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DBIA971 ICR (971)

DBIA971    ICR (971)

Name Value
NUMBER 971
IA # 971
FILE NUMBER 408.21
GLOBAL ROOT DGMT(408.21,
DATE CREATED 1994/08/22
CUSTODIAL PACKAGE REGISTRATION
CUSTODIAL ISC Albany
USAGE Private
TYPE File
NAME DBIA971
GENERAL DESCRIPTION
The IVM package files new Means Tests in the PIMS Means
Test module.  IVM requests permission to add and update entries in the
INDIVIDUAL ANNUAL INCOME (#408.21) file, as part of adding a new Means Test.
Additionally, permission is requested to delete entries from that file (if the
IVM Center mistakenly sends a Means Test to a facility).
GLOBAL REFERENCE
GLOBAL REFERENCE FIELD NUMBER GLOBAL DESCRIPTION
DGMT(408.21,D0,0)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.01 Write w/Fileman
This is the income year for the income record.
YEAR 0;1
.02 Write w/Fileman
This is the patient relation in file #408.12 from whom
the income was reported.
PATIENT RELATION 0;2
.08 Write w/Fileman
This field is normally reported with the income record.
SOCIAL SECURITY (NOT SSI) 0;8
.09 Write w/Fileman
This field is normally reported with the income record.
U.S. CIVIL SERVICE 0;9
.1 Write w/Fileman
This field is normally reported with the income record.
U.S. RAILROAD RETIREMENT 0;10
.11 Write w/Fileman
This field is normally reported with the income record.
MILITARY RETIREMENT 0;11
.12 Write w/Fileman
This field is normally reported with the income record.
UNEMPLOYMENT COMPENSATION 0;12
.13 Write w/Fileman
This field is normally reported with the income record.
OTHER RETIREMENT 0;13
.14 Write w/Fileman
This field is normally reported with the income record.
TOTAL INCOME FROM EMPLOYMENT 0;15
.15 Write w/Fileman
This field is normally reported with the income record.
INTEREST, DIVIDEND, OR ANNUITY 0;15
.16 Write w/Fileman
This field is normally reported with the income record.
WORKERS COMP. OR BLACK LUNG 0;16
.17 Write w/Fileman
This field is normally reported with the income record.
ALL OTHER INCOME 0;17
.18 Write w/Fileman
This field is used to determine if the income data was
copied from the previous income year.
COPIED DATA 0;18
All of this income information is collected when the IVM
Center verifies a Means Test.
DGMT(408.21,D0,1)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
1.01 Write w/Fileman
This field is normally reported with the income record.
MEDICAL EXPENSES 1;1
1.02 Write w/Fileman
This field is normally reported with the income record.
FUNERAL AND BURIAL EXPENSES 1;2
1.03 Write w/Fileman
This field is normally reported with the income record.
EDUCATIONAL EXPENSES 1;3
All of this income information is collected when the IVM
Center verifies a Means Test.
DGMT(408.21,D0,2)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
2.01 Write w/Fileman
This field is normally reported with the income record.
CASH, AMOUNTS IN BANK ACCOUNTS 2;1
2.02 Write w/Fileman
This field is normally reported with the income record.
STOCKS AND BONDS 2;2
2.03 Write w/Fileman
This field is normally reported with the income record.
REAL PROPERTY 2;3
2.04 Write w/Fileman
This field is normally reported with the income record.
OTHER PROPERTY OR ASSETS 2;4
2.05 Write w/Fileman
This field is normally reported with the income record.
DEBTS 2;5
All of this income information is collected when the IVM
Center verifies a Means Test.
DGMT(408.21,D0,'USR')
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
101 Write w/Fileman
This is the person who entered the income record.
ENTERED BY USR;1
102 Write w/Fileman
This is the date on which the income record was filed.
ENTERED ON USR;2
STATUS Pending
DURATION Till Otherwise Agreed
ID DGMT(408.21,
SUBSCRIBING PACKAGE
SUBSCRIBING PACKAGE ISC
INCOME VERIFICATION MATCH Albany