's address unknown)            |
|          |                                                           |
|          | S07 -- Suspended (Returned check for other than death,    |
|          | address, payee change, or death of representative payee)  |
|          |                                                           |
|          | S08 -- Suspended (Representative payee development        |
|          | pending)                                                  |
|          |                                                           |
|          | S09 -- Suspended (Temporary Institutionalized Suspense    |
|          | (system-generated))                                       |
|          |                                                           |
|          | S10 -- Suspended (Recipient has a bank account and        |
|          | refuses to receive payments via direct deposit)           |
|          |                                                           |
|          | S20 -- Suspended (Potential rollback case or disability   |
|          | decision made prior to July 1973)                         |
|          |                                                           |
|          | S21 -- Suspended (The recipient is presumptively disabled |
|          | or blind and has received six months payments             |
|          | (system-generated))                                       |
|          |                                                           |
|          | S90 -- Suspended (PR1 change in process because SSR was   |
|          | established under the incorrect SSN (this condition is    |
|          | extremely rare)                                           |
|          |                                                           |
|          | S91 -- Suspended (PR1 change in process because SSR was   |
|          | established under the incorrect SSN (this condition is    |
|          | extremely rare)                                           |
|          |                                                           |
|          | T01 -- Terminated (Death of the recipient)                |
|          |                                                           |
|          | T20 -- Terminated (received payment under two different   |
|          | account numbers)                                          |
|          |                                                           |
|          | T22 -- Terminated (received payment under two different   |
|          | accounts, Termination resulted from electronic screening) |
|          |                                                           |
|          | T30 -- Terminated (Manual termination (payment previously |
|          | made), change in record composition requires termination  |
|          | of existing record)                                       |
|          |                                                           |
|          | T31 -- Terminated (System-generated termination (payment  |
|          | previously made or refund on record))                     |
|          |                                                           |
|          | T32 -- Terminated (Automated systems termination of a     |
|          | paid record that has exceeded certain size limitation)    |
|          |                                                           |
|          | T33 -- Terminated (Manual termination (through Modernized |
|          | SSI Claims System (MSSICS))                               |
|          |                                                           |
|          | T50 --Terminated (Manual termination (no previous payment |
|          | made))                                                    |
|          |                                                           |
|          | T51 -- Terminated (System-generated termination (no       |
|          | previous payment made))                                   |
|          |                                                           |
|          | \* -- Data transmitted in error                           |
+----------+-----------------------------------------------------------+
| Des      | This is a three-position alphanumeric display comprised   |
| cription | of two elements; the first position of which reflects the |
|          | status of the Title XVI recipient's SSI/State Supplement  |
|          | payment, the second (the second and third positions) of   |
|          | which reflects the reason for the status.                 |
|          |                                                           |
|          | If not applicable, this field contains spaces.            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PAYMENT STATUS DATE                                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMM format, or spaces.                 |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
| Des      | If applicable, this is the date of the last change to the |
| cription | Title XVI recipient's Payment Status Code.                |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PERSON DELETE INDICATOR                                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | C -- Proactive Match initiated when the case for the      |
|          | person was deleted by the matched State                   |
|          |                                                           |
|          | P -- Proactive Match initiated when the person was        |
|          | deleted from the case by the matched State                |
|          |                                                           |
|          | Space -- Proactive Match was not the result of a Case or  |
|          | Person Delete Transaction                                 |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the person was deleted from the FCR   |
| cription | and whether it was a case deletion or a person deletion.  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PERSON/LOCATE RECORDS ACCEPTED                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Response Trailer Record                           |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the number of FCR Person/Locate Request           |
| cription | Acknowledgement/Error Records that are included in the    |
|          | FCR batch response with an Acknowledgement Code of        |
|          | 'AAAAA' for accepted.                                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PERSON/LOCATE RECORDS PENDING                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Response Trailer Record                           |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the number of FCR Case Acknowledgement/Error      |
| cription | Records that are included in the FCR batch response with  |
|          | an Acknowledgement Code of 'HOLDS' to indicate the Person |
|          | Record is pending SSN verification.                       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PERSON/LOCATE RECORDS RECEIVED                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Routine Batch Response Header Record              |
|          |                                                           |
|          | -   FCR Response Trailer Record                           |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the number of FCR Input Person/Locate Request     |
| cription | Records that were submitted to the FCR in the batch.      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PERSON/LOCATE RECORDS REJECTED                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Response Trailer Record                           |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the number of FCR Case Acknowledgement/Error      |
| cription | Records that are included in the FCR batch response with  |
|          | an Acknowledgement Code of 'REJCT' for rejected.          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PERSON RECORDS RETURNED                                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Reconciliation/Data Inconsistency File Trailer    |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This field contains the number of FCR Person              |
| cription | Reconciliation Records (with a Record Identifier of 'RS') |
|          | or the number of FCR Data Inconsistency File Records      |
|          | (Record Identifier of 'RC') that are contained on the     |
|          | file.                                                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PF DEATH INDICATOR                                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | N -- PF is not deceased.                                  |
|          |                                                           |
|          | Y -- PF is deceased                                       |
+----------+-----------------------------------------------------------+
| Des      | This field, supplied by DMDC, contains a value that shows |
| cription | if DMDC records indicate that the PF is deceased.         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PF FIRST NAME                                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[no imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This field contains the first name of the PF that was     |
| cription | provided by the submitter and recorded on the FCR.        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PF LAST NAME                                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-), or spaces \[no imbedded spaces   |
|          | or special characters other than a hyphen (-)\]           |
+----------+-----------------------------------------------------------+
| Des      | This field contains the last name of the PF that was      |
| cription | provided by the submitter and recorded on the FCR.        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PF MEDICAL COVERAGE INDICATOR                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | N --The PF is not in the military as active duty, retiree |
|          | or special civilian.                                      |
|          |                                                           |
|          | Y --The PF is in the military as active duty, retiree or  |
|          | special civilian.                                         |
+----------+-----------------------------------------------------------+
| Des      | This field contains a value that shows if DMDC records    |
| cription | indicate that the PF has medical coverage.                |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PF MEMBER ID                                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces \[not all spaces\]    |
+----------+-----------------------------------------------------------+
| Des      | This field contains the State-assigned Member ID that is  |
| cription | stored on the FCR for the PF.                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PF MIDDLE NAME                                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[no imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This field contains the middle name of the PF that was    |
| cription | provided by the submitter and recorded on the FCR.        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PF SSN                                                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998 or all spaces \[not all       |
|          | sixes\]                                                   |
+----------+-----------------------------------------------------------+
| Des      | This field contains the SSN that is stored on the FCR as  |
| cription | the PF's primary SSN or a verified multiple SSN.          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PF SSN VERIFIED INDICATOR                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | N -- SSN/Name was unverified.                             |
|          |                                                           |
|          | Y -- SSN/Name was verified.                               |
+----------+-----------------------------------------------------------+
| Des      | This field contains a value that identifies if the PF SSN |
| cription | was verified or unverified on the FCR.                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PHIST-NUMBER OF ENTRIES                                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 0 through 8                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the number of occurrences of the Title XVI        |
| cription | recipient's payment history (PHIST). These fields,        |
|          | PHIST-Number Of Entries, PHIST-Payment Date 1 through     |
|          | PHIST-Payment Date 8, and PHIST-Payment Pay Flag 1        |
|          | through PHIST-Payment Pay Flag 8, comprise the Payment    |
|          | History Table.                                            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PHIST-PAYMENT DATE 1 through PHIST-PAYMENT DATE 8         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format, or spaces.               |
+----------+-----------------------------------------------------------+
| Des      | If applicable, this is the first through eighth dates of  |
| cription | payment to, or recovery from, the Title XVI recipient.    |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PHIST-PAYMENT PAY FLAG 1 through\                         |
|          | PHIST-PAYMENT PAY FLAG 8                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 -- No payment made                                      |
|          |                                                           |
|          | 1 -- Recurring payment dated the first of the month       |
|          |                                                           |
|          | 2 -- Regular daily payment (underpayment)                 |
|          |                                                           |
|          | 3 -- Supplemental payment dated the first of the month    |
|          |                                                           |
|          | 4 -- One-time payment                                     |
|          |                                                           |
|          | 5 -- Advance payment or overpayment recovered (amount     |
|          | recovered shown in check amount column)                   |
|          |                                                           |
|          | 6 -- No receipt indicator for recurring payment (overlays |
|          | code '1')                                                 |
|          |                                                           |
|          | 7 -- No receipt indicator for regular daily payment       |
|          | (underpayment) (overlays code '2')                        |
|          |                                                           |
|          | 8 -- No receipt indicator for special supplemental        |
|          | payment (overlays code '3')                               |
|          |                                                           |
|          | 9 -- Replacement check issued as a result of no receipt   |
|          | claim for original check with the same date, and code '6' |
|          | or '8'. For checks issued prior to 11/01/86, both the     |
|          | original check and substitute have been cashed. For       |
|          | checks issued after 11/01/86, both original and           |
|          | substitute checks have been cashed if Pay Flag 3 = spaces |
|          | or 'U'                                                    |
|          |                                                           |
|          | A -- Recurring payment returned by FO and Treasury        |
|          |                                                           |
|          | B -- Regular daily payment (underpayment) returned by FO  |
|          | and Treasury                                              |
|          |                                                           |
|          | C -- Special supplemental payment returned by FO and      |
|          | Treasury                                                  |
|          |                                                           |
|          | D -- OTP returned by FO and Treasury                      |
|          |                                                           |
|          | J -- Recurring payment returned by FO only                |
|          |                                                           |
|          | K -- Regular daily payment (underpayment) returned by FO  |
|          | only                                                      |
|          |                                                           |
|          | L -- Special supplemental payment returned by FO only     |
|          |                                                           |
|          | M -- OTP returned by FO only                              |
|          |                                                           |
|          | S -- Regular daily payment (underpayment) returned by     |
|          | Treasury only                                             |
|          |                                                           |
|          | T -- Special supplemental payment returned by Treasury    |
|          | only                                                      |
|          |                                                           |
|          | U -- OTP returned by Treasury only                        |
|          |                                                           |
|          | V -- Recovery action voided                               |
|          |                                                           |
|          | / -- Recurring payment returned by Treasury only          |
+----------+-----------------------------------------------------------+
| Des      | If applicable, this is the first through ninth payment    |
| cription | codes for the Title XVI recipient.                        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PREVIOUS CASE ID                                          |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Case Record with Action Type Code 'C'       |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR Case Acknowledgement/Error Record                 |
|          |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, special characters, or all      |
|          | spaces                                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the submitter-assigned identifier for the child   |
| cription | support case or Non IV-D order that was originally used   |
|          | to add the case to the FCR. This element is only          |
|          | submitted when the State wants to change the Case ID on   |
|          | the FCR.                                                  |
|          |                                                           |
|          | If present, it must not be all spaces, all zeroes,        |
|          | contain an asterisk or backslash and the first position   |
|          | cannot be a space.                                        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PREVIOUS SSN                                              |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'C'                                         |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998 or all spaces \[not all       |
|          | sixes\]                                                   |
+----------+-----------------------------------------------------------+
| Des      | This field indicates the SSN for the person on the FCR    |
| cription | when submitting a change to the person's SSN. SSN changes |
|          | should be submitted when the original FCR Person/Locate   |
|          | Request Acknowledgement/Error Record for the person was   |
|          | returned with a warning message indicating the SSN was    |
|          | unverified.                                               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON REPORTED DATE OF BIRTH                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format, or spaces.               |
+----------+-----------------------------------------------------------+
| Des      | This is the prisoner's date of birth as reported to SVES  |
| cription | by the prison.                                            |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON REPORTED FIRST NAME                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the first name of the prisoner as reported to     |
| cription | SVES by the prison.                                       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON REPORTED LAST NAME                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 20                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen                                       |
+----------+-----------------------------------------------------------+
