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

ICR 202609-0960-010 · OMB 0960-0634 · Object 173100900.

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Document Metadata

Record metadata
application/msword
Personal Interview - Intranet Screens (field office or National 800 Number)
889123
Writer
2026-10-30
complete

Extracted Text

Automated 101 System: Screen Package
Table of Contents

1. Account Data	2
2. Beneficiary Data	3

A101
ACCOUNT DATA

LnNo
0
1
        1         2         3         4         5         6         7        7
234567890123456789012345678901234567890123456789012345678901234567890123456789
8
0
1
C
A101                           ACCOUNT DATA                           ACCT SA0
1
2
0
NH SSN: SSS SS SSSS       

3
l


4
u
*NH FIRST NAME: XXXXXXXXXXXXXXX       MIDDLE: XXXXXXXXXXXXXXX

5
m
          LAST: XXXXXXXXXXXXXXXXXXXX  SUFFIX: XXXX       *RACE: X  *NH SEX: X

6
n


7
*
*TYPE OF ACTION CODE: X            *NH DATE OF BIRTH (MMDDCCYY): 99999999

8
o
DATE OF DEATH (MMDDCCYY): 99999999  PROOF OF DEATH: X

9
n
*ANNUITY INVOLVED (Y/N): X

10
e
MILITARY SERVICE CODE: XXX          WC/PDB OFFSET DATA ON ICF (Y/N): X

11

RAILROAD CODE: XXX                  *CRITICAL CASE (Y/N): X

12
r
COMPASSIONATE ALLOWANCE/QUICK DISABILITY DETERMINATION (Y/N): X

13
e
DISABILITY FREEZE CODE (Y): X       ADJUSTED BLIND ONSET (MMDDCCYY): 99999999

14
s
CHILD CARE DROPOUT YEARS: X

15
e
BASE YEAR (CCYY): 9999  THRU (CCYY): 9999

16
r
DIVIDEND: 99999999.99    DIVISOR MONTHS: 999

17
v


18
e
TOTALIZATION COUNTRY CODE: XXXXX     STATUS CODE: XX      QC’S: 999

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d


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LSDP PAYABLE BIC 1: XXX   AMT 1: 999.99     BIC 2: XXX   AMT 2: 999.99

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             BIC 3: XXX   AMT 3: 999.99     BIC 4: XXX   AMT 4: 999.99

22



23

**************(line 23 reserved for applications information)*****************                                                                             

24

**************(Line 24 Reserved for Operating Systems Information)***********


SCREEN FR                                                                                                                                                                                                                   MSO




A101
BENEFICIARY DATA

LnNo
0
1
        1         2         3         4         5         6         7        7
234567890123456789012345678901234567890123456789012345678901234567890123456789
8
0
1
C
A101                            BENEFICIARY DATA                      BENE SA0
2
2
0
NH SSN: SSS SS SSSS            NH NAME: SSSSSSSSSS S SSSSSSSSSSSSSSSSSSSS SSSS

3
l


4
u
BN SSN: SSSSSSSSS     *BIC: XXX     BN PIA POINTER: 9

5
m
DELAYED CLAIMANT (Y): X              COMBINED FAMILY MAXIMUM (Y): X

6
n
*BN FIRST NAME: XXXXXXXXXXXXXXX       MIDDLE: XXXXXXXXXXXXXXX

7
*
          LAST: XXXXXXXXXXXXXXXXXXXX  SUFFIX: XXXX           *SEX: X

8
o
*DATE OF BIRTH (MMDDCCYY): 99999999  *PROOF OF BIRTH: X

9
n


10
e
RIB LIMITATION APPLIES (Y): X         RAILROAD CERTIFICATION (Y): X 

11

IF WIDOW, PAID CHILD IN CARE BENEFITS FOR AT LEAST 1 MONTH (Y): X

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r


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e
CROSS REFERENCE SSN: 999999999   STATUS CODE: XX  CIVIL SERVICE ID: XXXXXXXXXX

14
s
NH’S DRC: 99   THRU (MMYY): 9999       *CRIMES AGAINST U.S. INDICATOR (Y/N): X

15
e


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r
*LEGEND 1: XXXXXXXXXXXXXXXXXXXXXX   LEGEND 2: XXXXXXXXXXXXXXXXXXXXXX

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v
 LEGEND 3: XXXXXXXXXXXXXXXXXXXXXX   LEGEND 4: XXXXXXXXXXXXXXXXXXXXXX

18
e
*BANK ACCOUNT (Y/N): X              *DIRECT EXPRESS (Y/N): X

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d
RTN: 99999999    CDC: 9    DPC (C/S): X    DAN: XXXXXXXXXXXXXXXXX

20



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REP PAYEE TYPE: XXX    GUARDIAN STATUS CODE: X   CUSTODY CODE: XXX

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NEGOTIATED ACCOUNTABILITY MONTH (MMYY): 9999

23

**************(line 23 reserved for applications information)*****************                                                                             

24

**************(Line 24 Reserved for Operating Systems Information)***********


SCREEN FR                                                                                                                                                                                                                   MSOM



The A101 beneficiary data screen propagates to the MACADE screens.  This screen collects/displays data for each beneficiary such as the social security number BIC, name, sex, date of birth and bank account information.  The following specifically describes fields related to direct deposit bank account, direct express, routing transaction numbers, deposit account number, check digit code, and deposit payment code.