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pdfDRAFT*******************************DRAFT********************************************* DRAFT
BENEFITS RECORD LAYOUT FOR POPULATION 12
This record layout provides the format for the validation extract file. The extract file type must be ASCII, comma delimited columns. Data must be
in the order listed in the record layout. The data Format column indicates the generic values for text fields. These must be followed by a dash
and the state-specific value. The Module 3 reference indicates the step where the state-specific values are documented.
Example: If the state-specific code for Fraud is F, then the data format would be FRAUD-F.
Number
Field Name
1
OBS
2
SSN
3
Module 3 Reference
Field Description
Data Format
Data Type
Constraint
State assigned sequential unique
identifier for each record in the
extract file.
Number - 00000000
(Required)
INTEGER
NOT NULL
Step 1G - Rule 1
Social Security Number
Number - 000000000
(Required)
CHAR (9)
NOT NULL
Unique ID
Step 1G - Rule 2
The unique ID of the
overpayment.
Number - 0000000000
(Required if State maintains a
unique ID)
CHAR (30)
4
Program Type
UI: Step 4A - Rule 1
UCFE: Step 4B - Rule 1
UCX: Step 4C - Rule 1
EB: Step 4F - Rule 1
Type of program is UI, UCFE,
UCX or EB
Text - UI, UCFE, UCX, EB
(Required)
CHAR (30)
NOT NULL
5
Type of
Overpayment
Fraud: Step 33A - Rule 1
Nonfraud: Step 33B - Rule
1
Penalty: Step 33C - Rule 1
The type of overpayment is Fraud,
Nonfraud or Penalty.
Text - Fraud; Nonfraud;
Penalty
(Required)
CHAR (20)
NOT NULL
1
DRAFT*******************************DRAFT********************************************* DRAFT
Number
Field Name
Module 3 Reference
Field Description
Data Format
Data Type
6
Cause of
Overpayment
Multi Claimant Scheme:
Step 34A - Rule 1
Single Claimant: Step34H Rule 1
Agency Employee Benefit
Fraud: Step 34I - Rule 1
Reversal (JAVA): Step 34B
- Rule 1
State Agency: Step 34C Rule 1
Employer: Step 34D - Rule
1
Claimant: Step 34E - Rule 1
Other: Step 34F - Rule 1
and 3
Penalty: Step 34G - Rule 1
The cause of the overpayment
was a fraud committed by Multi
Claimant Scheme, Single
Claimant, or Agency Employee; or
a nonfraud by Reversals, State
Agency Errors, Employer Errors,
Claimant Errors, or Other cause.
Text - Multiclaimant; Single
Claimant; Agency Employee;
Reversals; State Agency;
Employer; Claimant; Other
(Required except optional for
penalties)
CHAR (30)
7
Date
Established
Step 36 - Rule 1
The date that the overpayment
was established.
Date - MM/DD/YYYY
(Required)
DATE
8
UI Amount
Step 37A - Rule 1
The amount of benefits paid from
State Unemployment Funds.
Number - 0000000.00
(Required for UI claims; must
be blank or 0 for UCFE or
UCX or EB claims)
DECIMAL
(9,2)
9
Federal Amount
Step 37B - Rule 1
The amount of benefits paid from
Federal Funds.
Number - 0000000.00
(Required for UCFE, UCX, or
joint claims; must be blank or
0 for UI or EB claims)
DECIMAL
(9,2)
2
Constraint
NOT NULL
DRAFT*******************************DRAFT********************************************* DRAFT
Number
Field Name
Module 3 Reference
Field Description
Data Format
Data Type
10
EB Amount
Step 37C-Rule 1
The amount of benefits paid
through the permanent Extended
Benefits (EB) program.
Number - 000000000.00
(Required for EB claims; must
be blank or 0 for UI or UCFE
or UCX claims)
DECIMAL
(9,2)
11
Accumulated UI
Amount
Step 45A
The UI fraud or nonfraud
overpayment amount that the UI
claim has accumulated from
previous quarters and that is used
to calculate a High Dollar
Overpayment. If in the previous
quarter the claim was classified as
a High Dollar Overpayment, then
the accumulated amount is reset
to 0.