| Des      | This is the last name of the prisoner as reported to SVES |
| cription | by the prison.                                            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON REPORTED MIDDLE NAME OR MIDDLE INITIAL             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the middle initial or name of the prisoner as     |
| cription | reported to SVES by the prison.                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON REPORTED SEX CODE                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | F -- Female                                               |
|          |                                                           |
|          | M -- Male                                                 |
|          |                                                           |
|          | U -- Unknown                                              |
+----------+-----------------------------------------------------------+
| Des      | This is the prisoner's gender as reported to SVES by the  |
| cription | prison.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON REPORTED SUFFIX                                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 4                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the suffix name of the prisoner as reported to    |
| cription | SVES by the prison.                                       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON/FACILITY ADDRESS LINE 1                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Valid alphanumeric characters                             |
+----------+-----------------------------------------------------------+
| Des      | This is the first line of the address of the              |
| cription | prison/facility where the prisoner is confined.           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON/FACILITY ADDRESS LINE 2 through\                   |
|          | PRISON/FACILITY ADDRESS LINE 4                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Valid alphanumeric characters, or spaces                  |
+----------+-----------------------------------------------------------+
| Des      | If applicable, these are the additional lines of the      |
| cription | address of the prison/facility where the prisoner is      |
|          | confined.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON/FACILITY ADDRESS SCRUB INDICATOR 1                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | BA -- Bad original address, scrubbing could not correct   |
|          | the address                                               |
|          |                                                           |
|          | CH -- Original address was corrected in the address       |
|          | scrubbing process                                         |
|          |                                                           |
|          | EA -- An address is not included in the response          |
|          |                                                           |
|          | GA -- Original address was correct as provided by the     |
|          | Locate source                                             |
+----------+-----------------------------------------------------------+
| Des      | This is the general status of the prison/facility         |
| cription | address.                                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON/FACILITY ADDRESS SCRUB INDICATOR 2                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | If the prison/facility Address Scrub Indicator 1 is equal |
|          | to 'BA' this field contains one of the following codes:   |
|          |                                                           |
|          | BR -- Bad range: House number is out of range for that    |
|          | street                                                    |
|          |                                                           |
|          | BU -- Bad unit number: The unit number in a               |
|          | multi-dwelling unit has a non-standard format, is out of  |
|          | range or is missing. In PO Box addresses, the box number  |
|          | does not match the Zip+4 code. Correction was attempted.  |
|          |                                                           |
|          | BX -- Missing State code, or missing both State code and  |
|          | Zip Code: Assigning State or Zip Code was attempted       |
|          |                                                           |
|          | CA -- Correction of a misspelled or non-standard street   |
|          | name was attempted                                        |
|          |                                                           |
|          | CC -- Correction of a misspelled or non-standard city     |
|          | name was attempted                                        |
|          |                                                           |
|          | CZ -- Correction of Zip Code was attempted                |
|          |                                                           |
|          | MA -- Mismatched address: The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name)                   |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code: Correction of the    |
|          | Zip Code was attempted                                    |
|          |                                                           |
|          | NC -- Non-determined city name: Correction of the city    |
|          | name was attempted                                        |
|          |                                                           |
|          | NZ -- Non-determined Zip Code: Correction of the Zip Code |
|          | was attempted but failed                                  |
+----------+-----------------------------------------------------------+
| Des      | If the Prison/Facility Address Scrub Indicator 1 is equal |
| cription | to 'EA' or 'GA', this field contains spaces.              |
|          |                                                           |
|          | A second and further description of the results of        |
|          | scrubbing the prison/facility address.                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON/FACILITY ADDRESS SCRUB INDICATOR 3                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | If the Prison/Facility Address Scrub Indicator 1 is 'BA', |
|          | this field contains one of these codes:                   |
|          |                                                           |
|          | BR -- Bad range: House number is out of range for that    |
|          | street                                                    |
|          |                                                           |
|          | BU -- Bad unit number: The unit number in a               |
|          | multi-dwelling unit has a non-standard format, is out of  |
|          | range or is missing. In PO Box addresses, the box number  |
|          | does not match the Zip+4 code. Correction was attempted.  |
|          |                                                           |
|          | BX -- Missing State code, or missing both State code and  |
|          | Zip Code: Assigning State or Zip Code was attempted       |
|          |                                                           |
|          | CA -- Correction of a misspelled or non-standard street   |
|          | name was attempted                                        |
|          |                                                           |
|          | CC -- Correction of a misspelled or non-standard city     |
|          | name was attempted                                        |
|          |                                                           |
|          | CZ -- Correction of Zip Code was attempted                |
|          |                                                           |
|          | MA -- Mismatched address: The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name)                   |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code: Correction of the    |
|          | Zip Code was attempted                                    |
|          |                                                           |
|          | NC -- Non-determined city name: Correction of the city    |
|          | name was attempted                                        |
|          |                                                           |
|          | NZ -- Non-determined Zip Code: Correction of the Zip Code |
|          | was attempted but failed                                  |
|          |                                                           |
|          | Spaces -- No additional errors were detected              |
+----------+-----------------------------------------------------------+
| Des      | If the Prison/Facility Address Scrub Indicator 1 contains |
| cription | 'EA' or 'GA' this field is spaces.                        |
|          |                                                           |
|          | A third and further definition of the results of          |
|          | scrubbing the prison/facility address.                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON/FACILITY CITY                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 19                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Valid alphabetic characters                               |
+----------+-----------------------------------------------------------+
| Des      | This is the city that is associated with the              |
| cription | prison/facility address.                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON/FACILITY CONTACT NAME                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 35                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Alphanumeric characters, or spaces                        |
+----------+-----------------------------------------------------------+
| Des      | This is the name of the contact person for the            |
| cription | prison/facility.                                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON/FACILITY FAX NUMBER                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 10                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the area code and phone number for the            |
| cription | prison/facility FAX machine.                              |
|          |                                                           |
|          | If unavailable, this field contains spaces.               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON/FACILITY NAME                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 60                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Valid alphanumeric characters                             |
+----------+-----------------------------------------------------------+
| Des      | This is the name of the prison/facility where the         |
| cription | prisoner is confined.                                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON/FACILITY PHONE                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 10                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the area code and phone number for the            |
| cription | prison/facility.                                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON/FACILITY STATE                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid two-character FIPS alphabetic code                |
+----------+-----------------------------------------------------------+
| Des      | This is the State that is associated with the             |
| cription | prison/facility address.                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON/FACILITY TYPE                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 01 -- State Prison                                        |
|          |                                                           |
|          | 02 -- County Prison                                       |
|          |                                                           |
|          | 03 -- Federal Correctional Institute                      |
|          |                                                           |
|          | 04 -- Mental Correctional Institute                       |
|          |                                                           |
|          | 05 -- Boot Camp                                           |
|          |                                                           |
|          | 06 -- Medical Correctional Institute                      |
|          |                                                           |
|          | 07 -- Work Camp                                           |
|          |                                                           |
|          | 08 -- Detention Center                                    |
|          |                                                           |
|          | 09 -- Juvenile Detention Center                           |
|          |                                                           |
|          | 10 -- Half-way House                                      |
|          |                                                           |
|          | 11 -- City Prison                                         |
+----------+-----------------------------------------------------------+
| Des      | This is the type of prison or facility where the prisoner |
| cription | is confined.                                              |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISON/FACILITY ZIP CODE                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Numeric, or five numeric characters followed by spaces    |
+----------+-----------------------------------------------------------+
| Des      | This is the Zip Code that is associated with the          |
| cription | prison/facility address. A five-character numeric Zip     |
|          | Code.                                                     |
|          |                                                           |
|          | If available, the last four positions is the Zip Plus     |
|          | Four portion. Otherwise, the last four positions is       |
|          | spaces.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISONER ID NUMBER                                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 10                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Alphanumeric characters (including hyphens or periods),   |
|          | or spaces                                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the prisoner's ID number as reported to SVES by   |
| cription | the prison.                                               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PRISONER REPORTER NAME                                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 60                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces                       |
+----------+-----------------------------------------------------------+
| Des      | This is the name of the source that provided the prisoner |
| cription | information to SSA.                                       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | PROVIDED/CORRECTED SSN                                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999999 or all spaces                 |
+----------+-----------------------------------------------------------+
| Des      | This is the identified or corrected SSN found for the     |
| cription | person during the SSN verification process. The FCR may   |
|          | identify an SSN for a person when one was not submitted   |
|          | by the State but additional personal identification       |
|          | information was provided by the State. The SSN may be     |
|          | corrected when the SSN/Name combination submitted was not |
|          | consistent with SSA's records, but the additional         |
|          | information provided allowed for the identification of    |
|          | the correct number. The SSN provided in this field is     |
|          | used to store the person on the FCR and/or to initiate    |
|          | the Locate for the person. Spaces indicate that an SSN    |
|          | change was not identified for the person and the          |
|          | submitted SSN is used to store the person on the FCR      |
|          | and/or to initiate a Locate for the person.               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RACE CODE                                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A -- Asian                                                |
|          |                                                           |
|          | B -- Black                                                |
|          |                                                           |
|          | H -- Hispanic                                             |
|          |                                                           |
|          | I -- North American Indian                                |
|          |                                                           |
|          | N -- Negro                                                |
|          |                                                           |
|          | O -- Other                                                |
|          |                                                           |
|          | U -- Not determined                                       |
|          |                                                           |
|          | W -- White                                                |
|          |                                                           |
|          | Space -- Not Provided                                     |
+----------+-----------------------------------------------------------+
| Des      | This is the Title XVI recipient's race.                   |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RAILROAD INDICATOR                                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A -- Active claim                                         |
|          |                                                           |
|          | T -- Terminated claim                                     |
|          |                                                           |
|          | S -- Currently suspended                                  |
|          |                                                           |
|          | Space -- No railroad claim                                |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's railroad claim         |
| cription | indicator.                                                |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RECORD COUNT                                              |
+----------+-----------------------------------------------------------+
| Type     | Input Field                                               |
+----------+-----------------------------------------------------------+
| C        | Required for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Trailer Record                              |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000001 through 99999999                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the total number of records in a batch that was   |
| cription | submitted to the FCR including the FCR Transmission       |
|          | Header Record, all the detailed FCR input records, plus   |
|          | the FCR Input Trailer Record.                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RECORD ESTABLISHMENT DATE                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format or spaces.                |
+----------+-----------------------------------------------------------+
| Des      | This is the date that the SSI Record was established for  |
| cription | this Title XVI recipient.                                 |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RECORD IDENTIFIER                                         |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Required for the following input records:                 |
| ondition |                                                           |
|          | -   FCR Transmission Header Record                        |
|          |                                                           |
|          | -   FCR Input Case Record                                 |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record                |
|          |                                                           |
|          | -   FCR Input Query Record                                |
|          |                                                           |
|          | -   FCR Input Trailer Record                              |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR Routine Batch Response Header Record              |
