##### **F. OUTPUT RECORD SPECIFICATIONS**

##### 

This appendix includes an explanation of the output records created by
OCSE and detailed descriptions for each record. Each record layout in
this section includes the following information:

1.  Field name;

2.  Field Location;

3.  Field Length;

4.  Field Type (alphabetic =A, numeric = N or alphanumeric = A/N); and

5.  Field Comments.

The Comment section of the record layout indicates when the field is
required for the transaction. Fields defined as \'Conditionally
Required\' are required to be present on the input record, based on the
conditions that are described in the Comment field. Comments also
provide an explanation of the field and its relationship to other fields
or records. Additional information regarding each field may be found in
the Appendix C, \"Data Dictionary\".

Input transactions are transmitted to OCSE using SSA\'s network and the
CONNECT:Direct protocol. Additional information regarding CONNECT:Direct
and the process for transmission of data to OCSE may be found in Section
7.1, \"CONNECT:Direct\". The data transmitted to OCSE must comply with
the following requirements.

1.  All data must be in EBCDIC format.

2.  All alphabetic data must be in upper case.

3.  All alphabetic and alphanumeric data must be left-justified and
    space filled.

4.  All numeric data must be right-justified and zero-filled.

5.  All dates must be in the Year 2000-compliant format of CCYYMMDD.

6.  All Filler fields must be filled with spaces and not low values.

Chart F-1, \"Output Record Layouts,\" which follows, lists and describes
the output record layouts that are sent back to the State by the OCSE.

