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

Domestic Direct Deposit Application

MACADE Name and Address Data (PNA) screen

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

OMB: 0960-0634

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MACADE PNA / Direct Deposit: Screen Package
Table of Contents
1. Benefit Data Menu ......................................................................................................................................................... Error! Bookmark not defined.
2. Name and Address Screen ............................................................................................................................................. Error! Bookmark not defined.

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

0
1
2
3
4
5
6
7
7
1 2345 678 901 234 56 78 9012 345 678 901 23 45 6789 0 12 345 678 90 12 3456 789 012 345 67 89 0123 456 789
C MDE
MM DDY Y
BE NE FIT DAT A M ENU
BDM
0 SSN: SS S -S S-S SS S
L
U
SEL ECT TH E D ES IR ED F UNC TIO N: ..
B IC: ..
M
1= ALI EN TAX ( NA )
15= PEN ALT Y (P D)
N
2= BEN DE NY (D NY )
16= PER IOD IC R EVIE W ( MR)
*
3= BEN E E NT (B NT )
17= QUE STI ON R ETIR E ( QR)
O
4= BEN EFI T ( BE N)
18= REM ARK S (R EM)
N
5= CIV IL SER VI CE (CS )
19= VOL UNT AR Y TAX (VT )
E
6= DIC TAT ED NO T LANG (N OT)
20= DEM ONS TR AT ION PRO JEC T ( DM O)
7= DIS ABI LIT Y DA TA ( DM)
21= WIN DFA LL O FFSE T ( WOD )
R
8= DOU BLE CK N EG OT ( DC)
22= WK CON TR OL (WD )
E
9= DRC DA TA (D R)
23= WOR K ( WK )
S
10= HIS T U /P DA TA (HU )
24= GAR NIS HM EN T (G AR)
E
11= HIS TOR Y ( HS T)
25= TAX LE VY ( TXL)
R
12= MUL TIP LE EN T (MUL )
26= COL LEC TI ON CON TRO L D ATA ( CO L)
V
13= NAM E/ A DDR ES S (PNA )
27= REC EIV AB LE DAT A ( REC )
E
14= O/U PA Y ( DP )
D
TRAN S -T O: ...

PI C/BI C: ..

OP TI ON : .

(1 =ID C)

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

8
0

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

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

1
2
3
4
5
6
7
7
2345 678 901 234 56 78 9012 345 678 901 23 45 6789 012 345 678 90 12 3456 789 012 345 67 89 0123 456 789
MDE
MM DDY Y
NAM E A ND ADD RE SS
PNA
SSN: SS S -S S-S SS S
PIC : S S

R
E
S
E
R
V
E
D

CITY :
COUN TRY :

SCC: .. ...
DO D ES : .
G EO: . .. ..
LEGE ND 1:
.. .. .. .... ... ... ... .. .
LEG END 2: .. .. .. .... ... ... ... .. ..
LEGE ND 3:
.. .. .. .... ... ... ... .. .
LEG END 4: .. .. .. .... ... ... ... .. ..

ADDR ESS 1: ... .. .. .... ... ... ... .. .
ADDR ESS 3: ... .. .. .... ... ... ... .. .
... .. .. .... ... ... .
... .. .. .... ... ... ... .

BANK DA TA
R TN: .. ... .. .

CD C .

TELE PHO NE NUM BE R
B TC1 (A ,H, N, O, U.W. #): .

DPC : .

ADD RES S 2 :.. .. .. .... ... ... ... .. ..
ADD RES S 4 :.. .. .. .... ... ... ... .. ..
ST ATE : . .

Z IP: ... ..
C ON : .. .

DAN : . ... .. .. .... ..

BT N: . .... ... ... ... ..

TRAN S -T O: ...
PI C/BI C: ..
OP TI ON : .
(1 =ID C
2= DE LETE
3=R EPE AT )
PF1 HEL P A VAI LA BL E
**** *** *** *** *( LI NE 2 3 R ESE RVE D FO R AP PL I CAT ION S IN FORM ATI ON ) *** ** ** **** *** ***
**** *** *** *** *( LI NE 2 4 R ESE RVE D FO R OP ER A TIN G S YS TE MS I NFO RM A TIO N) ** **** *** **
SCREEN FR
MSOM



The Name and Address Data (PNA) screen
This screen is used to establish the PIC legend (payee name and/or beneficiary name),
mailing address and direct deposit information. MACADE will interface with the
Representative Payee System (RPS) when you request the PNA screen after entering the
beneficiary’s own SSN on the BEN (Benefit Data) screen. The screen allows for input of
direct deposit RTN, deposit payment code (DPC), check digit code (CDC), and the
deposit account number (DAN).

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Author889123
File Modified2012-07-19
File Created2012-07-19

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