|          |                                                           |
|          | -   FCR Pending Resolution Batch Response Header Record   |
|          |                                                           |
|          | -   FCR Case Acknowledgement/Error Record                 |
|          |                                                           |
|          | -   FCR Reconciliation/Data Inconsistency File Header     |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Data Inconsistency File Record                    |
|          |                                                           |
|          | -   FCR Reconciliation/Data Inconsistency File Trailer    |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Case Reconciliation Record                        |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Query Acknowledgement/Error Record                |
|          |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
|          |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
|          |                                                           |
|          | -   FCR Response Trailer Record                           |
|          |                                                           |
|          | -   FCR Locate Response Batch Header Record               |
|          |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
|          |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR MSFIDM Response Record                            |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
|          |                                                           |
|          | -   FCR Insurance Match Response Record (Parts 1 and 2)   |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | FA -- FCR Transmission Header Record                      |
|          |                                                           |
|          | FB -- FCR Routine Batch Response Header Record            |
|          |                                                           |
|          | FC -- FCR Input Case Record                               |
|          |                                                           |
|          | FD -- FCR Case Acknowledgement/Error Record               |
|          |                                                           |
|          | FE -- FCR Pending Resolution Batch Response Header Record |
|          |                                                           |
|          | FF -- FCR Locate Response Record                          |
|          |                                                           |
|          | FG -- FCR Query Acknowledgement/Error Record              |
|          |                                                           |
|          | FH -- FCR IRS-1099 Locate Response Record                 |
|          |                                                           |
|          | FK -- FCR SVES Title II Locate Response Record            |
|          |                                                           |
|          | FK -- FCR SVES Title XVI Locate Response Record           |
|          |                                                           |
|          | FK -- FCR SVES Prison Locate Response Record              |
|          |                                                           |
|          | FK -- FCR SVES Not Found Locate Response Record           |
|          |                                                           |
|          | FK -- FCR Title II Pending Claim Response Record          |
|          |                                                           |
|          | FL -- FCR Locate Response Batch Header Record             |
|          |                                                           |
|          | FN -- FCR NDNH Locate/Proactive Match Response Record     |
|          |                                                           |
|          | FP -- FCR Input Person/Locate Request Record              |
|          |                                                           |
|          | FR -- FCR Input Query Record                              |
|          |                                                           |
|          | FS -- FCR Person/Locate Request Acknowledgement/Error     |
|          | Record                                                    |
|          |                                                           |
|          | FT -- FCR Query/Proactive Match Response Record           |
|          |                                                           |
|          | FX -- FCR Response Trailer Record                         |
|          |                                                           |
|          | FW -- FCR DMDC/Proactive Match Response Record            |
|          |                                                           |
|          | FZ -- FCR Input Trailer Record                            |
|          |                                                           |
|          | IM -- FCR Insurance Match Response Record (Parts 1 and 2) |
|          |                                                           |
|          | MC -- FCR MSFIDM Response Record                          |
|          |                                                           |
|          | RB -- FCR Reconciliation File/Data Inconsistency Header   |
|          | Record                                                    |
|          |                                                           |
|          | RC -- FCR Data Inconsistency File Record                  |
|          |                                                           |
|          | RD -- FCR Case Reconciliation Record                      |
|          |                                                           |
|          | RS -- FCR Person Reconciliation Record                    |
|          |                                                           |
|          | RX -- FCR Reconciliation File/Data Inconsistency Trailer  |
|          | Record                                                    |
+----------+-----------------------------------------------------------+
| Des      | The Record Identifier code defines the type of input      |
| cription | record being submitted or the type of output record being |
|          | sent by the FCR.                                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RECORD SEQUENCE NUMBER                                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Mandatory for the following output record:                |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Parts 1 and 2   |
+----------+-----------------------------------------------------------+
| Length   | 3                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 000 through 999                                           |
+----------+-----------------------------------------------------------+
| Des      | This field indicates the sequence of an insurance match   |
| cription | that is provided on the FCR Insurance Match Response      |
|          | Record for a given SSN on a specific file creation date.  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | REGISTERED DATE                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Case Reconciliation Record                        |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date                                              |
+----------+-----------------------------------------------------------+
| Des      | This contains the date, in CCYYMMDD format, that the case |
| cription | or person was added to the database.                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RELEASE DATE                                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format, or spaces.               |
+----------+-----------------------------------------------------------+
| Des      | This is the date that the prisoner was released, as       |
| cription | reported to SVES by the prison.                           |
|          |                                                           |
|          | If the prisoner is still confined, this field contains    |
|          | spaces.                                                   |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | REPORT DATE                                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format or spaces.                |
+----------+-----------------------------------------------------------+
| Des      | This is the date that this prisoner's information was     |
| cription | reported to SVES by the prison.                           |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | REPORTING FEDERAL AGENCY                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces                       |
+----------+-----------------------------------------------------------+
| Des      | This code identifies the Federal agency that reported the |
| cription | data.                                                     |
|          |                                                           |
|          | If the data was reported by a State, territory or if the  |
|          | information is not available, this is spaces.             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | REPORTING QUARTER                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 5                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYQ format:                             |
|          |                                                           |
|          | CC -- Century                                             |
|          |                                                           |
|          | YY -- Year                                                |
|          |                                                           |
|          | Q -- Reporting quarter:                                   |
|          |                                                           |
|          | 1 -- January 1 through March 31                           |
|          |                                                           |
|          | 2 -- April 1 through June 30                              |
|          |                                                           |
|          | 3 -- July 1 through September 30                          |
|          |                                                           |
|          | 4 -- October 1 through December 31                        |
|          |                                                           |
|          | Space -- Information not available                        |
+----------+-----------------------------------------------------------+
| Des      | This is the time period of the reported NDNH QW or UI     |
| cription | data.                                                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | REPORTING STATE                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | The FIPS State or territory code or spaces                |
+----------+-----------------------------------------------------------+
| Des      | This is the 2-digit FIPS Code of the State or territory   |
| cription | that submitted QW, UI or W-4 data to the NDNH.            |
|          |                                                           |
|          | If the QW or W-4 data was submitted to the NDNH by a      |
|          | Federal agency, this field is spaces.                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | REPRESENTATIVE PAYEE INDICATOR                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Y -- There is a representative payee                      |
|          |                                                           |
|          | N -- There is not a representative payee                  |
|          |                                                           |
|          | Space -- Not applicable                                   |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the presence or absence of a          |
| cription | representative payee for the Title XVI recipient's        |
|          | benefits.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | REQUEST TYPE CODE                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Reconciliation/Data Inconsistency File Header     |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | I -- Request for the FCR Data Inconsistency File          |
|          |                                                           |
|          | Space -- Request for the FCR Reconciliation File          |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the type of request that initiated    |
| cription | the generation of the record.                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RESIDENCE ADDRESS CITY                                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | The Title II or Title XVI recipient's city of residence   |
+----------+-----------------------------------------------------------+
| Des      | This field contains the city that is associated with the  |
| cription | Title II or Title XVI recipient's residence address.      |
|          |                                                           |
|          | If not applicable, this field contains spaces.            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RESIDENCE ADDRESS LINE 1 through\                         |
|          | RESIDENCE ADDRESS LINE 3                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Alphanumeric characters                                   |
+----------+-----------------------------------------------------------+
| Des      | These fields contain the edited street address supplied   |
| cription | by SVES. They are top-justified as follows:               |
|          |                                                           |
|          | -   Recipient's name and non-standard address information |
|          |     (if present in the input address) followed by:        |
|          |                                                           |
|          | -   The urbanization name for Puerto Rican addresses (if  |
|          |     present in the input address and if requiring URB)    |
|          |     followed by:                                          |
|          |                                                           |
|          | -   The standardized and scrubbed street address line.    |
|          |                                                           |
|          | If no address is being returned, these fields are spaces. |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RESIDENCE ADDRESS SCRUB INDICATOR 1                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | BA -- Bad original address, scrubbing could not correct   |
|          | the address                                               |
|          |                                                           |
|          | CH -- Original address was corrected in the address       |
|          | scrubbing process                                         |
|          |                                                           |
|          | EA -- An address is not included in the response          |
|          |                                                           |
|          | GA -- Original address was correct as provided by the     |
|          | Locate source                                             |
+----------+-----------------------------------------------------------+
| Des      | This is the general status of the residence address.      |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RESIDENCE ADDRESS SCRUB INDICATOR 2                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | If the Residence Address Scrub Indicator 1 is equal to    |
|          | 'BA' this field contains one of the following codes:      |
|          |                                                           |
|          | BR -- Bad range: House number is out of range for that    |
|          | street                                                    |
|          |                                                           |
|          | BU -- Bad unit number: The unit number in a               |
|          | multi-dwelling unit has a non-standard format, is out of  |
|          | range or is missing. In PO Box addresses, the box number  |
|          | does not match the Zip+4 code. Correction was attempted.  |
|          |                                                           |
|          | BX -- Missing State code, or missing both State code and  |
|          | Zip Code: Assigning State or Zip Code was attempted       |
|          |                                                           |
|          | CA -- Correction of a misspelled or non-standard street   |
|          | name was attempted                                        |
|          |                                                           |
|          | CC -- Correction of a misspelled or non-standard city     |
|          | name was attempted                                        |
|          |                                                           |
|          | CZ -- Correction of Zip Code was attempted                |
|          |                                                           |
|          | MA -- Mismatched address: The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name)                   |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code: Correction of the    |
|          | Zip Code was attempted                                    |
|          |                                                           |
|          | NC -- Non-determined city name: Correction of the city    |
|          | name was attempted                                        |
|          |                                                           |
|          | NZ -- Non-determined Zip Code: Correction of the Zip Code |
|          | was attempted but failed                                  |
+----------+-----------------------------------------------------------+
| Des      | If the Residence Address Scrub Indicator 1 is equal to    |
| cription | 'EA' or 'GA', this field contains spaces.                 |
|          |                                                           |
|          | A second and further description of the results of        |
|          | scrubbing the Title II or Title XVI residence address.    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RESIDENCE ADDRESS SCRUB INDICATOR 3                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | This field contains one of the following codes to further |
|          | define the results of the scrubbing for the residence     |
|          | address information returned in the response:             |
|          |                                                           |
|          | If Residence Address Scrub Indicator 1 is 'BA', this      |
|          | field contains one of these codes:                        |
|          |                                                           |
|          | BR -- Bad range: House number is out of range for that    |
|          | street                                                    |
|          |                                                           |
|          | BU -- Bad unit number: The unit number in a               |
|          | multi-dwelling unit has a non-standard format, is out of  |
|          | range or is missing. In PO Box addresses, the box number  |
|          | does not match the Zip+4 code. Correction was attempted.  |
|          |                                                           |
|          | BX -- Missing State code, or missing both State code and  |
|          | Zip Code: Assigning State or Zip Code was attempted       |
|          |                                                           |
|          | CA -- Correction of a misspelled or non-standard street   |
|          | name was attempted                                        |
|          |                                                           |
|          | CC -- Correction of a misspelled or non-standard city     |
|          | name was attempted                                        |
|          |                                                           |
|          | CZ -- Correction of Zip Code was attempted                |
|          |                                                           |
|          | MA -- Mismatched address: The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name)                   |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code: Correction of the    |
|          | Zip Code was attempted                                    |
|          |                                                           |
|          | NC -- Non-determined city name: Correction of the city    |
|          | name was attempted                                        |
|          |                                                           |
|          | NZ -- Non-determined Zip Code: Correction of the Zip Code |