Number - 0000000.00
(Required for UI claims; must
be blank or 0 for UCFE or
UCX or EB claims)
DECIMAL
(9,2)
12
Accumulated
Federal Amount
Step 45B
The Federal fraud or nonfraud
overpayment amount that the
UCFE, UCX or joint claim has
accumulated from previous
quarters and that is used to
calculate a High Dollar
Overpayment. If in the previous
quarter the claim was classified as
a High Dollar Overpayment, then
the accumulated amount is reset
to 0.
Number - 0000000.00
(Required for UCFE, UCX, or
joint claims; must be blank or
0 for UI or EB claims)
DECIMAL
(9,2)
3
Constraint
DRAFT*******************************DRAFT********************************************* DRAFT
Number
Field Name
Module 3 Reference
Field Description
Data Format
Data Type
13
Accumulated
EB Amount
Step 45C
The EB fraud or nonfraud
overpayment amount that the EB
claim has accumulated from
previous quarters and that is used
to calculate a High Dollar
Overpayment. If in the previous
quarter the claim was classified as
a High Dollar Overpayment, then
the accumulated amount is reset
to 0.
Number - 000000000.00
(Required for EB claims; must
be blank or 0 for UI or UCFE
or UCX claims)
DECIMAL
(9,2)
14
Date of Original
Monetary
Step-6A – Rules 1 and 2
Date the original determination
was made on whether the
claimant has sufficient baseperiod wages and/or employment
to establish a benefit year.
Date - MM/DD/YYYY
(Required)
DATE
User defined field. Can be used
for any additional data element.
Not mandatory.
CHAR (100)
Text
(Optional)
Step 6B- Rule 1
15
User
4
Constraint
NOT NULL
DRAFT*******************************DRAFT********************************************* DRAFT
BENEFITS RECORD LAYOUT FOR POPULATION 13
This record layout provides the format for the validation extract file. The extract file type must be ASCII, comma delimited columns. Data must be in the
order listed in the record layout. The data Format column indicates the generic values for text fields. These must be followed by a dash and the statespecific value. The Module 3 reference indicates the step where the state-specific values are documented.
Example: If the state-specific code for Recovered Cash is C, then the data format would be CASH-C.
Number
Field Name
Module 3 Reference
Field Description
Data Format
Data Type
Constraint
State assigned sequential unique
identifier for each record in the extract
file.
Number - 00000000
(Required)
INTEGER
NOT NULL
Step 1H - Rule 1
Social Security Number.
Number - 000000000
(Required)
CHAR (9)
NOT NULL
Unique ID
Step 1H - Rule 2
The unique ID of the overpayment.
Number - 0000000000
(Required if State
maintains a unique ID)
CHAR (30)
4
Program Type
UI: Step 4A - Rule 1
UCFE: Step 4B - Rule 1
UCX: Step 4C - Rule 1
EB: Step 4F - Rule 1
The program type is UI, UCFE, UCX
or EB
Text - UI; UCFE; UCX,
EB
(Required)
CHAR (30)
NOT NULL
5
Type of
Overpayments
Fraud: Step 33A - Rule 1
Nonfraud: Step 33B - Rule 1
The type of overpayment is Fraud or
Nonfraud.
Text - Fraud; Nonfraud
(Required)
CHAR (20)
NOT NULL
1
OBS
2
SSN
3
5
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Number
Field Name
Module 3 Reference
Field Description
Data Format
Data Type
Constraint
6
Type of
Reconciliation
Activity
Recovered Cash: Step 38A Rule 1
Recovered Offset: Step 38B
- Rule 1
State Income Tax Offset:
Step 38C - Rule 1
By Other State: Step 38D Rule 1
Write-Off: Step 38G - Rule 1
Waived: Step 38F - Rule 1
Additions: Step 38H - Rule 1
Subtractions: Step 38I - Rule
1
Other: Step 38E - Rule 1
Federal Income Tax Offset:
Step 38J - Rule 1
The reconciliation activity was cash,
benefit offset, state income tax offset,
Federal income tax offset, other
states, write-off, waived, addition, or
subtraction.
Text - Cash; Benefit
Offset; State Tax
Offset; Federal Tax
Offset By Other State;
Write-off; Waived;
Addition; Subtraction;
Other
(Required)
CHAR (30)
NOT NULL
7
Date of
Reconciliation
Activity
Step 39 - Rule 1
Indicate the date of the Overpayment
Activity.
