UIPL47-01.pdf

ETA Advisory File Text

U. S. Department of Labor Employment and Training Administration Washington D.C. 20210 CLASSIFICATION OWS CORRESPONDENCE SYMBOL OIS DUIO DATE August 30 2001 DIRECTIVE UNEMPLOYMENT INSURANCE PROGRAM LETTER NO. 47-01 TO ALL STATE EMPLOYMENT SECURITY AGENCIES FROM GRACE A. KILBANE Administrator Office of Workforce Security SUBJECT Electronic Exchange of Wage and Separation Information for the Unemployment Compensation for Federal Employees UCFE and the Unemployment Compensation for Ex-servicemembers UCX Programs 1. Purpose . To transmit to the State Employment Security Agencies SESAs the system and procedural requirements for the electronic exchange of wage and separation information for the UCFE and UCX programs and the Claims Control system for both programs. To also advise SESAs that model code for the UCFE Interstate Connection ICON application is also being issued under separate cover by Lockheed Martin. 2. Reference . ET Handbook No. 384 Unemployment Compensation for Ex- Servicemembers ET Handbook No. 391 UCFE Instructions for State Agencies. 3. Background . To better integrate federal programs with states claims processing systems procedures for obtaining wage and separation information for both the UCX and UCFE programs have been automated to the extent possible. For the UCFE program Lockheed Martin has developed an ICON application that states will use to generate electronic and or hardcopy requests to federal agencies as appropriate and to receive electronic responses. For the UCX program the electronic record of information from the DD Form 214 215 maintained by the Louisiana Claims Control Center LCCC has been changed to allow states after necessary in-house programming to electronically obtain UCX wage and separation information. For the UCX and UCFE programs the Claim Control File system maintained by the LCCC has been redesigned to support a more effective exchange of information and for integrity purposes. RESCISSIONS None EXPIRATION DATE August 31 2002 - 2 - The attached Guide and Directory of Federal Agencies Index has been developed by the Employment and Training Administration ETA with input and assistance from staff at the LCCC Lockheed Martin and some of the pilot states that participated in testing the new applications and procedures. This Guide explains the revised UCFE and UCX claims processing and control file procedures. The Frick Company which represents approximately 30 federal agencies is operational on the new UCFE system and is currently exchanging production data wage and separation information with the State of Georgia. The U.S. Postal Service USPS is expected to begin participating by the beginning of calendar year 2002. Discussions with four additional large federal agencies indicate their willingness to participate in the future. These agencies together with the USPS and the agencies represented by the Frick Company represent over 80 percent of the UCFE workload. The Department has also been in discussion with the Department of Defense DOD concerning the new procedures for the UCX program and the need for prompt delivery of the Department s copy of each DD Forms 214 and 215 to the LCCC. Currently a high percentage of the DD Forms 214 are not on file at the LCCC when individuals file initial UCX claims immediately upon discharge. The new system notifies the state when the DD Form 214 is not on file so that the state can use the claimant s copy to make a timely determination. The DOD has indicated that it is in the process of automating the DD Form 214 as well as the DD Form 215 in a manner that will allow the LCCC to obtain needed UCX information electronically in the future. 4. UCFE Changes . The key UCFE procedural changes and automation improvements include the following a the development of an ICON UCFE application that supports the exchange of wage and separation information between the state agency and federal employers using electronic versions of the ETA 931 ETA 931A and ETA 934 b a revision of the paper Forms ETA 931 ETA 931A and ETA 934 to represent the same data elements on the electronic forms c the inclusion of logic in the ICON UCFE application that determines when a hard copy form is necessary thereby eliminating the need for claims takers to handle the data entry of claims differently to generate electronic versus hard copy forms not all federal agencies will be able to electronically exchange information d an automated Directory of Federal Agencies as a feature of the UCFE application and - 3 - e an address data entry capability to allow states to enter an address that is not in the electronic directory for use in mailing a form. This address will not update the Directory. It will instead cause Lockheed Martin to send a notice to the National Office for follow-up with the federal agency. The address will only be added to the directory upon verification. 5. UCX Changes . The key UCX procedural changes include the following a the Department s copy of the DD Form 214 maintained at the LCCC is now the official source of wage and separation information for use in establishing UCX entitlement and eligibility b the LCCC will calculate the claimant s UCX employment and wages and provide the information to state agencies and c the State is authorized to determine UCX eligibility under an affidavit process using the claimant s copy four 4 of his her DD Form 214 upon receipt of a notice from the LCCC that there is no DD Form 214 on file. This procedure will eliminate any potential delay in the determination of UCX eligibility pending receipt of the Department s copy of the DD Form 214. 6. UCFE UCX Control File . A primary feature of the new system at the LCCC is the change to the Claims Control System that serves both the UCFE and UCX programs. The key features of the new system are as follows a the Claims Control System has been changed to maintain a control record only when an intrastate or interstate benefit year is established that causes a wage assignment b there will be two types of control records one that shows a benefit year on file in the state and one that shows a wage assignment only in a state and c the format of the new control record will contain sufficient information for use by states to determine if there is conflicting prior wage assignment or an existing benefit year. 7. State Responsibilities . It is each state agency s responsibility to take the actions necessary to implement these new UCFE and UCX procedures in the State. In order for the system to operate optimally it is necessary for the state agency to fully interface the new applications with its wage and benefit systems. To that end it will be necessary to designate both data processing staff to install and or develop the - 4 - necessary code to support the procedures and program staff to develop internal operating procedures train staff and monitor the testing of the new procedures. Model code for the ICON UCFE application was being distributed by Lockheed Martin under separate cover during the week of August 13. IBM and non-IBM states will follow their normal implementation procedures that apply to all ICON applications. It will be helpful if the data processing staff handling the installation and interfacing of the UCFE application have familiarity with the ICON since this is an ICON application. No code is being provided for the UCX changes. States will have to individually develop software for the UCX changes based on the procedural descriptions and record formats that are provided in the attached Guide. Implementation of the changes to the UCFE procedures requires the implementation of both the ICON UCFE application and the UCFE claims control feature with the LCCC. The new Claims Control System for UCFE claims is expected to be implemented before or simultaneously with the ICON UCFE application. Therefore it is suggested that states program and implement the new procedures for communicating with the LCCC first . The sooner that all states implement the new procedures for communicating requests for UCX wage and separation information and the new Claim Control System for UCFE and UCX the shorter the transition period will be for receiving LCCC response records from the old inquiry Control System and the new Claims Control System. 8. Action Required . SESAs are requested to a. provide copies of the attachments to appropriate personnel including data processing and UCFE UCX program operations staff b. develop a schedule for the programming installation and testing of the new UCFE and UCX electronic data exchange procedures and c. plan to be fully operational on the new UCFE and UCX systems no later than December 31 2002. 9. Inquiries . Please direct all program related inquiries to the appropriate Regional Office. Technical questions about the ICON UCFE application may be directed to Martha Hazelrigg Lockheed Martin at 407 306-7228. Technical questions about the UCX or claim control records requirements may be directed to Rezzie Meyer LCCC at 1-800-535-8100. 10. Attachments . I -STATE IMPLEMENTATION GUIDE -Changes to the UCFE and UCX Programs II -Directory of Federal Agencies -Index Attachment to UIPL No. 47-01 STATE IMPLEMENTATION GUIDE For UCFE and UCX Program Changes U.S. Department of Labor August 2001 STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES Table of Contents Page Background................................................. i Overview of Changes........................................ i 1. LCCC Claim Control Operation.......................... 1 2. Transition from Old to New System...................... 2 3. State Agency Record Types for Communicating with LCCC.. 4 a. State Agency UCFE - UCX Request Record Layout...... 5 b. Required Fields for Each Record Type............... 7 4. Requesting Information from the LCCC................... 7 5. Requesting UCX Wage and Separation Information and Match Against the Claim Control Records................ 8 6. Preparing a Claim Control Type 2 Record................ 8 7. Preparing a Type 3 Wage Assignment Only Record......... 9 8. Preparing a Type 4 Request Record Cancellation of Type 2 Claim Control Record............................ 9 9. Preparing a Type 5 Request Record Cancellation of Wage Assignment Only Control Record.................... 9 10. Preparing a Type 6 Request Record Cancellation UCX Pending Record......................................... 9 11. Transmitting Records to LCCC .......................... 10 a. Test Records Job Control Language.................. 10 b. Production Records Job Control Language............ 10 12. Receiving Response Records from LCCC................... 11 13. LCCC Response Record Layout............................ 11 14. Response to Request Record Type 1 Initial Claim Request ............................................. 23 a. Pending Records.................................... 24 b. Informational Messages ............................ 24 15. Amended UCX Responses.................................. 30 16. Rejected Records - Error Messages...................... 30 17. Optional Print Program................................. 31 18. Using an Affidavit to Establish UCX Eligibility........ 32 19. UCFE Forms and Corresponding Electronic Record Formats. 32 20. UCFE - Generating Requests for Wage and Separation Information to Federal Agencies........................ 32 a. ICON UCFE Support System - Main Menu............... 34 b. ETA-931 Data Entry Screen......................... 34 TC - 1 STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 21. ETA-931 Request for Wage and Separation Information... 34 a. Form ETA-931 Request for Wage and Separation Inf ormation.. ..................................... 35 1 Front of Form ETA-931 ....................... 35 2 Reverse of Form ETA-931 ..................... 36 3 Number of copies ............................ 37 4 Preparation of Form ETA-931 ................. 37 b. TC-ETA-931 Request for Wage and Separation Information - Request Record Format................ 38 c. TC-ETA-931 Response Record Format................. 41 d. TC-ETA-931 Response Record View Screen............. 54 22. State agency processing of TC-ETA-931 Response Record.. 55 23. Use of Claimant s Affidavit............................ 55 a. Form ETA-935 Claimant s Affidavit of Federal Civilian Service Wages and Reason for Separation.. 57 24. ETA-931A Request for Separation Information - Additional Claim....................................... 58 Data Entry Screen for ETA-931A..................... 59 Form ETA-931A Request for Separation Information - Additional Claim................................... 59 b. TC-ETA-931A Request Record Format.................. 61 c. TC-ETA-931A Response Record Format................. 64 d. TC-ETA-931A Response Record View Screen............ 67 25. Requesting Additional Information From a Federal Agency 67 a. TC-ETA-934 Data Entry Screen...................... 68 b. Form ETA-934 Request for Additional Information... 68 c. Completion of From ETA-934......................... 69 d. TC-ETA-934 Request for Additional Information..... 69 1 TC-ETA-934 Request Record Format.............. 70 2 TC-ETA-934 Response Record Format............. 72 3 TC-ETA-931A Response Record View Screen........ 74 26. Directory of Federal Agencies.......................... 74 a. Federal Agencies Address View Screen............... 75 27. Record Retention....................................... 76 Appendix A - UCFE UCX Questions and Answers Appendix B - Examples of Responses from LCCC Appendix C - Full Size Forms TC - 2 STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES B ackground For several years State Employment Security Agencies State agencies have been taking advantage of technology advances to automate intrastate and interstate unemployment compensation processes to eliminate the use of paper forms and files and the use of the mail to exchange information. The degree to which automation could be applied to UCFE and UCX activities has been limited by the programs procedures for obtaining the wage and separation information necessary to the determination of claims. These UCFE and UCX procedures have resulted in the necessity to use manual procedures to collect and exchange information and have caused delays in the payment of benefits. Over the past few years the Department together with the Information Technology Support Center the Louisiana Claims Control Center LCCC Lockheed Martin the U.S. Postal Service the Frick Company as the representative of 30 Federal agencies and the States of Alaska Georgia Louisiana Maryland Minnesota New York and Virginia have worked to redesign and test new methods for electronically exchanging UCFE information between the Federal and State agencies and or to exchange UCFE and UCX information between State agencies and the LCCC. Additional UCFE and UCX procedural changes were initiated to take advantage of the use of technology and to ensure that the Federal UC programs are better accommodated in the State agencies remote initial claims taking environment. O verview of Changes An Interstate Connection ICON application has been developed by Lockheed Martin to support transmissions of State requests for UCFE wage and separation information and responses from Federal agencies. The Directory of Federal Agencies has been automated as a feature of this UCFE application. The LCCC operating system has been redesigned to support the use of the DD Form 214 and 215 information on file at the LCCC as the official source of UCX wage and separation information. The LCCC will supply State agencies with UCX wage and separation information in an electronic record format. i STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES The UCFE UCX Claim Control file feature of the LCCC operation has also been redesigned to maintain a Claim Control record only when an intrastate or interstate benefit year has been established that caused a wage assignment. The format of the new Claims Control record will contain sufficient information for use by the State to determine if there is a prior wage assignment or conflict. In addition to the change to the LCCC operation a UCX affidavit procedure is being implemented which authorizes State agencies to determine UCX eligibility using the claimant s copy 4 of a DD Form 214 as an affidavit upon receipt of a notice from the LCCC that there is no DD Form 214 on file. Thus determinations of UCX eligibility will no longer be delayed pending receipt of the Department s copy of the DD Form 214 provided the claimant has a copy 4 of his her DD Form 214. ii STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 1. L CCC Claim Control Operation . The purpose of the LCCC operation has been expanded from solely a fraud detection operation to include serving as the official source of wage and separation information for the UCX program. To accomplish the two purposes the LCCC operating system and procedures have been changed to 1 maintain a record of all UCFE and UCX wage assignments as the basic Claim Control file and 2 maintain all DD Form 214 215 data necessary to compute quarterly wages and 3 provide separation information and other pertinent eligibility information in an electronically accessible file. The changes at the LCCC and authorizing States to use the claimant s copy 4 of the DD Form 214 to determine UCX eligibility will help to accomplish administrative efficiencies and ensure timely payments. However the overall LCCC operation continues to serve as a system of fraud detection. Using the DD Form 214s on file at the LCCC as the official source of wage and separation information helps to ensure that determinations are based on information provided by the DOD. When there is no DD Form 214 on file the State agency will be so advised. The LCCC will contact the DOD for the DD Form 214 information and will send an amended response to the requesting State agency upon receipt of the DD Form 214 or other information from the DOD. This procedure helps to ensure the detection of any fraudulent claim s established under the affidavit procedure. The new Claim Control file will only contain Claim Control Records representing an actual wage assignment when a benefit year has been established. Unlike past procedures for the inquiry the LCCC will not maintain a copy of the request that is sent by the State agency when a new claim is filed. Therefore States must create and transmit these control records immediately same day when a benefit year is established that assigns wages because there is nothing on file to prevent the LCCC from providing U CX wage information to another State until the LCCC receives the Claim Control record . Claim Control Records will be kept on file for two years. Incoming Claim Control records are matched against the records in the Claims Control file to prevent duplicate use or improper assignment. The DD Form 214 215 file format has been redesigned to store nine calendar quarters of information to have available information to respond to current and backdated base period and alternate base period requests. Each initial UCX or UCFE request will be matched against the Claim Control file the DD Form 214 file and the pending files. When a UCX request is processed and a DD Form 214 STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES is found and there is no Claim Control record on file that prevents the release of the wages the LCCC will respond to the requesting State agency using the service dates days lost rank etc. the Schedule of Remuneration to calculate base period and lag wages as well as weeks and hours of work. When no DD Form 214 is found the LCCC will create a pending record and notify the State agency No Control Record or DD 214 on File. Response Pending. A request for the DD Form 214 will be sent to the appropriate Branch of Service by the LCCC when 21 days have elapsed since the separation date. When a response is received the LCCC will send an amended Response Record containing information from the DD Form 214 or other response document received from the Branch of Service to the requesting State agency. Response records from the LCCC will contain alert messages and flags that can be used by the State agency to electronically post an issue to the benefit record when the type of separation or other information from the DD Form 214 raises an identifiable issue. The LCCC is not authorized to make determinations about whether or not a claimant s military service is creditable or if wages are usable. Therefore the LCCC will provide wage and separation information from any DD Form 214 on file without regard to the length of service or the type of separation. It will be the responsibility of the State agency to make the appropriate determination s . Response records will be sent to each State agency for each record it sends to the LCCC as a confirmation that the record has been processed. For example when there is a UCFE Type 1 request and there is no Claim Control Record on file the State agency will receive a message stating no Claim Control Record on file. When there is a Claim Control Record on file showing an existing benefit year or a last day of work separation date that is within the base period of the new claim the response record will include the information from the Claim Control Record. 