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pdfMKWR Screen Package
Screen Images and Interactions
Opening Splash Screen
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January 22, 2013
MKWR Screen Package
Terms of Service
External Links: Paperwork Reduction Act, Privacy Policy, FAQs
Full Terms of Service wording:
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I understand that this application contains U.S. Government information.
I consent to the monitoring of my use of this application to ensure its appropriate use.
I understand that it is a federal crime to:
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Give false or misleading statements to obtain information in Social Security records; or
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Deceive the Social Security Administration of an individual’s identity.
I understand that unauthorized use of, or access to, this application may subject me to criminal
or civil penalties, or both.
I understand that if I am submitting wages for someone else, I must have his or her permission
to do so.
I understand that Social Security may stop me from using this service if it finds or suspects
misuse.
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Privacy Act Statement
Full Privacy Act Statement Wording:
Title 5 U.S.C. sections 205(a) and 1631(e), and Executive Order 9397, as amended, authorize us to
collect this information. We will use the information you provide to determine eligibility for Supplemental
Security Income.
Furnishing us this information is voluntary. However, failure to provide all or part of the information could
prevent us from making an accurate and timely decision on Supplemental Security Income benefits.
We rarely use the information you supply for any purpose other than for making a determination relating
to Supplemental Security Income benefits. However, we may use it for the administration and integrity of
Social Security programs. We may also disclose information to another person or to another agency in
accordance with approved routine uses, which include but are not limited to the following:
1. To enable a third party or an agency to assist Social Security in establishing rights to Social
Security benefits and/or coverage;
2. To comply with Federal laws requiring the release of information from Social Security records
(e.g., to the Government Accountability Office and Department of Veterans’ Affairs);
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3. To make determinations for eligibility in similar health and income maintenance programs at
the Federal, State, and local level; and,
4. To facilitate statistical research, audit, or investigative activities necessary to assure the
integrity and improvement of Social Security programs (e.g., to the Bureau of the Census and
private concerns under contract to Social Security).
We may also use the information you provide in computer matching programs. Matching programs
compare our records with records kept by other Federal, State, or local government agencies. Information
from these matching programs can be used to establish or verify a person’s eligibility for federally-funded
or administered benefit programs and for repayment of payments or delinquent debts under these
programs.
A complete list of routine uses for this information is available in Systems of Records Notice entitled,
Supplemental Security Income Record, 60-0103. This notice, additional information, and information
regarding our programs and systems, are available on-line at www.socialsecurity.gov or at your local
Social Security office.
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MKWR Screen Package
Reporting Month
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MKWR Screen Package
Enter PII
1st Appearance of Screen
(Before Errors - Empty)
2nd / 3rd Appearance of Screen
(After Errors - prepopulated)
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MKWR Screen Package
Confirm PII
Standard Name Display
With Other Last Name Displayed
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Reporting Path Choice
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MKWR Screen Package
Wage Entry for Self
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MKWR Screen Package
Confirm Wage Report for Self
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SSN and Wage Entry for Other
1st Appearance of Screen
(Before Errors - Empty)
2nd / 3rd Appearance of Screen
(After Errors - prepopulated)
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MKWR Screen Package
Confirm Wage Report for Other
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MKWR Screen Package
Interim Successful Submission
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Final Successful Submission – Within GK Dates
External Link: sign up for email or text reminders
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Final Successful Submission – Outside GK Dates
External Link: sign up for email or text reminders
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Thank you screen
External Links: FAQs, Contact us, sign up for email or text reminders
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Error Message Screens
Service Unavailable
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Cannot Connect
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In-line Field Error (example)
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Verification/Exclusion Check Error: 1st and 2nd Strikes
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Verification/Exclusion Check Error: 3rd strike
External Link: Contact us
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Terms of Service Refusal
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Time Out Warning
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Time Out Error
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Close This App Warning
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Survey
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January 22, 2013
| File Type | application/pdf |
| File Title | MKWR Screen Package |
| Author | Fujitsu |
| File Modified | 2022-03-15 |
| File Created | 2022-03-15 |