+----------+-----+----+---+------------------------------------------+
| #######  |     |    |   |                                          |
| # CHART  |     |    |   |                                          |
| F-2: REJ |     |    |   |                                          |
| ECTED CA |     |    |   |                                          |
| SE RECOR |     |    |   |                                          |
| D LAYOUT |     |    |   |                                          |
+==========+=====+====+===+==========================================+
| Field    | Lo  | Le | A | Comments                                 |
| Name     | cat | ng | / |                                          |
|          | ion | th | N |                                          |
+----------+-----+----+---+------------------------------------------+
| Su       | 1‑2 | 2  | A | **Required**                             |
| bmitting |     |    |   |                                          |
| State    |     |    |   | This field contains the State            |
| Code     |     |    |   | abbreviation for the submitting**.**     |
+----------+-----+----+---+------------------------------------------+
| Local    | 3‑5 | 3  | A | **Optional**                             |
| Code     |     |    | / |                                          |
|          |     |    | N | If the State used the local code on the  |
|          |     |    |   | Case Submittal and Update Record for a   |
|          |     |    |   | new case this field will contain the     |
|          |     |    |   | valid FIPS country code.                 |
+----------+-----+----+---+------------------------------------------+
| SSN      | 6   | 9  | N | # Required - Key Data                    |
|          | ‑14 |    |   |                                          |
|          |     |    |   | This field will contain the valid SSN    |
|          |     |    |   | for each person. This field will be      |
|          |     |    |   | numeric and will not be all zeroes, all  |
|          |     |    |   | sixes or all nines.                      |
+----------+-----+----+---+------------------------------------------+
| Case ID  | 15  | 15 | A | # Not Used                               |
|          | ‑29 |    | / |                                          |
|          |     |    | N | This field is not used by OCSE. This     |
|          |     |    |   | field will contain the value the State   |
|          |     |    |   | supplied when a new case was submitted   |
|          |     |    |   | to OCSE. This field will be filled with  |
|          |     |    |   | blanks if not used by the State.         |
+----------+-----+----+---+------------------------------------------+
| Obligor  | 30  | 20 | A | **Required**                             |
| Last     | ‑49 |    |   |                                          |
| Name     |     |    |   | This field will contain the last name of |
|          |     |    |   | the obligor supplied by the State when a |
|          |     |    |   | new case was submitted using the Case    |
|          |     |    |   | Submittal and Update Record. This field  |
|          |     |    |   | will be uppercase. No imbedded blanks or |
|          |     |    |   | special characters, except a hyphen, can |
|          |     |    |   | be present.                              |
+----------+-----+----+---+------------------------------------------+
| Obligor  | 50  | 15 | A | **Required**                             |
| First    | ‑64 |    |   |                                          |
| Name     |     |    |   | This field will contain the obligor      |
|          |     |    |   | first name supplied by the State when a  |
|          |     |    |   | new case was submitted using the Case    |
|          |     |    |   | Submittal and Update Record. This field  |
|          |     |    |   | will be uppercase imbedded blanks or     |
|          |     |    |   | special characters can be present.       |
+----------+-----+----+---+------------------------------------------+
| A        | 65  | 8  | N | **Required**                             |
| rrearage | ‑72 |    |   |                                          |
| Amount   |     |    |   | If the transaction type is \'M\' the     |
|          |     |    |   | arrearage amount is the current amount   |
|          |     |    |   | owed by the obligor from the date of     |
|          |     |    |   | inception. If the transaction type is    |
|          |     |    |   | \'S\' the arrearage amount is the        |
|          |     |    |   | accumulated state payment amount.        |
|          |     |    |   | Decimal points, dollar signs, commas or  |
|          |     |    |   | plus/minus signs are not be present and  |
|          |     |    |   | amount must be right justify and zero    |
|          |     |    |   | filled. (Example: 1,500.00=00001500).    |
+----------+-----+----+---+------------------------------------------+
| Tra      | 73  | 1  | A | **Required**                             |
| nsaction |     |    |   |                                          |
| Type     |     |    |   | This field will contain the transaction  |
|          |     |    |   | type the State sent to OCSE on the       |
|          |     |    |   | weekly update process. Valid transaction |
|          |     |    |   | types returned to the State are:         |
|          |     |    |   |                                          |
|          |     |    |   | A - Add a new case                       |
|          |     |    |   |                                          |
|          |     |    |   | D - Delete an existing case              |
|          |     |    |   |                                          |
|          |     |    |   | L - Change submitting state local code   |
|          |     |    |   |                                          |
|          |     |    |   | M - Modify amount owed (Report current   |
|          |     |    |   | arrearage balance).                      |