(Required)
Date MM/DD/Y
YYY
NOT NULL
8
UI
Reconciliation
Amount
Step 40A - Rule 1
The reconciled amount of State
Unemployment Funds.
Number – 0000000.00
(Required for UI
claims; must be blank
or 0 for UCFE or UCX
claims)
DECIMAL
(9,2)
9
Federal
Reconciliation
Amount
Step 40B - Rule 1
The reconciled amount of Federal
Funds.
Number – 0000000.00
(Required for UCFE
and UCX joint claims;
must be blank or 0 for
UI claims)
DECIMAL
(9,2)
6
DRAFT*******************************DRAFT********************************************* DRAFT
Number
Field Name
10
EB
Reconciliation
Amount
11
User
Module 3 Reference
Step 40C - Rule 1
Field Description
Data Format
Data Type
The reconciled amount of Extended
Benefits funds.
Number – 0000000.00
(Required for EB)
DECIMAL
(9,2)
User defined field. Can be used for
any additional data element. Not
mandatory.
Text
(Optional)
CHAR
(100)
7
Constraint
DRAFT*******************************DRAFT********************************************* DRAFT
BENEFITS RECORD LAYOUT FOR POPULATION 14
This record layout provides the format for the validation extract file. The extract file type must be ASCII, comma delimited columns. Data must be in the
order listed in the record layout. The data Format column indicates the generic values for text fields. These must be followed by a dash and the statespecific value. The Module 3 reference indicates the step where the state-specific values are documented.
Example: If the state-specific code for Nonfraud is NF, then the data format would be NONFRUAD-NF.
Number
Field Name
Module 3 Reference
Field Description
Data Format
Data Type
Constraint
State assigned sequential
unique identifier for each
record in the extract file.
Number - 00000000
(Required)
INTEGER
NOT NULL
Step 1G - Rule 1
Social Security Number
Number 000000000
(Required)
CHAR (9)
NOT NULL
Unique ID
Step 1G - Rule 2
The unique ID of the
overpayment.
Number 0000000000
(Required if State
maintains a unique
ID)
CHAR (30)
4
Date Established
Step 36 - Rule 1
The date the overpayment
was established.
Date MM/DD/YYYY
(Required)
DATE
NOT NULL
5
Program Type
UI: Step 4A - Rule 1
UCFE: Step 4B - Rule 1
UCX: Step 4C - Rule 1
EB: Step 4F - Rule 1
The program type is UI,
UCFE, UCX or EB
Text - UI; UCFE;
UCX; EB
(Required)
CHAR (30)
NOT NULL
1
OBS
2
SSN
3
8
DRAFT*******************************DRAFT********************************************* DRAFT
Number
6
7
8
Field Name
Module 3 Reference
Field Description
Data Format
Active Collection
Yes or Blank: Step 44A Rule 1
No: Step 44B - Rule 1
Dropped: Step 44C - Rule
1
Indicate Y if overpayment is in
process of recovery; use N if
overpayment is no longer in
process of recovery; use D if
the established date is more
than nine (9) quarters prior to
the report quarter and the
overpayment was in process
of recovery in the quarter
before the report quarter but
recovery was dropped in the
report quarter.
Text - Y; N; D
(Required for
overpayments with
balances more than
450 days past due;
optional for other
overpayment
balances)
CHAR (20)
Type of
Overpayments
Fraud: Step 33A - Rule 1
Nonfraud: Step 33B - Rule
1
The type of overpayment is
Fraud or Nonfraud.
Text - Fraud;
Nonfraud
(Required for
overpayments with
balances more than
8 quarters past due;
optional for other
overpayment
balances)
CHAR (20)
UI Balance at End
of Qtr
Step 42A - Rule 1
The State Unemployment
funds overpayment balance at
the end of the quarter.
Number 000000000.00
(Required for UI
claims; must be
blank or 0 for UCFE
and UCX claims)
DECIMAL
(9,2)
9
Data Type
Constraint
DRAFT*******************************DRAFT********************************************* DRAFT
Number
Field Name
Module 3 Reference
Field Description
Data Format
Data Type
Federal Balance
at the End of Qtr
Step 42B - Rule 1
The Federal funds
overpayment balance at the
end of the quarter.