|          | was attempted but failed                                  |
|          |                                                           |
|          | Spaces -- No additional errors were detected              |
+----------+-----------------------------------------------------------+
| Des      | If Residence Address Scrub Indicator 1 contains 'EA' or   |
| cription | 'GA' this field is spaces.                                |
|          |                                                           |
|          | A third and further definition of the results of          |
|          | scrubbing the Title II or Title XVI recipient's address.  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RESIDENCE ADDRESS STATE                                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A two-character alphabetic FIPS State code, or spaces     |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II or Title XVI recipient's State of    |
| cription | residence. This field contains the two-character          |
|          | alphabetic FIPS State code that is associated with the    |
|          | recipient's residence address.                            |
|          |                                                           |
|          | If not applicable, this field contains spaces.            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RESIDENCE ZIP CODE                                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Numeric, or five numeric characters followed by spaces    |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II or Title XVI residence Zip Code. If  |
| cription | applicable, it is a five-character numeric Zip Code.      |
|          |                                                           |
|          | If available, the last four positions are the Zip Plus    |
|          | Four portion. Otherwise, the last four positions are      |
|          | spaces.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RESPONSE CODE                                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | MA -- Match was made to one or more cases on the FCR for  |
|          | the person, and one to three persons were associated to   |
|          | the matched case                                          |
|          |                                                           |
|          | MM -- Match was made to one or more cases on the FCR for  |
|          | the person, and more than three persons were associated   |
|          | to the matched case                                       |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the results of FCR Query or the       |
| cription | Proactive Match. Response Code 'MA' indicates that the    |
|          | person who is the subject of an FCR Query or an FCR       |
|          | Proactive Match matched a person on one or more cases and |
|          | that, because there are fewer than four persons           |
|          | associated with the case in this Response Record, only a  |
|          | single Response Record is sent for it. Response Code 'MM' |
|          | indicates that the person who is the subject of an FCR    |
|          | Query or an FCR Proactive Match matched to a person on    |
|          | one or more cases and that multiple Response Records is   |
|          | sent for this case because there are four or more persons |
|          | associated with it.                                       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RESPONSE DATE                                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format or spaces                 |
+----------+-----------------------------------------------------------+
| Des      | This is the date the response was returned to FCR.        |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RESPONSE RECORD COUNT                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR Response Trailer Record                           |
|          |                                                           |
|          | -   FCR Reconciliation/Data Inconsistency Trailer Record  |
+----------+-----------------------------------------------------------+
| Length   | 11                                                        |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 00000000001 through 99999999999                           |
+----------+-----------------------------------------------------------+
| Des      | This is the total number of records in a batch that is    |
| cription | sent by the FCR, including the FCR Batch Response Header  |
|          | Record or FCR Reconciliation/Data Inconsistency File      |
|          | Header Record, all the detailed Response Records, plus    |
|          | the FCR Response Trailer Record or the FCR                |
|          | Reconciliation/Data Inconsistency File Trailer Record.    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RETURNED ADDRESS                                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 234                                                       |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, hyphen (-) or spaces            |
+----------+-----------------------------------------------------------+
| Des      | This is the address of the person or the person's         |
| cription | employer. The format of this field varies based on the    |
|          | Address Format Indicator as follows:                      |
|          |                                                           |
|          | C -- City, State and Zip Code breakdown                   |
|          |                                                           |
|          | F -- Free Format: Lines separated by a '/' with an        |
|          | isolated Zip Code when present                            |
|          |                                                           |
|          | X -- Fixed Format: Street Address Lines 1 through 4,      |
|          | City, State, Zip Code breakdown                           |
|          |                                                           |
|          | Space -- Address not available                            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RETURNED FIRST NAME TEXT                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[No imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This is the first name of the person on the Title II      |
| cription | Pending Claim Record.                                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RETURNED MIDDLE NAME TEXT                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditionally required for the following output records:  |
| ondition |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[No imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This is the middle name of the person on the Title II     |
| cription | Pending Claim Record.                                     |
|          |                                                           |
|          | If no middle name this field contains spaces.             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | RETURNED LAST NAME TEXT                                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 16                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces \[No imbedded spaces or special    |
|          | characters\]                                              |
+----------+-----------------------------------------------------------+
| Des      | This is the last name of the person on the Title II       |
| cription | Pending Claim Record.                                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SEX CODE                                                  |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Conditionally required for the following input record:    |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A', 'C' or 'L'                             |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Data Inconsistency File Record                    |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | F -- Female                                               |
|          |                                                           |
|          | M -- Male                                                 |
|          |                                                           |
|          | Space - Unknown                                           |
+----------+-----------------------------------------------------------+
| Des      | This is the gender of the person being added to the FCR.  |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SMI OPTION CODE                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | C -- No (Cessation of disability)                         |
|          |                                                           |
|          | D -- No (Coverage Denied)                                 |
|          |                                                           |
|          | F -- No (Invalid enrollment terminated)                   |
|          |                                                           |
|          | G -- Yes (Good cause)                                     |
|          |                                                           |
|          | N -- No (Puerto Rican beneficiary not entitled; also      |
|          | dually/technically-entitled beneficiary not entitled to   |
|          | SMI; No response)                                         |
|          |                                                           |
|          | P -- Railroad Board has jurisdiction                      |
|          |                                                           |
|          | R -- No (Refused coverage)                                |
|          |                                                           |
|          | S -- No (No longer under the renal disease provision)     |
|          |                                                           |
|          | T -- No (Terminated for non-payment of premiums)          |
|          |                                                           |
|          | W -- No (Withdrawal from coverage)                        |
|          |                                                           |
|          | Y -- Yes                                                  |
|          |                                                           |
|          | Space -- Not applicable                                   |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's Supplemental Medical   |
| cription | Insurance (SMI) code.                                     |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SMI START DATE                                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMM format, or spaces.                 |
+----------+-----------------------------------------------------------+
| Des      | This is first month that the Title II beneficiary became  |
| cription | eligible for SMI.                                         |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SMI STOP DATE                                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMM format, or spaces                  |
+----------+-----------------------------------------------------------+
| Des      | This is the last month of coverage for the Title II       |
| cription | beneficiary's SMI benefits.                               |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SORT STATE CODE                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
|          |                                                           |
|          | -   FCR MSFIDM Response Record                            |
|          |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | The numeric FIPS State or territory Code                  |
+----------+-----------------------------------------------------------+
| Des      | This is the two-digit numeric FIPS Code of the State or   |
| cription | territory that is receiving data from the FCR. The FCR    |
|          | uses the Sort State Code to sort all Response Records so  |
|          | each Response Record is returned to the correct State.    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSA CITY OF LAST RESIDENCE                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces                       |
+----------+-----------------------------------------------------------+
| Des      | This is the city of the person's last residence based on  |
| cription | SSA's death records.                                      |
|          |                                                           |
|          | If a valid Zip Code is not available, this field cannot   |
|          | be provided and contains spaces.                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSA CITY OF LUMP SUM PAYMENT                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces                       |
+----------+-----------------------------------------------------------+
| Des      | This is the city of the person's lump sum benefit payment |
| cription | was sent based on SSA's death records.                    |
|          |                                                           |
|          | If a valid Zip Code is not available, this field cannot   |
|          | be provided and contains spaces.                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSA CORP DIV                                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 4                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces                       |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the employee's corporate division     |
| cription | within SSA.                                               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSA CYCLE DATE                                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 7                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9 or all spaces                                 |
+----------+-----------------------------------------------------------+
| Des      | This SSA Cycle date field contains the Year and Week the  |
| cription | record was updated at SSA. The format is CCYYwww where    |
|          | www is 001 thru 053. Example of date format: 2008001      |
|          | would indicate that the record was updated during the     |
|          | first week of year 2008.                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSA DATE OF BIRTH INDICATOR                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | N -- The Date of Birth that was submitted is within one   |
|          | year of the Date of Birth in SSA's records                |
|          |                                                           |
|          | Y -- The Date of Birth was changed to agree with SSA's    |
|          | records                                                   |
|          |                                                           |
|          | Spaces -- Information Not Available                       |
+----------+-----------------------------------------------------------+
| Des      | This code indicates whether the Date of Birth submitted   |
| cription | for the person is consistent with SSA's records.          |
|          |                                                           |
|          | If the code is 'Y', the SSA date is returned in the Date  |
|          | of Birth Field.                                           |
|          |                                                           |
|          | If Warning Code **PW010** is returned in a Change Person  |
|          | Transaction, this field contains a 'Y'.                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSA DATE OF DEATH INDICATOR                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | A -- DOD received from SSA's records                      |
|          |                                                           |
|          | C -- Previously reported DOD from SSA's records is being  |
|          | changed                                                   |
|          |                                                           |
|          | D -- Previously reported DOD from SSA's records is being  |
|          | deleted                                                   |
+----------+-----------------------------------------------------------+
| Des      | This code indicates that the DOD Field is being added,    |
| cription | changed, or deleted when the Action Type Code is equal to |
|          | 'D'.                                                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSA EMPLOYMENT TYPE INDICATOR                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | FCR Locate Response Record                                |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | SE -- Self Employed                                       |
|          |                                                           |
|          | Spaces --                                                 |
+----------+-----------------------------------------------------------+
| Des      | The code to indicate the employee's employment type.      |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSA STATE OF LAST RESIDENCE                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | The alphabetic FIPS State or territory Code, or spaces    |
+----------+-----------------------------------------------------------+
| Des      | This is the State of the person's last residence based on |
| cription | SSA's death records.                                      |
|          |                                                           |
|          | If a Zip Code is not available or the Zip Code provided   |
|          | by the Death Master File was not validated by FINALIST,   |
|          | this field cannot be provided and contains spaces.        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSA STATE OF LUMP SUM PAYMENT                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | The alphabetic FIPS State or territory code, or spaces    |
+----------+-----------------------------------------------------------+
| Des      | This is the State where the person's lump sum benefit     |
| cription | payment was sent based on SSA's death records.            |
|          |                                                           |
|          | If a Zip Code is not available or the Zip Code provided   |
|          | by the Death Master File was not validated by FINALIST,   |
|          | this field cannot be provided and contains spaces.        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSA WAGE AMOUNT                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | FCR Locate Response Record                                |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000000 through 999999999 or all spaces                 |
+----------+-----------------------------------------------------------+
| Des      | This is the SSA wage amount.                              |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSA ZIP CODE OF LAST RESIDENCE                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Query Proactive Match Response Record             |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 5                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 00001 through 99999 or spaces                             |
+----------+-----------------------------------------------------------+
| Des      | This is the Zip Code for the person's last known          |
| cription | residence from SSA's death records.                       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSA ZIP CODE OF LUMP SUM PAYMENT                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Query Proactive Match Response Record             |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 5                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 00001 through 99999 or spaces                             |
+----------+-----------------------------------------------------------+
| Des      | This is the Zip Code from SSA's death records where the   |
| cription | lump sum death benefit payment for the person was sent.   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSI MONTHLY ASSISTANCE AMOUNT 1 through\                  |
|          | SSI MONTHLY ASSISTANCE AMOUNT 8                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 7                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric in COBOL format S9(5)V99                          |
+----------+-----------------------------------------------------------+
| Values   | Zero or a signed numeric value that can be a positive or  |
|          | negative value                                            |
+----------+-----------------------------------------------------------+
| Des      | This is the first through eighth SSI Monthly Assistance   |