|          |     |    |   |                                          |
|          |     |    |   | R - Replace offset exclusion indicator   |
|          |     |    |   | type                                     |
|          |     |    |   |                                          |
|          |     |    |   | S - State payment (accumulated amount)   |
|          |     |    |   |                                          |
|          |     |    |   | T - Transfer for administrative review   |
|          |     |    |   | to State with the order                  |
+----------+-----+----+---+------------------------------------------+
| Case     | 74  | 1  | A | **Required - Key Data**                  |
| Type     |     |    |   |                                          |
| I        |     |    |   | This field must contain a valid code.    |
| ndicator |     |    |   | Valid codes for this field are:          |
|          |     |    |   |                                          |
|          |     |    |   | A - TANF/foster care                     |
|          |     |    |   |                                          |
|          |     |    |   | N - Non‑TANF                             |
+----------+-----+----+---+------------------------------------------+
| Transfer | 75  | 2  | A | **Conditionally Required**               |
| State    | ‑76 |    |   |                                          |
| Code     |     |    |   | This field will be filled in the State   |
|          |     |    |   | submits a transfer or a transfer State   |
|          |     |    |   | updates a case. This field will contain  |
|          |     |    |   | a valid State Code. The State Code will  |
|          |     |    |   | be a valid two-digit alphabetic postal   |
|          |     |    |   | abbreviation FIPS Code of the State or   |
|          |     |    |   | territory. Refer to Appendix H, "State   |
|          |     |    |   | and Territory Abbreviations and FIPS     |
|          |     |    |   | Codes," or Department of Commerce FIPS   |
|          |     |    |   | Code Manual, National Institute of       |
|          |     |    |   | Standards and Technology, FIPS PUB 6-4   |
|          |     |    |   | (April 1995) for a list of these codes.  |
|          |     |    |   | In addition, FIPS Codes may be found on  |
|          |     |    |   | the Internet at                          |
|          |     |    |   | **http://www.itl.nist.gov.**             |
+----------+-----+----+---+------------------------------------------+
| Transfer | 77  | 3  | A | # Conditionally Required                 |
| Local    | ‑79 |    | / |                                          |
| Code     |     |    | N | This field will be filled in if the      |
|          |     |    |   | State submits a transfer or a transfer   |
|          |     |    |   | State updates a case for                 |
|          |     |    |   | submitter-identify information. This     |
|          |     |    |   | field will contain a valid three-digit   |
|          |     |    |   | numeric code for the country. A valid    |
|          |     |    |   | FIPS code is recommended. Refer to       |
|          |     |    |   | Appendix H, "State and Territory         |
|          |     |    |   | Abbreviations and FIPS Codes," or        |
|          |     |    |   | Department of Commerce FIPS Code Manual, |
|          |     |    |   | National Institute of Standards and      |
|          |     |    |   | Technology, FIPS PUB 6-4 (April 1995)    |
|          |     |    |   | for a list of these codes. In addition,  |
|          |     |    |   | FIPS Codes may be found on the Internet  |
|          |     |    |   | at                                       |
|          |     |    |   | [http://www.itl.                         |
|          |     |    |   | nist.gov](http://www.itl.nist.gov/)**.** |
+----------+-----+----+---+------------------------------------------+
| Process  | 80  | 4  | N | **Conditionally Required**               |
| Year     | -83 |    |   |                                          |
|          |     |    |   | This field will contain the Year the Tax |
|          |     |    |   | Refund or Administrative payment was     |
|          |     |    |   | issued. This field is used for reporting |
|          |     |    |   | State payments. The date must be in the  |
|          |     |    |   | Year 2000-compliant format of CCYY.      |
|          |     |    |   |                                          |
|          |     |    |   | CC = Century                             |
|          |     |    |   |                                          |
|          |     |    |   | YY = Year                                |
+----------+-----+----+---+------------------------------------------+
| Obligor  | 84‑ | 30 | A | **Conditionally Required**               |
| Address  | 113 |    | / |                                          |
| Line1    |     |    | N | This field will contain the              |
|          |     |    |   | Non-custodial Parent\'s mailing address  |
|          |     |    |   | line 1 that OCSE has on their Case       |
|          |     |    |   | Master File. This field will be filled   |
|          |     |    |   | in if OCSE issues the Pre-offset notices |
|          |     |    |   | for the submitting state.                |
+----------+-----+----+---+------------------------------------------+
| Obligor  | 1   | 30 | A | **Conditionally Required**               |
| Address  | 14- |    | / |                                          |
| Line2    | 143 |    | N | This field will contain the              |
|          |     |    |   | Non-custodial Parent\'s mailing address  |
|          |     |    |   | line 2 that OCSE has on their Case       |
|          |     |    |   | Master File. This field will be filled   |
|          |     |    |   | in if a OCSE issues the Pre-offset       |
|          |     |    |   | notices for the submitting state and if  |
|          |     |    |   | a second address line exist.             |
