| Population 12 Subpopulations |
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| Overpayments Established by Cause |
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2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
13 |
14 |
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(Step 1G) (Rule 1) |
(Step 1G) (Rule 2) |
(Step 4) |
(Step 33) |
(Step 34) |
(Step 36) |
(Step 37A) |
(Step 37B) |
(Step 37C) |
(Step 45A) |
(Step 45B) |
(Step 45C) |
(Step 6A) |
| (Step 6B) |
| Subpop # |
ETA 227A Line and Column |
SSN |
Unique ID |
Program Type |
Type of Overpayment |
Cause of Overpayment |
Date Established |
UI Amount |
Federal Amount |
EB Amount |
Accumulated UI Amount |
Accumulated Federal Amount |
Accumulated EB Amount |
Date of Original Monetary |
| OVERPAYMENTS (12.1 through 12.27) |
| 1) Random Sample: 60 or 200 (includes review of folders); 2) Supplemental sample--missing strata; 3) Supplemental sample--outliers by dollars |
| 12.1 |
101 (2, 4, 5) |
Required |
Required if State maintains a unique ID |
UI |
Fraud |
Single Claimant |
Within the Quarter |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Blank or ≥ 0 |
≥ 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Required |
| 112 (2, 4, 5) |
| 12.2 |
101 (2, 4, 5) |
Required |
Required if State maintains a unique ID |
UI |
Fraud |
Multi Claimant Schemes* |
Within the Quarter |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Blank or ≥ 0 |
≥ 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Required |
| 102 (2, 4, 5) |
| 112 (2, 4, 5) |
| 12.3 |
104 (2, 4, 5) |
Required |
Required if State maintains a unique ID |
UI |
Nonfraud |
Reversals |
Within the Quarter |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Blank or ≥ 0 |
≥ 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Required |
| 113 (2, 4, 5) |
| 12.4 |
105 (2, 4, 5) |
Required |
Required if State maintains a unique ID |
UI |
Nonfraud |
State Agency Errors* |
Within the Quarter |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Blank or ≥ 0 |
≥ 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Required |
| 113 (2, 4, 5) |
| 12.5 |
106 (2, 4, 5) |
Required |
Required if State maintains a unique ID |
UI |
Nonfraud |
Employer Errors* |
Within the Quarter |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Blank or ≥ 0 |
≥ 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Required |
| 113 (2, 4, 5) |
| 12.6 |
107 (2, 4, 5) |
Required |
Required if State maintains a unique ID |
UI |
Nonfraud |
Claimant Errors* |
Within the Quarter |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Blank or ≥ 0 |
≥ 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Required |
| 113 (2, 4, 5) |
| 12.7 |
108 (2, 4, 5) |
Required |
Required if State maintains a unique ID |
UI |
Nonfraud |
Other |
Within the Quarter |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Blank or ≥ 0 |
≥ 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Required |
| 113 (2, 4, 5) |
| 12.8 |
109 (4, 5) |
Required |
Required if State maintains a unique ID |
UI |
Penalty |
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Within the Quarter |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Blank or ≥ 0 |
≥ 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Required |
| 12.9 |
101 (3, 5) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Fraud |
Single Claimant |
Within the Quarter |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
0 |
Must be blank or 0 |
Required |
| 112 (3, 5) |
| 12.1 |
101 (3, 5) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Fraud |
Multi Claimant Schemes* |
Within the Quarter |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
0 |
Must be blank or 0 |
Required |
| 102 (3, 5) |
| 112 (3, 5) |
| 12.11 |
104 (3, 5) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Nonfraud |
Reversals |
Within the Quarter |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
0 |
Must be blank or 0 |
Required |
| 113 (3, 5) |
| 12.12 |
105 (3, 5) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Nonfraud |
State Agency Errors* |
Within the Quarter |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
0 |
Must be blank or 0 |
Required |
| 113 (3, 5) |
| 12.13 |
106 (3, 5) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Nonfraud |
Employer Errors* |
Within the Quarter |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
0 |
Must be blank or 0 |
Required |
| 113 (3, 5) |
| 12.14 |
107 (3, 5) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Nonfraud |