| cription | Amounts paid to the Title XVI recipient.                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSN                                                       |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Required for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'T'                                         |
|          |                                                           |
|          | Conditionally required for the following input records:   |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A', 'C' or 'L'                             |
|          |                                                           |
|          | -   FCR Input Query Record                                |
|          |                                                           |
|          | Optional for the following input record:                  |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'D'                                         |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
|          |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Query Acknowledgement/Error Record                |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998 or all spaces \[not all       |
|          | sixes\]                                                   |
+----------+-----------------------------------------------------------+
| Des      | This is the Social Security Number of the person being    |
| cription | added to the FCR or who is the subject of an FCR Query,   |
|          | Locate Request or Proactive Match. The FCR verifies the   |
|          | submitted SSN using the SSA SSN verification routines.    |
|          |                                                           |
|          | If an SSN is not present on the FCR Input Person/Locate   |
|          | Request Record, the FCR will attempt to identify an SSN   |
|          | for the person using other information in the input       |
|          | record.                                                   |
|          |                                                           |
|          | If the submitted SSN does not verify, the FCR will        |
|          | attempt to identify an SSN for the person using other     |
|          | information in the input record.                          |
|          |                                                           |
|          | If a verified SSN cannot be found for a person, the input |
|          | record is rejected and returned to the submitter.         |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSN MATCH CODE                                            |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | M -- The Other SSN (Additional/Multiple SSN) was used in  |
|          | match.                                                    |
|          |                                                           |
|          | V -- The SSN was used in the match.                       |
+----------+-----------------------------------------------------------+
| Des      | This code indicates if the SSN that is contained in the   |
| cription | record is the State-submitted SSN, or a corrected,        |
|          | additional or multiple SSN.                               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSN MATCH INDICATOR                                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | C -- Corrected SSN                                        |
|          |                                                           |
|          | M -- Additional/Multiple SSN                              |
|          |                                                           |
|          | V -- State-submitted verified SSN                         |
|          |                                                           |
|          | X -- Multiple found from corrected SSN                    |
+----------+-----------------------------------------------------------+
| Des      | This code indicates if the SSN contained in the record is |
| cription | the State-submitted SSN, or a corrected, additional or    |
|          | multiple SSN.                                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSN REPORTED BY PRISON                                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998 (not all sixes), or spaces    |
+----------+-----------------------------------------------------------+
| Des      | The prisoner's SSN as reported to SVES by the prison.     |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SSN VALIDITY CODE                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | C -- The SSN submitted for this person was corrected.     |
|          |                                                           |
|          | E -- The SSN and Name combination submitted for this      |
|          | person could not be verified or corrected, but the        |
|          | additional person data provided identified an SSN for     |
|          | this person using SSA's ESKARI routines.                  |
|          |                                                           |
|          | N -- The SSN and Name combination that was submitted for  |
|          | this person was not verified by SSA's SSN Verification    |
|          | Routines, but the Name Matching Routine has identified it |
|          | as a probable name match.                                 |
|          |                                                           |
|          | P -- The SSN was not submitted, but the additional person |
|          | data submitted identified an SSN for this person without  |
|          | manual intervention and is provided; or the SSN that was  |
|          | submitted did not pass verification edits but an SSN was  |
|          | identified using SSA's alpha search.                      |
|          |                                                           |
|          | R -- The person data submitted identified multiple        |
|          | possible SSNs for the person. The provided SSN was        |
|          | selected via the Requires Manual Review process.          |
|          |                                                           |
|          | S -- The person data submitted identified an SSN for the  |
|          | person using the IRS-U SSN and IRS records.               |
|          |                                                           |
|          | V -- The SSN and Name combination submitted was verified  |
|          | by the SSA SSN verification routines.                     |
|          |                                                           |
|          | Space -- The SSN provided could not be verified or there  |
|          | was no SSN provided. An SSN could not be identified using |
|          | the information submitted. See the Error Code 1 through 5 |
|          | fields for a more specific explanation of the condition.  |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the results of the SSA's SSN          |
| cription | Verification for the person. The verification process     |
|          | uses the SSN and Name combination and/or person           |
|          | identification information submitted in an attempt to     |
|          | identify a verified SSN for the person.                   |
|          |                                                           |
|          | **Note:** If this field equals a space on the output      |
|          | record and the Acknowledgement Code equals 'AAAAA', the   |
|          | person has been accepted by the FCR as an unverified      |
|          | person and is not available for FCR Query, Proactive      |
|          | Matching or Locate processing.                            |
|          |                                                           |
|          | If a State identifies a new SSN or additional name        |
|          | information that can be used to verify the SSN, States    |
|          | submit the new SSN or additional name information as a    |
|          | 'Change' Transaction.                                     |
|          |                                                           |
|          | If the Acknowledgement Code equals 'REJCT', the person    |
|          | has been rejected by the FCR and this field is a space.   |
|          |                                                           |
|          | If the State finds a new SSN for the rejected person, the |
|          | person must be resent as an 'Add' Transaction.            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | STATE                                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | The numeric FIPS State or territory code or 'AA', 'AE' or |
|          | 'AP' to indicate an overseas military address or spaces   |
+----------+-----------------------------------------------------------+
| Des      | This is the State or overseas military code for the       |
| cription | address in the Returned Address Field in the format       |
|          | designated by the Address Format Indicator.               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | STATE CODE                                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A two-character FIPS State code                           |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's State code for the     |
| cription | jurisdiction responsible for payment. This is the         |
|          | two-character FIPS State code of the State that is        |
|          | responsible for any mandatory or optional supplementation |
|          | payment. The code represents the Title II beneficiary's   |
|          | State of residence unless another State has jurisdiction. |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | STATE EIN                                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 12                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces                       |
+----------+-----------------------------------------------------------+
| Des      | This is the employer's State Employer Identification      |
| cription | Number as reported on an NDNH QW or W-4 record.           |
|          |                                                           |
|          | If the State EIN is not available, this is spaces.        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | STATE MEMBER ID                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces                       |
+----------+-----------------------------------------------------------+
| Des      | This is the State Member ID submitted on the FCR Input    |
| cription | Query Record.                                             |
|          |                                                           |
|          | If the FCR Input Query Record did not contain a State     |
|          | Member ID and a match could not be made using the         |
|          | information provided, spaces is in this field.            |
|          |                                                           |
|          | For the Proactive Match Response, this field contains the |
|          | person's Member ID for the matched case.                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | STATE OF HIRE                                             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | The alphabetic FIPS State or territory code or spaces     |
+----------+-----------------------------------------------------------+
| Des      | This is the State or territory where the employee was     |
| cription | hired.                                                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | STATE OR COUNTRY OF BIRTH                                 |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Input Person/Locate Request Record with Action    |
|          |     Type Code 'A', 'C' or 'L'                             |
|          |                                                           |
|          | Conditional for the following output record:              |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
+----------+-----------------------------------------------------------+
| Length   | 4                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | The FIPS State, country or country and province code or   |
|          | spaces                                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the two-character alphabetic FIPS Code for the    |
| cription | State of birth, two character alphabetic FIPS Code for    |
|          | the country of birth and an asterisk or the               |
|          | four-character alphanumeric FIPS Code for the country and |
|          | province of birth. This information is provided for a     |
|          | person when a submitter wants SSA to provide an SSN for   |
|          | that person. This information is used to identify the SSN |
|          | but is not stored in the FCR.                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | STATE SORT CODE                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | The numeric FIPS State or territory Code                  |
+----------+-----------------------------------------------------------+
| Des      | This is the two-digit numeric FIPS Code of the State or   |
| cription | territory that is receiving data from the FCR. The FCR    |
|          | uses the State Sort Code to sort all of the Response      |
|          | Records so each Response Record is returned to the        |
|          | correct State.                                            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | STREET ADDRESS LINE 1 through STREET ADDRESS LINE 4       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, hyphen (-), back slash (\\), or |
|          | spaces                                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the address of an employer or employee.           |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | STREET ADDRESS LINES 1 through 4, CITY, STATE             |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 192                                                       |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, hyphen (-), back slash (\\), or |
|          | spaces                                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the address of an employer or employee.           |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SUB RECORD INDICATOR                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Mandatory for the following output record:                |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Parts 1 and 2   |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- First of two corresponding records                   |
|          |                                                           |
|          | 2 -- Second of two corresponding records                  |
+----------+-----------------------------------------------------------+
| Des      | This field indicates the record format that is used for   |
| cription | the two-part Insurance Match record. This indicator is    |
|          | set by the Insurance Match system as each record is       |
|          | created.                                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SUBMITTED DATE OF BIRTH                                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format                           |
+----------+-----------------------------------------------------------+
| Des      | This is the date of birth of the person that was          |
| cription | submitted to SVES on a Locate Request.                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SUBMITTED CASE ID                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, special characters, or spaces   |
+----------+-----------------------------------------------------------+
| Des      | This is the State Case ID submitted on the FCR Query      |
| cription | record. Spaces are in this field for the Proactive Match  |
|          | Responses.                                                |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SUBMITTED FIRST NAME                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 12                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the first name of the person that was submitted   |
| cription | to SVES on a Locate Request.                              |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SUBMITTED LAST NAME                                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 19                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen                                       |
+----------+-----------------------------------------------------------+
| Des      | This is the last name of the person that was submitted to |
| cription | SVES on a Locate Request.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SUBMITTED/MATCHED SSN                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 9                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 000000001 through 999999998 \[not all sixes\]             |
+----------+-----------------------------------------------------------+
| Des      | For a response to an FCR Query, either the SSN submitted  |
| cription | on the FCR Query/Proactive Match Response Record or an    |
|          | SSN identified if no SSN was submitted.                   |
|          |                                                           |
|          | For a Proactive Match Response, the SSN used for the      |
|          | Proactive Match.                                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SUBMITTED MIDDLE INITIAL                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the middle initial of the person that was         |
| cription | submitted to SVES on a Locate Request.                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SUBMITTING OFFICE NUMBER                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 4                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces                       |
+----------+-----------------------------------------------------------+
| Des      | This is the Personnel Office Identifier (POI) from the    |
| cription | Office of Personnel Management. This code is used in      |
|          | conjunction with the DoD Status Code '1',                 |
|          |                                                           |
|          | '7' and 'B' to further define a person's employment       |
|          | status.                                                   |
|          |                                                           |
|          | If the information is not available, this field is all    |
|          | spaces.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | SVES MATCH TYPE                                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | L -- SVES Locate Request Response                         |
|          |                                                           |
|          | P -- FCR-to-SVES Proactive Response for a new person, or  |
|          | a change to an existing person on the FCR, or a change in |
|          | Case Type on the FCR from Non IV-D to IV-D                |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the action that initiated the         |
| cription | generation of the FCR SVES Title II, Title XVI, Prisoner, |
|          | and/or FCR SVES Not Found Response Record. For            |
|          | FCR-to-SVES Proactive matches, the FCR SVES Not Found     |
|          | Response (Locate Source Response Agency Code of 'E10') is |
|          | not returned.                                             |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TAX YEAR                                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR IRS-1099 Response Record                          |
+----------+-----------------------------------------------------------+
| Length   | 4                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid year in CCYY format or spaces                     |
+----------+-----------------------------------------------------------+
| Des      | This is the year of the joint tax return filed with the   |
| cription | IRS or the year of the IRS-1099 related form.             |
|          |                                                           |
|          | If the information is not available, this field is all    |
|          | spaces.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TELEPHONE NUMBER                                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 10                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the Title XVI recipient's telephone number.       |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TERMINATION DATE                                          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format or spaces                 |
+----------+-----------------------------------------------------------+
| Des      | This is the date that the FBI or NSA employee terminated  |