+----------+-----+----+---+------------------------------------------+
| Obligor  | 1   | 25 | A | **Conditionally Required**               |
| City     | 44- |    |   |                                          |
|          | 168 |    |   | This field will contain the              |
|          |     |    |   | Non-custodial Parent\'s mailing city     |
|          |     |    |   | that OCSE has on their Case Master File. |
|          |     |    |   | This field will be filled in if OCSE     |
|          |     |    |   | issues the Pre-offset notices for the    |
|          |     |    |   | submitting state                         |
+----------+-----+----+---+------------------------------------------+
| Obligor  | 1   | 2  | A | **Conditionally Required**               |
| State    | 69- |    |   |                                          |
|          | 170 |    |   | This field will contain the              |
|          |     |    |   | Non-custodial Parent\'s mailing state    |
|          |     |    |   | abbreviation that OCSE has on their Case |
|          |     |    |   | Master File. This field will be filled   |
|          |     |    |   | in if OCSE issues the Pre-offset notices |
|          |     |    |   | for the submitting state.                |
+----------+-----+----+---+------------------------------------------+
| Obligor  | 1   | 9  | N | **Conditionally Required**               |
| Zip Code | 71- |    |   |                                          |
|          | 179 |    |   | This field will contain the              |
|          |     |    |   | Non-custodial Parent\'s mailing zip code |
|          |     |    |   | that OCSE has on their Case Master File. |
|          |     |    |   | This field must be numeric, left         |
|          |     |    |   | justified or zero filled. This field     |
|          |     |    |   | will be filled in if OCSE issues the     |
|          |     |    |   | Pre-offset notices for the submitting    |
|          |     |    |   | state.                                   |
+----------+-----+----+---+------------------------------------------+
| Date     | 1   | 8  | A | **Conditionally Required**               |
| Issued   | 80- |    | / |                                          |
|          | 187 |    | N | This field indicates the date the        |
|          |     |    |   | Pre-Offset Notice was mailed. If OCSE    |
|          |     |    |   | issues the notice, OCSE will fill in the |
|          |     |    |   | date. If the State issues the notice the |
|          |     |    |   | State will supply the date. The date     |
|          |     |    |   | must be in the Year 2000-compliant       |
|          |     |    |   | format of CCYYMMDD.                      |
|          |     |    |   |                                          |
|          |     |    |   | CC = Century                             |
|          |     |    |   |                                          |
|          |     |    |   | YY = Year                                |
|          |     |    |   |                                          |
|          |     |    |   | MM = Month                               |
|          |     |    |   |                                          |
|          |     |    |   | DD = Day                                 |
+----------+-----+----+---+------------------------------------------+
| Offset   | 1   | 40 | A | **Optional**                             |
| E        | 88- |    |   |                                          |
| xclusion | 227 |    |   | This field will contain the exclusion    |
| I        |     |    |   | indicators that OCSE has on their Case   |
| ndicator |     |    |   | Master File. The exclusion indicators    |
|          |     |    |   | will be seperated with a comma. The      |
|          |     |    |   | valid exclusion indicators are:          |
|          |     |    |   |                                          |
|          |     |    |   | ADM - Exclude all Administrative Offsets |
|          |     |    |   | = (RET, SAL,VEN)                         |
|          |     |    |   |                                          |
|          |     |    |   | RET - Exclude Federal Retirement         |
|          |     |    |   |                                          |
|          |     |    |   | VEN - Exclude Vendor                     |
|          |     |    |   | Payment/Miscellaneous                    |
|          |     |    |   |                                          |
|          |     |    |   | SAL - Exclude Federal Salary (Future)    |
|          |     |    |   |                                          |
|          |     |    |   | TAX - Exclude Tax Refund Offset          |
|          |     |    |   |                                          |
|          |     |    |   | ##### PAS - Exclude Passport Denial      |
|          |     |    |   |                                          |
|          |     |    |   | FIN - Exclude Financial Institution      |
|          |     |    |   |                                          |
|          |     |    |   | Blank - No Exclusion                     |
+----------+-----+----+---+------------------------------------------+
| Rejected | 2   | 12 | A | This field will contain from one to      |
| Error    | 28- |    | / | six - two-digit error codes. These codes |
| Codes    | 239 |    | N | are reported consecutively with no       |
|          |     |    |   | commas or spaces. Refer to Appendix G,   |
|          |     |    |   | Error Message and Codes, \"Chart G-1:    |
|          |     |    |   | Rejected Case Errors\", for a complete   |
|          |     |    |   | list of possible rejected error codes.   |
+----------+-----+----+---+------------------------------------------+
| Filler   | 2   | 6  | A | Space filled.                            |
|          | 40- |    | / |                                          |
|          | 245 |    | N |                                          |
+----------+-----+----+---+------------------------------------------+