2. T ransition From Old to New System . Until all States are operational on the new system and all inquiries under the old procedures are at least two 2 years old States will be operating in a transition period. During the transition period all States will continue to receive information from the inquiry control file. This means that those States that have implemented the new system will still be required to receive response information from the inquiry control file in the old manner. A State that is operating under the old system will receive information from the new system as a printout attached to its STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES response. Examples of the types of responses that States can expect are as follows a. When the State Is Operating under the New System and 1 there is a match against an inquiry in the old system the State will receive a listing in a job named PUXDLCCC which will be sent to the DESTINATION CLASS FORM etc. to which the old system responses were sent. The listing will contain the following information UCX UCFE LISTING PF PRIOR INQUIRIES BY OTHER STATES EFFECTIVE UCX UCFE SSN NAME DATE SEP DATE SEP DATE 007002001 Mary E. Montgomery 20010708 20001007 00000000 PGM TYPE X STATES WITH PRIOR INQUIRY 33 45 2 there is NO match against an inquiry in the old system the State will receive a listing in a job named PUXDLCCC which will be sent to the DESTINATION CLASS FORM etc. that the old system responses were sent to. The listing will contain the following acknowledgment that the match against the old system occurred UCX UCFE LISTING PF PRIOR INQUIRIES BY OTHER STATES NONE FOR TODAY b. When the State Is Operating under the Old Inquiry System and 1 there is a match against a pending record in the new STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES system the State will receive a record as follows for each matching social security number at the end of its regular response records PENDING RECORD PRINT WAGES PENDING - BEING CLAIMED BY STATE WITH FIPS CODE -- SSN 007002001 OTHER SSN 000000000 CLAIMANT NAME Mary E. Montgomery PROGRAM TYPE UCX EFFECTIVE DATE OF CLAIM 2001 07 08 SEPARATION DATE BASE PERIOD UCX UCFE BEG END 2000 12 04 0000 00 00 2000 04 01 2001 03 31 SERVICE BRANCH AIR FORCE STATE 36 LOCAL OFFICE 0516 RECORD TYPE 1 TRANSMISSION DATE LCCC RESPONSE DATE PENDING NOTICE DATE 2001 07 09 2001 07 09 2001 07 09 2 there is a match against a record in the Claim Control File of the new system the State will receive a record as follows for each matching social security number at the end of its regular response records CLAIM CONTROL RECORD PRINT WAGES CLAIMED BY STATE WITH FIPS CODE -- SSN 007002001 OTHER SSN 000000000 CLAIMANT NAME Mary E. Montgomery BYE 20020105 EFFECTIVE DATE OF CLAIM 2001 01 07 PROGRAM TYPE UCX SEPARATION DATE BASE PERIOD UCX UCFE BEG END 1999 10 01 2000 09 30 TRANSFERRING STATE 1 00 2000 12 03 0000 00 00 TRANSFERRING STATE 2 00 LOCAL OFFICE 0516 TRANSMISSION DATE LCCC PROCESS DATE DELETE DD214 RECORD TYPE 2001 01 12 2001 01 12 2 3. State Agency Record Types for Communicating with the LCCC . State agencies will use a single record format to generate six different types of records to the LCCC. The six record types are Type 1 -Initial Request for Wage and Separation Information Type 2 -UCX or UCFE Claim Control Record Type 3 -UCX or UCFE Wage Assignment Only Record Type 4 -Cancellation of Claim Control Record STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES Type 5 -Cancellation of Wage Assignment Only Control Record and Type 6 -Cancellation of UCX Pending Record. With the exception of Record Type 6 all other record types are used for both UCX and UCFE records. Field 22 of the record format will carry the identifying code for the type of record Record Type 1-6 being sent. The Type 1 request replaces the inquiry and will be sent to the LCCC immediately same day when a new UCX or UCFE claim is filed. The Type 1 request for both programs will be used to match against the Claim Control file and the DD Form 214 file. The LCCC will not maintain a copy of the Type 1 request record. No Claim Control record will be on file until the State transmits a Claim Control record Record Type 2 or 3 which means that a benefit year was established. a. State Agency UCFE - UCX Request Record Layout . The following request record layout is used for all record types by the State agency to send records to the LCCC. State Agency Request Record Layout FLD NBR FIELD NAME FIELD TYPE BEGIN COLUMN FIELD LENGTH DESCRIPTION 1 Social Security No. N 1 9 Enter claimant s Social Security Number 2 Claimant s Name -First A N 10 12 Enter claimant s first name. First position cannot be blank. Enter at least one alphabetic character. 3 Claimant s Name -Middle Initial A N 22 1 Enter claimant s middle initial if any. 4 Claimant s Name -Last Name A N 23 17 Enter the claimant s last name. First position cannot be blank. Enter at least one alphabetic character. 5 Program Type A N 40 1 Enter valid program type F UCFE Code as F when only UCFE employment or when UCFE and UI employment is shown in the base period X UCX Code as X when only UCX employment or when UCX and UI employment is shown in the base period J JOINT Code as J when both UCFE and UCX employment is shown in the base period 6 Other Social Security Number N 41 9 Enter other SSN that the claimant used since the beginning of the base period. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 7 Effective Date of Claim N 50 8 Enter the effective date of the claim. Format is CCYYMMDD i.e. 20001205. 8 Last Day of Work UCX N 58 8 Enter the UCX Separation Date. Format is CCYYMMDD i.e. 20001205 9 Last Day of Work UCFE N 66 8 Enter UCFE Separation Date. Format is CCYYMMDD i.e. 20001205 10 Base Period Beginning Date N 74 8 Enter the beginning date of the base period for the claim. Format is CCYYMMDD i.e. 20001205 11 Base Period Ending Date N 82 8 Enter the ending date of the base period for the claim. Format is CCYYMMDD i.e. 20001205 12 Benefit Year Ending Date N 90 8 Enter the benefit year ending date for the claim. Format is CCYYMMDD i.e. 20001205. 13 State FIPS Code N 98 2 Enter the two digit numerical FIPS Code of sending State. 14 Transferring State s FIPS Code -1 N 100 2 Enter the two digit numerical FIPS Code of the first State that transferred UCX or UCFE wages used on the claim. 15 Transferring State s FIPS Code -2 N 102 2 Enter the two digit numerical FIPS Code of the second State that transferred UCX or UCFE wages used on the claim. 16 Branch of Service A N 104 2 Enter the two digit code for the Branch of service. Leave Blank for Program Type F . Valid entries for Program Types X or J are Army 01 Navy 02 Air Force 03 Marines 04 Coast Guard 05 NOAA 06 17 Call Center Local Office ID A N 106 4 Enter four digit Call Center Local office Number. Right justify i.e. 0114. 18 Transmission Transaction Date A N 110 8 Enter the date of the record transmission to LCCC. Should be system generated. Format is CCYYMMDD i.e. 20001205 19 Amended Flag A N 118 1 For LCCC s use only. 20 Message Number A N 119 2 For LCCC s use only. 21 Filler A N 121 39 FILLER STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 22 Record Type Code A N 160 1 Enter the one digit code for the type of record prepared for transmission. Valid entries are 1 Initial Claim Request 2 Claims Control Record 3 Wage Assignment Only Control Record 4 Claims Control Record Cancellation 5 Wage Assignment Only Control Record Cancellation 6 Type 1 Request Cancellation from the Pending File TOTAL RECORD 160 b. Required Fields for Each Record Type . Below is a chart showing the fields that must be completed for each of the six record types. The identified fields will be edited by the LCCC when processing the record. Fields Record Types SSN First name Middle initial Last name Program type Other SSN Effective date of claim UCX separation date when Type X UCFE separation date when Type F Base period begin date Base period end date Benefit year end date State FIPS code Transferring State FIPS Code 1 Transferring State FIPS Code 2 Branch of Service when Type X or J Local Office Call Center Amended Flag LCCC Use only Message number LCCC Use only Transaction Date Record Type Code 1 X X X X X X X X X X X X X X X 2 X X X X X X X X X X X X X X X X X 3 X X X X X X X X X X X 4 X X X X X X X X X X X 5 X X X X X X X X X 6 X X X X X X X X X X X X X X X 4. R equesting Information From the LCCC . The State s procedures for sending requests and receiving responses from the LCCC are the same for the UCX and UCFE programs. Records sent to the LCCC for both programs will produce the same type of responses from the LCCC including UCX wage and separation information responses. The State s information technology staff will have to accomplish the programming necessary to produce the appropriate request STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES records necessary for entering the appropriate information including the record type indicator in Field 22. All records sent to the LCCC are considered request records. A single one-hundred sixty 160 character record will be use to transmit each of the record Types 1-6. It is the responsibility of the State agency to ensure the proper formatting and transmission of records to the LCCC. 5. R equesting UCX Wage and Separation Information and a Match Against the Claim Control Records Type 1. At the time a new UCX or UCFE initial claim is filed and when assignable UCX or UCFE wages are in the lag period of the initial claim the State agency will generate a Type 1 request record to the LCCC. Each Type 1 request UCX and UCFE is matched against the Claim Control file and against the DD 214 file. The Type 1 request serves as the request for UCX wage and separation information. When a DD Form 214 is on file the LCCC will respond with wage and separation information from up to two 2 DD Forms 214. Because the electronic record format does not accommodate more than two 2 DD Forms 214 when there are more than two on file the LCCC will advise the State agency and FAX a copy of each form to the State agency for its review and determination. When the UCFE request is matched against the DD Form 214 file no pending record will be created if there is no DD Form 214 on file. 6. P reparing a Type 2 Claims Control Record . A Claims Control record notifies the LCCC that a benefit year has been established that used and assigned UCFE or UCX base period wages or assigned lag period wages. This record is maintained by the LCCC in the Claims Control file for two 2 years. A Type 2 record identified as UCFE UCX or Joint is prepared and transmitted by the State at the time that a benefit year is established that used any UCX or UCFE wages in the determination of monetary entitlement. The Type 2 Claims Control record must be created as soon as a benefit year is established and transmitted immediately same day because prior to receipt of the Claim Control record there is no Claim Control record on file at the LCCC to prevent the LCCC from responding to another State s request. When preparing Type 2 records program type X means that some UCX wages have been used in the monetary determination. Program type F means that some UCFE wages have been used in the monetary determination. Program type J means that both UCX and UCFE wages have been used in the monetary determination. This means that for purposes of this system UI-UCFE or UI-UCX claims are STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES identified by the Federal program type of UCFE or UCX as appropriate. The Claim Control record is generated by the State agency that assigns wages to the State. The paying State on a combined wage claim CWC is responsible for assigning base period wages used in the determination of the CWC claim. When the UCFE or UCX wages have been transferred from another State s the paying State must identify the transferring State s on the Claim Control record by FIPS Code s . The State agency should implement a procedure that automatically creates the Claim Control record when the State agency issues an eligible monetary determination. 7. P reparing a Type 3 Wage Assignment Only Record . A Type 3 record is prepared and transmitted to the LCCC when a UI benefit year is established which causes the assignment of lag period UCX or UCFE wages and when a benefit year is established by another State which causes a wage assignment in your State i.e. State A transferred base period UCX wages to State B and State B established a benefit year. State A prepares a Type 3 control to assign any lag period wages upon the receipt of a Report on Determination of Combined Wage Claim TC-IB5 that a benefit year has been established by the paying State State B . As a transferring State for a combined wage claim the State agency has to implement a procedure that assigns lag period wages by creating a Type 3 wage assignment only Claims Control record upon receipt of a Form IB5 showing a benefit year has been established by the paying State. The transferring State does not send a Type 2 Claims Control record pertaining to the base period wages that are reassigned to the paying State. 8. P reparing a Type 4 Request Record Cancellation of Type 2 Claim Control Record . A Type 4 record cancels a previously transmitted Type 2 record from the LCCC Claims Control file. This type 4 record is prepared and transmitted when a UCX UCFE or Joint UCX-UCFE benefit year is canceled for any reason. 9. P reparing a Type 5 Request Record Cancellation of Type 3 Wage Assignment Only Control Record . A Type 5 record cancels a previously transmitted Type 3 record from the LCCC Claims Control file. This type 5 record is prepared and transmitted when a benefit year that caused an assignment is canceled. 10. P reparing a Type 6 Request Record Cancellation of UCX Pending Record . A Type 6 record cancels a pending record from the DD Form 214 Response Pending file at the LCCC. A Type 6 cancellation record is sent when a UCX claim is withdrawn or canceled or erroneous information e.g. incorrect separation STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES date on the Type 1 record caused an erroneous pending record to be created. Upon receipt of a response record that contains an informational message number 2 6 or 28 see messages - pages 27-32 the State agency should review the claim to determine if a Type 6 record is necessary. The Type 6 record serves as notification to LCCC to discontinue contact with the military DOD concerning the missing DD Form 214. 11. T ransmitting Records to LCCC . All record types should be transmitted to LCCC on a daily basis. a. Test Records - Job Control Language . To send test records to LCCC use the following Job Control Language with appropriate modifications as follows 1 Replace SS with the State s alpha postal abbreviation and 2 Replace state name with the name of the xmitting State. UIXFESSA JOB 3777 XXXXXXXXX XX XXXX STATE NAME MSGLEVEL 1 1 CLASS G XFELIB JCLLIB ORDER UI.XFE.PROCLIB PROCA EXEC XFESSAT STEP1.SYSUT1 DD your data i.e. UCX UCFE SESA TRANSMITTAL RECORDS NOTE The 160-byte transmittal records will need to be xmitted in 2 80-byte records per SSN. The LCCC will reblock the two 2 80-byte records back to a single 160-byte record to process the data. b. Production Records - Job Control Language . To send production records to the LCCC use the following Job Control Language with appropriate modifications as follows 1 Replace SS with the State s alpha postal abbreviation and 2 Replace state name with the name of the xmitting State. UIXFESSA JOB 3777 XXXXXXXXX XX XXXX STATE NAME MSGLEVEL 1 1 CLASS G XFELIB JCLLIB ORDER UI.XFE.PROCLIB PROCA EXEC XFESSA STEP1.SYSUT1 DD your data i.e. UCX UCFE SESA TRANSMITTAL RECORDS NOTE The 160-byte transmittal records will need to be transmitted in two 2 80-byte records per SSN. The LCCC will reblock the two 2 80-byte records back to a single 160-byte record to process the data. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 12. R eceiving Response Records From LCCC . The LCCC will use a single 960 character record to respond to all State agency requests for both UCX and UCFE. States will receive electronic responses identified by the six different request record types. The response records will be 960-bytes deblocked to twelve 12 80-byte records by the LCCC for transmission to the State. The State will have to reblock to a single 960-byte response record to process. The response record type identified in Field 121 will be a copy of the record type as shown on the request record in Field 22 except when the response is a copy of the Claim Control Record. When the response includes information from a Claim Control record record Type 2 will be shown in Field 121 to alert the State agency that the information in Fields 5-15 represents a copy of a Claims Control record that is on file. Response records will contain flags and messages to alert the State when there is an existing benefit year wages previously assigned etc. The message numbers and flags can be used by the State to post information to benefit files or to sort incoming records for review as necessary. 13. L CCC Response Record Layout . The following response record layout is used for all record types by the LCCC to respond to all State request records. Please Note States will continue to receive response records from the inquiry file in the same manner that they have always received information from the LCCC. States will not stop receiving the old type responses until the transition period ends. LCCC RESPONSE RECORD LAYOUT FLD NBR FIELD NAME FIELD TYPE BEGIN COLUMN FIELD LENGTH DESCRIPTION 1 Social SecurityNo. N 1 9 Claimant s Social SecurityNumber 2 Claimant s Name - First A N 10 12 Claimant s first name. 3 Claimant s Name - Middle Initial A N 22 1 Claimant s middle initial. 4 Claimant s Name - Last Name A N 23 17 Claimant s last name. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 5 Program Type A N 40 1 Program Type as shown on incoming request F UCFE X UCX J Joint UCFE UCX 6 Effective Date of Claim N 50 8 Effective date of the initial claim. Format is CCYYMMDD e.g. 20000702 July 2 2000. 7 Last Day of Work N 58 8 UCX Separation Date . Format is CCYYMMDD e.g. 20000705 July 5 2000 8 Last Day of Work N 66 8 UCFE Separation Date. Format is CCYYMMDD e.g. 20000705 July 5 2000 9 Other Social Security Number N 41 9 Claimant s other Social Security Number as shown on incoming request. 10 Base Period Beginning Date N 74 8 The beginning date of the base period of the claim. Format is CCYYMMDD e.g. 19990401 April 1 1999. 11 Base Period Ending Date N 82 8 The ending date of the base period of the claim. Format is CCYYMMDD e.g. 20000331 March 31 2000. 12 Benefit Year Ending Date N 90 8 The ending date of the benefit year for the claim. Format is CCYYMMDD e.g. 20010701 July 1 2001. 13 State FIPS Code N 98 2 For Record Types 1 3 4 5 or 6 shown in Field 121 this is the FIPS Code of the State that sent the request record to the LCCC. For Record Type 2 shown in Field 121 this is the FIPS Code of the State that submitted the Claims Control Record to the LCCC. 14 TransferringState s FIPS Code N 100 2 FIPS Code of first transferring State shown on Claims Control Record. 15 TransferringState s FIPS Code N 102 2 FIPS Code of second transferring State shown on Claims Control Record. 01 02 03 04 05 06 STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 16 Branch of Service N 104 2 Two digit code for the Branch of Service. Blank for Program Type F . Valid entries for Program Types X or J are Army Navy Air Force Marines Coast Guard NOAA 17 Call Center Local Office ID number A N 106 4 Call Center Local OfficeNumber. Right justified. 18 Transmission Date A N 110 8 Date that the State s request record was transmitted by State to the LCCC. Format is CCYYMMDD. 19 Component A N 118 30 Identifies the Component of the Branch of Service as shown on the DD 214 e.g. Army Reserve. 20 LCCC Process Date N 148 8 Date that the LCCC processedthe State s request record. Format is CCYYMMDD 21 1st Quarter Date N 156 5 Identification of the 1 st quarter ending after the beginning date of the base period shown on the request record. Format is CCYYQ e.g. 20001 1 st quarter of the year 2000. 22 1st Qtr wages N 161 8 Amount of wages for thequarter identified in field 21 right justified e.g. 012345v67 12 345.67. v implied decimal 23 1st Qtr Number of Weeks worked N 169 2 Number of weeks worked during the quarter identified in field 21 right justified e.g. 06 6 weeks. 24 1st Qtr Number of hours worked N 171 3 Number of hours worked in the quarter identified in field 21 right justified e.g. 040 40 hours. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 25 1st Qtr Branch of Service A N 174 2 Identifier for Branch of Service for employment and wages during the quarter identified in Field 21. Code will be 99 if wages are from more than one Branch. 26 2nd Quarter Date N 176 5 Identification of the 2nd quarter ending after the beginning date of the base period shown on the request record. Format is CCYYQ e.g. 20002 2nd quarter of the year 2000. 27 2nw Qtr wages N 181 8 Amount of wages for thequarter identified in Field 26 right justified e.g. 012345v67 12 345.67. 28 2nd Qtr Number of Weeks worked N 189 2 Number of weeks worked in the quarter identified in Field 26 right justified e.g. 06 6 weeks. 29 2nd Qtr Number of hours worked N 191 3 Number of hours worked in the quarter identified in Field 26 right justified e.g. 040 40 hours. 30 2nd Qtr Branch of Service A N 194 2 Identifier for Branch of Service for employment and wages during the quarter identified in Field 26. Code will be 99 if wages are from more than one Branch. 31 3rd Quarter Date N 196 5 Identification of the 3 rd quarter ending after the beginning date of the base period shown on the request record. Format is CCYYQ e.g. 20003 3 rd quarter of the year 2000. 32 3rd Qtr wages N 201 8 Amount of wages for thequarter identified in Field 31 right justified e.g. 012345v67 12 345.67. 33 3rd Qtr Number of Weeks worked N 209 2 Number of weeks worked during the quarter identified in Field 31 right justified e.g. 06 6 weeks. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 34 3rd Qtr Number of hours worked N 211 3 Number of hours worked during the quarter identified in Field 31 right justified e.g. 040 40 hours. 35 3rd Qtr Branch of Service A N 214 2 Identifier for Branch of Service for employment and wages during quarter identified in Field 31. Code will be 99 if wages are from more than one Branch. 36 4th Quarter Date N 216 5 Identification of the 4 th quarter ending after the beginning date of the base period shown on the request record. Format is CCYYQ e.g. 20004 4 rd quarter of the year 2000. 37 4th Qtr wages N 221 8 Amount of wages for thequarter identified in Field 36 right justified e.g. 012345v67 12 345.67. 38 4th Qtr Number of Weeks worked N 229 2 Number of weeks worked during the quarter identified in Field 36 right justified e.g. 06 6 weeks. 39 4th Qtr Number of hours worked N 231 3 Number of hours worked during the quarter identified in Field 36 right justified e.g. 040 40 hours. 40 4th Qtr Branch of Service A N 234 2 Identifier for Branch of Service for employment and wages during quarter identified in Field 36. Code will be 99 if wages are from more than one Branch. 41 5th Quarter Date N 236 5 Identification of the 5th quarter ending after the beginning date of the base period shown on the request record. Format is CCYYQ e.g. 20011 1 st quarter of the year 2001. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 42 5th Qtr wages N 241 8 Amount of wages for the quarter identified in Field 41 right justified e.g. 012345v67 12 345.67. 43 5th Qtr Number of Weeks worked N 249 2 Number of weeks worked during the quarter identified in Field 41 right justified e.g. 06 6 weeks. 44 5th Qtr Number of hours worked N 251 3 Number of hours worked during the quarter identified in Field 41 right justified e.g. 040 40 hours. 