| cription | employment.                                               |
|          |                                                           |
|          | If the employee has not terminated, this field is spaces. |
|          |                                                           |
|          | If the date is not available, this field is spaces.       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | THIRD PARTY ADMINISTRATOR ADDRESS CITY NAME               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Part 2          |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-) or spaces                         |
+----------+-----------------------------------------------------------+
| Des      | This is the city name for the Third Party Administrator.  |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | THIRD PARTY ADMINISTRATOR ADDRESS FOREIGN COUNTRY         |
|          | INDICATOR                                                 |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Mandatory for the following output record:                |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Part 2          |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- The address of the Third Party Administrator is in a |
|          | foreign country                                           |
|          |                                                           |
|          | Space -- The address of the Third Party Administrator is  |
|          | in the U.S.                                               |
+----------+-----------------------------------------------------------+
| Des      | This field indicates if the Third Party Administrator     |
| cription | address that was provided is a U.S. or foreign address.   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | THIRD PARTY ADMINISTRATOR ADDRESS FOREIGN COUNTRY NAME    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Part 2          |
+----------+-----------------------------------------------------------+
| Length   | 25                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the foreign country name of the address for the   |
| cription | Third Party Administrator.                                |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | THIRD PARTY ADMINISTRATOR ADDRESS SCRUB 1 CODE            |
+----------+-----------------------------------------------------------+
| Type     | Output                                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Part 2          |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic, A through Z                                   |
+----------+-----------------------------------------------------------+
| Values   | BA -- Bad address: FINALIST determined it to be an        |
|          | undeliverable address. The address is left unchanged.     |
|          |                                                           |
|          | CH -- Changed address: The address was corrected and is   |
|          | considered by FINALIST to be deliverable.                 |
|          |                                                           |
|          | EA -- Empty address: No address is present in record. The |
|          | address was not provided by the source.                   |
|          |                                                           |
|          | FA -- Foreign Address: The address is not edited and is   |
|          | left unchanged because the value in the foreign country   |
|          | code is other than spaces or 'U.S'.                       |
|          |                                                           |
|          | GA -- Good address: FINALIST has determined it to be a    |
|          | deliverable address.                                      |
+----------+-----------------------------------------------------------+
| Des      | This is the Address Scrub Code indicates the results of   |
| cription | the address editing of the address information that is    |
|          | returned in this response.                                |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | THIRD PARTY ADMINISTRATOR ADDRESS SCRUB 2 CODE            |
+----------+-----------------------------------------------------------+
| Type     | Output                                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Part 2          |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic, A through Z                                   |
+----------+-----------------------------------------------------------+
| Values   | If Address Scrub Code 1 is 'BA', this field contains one  |
|          | of these codes:                                           |
|          |                                                           |
|          | BR -- Bad range. The house number is out of range for     |
|          | that street. This type of address error cannot be         |
|          | corrected.                                                |
|          |                                                           |
|          | BU -- Bad unit number. In a multi-dwelling unit, the unit |
|          | number has a non-standard format, is out of range, or is  |
|          | missing. In PO Box addresses, the box number does not     |
|          | match the Zip+4 code. Standardization was attempted.      |
|          |                                                           |
|          | BX -- Missing State code or missing State code and Zip    |
|          | Code. Assigning a State or Zip Code was attempted.        |
|          |                                                           |
|          | MA -- Mismatched address. The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name).                  |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code. Correction of the    |
|          | Zip Code was attempted.                                   |
|          |                                                           |
|          | NC -- Non-determined city name. Correction of the city    |
|          | name was attempted.                                       |
|          |                                                           |
|          | NZ -- Non-determined Zip Code. Correction of the Zip Code |
|          | was attempted but failed.                                 |
|          |                                                           |
|          | If the Third Party Administrator Address Scrub Code 1 is  |
|          | 'CH', this field contains one of these codes:             |
|          |                                                           |
|          | BU -- Bad unit number. In a multi-dwelling unit, the unit |
|          | number has a non-standard format, is out of range or is   |
|          | missing. In PO Box addresses, the box number does not     |
|          | match the Zip+4 code. Standardization was successful.     |
|          |                                                           |
|          | BX -- Missing State code or missing State code and Zip    |
|          | Code. Assigning a State or Zip Code was successful.       |
|          |                                                           |
|          | CA -- Corrected address. A misspelled or non-standard     |
|          | street name was successfully corrected in the Response    |
|          | Record.                                                   |
|          |                                                           |
|          | CC -- Corrected city name. Correction of the misspelled   |
|          | or non-standard city name was successful.                 |
|          |                                                           |
|          | CZ -- Corrected Zip Code. Correction of the Zip Code was  |
|          | successful.                                               |
|          |                                                           |
|          | MA -- Mismatched address. The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name).                  |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code. Correction of the    |
|          | Zip Code was successful.                                  |
|          |                                                           |
|          | NC -- Non-determined city name. Correction of the city    |
|          | name was successful.                                      |
|          |                                                           |
|          | If the Address Scrub 1 Code contains 'EA', 'FA' or 'GA',  |
|          | this field contains spaces.                               |
+----------+-----------------------------------------------------------+
| Des      | This field further defines the results of address editing |
| cription | of the address information that is returned in the        |
|          | response.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | THIRD PARTY ADMINISTRATOR ADDRESS SCRUB 3 CODE            |
+----------+-----------------------------------------------------------+
| Type     | Output                                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Part 2          |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic, A through Z                                   |
+----------+-----------------------------------------------------------+
| Values   | If Address Scrub Code 1 is 'BA', this field contains one  |
|          | of these codes:                                           |
|          |                                                           |
|          | BR -- Bad range. The house number is out of range for     |
|          | that street. This type of address error cannot be         |
|          | corrected.                                                |
|          |                                                           |
|          | BU -- Bad unit number. In a multi-dwelling unit, the unit |
|          | number has a non-standard format, is out of range, or is  |
|          | missing. In PO Box addresses, the box number does not     |
|          | match the Zip+4 code. Standardization was attempted.      |
|          |                                                           |
|          | BX -- Missing State code or missing State code and Zip    |
|          | Code. Assigning a State or Zip Code was attempted.        |
|          |                                                           |
|          | MA -- Mismatched address. The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name).                  |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code. Correction of the    |
|          | Zip Code was attempted.                                   |
|          |                                                           |
|          | NC -- Non-determined city name. Correction of the city    |
|          | name was attempted.                                       |
|          |                                                           |
|          | NZ -- Non-determined Zip Code. Correction of the Zip Code |
|          | was attempted but failed.                                 |
|          |                                                           |
|          | If the Third Party Administrator Address Scrub Code 1 is  |
|          | 'CH', this field contains one of these codes:             |
|          |                                                           |
|          | BU -- Bad unit number. In a multi-dwelling unit, the unit |
|          | number has a non-standard format, is out of range or is   |
|          | missing. In PO Box addresses, the box number does not     |
|          | match the Zip+4 code. Standardization was successful.     |
|          |                                                           |
|          | BX -- Missing State code or missing State code and Zip    |
|          | Code. Assigning a State or Zip Code was successful.       |
|          |                                                           |
|          | CA -- Corrected address. A misspelled or non-standard     |
|          | street name was successfully corrected in the Response    |
|          | Record.                                                   |
|          |                                                           |
|          | CC -- Corrected city name. Correction of the misspelled   |
|          | or non-standard city name was successful.                 |
|          |                                                           |
|          | CZ -- Corrected Zip Code. Correction of the Zip Code was  |
|          | successful.                                               |
|          |                                                           |
|          | MA -- Mismatched address. The street name is not found in |
|          | the city (the address may be deliverable because some     |
|          | addresses do not require a street name).                  |
|          |                                                           |
|          | MX -- Mismatched State and Zip Code. Correction of the    |
|          | Zip Code was successful.                                  |
|          |                                                           |
|          | NC -- Non-determined city name. Correction of the city    |
|          | name was successful.                                      |
|          |                                                           |
|          | If the Address Scrub 1 Code contains 'BA' or 'CH' and a   |
|          | third address scrub code was not generated by the address |
|          | editor, this field contains spaces.                       |
+----------+-----------------------------------------------------------+
| Des      | This field further defines the results of address editing |
| cription | of the address information that is returned in the        |
|          | response.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | THIRD PARTY ADMINISTRATOR ADDRESS STATE CODE              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Part 2          |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | Standard State abbreviation value set                     |
+----------+-----------------------------------------------------------+
| Des      | This is the State code for the Third Party Administrator. |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | THIRD PARTY ADMINISTRATOR ADDRESS STREET 1 TEXT           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Part 2          |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through X, 0 through 9                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the first line of the street address of the Third |
| cription | Party Administrator.                                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | THIRD PARTY ADMINISTRATOR ADDRESS STREET 2 TEXT           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Part 2          |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through X, 0 through 9                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the second line of the street address of the      |
| cription | Third Party Administrator.                                |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | THIRD PARTY ADMINISTRATOR ADDRESS ZIP CODE                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Part 2          |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9                                  |
+----------+-----------------------------------------------------------+
| Des      | This is the Zip code (domestic or foreign) for the Third  |
| cription | Party Administrator.                                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | THIRD PARTY ADMINISTRATOR COMPANY NAME                    |
+----------+-----------------------------------------------------------+
| Type     | Output                                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Part 2          |
+----------+-----------------------------------------------------------+
| Length   | 40                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | A through Z                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the name of the Third Party Administrator's (TPA) |
| cription | company.                                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | THIRD PARTY ADMINISTRATOR FIRST NAME                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Part 2          |
+----------+-----------------------------------------------------------+
| Length   | 20                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the first 20 characters of the first for the      |
| cription | Third Party Administrator's contact.                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | THIRD PARTY ADMINISTRATOR LAST NAME                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Part 2          |
+----------+-----------------------------------------------------------+
| Length   | 30                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-) or spaces                         |
+----------+-----------------------------------------------------------+
| Des      | This is the first 30 characters of the last name of the   |
| cription | Third Party Administrator's contact.                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | THIRD PARTY ADMINISTRATOR PHONE EXTENSION NUMBER          |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Part 2          |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This field is the phone number extension of the Third     |
| cription | Party Administrator's contact.                            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | THIRD PARTY ADMINISTRATOR PHONE NUMBER                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Optional for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Insurance Match Response Record --Part 2          |
+----------+-----------------------------------------------------------+
| Length   | 10                                                        |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This is the phone number of the Third Party               |
| cription | Administrator's contact.                                  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | THIRD PARTY INSURANCE INDICATOR                           |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A -- Third party liability does exist but applicant       |
|          | refuses to assign rights                                  |
|          |                                                           |
|          | F -- Disabled/Blind child living overseas, ineligible for |
|          | Medicaid, and living with a parent who is a member of the |
|          | military.                                                 |
|          |                                                           |
|          | N -- Third party liability does not exist (1634 State     |
|          | only)                                                     |
|          |                                                           |
|          | Q -- Medicaid qualifying trust may exist                  |
|          |                                                           |
|          | R -- Failure to cooperate in providing third party        |
|          |                                                           |
|          | Y -- Third party liability does exist (1634 State only)   |
|          | and applicant agrees to assign rights                     |
|          |                                                           |
|          | Space -- Not applicable                                   |
+----------+-----------------------------------------------------------+
| Des      | The indicator shows third party liability for the Title   |
| cription | XVI recipient's health care expenses. This field is not   |
|          | updated after the initial posting.                        |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TITLE II DATE OF BIRTH                                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format or spaces.                |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's date of birth.         |
| cription |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TITLE II DATE OF DEATH                                    |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format, or spaces.               |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's date of death. The FCR |
| cription | returns '01' in the day portion of the Title II Date of   |
|          | Death Field if SSA's records contain '00' in the day      |
|          | portion of the date.                                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TITLE II FIRST NAME                                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 10                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-), no imbedded spaces or special    |
|          | characters                                                |
+----------+-----------------------------------------------------------+