+-----------+------+-----+---+------------------------------------------+
| ## CHART  |      |     |   |                                          |
|  F-3: REJ |      |     |   |                                          |
| ECT CONTR |      |     |   |                                          |
| OL RECORD |      |     |   |                                          |
+-----------+------+-----+---+------------------------------------------+
| Field     | ###  | #   | A | Comments                                 |
| Name      | ###  | ### | / |                                          |
|           | Loca | ##  | N |                                          |
|           | tion | Len |   |                                          |
|           |      | gth |   |                                          |
+-----------+------+-----+---+------------------------------------------+
| S         | 1-2  | 2   | A | **Required**                             |
| ubmitting |      |     |   |                                          |
| State     |      |     |   | This field identifies the State that     |
| Code      |      |     |   | submitted the weekly update process      |
|           |      |     |   | data. The State Code will be the valid   |
|           |      |     |   | two-digit alphabetic postal abbreviation |
|           |      |     |   | FIPS Code of the State or territory.     |
|           |      |     |   | Refer to Appendix H, "State and          |
|           |      |     |   | Territory Abbreviations and FIPS Codes," |
|           |      |     |   | or Department of Commerce FIPS Code      |
|           |      |     |   | Manual, National Institute of Standards  |
|           |      |     |   | and Technology, FIPS PUB 6-4 (April      |
|           |      |     |   | 1995) for a list of these codes. In      |
|           |      |     |   | addition, FIPS Codes may be found on the |
|           |      |     |   | Internet at **http://www.itl.nist.gov.** |
+-----------+------+-----+---+------------------------------------------+
| Control   | 3-5  | 3   | # | This field is a constant field and will  |
|           |      |     | # | contain \'CTL\' to identify this record  |
|           |      |     | # | as the Reject Control Record.            |
|           |      |     | # |                                          |
|           |      |     | # |                                          |
|           |      |     | # |                                          |
|           |      |     | # |                                          |
|           |      |     | # |                                          |
|           |      |     |   |                                          |
|           |      |     | A |                                          |
+-----------+------+-----+---+------------------------------------------+
| TANF      | 6-14 | 9   | N | Total TANF records accepted on the Case  |
| Accepted  |      |     |   | Submittal and Update Record. Right       |
|           |      |     |   | justifies and zero filled.               |
+-----------+------+-----+---+------------------------------------------+
| TANF      | 1    | 9   | N | Total TANF records rejected from the     |
| Rejected  | 5-23 |     |   | Case Submittal and Update Record. Right  |
|           |      |     |   | justifies and zero filled.               |
+-----------+------+-----+---+------------------------------------------+
| Non-TANF  | 2    | 9   | N | Total Non-TANF records accepted on the   |
| Accepted  | 4-32 |     |   | Case Submittal and Update Record. Right  |
|           |      |     |   | justifies and zero filled.               |
+-----------+------+-----+---+------------------------------------------+
| Non-TANF  | 3    | 9   | N | Total Non-TANF records rejected from the |
| Rejected  | 3-41 |     |   | Case Submittal and Update Record. Right  |
|           |      |     |   | justifies and zero filled.               |
+-----------+------+-----+---+------------------------------------------+
| Filler    | 42   | 204 | A | Blank fill.                              |
|           | -245 |     |   |                                          |
+-----------+------+-----+---+------------------------------------------+

