Document
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
| File Type | application/msword |
|---|---|
| File Title | Personal Interview - Intranet Screens (field office or National 800 Number) |
| Author | 889123 |
| Last Modified By | Writer |
| File Created | 2026-10-30 |
| Conversion State | complete |
Extracted Text
Automated 101 System: Screen Package
Table of Contents
1. Account Data 2
2. Beneficiary Data 3
A101
ACCOUNT DATA
LnNo
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234567890123456789012345678901234567890123456789012345678901234567890123456789
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0
1
C
A101 ACCOUNT DATA ACCT SA0
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NH SSN: SSS SS SSSS
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*NH FIRST NAME: XXXXXXXXXXXXXXX MIDDLE: XXXXXXXXXXXXXXX
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LAST: XXXXXXXXXXXXXXXXXXXX SUFFIX: XXXX *RACE: X *NH SEX: X
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n
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*
*TYPE OF ACTION CODE: X *NH DATE OF BIRTH (MMDDCCYY): 99999999
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o
DATE OF DEATH (MMDDCCYY): 99999999 PROOF OF DEATH: X
9
n
*ANNUITY INVOLVED (Y/N): X
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e
MILITARY SERVICE CODE: XXX WC/PDB OFFSET DATA ON ICF (Y/N): X
11
RAILROAD CODE: XXX *CRITICAL CASE (Y/N): X
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r
COMPASSIONATE ALLOWANCE/QUICK DISABILITY DETERMINATION (Y/N): X
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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
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DIVIDEND: 99999999.99 DIVISOR MONTHS: 999
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v
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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
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**************(line 23 reserved for applications information)*****************
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**************(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
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0
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A101 BENEFICIARY DATA BENE SA0
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NH SSN: SSS SS SSSS NH NAME: SSSSSSSSSS S SSSSSSSSSSSSSSSSSSSS SSSS
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BN SSN: SSSSSSSSS *BIC: XXX BN PIA POINTER: 9
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DELAYED CLAIMANT (Y): X COMBINED FAMILY MAXIMUM (Y): X
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*BN FIRST NAME: XXXXXXXXXXXXXXX MIDDLE: XXXXXXXXXXXXXXX
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*
LAST: XXXXXXXXXXXXXXXXXXXX SUFFIX: XXXX *SEX: X
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*DATE OF BIRTH (MMDDCCYY): 99999999 *PROOF OF BIRTH: X
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n
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RIB LIMITATION APPLIES (Y): X RAILROAD CERTIFICATION (Y): X
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IF WIDOW, PAID CHILD IN CARE BENEFITS FOR AT LEAST 1 MONTH (Y): X
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r
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CROSS REFERENCE SSN: 999999999 STATUS CODE: XX CIVIL SERVICE ID: XXXXXXXXXX
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NH’S DRC: 99 THRU (MMYY): 9999 *CRIMES AGAINST U.S. INDICATOR (Y/N): X
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*LEGEND 1: XXXXXXXXXXXXXXXXXXXXXX LEGEND 2: XXXXXXXXXXXXXXXXXXXXXX
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LEGEND 3: XXXXXXXXXXXXXXXXXXXXXX LEGEND 4: XXXXXXXXXXXXXXXXXXXXXX
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*BANK ACCOUNT (Y/N): X *DIRECT EXPRESS (Y/N): X
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RTN: 99999999 CDC: 9 DPC (C/S): X DAN: XXXXXXXXXXXXXXXXX
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REP PAYEE TYPE: XXX GUARDIAN STATUS CODE: X CUSTODY CODE: XXX
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NEGOTIATED ACCOUNTABILITY MONTH (MMYY): 9999
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**************(line 23 reserved for applications information)*****************
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**************(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.