Claimant Errors* |
Within the Quarter |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
0 |
Must be blank or 0 |
Required |
| 113 (3, 5) |
| 12.15 |
108 (3, 5) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Nonfraud |
Other |
Within the Quarter |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
0 |
Must be blank or 0 |
Required |
| 113 (3, 5) |
| 12.16 |
109 (5) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Penalty |
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Within the Quarter |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
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Must be blank or 0 |
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| 12.17 |
101 (2, 4, 5) |
Required |
Required if State maintains a unique ID |
UI |
Fraud |
Agency Employee Benefit |
Within the Quarter |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Blank or ≥ 0 |
≥ 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
Required |
| 111 (2, 4, 5) |
| 112 (2, 4, 5) |
| 12.18 |
101 (3, 5) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Fraud |
Agency Employee Benefit |
Within the Quarter |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
0 |
Must be blank or 0 |
Required |
| 111 (3, 5) |
| 112 (3, 5) |
| 12.19 |
101 (20, 21) |
Required |
Required if State maintains a unique ID |
EB |
Fraud |
Single Claimant |
Within the Quarter |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
0 |
Required |
| 112 (20, 21) |
| 12.2 |
101 (20, 21) |
Required |
Required if State maintains a unique ID |
EB |
Fraud |
Multi Claimant Schemes* |
Within the Quarter |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
0 |
Required |
| 102 (20, 21) |
| 112 (20, 21) |
| 12.21 |
101 (20, 21) |
Required |
Required if State maintains a unique ID |
EB |
Fraud |
Agency Employee Benefit |
Within the Quarter |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
0 |
Required |
| 111 (20, 21) 112 (20, 21) |
| 12.22 |
104 (20, 21) |
Required |
Required if State maintains a unique ID |
EB |
Nonfraud |
Reversals |
Within the Quarter |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
0 |
Required |
| 113 (20, 21) |
| 12.23 |
105 (20, 21) |
Required |
Required if State maintains a unique ID |
EB |
Nonfraud |
State Agency Errors* |
Within the Quarter |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
0 |
Required |
| 113 (20, 21) |
| 12.24 |
106 (20, 21) |
Required |
Required if State maintains a unique ID |
EB |
Nonfraud |
Employer Errors* |
Within the Quarter |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
0 |
Required |
| 113 (20, 21) |
| 12.25 |
107 (20, 21) |
Required |
Required if State maintains a unique ID |
EB |
Nonfraud |
Claimant Errors* |
Within the Quarter |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
0 |
Required |
| 113 (20, 21) |
| 12.26 |
108 (20, 21) |
Required |
Required if State maintains a unique ID |
EB |
Nonfraud |
Other |
Within the Quarter |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
0 |
Required |
| 113 (20, 21) |
| 12.27 |
109 (21) |
Required |
Required if State maintains a unique ID |
EB |
Penalty |
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Within the Quarter |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
Must be blank or 0 |
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| Population 13 Subpopulations |
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| Overpayment Reconciliation Activities |
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| Overpayment Reconciliation Transaction Occurred during |
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| Reporting Quarter Being Validated |
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| ETA 227 – Section C |
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2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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(Step 1H) |
(Step 1H) |
(Step 4) |
(Step 33) |
(Step 38) |
(Step 39) |
(Step 40A) |
(Step 40B) |
(Step 40C) |
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(Rule 1) |
(Rule 2) |
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| Sub |
ETA 227C |
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| pop # |
Line and Column |
SSN |
Unique ID |
Program |
Type of Overpayment |
Type of Reconciliation Activity |
Date of Reconciliation Activity |
UI Reconciliation Amount |
Federal Reconciliation Amounta |
EB Reconciliation Amount |
| Type |