| Des      | This is the first name of the Title II beneficiary.       |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TITLE II LAST NAME                                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 12                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen, no imbedded spaces or special        |
|          | characters                                                |
+----------+-----------------------------------------------------------+
| Des      | This is the last name of the Title II beneficiary.        |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TITLE II MIDDLE INITIAL                                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the middle initial of the Title II beneficiary.   |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TITLE II SEX CODE                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | F -- Female                                               |
|          |                                                           |
|          | M -- Male                                                 |
|          |                                                           |
|          | U -- Unknown                                              |
+----------+-----------------------------------------------------------+
| Des      | This is the Title II beneficiary's gender.                |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TITLE XVI APPEAL CODE                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A -- Appeal Council Review                                |
|          |                                                           |
|          | C -- Court Case                                           |
|          |                                                           |
|          | D -- Decision Review Board                                |
|          |                                                           |
|          | F -- Federal Regional Office Review                       |
|          |                                                           |
|          | H -- Hearing                                              |
|          |                                                           |
|          | I -- Initial Determination Review                         |
|          |                                                           |
|          | O -- Class Action                                         |
|          |                                                           |
|          | R -- Reconsideration                                      |
|          |                                                           |
|          | Space -- Not applicable                                   |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the Title XVI recipient's level of    |
| cription | appeal.                                                   |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TITLE XVI DATE OF BIRTH                                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format, or spaces.               |
+----------+-----------------------------------------------------------+
| Des      | This is the Title XVI recipient's date of birth.          |
| cription |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TITLE XVI DATE OF DEATH                                   |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format, or spaces                |
+----------+-----------------------------------------------------------+
| Des      | This is the Title XVI recipient's date of death. The day  |
| cription | of actual death is shown when available. The FCR returns  |
|          | '01' in the day portion of the Title XVI Date of Death    |
|          | Field if SSA's records contain '00' in the day portion of |
|          | the date.                                                 |
|          |                                                           |
|          | If the date of death is posted from a returned check, the |
|          | day will reflect '01' or the date the returned check was  |
|          | processed.                                                |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
|          |                                                           |
|          | If not applicable, this field contains spaces.            |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TITLE XVI DENIAL DATE                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format, or spaces                |
+----------+-----------------------------------------------------------+
| Des      | This is the date that the Title XVI applicant was denied  |
| cription | SSI benefits or State supplementation.                    |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TITLE XVI FIRST NAME                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 10                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-), no imbedded spaces or special    |
|          | characters                                                |
+----------+-----------------------------------------------------------+
| Des      | This is the first name of the Title XVI recipient.        |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TITLE XVI LAST NAME                                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 19                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, hyphen (-), no imbedded spaces or special    |
|          | characters                                                |
+----------+-----------------------------------------------------------+
| Des      | This is the Title XVI recipient's last name.              |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TITLE XVI LAST REDETERMINATION DATE                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format, or spaces                |
+----------+-----------------------------------------------------------+
| Des      | This is the date that all of the required redetermination |
| cription | actions for the Title XVI recipient were completed.       |
|          |                                                           |
|          | If this field does not have a properly-formatted valid    |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TITLE XVI MIDDLE INITIAL                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, or spaces                                    |
+----------+-----------------------------------------------------------+
| Des      | This is the Title XVI recipient's middle initial.         |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TITLE XVI SEX CODE                                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphabetic                                                |
+----------+-----------------------------------------------------------+
| Values   | F -- Female                                               |
|          |                                                           |
|          | M -- Male                                                 |
|          |                                                           |
|          | U -- Unknown                                              |
+----------+-----------------------------------------------------------+
| Des      | This is the Title XVI recipient's gender.                 |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TRANSMITTER STATE/TERRITORY CODE                          |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Required for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Transmission Header Record                        |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR DMDC/Proactive Match Response Record              |
|          |                                                           |
|          | -   FCR Routine Batch Response Header Record              |
|          |                                                           |
|          | -   FCR Reconciliation/Data Inconsistency File Header     |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Pending Resolution Batch Response Header Record   |
|          |                                                           |
|          | -   FCR Locate Response Batch Header Record               |
|          |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
|          |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
|          |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
|          |                                                           |
|          | -   FCR Title II Pending Claim Response Record            |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | The numeric FIPS State and territory Code                 |
+----------+-----------------------------------------------------------+
| Des      | This is the two-digit numeric FIPS Code of the State or   |
| cription | territory that is transmitting data to the FCR or         |
|          | receiving data from the FCR.                              |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TYPE OF PAYEE CODE                                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output records:                |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 3                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | AGY -- Social agency                                      |
|          |                                                           |
|          | CHD -- Natural, adopted or stepchild (as payee for a      |
|          | parent)                                                   |
|          |                                                           |
|          | ESP -- Essential person is payee                          |
|          |                                                           |
|          | FDM -- Federal mental institution                         |
|          |                                                           |
|          | FDO -- Federal non-mental institution                     |
|          |                                                           |
|          | FIN -- Financial organization                             |
|          |                                                           |
|          | FTH -- Natural or adoptive father                         |
|          |                                                           |
|          | GPR -- Grandparent                                        |
|          |                                                           |
|          | INP -- Legally incompetent, but no representative payee   |
|          | has been selected                                         |
|          |                                                           |
|          | MTH -- Natural or adoptive mother                         |
|          |                                                           |
|          | NPM -- Nonprofit mental institution                       |
|          |                                                           |
|          | NPO -- Nonprofit non-mental institution                   |
|          |                                                           |
|          | OFF -- Public official                                    |
|          |                                                           |
|          | OTH -- Other                                              |
|          |                                                           |
|          | PRM -- Proprietary mental institution                     |
|          |                                                           |
|          | PRO -- Proprietary non-mental institution                 |
|          |                                                           |
|          | PYE -- Recipient previously had payee, but is now         |
|          | receiving direct payments                                 |
|          |                                                           |
|          | REL -- Other relative (includes in-laws)                  |
|          |                                                           |
|          | RPD -- Representative payee is being developed            |
|          |                                                           |
|          | SEL -- Beneficiary is own payee                           |
|          |                                                           |
|          | SFT -- Stepfather                                         |
|          |                                                           |
|          | SLM -- State/local mental institution                     |
|          |                                                           |
|          | SLO -- State/local non-mental institution                 |
|          |                                                           |
|          | SMT -- Stepmother                                         |
|          |                                                           |
|          | SPO -- Spouse                                             |
|          |                                                           |
|          | Space -- Beneficiary is own payee                         |
+----------+-----------------------------------------------------------+
| Des      | This code indicates who received the Title XVI benefit.   |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | TYPE OF RECIPIENT                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 2                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | AI -- Aged Individual                                     |
|          |                                                           |
|          | AS -- Aged Spouse                                         |
|          |                                                           |
|          | BC -- Blind Child                                         |
|          |                                                           |
|          | BI -- Blind Individual                                    |
|          |                                                           |
|          | BS -- Blind Spouse                                        |
|          |                                                           |
|          | DC -- Disabled Child                                      |
|          |                                                           |
|          | DI -- Disabled Individual                                 |
|          |                                                           |
|          | DS -- Disabled Spouse                                     |
|          |                                                           |
|          | EP -- Essential Person                                    |
|          |                                                           |
|          | XF -- Ineligible Father                                   |
|          |                                                           |
|          | XM -- Ineligible Mother                                   |
|          |                                                           |
|          | XP -- Ineligible Person                                   |
|          |                                                           |
|          | XS -- Ineligible Spouse                                   |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the type of Title XVI recipient.      |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | UNEARNED INCOME NUMBER OF ENTRIES                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 0 through 9                                               |
+----------+-----------------------------------------------------------+
| Des      | This field contains the number of occurrences of the      |
| cription | unearned income fields: Unearned Income Type Code,        |
|          | Unearned Income Verification Code, Unearned Income Start  |
|          | Date, and Unearned Income Stop Date.                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | UNEARNED INCOME START DATE 1 through\                     |
|          | UNEARNED INCOME START DATE 9                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMM format, or spaces                  |
+----------+-----------------------------------------------------------+
| Des      | If applicable, these fields contain the first occurrence  |
| cription | of the date that the one-time unearned income payment was |
|          | received by the Title XVI recipient or the date that the  |
|          | unearned income was started if the payment is made        |
|          | monthly.                                                  |
|          |                                                           |
|          | If this field does not contain a properly-formatted valid |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | UNEARNED INCOME STOP DATE 1 through\                      |
|          | UNEARNED INCOME STOP DATE 9                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMM format, or spaces                  |
+----------+-----------------------------------------------------------+
| Des      | If applicable, this field contains the termination date   |
| cription | of the first occurrence of monthly unearned income. In    |
|          | situations where the unearned income amount changes, this |
|          | field contains the last date that the previous rate, or a |
|          | one-time payment was received.                            |
|          |                                                           |
|          | If this field does not contain a properly-formatted valid |
|          | date, it contains spaces.                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | UNEARNED INCOME TYPE CODE 1 through\                      |
|          | UNEARNED INCOME TYPE CODE 9                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A -- Social Security                                      |
|          |                                                           |
|          | B -- Black Lung                                           |
|          |                                                           |
|          | C -- VA compensation (not based on need)                  |
|          |                                                           |
|          | D -- RRB                                                  |
|          |                                                           |
|          | E -- VA (based on need)                                   |
|          |                                                           |
|          | F -- Assistance based on need and not excluded from       |
|          | unearned income                                           |
|          |                                                           |
|          | G -- Retroactive Title II benefits posted as if paid when |
|          | due, used in Title XVI offset computation                 |
|          |                                                           |
|          | H -- In-kind support and maintenance                      |
|          |                                                           |
|          | I -- Ineligible child allocation (not income)             |
|          |                                                           |
|          | J -- Value of one-third (1/3) reduction for Living        |
|          | Arrangement Code B                                        |
|          |                                                           |
|          | K -- Blind countable income (conversion cases)            |
|          |                                                           |
|          | L -- Military retired pay                                 |
|          |                                                           |
|          | M -- Federal Civil Service pension                        |
|          |                                                           |
|          | N -- Support payments received from absent parent         |
|          |                                                           |
|          | O -- Income based on need from private sources            |
|          |                                                           |
|          | P -- Employment-related pension (state or local           |
|          | government retirement, private pension)                   |
|          |                                                           |
|          | Q -- Worker's Compensation                                |
|          |                                                           |
|          | R -- Rents, interest, dividends, royalties                |
|          |                                                           |
|          | S -- Other                                                |
|          |                                                           |
|          | T -- Alaska Longevity bonus                               |
|          |                                                           |