45 5th Qtr Branch of Service A N 254 2 Identifier for Branch of Service for employment and wages during the quarter identified in Field 41. Code will be 99 if wages are from more than one Branch. 46 6th Quarter Date N 256 5 Identification of the 6 th quarter ending after the beginning date of the base period shown on the request record. Format is CCYYQ e.g. 20012 2 nd quarter of the year 2001. 47 6th Qtr wages N 261 8 Amount of wages for thequarter identified in Field 46 right justified e.g. 012345v67 12 345.67. 48 6th Qtr Number of Weeks worked N 269 2 Number of weeks worked during the quarter identified in Field 46 right justified e.g. 06 6 weeks. 49 6th Qtr Number of hours worked N 271 3 Number of hours worked during the quarter identified in Field 46 right justified e.g. 040 40 hours. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 50 6th Qtr Branch of Service N 274 2 Identifier for Branch of Service for employment and wages during the quarter identified in Field 46. Code will be 99 if wages are from more than one Branch. 51 7th Quarter Date N 276 5 Identification of the 7 th quarter ending after the beginning date of the base period shown on the request record. Format is CCYYQ e.g. 20013 3rd quarter of the year 2001. 52 7th Qtr wages N 281 8 Amount of wages for thequarter identified in Field 51 right justified e.g. 012345v67 12 345.67. 53 7th Qtr Number of Weeks worked N 289 2 Number of weeks worked in 7th quarter right justified e.g. 06 6 weeks. 54 7th Qtr Number of hours worked N 291 3 Number of hours worked in the 7 th quarter right justified e.g. 040 40 hours. 55 7th Qtr Branch of Service A N 294 2 Identifier for Branch of Service for wages during quarter identified in Field 51. Code will be 99 if wages are from more than one Branch. 56 8th Quarter Date N 296 5 Identification of the 8th quarter ending after the beginning date of the base period shown on the request record. Format is CCYYQ e.g. 20014 4th quarter of the year 2001. 57 8th Qtr wages N 301 8 Amount of wages for thequarter identified in Field 56 right justified e.g. 012345v67 12 345.67. 58 8th Qtr Number of Weeks worked N 309 2 Number of weeks worked in 8th quarter right justified e.g. 06 6 weeks. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 59 8th Qtr Number of hours worked N 311 3 Number of hours worked in the 8th quarter right justified e.g. 040 40 hours. 60 8th Qtr Branch of Service A N 314 2 Identifier for Branch of Service for wages during quarter identified in Field 56. Code will be 99 if wages are from more than one Branch. 61 9th Quarter Date N 316 5 Identification of the 9th quarter ending after the beginning date of the base period shown on the request record. Format is CCYYQ e.g. 20021 1 st qtr of the year 2002. 62 9th Qtr wages N 321 8 Amount of wages for thequarter identified in Field 61 right justified e.g. 012345v67 12 345.67. 63 9th Qtr Number of Weeks worked N 329 2 Number of weeks worked in 9th quarter right justified e.g. 06 6 weeks. 64 9th Qtr Number of hours worked N 331 3 Number of hours worked in the 9th quarter right justified e.g. 040 40 hours. 65 99h Qtr Branch of Service A N 334 2 Identifier for Branch of Service for wages during quarter identified in field 61. Code will be 99 if wages are from more than one Branch. 66 Warning Flag A N 336 1 X Warning potential issue Blank No potential issue detected 67 1st Full Term of Service Completed N 337 1 Y Yes N No U Unknown 68 Narrative Reason for Separation N 338 130 This is the narrative reason for separation from the DD Form 214. 69 Service EntryDate N 468 8 Date entered militaryservice. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 70 Net Service N 476 6 This is the number of years number of months and number of days of net service e.g. 031122 3 years 11 months 22 days. 71 Prior Active Service N 482 6 This is the number of years number of months and number of days of prior active service e.g. 031122 3 years 11 months 22 days. 72 Character of Service A N 488 2 HO Honorable UH General Under Honorable Conditions DH Dishonorable BC Bad Conduct NA Uncharacterized or Blank UO Other than Honorable 73 Accrued Leave N 490 4 The number of days ofaccrued leave for which the individual received Lump Sum Payment. The format is 999v9 999.5 v implied decimal to allow for partial days. 74 Separation - Severance Pay N 494 8 The amount of militaryseverance separation pay paid to the individual upon release. The format is 012345v67 999 999.99 75 DisabilityPension Pay N 502 8 The amount of Disability.The format is 012345v67 999 999.99 76 U.S. National A N 510 1 Identifies individual as a US citizen National. Entries are Y Yes N No U Unknown 77 Retirement A N 511 1 Identifies Retirement from Military Service. Entries are Y Yes N No STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 78 Pay Grade A N 512 3 Identifies military pay grade from the DD 214 that was used in calculating wages. 79 Days Lost - Start1st occurrence N 515 8 Beginning date for firstoccurrence of days lost. Format is CCYYMMDD. 80 Days Lost - End1st occurrence N 523 8 Ending date for firstoccurrence of days lost. Format is CCYYMMDD. 81 Days Lost - Start2nd occurrence N 531 8 Beginning date for secondoccurrence of days lost. Format is CCYYMMDD. 82 Days Lost - End2nd occurrence N 539 8 Ending date for secondoccurrence of days lost. Format is CCYYMMDD. 83 Days Lost - Start3rd occurrence N 547 8 Beginning date for thirdoccurrence of days lost. Format is CCYYMMDD. 84 Days Lost - End3rd occurrence N 555 8 Ending date for thirdoccurrence of days lost. Format is CCYYMMDD 85 Days Lost - Start4th occurrence N 563 8 Beginning date for fourthoccurrence of days lost. Format is CCYYMMDD 86 Days Lost - End4th occurrence N 571 8 Ending date for fourthoccurrence of days lost. Format is CCYYMMDD 87 Microfilm ID N 579 12 LCCC Microfilm ID number 88 Second DD-214 Separation Date N 591 8 Separation Date from asecond DD-214 with service period after the beginning date of the base period shown on the request. 89 Second DD-214 Component A N 599 30 Service Component from theDD-214 identified in field 88. 90 Second DD-214 Service Entry Date N 629 8 Service Entry Date from theDD-214 identified in field 88. 91 Second DD-214 Net Service N 637 6 Net Service from the DD-214 identified in field 88. 92 Second DD-214 Prior Active Service N 643 6 Prior Active Service from the DD-214 identified in field 88. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 93 Second DD-214 Accrued Leave N 649 4 Accrued Leave from the DD-214 identified in field 88. 94 Days Lost - Start5th occurrence N 653 8 Beginning date for fifthoccurrence of days lost. Format is CCYYMMDD. 95 Days Lost - End 5th occurrence N 661 8 Ending date for fifthoccurrence of days lost. Format is CCYYMMDD. 96 Days Lost - Start6th occurrence N 669 8 Beginning date for sixthoccurrence of days lost. Format is CCYYMMDD. 97 Days Lost - End 6th occurrence N 677 8 Ending date for sixthoccurrence of days lost. Format is CCYYMMDD. 98 Days Lost - Start7th occurrence N 685 8 Beginning date for seventhoccurrence of days lost. Format is CCYYMMDD. 99 Days Lost - End 7th occurrence N 693 8 Ending date for seventhoccurrence of days lost. Format is CCYYMMDD. 100 Days Lost - Start8th occurrence N 701 8 Beginning date for eightoccurrence of days lost. Format is CCYYMMDD. 101 Days Lost - End8th occurrence N 709 8 Ending date for eightoccurrence of days lost. Format is CCYYMMDD. 102 Second DD-214 Microfilm ID N 717 12 LCCC Microfilm ID number 103 Message No. 1 A N 729 3 The number of the 1 st message included in the response record. 104 Message No. 2 A N 732 3 The number of the 2 nd message included in the response record. 105 Message No. 3 A N 735 3 The number of the 3 rd message included in the response record. 106 Message No. 4 A N 738 3 The number of the 4 th message included in the response record. 107 Message No. 5 A N 741 3 The number of the 5 th message included in the response record. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 108 Message No. 6 A N 744 3 The number of the 6 th message included in the response record. 109 Message No. 7 A N 747 3 The number of the 7 th message included in the response record. 110 Message No. 8 A N 750 3 The number of the 8 th message included in the response record. 111 Message No. 9 A N 753 3 The number of the 9 th message included in the response record. 112 Message No. 10 A N 756 3 The number of the 10 th message included in the response record. 113 Message No. 11 A N 759 3 The number of the 11 th message included in the response record. 114 Message No. 12 A N 762 3 The number of the 12 th message included in the response record. 115 Message Area A N 765 70 A text message will be provided in this field when there is information i.e. names dates etc. that has to be provided to the State. 116 MessageSeparation date A N 835 8 This separation date isprovided for use with message number 028. See page 29 117 Message Branchwages A N 843 25 Branch and wage informationprovided for use with message number 014. See page 27 118 Edit Process flag A N 868 1 This field identifies the point that an error or an informational message is generated. This flag is used in conjunction with the message number s shown in fields 103-114 to translate the message narrative. E Pre-Processing Editerror record is rejected. P Message created duringprocessing. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 119 Amended Response flag A N 869 1 Identifies amended responses Y amends previousresponse. N initial response. 120 Filler A N 870 90 Blank 121 Record Code Type N 960 1 This field contains the Record Type Code from the input record. Exception When a control record is returned as part of the response this code will identify the record type control record. When this code is 2 or 3 it serves as a flag that information from a control record has been provided for review. TOTAL RECORD 960 14. Response to Request Record Type 1 Initial Claim Request . In response to a Type 1 UCX request the State should expect to receive an electronic record from the new system identified as a Type 1 response record in Field 121 which includes UCX wage and separation information. However when there is a Claim Control record on file in the new Claim Control file the State will receive a Type 2 response that includes a copy of the Claim Control record in Fields 5-15 and depending on the Claim Control record information may also include UCX wage and separation information. During the transition period which will last until all States are operational on the new system and the records in the inquiry control file are no longer applicable to new claims the State must also be prepared to receive information from the inquiry control file in the same manner that it has received information in the past when a record was found. The response type and the message number dictates how the record should be handled by the State e.g. when the response is a type 1 and contains message code number 030 Wages must be reduced by days lost on DD 214. DD 214 being faxed the State may choose to sort this record to a file that will allow State staff to make the necessary wage adjustments before loading the wages to the State s wage file. The response record contains 12 fields to display message numbers and one field to provide a narrative message. Under some circumstances when specific information such as dates other STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES names breakout of wages for different Branches of Service etc. need to be provided to the State narrative will be included in the response. In all other cases only a message number will be provided. The State will have to translate the number to the narrative. The message numbers and their meanings are provided under item 14. b. of this document. a. Pending Records . A pending record is created when there is no DD Form 214 on file that matches the separation date of the UCX request. When 21 days since the separation date have elapsed the LCCC will send a request to the DOD for the DD Form 214. When a response is received from the DOD the State agency will receive an amended response to its request. b. Informational Messages . The LCCC is not authorized to make determinations regarding claimant eligibility. Therefore the LCCC will transmit wage and separation information from the DD Form 214 record unless there is a Claim Control record on file containing the same separation date as the incoming request record. It is the State s responsibility to review the messages and determine if its claim and use of wages is appropriate. Please note Message 032 is used as an additional alert to the type of military discharge. The specific type is identified in Character of Service field 72 of the response record. Information from field 72 must be used to determine if wages provided are usable. The following messages will be used to inform the State of problems with the incoming request that are detected during processing to notify the State of potential issues and to inform the State of actions being taken by the LCCC with respect to the incoming request. When the State receives one of the following messages there will be an p in field 118 of the response record meaning that the record was sent to processing and the message was generated during processing. Message Narrative Examples of when the message isgenerated 001 Prior request.Response Pending. A prior UCX request has been received and a pending record is on file. 002 No control record or DD 214 on file. Response Pending. A UCX request has been received and a UCX pending record created. State should use this notice to initiate affidavit using claimant s copy of DD Form 214. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 003 Pending record deleted. Confirms the LCCC processing of request to delete a pending record. 004 No control record or DD 214 on file. Confirms the LCCC processing of a UCFE Type 1 request. 005 No pendingrecord on file to delete. Notification that the State submitted a Type 6 request to cancel a pending record and no pending record was found on the LCCC file. 006 Control record on file. No DD 214 on file. Response pending. Generated when a Type 1 UCX request is processed there is no DD Form 214 on file with a matching separation date and a pending record is created. There is a Control Record on file with a benefit year in effect or a separation date that falls within the base period of the new claim. A copy of the Control Record is included in the response. If after a review of the Control Record information it is determined that the claim is inappropriate send request record Type 6 to cancel the pending record. 007 Wagespreviously assigned. If subsequent DD 214 on file wages sent. Sent when the separation date on the incoming request matches the separation date on a claims Control Record to explain the source of the wage and separation information provided in the response. The separation date shown in the response will be from the latest DD Form 214. 008 Narrative reason for separation exceeds 130 characters. Self Explanatory. When this message is generated the LCCC will FAX the State agency a copy of the DD Form 214. 009 Control record on file. Sent when the separation date on the incoming request matches the separation date on a claims Control Record or the separation date on the Control Record is greater than the base period begin date of the claim. A copy of the Control Record is included in the response. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 010 No Control record on file. Wages sent from DD Form 214. Sent when the request record is for UCFE and the secondary DD Form 214 file matching produced a DD Form 214 with a separation date subsequent to the beginning of the base period of the new claim and there is no UCX control record. 011 Name on requestwas . Sent when there is claims control record on file under the social security number with a different name from the request. The name on the request is being provided because the response record contains a copy of the Claims Control Record. 012 Control record on file. Prior claim filed since separation date. Sent for UCX or UCFE requests when a claims control record shows a prior claim filed after the separation date shown on the request. 013 Control record on file for UCX claim. Sent when a UCFE Type 1 record is received and there is a UCX Control Record on file with a separation date that is after the base period beginning date and or with a benefit year ending date that is greater than the effective date of the new claim. 014 CCYYQ BranchWages Branch wages . Sent when there is more than one DD Form 214 on file with base period wages from different branches of service in the same quarter. This is a breakout of the wages by branch of service for the quarter for benefit charging purposes. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 015 Wages previously assigned. Sent when there is a wage assignment Control Record on file with a matching separation date to that of a Type 1 the request record or a Control Record from the same State. Control Records showing the same separation date can be filed by different States because of wage transfers. 016 Amended Response wages sent from DD- 214. Sent when a DD Form 214 is received after the initial response or when a DD Form 214 is canceled and replaced with another DD Form 214. 017 Amended Response DD- 215 on file. Sent when a DD Form 215 is received and there is a claim Control Record on file. 018 Amended Response. LCCC data entry correction. Sent when the LCCC detects a data entry error to a critical data element that may affect the information previously provided. 019 Claims Control Record deleted. Sent to confirm a deletion of a claims control record. 020 No Control record to be canceled. Sent when a record Type 3 is received to delete a Type 2 record and there is no Type 2 record on file. 021 Invalid Control Card Sent 022 DuplicateClaims Control Record Sent. Self Explanatory. 023 Control Record Accepted. Generated to confirm receipt of claims Control Record. 024 WagesPreviously Assigned. Wages sent from DD Form 214. Sent when the separation date on the request matches the separation date on a wage assignment Control Record and there is a subsequent DD Form 214 on file. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 025 Claim Control Record on file. Wages sent from DD Form 214. Sent when the separation date on the request matches the separation date on a Claim Control Record and there is a subsequent DD Form 214 on file. 026 Request RecordAccepted. Self Explanatory. 027 Separation dateprecedes base period begin date. Sent when the separation date on the request record is before the beginning date of the base period for the claim. If there is a subsequent DD Form 214 on file with dates that fall within the base period of lag period the information will be sent. 028 Req sep dateMM DD YY is different from 214 sep date. Pdg rec created. Sent when there is a DD Form 214 on file with a date of separation greater than the base period beginning date but it does not match the date shown on the incoming request record. The separation date from the request is provided because the separation date in field 7 of the response is from the Control Record. 029 More than 2 DD-214s on file. Copies of DD- 214s being faxed. Sent when more than 2 DD Forms 214 are on file. UCX wage calculation system and response record format cannot handle more than 2 DD Forms 214. Warning flag set 030 Wages must bereduced by days lost on the DD- 214. DD-214 being faxed. Generated when more than four occurrences of lost days appear on the DD Form 214. Record format only accommodates four occurrences. The wages provided have not been reduced by the days lost. State will have to make wage reduction adjustment s . Warning flag set 031 First full term unknown. DD- 214 being faxed. Generated when the LCCC is unable to determine if the 1 st full term has been completed. The State will have to make a determination upon review of DD Form 214 and using the claimant s affidavit certification if necessary. Warning flag set STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 032 Character of service not honorable. Generated when character of service shown in Field 72 is anything other than HO. Warning flag set 033 Used only oneof the two SSNs to calculate. Generated when two SSNs in request record and information is found for one SSN only. Warning flag set 034 Unable to calculate wages. DD Form 214 info provided. Generated when there is a backdated claim with an effective date that is earlier than the effective date of the earliest military wage table Schedule of Remuneration on file. 035 Name on 214 rec is . Generated when there is a different name on the DD Form 214 record than is on the incoming request. Warning flag set 036 Name on 5616 rec is . Generated when there is a different name on the NOAA 5616 record than is on the incoming request. Warning flag set 037 214 names . . Generated when there are 2 names on the DD Form 214 records that are different from the name on the incoming request. Warning flag set 038 5616 names . . Generated when there are 2 names on the NOAA 56-16 records that are different from the name on the incoming request. Warning flag set 039 Amended Response DD Form 214 deleted by Military. Generated when the military deletes a DD Form 214 and there is no replacement DD Form 214 sent. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 040 Wages previously assigned need Trans FIPS Identified on Control Rec. Generated when there is a Type 3 Control Record from a different State with the same separation date on file. 041 Separation paygreater than 99999.99. DD 214 being faxed. Generated when the Separation Pay field is equal to 99999. The LCCC can only accommodate 5 positions for this field. If the amount is more than 5 positions this field will be filled with all 9s and the DD 214 will be faxed to the requesting State. 15. A mended UCX Responses . The State agency will receive an amended response record any time the LCCC receives a new DD 214 or a DD Form 215 that changes critical information. Amended responses will carry a record Type 1 even though the initial response may have been coded Type 2 or 3. Information from the Claims Control file that may have caused the original response to be coded Type 2 or 3 will not be provided again. 