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| OVERPAYMENT RECONCILIATION TRANSACTIONS (13.1 through 13.57) |
| 1) Random sample: 30 or 100 (includes review of folders); 2) Supplemental sample-missing strata; 3) Supplemental sample--outliers by dollars |
| 13.1 |
303 (11, 12) |
Required |
Required if State maintains a unique ID |
UI |
Fraud |
Cash |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.2 |
304 (11, 12) |
Required |
Required if State maintains a unique ID |
UI |
Fraud |
Benefit Offset |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.3 |
305 (11, 12) |
Required |
Required if State maintains a unique ID |
UI |
Fraud |
State Income Tax Offset* |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.4 |
306 (11, 12) |
Required |
Required if State maintains a unique ID |
UI |
Fraud |
By Other State |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.5 |
307 (11, 12) |
Required |
Required if State maintains a unique ID |
UI |
Fraud |
Other |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.6 |
309 (11, 12) |
Required |
Required if State maintains a unique ID |
UI |
Fraud |
Write-Off |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.7 |
310 (11, 12) |
Required |
Required if State maintains a unique ID |
UI |
Fraud |
Addition |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.8 |
311 (11, 12) |
Required |
Required if State maintains a unique ID |
UI |
Fraud |
Subtraction |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.9 |
303 (12) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Fraud |
Cash |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.10 |
304 (12) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Fraud |
Benefit Offset |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.11 |
305 (12) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Fraud |
State Income Tax Offset* |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.12 |
306 (12) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Fraud |
By Other State |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.13 |
307 (12) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Fraud |
Other |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.14 |
309 (12) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Fraud |
Write-Off |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.15 |
310 (12) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Fraud |
Addition |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.16 |
311 (12) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Fraud |
Subtraction |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.17 |
303 (13, 14) |
Required |
Required if State maintains a unique ID |
UI |
Nonfraud |
Cash |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.18 |
304 (13, 14) |
Required |
Required if State maintains a unique ID |
UI |
Nonfraud |
Benefit Offset |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.19 |
305 (13, 14) |
Required |
Required if State maintains a unique ID |
UI |
Nonfraud |
State Income Tax Offset* |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.20 |
306 (13, 14) |
Required |
Required if State maintains a unique ID |
UI |
Nonfraud |
By Other State |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.21 |
307 (13, 14) |
Required |
Required if State maintains a unique ID |
UI |
Nonfraud |
Other |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.22 |
308 (13, 14) |
Required |
Required if State maintains a unique ID |
UI |
Nonfraud |
Waived |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.23 |
309 (13, 14) |
Required |
Required if State maintains a unique ID |
UI |
Nonfraud |
Write-Off |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.24 |
310 (13, 14) |
Required |
Required if State maintains a unique ID |
UI |
Nonfraud |
Addition |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.25 |
311 (13, 14) |
Required |
Required if State maintains a unique ID |
UI |
Nonfraud |
Subtraction |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.26 |
303 (14) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Nonfraud |
Cash |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.27 |
304 (14) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Nonfraud |
Benefit Offset |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.28 |
305 (14) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Nonfraud |
State Income Tax Offset* |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.29 |
306 (14) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Nonfraud |