Number 000000000.00
(Required for UCFE,
UCX and joint
claims; must be
blank or 0 for UI
claims)
DECIMAL
(9,2)
10
EB Balance at the
End of Qtr
Step 42C - Rule 1
The EB funds overpayment
balance at the end of the
quarter.
Number 000000000.00
(Required for EB;
must be blank or 0
for UI, UCFE, UCX
and joint claims)
DECIMAL
(9,2)
11
User
User defined field. Can be
used for any additional data
element .Not mandatory
Text
(Optional)
CHAR (100)
9
10
Constraint
DRAFT*******************************DRAFT********************************************* DRAFT
BENEFITS RECORD LAYOUT FOR POPULATION 15
This record layout provides the format for the validation extract file. The extract file type must be ASCII, comma delimited columns. Data must be in the
order listed in the record layout. The data Format column indicates the generic values for text fields. These must be followed by a dash and the statespecific value. The Module 3 reference indicates the step where the state-specific values are documented.
Example: If the state-specific code for Nonfraud is NF, then the data format would be NONFRUAD-NF.
Number
Field Name
Module 3 Reference
Field Description
Data Format
Data Type
Constraint
State assigned sequential unique
identifier for each record in the
extract file.
Number - 00000000
(Required)
INTEGER
NOT NULL
Step 1G - Rule 1
Social Security Number
Number - 000000000
(Required)
CHAR (9)
NOT NULL
Unique ID
Step 1G - Rule 2
The unique ID of the
overpayment.
Number 0000000000
(Required if State
maintains a unique
ID)
CHAR (30)
Type of
Overpayments
Fraud: Step 33A - Rule
1
Nonfraud: Step 33B Rule 1
The type of overpayment is
Fraud or Nonfraud
Text - Fraud;
Nonfraud
Must be blank if
investigation
establishes no
overpayment
(Required)
CHAR (20)
1
OBS
2
SSN
3
4
11
DRAFT*******************************DRAFT********************************************* DRAFT
Number
Field Name
Module 3 Reference
Field Description
Data Format
Data Type
Constraint
5
Detection
Method
Wage/Benefit
Crossmatch: Step 35A Rule 1
IB Crossmatch: Step
35B - Rule 1
National Directory of
New Hires: Step 35H Rule 1
State Directory of New
Hires: Step 35C - Rule
1
Multi -Claimant Scheme
Systems: Step 35D Rule 1
Special Project: Step
35E - Rule 1
Other Controllable:
Step 35F - Rule 1
Noncontrollable: Step
35G - Rule 1
The Detection Method used to
establish the overpayment was
Wage/Benefit Crossmatch, IB
Crossmatch, National Directory
of New Hires (NDNH), State
Directory of New Hires (SDNH),
Multi-Claimant Scheme Systems,
Special Project, Other
Controllable, or Noncontrollable
activity.
Text - Wage
Crossmatch; IB
Crossmatch; NDNH;
SDNH;
Multiclaimant;
Special; Other
Controllable;
Noncontrollable
(Required)
CHAR (30)
NOT NULL
6
Date
Established
Step 36 - Rule 1
The date the investigation was
concluded or overpayment was
established.
Date - MM/DD/YYYY
(Required)
DATE
NOT NULL
7
Overpayment
Amount
Step 37A - Rule 1;
Step 37B - Rule 1;
The amount of benefits paid from
State and Federal
Unemployment Funds.
Number 0000000.00
DECIMAL
(9,2)
8
Overpayment
Established by
Investigation
Step 46 - Rule 1
Whether a completed
investigation established an
overpayment
Text - Y, N
(Optional for Other
Controllable and
Noncontrollable)
CHAR (20)
12
Conditionally
Required
DRAFT*******************************DRAFT********************************************* DRAFT
Number
9
Field Name
User
Module 3 Reference
Field Description
User defined field. Can be used
for any additional data element.
Not mandatory.
13
Data Format
Text
(Optional)
Data Type
CHAR (100)
Constraint
File Type | application/pdf |
Author | Sylvia Del Valle |
File Modified | 2012-12-18 |
File Created | 2012-04-18 |