16. R ejected Record -Error Messages . When the State receives one of the following error messages there will be an e in Field 118 of the response record. An e means that the record did not pass the initial edits and has been rejected prior to processing. Using the 960 character response record format Fields 1 thru 18 of the response record will be a copy of Fields 1 thru 18 of the request record submitted by the State. Additional fields that will be completed are Field 103 providing the error message number Field 118 providing an edit process flag of e for error and Field 121 copy of Field 20 from the incoming request record . Following are the record rejection error message numbers and the narrative language. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES Message Narrative 001 Record code type invalid 002 Invalid Program type 003 Invalid Social Security Number - not numeric 004 Invalid Social Security Number not zero 005 Invalid Social Security Number first 3 digits not zero 006 Invalid Social Security Number middle 2 digits not zero 007 Invalid Social Security Number last 4 digits not zero 008 Invalid first name missing 009 Invalid first name 010 Invalid middle initial 011 Invalid last name without first character 012 Invalid last name missing 013 Invalid last name 014 Effective date of claim invalid 015 Last day of work UCX sep date invalid 016 Last day of work UCFE sep date invalid 017 Base Period Begin date invalid 018 Base Period Ending date invalid 019 Benefit Year Ending date invalid 020 State FIPS code invalid 021 First transferring State FIPS code invalid 022 Second transferring State FIPS code invalid 023 Branch of service must be space for UCFE 024 Branch of service invalid 025 Transmission Date invalid 026 Invalid other Social Security Number - Not numeric 027 Invalid other SSN -First three digits not zero. 028 Invalid other SSN -Middle two digits not zero 029 Invalid other SSN -Last four digits not zero 030 State FIPS Code not Numeric 031 First Transferring State FIPS Code Not Numeric 032 Second Transferring State FIPS Code Not Numeric 033 Invalid Program Type For Record Code 034 State FIPS Code Not Your State Code 17. O ptional Print Program . A print program used during the testing of the new system is available from the LCCC. If the State is interested in obtaining this print program contact Rezzie Meyers at 1-800-535-8100. Note The LCCC is not able to provide States with on-going support pertaining to this print program. The print program will read the individual records in the response STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES file and print formatted readable records on a separate page for each social security number. The first records to print will be rejected records. These records will carry an e in Field 115 indicating that the record did not pass the initial edits and was rejected prior to processing. The second records to print will be those with a p in Field 115 indicating that the record was processed by the LCCC. At the end of all records a summary page will be printed that contains the total number of rejected records and the total number of processed records in the batch. 18. U sing an Affidavit to Establish UCX Eligibility . When the LCCC does not have a DD Form 214 on file UCX benefits will no longer be withheld pending its receipt. States are now authorized to use the claimant s copy 4 of a DD Form 214 as an affidavit upon receipt of a notice from the LCCC that there is no DD Form 214 on file. The State should develop a system to electronically generate a request to the claimant for a copy of the claimant s DD Form 214 upon receipt of this notice. Ideally the State may consider implementing this as a feature accessible from a screen used to view response records a PF key could be used to initiate this request to the claimant after staff has reviewed the response to insure that there has been no data entry error on the request record separation date that caused an erroneous pending record to be created. 19. U CFE Forms and Corresponding Electronic Record Formats . Each State agency is required to reproduce the UCFE forms as designed except that if the State uses weeks of employment or hours worked information item 9B of the ETA 931 may be modified. Any other proposed modification of the paper forms should be submitted to the USDOL National Office through the appropriate Employment and Training Administration Regional Office for review and approval. NOTE State agency modifications to the electronic record formats are not permitted. 20. U CFE - Generating Requests for Wage and Separation Information to Federal Agencies . An ICON UCFE Support System application has been developed for States use to generate requests for Federal civilian wage and separation information. This application supports the creation and delivery of hardcopy and electronic versions of the ETA-931 Request for Wage and Separation Information the ETA-931A Request for Separation Information and the ETA-934 Request for Additional Information. Each request is data entered to the ICON UCFE Support System. The appropriate type of request mail or electronic will be generated STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES based on the delivery indicator for the Federal agency. This indicator is maintained in the Directory of Federal Agencies and will be dynamically moved to Field number 17 of the TC-ETA-931 and TC-ETA-931A and Field number 15 of the TC-ETA-934. The request records will be generated as follows Type 1 Delivery Indicator . A type 1 delivery indicator causes an electronic TC-ETA-931 to be transmitted to the employer requesting both wage and separation information. Type 2 Delivery Indicator . A type 2 delivery indicator causes an electronic request for wages to be sent to the federal agency for wage information and a copy of the request including the name and address of the agency to e written to a flat file for the State to use to complete a form ETA-931 for mailing to the federal agency to obtain separation information. Type 3 Delivery Indicator . A type 3 delivery indicator causes a request record including the name and address of the federal agency to be written to a flat file for the State to use to complete a form ETA-931 for mailing to the federal agency to obtain wage and separation information. Using the information from the flat file to address a preprinted form or to complete a computer printed form is a programming responsibility of the State. An electronic record of each request entered ICON UCFE Support System will be sent to the HUB. Records with a 1 or 2 delivery indicator will be forwarded minus the information carried in Fields 23-34 to the UCFE Server to await pickup by the destination federal agency. The information carried in Fields 23- 34 is used for maintenance of the Directory of Federal Agencies. When there has been a entry to the address fields of the record field 34 will be dynamically marked. Field 34 of all records will be read by the HUB system and when marked will cause a record to be will to an address maintenance file for appropriate action by the National Office. Refer to item 26 below for additional information about the Directory of Federal Agencies. Below is a copy of the Main Menu for the UCFE system for easy reference. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES a. ICON UCFE Support System - Main Menu . UCFE SUPPORT SYSTEM MAIN MENU OPTION SSN - - EFF DT 1 ENTER 931 REQUEST FOR WAGE AND SEPARATION INFO 2 ENTER 931A REQUEST FOR SEPARATION INFO ONLY 3 ENTER 934 REQUEST FOR ADDITIONAL INFO 4 VIEW OUTGOING REQUESTS 5 VIEW INCOMING RESPONSES 6 VIEW FEDERAL ADDRESS DIRECTORY PRESS ENTER TO CONTINUE PRESS CLEAR TO EXIT b. ETA 931 ICON Data Entry Screen . This data entry screen is used to generate the ETA-931 in hardcopy or electronic form. UCFE SUPPORT SYSTEM TC-ETA 931 REQUEST FOR WAGE AND SEPARATION INFORMATION OPTION 1 OFFICE 3 CREATION DATE 4 SSN 2 DATE CLM TAKEN 5 EFF DT 00 00 00 6 NAME FIRST 7 MI 8 LAST 9 BASE PERIOD EX 10 BEGINS 11 WAGES ONLY 12 FIC 13 DESTINATION 14 ENTER ADDRESS SCREEN PF1 HELP PF3 SEND PF4 CANCEL PF9 NEW CLAIM FE009 - ENTER DATA AND THEN PRESS THE ENTER KEY 21. E TA-931 Request for Wage and Separation Information - UCFE . The ETA-931 is used to obtain Federal civilian employment wage and or separation information from a Federal agency and is available in a paper format and an electronic format. The Form ETA-931 is used to obtain Federal civilian wage and separation information when the responding Federal agency is unable to provide any wage or separation information in the electronic format. The electronic TC-ETA-931 is used when the responding Federal agency is able to provide either the claimant s wage or wage and separation information in the electronic format. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES a. Form ETA 931 Front of Form ETA 931 1 STATE AGENCY IDENTIFICATION REQUEST FOR WAGE AND SEPARATION INFORMATION- UCFE 1. State Agency Address 2. Name of Federal Agency 3 Digit Agency Code and Address 3. Local Office Call Center ID 4. Date of Request 5. Date claim taken 6. Effective Date of Claim 7. Name Last First Middle Initial 8. Social Security Number Instructions Complete and Return Within 4 Workdays 9. A. Did this person perform Federal Civilian Service as defined for UCFE purposes for your agency at any time during the base period shown in Item 10A below Yes No B. Under what legal authority was the individual hired C. What funding Source was used for salary payments D. Were payroll deductions made for Federal and State taxes Yes No E. Was Employee eligible for 1 Annual and Sick leave Yes No 2 Health and Life insurance Yes No 3 Civil Service or FERS retirement Yes No F. Did the Federal agency provide direction and control Yes No G. Duty Station Enter State of the person s last employment with your agency or if outside U.S. enter Country NOTE If NO to D E 1 through E 3 Explain on separate attachment. 10. Are base period wages provided electronically Yes No. If yes go to item 11. If no report all wages from base period begin date to separation date. A. Base period beginning date B. Report wages for quarters ending after date in A above. Qtr. Ending Year Gross Wages C. Report Hours No. of Duty Hours Workday Basic Workweek 11. Separation Terminal Annual Leave and Severance Pay Information A. Did this person receive a lump sum payment s for terminal annual leave on or after the beginning date of base period shown in item 10A Yes No If Yes or if currently entitled to such a payment enter date below Payment Date Days of Leave Period From Date To Date B. Date of Separation C. Last day of active pay status D. Reason for separation or nonpay status E. Did this person receive or is he she entitled to receive severance pay provided by Federal law or agency employee agreement Yes No If Yes complete the following information Total Entitlement Weekly entitlement Beginning date Ending Date Print Name Signature ETA-931 Revised 8 2001 Title Telephone Number Date STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 2 Reverse of Form ETA-931 . Important Notice If a completed Form ETA-931 is not received by the 12 th calendar day from the date of request this agency may pay benefits to the claimant based on his her affidavit as provided by Department of Labor s Regulation at 20 CFR 609.6 e 2 . ny benefit payments made to the claimant will be charged to the Federal employing agency ies in accordance with Section 1023 PL 96-499 Omnibus Reconciliation Act of 1980 94 Stat. 2599 . COMPLETION INSTRUCTIONS TO FEDERAL AGENCY Also see Front of this Form As an alternative to completing this form attaching a computer printout containing complete data of the data requested is acceptable if procedures and forms are cleared with the U.S. Department of Labor Washington DC 20210 and the State agency has completed items 1-7 and 10A and 10B which identify the base period and the applicable calendar quarters for which information is requested. Item 9A asks if the individual performed Federal Civilian Service. the Federal agency response is No Items 9B through 9F are to be completed. 9G will be answered when the individual performed Federal Civilian Service. The information is available on the SF-50 or payroll records. ide a separate attachment if necessary. Item 10B and 9C . ross wages when paid in Federal Civilian Service or none if no wages for that period. ages 1 severance pay 2 lump sum payment s for terminal annual leave or 3 any other type of separation payment. r hours such as 8 and 40 for full-time employee. Item 11A . -explanatory. Items 11B and 11C . te in Item 11C includes annual and sick leave days if earlier than the date of separation 11B or if employee is not separated. Item 11D . ency findings from SF 50 Item 5-B Nature of Action and Item 45 Remarks or if SF-50 not used record equivalent information from other separation document s your agency used. Personnel Manual FPM supplement 296-33 for standards on work connected Resignation cases carefully review FPM requirements applicable since January 1 1982. payroll office records are incomplete or inadequate or if information on SF-50 is not sufficient check with personnel for additional information and add as part of separation information. ES OF DOCUMENTS IF APPROPRIATE. Item 11E . -explanatory. Signature of Official . is not complete unless it or attached computer printout is signed and dated also enter signer s title and telephone number. A If Item Prov Enter either g Do not include as wEnte SelfThe da Enter dates requested. Obtain agSee Federal If ATTACH COPI Self Form STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 3 Number of copies and distribution . One copy of the Form ETA-93l is to be prepared and forwarded to the Federal agency on the date that the UCFE claim is taken. 4 Preparation of Form ETA-931 . The Form ETA-93l should be completed as follows a Item 1 State Agency Address . Enter the address to which the response is to be returned. b Item 2 Name of Federal Agency 3 Digit Agency Code and Address . Enter the Federal agency the FIC code and mailing address. c Item 3 Local Office Call Center ID . Enter the local office call center identification number. d Item 4 Date of request . Enter the date the Form ETA-93l sent to the Federal agency. e Item 5 Date claim taken . Enter the date that the claim was taken. This should represent the date that application was received from the claimant. f Item 6 Effective date of claim . Enter the date of the first day that the claim is in effect. In most cases it will be the Sunday preceding the date of filing. g Item 7 Name . Enter the claimant s full name plus maiden name in parentheses if any e.g. Elliott Sara Johnson . h Item 8 Social Security Number SSN . Enter the claimant s SSN as provided by the claimant. Enter all of the SSN s shown in item 2 of the claimant s SF-50 or on any SSN s presented by the claimant or obtained from any other official document such as a W-2 Form identifying the source of each number in parentheses e.g. 123-45-6789 SF-50 . Separate the number by dashes between the third and fourth digits and the fifth and sixth digits e.g. 123-45-6789 . i Items 10A and 10B . Enter the beginning date of the base period in item 10A. In item 10B list each calendar quarter for which wages are requested from the base period The begin date to the quarter in which the claim is effective. request must list all quarters covering the base and lag periods STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES even those quarters beginning beyond the date that the claimant provided as the separation date from the Federal agency. States with laws that include weeks of employment in the formula for determining monetary entitlement or requiring other wage or employment information for a determination are authorized to adapt item 10B to meet their needs. b. TC-ETA 931 Request for Wage and Separation Information . The electronic ETA 931 is used to obtain wage or wage and separation information from a Federal agency that is able to provide the claimant s wage or wage and separation information in the electronic format. Below is the request record that will be created for each ETA-931 entered to the ICON UCFE application. This record minus the information shown in Fields 23 - 34 will be transmitted when the Federal agency is identified with a delivery indicator of 1 or 2 in Field 17. Information under the DESCRIPTION column indicates the information that is to be provided in the outgoing request record. The information that is required on this record that is not shown on the data entry screen should be dynamically provided from other State records if possible. TC-ETA 931 Request for Wage and Separation Information STATE AGENCY REQUEST RECORD FORMAT FLD NBR FIELD NAME FIELD TYPE BEGIN COLUMN FIELD LENGTH REQ OPT DESCRIPTION Record Key is Fields 1 through 4 1 Social Security No. N 1 9 R Claimant s SSN. 2 Effective Date N 10 8 R The effective date of the claim. Format is CCYYMMDD. 3 SequenceIdentifier N 18 2 R Sequence of record supplied by the sending State. Sequence will begin with 01. Each new record for the same SSN and Effective Date will be incremented by 1. 4 Type ofRequest N 20 2 R Values 01 ETA 931 Request Record. 5 FIC of Responding Agency N 3 R The Federal agency sthree digit identifi - cation code. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 6 Destination Code of Responding Agency N 25 4 R The Federal agency component s four digit destination code. 7 Base Period Beginning Date N 29 8 R Beginning Date of the Base Period. Format is CCYYMMDD. 8 RequestingState s Postal Code A N 37 2 R The sending state salpha postal code. 9 Creation Date N 39 8 R Date the electronic request is created. Format is CCYYMMDD. 10 Creation Time N 47 6 R Time the electronic request is created. Format is HHMMSS. 11 Claim Date N 53 8 R Date the claim was taken. Format is CCYYMMDD. 12 First Name A N 61 20 R The claimant s first name. 13 Middle Initial A N 81 1 O The claimant s middle initial. 14 Last Name A N 82 23 R The claimant s last name. 15 Base Period Override Indicator A N 105 1 R Indicator identifyingif the sending State has overridden the standard Base Period BP . Blank Standard BP X Standard BP has been overridden and alternate BP entered. 16 Local Office Call Center A N 106 4 R Code identifying theLocal Office or Call Center to which the claim is assigned in the Sending State or spaces. 17 DeliveryIndicator A N 110 1 R Indicator specifyingthe receiving Federal Agencies method of responding to requests. 1 Electronic Wageand Separation Information. 2 Electronic Wageand Paper Separation Information. 3 Paper Wage andSeparation Information. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 18 Type of Response Requested A N 111 1 R Indicator for the type of response requested. Values 1 Wages for the Quarter. 2 Wages and number of weeks worked during each quarter 3 Wages and number of hours worked during each quarter. 19 Date Exported N 112 8 R Date the request wasexported. Format is CCYYMMDD. 20 Time Exported N 120 6 R Time the request wasexported. Format is HHMMSS. 21 ResponseReceived Indicator A N 126 1 O This field will be set to X when the response is received from the Federal Agency. 22 Wages OnlyIndicator A N 127 1 R This field identifies a request for wages only when the state does not need separation information. Valid entries X wages only Blank wages and separation information. 23 Filler A N 128 73 R Spaces. 24 Agency Name A N 201 20 R Name of the Federal Agency that is responsible for this claim 25 AgencyComponent A N 251 50 R Component of theFederal Agency that is responsible for this claim. 26 AgencyAddress line 1 A N 301 50 R First line of the Street or Postal Address for the Federal Agency. 27 AgencyAddress line 2 A N 351 50 R Second line of the Street or Postal Address for the Federal Agency. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 28 Agency Address line 3 A N 401 50 R Third line of the Street or Postal Address for the Federal Agency. 29 Agency - City A N 451 50 R City of the PostalAddress. 30 Agency -State A N 501 2 R Two digit alphaPostal Code for State. 31 Agency - ZipCode A N 503 13 R Postal Zip Code.Format is XXXXX-XXXX-XX. 32 Agency -Country A N 516 26 R Country for locationof Federal agency. 33 Filler A N 542 1 R Space. 34 Address Change Indicator A N 543 1 O Address ChangeIndicator . If this is a new address or the address is different from what is on the Directory of Federal Agencies file this field will contain an X . Otherwise the field will contain a space. 35 Filler A N 544 57 R Spaces. TOTAL RECORD 1000 c. TC-ETA-931 Response Record Format . Below is the record format of the response that States will receive from the Federal Agency. The same record format will be used by Federal agencies sending electronic wage information only and electronic wage and separation information. TC-ETA-931 - Federal Agency Response Record Format FLD NBR Field Name Field Type Begin Column Field Length REQ OPT Description Record Key is Fields 1 through 4 1 Social Security No. N 1 9 R Claimant s SSN. 2 Effective Date N 10 8 R The effective date of the claim. Format is CCYYMMDD. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 3 Sequence Identifier N 18 2 R This sequence number identifies the original and subsequent responses to the request identified by sequence number in Field 85. The response numbering should be sequential beginning with 01 up to 99 as follows 01 1 st response original response to request 02 2 nd response first amended response 03 3 rd response second amended response etc. 4 Type of response N 20 2 R Value 04 931 Response Record. 5 Social Security No. N 22 9 R Claimant s Social Security Number from the incoming request. 6 Effective Date N 31 8 R The Effective Date of the claim from the incoming request. 7 Sequence Identifier N 39 2 R Sequence number of the request record supplied by the sending State on the incoming request in Field 3. 8 Type ofRequest N 41 2 R Value 01 931 Request Information. This is supplied by the incoming request. 9 FIC of Responding Agency N 43 3 R The Federal Agency s three digit identification code from the incoming request. 10 Destination Code of Responding Agency N 46 4 R The Federal agency component s four digit destination code from the incoming request. 11 Base Period Beginning Date N 50 8 R Date of the Beginning of the Base Period identified by the requesting State not modifiable . 12 Requesting State s Postal Code A N 58 2 R The sending state sPostal Code from the incoming request 13 Creation Date N 60 8 R Date the electronic response is created. 14 Creation Time N 68 6 R Time the electronic response is created. 15 Claim Date N 75 8 R Date the claim was taken from the incoming request. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 16 First Name A N 82 20 R The claimant s First Name from the incoming request. 17 Middle Initial A N 102 1 O The claimant s Middle initial from the incoming request. 18 Last Name A N 103 23 R The claimant s Last name from the incoming request. 19 Base Period Override Indicator A N 126 1 R Indicator from the incoming request identifying if the Sending State has overridden the standard Base Period BP . Valid values are Blank Standard BP X Standard BP Overridden. Alternate BP Entered. 20 Local Office Call Center A N 127 4 R Code from the incomingrequest identifying the Local Office or Call Center to which the claim is assigned in the Sending State. 21 Delivery Indicator A N 131 1 R This field is taken from the incoming request. It is the indicator that specifies the type of request to send and the type of response to expect from the Federal Agency identified in fields 9 and 10. Valid values are 1 Electronic Wageand Separation Information 2 Electronic WageInformation. Mail Separation Information. 3 Mail Wage andSeparation Information. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 22 Type of Response Requested A N 132 1 R This field is taken from the incoming request and indicates what information the State is requesting. Values 1 Wages for each quarter 2 Wages and the number of weeks worked during each quarter 3 Wages and number of hours worked during each quarter. 23 ResponseType sent A N 133 1 R Values 1 Wages for each quarter 2 Wages and the number of weeks worked during each quarter 3 Wages and number of hours worked during each quarter. 24 Performed Federal Civilian Service A N 134 1 R Values Y Yes N No. If N is entered in this field fields 25 31 must be completed. 25 Under what legal authority was individual hired A N 135 10 O If N in field 24 answer this question. 26 What fundingsource was used for salary payments A N 145 10 O If N in field 24 answer this question. 27 Were payrolldeductions made for Federal and State taxes A N 155 1 O If N in field 24 answer this question. Values Y Yes N No. 28 Was employee eligible for annual and sick leave A N 156 1 O If N in field 24 answer this question. Values Y Yes N No. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 29 Was employee eligible for health and life insurance A N 157 1 O If N in field 24 answer this question. Values Y Yes N No. 30 Was employee eligible for Civil Service or FERS retirement A N 158 1 O If N in field 24 answer this question. Values Y Yes N No. 31 Did the Federal agency provide direction and control A N 159 1 O If N in field 24 answer this question. Values Y Yes N No. 32 Date of Separation Last Date in Active Pay Status N 160 8 R Enter the date of separation or the last day in active pay status if not separated. Format is CCYYMMDD. 33 Reason for Separation - Non-pay Status N 168 1 R Valid entries are 1 Permanent Layoff 2 Temporary Layoff Furlough 3 Quit 4 Discharged 5 Labor Dispute 6 Retirement 7 Other 34 Official Duty Station N 169 2 R Enter the 2-digit FIPSCode for the State District of Columbia Puerto Rico or Virgin Islands. When the official duty station was outside of the US or the jurisdictions identified above enter 99. 35 Severance Pay N 171 1 R Enter Y if the individual has received or will receive Severance pay after this separation. Enter N if the individual did not and will not receive severance pay after this separation. 36 Severance Pay - begin date N 188 9 R Enter the date on which severance pay began. Format is CCYYMMDD. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 37 Severance Pay - end date N 180 8 R Enter the date on which severance pay ends. Format is CCYYMMDD. 38 Severance Payment amount N 188 9 R Enter the total dollar amount of severance pay. Format is 999999.99 right justify. i.e. 012590.88 . 39 Date of Severance Payment N 197 8 R Enter the date severance payment was issued. Format is CCYYMMDD. 40 Annual Leave A N 205 1 R Enter Y if the individual has received or will receive a lump sum annual leave payment after the separation date. Enter N if the individual did not and will not receive a lump sum annual leave payment after the separation date. 41 Annual Leave Amount N 206 8 R Enter the total dollar amount of annual leave payment paid due. Format is 999999.99 right justify. i.e. 012590.88 42 Number of Days of Annual Leave N 214 3 42 Enter the number of days of annual leave paid due. Format is 999 right justify. i.e. 001 . 43 Date of Annual Leave Payment N 217 8 43 Enter the date on which annual leave payment was issued. Format is CCYYMMDD. 44 MonthlyPension Payment amount N 225 8 44 If value 6 is entered in field 33 enter the gross dollar amount of monthly pension payment. Format is 99999.99 right justify. i.e. 02590.88 45 Explanationof Reason for Separation Non-pay Status A N 233 400 R If value 3 4 or 7 is entered in field 33 provide a detailed explanation. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 46 Year - Quarter N 633 5 46 Identify the 1st calendar quarter ending after the beginning date of the base period. Format is CCYYM. Month Values Qtr ending 3 31 1 Qtr ending 6 30 2 Qtr ending 9 30 3 Qtr ending 12 31 4 47 Base Period Wages - 1st Quarter N 638 8 R Enter the amount of wages during the 1st calendar quarter ending after the beginning date of the base period. Format is 99999.99. If no wages enter zeros. 48 Weeks Worked - 1st Quarter N 646 2 R Enter the number of weeks during which work was performed in the 1st calendar quarter ending after the beginning date of the base period. The format is 99 i.e. 05 . If no weeks enter zeros. 49 Hours Worked - 1st Quarter N 648 4 R Enter the number of hours work during the 1st calendar quarter ending after the beginning date of the base period. Format is 9999 i.e. 0840 . If no hours enter zeros. 50 Year -Quarter N 652 5 R Identify the 2ndcalendar quarter ending after the beginning date of the base period. Format is CCYYM. Month Values Qtr ending 3 31 1 Qtr ending 6 30 2 Qtr ending 9 30 3 Qtr ending 12 31 4 51 Base Period Wages - 2nd Quarter N 657 8 R Enter the amount of wages during the 2nd calendar quarter ending during base period. Format is 99999.99. If no wages enter zeros. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 52 Weeks Worked - 2nd Quarter N 665 2 R Enter the number of weeks during which work was performed in the 2nd calendar quarter ending after the beginning date of the base period. Format is 99 i.e. 05 . If no weeks enter zeros. 53 Hours Worked 2nd Quarter N 667 4 R Enter the number of hours work during the 2nd calendar quarter ending after the beginning date of the base period. Format is 9999 i.e. 0840 . If no hours enter zeros. 54 Year - Quarter N 671 5 54 Identify the 3rd calendar quarter ending after the beginning date of the base period. Format is CCYYM. Month Values Qtr ending 3 31 1 Qtr ending 6 30 2 Qtr ending 9 30 3 Qtr ending 12 31 4 55 Base Period Wages - 3rd Quarter N 676 8 55 Enter the amount of wages during the 3rd calendar quarter ending during the base period. The format is 99999.99. If no wages enter zeros. 56 Weeks Worked - 3rd Quarter N 684 2 56 Enter the number of weeks during which work was performed in the 3rd calendar quarter ending after the beginning date of the base period. Format is 99 i.e. 05 . If no weeks enter zeros. 57 Hours Worked - 3rd Quarter N 686 4 R Enter the number of hours work during the 3rd calendar quarter ending after the beginning date of the base period. Format is 9999 i.e. 0840 . If no hours enter zeros. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 58 Year - Quarter N 690 5 R Identify the 4thcalendar quarter ending after the beginning date of the base period. Format is CCYYM. Month Values Qtr ending 3 31 1 Qtr ending 6 30 2 Qtr ending 9 30 3 Qtr ending 12 31 4 59 Base Period Wages - 4th Quarter N 695 8 R Enter the amount of wages during the 4th calendar quarter ending during the base period. Format is 99999.99. If no wages enter zeros. 60 Weeks Worked - 4th Quarter N 703 2 60 Enter the number of weeks during which work was performed in the 4th calendar quarter ending after the beginning date of the base period. Format is 99 i.e. 05 . If no weeks enter zeros. 61 Hours Worked - 4th Quarter N 705 4 61 Enter the number of hours work during the 4th calendar quarter ending after the beginning date of the base period. Format is 9999 i.e. 0840 . If no hours enter zeros. 62 Year -Quarter N 709 5 R Identify the 5thcalendar quarter ending after the beginning date of the base period i.e. the 1st lag quarter . Format is CCYYM. Month Values Qtr ending 3 31 1 Qtr ending 6 30 2 Qtr ending 9 30 3 Qtr ending 12 31 4 63 Lag Period Wages - 1st Quarter N 714 8 R Enter the amount of wages during the 5th calendar quarter beginning after the base period end date i.e. the 1st lag quarter . Format is 99999.99. If no wages enter zeros. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 64 Lag Period Weeks Worked - 1st Qtr N 722 2 R Enter the number of weeks during which work was performed in the 5th calendar quarter beginning after the ending date of the base period i.e. the 1st lag quarter . Format is 99 i.e. 05 . If no weeks enter zeros. 65 Lag PeriodHours Worked - 1st Qtr N 724 4 R Enter the number of hours work during the 5th calendar quarter beginning after the ending date of the base period i.e. the 1st lag quarter . Format is 9999 i.e. 0840 . If no hours enter zeros. 66 Year -Quarter N 728 5 5 Identify the 6thcalendar quarter ending after the beginning date of the base period i.e. the 2nd lag quarter . Format is CCYYM. Month Values Qtr ending 3 31 1 Qtr ending 6 30 2 Qtr ending 9 30 3 Qtr ending 12 31 4 67 Lag Period Wages - 2nd Quarter N 733 8 R Enter the amount of wages during the 6th calendar quarter beginning after the base period end date i.e. the 2nd lag quarter . Format is 99999.99. If no wages enter zeros. 68 Lag PeriodWeeks Worked - 2nd Qtr N 741 2 R Enter the number of weeks during which work was performed in the 6th calendar quarter beginning after the ending date of the base period i.e. the 2nd lag quarter . Format is 99 i.e. 05 . If no weeks enter zeros. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 69 Lag Period Hours Worked - 2nd Qtr N 743 4 R Enter the number of hours work during the 6th calendar quarter beginning after the ending date of the base period i.e. the 2nd lag quarter . Format is 9999 i.e. 0840 . If no hours enter zeros. 70 Year -Quarter N 747 5 70 Identify the 7th calendar quarter ending after the beginning date of the base period i.e. the 3rd lag quarter . Format is CCYYM. Month Values Qtr ending 3 31 1 Qtr ending 6 30 2 Qtr ending 9 30 3 Qtr ending 12 31 4 71 Lag Period Wages - 3rd Quarter N 752 8 71 Enter the amount of wages during the 7th calendar quarter beginning after the base period end date i.e. the 3rd lag quarter . Format is 99999.99. If no wages enter zeros. 72 Lag PeriodWeeks Worked - 3rd Qtr N 760 2 72 Enter the number of weeks during which work was performed in the 7th calendar quarter beginning after the ending date of the base period i.e. the 3rd lag quarter . Format is 99 i.e. 05 . If no weeks enter zeros. 73 Lag PeriodHours Worked - 3rd Qtr N 762 4 73 Enter the number of hours work during the 7th calendar quarter beginning after the ending date of the base period i.e. the 3rd lag quarter . Format is 9999 i.e. 0840 . If no hours enter zeros. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 74 Year - Quarter N 766 5 74 Identify the 8th calendar quarter ending after the beginning date of the base period i.e. the 4th lag quarter . Format is CCYYM. Month Values Qtr ending 3 31 1 Qtr ending 6 30 2 Qtr ending 9 30 3 Qtr ending 12 31 4 75 Lag Period Wages - 4th Quarter N 771 8 75 Enter the amount of wages during the 8th calendar quarter beginning after the base period end date i.e. the 4th lag quarter . Format is 99999.99. If no wages enter zeros. 76 Lag PeriodWeeks Worked - 4th Qtr N 779 2 76 Enter the number of weeks during which work was performed in the 8 th calender quarter beginning after the ending date of the base period i.e. the 4 th lag quarter . Format is 99 i.e. 05 . If no weeks enter zeros. 78 Year -Quarter N 785 5 78 Identify the 9th calendar quarter ending after the beginning date of the base period i.e. the 5th lag quarter . Format is CCYYM. Month Values Qtr ending 3 31 1 Qtr ending 6 30 2 Qtr ending 9 30 3 Qtr ending 12 31 4 79 Lag Period Wages - 5th Quarter N 790 8 79 Enter the amount of wages during the 9th calendar quarter beginning after the base period end date i.e. the 5th lag quarter . Format is 99999.99. If no wages enter zeros. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 80 Lag Period Weeks Worked - 5th Qtr N 798 2 80 Enter the number of weeks during which work was performed in the 9th calendar quarter beginning after the ending date of the base period i.e. the 5th lag quarter . Format is 99 i.e. 05 . If no weeks enter zeros. 81 Lag PeriodHours Worked - 5th Qtr N 800 4 81 Enter the number of hours work during the 9th calendar quarter beginning after the ending date of the base period i.e. the 5th lag quarter . Format is 9999 i.e. 0840 . If no hours enter zeros. 82 Date Imported N 804 8 82 Date the response was imported from the Hub 83 Time Imported N 812 6 83 Time the response was imported from the Hub 84 Amended Response Indicator A N 818 1 84 If this is an Amended Response enter an X in this field. 85 RequestSequence Number A N 819 2 85 This is the sequence number from Field 3 of the 931 request record to which the employer is responding. 86 Filler A N 821 180 86 Spaces. Total Record 1000 STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES d. TC-ETA931 Response Record View Screen . Approved O.M.B. No. 1205-0179 TC-ETA 931 EMPLOYER RESPONSE SSN - - 1 SEQ 2 FIC 3 DEST 4 EFF DATE 5 NAME FIRST 6 MI 7 LAST 8 BASE PERIOD BEGINS 9 SEPARATION DT 10 REASON 11 OFFICIAL DUTY STATION 12 PERFORMED FEDERAL SERVICE 13 SEVERANCE PAY 14 ANNUAL PAY 15 YEAR QTR 16 20 24 28 32 36 40 WAGES . 17 . 21 . 25 . 29 . 33 . 37 . 41 WKS WKD 18 22 26 30 34 38 42 HRS WKD 19 23 27 31 35 39 43 Sceen 2 Approved O.M.B. No. 1205-0179 TC-ETA 931 EMPLOYER RESPONSE SSN - - 1 SEQ 2 FIC 3 DEST 4 EFF DATE 5 NAME FIRST 6 MI 7 LAST 8 SEVERANCE PAY BEGINS 44 ENDS 45 AMOUNT 46 . DATE PAID 47 ANNUAL LEAVE NUMBER OF DAYS 48 AMOUNT . 49 DATE PAID 50 MONTHLY PENSION AMOUNT . 51 EXPLANATION OF SEPARATION 52 FEDERAL SERVICE DETERMINATION LEGAL AUTHORITY FOR HIRE 53 FUNDING SOURCE USED FOR SALARY 54 EMPLOYEE ELIGIBLE FOR ANNUAL AND SICK LEAVE 55 HEALTH AND LIFE INSURANCE 56 CIVIL SERVICE RETIREMENT OR FERS RETIREMENT 57 PAYROLL DEDUCTIONS MADE FOR STATE AND FEDERAL TAX 58 FEDERAL AGENCY PROVIDED DIRECTION AND CONTROL 59 STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 22. S tate Agency Processing of TC-ETA-931 Response Record . The State agency has the same responsibilities upon the receipt of the TC-ETA-931 response record that it does upon the receipt of the completed paper Form ETA-931 from the Federal agency. The State agency should develop procedures to flag the claimant s record when the Federal agency s response in certain fields is critical to the claimant s eligibility e.g. answering no where asked did the claimant perform Federal civilian service or entering the code of a potentially disqualifying code in the reason for separation. a. Federal Civilian Service . Field number 24 contains the Federal agency s response to whether the claimant performed Federal civilian service. If there is a N marked in this field field numbers 25-31 should contain additional information concerning the nature of the service that the claimant performed. The State will issue a determination based on the information provided or forward the agency s response to the USDOL for a coverage ruling if necessary. b. Reason for Separation . A code of 3 4 or 7 in Field number 33 indicates a potential disqualifying separation. A detailed explanation of the separation should be found in Field number 45. 23. U se of a Claimant s Affidavit to Determine UCFE Eligibility . The State agency is to use the Form ETA-935 Claimant s Affidavit of Federal Civilian Service Wages and Reason for Separation to determine the claimant s monetary and non-monetary eligibility when no response is received from the Federal agency within the time frames provided below. State agencies are not to send a Second Request ETA-931 to the Federal agency. The time frames for using the affidavit are as follows Type 1 Delivery Indicator . When the Federal agency is identified with type 1 delivery indicator in Field number 17 of the TC-ETA-931 and TC-ETA-931A and Field number 15 of the TC-ETA-934 the State should use a completed Form ETA- 935 to determine the claimant s eligibility after 7 days have elapsed from the date ICON export date that the TC- ETA-931 was sent to the Federal agency and no response has been received. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES Type 2 Delivery Indicator . When the Federal agency is identified with type 2 delivery indicator in Field number 17 of the TC-ETA-931 and TC-ETA-931A and Field number 15 of the TC-ETA-934 the State should use a completed Form ETA- 935 to determine the claimant s monetary eligibility after 7 days have elapsed from the date ICON export date that the TC-ETA 931 was sent to the Federal agency and no response has been received. The Form ETA-935 should be used to determine the claimant s non-monetary eligibility after 12 days have elapsed from the date that the ETA-931 was mailed to the Federal agency for separation information and no response has been received. Type 3 Delivery Indicator . When the Federal agency is identified with type 3 delivery indicator in Field number 17 of the TC-ETA-931 and TC-ETA-931A and Field number 15 of the TC-ETA-934 the State should use a completed Form ETA- 935 to determine the claimant s monetary and non-monetary eligibility after 12 days have elapsed from the date that the ETA-931 was mailed to the Federal agency and no response has been received. The Form ETA-935 should identify the documentary evidence submitted by the claimant to show he or she performed civilian service for the Federal Government e.g. SF-50 earnings and leave statements W-2 etc. . If at the time the claimant completes a Form ETA-935 he or she does not have documentary evidence the interviewer should advise the claimant to provide such documents to the State agency at the earliest opportunity. When a Form ETA-931 ETA-931A or ETA-934 is received after a determination has been made based on the claimant s affidavit a redetermination should be issued if appropriate in accordance with State law. Information supplied by a Federal employer after a determination has been made should be given the same consideration and should have the same effect as material information supplied by a State covered employer under similar circumstances. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES a. Form ETA-935 Claimant s Affidavit of Federal Civilian Service Wages and Reason for Separation. STATE AGENCY IDENTIFICATION CLAIMANT S AFFIDAVIT OF FEDERAL CIVILIAN SERVICE WAGES AND REASON FOR SEPARATION 1. State Agency Address 2. Claimant s Name and mailing Address 3. LO Call Center ID 4. Date of Request 5. Eff. Date of Claim 6. Separation Date 7. Federal Agency Name Address 8. Social Security Number Instructions Complete and Return Immediately 9. Affidavit of Federal Wage and Separation Information Documentary Evid ence a. Enter the location of your Official Duty Station City State b. Enter your wages with the above named employer below. Show wages by quarter starting with the wages that you earned after base period begin date up to the date you separated from this employer. Under Documentary Evidence enter the source of the information provided and attach a copy. If additional space is needed to explain reason for separation attach y our signed explanation. Quarter Ending Year Gross Wages Documentary Evidence c. Severance Pay. Did you receive or are you entitled to receive severance pay provided by Federal law or agency employee agreement Yes No If Yes complete the following information Total Entitlement . Severance Pay Period Beginning date Ending Date d. Pension Are you entitled to receive a pension from any branch of the Fe deral Government Yes No. Enter Gross Monthly Pension e. Reason for Separation I the claimant understand that penalties are provided by law for an in dividual making false statements to obtain benefits and that determinations based on an affida vit are not final that determinations are subject to correction upon receipt of wage and separa tion information from the Federal agency that benefit payments made as a result of such determina tion may have to be adjusted on the basis of information from the Federal agency and that a ny amount overpaid will have to be repaid or offset against future benefits. I the claimant sw ear or affirm that the above statements to the best of my knowledge are true and correct. 10. Signature of Claimant Date ETA-935 Revised 8 2001 STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES b. Number of Copies . Sufficient copies of the Form ETA-935 are to be prepared for State agency use. c. Completion . The Items on Form ETA-935 are self explan - atory. Item 9B Documentary Evidence should be completed in all cases. However if the claimant omits the entry and has provided sufficient documentation i.e. pay stubs SF 50 earnings and leave statement to support the entries the State should honor the affidavit. d. Federal Civilian Employees Salary Rates . When the State agency is calculating the claimant s gross wages based on the claimant s statement and an SF-50 refer to the most recent Unemployment Insurance Program Letter showing a list of Federal Annual Salary Rates. This will aid in determining the claimant s wages. 24. E TA-931A Request for Separation Information Additional Claim . The ETA-931A is available in a paper format and an electronic format and is used to request separation information or the reason for non-pay status on an additional claim when a claimant has established a benefit year and is filing an additional claim after an intervening period of employment in a Federal agency. When the claimant has a disqualification in effect the State agency should include its request for wages and or weeks of employment subsequent to the disqualification to determine if the claimant has met the requalification requirements. Sending the electronic or paper version of the ETA-931A is initiated by data entry through the ICON UCFE application. When a form has to be mailed to the Federal agency a record of the information data entered and the agency s name and address will be written to a file for use in completing the form. Additional information concerning the use of the data entry screen and record format is contained in the ICON UCFE Users Guide. Below is the ICON data entry screen. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES a. Data Entry Screen for ETA-931A . UCFE SUPPORT SYSTEM TC-ETA931A REQUEST FOR SEPARATION INFORMATION OPTION 1 SSN 2 OFFICE 3 CREATION DATE 4 EFF DT 5 NAME FIRST 6 MI 7 LAST 8 FIC 9 DESTINATION 10 CLEAR CANCEL ENTER ADDRESS SCREEN PF1 HELP PF3 ADD PF4 CANCEL FE009 - ENTER DATA AND THEN PRESS THE ENTER KEY b. Form ETA-931A Request for Separation Information - Additional Claim . The State should reproduce this form in the format provided except that if the State s law does not consider the receipt of a lump sum annual leave payment or severance payment as wages or disqualifying income the State should print the item number and Not Applicable on the form i.e. 9. C. Not Applicable. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES STATE AGENCY IDENTIFICATION REQUEST FOR SEPARATION INFORMATION - ADDITIONAL CLAIM 1. State Agency Address 2. Federal Agency Name 3 Digit Agency Code and Address 3. Local Office Call Center 4. Date of Request 5. Effective Date 6. Claimant s Name Last First Middle Initial 7. Social Security Number Federal Agency Response Complete and Return Within 4 Workdays 8. Separation Terminal Annual Leave and Severance Pay Information A. Date of Separation B. Last day of active pay status C. Reason for separation or non-pay status D. Did this person receive a lump sum payment s for terminal annual l eave on orafter the beginning date of the base period shown Yes No. If Yes or if currently entitled to such a payment record date s below for each payment s Payment Date Days of Leave Period from To E. Did person receive or is he she entitled to receive severance pay pro vided byFederal law or agency employee agreement Yes No. If Yes complete the following information Total Entitlement Weekly entitlement Beginning Date Ending Date 9. Signature of Official Title Print Name Telephone Date ETA-931A Revised 8 2001 STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 1 Purpose and Use . The Form ETA-931A is used by the State agency in connection with each additional claim when it is necessary for the State agency to obtain intervening Federal civilian employment and separation information. This form is used in lieu of the regular notice of claim filed used in connection with State UC additional claims. 2 Preparation . Item 1 thru 7 are to be completed by the agency. The information required to complete these items will be provided as a file by the ICON UCFE system. For the Date of Request entry enter the date the Form ETA-93lA is mailed. A signed Privacy Act release statement is no longer required from a claimant to authorize the release of information requested. However if State law requires all claimants to sign a Privacy Act release statement then a UCFE claimant would also be required to sign the same statement. c. TC-ETA-931A Request Record Format . Data entering claimant information manually or electronically to the ICON UCFE data entry screen shown in item 24. a. above will result in the creation of the TC-ETA-931A request records shown below. Additional information concerning the use of the ICON UCFE application is contained in the ICON UCFE State Users Guide. The field name and description identifies the information that is to be provided. ETA-931A Request Record Format State Agency Request Record Format FLD NBR FIELD NAME FIELD TYPE BEGIN COLUMN FIELD LENGTH REQ OPT DESCRIPTION 1 Record Key is Fields 1 through 4 Social N 1 9 R Claimant s SSN. 2 Security No. Effective N 0 8 R The effective date Date of the claim. Format is CCYYMMDD. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 3 Sequence Identifier N 8 2 R Sequence of recordsupplied by the sending State. Sequence will begin with 01. Each new record for the same SSN and Effective Date will be incremented by 1. 4 Type ofRequest N 20 2 R Values 02 931A Request Record. 5 FIC of Responding Agency N 22 3 R The Federal agency s three digit identifi - cation code. 6 Destination Code of Responding Agency N 25 4 R The Federal agency component s four digit destination code. 7 Filler N 29 8 R Spaces. 8 Requesting State s Postal Code A N 37 2 R The SendingState s postal code 9 Creation Date N 39 8 R Date the electronic request is created. Format is CCYYMMDD. 10 Creation Time N 47 6 R Time the electronic request is created. Format is HHMMSS. 11 Filler N 53 8 R Spaces. 12 First Name A N 61 20 R The claimant s first name. 13 Middle Initial A N 81 1 0 The claimant s middle initial. 14 Last Name A N 82 23 R The claimant s last name. 15 Filler A N 105 1 R Space. 16 Local Office Call Center A N 106 4 R Code identifyingthe Local Office or Call Center Number from the Sending State or spaces. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 17 Delivery Indicator A N 110 1 R Indicator specifying the receiving Federal Agencies method of responding to requests. 1 Send Electronic Request for Wage and Separation Information. 2 Send Electronic Wage Request and Mail Request for Separation Information. 3 Mail Request for Wage and Separation Information. 18 Type ofResponse Requested A N 111 1 R Space. This field indicates how the requesting state would like to receive wages. Therefore this field does not apply to a 931A request. 19 Date Exported N 112 8 R Date the requestwas exported. Format is CCYYMMDD. 20 Time Exported N 120 6 R Time the requestwas exported. Format is HHMMSS. 21 ResponseReceived Indicator A N 126 1 O This field will be set to X when the response is received from the Federal Agency. 22 Filler A N 127 74 R Spaces. 23 Agency Name A N 210 50 R Name of the Federal agency 24 AgencyComponent A N 51 50 R Name of the Federal Agency Component 25 Agency Address line 1 A N 31 50 R First line of the Street or Postal Address for the Federal Agency. 26 AgencyAddress line 2 A N 351 50 R Second line of the Street or Postal Address for the Federal Agency. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 27 Agency Address line 3 A N 401 50 R Third line of the Street or Postal Address for the Federal Agency. 28 Agency City A N 451 50 R City of the Postaladdress. 29 Agency State A N 501 2 R State Alpha PostalCode. 30 Agency Postal A N 503 13 R Postal Zip Code. Format is XXXXX-XXXX-XX. 31 AgencyCountry A N 516 26 R Country Name orAbbreviation. 32 Filler A N 542 1 R Space. 33 Address Change Indicator A N 543 1 O Address ChangeIndicator . If this is a new address or the address is different from what is on the Directory of Federal Agencies file this field will contain an X . Otherwise the field will contain a space. 34 Filler A N 544 457 R Spaces. TOTAL RECORD 1000 d. TC-ETA-931A Response Record Format. This is the response record th at the state will receive from the federal agency and the description of information that should be received in each field. ETA-931A Response Record Format Federal Agency Response Record Format FLD FIELD NAME FIELD BEGIN FIELD DESCRIPTION NBR TYPE COLUMN LENGTH Record Key is Fields 1 through 4 1 Social Security No. N 1 9 Claimant s SSN 2 Effective Date N 10 8 The effective date of the claim 3 Sequence Identifier N 18 2 This sequence number identifies the original and subsequent responses to the request identified by sequence number in Field 28. response numbering should be sequential beginning with 01 up to 99 as follows 01 1st response original response to The STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES request 02 2nd response first amended response 03 3rd response second amended response etc. 4 Type of Response N 20 2 Values 05 931A response record. 5 Response Creation Date N 22 8 Date the response was created by the Federal Agency. 6 FIC N 30 3 Federal Identification Code of the Federal Agency sending the response. 7 Destination N 33 4 Destination Identification Code of the Federal Agency sending the response. 8 Social Security No. N 37 9 Claimant s SSN 9 Effective Date N 46 8 The effective date of the claim 10 First Name A N 54 20 The claimant s first name 11 Middle Initial A N 74 1 The claimant s middle initial 12 Last Name A N 75 23 The claimant s last name 13 Date of Separation Last Date in active pay status N 98 8 The date of separation or the last day in active pay status if not separated. Format is CCYYMMDD. 14 Reason for Separation Non-pay Status N 106 1 Valid values are 1 Permanent Layoff 2 Temporary Layoff Furlough 3 Quit 4 Discharged 5 Labor Dispute 6 Retirement 7 Other 15 Severance Pay A N 107 1 Y -If the individual has received or will receive Severance pay after this separation. N If the individual did not and will not receive severance pay after this separation. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 16 Severance Pay - begin date N 108 8 The date for which severance pay begins. Format is CCYYMMDD. 17 Severance Pay - end date N 116 8 The date for which severance pay ends. Format is CCYYMMDD. 18 Severance Payment amount N 124 9 The total dollar amount of severance pay. Format is 999999.99 Right justify i.e. 012590.88 19 Annual Leave A N 133 1 Y If the has received or will receive a lump sum annual leave payment after these separation date. N If the individual did not and will not receive a lump sum annual leave payment after these separation date. 20 Annual Leave Amount N 134 8 The total dollar amount of annual leave payment paid due. 999999.99 Right justify i.e. 012590.88 21 Number of Days of Annual Leave N 142 3 The number of days of annual leave paid due. Format is 001 right justified . 22 Date of Annual Leave Payment N 145 8 The date on which annual leave payment issued. Format is CCYYMMDD. 23 Monthly Pension Payment Amount N 153 8 If field 14 contains 6 enter the gross dollar amount of monthly pension payment. is 99999.99 Right justify i.e. 02590.88 24 Explanation of Reason for Separation Non-pay Status A N 161 400 Provide a detailed explanation in 400 characters or less. 25 Requesting State s Postal Code N 561 2 Postal Code of the State that requested the information. 26 Filler A N 563 1 Space 27 Date of Separation Payment N 564 8 The date on which separation payment was issued. CCYYMMDD. 28 Request Sequence Number N 72 2 This is the sequence number from Field 3 of the 931A request record to which the employer is responding. 29 Filler N 574 230 Spaces 30 Date Imported N 804 8 Date the state imported the response from the individual Format is Format Format is STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES Hub. Federal agencies are to send zeros in this field. 31 Time Imported N 812 6 Time the state imported the response from the Hub. Federal agencies are to send zeros in this field. 32 Filler A N 818 183 Spaces. TOTAL RECORD 1000 e. TC-ETA-931A Response Record View Screen. TC-ETA 931A RESPONSE RECORD SSN 000 - 00 - 9247 1 SEQ 01 2 FIC 410 3 DEST 0001 4 EFF DATE 08 30 00 5 NAME FIRST JEFF 6 MI 7 LAST WOOD 8 DATE OF SEPARATION 00 00 0000 9 REASON FOR SEPARATION 7 10 SEVERANCE PAY Y 11 SEVERANCE BEG 10 27 2000 12 END 01 15 2001 13 AMOUNT 013000.00 14 DATE PAID 12 28 2000 15 ANNUAL LEAVE N 16 ANNUAL LEAVE NUMBER OF DAYS 000 17 AMOUNT 00000.00 18 DATE PAID 00 00 0000 19 MONTHLY PENSION AMT 00000.00 20 EXPLANATION OF SEP 21 PF4 END 25. Requesting Additional Information From a Federal Agency. The ETA- 934 is used to obtain additional information or a clarification of information from a Federal agency and is available in a paper format and an electronic format. Sending the electronic or paper version of the ETA-934 is initiated by data entry through the ICON UCFE application to determine if an electronic or paper form should be generated. Additional information concerning the use of the data entry screen and record formats is contained in the ICON UCFE State Users Guide. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES a. TC-ETA-934 Data Entry Screen . UCFE SUPPORT SYSTEM TC-ETA934 REQUEST FOR ADDITIONAL INFORMATION OPTION 1 SSN - - 2 OFFICE 3 CREATION DATE 4 EFF DT 5 NAME FIRST 6 MI 7 LAST 8 FIC 9 DESTINATION 10 MESSAGE 11 CLEAR CANCEL ENTER ADDRESS SCREEN PF1 HELP PF3 ADD PF4 CANCEL FE009 - ENTER DATA AND THEN PRESS THE ENTER KEY b. Form ETA-934 Request for Additional Information. The Form ETA- 934 is used to obtain information when the respo nding Federal agency is unable to provide information in the electronic format. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES STATE AGENCY IDENTIFICATION REQUEST FOR ADDITIONAL INFORMATION 1. State Agency Address 2. Federal Agency Name 3 Digit Agency Code and Address 3. Local Office Call Center ID 4. Date of Request 5. Effective Date 6. Separation Date 7. Claimant s Name Last First Middle Initial 8. Social Security Number 9. A. State Agency Statement or Questions of Federal Agency 9. B. Claimant s Statement 10. Federal Agency Response 11. Signature of Official Title Print Name Telephone Dat e ETA -934 Revised 8 2001 c. Completion of Form ETA-934. The items on the Form ETA- 934 are se lf-explanatory. d. TC-ETA-934 Request for Additional Information. The electroni c TC-ETA-934 is used when the responding Feder al agency is able to provide separation information in the electronic STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES format. The field name and description indicates the information that is to be entered into each field. 1 TC-ETA-934 Request Record Format. This request record will on ly be sent to Federal Agencies w hen the record carries a delivery indicator of 1 in Field 15. TC-ETA-934 Request Record State Agency Request Record Format FLD NBR FIELD NAME FIELD TYPE BEGIN COLUMN FIELD LENGTH REQOPT DESCRIPTION Record Key is Fields 1 through 4 1 Social Security No. N 1 9 R Claimant s SSN. 2 Effective Date N 10 8 R The effective date of the claim. Format is CCYYMMDD. 3 Sequence Identifier N 18 2 R Sequence of record supplied by the sending State. Sequence will begin with 01. Each new record for the same SSN and Effective Date will be incremented by 1. 4 Type ofRequest N 20 2 R Values 03 934 Request Record. 5 FIC of Responding Agency N 22 3 R The Federal agency s three digit identification code. 6 Destination Code of Responding Agency N 25 4 R The Federal agency component s four digit destination code. 7 RequestingState s Postal Code A N 29 2 R The sending statestwo digit alpha postal abbreviation. 8 Creation Date N 31 8 R Date the electronic request is created. Format is CCYYMMDD. 9 Creation Time N 39 6 R Time the electronic request is created. Format is HHMMSS. 10 First Name A N 45 20 R The claimant s first name. 11 Middle Initial A N 65 1 O The claimant s middle initial. 12 Last Name A N 66 23 R The claimant s last name. 13 Local Office Call Center A N 89 4 R Code identifying theLocal Office or Call Center to which the claim is assigned in the Sending State. Enter Spaces if LO Call Center ID unnecessary. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 14 Filler A N 93 17 R Spaces. 15 Delivery Indicator A N 110 1 R Indicator specifyingthe receiving Federal Agency s method of responding to requests. 1 Electronic Wage and Separation Information. 2 Electronic Wage Information and Paper Separation Information. 3 Paper Wage and Separation Information. 16 Type of Response Requested A N 111 1 R Space. This field indicates how the requesting state would like to receive wages. Therefore this field does not apply to a 934 request. 17 Date Exported N 112 8 R Date the request wasexported. Format is CCYYMMDD. 18 Time Exported N 120 6 R Time the request wasexported. Format is HHMMSS. 19 Response Received Indicator A N 126 1 O This field will be set to X when the response is received from the Federal Agency. 20 Filler A N 127 2 R Spaces. 21 Message 1 A N 129 67 R First line of message to the Federal Agency detailing the information desired. 22 Message 2 A N 196 77 R Second line of message to the Federal Agency detailing the information desired. 23 Message 3 A N 273 77 R Third line of message to the Federal Agency detailing the information desired. 24 Message 4 A N 350 77 R Fourth line of message to the Federal Agency detailing the information desired. 25 Message 5 A N 427 77 R Fifth line of message to the Federal Agency detailing the information desired. 26 Filler A N 504 97 R Spaces. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 27 Agency Name A N 601 50 R Name of the Federal Agency that is responsible for this claim. 28 AgencyComponent A N 651 50 R Component of theFederal Agency that is responsible for this claim. 29 AgencyAddress line 1 A N 701 50 R First line of the Street or Postal Address for the Federal Agency. 30 AgencyAddress line 2 A N 751 50 R Second line of the Street or Postal address for the Federal Agency. 31 AgencyAddress line 3 A N 801 50 R Third line of the Street or Postal Address for the Federal Agency. 32 Agency City A N 851 50 R City or Providenceof the Postal Address. 33 Agency State A N 901 2 R State Postal Code. 34 Agency Postal A N 903 13 R Postal Code or ZipCode of the Postal Office. Format is XXXXX-XXXX-XX. 35 AgencyCountry A N 916 26 R Because many Federalagencies are located outside of the US this field will contain the name of Country where the mailing address is located. 36 Filler A N 942 R Space. 37 Address Change Indicator A N 943 1 O X New Address Space No change This is dynamically marked if the State enters an address that is not in the Directory of Federal Agencies file. 38 Filler A N 944 7 R Spaces. TOTAL RECORD 1000 2 TC-ETA-934 Response Record Format. This response record is u sed by Federal Agencies that rece ive TC-ETA-934 Request for Additional Information. This record will only be received from Federal agencies where the request record carried a delivery indicator of 1 in Field 15. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES TC-ETA-934 Response Record Format Federal Agency Response Record Format FLD NBR FIELD NAME FIELD BEGIN FIELD REQ DESCRIPTION Record Key is Fields 1 through 4 1 Social Security No. N 1 9 R Claimant s SSN. 2 Effective Date N 10 8 R The effective date of the claim. Format is CCYYMMDD. 3 SequenceIdentifier N 18 2 R This sequence number identifies the original and subsequent responses to the request identified by sequence number in Field 28. The response numbering should be sequential beginning with 01 up to 99 as follows 01 1st response original responseto request 02 2nd response first amendedresponse 03 3rd response second amended response etc. 4 Type ofResponse N 20 2 R Values 06 934 Response Record. 5 ResponseCreation Date N 22 8 2 Date the response was created by the Federal agency. Format is CCYYMMDD. 6 FIC N 30 3 R The Federal identification code of the Federal Agency sending the response. 7 Destination N 33 4 R The destination identification code of the Federal agency sending the response 8 Social Security No. N 37 9 R Claimant s SSN. 9 Effective Date N 46 8 R The effective date of the claim. Format is CCYYMMDD. 10 First Name A N 54 20 R The claimant s first name. 11 Middle Initial A N 74 1 O The claimant s middle initial. 12 Last Name A N 75 23 R The claimant s last name. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES 13 Response s to Question s asked A N 98 640 R Federal agency sresponse to question asked on 934 request. The response will be 640 characters or less. 14 RequestingState s Postal Code N 738 2 R Postal Code of the state that requested the information. 15 Filler N 740 1 R Spaces. 16 Request Sequence Number N 741 2 R This is the sequencenumber from Field 3 of the 934 request record to which the employer is responding. 17 Filler A N 743 61 R Spaces. 18 Date Imported Date the state imported the response from the Hub. Federal Agencies are to send zeros in this field. 19 Time Imported N 812 6 R Time the state importedthe response from the Hub. Federal Agencies areto send zeros in this field. 20 Filler A N 818 183 R Spaces. TOTAL RECORD 1000 3 TC-ETA-934 Response Record View Screen. Below is a copy of the ETA 934 response view screen for refe rence. 01 04 01 TC-ETA934 Response Record SSN 1 000-36-0000 REQ SEQ 2 01 FIC 3 445 DEST 4 0012 EFF DT 5 07 02 00 NAME FIRST 6 ROBERT MI 7 C LAST 8 WILSON REQUEST MESSAGE 9 PLEASE PROVIDE MORE INFORMATION CONCERNING CLAIMANT S SEPARATION RESPONSE MESSAGE 10 The claimant is currently separated as a result of a warning or suspension. The Claimant has returned to work. PF4 END 26. Directory of Federal Agencies. The Directory of Federal Agenc ies identifies and provides a record of Federal Agencies and offices that employ civilian workers. An automated directory has been included in the ICON UCFE Support System. As a part of the UCFE application the Directory serves two purposes. First it will be used as a table of addresses to reduce the data entry STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES requirements for sending mail requests for wage and separation information to Federal agencies. Second it will be accessible for use as a directory of contact personnel. The Directory can only be updated by the ETA National office. However since Federal agencies often provide new addresses directly to State agencies the Directory s address screen has been designed to allow States to data enter corrections to existing addresses and to data enter new addresses. The new corrected address will not be written to the Directory it will be used to mail the request being entered to the Federal agency and it will also be forwarded to the ETA National office for verification and posting to the Directory. The Directory is arranged numerically in ascending order by Federal Identification Codes FIC . The agencies called The components under each FIC are arranged alphabetically. different locations of offices for each component are arranged alphabetically by State and city. Four digit destination codes have been assigned to each address to direct the delivery of the request. Each code is critical to the writing of the correct address to the file that is created for use in addressing the forms for mailing. The FIC and Destination Code must be data entered for each request. Attachment II of this Unemployment Insurance Program Letter is a Directory of Federal Agencies Index which provides the destination codes for each address that is currently in the Directory. When using the directory if you do not know the destination code for an agency enter the FIC code and destination code 0001. You will then be able to scroll through the listing to locate an address or contact person. There are two additional codes that are used in the Directory. Below is a copy of the address view screen for easy reference. The delivery indicator code item 15 is used to direct the sending of an electronic request or a mail request or both. Code 1 means that the federal agency receives and responds to all request electronically. Code 2 means that the federal agency receives and responds to the request for wage information electronically and to the request for separation or other employment information by mail. Code 3 means that the federal agency receives requests and responds by mail only. The other processing code item 16 is used to identify and direct the requests to the other federal agency or private company that processes requests for wage and separation information for the agency listed. a. Federal Agencies Address View Screen. Below is a copy a screen sh owing the federal address informatio n that is contained in the Directory. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAM CHANGES ICON PROJECT SYSTEM UCFE FEDERAL ADDRESS VIEW FIC 002 1 DESTINATION 0001 2 NAME U.S. HOUSE OF REPRESENTATIVES 3 COMPONENT 4 ADDRESS 1 FINANCE OFFICE ROOM 263 5 2 CANNON HOUSE OFFICE BUILDING 6 3 7 CITY WASHINGTON 8 STATE DC 9 POSTAL CODE 20515 10 COUNTRY UNITED STATES 11 CONTACT MERRI BALDWIN 12 OTHER PROCESSING 13 PHONE 000 000-0304 14 EXT 102 15 DELIVERY IND 16 LAST UPDATED 17 PF4 CANCEL PF7 BACK PF8 FORWARD 27. Record Retention . The electronic and paper claims forms contained in these instructions shall be maintained by the State agency for 3 years after final action including appeals or court action on the claim and shall be transferred to State agency accountability under the conditions for the disposal of UCFE and UCX records covered in Chapter XXII of ET Handbook No. 391 1982 edition and Chapter I Page I-15 of ET Handbook No. 384 1984 edition . STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAMS CHANGES Appendix A - UCFE - UCX Questions and Answers 1. Question . Sometimes the response record from LCCC contains information under component 2. Does this have something to do with other SSN Field Answer . No. When there is a second DD Form 214 on file information from the DD Form 214 will be provided. The second DD Form 214 may be filed under the primary SSN or it may be filed under other SSN. If the name on the DD Form 214 is different from the name on the request the response will include message Number 35 and a warning flag in Field 66. 2. Question . What happens when the separation date on the UCX Type 1 request matches the separation date on a UCX control record Answer . A Type 2 response record will be sent that includes the information from the control record and a message. 2. Question . What happens when the separation date on the control record does not match the date on the request but it is greater than the base period begin date on the request record Answer . A response record will be sent that includes the information from the control record and the information from the DD Form 214 file if there is a match. If there is no matching DD Form 214 on file a pending record will be created and a corresponding message number indicating this will be included in the response. 3. Question. How will the accrued leave lump sum payment be treated for calculation of UCX wages Answer Accrued leave is assignable to the date of separa tion. Therefore wages for lump sum payment are added to wages for the quarter in which the separation date occurred. 5. Question . When there are two control records on file which one will be included in the response to the requesting State Answer . The control record with the most recent effective date of claim will be the one included in the response record. 6. Question . When a Type 1 record is identified as program Type F how is it possible for the State to receive a response with UCX wage and separation information with message number 31 and 35 A-1 STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAMS CHANGES Appendix A - UCFE - UCX Questions and Answers Answer . All Type 1 requests are matched against the DD Form 214 file and UCX information is included in the response if there is a DD 214 on file with a separation date subsequent to the beginning date of the base period of the UCFE claim. The UCX wages are assignable if they belong to the UCFE claimant. However the requesting State has to review the record to ensure that the UCX wages are properly assigned if the UCFE claim is an interstate claim. If for example the match produced a message that the name on the DD Form 214 is different from the name on the UCFE request it may be an incorrect SSN on the UCFE claim or the DD Form 214. The State will need to review for proper SSN and name. 4. Question . When the SSN on the DD Form 214 matches the SSN included under other SSN on the Type 1 request which SSN is to be used on the Type 2 record as the primary SSN Answer . The control record is created using the claimant s correct SSN as the primary identifier of the record with the other SSN in the other SSN field. 8. Question . When a Type 1 UCX record includes a other SSN and there is no matching DD Form 214 on file is a pending record created for both SSNs or just the primary one Answer Only one pending record is created. It will contain both the SSN and the other SSN in the record. 9. Question . Are the wages added together when a Type 1 UCX record includes another SSN in other SSN field and there are matching DD Forms 214 on file for both SSNs Answer . Yes. The wages will be calculated using both DD Form 214s and provided in a single response record. 10. Question . What happens when the separation date on a Type 1 UCX record and a Type 3 Claim Control record match Answer . The State receives a Type 3 response with information from the Claim Control record included in Fields 5 thru 15 18 and 19 and message 015 wages previously assigned. This type of response means that the wages have been assigned but should be available for transfer from the State of assignment for use on the new claim. 11. Question . What period of the individual s military service is covered by the wage assignment when the Claim Control record shows a separation date of June 12 2001 for an individual that served 10 years of uninterrupted military service A-2 STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAMS CHANGES Appendix A - UCFE - UCX Questions and Answers Answer . The entire 10 years is covered if there has been no prior benefit year established. 12. Question . What will the State receive from the LCCC if the separation date on a UCX Type 1 record and the separation date on a UCX or UCFE Claim Control record match Answer . The State will receive a Type 2 response with information from the Claim Control record and no information from the DD Form 214 with that separation date. The response record will show the information from the Claim Control record in Fields 5 thru 15 18 and 19 with message 009 Control Record on file. 13. Question . If State A sends in a UCFE Type 2 record with a separation date of 6 15 99 and State B sends in a Type 3 record with the same separation date will both of these records be accepted by LCCC Answer. Yes. These are different type control records and not co nsidered duplicates. This situation will occur whenever a transferring State has lag period wages to assign. 14. Question . What will the State receive when it send in a UCFE Type 1 record and there is no control record on file Answer. The State will receive a UCFE Type 1 response record with message 004 No Control Record or DD 214 on file . 15. Question . How is the State agency notified when the Branch of Service code on the Type 1 request record is different from the DD Form 214 Answer . The Branch of Service code is extracted from the DD Form 214 and included in the response record to identify the source of the wages for each quarter. If there are overlapping DD Form 214s the Branch of Service identifier for the affected quarter will be shown as 99 . In such cases the response record will include message number 014 showing a breakout of the wages for each Branch. 16. Question . What happens when the separation date on the UCFE Type 1 record matches the separation date on a UCFE Claims Control record but there is a DD Form 214 on file with a separation date subsequent to the base period beginning date of the new claim Answer . When there is a DD Form 214 on file that has a separation date after the base period beginning date for the A-3 STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAMS CHANGES Appendix A - UCFE - UCX Questions and Answers new claim wage and separation information from that DD Form 214 will be included in the response with message 025 Claim Control Record on file. Wages sent from subsequent DD 214. 17. Question . When a UCFE Type 1 record separation date matches the separation date on a UCX Claim Control record what will the State receive Answer . If the separation date precedes the effective date of the prior claim the State should receive a Type 2 response record that includes a copy of the Claim Control information and message 012 Control Record on file. Prior claim filed since separation date. This message notifies the State that the UCFE wages were assignable with the establishment of the UCX claim. If the separation date is after the effective date of the prior claim the State should receive a Type 2 response record that includes a copy of the Claim Control information and message 013 Control Record on file for UCX claim. 18. Question . What happens when the separation date on a UCFE Type 1 record matches the separation date on a Type 3 Claim Control record Answer . The State will receive a Type 3 response record with the information from the Claim Control record included in Fields 5 thru 15 and message 015 wages previously assigned. Receiving this response means that the wages are probably available for use on the claim but they will need to be transferred from the State that posted the control record. 19. Question . When the State sends a Type 2 Claim Control record to the LCCC will the State receive a response Answer . Yes. The State will receive a response record Type 2 with message 023 Control Record Accepted. This message number can be used to distinguish between a record receipt confirmation and a Type 2 response that includes information from a Claim Control record and is a response to a Type 1 request. The answer is the same for a Type 3 response. 20. Question . What type of response will the State receive when the separation dates on a UCX Type 1 record and a DD Form 214 on file match and there is a UCX Claim Control record on file with a different separation date Answer . The State will receive a Type 1 response record with information from any DD Form 214 with a service entry date greater than the separation date on the control record A-4 STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAMS CHANGES Appendix A - UCFE - UCX Questions and Answers when the benefit year ending date control record is less than the effective date of the new claim. The State will receive a Type 2 response record which include information from the control record and any DD Form 214 with a entry date greater than the separation date on the control record when the benefit year ending date on the control record is greater than the effective date of the new claim. 21. Question. Will the State receive a response record when a Type 4 r ecord is sent 22. Answer . Yes. The processing of a Type 4 record will generate a Type 4 response which includes message 019 Control Record Deleted confirming the deletion of the control record. The process is the same for a Type 5 record. A-5 STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAMS CHANGES Appendix B - Examples of Responses from the LCCC 1. Examples of responses that States will receive from the new System . a. Scenario . Type 1 UCX request processed and there is no DD Form 214 on file and no matching control record in new system. Pending Record created. 3 30 01 UCX UCFE RESPONSE RECORD Page 11 SSN 000000000 Name GARY JGATHERS OTHER SSN 000000000 EFF. DATE 20010305 LDW UCX 20010224 LDW UCFE 00000000 BASE PER BEG 19991001 BASE PER END 20000930 BASE YEAR END 00000000 ENTRY DATE 00000000 NET SERVICE 1 000000 PRIOR SERVICE 1 000000 STATE FIPS 13 TRANS FIPS-1 00 TRANS FIPS-2 00 LOCAL OFFICE 1500 BR SERVICE 01 COMPONENT ARMY RA CHAR SERV TRANS DATE 20010307 LCCC DATE 20010307 REC CODE 1 ACCRUED LEAVE 000.0 SEP PAY 000000.00 DISAB PEN 000000.00 PAY GRADE US NATL RETIREMENT MICROFILM ID 000000000000 DAYS LOST ST-1 00000000 DAYS LOST END-1 00000000 DAYS LOST ST-2 00000000 DAYS LOST END-2 00000000 DAYS LOST ST-3 00000000 DAYS LOST END-3 00000000 DAYS LOST ST-4 00000000 DAYS LOST END-4 00000000 Q1 DATE 00001 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q2 DATE 00002 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q3 DATE 00003 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q4 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q5 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q6 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q7 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q8 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q9 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 DAYS LOST ST-5 00000000 DAYS LOST END-5 00000000 DAYS LOST ST-6 00000000 DAYS LOST END-6 00000000 DAYS LOST ST-7 00000000 DAYS LOST END-7 00000000 DAYS LOST ST-8 00000000 DAYS LOST END-8 00000000 COMPONENT 2 ENTRY DATE 2 00000000 SEP DATE 2 00000000 NET SERVICE 2 000000 PRIOR SERVICE 2 000000 ACCRUED LEAVE 2 000.0 AMENDED RESPONSE MICROFILM ID 000000000000 NARRATIVE WARNING FLAG 1 ST FULL TYPE X EDIT PROCESS P MSG 002 NO CONTROL RECORD OR DD 214 ON FILE. RESPONSE PENDING MSG MSG STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAMS CHANGES Appendix B - Examples of Responses from the LCCC b. Scenario . Type 1 UCX request processed and there is a DD Form 214 on file with different separation date. There is no matching control record in new system. The response includes information from the DD Form 214 that is on file and a pending Record is created for the DD Form 214 with a separation date which matches the date on the request record. 3 30 01 UCX UCFE RESPONSE RECORD Page 11 SSN 000000000 Name ALLISON CARTHONS OTHER SSN 000000000 EFF. DATE 20010306 LDW UCX 20010131 LDW UCFE 00000000 BASE PER BEG 19991001 BASE PER END 20000930 BASE YEAR END 00000000 ENTRY DATE 19810107 NET SERVICE 1 200024 PRIOR SERVICE 1 000000 STATE FIPS 13 TRANS FIPS-1 00 TRANS FIPS-2 00 LOCAL OFFICE 5500 BR SERVICE 01 COMPONENT ARMY RA CHAR SERV HO TRANS DATE 20010307 LCCC DATE 20010307 REC CODE 1 ACCRUED LEAVE 000.0 SEP PAY 000000.00 DISAB PEN 000000.00 PAY GRADE E07 US NATL U RETIREMENT Y MICROFILM ID 200101020984 DAYS LOST ST-1 00000000 DAYS LOST END-1 00000000 DAYS LOST ST-2 00000000 DAYS LOST END-2 00000000 DAYS LOST ST-3 00000000 DAYS LOST END-3 00000000 DAYS LOST ST-4 00000000 DAYS LOST END-4 00000000 Q1 DATE 19994 Q1 WAGE 011171.70 Q1 WEEK 13 Q1 HOURS 720 Q1 BR SERV 01 Q2 DATE 20001 Q1 WAGE 011171.70 Q1 WEEK 13 Q1 HOURS 720 Q1 BR SERV 01 Q3 DATE 20002 Q1 WAGE 011171.70 Q1 WEEK 13 Q1 HOURS 720 Q1 BR SERV 01 Q4 DATE 20003 Q1 WAGE 011171.70 Q1 WEEK 14 Q1 HOURS 720 Q1 BR SERV 01 Q5 DATE 20004 Q1 WAGE 011171.70 Q1 WEEK 13 Q1 HOURS 720 Q1 BR SERV 01 Q6 DATE 20011 Q1 WAGE 003723.90 Q1 WEEK 05 Q1 HOURS 240 Q1 BR SERV 01 Q7 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q8 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q9 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 DAYS LOST ST-5 00000000 DAYS LOST END-5 00000000 DAYS LOST ST-6 00000000 DAYS LOST END-6 00000000 DAYS LOST ST-7 00000000 DAYS LOST END-7 00000000 DAYS LOST ST-8 00000000 DAYS LOST END-8 00000000 COMPONENT 2 ENTRY DATE 2 00000000 SEP DATE 2 00000000 NET SERVICE 2 000000 PRIOR SERVICE 2 000000 AMENDED RESPONSE MICROFILM ID 000000000000 ACCRUED LEAVE 2 000.0 NARRATIVE SUFFICIENT SERVICE FOR RETIREMENT WARNING FLAG 1 ST FULL y TYPE X EDIT PROCESS P MSG 028 REQ SEP DATE 10 16 00 DIFFERENT FROM DD214 SEP DATE. PDG RECORD CREATED . STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAMS CHANGES Appendix B - Examples of Responses from the LCCC c. Scenario . UCFE Type 1 request record processed and there is no match in the new control file or the DD Form 214 file. 3 30 01 UCX UCFE RESPONSE RECORD Page 11 SSN 000000000 Name DOROTHY LJACKSON OTHER SSN 000000000 EFF. DATE 20010305 LDW UCX 00000000 LDW UCFE 20010224 BASE PER BEG 19991001 BASE PER END 20000930 BASE YEAR END 00000000 ENTRY DATE 00000000 NET SERVICE 1 000000 PRIOR SERVICE 1 000000 STATE FIPS 13 TRANS FIPS-1 00 TRANS FIPS-2 00 LOCAL OFFICE 3200 BR SERVICE COMPONENT CHAR SERV TRANS DATE 20010329 LCCC DATE 20010329 REC CODE 1 ACCRUED LEAVE 000.0 SEP PAY 000000.00 DISAB PEN 000000.00 PAY GRADE US NATL RETIREMENT MICROFILM ID 000000000000 DAYS LOST ST-1 00000000 DAYS LOST END-1 00000000 DAYS LOST ST-2 00000000 DAYS LOST END-2 00000000 DAYS LOST ST-3 00000000 DAYS LOST END-3 00000000 DAYS LOST ST-4 00000000 DAYS LOST END-4 00000000 Q1 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q2 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q3 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q4 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q5 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q6 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q7 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q8 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q9 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 DAYS LOST ST-5 00000000 DAYS LOST END-5 00000000 DAYS LOST ST-6 00000000 DAYS LOST END-6 00000000 DAYS LOST ST-7 00000000 DAYS LOST END-7 00000000 DAYS LOST ST-8 00000000 DAYS LOST END-8 00000000 COMPONENT 2 ENTRY DATE 2 00000000 SEP DATE 2 00000000 NET SERVICE 2 000000 PRIOR SERVICE 2 000000 ACCRUED LEAVE 2 000.0 AMENDED RESPONSE MICROFILM ID 000000000000 NARRATIVE WARNING FLAG 1 ST FULL TYPE X EDIT PROCESS P MSG 004 NO CONTROL RECORD OR DD 214 ON FILE. MSG MSG STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAMS CHANGES Appendix B - Examples of Responses from the LCCC d. Scenario . UCX Type 1 request processed. DD Form 214 on file with different name. Warning flag set on response record. 3 30 01 UCX UCFE RESPONSE RECORD Page SSN 000000000 Name MARK PURVIS OTHER SSN 000000000 EFF. DATE 20010328 LDW UCX 20010215 LDW UCFE 00000000 BASE PER BEG 19991001 BASE PER END 20000930 BASE YEAR END 00000000 ENTRY DATE 19970815 NET SERVICE 1 030600 PRIOR SERVICE 1 000207 STATE FIPS 13 TRANS FIPS-1 00 TRANS FIPS-2 00 LOCAL OFFICE 5500 BR SERVICE 04 COMPONENT USMCR C1 CHAR SERV HO TRANS DATE 20010328 LCCC DATE 20010328 REC CODE 1 ACCRUED LEAVE 000.0 SEP PAY 000000.00 DISAB PEN 000000.00 PAY GRADE 002 US NATL U RETIREMENT N MICROFILM ID 200102280675 DAYS LOST ST-1 00000000 DAYS LOST END-1 00000000 DAYS LOST ST-2 00000000 DAYS LOST END-2 00000000 DAYS LOST ST-3 00000000 DAYS LOST END-3 00000000 DAYS LOST ST-4 00000000 DAYS LOST END-4 00000000 Q1 DATE 19994 Q1 WAGE 011502.00 Q1 WEEK 13 Q1 HOURS 720 Q1 BR SERV 04 Q2 DATE 20001 Q1 WAGE 011502.00 Q1 WEEK 13 Q1 HOURS 720 Q1 BR SERV 04 Q3 DATE 20002 Q1 WAGE 011502.00 Q1 WEEK 13 Q1 HOURS 720 Q1 BR SERV 04 Q4 DATE 20003 Q1 WAGE 011502.00 Q1 WEEK 14 Q1 HOURS 720 Q1 BR SERV 04 Q5 DATE 20004 Q1 WAGE 011502.00 Q1 WEEK 13 Q1 HOURS 720 Q1 BR SERV 04 Q6 DATE 20011 Q1 WAGE 005751.00 Q1 WEEK 07 Q1 HOURS 360 Q1 BR SERV 04 Q7 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q8 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q9 DATE 00000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 DAYS LOST ST-5 00000000 DAYS LOST END-5 00000000 DAYS LOST ST-6 00000000 DAYS LOST END-6 00000000 DAYS LOST ST-7 00000000 DAYS LOST END-7 00000000 DAYS LOST ST-8 00000000 DAYS LOST END-8 00000000 COMPONENT 2 ENTRY DATE 2 00000000 SEP DATE 2 00000000 NET SERVICE 2 000000 PRIOR SERVICE 2 000000 ACCRUED LEAVE 2 000.0 AMENDED RESPONSE MICROFILM ID 000000000000 NARRATIVE SUFFICIENT SERVICE FOR RETIREMENT WARNING FLAG X 1 ST FULL U TYPE X EDIT PROCESS P MSG 035 NAME ON 214 REC IS CHRISTOPHER AEMERSON MSG 031 FIRST FULL TERM UNKNOWN. DD-14 BEING FAXED. STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAMS CHANGES Appendix B - Examples of Responses from the LCCC e. Scenario . UCX Type 1 record processed. DD Form 214 with different name and separation date is on file. Pending record created. After reviewing this response record the State will need to cancel the pending record because all of the matching problems were created by data entry errors. 3 30 01 UCX UCFE RESPONSE RECORD Page 11 SSN 000000000 Name DEDRIC COLEMAN OTHER SSN 000000000 EFF. DATE 20010325 LDW UCX 2000802 LDW UCFE 00000000 BASE PER BEG 19991001 BASE PER END 2000930 BASE YEAR END 00000000 ENTRY DATE 20010121 NET SERVICE 1 000612 PRIOR SERVICE 1 000000 STATE FIPS 22 TRANS FIPS-1 00 TRANS FIPS-2 00 LOCAL OFFICE 0870 BR SERVICE 01 COMPONENT ARMY RA CHAR SERV HO TRANS DATE 20010328 LCCC DATE 20010328 REC CODE 1 ACCRUED LEAVE 016.5 SEP PAY 000000.00 DISAB PEN 000000.00 PAY GRADE E01 US NATL U RETIREMENT N MICROFILM IDD 200009051777 DAYS LOST ST-1 00000000 DAYS LOST END-1 00000000 DAYS LOST ST-2 00000000 DAYS LOST END-2 00000000 DAYS LOST ST-3 00000000 DAYS LOST END-3 00000000 DAYS LOST ST-4 00000000 DAYS LOST END-4 00000000 Q1 DATE 20001 Q1 WAGE 004069.10 Q1 WEEK 10 Q1 HOURS 560 Q1 BR SERV 01 Q2 DATE 20002 Q1 WAGE 005231.70 Q1 WEEK 13 Q1 HOURS 720 Q1 BR SERV 01 Q3 DATE 20003 Q1 WAGE 002819.30 Q1 WEEK 06 Q1 HOURS 256 Q1 BR SERV 01 Q4 DATE 20000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q5 DATE 20000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q6 DATE 20000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q7 DATE 20000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q8 DATE 20000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 Q9 DATE 20000 Q1 WAGE 000000.00 Q1 WEEK 00 Q1 HOURS 000 Q1 BR SERV 00 DAYS LOST ST-5 00000000 DAYS LOST END-5 00000000 DAYS LOST ST-6 00000000 DAYS LOST END-6 00000000 DAYS LOST ST-7 00000000 DAYS LOST END-7 00000000 DAYS LOST ST-8 00000000 DAYS LOST END-8 00000000 COMPONENT 2 ENTRY DATE 2 00000000 SEP DATE 2 00000000 NET SERVICE 2 000000 PRIOR SERVICE 2 000000 ACCRUED LEAVE 2 000.0 AMENDED RESPONSE MICROFILM ID 000000000000 NARRATIVE FAILURE TO MEET PROCUREMENT MEDICAL FITNESS STANDARDS WARNING FLAG X 1 ST FULL N TYPE X EDIT PROCESS P MSG 028 REQ SEP DATE 08 03 00 DIFFERENT FROM DD214 SEP DATE. PDG REC CRE ATED MSG 035 NAME ON 214 REC IS DEDRICK RCOLEMAN STATE IMPLEMENTATION GUIDE UCFE AND UCX PROGRAMS CHANGES Appendix B - Examples of Responses from the LCCC 2. Examples of Responses that States will receive from the Inquiry Control File . States sending request records using the new system and procedures will receive the following type responses from the old Inquiry file. a. Situation . There is a UCX request and there is a match with a record in the Inquiry File. The response will contain identifying claimant and program type information from the incoming request and the FIPS Code s of the State s that previously inquired as follows 02 09 01 UCX UCFE Listing of Prior Inquiries Page 1 By Other States Effective UCX SEP UCFE SEP SSN NAME DATE DATE DATE 000110000 Robert Gillham 20010209 20001115 00000000 PGM TYPE X STATES WITH PRIOR INQUIRY 51 29 b. Situation There are UCX OR UCFE requests from a State and there are no matches with records in the Inquiry File. The response will be as follows 02 09 01 UCX UCFE Listing of Prior Inquiries Page 1 By Other States NONE FOR TODAY Appendix C FULL SIZE FORMS FOLLOW STATE AGENCY IDENTIFICATION REQUEST FOR WAGE AND SEPARATION INFORMATION- UCFE 1. State Agency Address 2. Name of Federal Agency 3 Digit Agency Code and Address 3. Local Office Call Center ID 4. Date of Request 5. Date claim taken 6. Effective Date of Claim 7. Name Last First Middle Initial 8. Social Security Number Instructions Complete and Return Within 4 Workdays 9. A. Did this person perform Federal Civilian Service as defined for UCFE purposes for your agency at any time during the base period shown in Item 10A below Yes No B. Under what legal authority was the individual hired C. What funding Source was used for salary payments D. Were payroll deductions made for Federal and State taxes Yes No E. Was Employee eligible for 1 Annual and Sick leave Yes No 2 Health and Life insurance Yes No 3 Civil Service or FERS retirement Yes No F. Did the Federal agency provide direction and control Yes No G. Duty Station Enter State of the person s last employment with your agency or if outside U.S. enter Country NOTE If NO to D E 1 through E 3 Explain on separate attachment. 