By Other State |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.30 |
307 (14) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Nonfraud |
Other |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.31 |
308 (14) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Nonfraud |
Waived |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.32 |
309 (14) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Nonfraud |
Write-Off |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.33 |
310 (14) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Nonfraud |
Addition |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.34 |
311 (14) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Nonfraud |
Subtraction |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.35 |
303 (22) |
Required |
Required if State maintains a unique ID |
EB |
Fraud |
Cash |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.36 |
304 (22) |
Required |
Required if State maintains a unique ID |
EB |
Fraud |
Benefit Offset |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.37 |
305 (22) |
Required |
Required if State maintains a unique ID |
EB |
Fraud |
State Income Tax Offset* |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.38 |
306 (22) |
Required |
Required if State maintains a unique ID |
EB |
Fraud |
By Other State |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.39 |
307 (22) |
Required |
Required if State maintains a unique ID |
EB |
Fraud |
Other |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.40 |
309 (22) |
Required |
Required if State maintains a unique ID |
EB |
Fraud |
Write-Off |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.41 |
310 (22) |
Required |
Required if State maintains a unique ID |
EB |
Fraud |
Addition |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.42 |
311 (22) |
Required |
Required if State maintains a unique ID |
EB |
Fraud |
Subtraction |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.43 |
303 (23) |
Required |
Required if State maintains a unique ID |
EB |
Nonfraud |
Cash |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.44 |
304 (23) |
Required |
Required if State maintains a unique ID |
EB |
Nonfraud |
Benefit Offset |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.45 |
305 (23) |
Required |
Required if State maintains a unique ID |
EB |
Nonfraud |
State Income Tax Offset* |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.46 |
306 (23) |
Required |
Required if State maintains a unique ID |
EB |
Nonfraud |
By Other State |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.47 |
307 (23) |
Required |
Required if State maintains a unique ID |
EB |
Nonfraud |
Other |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.48 |
308 (23) |
Required |
Required if State maintains a unique ID |
EB |
Nonfraud |
Waived |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.49 |
309 (23) |
Required |
Required if State maintains a unique ID |
EB |
Nonfraud |
Write-Off |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.50 |
310 (23) |
Required |
Required if State maintains a unique ID |
EB |
Nonfraud |
Addition |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.51 |
311 (23) |
Required |
Required if State maintains a unique ID |
EB |
Nonfraud |
Subtraction |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.52 |
314 (11, 12) |
Required |
Required if State maintains a unique ID |
UI |
Fraud |
Federal Income Tax Offset* |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.53 |
314 (12) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Fraud |
Federal Income Tax Offset* |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.54 |
314 (13, 14) |
Required |
Required if State maintains a unique ID |
UI |
Nonfraud |
Federal Income Tax Offset* |
Required |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 13.55 |
314 (14) |
Required |
Required if State maintains a unique ID |
UCFE or UCX |
Nonfraud |
Federal Income Tax Offset* |
Required |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 13.56 |
314 (22) |
Required |
Required if State maintains a unique ID |
EB |
Fraud |
Federal Income Tax Offset* |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 13.57 |
314 (23) |
Required |
Required if State maintains a unique ID |
EB |
Nonfraud |
Federal Income Tax Offset* |
Required |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
|
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|
|
|
|
|
|
|
|
|