|          | U -- Concurrent and Title II only attorney's fees         |
|          | allocated over months were Type 'A, 'G' or 'W' unearned   |
|          | income is present                                         |
|          |                                                           |
|          | V -- Manually computed deemed income                      |
|          |                                                           |
|          | W -- Retroactive Title II benefits posted as if paid when |
|          | due, used in the Title II Offset computation              |
|          |                                                           |
|          | X -- Minimum income level amount (not income)             |
|          |                                                           |
|          | Y -- Special need reduction (applies to a Federal         |
|          | countable minimum income level) (not income)              |
|          |                                                           |
|          | Z -- State countable income                               |
|          |                                                           |
|          | Space -- Not applicable                                   |
+----------+-----------------------------------------------------------+
| Des      | If applicable, this code indicates the type of unearned   |
| cription | income the Title XVI recipient is or was receiving.       |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | UNEARNED INCOME VERIFICATION CODE 1 through\              |
|          | UNEARNED INCOME VERIFICATION CODE 9                       |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR SVES XVI Locate Response Record                   |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 -- Number and income have not been verified             |
|          |                                                           |
|          | 1 -- Number has been verified, amount has not been        |
|          | verified                                                  |
|          |                                                           |
|          | 2 -- Number and income amount have been verified          |
|          |                                                           |
|          | 3 -- VA, OPM, RRB overlaid amount was the same as the     |
|          | amount shown for the prior month                          |
|          |                                                           |
|          | 4 -- Same as '3' above, except the overlaid amount was    |
|          | not the same as the amount shown for the prior month      |
|          |                                                           |
|          | 5 -- For type 'A', same as '3' above except verification  |
|          | code was '2' before the MBR Interface. If type 'X',       |
|          | Federal countable MIL transmitted by FO in conjunction    |
|          | with T30/T50 procedures                                   |
|          |                                                           |
|          | 6 -- For type 'A', one-time payment from the MBR in which |
|          | there was no pre-existing entry on the SSR before the     |
|          | interface. If type 'X', special Federal countable MIL     |
|          | Systems generated Special MIL established by the system   |
|          | which does not consider 'N' frequency code for Title II   |
|          | payments received in the first quarter of 1974. When this |
|          | code is present, the 01/74 MIL is frozen and the system   |
|          | will not recalculate For 01/74                            |
|          |                                                           |
|          | 7 -- Federal countable MIL -- systems generated. This is  |
|          | the standard type 'X' income                              |
|          |                                                           |
|          | 8 -- State countable MIL or income transmitted by FO      |
|          | (applicable to Vermont only)                              |
|          |                                                           |
|          | 9 -- State countable MIL or income (code '8') adjusted by |
|          | the system (applicable to Vermont only)                   |
|          |                                                           |
|          | I -- Identification number and amount verified, and that  |
|          | Title II being paid in installments because of DAA        |
|          | provisions                                                |
|          |                                                           |
|          | Space -- Not applicable                                   |
+----------+-----------------------------------------------------------+
| Des      | This code indicates if the Title XVI recipient's income   |
| cription | allegations have been verified.                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | UPDATE DATE                                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Case Reconciliation Record                        |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | Any valid date in CCYYMMDD format                         |
+----------+-----------------------------------------------------------+
| Des      | This field contains the date of the last update to the    |
| cription | Case Record.                                              |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | USER FIELD                                                |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Optional for the following input records:                 |
| ondition |                                                           |
|          | -   FCR Input Case Record with Action Type Code 'A', 'C'  |
|          |     or 'D'                                                |
|          |                                                           |
|          | -   FCR Input Query Record                                |
|          |                                                           |
|          | -   FCR Input Person/Locate Request Record                |
|          |                                                           |
|          | Conditional for the following output records:             |
|          |                                                           |
|          | -   FCR Case Acknowledgement/Error Record                 |
|          |                                                           |
|          | -   FCR IRS-1099 Locate Response Record                   |
|          |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
|          |                                                           |
|          | -   FCR Query Acknowledgement/Error Record                |
|          |                                                           |
|          | -   FCR Person/Locate Request Acknowledgement/Error       |
|          |     Record                                                |
|          |                                                           |
|          | -   FCR Query/Proactive Match Response Record             |
|          |                                                           |
|          | -   FCR SVES Title II Locate Response Record              |
|          |                                                           |
|          | -   FCR SVES Title XVI Locate Response Record             |
|          |                                                           |
|          | -   FCR SVES Prison Locate Response Record                |
|          |                                                           |
|          | -   FCR SVES Not Found Locate Response Record             |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, special characters or spaces    |
+----------+-----------------------------------------------------------+
| Des      | This is free-format information that was provided by the  |
| cription | submitter of an input transaction that is returned on the |
|          | outputs listed above. This field can be used to include   |
|          | information that is needed to facilitate routing of       |
|          | information in the submitter's system.                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | VA ACTIVE RESERVE                                         |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 -- Veteran not active duty                              |
|          |                                                           |
|          | 1 -- Veteran active duty                                  |
|          |                                                           |
|          | 2 -- Veteran active duty                                  |
|          |                                                           |
|          | Space -- Information not available                        |
+----------+-----------------------------------------------------------+
| Des      | This code indicates if the person is on active duty in VA |
| cription | reserves.                                                 |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | VA AMOUNT OF AWARD                                        |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 6                                                         |
+----------+-----------------------------------------------------------+
| Format   | Numeric                                                   |
+----------+-----------------------------------------------------------+
| Values   | 000000 through 999999                                     |
+----------+-----------------------------------------------------------+
| Des      | This is the monthly amount, expressed in whole dollars,   |
| cription | that was awarded to a person for the type of benefit      |
|          | indicated by the VA Benefit Indicator.                    |
|          |                                                           |
|          | If there is no award amount, or the information is        |
|          | unavailable, the field contains all zeroes.               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | VA BENEFIT INDICATOR                                      |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 1 -- Compensation and Pension                             |
|          |                                                           |
|          | 2 -- Education                                            |
|          |                                                           |
|          | Space -- Information not available                        |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the type of VA benefits in the VA     |
| cription | Amount of Award.                                          |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | VA EFFECTIVE                                              |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 8                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A valid date in CCYYMMDD format or spaces                 |
+----------+-----------------------------------------------------------+
| Des      | This is the date the VA Benefit Award began.              |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | VA INCARCERATION INDICATOR                                |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 -- Released                                             |
|          |                                                           |
|          | 1 -- Incarcerated                                         |
|          |                                                           |
|          | Space -- Information not available                        |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the incarceration status as resident  |
| cription | in the VA's records.                                      |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | VA RETIREMENT PAY INDICATOR                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 -- Not eligible to receive retirement pay               |
|          |                                                           |
|          | 1 -- Eligible or is receiving retirement pay              |
|          |                                                           |
|          | Space -- Information not available                        |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the status of a person's VA           |
| cription | retirement pay.                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | VA SUSPENSE INDICATOR                                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
+----------+-----------------------------------------------------------+
| Length   | 1                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 0 -- Receiving payments                                   |
|          |                                                           |
|          | 1 -- Payments temporarily stopped                         |
|          |                                                           |
|          | Space -- Information not available                        |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the status of a person's VA Amount of |
| cription | Award.                                                    |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | VERSION CONTROL NUMBER                                    |
+----------+-----------------------------------------------------------+
| Type     | Input and Output Field                                    |
+----------+-----------------------------------------------------------+
| C        | Required for the following input record:                  |
| ondition |                                                           |
|          | -   FCR Transmission Header Record                        |
|          |                                                           |
|          | Required for the following output records:                |
|          |                                                           |
|          | -   FCR Routine Batch Response Header Record              |
|          |                                                           |
|          | -   FCR Pending Resolution Batch Response Header Record   |
|          |                                                           |
|          | -   FCR Locate Response Batch Header Record               |
+----------+-----------------------------------------------------------+
| Length   | 5                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | 01.00 -- initial release of the FCR transaction layouts   |
+----------+-----------------------------------------------------------+
| Des      | This code indicates the version of the FCR transaction    |
| cription | layouts being submitted to or received from the FCR       |
|          | system. The first two positions of the code indicate the  |
|          | major release associated with the record formats. The     |
|          | last two positions of the code indicate the minor         |
|          | modification release associated with the record formats.  |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | WAGE AMOUNT                                               |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output record:              |
| ondition |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 11                                                        |
+----------+-----------------------------------------------------------+
| Format   | Signed Numeric                                            |
+----------+-----------------------------------------------------------+
| Values   | 00000000000 through 99999999999                           |
+----------+-----------------------------------------------------------+
| Des      | This is the amount of a person's wages during a Reporting |
| cription | Quarter. The last two positions are implied to be to the  |
|          | right of the decimal point.                               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | WARNING CODE 1 through WARNING CODE 3                     |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Required for the following output record:                 |
| ondition |                                                           |
|          | -   FCR Data Inconsistency File Record                    |
|          |                                                           |
|          | Conditionally required for the following output record:   |
|          |                                                           |
|          | -   FCR Person Reconciliation Record                      |
+----------+-----------------------------------------------------------+
| Length   | 5                                                         |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | **LE001** -- Disclosure prohibited. If the Family         |
|          | Violence indicator is a space, this code indicates family |
|          | violence has been placed on the person. Associated with   |
|          | the FCR Person Reconciliation Record.                     |
|          |                                                           |
|          | **TW102** -- SSN/Name combination unverified. The SSN     |
|          | Validity Code contains a space. Associated with the FCR   |
|          | Person Reconciliation Record.                             |
|          |                                                           |
|          | **IW001** **--** The Participant Type is PF' (Putative    |
|          | Father) and the Order Indicator is 'Y' (child support     |
|          | order exists for the case). Associated with the FCR Data  |
|          | Inconsistency File Record.                                |
|          |                                                           |
|          | **IW002** **--** The Participant Type is 'CP' (Custodial  |
|          | Party), 'NP' (Non-custodial Parent) or 'PF' and the       |
|          | participant age is less than 11 years. Associated with    |
|          | the FCR Data Inconsistency File Record.                   |
|          |                                                           |
|          | **IW003** **--** The Sex Code is not 'F' (female) or 'M'  |
|          | (male). Associated with the FCR Data Inconsistency File   |
|          | Record.                                                   |
|          |                                                           |
|          | **IW004** **--** The Participant Type is 'PF' and the Sex |
|          | Code is 'F'. Associated with the FCR Data Inconsistency   |
|          | File Record.                                              |
|          |                                                           |
|          | Spaces -- No warning applicable                           |
+----------+-----------------------------------------------------------+
| Des      | This code identifies the type of warning issued.          |
| cription |                                                           |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+
| Name     | ZIP CODE                                                  |
+----------+-----------------------------------------------------------+
| Type     | Output Field                                              |
+----------+-----------------------------------------------------------+
| C        | Conditional for the following output records:             |
| ondition |                                                           |
|          | -   FCR Locate Response Record                            |
|          |                                                           |
|          | -   FCR NDNH Locate/Proactive Match Response Record       |
+----------+-----------------------------------------------------------+
| Length   | 15                                                        |
+----------+-----------------------------------------------------------+
| Format   | Alphanumeric                                              |
+----------+-----------------------------------------------------------+
| Values   | A through Z, 0 through 9, or spaces                       |
+----------+-----------------------------------------------------------+
| Des      | This is the Zip Code for the Returned Address in the      |
| cription | format designated by the Address Format Indicator. Refer  |
|          | to the Returned Address for format examples.              |
|          |                                                           |
|          | If the U.S. Zip Code is used, this is the 5/4 format.     |
|          |                                                           |
|          | If it is a foreign Zip Code, this may be up to 15         |
|          | characters.                                               |
+----------+-----------------------------------------------------------+
|          |                                                           |
+----------+-----------------------------------------------------------+