+-----------+------+-----+---+------------------------------------------+
| **CHART   |      |     |   |                                          |
| F-4:      |      |     |   |                                          |
| UNAC      |      |     |   |                                          |
| COUNTABLE |      |     |   |                                          |
| ADDRESS   |      |     |   |                                          |
| RECORD    |      |     |   |                                          |
| LAYOUT**  |      |     |   |                                          |
+===========+======+=====+===+==========================================+
| Field     | ###  | Len | A | Comments                                 |
| Name      | ###  | gth | / |                                          |
|           | Loca |     | N |                                          |
|           | tion |     |   |                                          |
+-----------+------+-----+---+------------------------------------------+
| S         | 1‑2  | 2   | A | **Required**                             |
| ubmitting |      |     |   |                                          |
| State     |      |     |   | This field will contain a valid State    |
| Code      |      |     |   | Code for the submitting State. The State |
|           |      |     |   | Code will be the valid two-digit         |
|           |      |     |   | alphabetic postal abbreviation FIPS Code |
|           |      |     |   | of the State or territory. Refer to      |
|           |      |     |   | Appendix H, "State and Territory         |
|           |      |     |   | Abbreviations and FIPS Codes," or        |
|           |      |     |   | Department of Commerce FIPS Code Manual, |
|           |      |     |   | National Institute of Standards and      |
|           |      |     |   | Technology, FIPS PUB 6-4 (April 1995)    |
|           |      |     |   | for a list of these codes. In addition,  |
|           |      |     |   | FIPS Codes may be found on the Internet  |
|           |      |     |   | at **http://www.itl.nist.gov.**          |
+-----------+------+-----+---+------------------------------------------+
| Local     | 3‑5  | 3   | A | **Optional**                             |
| Code      |      |     |   |                                          |
|           |      |     |   | If the State supplied a value for this   |
|           |      |     |   | field it will contain a valid            |
|           |      |     |   | three-digit numeric code for the         |
|           |      |     |   | country. A valid FIPS code is            |
|           |      |     |   | recommended. Refer to Appendix H, "State |
|           |      |     |   | and Territory Abbreviations and FIPS     |
|           |      |     |   | Codes," or Department of Commerce FIPS   |
|           |      |     |   | Code Manual, National Institute of       |
|           |      |     |   | Standards and Technology, FIPS PUB 6-4   |
|           |      |     |   | (April 1995) for a list of these codes.  |
|           |      |     |   | In addition, FIPS Codes may be found on  |
|           |      |     |   | the Internet at                          |
|           |      |     |   | **http://www.itl.nist.gov.**             |
+-----------+------+-----+---+------------------------------------------+
| SSN       | 6‑14 | 9   | A | # Required - Key Data                    |
|           |      |     |   |                                          |
|           |      |     |   | This field will contain the social       |
|           |      |     |   | security number (SSN) for each person.   |
|           |      |     |   | This field will be numeric, and will not |
|           |      |     |   | be all zeroes, all sixes or all nines.   |
+-----------+------+-----+---+------------------------------------------+
| Case ID   | 1    | 15  | A | # Not Used                               |
|           | 5‑29 |     | / |                                          |
|           |      |     | N | This field is not used by OCSE. This     |
|           |      |     |   | field will be filled with blanks if not  |
|           |      |     |   | used by the State.                       |
+-----------+------+-----+---+------------------------------------------+
| Obligor   | 3    | 20  | A | **Required**                             |
| Last Name | 0‑49 |     |   |                                          |
|           |      |     |   | This field will contain at least one     |
|           |      |     |   | alphabetic characters and will be        |
|           |      |     |   | uppercase. No imbedded blanks or special |
|           |      |     |   | characters, except a hyphen, can be      |
|           |      |     |   | present. Refer to Chart E-3 for last     |
|           |      |     |   | name examples.                           |
+-----------+------+-----+---+------------------------------------------+
| Obligor   | 5    | 25  | A | **Required**                             |
| First     | 0‑64 |     |   |                                          |
| Name      |      |     |   | This field will contain at least one     |
|           |      |     |   | alphabetic character and will be         |
|           |      |     |   | uppercase. No imbedded blanks or special |
|           |      |     |   | characters can be present.               |
+-----------+------+-----+---+------------------------------------------+
| Arrearage | 6    | 11  | N | **Required**                             |
| Amount    | 5‑75 |     |   |                                          |
|           |      |     |   | This field will contain the amount of    |
|           |      |     |   | the arrearage balance in whole dollars.  |
|           |      |     |   | Decimal points, dollar signs, commas or  |
|           |      |     |   | plus/minus signs are not be present and  |
|           |      |     |   | amount must be right justified and zero  |
|           |      |     |   | filled. (Example: 1,500.00=00001500).    |
+-----------+------+-----+---+------------------------------------------+
| Unac      | 7    | 2   | A | **Required**                             |
| countable | 6‑77 |     |   |                                          |
| Error     |      |     |   | This field will contain the two-digit    |
| Code      |      |     |   | error code identifying the reason the    |
|           |      |     |   | address record was rejected and placed   |
|           |      |     |   | on the unaccountable file. For a         |
|           |      |     |   | description of the error codes, refer to |
|           |      |     |   | Chart G-2, "Unaccountable Case Records". |
+-----------+------+-----+---+------------------------------------------+
| Name      | 7    | 4   | A | **Required**                             |
| Control   | 8‑81 |     |   |                                          |
|           |      |     |   | This field will contain the first four   |
|           |      |     |   | characters of the obligor's last name as |
|           |      |     |   | reported by the IRS.                     |
+-----------+------+-----+---+------------------------------------------+
| Case Type | 82   | 1   | A | **Required - Key Data**                  |
| Indicator |      |     | / |                                          |
|           |      |     | N | This field will contain either an \'A\'  |
|           |      |     |   | or \'N\'. Valid codes for this field     |
|           |      |     |   | are:                                     |
|           |      |     |   |                                          |
|           |      |     |   | A - TANF/foster care                     |
|           |      |     |   |                                          |
|           |      |     |   | N - Non‑TANF                             |
+-----------+------+-----+---+------------------------------------------+
| Transfer  | 8    | 2   | A | **Conditionally Required**               |
| State     | 3‑84 |     |   |                                          |
| Code      |      |     |   | This field will be filled in if a State  |
|           |      |     |   | submits a transfer or a transfer State   |
|           |      |     |   | updates a case. This field will contain  |
|           |      |     |   | a valid State Code. The State Code will  |
|           |      |     |   | be a valid two-digit alphabetic postal   |
|           |      |     |   | abbreviation FIPS Code of the State or   |
|           |      |     |   | territory. Refer to Appendix H, "State   |
|           |      |     |   | and Territory Abbreviations and FIPS     |
|           |      |     |   | Codes," or Department of Commerce FIPS   |
|           |      |     |   | Code Manual, National Institute of       |
|           |      |     |   | Standards and Technology, FIPS PUB 6-4   |
|           |      |     |   | (April 1995) for a list of these codes.  |
|           |      |     |   | In addition, FIPS Codes may be found on  |
|           |      |     |   | the Internet at                          |
|           |      |     |   | **http://www.itl.nist.gov.**             |
+-----------+------+-----+---+------------------------------------------+
| Transfer  | 8    | 3   | N | # Conditionally Required                 |
| Local     | 5‑87 |     |   |                                          |
| Code      |      |     |   | This field will be filled in if a State  |
|           |      |     |   | submits a transfer or a transfer State   |
|           |      |     |   | updates a case for submitter-identify    |
|           |      |     |   | information. This field will contain a   |
|           |      |     |   | valid three-digit numeric code for the   |
|           |      |     |   | country. A valid FIPS code is            |
|           |      |     |   | recommended. Refer to Appendix H, "State |
|           |      |     |   | and Territory Abbreviations and FIPS     |
|           |      |     |   | Codes," or Department of Commerce FIPS   |
|           |      |     |   | Code Manual, National Institute of       |
|           |      |     |   | Standards and Technology, FIPS PUB 6-4   |
|           |      |     |   | (April 1995) for a list of these codes.  |
|           |      |     |   | In addition, FIPS Codes may be found on  |
|           |      |     |   | the Internet at                          |
|           |      |     |   | [http://www.itl.                         |
|           |      |     |   | nist.gov](http://www.itl.nist.gov/)**.** |
+-----------+------+-----+---+------------------------------------------+
| Corrected | 8    | 9   | A | **Conditionally Required**               |
| SSN       | 8-96 |     | / |                                          |
|           |      |     | N | This field will contain the corrected    |
|           |      |     |   | SSN for error code 31 and will be blank  |
|           |      |     |   | filled for error codes 18, 19 or 20.     |
+-----------+------+-----+---+------------------------------------------+
| Filler    | 97   | 12  | A | Blank Filled.                            |
|           | -108 |     |   |                                          |
+-----------+------+-----+---+------------------------------------------+