| *These values are abbreviated in the record layout data format specifications (see Appendix I) but are shown here in their entirety for informational purposes. |
| aFor Subpopulations 13.9 through 13.16 and Subpopulations 13.26 through 13.34, the federal amount is the federal share of a joint UI-Federal claim. |
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| Table A.14.1 |
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| Population 14 Subpopulations |
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| Age of Overpayments |
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2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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|
(Step 1G) |
(Step 1G) |
(Step 36) |
(Step 4) |
(Step 44) |
(Step 33) |
(Step 42A) |
(Step 42B) |
(Step 42C) |
|
ETA 227C |
(Rule 1) |
(Rule 2) |
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ETA 227E |
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|
Type of |
UI |
Federal |
EB |
| Sub |
Report, Line, |
SSN |
Unique ID |
Date Established |
Program |
Active |
Overpayment |
Balance at |
Balance at |
Balance at |
| pop # |
and Column |
Type |
Collection |
End of Qtr |
End of Qtr |
End of Qtr |
| 14.1 |
E501 (18, 19) |
Required |
Required if State maintains a unique ID |
Requireda |
UI |
|
|
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| Age ≤ 90 days |
| 14.2 |
E502 (18, 19) |
Required |
Required if State maintains a unique ID |
Requireda |
UI |
|
|
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| Age 91-180 days |
| 14.3 |
E503 (18, 19) |
Required |
Required if State maintains a unique ID |
Requireda |
UI |
|
|
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| Age 181-270 days |
| 14.4 |
E504 (18, 19) |
Required |
Required if State maintains a unique ID |
Requireda |
UI |
|
|
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| Age 271-360 days |
| 14.5 |
E505 (18, 19) |
Required |
Required if State maintains a unique ID |
Requireda |
UI |
|
|
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| Age 361-450 days |
| 14.6 |
E506 (18, 19) |
Required |
Required if State maintains a unique ID |
Requireda |
UI |
Y or N* |
|
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| Age > 450 days |
| 14.7 |
E501 (19) |
|
Required if State maintains a unique ID |
Requireda |
UCFE or UCX |
|
|
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| Age ≤ 90 days |
Required |
| 14.8 |
E502 (19) |
Required |
Required if State maintains a unique ID |
Requireda |
UCFE or UCX |
|
|
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| Age 91-180 days |
| 14.9 |
E503 (19) |
Required |
Required if State maintains a unique ID |
Requireda |
UCFE or UCX |
|
|
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| Age 181-270 days |
| 14.10 |
E504 (19) |
Required |
Required if State maintains a unique ID |
Requireda |
UCFE or UCX |
|
|
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| Age 271-360 days |
| 14.11 |
E505 (19) |
|
Required if State maintains a unique ID |
Requireda |
UCFE or UCX |
|
|
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| Age 361-450 days |
Required |
| 14.12 |
E506 (19) |
Required |
Required if State maintains a unique ID |
Requireda |
UCFE or UCX |
Y or N* |
|
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| Age > 450 days |
| 14.13 |
C312 (11, 12) |
Required |
Required if State maintains a unique ID |
Requiredb |
UI |
N or D* |
Fraud |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 14.14 |
C312 (13, 14) |
Required |
Required if State maintains a unique ID |
Requiredb |
UI |
N or D* |
Nonfraud |
> 0 |
> 0 if joint claim; otherwise blank or 0 |
Must be blank or 0 |
| 14.15 |
C312 (12) |
Required |
Required if State maintains a unique ID |
Requiredb |
UCFE or UCX |
N or D* |
Fraud |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 14.16 |
C312 (14) |
Required |
Required if State maintains a unique ID |
Requiredb |
UCFE or UCX |
N or D* |
Nonfraud |
Must be blank or 0 |
> 0 |
Must be blank or 0 |
| 14.17 |
C312 (22) |
Required |
Required if State maintains a unique ID |
Requiredb |
EB |
N or D* |
Fraud |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 14.18 |
C312 (23) |
Required |
Required if State maintains a unique ID |
Requiredb |
EB |
N or D* |
Nonfraud |
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| 14.19 |
E501 (25) |
Required |
Required if State maintains a unique ID |
Requireda |
EB |
|
|