+------------+------+-----+---+----------------------------------------+
| **CHART    |      |     |   |                                        |
| F-5:       |      |     |   |                                        |
| MONTHLY    |      |     |   |                                        |
| COLLECTION |      |     |   |                                        |
| RECORD     |      |     |   |                                        |
| LAYOUT**   |      |     |   |                                        |
+============+======+=====+===+========================================+
| Field Name | Loca | Len | A | Comments                               |
|            | tion | gth | / |                                        |
|            |      |     | N |                                        |
+------------+------+-----+---+----------------------------------------+
| Submitting | 1 -  | 2   | A | **Required**                           |
| State Code | 2    |     |   |                                        |
|            |      |     |   | This field will contain the State code |
|            |      |     |   | for the submitting state. The State    |
|            |      |     |   | Code will be the valid two-digit       |
|            |      |     |   | alphabetic postal abbreviation FIPS    |
|            |      |     |   | Code of the State or territory. Refer  |
|            |      |     |   | to Appendix H, "State and Territory    |
|            |      |     |   | Abbreviations and FIPS Codes," or      |
|            |      |     |   | Department of Commerce FIPS Code       |
|            |      |     |   | Manual, National Institute of          |
|            |      |     |   | Standards and Technology, FIPS PUB 6-4 |
|            |      |     |   | (April 1995) for a list of these       |
|            |      |     |   | codes. In addition, FIPS Codes may be  |
|            |      |     |   | found on the Internet at               |
|            |      |     |   | **http://www.itl.nist.gov.**           |
+------------+------+-----+---+----------------------------------------+
| Local Code | 3 ‑  | 3   | A | **Optional**                           |
|            | 5    |     |   |                                        |
|            |      |     |   | This field will contain the local code |
|            |      |     |   | the State provided OCSE.               |
+------------+------+-----+---+----------------------------------------+
| SSN        | 6 -  | 9   | N | # Required - Key Data                  |
|            | 14   |     |   |                                        |
|            |      |     |   | This field will contain the social     |
|            |      |     |   | security number of the obligor that an |
|            |      |     |   | offset occurred for that month.        |
+------------+------+-----+---+----------------------------------------+
| Case ID    | 15 - | 15  | A | # Not Used                             |
|            | 29   |     | / |                                        |
|            |      |     | N | This field is not used by OCSE. If the |
|            |      |     |   | State supplied a value for this field  |
|            |      |     |   | it will contain that value. This field |
|            |      |     |   | will be filled with blanks if not used |
|            |      |     |   | by the State.                          |
+------------+------+-----+---+----------------------------------------+
| Obligor    | 30 - | 20  | A | **Required**                           |
| Last Name  | 49   |     |   |                                        |
|            |      |     |   | This field contains the last name of   |
|            |      |     |   | the obligor that an offset occurred    |
|            |      |     |   | for that month and must be uppercase.  |
|            |      |     |   | No imbedded blanks or special          |
|            |      |     |   | characters, except a hyphen, can be    |
|            |      |     |   | present. Refer to Chart E-3 for last   |
|            |      |     |   | name examples.                         |
+------------+------+-----+---+----------------------------------------+
| Obligor    | 50 - | 15  | A | **Required**                           |
| First Name | 64   |     |   |                                        |
|            |      |     |   | This field contains the first name of  |
|            |      |     |   | the obligor that an offset occurred    |
|            |      |     |   | for that month and must be uppercase.  |
|            |      |     |   | No imbedded blanks or special          |
|            |      |     |   | characters can be present.             |
+------------+------+-----+---+----------------------------------------+
| Arrearage  | 65 - | 11  | N | **Required**                           |
| Amount     | 75   |     |   |                                        |
|            |      |     |   | This field contains the current        |
|            |      |     |   | balance that the obligor owes. The     |
|            |      |     |   | arrearage amount is in whole dollars.  |
|            |      |     |   | Decimal points, dollar signs, commas   |
|            |      |     |   | or plus/minus signs are not be present |
|            |      |     |   | and amount must be right justify and   |
|            |      |     |   | zero filled. (Example:                 |
|            |      |     |   | 1,500.00=00001500).                    |
+------------+------+-----+---+----------------------------------------+
| Collection | 76 - | 11  | N | **Conditionally Required**             |
| Amount     | 86   |     |   |                                        |
|            |      |     |   | This field contains the amount of the  |
|            |      |     |   | offset collected for that month. If    |
|            |      |     |   | the collection amount contains a value |
|            |      |     |   | greater than zero than the adjustment  |
|            |      |     |   | will equal zero. The collection amount |
|            |      |     |   | is a signed numeric dollar amount with |
|            |      |     |   | an assumed two place decimal. It must  |
|            |      |     |   | be a positive amount. No decimal       |
|            |      |     |   | points, dollar signs, commas or        |
|            |      |     |   | plus/minus signs allowed. Right        |
|            |      |     |   | justify and zero filled.(i.e.,:        |
|            |      |     |   | \$1,500.00=00000150000).               |
+------------+------+-----+---+----------------------------------------+
| Adjustment | 87 - | 11  | # | **Conditionally Required**             |
| Amount     | 97   |     | # |                                        |
|            |      |     | # | This field contains the amount of the  |
|            |      |     |   | offset collected for that month. If    |
|            |      |     | N | the adjustment amount contains a value |
|            |      |     |   | greater than zero than the collection  |
|            |      |     |   | will equal zero. The adjustment amount |
|            |      |     |   | is a signed numeric dollar amount with |
|            |      |     |   | an assumed two place decimal. It must  |
|            |      |     |   | be a positive amount. No decimal       |
|            |      |     |   | points, dollar signs, commas or        |
|            |      |     |   | plus/minus signs allowed. Right        |
|            |      |     |   | justify and zero filled.(i.e.,:        |
|            |      |     |   | \$1,500.00=00000150000).               |
+------------+------+-----+---+----------------------------------------+
| Process    | 98 - | 4   | N | **Required**                           |