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| Age ≤ 90 days |
| 14.20 |
E502 (25) |
Required |
Required if State maintains a unique ID |
Requireda |
EB |
|
|
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| Age 91-180 days |
| 14.21 |
E503 (25) |
Required |
Required if State maintains a unique ID |
Requireda |
EB |
|
|
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| Age 181-270 days |
| 14.22 |
E504 (25) |
Required |
Required if State maintains a unique ID |
Requireda |
EB |
|
|
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| Age 271-360 days |
| 14.23 |
E505 (25) |
Required |
Required if State maintains a unique ID |
Requireda |
EB |
|
|
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| Age 361-450 days |
| 14.24 |
E506 (25) |
Required |
Required if State maintains a unique ID |
Requireda |
EB |
Y or N* |
|
Must be blank or 0 |
Must be blank or 0 |
> 0 |
| Age > 450 days |
| Population 15: Overpayment Investigations and Establishments by Mode |
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|
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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|
(Step 1G) |
(Step 1G) |
(Step 33) |
(Step 35) |
(Step 36) |
(Step 37A) |
(Step 46) |
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(Rule 1) |
(Rule 2) |
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(Step 37B) |
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| Subpop |
ETA 227B |
SSN |
Unique ID |
Type of Overpayment |
Detection Method |
Date |
Amount |
Overpayment Established by Investigation |
| # |
Line and Column |
Established |
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| OVERPAYMENTS (15.01 through 15.21) |
| 1) Random Sample: 60 or 200 (includes review of folders); 2) Supplemental sample--missing strata; 3) Supplemental sample--outliers by dollars |
| 15.01 |
202 (6) |
Required |
Required if State maintains a unique ID |
Must be blank |
Wage Crossmatch |
Required |
Must be blank or 0 |
N |
| 15.02 |
203 (6) |
Required |
Required if State maintains a unique ID |
Must be blank |
IB Crossmatch |
Required |
Must be blank or 0 |
N |
| 15.03 |
210 (6) |
Required |
Required if State maintains a unique ID |
Must be blank |
NDNH |
Required |
Must be blank or 0 |
N |
| 15.04 |
204 (6) |
Required |
Required if State maintains a unique ID |
Must be blank |
SDNH |
Required |
Must be blank or 0 |
N |
| 15.05 |
205 (6) |
Required |
Required if State maintains a unique ID |
Must be blank |
Multiclaimant |
Required |
Must be blank or 0 |
N |
| 15.06 |
206 (6) |
Required |
Required if State maintains a unique ID |
Must be blank |
Special Project |
Required |
Must be blank or 0 |
N |
| 15.07 |
202 (7, 8) |
Required |
Required if State maintains a unique ID |
Fraud |
Wage Crossmatch |
Required |
> 0 |
Y |
| 15.08 |
203 (7, 8) |
Required |
Required if State maintains a unique ID |
Fraud |
IB Crossmatch |
Required |
> 0 |
Y |
| 15.09 |
210 (7, 8) |
Required |
Required if State maintains a unique ID |
Fraud |
NDNH |
Required |
> 0 |
Y |
| 15.10 |
204 (7, 8) |
Required |
Required if State maintains a unique ID |
Fraud |
SDNH |
Required |
> 0 |
Y |
| 15.11 |
205 (7, 8) |
Required |
Required if State maintains a unique ID |
Fraud |
Multiclaimant |
Required |
> 0 |
Y |
| 15.12 |
206 (7, 8) |
Required |
Required if State maintains a unique ID |
Fraud |
Special Project |
Required |
> 0 |
Y |
| 15.13 |
207 (7, 8) |
Required |
Required if State maintains a unique ID |
Fraud |
Other Controllable |
Required |
> 0 |
|
| 15.14 |
208 (7, 8) |
Required |
Required if State maintains a unique ID |
Fraud |
Noncontrollable |
Required |
> 0 |
|
| 15.15 |
202 (9, 10) |
Required |
Required if State maintains a unique ID |
Nonfraud |
Wage Crossmatch |
Required |
> 0 |
Y |
| 15.16 |
203 (9, 10) |
Required |
Required if State maintains a unique ID |
Nonfraud |
IB Crossmatch |
Required |
> 0 |
Y |
| 15.17 |
210 (9, 10) |
Required |
Required if State maintains a unique ID |
Nonfraud |
NDNH |
Required |
> 0 |
Y |
| 15.18 |
204 (9, 10) |
Required |
Required if State maintains a unique ID |
Nonfraud |
SDNH |
Required |
> 0 |
Y |
| 15.19 |
206 (9, 10) |
Required |
Required if State maintains a unique ID |
Nonfraud |
Special Project |
Required |
> 0 |
Y |
| 15.20 |
207 (9, 10) |
Required |
Required if State maintains a unique ID |
Nonfraud |
Other Controllable |
Required |
> 0 |
|
| 15.21 |
208 (9, 10) |
Required |
Required if State maintains a unique ID |
Nonfraud |
Noncontrollable |
Required |
> 0 |
|