| Year       | 101  |     |   |                                        |
|            |      |     |   | The process year is the year the       |
|            |      |     |   | offset was originated. The year is     |
|            |      |     |   | year 2000 compliant and is in the CCYY |
|            |      |     |   | format.                                |
|            |      |     |   |                                        |
|            |      |     |   | CC = century                           |
|            |      |     |   |                                        |
|            |      |     |   | YY = year                              |
+------------+------+-----+---+----------------------------------------+
| Tax Period | 1    | 4   | N | # Required                             |
| For Offset | 02 - |     |   |                                        |
|            | 105  |     |   | This field must contain the tax period |
|            |      |     |   | for offset is the current processing   |
|            |      |     |   | year. The date must be in the Year     |
|            |      |     |   | 2000-compliant format of CCYY.         |
+------------+------+-----+---+----------------------------------------+
| Return     | 1    | 1   | A | **Required**                           |
| Indicator  | 06 - |     |   |                                        |
|            | 106  |     |   | The return indicator identifies        |
|            |      |     |   | whether the return is joint. This      |
|            |      |     |   | field will equal a \'Y\' or \'N\'.     |
|            |      |     |   |                                        |
|            |      |     |   | Y - joint return                       |
|            |      |     |   |                                        |
|            |      |     |   | ##### N - no joint return              |
+------------+------+-----+---+----------------------------------------+
| Case Type  | 1    | 1   | A | **Required - Key Data**                |
| Indicator  | 07 - |     |   |                                        |
|            | 107  |     |   | This field must contain a valid code.  |
|            |      |     |   | Valid codes for this field are:        |
|            |      |     |   |                                        |
|            |      |     |   | A - TANF/foster care                   |
|            |      |     |   |                                        |
|            |      |     |   | N - Non‑TANF                           |
+------------+------+-----+---+----------------------------------------+
| Transfer   | 1    | 2   | A | **Conditionally Required**             |
| State Code | 08 - |     |   |                                        |
|            | 109  |     |   | This field will be filled in if the    |
|            |      |     |   | State submits a transfer or a transfer |
|            |      |     |   | State updates a case. This field will  |
|            |      |     |   | contain a valid State Code.            |
+------------+------+-----+---+----------------------------------------+
| Transfer   | 1    | 3   | N | # Conditionally Required               |
| Local Code | 10 - |     |   |                                        |
|            | 112  |     |   | This field will be filled if the State |
|            |      |     |   | submits a transfer or a transfer State |
|            |      |     |   | updates a case for submitter-identify  |
|            |      |     |   | information. This field will contain a |
|            |      |     |   | valid three-digit numeric code for the |
|            |      |     |   | country.                               |
+------------+------+-----+---+----------------------------------------+
| TOP Name   | 113  | 35  | A | **Conditionally Required**             |
|            | -147 |     |   |                                        |
|            |      |     |   | This field will contain the            |
|            |      |     |   | administrative offset name of the IRS  |
|            |      |     |   | or Treasury Tax Return. If the         |
|            |      |     |   | adjustment amount contains a dollar    |
|            |      |     |   | amountthis field will contain a value  |
+------------+------+-----+---+----------------------------------------+
| TOP Street | 1    | 35  | A | **Conditionally Required**             |
| Address    | 48 - |     | / |                                        |
|            | 182  |     | N | This field will contain the            |
|            |      |     |   | administrative offset street address   |
|            |      |     |   | of the IRS or Treasury Tax Return. If  |
|            |      |     |   | the adjustment amount contains a       |
|            |      |     |   | dollar amount this field will contain  |
|            |      |     |   | a value.                               |
+------------+------+-----+---+----------------------------------------+
| TOP City   | 1    | 25  | A | **Conditionally Required**             |
| and State  | 83 - |     |   |                                        |
|            | 207  |     |   | This field will contain the            |
|            |      |     |   | administrative offset city and state   |
|            |      |     |   | of the IRS or Treasury Tax Return. If  |
|            |      |     |   | the adjustment amount contains a       |
|            |      |     |   | dollar amount this field will contain  |
|            |      |     |   | a value.                               |
+------------+------+-----+---+----------------------------------------+
| TOP Zip    | 2    | 9   | N | **Conditionally Required**             |
| Code       | 08 - |     |   |                                        |
|            | 216  |     |   | This field will contain the            |
|            |      |     |   | administrative offset zip code of the  |
|            |      |     |   | IRS or Treasury Tax Return. If the     |
|            |      |     |   | adjustment amount contains a dollar    |
|            |      |     |   | amount this field will contain a       |
|            |      |     |   | value.                                 |
+------------+------+-----+---+----------------------------------------+
| Offset     | 2    | 3   | A | **Conditionally Required**             |
| Type       | 17 - |     |   |                                        |
|            | 219  |     |   | This field identifies the type of      |
|            |      |     |   | offset or adjustment that was applied  |
|            |      |     |   | to the obligor. Valid values are:      |
|            |      |     |   |                                        |
|            |      |     |   | ADM = Exclude all Administrative       |
|            |      |     |   | Offsets (RET, SAL,VEN)                 |
|            |      |     |   |                                        |
|            |      |     |   | RET = Exclude Federal Retirement       |
|            |      |     |   |                                        |
|            |      |     |   | VEN = Exclude Vendor                   |
|            |      |     |   | Payment/Miscellaneous                  |
|            |      |     |   |                                        |
|            |      |     |   | SAL = Exclude Federal Salary           |
|            |      |     |   |                                        |
|            |      |     |   | TAX = Exclude Tax Refund Offset        |
+------------+------+-----+---+----------------------------------------+
| Filler     | 2    | 21  | A | Spaces                                 |
|            | 20 - |     | / |                                        |
|            | 240  |     | N |                                        |
+------------+------+-----+---+----------------------------------------+