10. Are base period wages provided electronically Yes No. If yes go to item 11. If no report all wages from base period begin date to separation date. A. Base period beginning date B. Report wages for quarters ending after date in A above. Qtr. Ending Year Gross Wages C. Report Hours No. of Duty Hours Workday Basic Workweek 11. Separation Terminal Annual Leave and Severance Pay Information A. Did this person receive a lump sum payment s for terminal annual leave on or after the beginning date of base period shown in item 10A Yes No If Yes or if currently entitled to such a payment enter date below Payment Date Days of Leave Period From Date To Date B. Date of Separation C. Last day of active pay status D. Reason for separation or nonpay status E. Did this person receive or is he she entitled to receive severance pay provided by Federal law or agency employee agreement Yes No If Yes complete the following information Total Entitlement Weekly entitlement Beginning date Ending Date Print Name Signature ETA-931 Revised 8 2001 Title Telephone Number Date C - 2 Important Notice If a completed Form ETA-931 is not received by the 12 th calendar day from the date of request this agency may pay benefits to the claimant based on his h er affidavit as provided by Department of Labor s Regulation at 20 CFR 609.6 e 2 . payments made to the claimant will be charged to the Federal employing a gency ies in accordance with Section 1023 PL 96-499 Omnibus Reconciliation Act of 1 980 94 Stat. 2599 . COMPLETION INSTRUCTIONS TO FEDERAL AGENCY Also see Front of this Form As an alternative to completing this form attaching a computer printout containing complete data of the data requested is acceptable if procedures and form s are cleared with the U.S. Department of Labor Washington DC 20210 and the State a gency has completed items 1-7 and 10A and 10B which identify the base period and the applicable calendar quarters for which information is requested. Item 9A asks if the individual performed Federal Civilian Service. agency response is No answered when the individual performed Federal Civilian Service. The information is available on the SF-50 or payroll records. attachment if necessary. Item 10B and 9C . none if no wages for that period. lump sum payment s for terminal annual leave or 3 any other type of separation payment. Item 11A . Items 11B and 11C . sick leave days if earlier than the date of separation 11B or if emp loyee is not separated. Item 11D . Remarks or if SF-50 not used record equivalent information fro m other separation document s your agency used. standards on work connected Resignation cases carefully review FPM requirements applicable since January 1 1982. inadequate or if information on SF-50 is not sufficient check with per sonnel for additional information and add as part of separation information. DOCUMENTS IF APPROPRIATE. Item 11E . Signature of Official . is signed and dated also enter signer s title and telephone number. ETA 931 Revised 8 2001 Any benefit If the Federal Item 9G will be Items 9B through 9F are to be completed. Provide a separate Enter either gross wages when paid in Federal Civilian Service orDo not include as wages 1 severance pay 2 Enter hours such as 8 and 40 for full-time employee. Self-explanatory. The date in Item 11C includes annual and Enter dates requested. Obtain agency findings from SF 50 Item 5-B Nature of Action and Item 45 See Federal Personnel Manual FPM supplement 296-33 forIf payroll office records are incomplete orATTACH COPIES OF Self-explanatory. Form is not complete unless it or attached computer printout C - 3 STATE AGENCY IDENTIFICATION REQUEST FOR SEPARATION INFORMATION - ADDITIONAL CLAIM 1. State Agency Address 2. Federal Agency Name 3 Digit Agency Code andAddress 3. Local Office Call Center 4. Date of Request 5. Effective Date 6. Claimant s Name Last First Middle Initial 7. Social Security Number Federal Agency Response Complete and Return Within 4 Workdays 8. Separation Terminal Annual Leave and Severance Pay Information A. Date of Separation I. Last day of active pay status B. Reason for separation or non-pay status C. Did this person receive a lump sum payment s for terminal annual l eave on or after thebeginning date of the base period shown Yes No. If Yes or if currently entitled to such a payment record date s below for each payment s Payment Date Days of Leave Period from To D. Did person receive or is he she entitled to receive severance pay pro vided by Federallaw or agency employee agreement Yes No. If Yes complete the following information Total Entitlement Weekly entitlement Beginning Date Ending Date 9. Signature of Official Title Print Name Telephone Date ETA-931A Revised 8 2001 C - 4 STATE AGENCY IDENTIFICATION REQUEST FOR ADDITIONAL INFORMATION 1. State Agency Address 2. Federal Agency Name 3 Digit AgencyCode and Address 3. Local Office Call Center ID 4. Date of Request 5. Effective Date 6 .Separation Date 7. Claimant s Name Last FirstMiddle Initial 8. Social Security Number 9. A. State Agency Statement or Questions of Federal Agency 9. B. Claimant s Statement 10. Federal Agency Response 11. Signature of Official Title Print Name Telephone Date ETA-934 Revised 8 2001 C - 5 STATE AGENCY IDENTIFICATION CLAIMANT S AFFIDAVIT OF FEDERAL CIVILIAN SERVICE WAGES AND REASON FOR SEPARATION 1. State Agency Address 2. Claimant s Name and mailing Address 3. LO Call Center ID 4. Date of Request 5. Eff. Date of Claim 7. Federal Agency Name Address 8. Social Security Number Instructions Complete and Return Immediately 9. Affidavit of Federal Wage and Separation Information Documentary Evid ence a. Enter the location of your Official Duty Station City State b. Enter your wages with the above named employer below. wages that you earned after base period begin date up to the date you separated from this employer. copy. explanation. Quarter Ending Year Gross Wages Documentary Evidence c. Severance Pay. Federal law or agency employee agreement information Total Entitlement . Date d. Yes No. e. I the claimant understand that penalties are provided by law for an in dividual making false statements to obtain benefits and that determinations based on an affida vit are not final that determinations are subject to correction upon receipt of wage and separa tion information from the Federal agency that benefit payments made as a result of such determina tion may have to be adjusted on the basis of information from the Federal agency and that a ny amount overpaid will have to be repaid or offset against future benefits. I the claimant sw ear or affirm that the above statements to the best of my knowledge are true and correct. 10. ETA-935 Revised 8 2001 6. Separation Date Show wages by quarter starting with the Under Documentary Evidence enter the source of the information provided and attach a If additional space is needed to explain reason for separation attach y our signed Did you receive or are you entitled to receive severance pay provided by If Yes complete the following Yes No Severance Pay Period Beginning date Ending Pension Are you entitled to receive a pension from any branch of the Fe deral Government Enter Gross Monthly Pension Reason for Separation Signature of Claimant Date C - 6 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 001 0001 U.S. Senate 3 002 0001 U.S. House of Representatives 3 003 0001 Commission on Security Cooperation in Europe 3 006 0001 U.S. Capitol Police 3 010 0001 Architect of the Capitol 3 012 0001 Copyright Royalty Tribunal 3 015 0001 U.S. Botanical Gardens 3 020 0001 General Accounting Office 3 025 0001 U.S. Government Printing Office 3 030 0001 Library of Congress 3 031 0001 Library of Congress OIG 1 032 0001 Office of Compliance 3 035 0001 United States Tax Court 3 040 0001 Congressional Budget Office 3 045 0001 Office of Technology Assessment 3 111 0001 Supreme Court of the United States 3 0002 Supreme Court- Office of the Marshall 3 112 0001 Administrative Office of the U.S. Courts 3 0002 Federal Courts 3 0003 Federal Judicial Center 3 0004 Judicial Panel on Multi-District Litigation 3 0005 United States Sentencing Commission 3 113 0001 U.S. Court of Veterans Appeals 3 205 0001 White House Office 3 207 0001 Office of the Vice President 3 210 0001 Office of Management and Budget 3 215 0001 Office of Administration 3 220 0001 Council of Economic Advisers 3 221 0001 Council on Environmental Quality 3 222 0001 Council on Wage and Price Stability 3 223 0001 Executive Mansion Grounds 3 224 0001 Executive Residence At the White House 3 225 0001 Office of Policy Development 3 230 0001 National Security Council 3 233 0001 Office of Federal Procurement Policy 3 235 0001 Office of Science Technology Policy 3 238 0001 Office of U.S. Trade Representative 3 239 0001 U.S. Office of Special Counsel 3 250 0001 Regulatory Information Service Center 3 301 0001 Architectural and Transportation Barriers Compliance Board 3 302 0001 Arctic Research Commission 3 303 0001 Barry Goldwater Scholarship Excellence Foundation 3 308 0001 Corporation For National Community Services 3 Index - 1 0001 0002 00030004 0005 0006 0007 00080009 00100011 0012 0013 0001 0002 0003 0004 0005 0006 0007 0008 0009 0010 0011 0012 0013 0014 0015 0016 0017 0018 0019 0020 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 310 0001 Defense Nuclear Facilities Safety Board 312 0001 James Madison Foundation 321 0001 National Council on Disabilities 323 0001 Nuclear Waste Technical Review Board 324 0001 Medicare Payment Advisory Commission 326 0001 U.S. Institute of Peace 338 0001 Thrift Depositor Protection Oversight Board 405 0001 Department of State 406 0001 International Broadcasting Bureau 410 Department of Treasury Bureau of Alcohol Tobacco and Firearms - Treasury Bureau of Engraving Printing - Treasury Bureau of the Public Debt - Treasury Comptroller of The Currency - Treasury Customs Service - Treasury Departmental Offices - Treasury Federal Law Enforcement Training Center - Treasury Financial Management Systems - Treasury Internal Revenue Service - Treasury Office of The Inspector General - Treasury Savings Bonds Division - Treasury Secret Service - Treasury United States Mint - Treasury 421 Department of Defense Arms Control Disarmament Agency Wash DC - DOD Commissary Agency Fort Meade MD - DOD Commissary Agency Alexandria VA - DOD Contract Audit Agency POI 9718 Ft Belvoir VA - DOD Contract Audit Agency POI 3195 Ft Belvoir VA - DOD Contract Audit Agency Smyrna GA - DOD Contract Audit Agency Lexington MA - DOD Contract Audit Agency Irving TX - DOD Contract Audit Agency La Mirada CA - DOD Contract Audit Agency Philadelphia PA - DOD Contract Management District West - DOD DPMDFC5 BPT Randolph AFB TX - DOD Education Activity Arlington VA - DOD Finance Accounting Service Arlington VA - DOD Finance Accounting Service Denver CO - DOD Finance Accounting Service Indianapolis IN - DOD Finance Accounting Service Cleveland OH - DOD Finance Accounting Service Columbus OH - DOD Finance Accounting Service Kansas City MO - DOD Finance Accounting Service Norfolk VA - DOD 3 1 3 3 3 3 3 3 3 1 1 1 1 1 1 1 1 1 1 1 1 1 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 Index - 2 0001 0002 0003 0004 0005 0006 0007 0008 0009 0010 0011 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 0021 HQ Human Resource Directorate Ft Belvoir VA - DOD 0022 Information Systems Agency Arlington VA - DOD 0023 Information Systems Agency Reston VA - DOD 0024 Information Systems Agency Pentagon Wash DC - DOD 0025 Intelligence Agency Washington DC - DOD 0026 Investigative Service Baltimore MD - DOD 0027 Investigative Service Chicago IL - DOD 0028 Investigative Service Smyrna GA - DOD 0029 Investigative Service Boston MA - DOD 0030 Investigative Service Cherry Hill NJ - DOD 0031 Investigative Service Long Beach CA - DOD 0032 Joint Field Support Center Ft Meade MD - DOD 0033 Joint Staff Pentagon Washington DC - DOD 0034 Logistics Agency Stockton CA - DOD 0035 Logistics Agency Columbus OH - DOD 0036 Logistics Agency Ind. Supply Phila PA - DOD 0037 Logistics Agency Memphis TN - DOD 0038 Logistics Agency HRO Ft Belvoir VA - DOD 0039 Logistics Agency Richmond VA - DOD 0040 Natl Imagery Mapping Agency Bethesda MD - DOD 0041 Natl Imagery Mapping Agency St Louis MO - DOD 0042 Natl Imagery Mapping Agency Ft Belvior VA - DOD 0043 Natl Imagery Mapping Agency Reston VA - DOD 0044 Natl Security Agency Ft Meade VA - DOD 0045 On-Site Inspection Agency Washington DC - DOD 0046 OPLOC - Pensacola Code P Pensacola FL - DOD 0047 OPLOC - Charleston Code P Charleston SC - DOD 0048 Reutilization Marketing Service - DOD 0049 Special Weapons Agency Alexandria VA - DOD 0050 Supply Center Philadelphia PA - DOD 0051 Uniformed Services University Bethesda MD - DOD 0052 Washington Hdqtrs Service Arlington VA - DOD 422 Department of the Army 6th Infantry Division Light USAG-Alaska CPO - Army 7th Army Training Command CPO Germany - Army 20th Support Group CPO EANC-CP Unit 15494 - Army 24th Infantry Div. MECH Fort Stewart GA - Army 26th Area Support Group Heidelberg Germany - Army 29th Area Support Group Unit 429 APO AE - Army 34th Support Command Group Unit 15333 Korea - Army 98th Area Support Group-Wuerzburg Germany - Army 104th Area Support Group Unit 20193 APO AE - Army Armament Munitions Chem Command Rock Isl IL - Army Armor Center CPO Fort Knox KY - Army 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 Index - 3 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 0012 Aviation Center CPO Ft. Rucker AL - Army 3 0013 Aviation Missile Command Redstone AL - Army 3 0014 Central Rheinland Pfalz Baumhholder Germany - Army 3 0015 Chemical Military Police Ft. McClellan AL - Army 3 0016 Chief of Engineers Washington DC - Army 3 0017 Civilian Personnel Office Fort Campbell KY - Army 3 0018 Civ. Per. Ctr NE Aberdeen Proving Ground MD - Army 3 0019 Cmdr-Netherlands 54th Area Support Group - Army 3 0020 Combined Arms Command CPO Ft. Levenworth KS - Army 3 0021 Commander Anniston Army Depot Anniston AL - Army 3 0022 Commander US Army Yuma Proving Ground Yuma AZ - Army 3 0023 Corps of Engineers CEHR-ZA Washington DC - Army 3 0024 Corps of Engineers No. Cent. Div. Chicago IL - Army 3 0025 Corps of Engineers St. Paul MN - Army 3 0026 CPO Center So. Central Redstone Arsenal AL - Army 3 0027 CPO Center Pacific Fort Richardson AK - Army 3 0028 CPO Center Southeast Fort Benning GA - Army 3 0029 CPO Center North Central Rock Isl Arsenal IL - Army 3 0030 CPO Center Southwest Fort Riley KS - Army 3 0031 CPO Center Camp Henry Hdqtrs Korea - Army 3 0032 Defense Fin. Acct Service Indianapolis IN - Army 3 0033 Defense Language Inst Pres. of Monterey CA - Army 3 0034 Directorate of Civ. Personnel Ft Devens MA - Army 3 0035 Directorate of Civ. Per. Ft Leonard Wood MO - Army 3 0036 DLIFLC POM ATZP-CPR Pres. of Monterey CA - Army 3 0037 Engineer District Mobile AL - Army 3 0038 Engineer District HRO Little Rock AR - Army 3 0039 Engineer District Anchorage AK - Army 3 0040 Engineer District Jacksonville FL - Army 3 0041 Engineer District Savannah GA - Army 3 0042 Engineer District Rock Island IL - Army 3 0043 Engineer District Kansas City KS - Army 3 0044 Engineer District Louisville KY - Army 3 0045 Engineer District New Orleans LA - Army 3 0046 Engineer District Baltimore MD - Army 3 0047 Engineer District HRO Detroit MI - Army 3 0048 Engineer District HRO St. Louis MO - Army 3 0049 Engineer Division Huntsville AL - Army 3 0050 Engineer Div. So.Pacific Sacramento CA - Army 3 0051 Engineer Div. So. Atlantic Atlanta GA - Army 3 0052 Engineer Division Concord MA - Army 3 0053 Fitzsimons Army Medical Center Aurora CO - Army 3 0054 Forces Command CPO Ft McPherson GA - Army 3 0055 Ft. Carson 4th Infantry Div. Ft. Carson CO - Army 3 Index - 4 0001 0002 0003 0004 0005 0006 0007 0008 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 0056 Garrison Dir of CP Ft McPherson GA - Army 0057 Garrison - Panama Unit 7150 APO AA - Army 0058 Garrison CPO Ft Detrick Frederick MD - Army 0059 HQ USAREUR 7th Army Unit 29351 APO AE - Army 0060 HQ U.S. Army - Pacific Fort Shafter HI - Army 0061 HQ 17th Area Support Group Camp Zama Japan - Army 0062 HQ USAREUR 7TH ARMY Chieves Belgium - Army 0063 HQ USAREUR CPO Unit 29150 APO AE - Army 0064 HQ 1st Infantry Div. MECH Fort Riley KS - Army 0065 HQ Army Military Dist of Wash Jacksonville FL - Army 0066 HQ Army Military Dist of Wash Washington DC - Army 0067 HQ Army Research Lab HR Mgmt Div. Adelphi MD - Army 0068 HQ Army Reserve Command CPO Atlanta GA - Army 0069 HQ U.S. Army Garrison Ft. Meade MD - Army 0070 Infantry Ctr Dir of CP Ft Benning GA - Army 0071 Intelligence Ctr CPO Ft Huachuca AZ - Army 0072 Jefferson Proving Ground Madison IN - Army 0073 Joint Readiness Training Center Fort Polk LA - Army 0074 Lexington Bluegrass Army Depot Richmond KY - Army 0075 MTMC Western Area Oakland CA - Army 0076 Natick Research Dev. Eng. Center Natick MA - Army 0077 NTC Ft. Irwin Attn AFZJ-CP Ft. Irwin CA - Army 0078 Office of the Secy of the Army Washington DC - Army 0079 OPM SANG-Riyadh Saudi Arabia 61304 APO AE - Army 0080 Pine Bluff Arsenal - Pine Bluff AR - Army 0081 Reserve Personnel Ctr. St. Louis MO - Army 0082 Rock Island Arsenal CPO - Rock Island IL - Army 0083 Savannah Army Depot - Activity Savannah IL - Army 0084 Sierra Army Depot SDSSI-CP Herlong CA - Army 0085 Signal School CPO ATZH-CP Ft. Gordon GA - Army 0086 Stuttgart 6th Area Support Group APO AE - Army 0087 Support Activity - Aberdeen Proving Ground MD - Army 0088 Tank Automotive Command CPO Warren MI - Army 0089 Vicinza Civ. Per. Support Center APO AE - Army 0090 Walter Reed Army Med. Ctr HSHL-CP Wash. DC - Army 423 Department of the Navy Camp Lejeune Satelite Off-HRO-Camp Lejeune NC - Navy CHRO East Albany Sat Off Albany GA - Navy Commander Code 164 HRO NUWCDIV WA - Navy Costal Systems Station PC-80 Panama City FL - Navy European Reg. OCPM-EURR -PSC 8022 FPO AE - Navy Fleet and Industrial S.C 3231 San Diego CA - Navy Fleet and Industrial S.C 4221 San Diego CA - Navy Fleet and Industrial Supply Ctr Norfolk VA - Navy 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 Index - 5 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 0009 Great Lakes Ser. Ctr. HRO Great Lakes IL - Navy 3 0010 HRO Groton Code 00G18 UC Div. Groton CT - Navy 3 0011 Human Resources Ser Ctr NW Silverdale WA - Navy 3 0012 Human Resources SE 2179 Stennis Space MS - Navy 3 0013 Human Resources SE 2417 Stennis Space MS - Navy 3 0014 IIQs III Armored Corps FH CPO FT Hood TX - Navy 3 0015 Lemore NAS 2800 San Diego CA - Navy 3 0016 Marine Corps MPC-37 Washington DC - Navy 3 0017 Marine Corps Base HRO Okinawa FPO AP - Navy 3 0018 Marine Corps Air Station HRO 35404 FPO AP - Navy 3 0019 Marine Corps-DC S-Man Res- MPL 30 - Wash DC - Navy 3 0020 Marine Corps Civ. HRO-W Twentynine Palms CA - Navy 3 0021 Marine Corps Civ. HQ HRB Washington DC - Navy 3 0022 Military Sealift Command Virginia BH VA - Navy 3 0023 MCCHRO West POI 2023 Barstow CA - Navy 3 0024 Monterey Post Grad School SW San Diego CA - Navy 3 0025 NAVACTS HRO PSC 455 FPO AP - Navy 3 0026 NAVAIRWARCENWPNSDIV. China Lake CA - Navy 3 0027 NAVSEA 07 Vallejo CA - Navy 3 0028 NAVSEASYSCMD Yorktown VA - Navy 3 0029 NAVSTA HRO New Orleans LA - Navy 3 0030 NAWC Training Systems Division Orlando FL - Navy 3 0031 NAWCAD HRO Patuxent River MD - Navy 3 0032 NAWCAD Code 731400B150-1 Lakehurst NJ - Navy 3 0033 NCCOSC RDTE Div. Code 122 San Diego CA - Navy 3 0034 Naval Academy HRO Annapolis MD - Navy 3 0035 Naval Activities-United Kingdom-PSC 802 FPO AE- Navy 3 0036 Naval Air Station -N. Isl 3231 San Diego CA - Navy 3 0037 Naval Air Station Joint Res. Base-Ft Worth TX - Navy 3 0038 Naval Air Station HRO Jacksonville FL - Navy 3 0039 Naval Air Warfare Ctr COG Patuxent River MD - Navy 3 0040 Naval Aviation Depot CHRO-E Cherry Point NC - Navy 3 0041 Naval Const Batt Ctr- Pt Hueneme San Diego CA - Navy 3 0042 Naval Inventory Control Point Philadelphia PA - Navy 3 0043 Naval Hospital POI 3231 San Diego CA - Navy 3 0044 Naval Hospital POI 4221 San Diego CA - Navy 3 0045 Naval Intelligence Civ Per Off Washington DC - Navy 3 0046 Naval Ordnance Ctr- Seal Beach San Diego CA - Navy 3 0047 Naval Research Laboratory Washington DC - Navy 3 0048 Naval Sea Systems Command HRO Arlington VA - Navy 3 0049 Naval Shipyard Long Beach CA - Navy 3 0050 Naval Station HRO PSC 819 FPO AE - Navy 3 0051 Naval Station Roosevelt Rds- PSC 1008 FPO AA - Navy 3 0052 Naval Submarine Base-Bangor Silverdale CA - Navy 3 Index - 6 0001 0002 0003 0004 0005 0006 0007 0008 0009 0010 0011 0012 0013 0014 0015 0016 0017 0018 0019 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 0053 Naval Support Activity HRO PSC 817 FPO AE - Navy 3 0054 Naval Surface Warfare Ctr 3231 San Diego CA - Navy 3 0055 Naval Surface Warfare Ctr. Crane IN - Navy 3 0056 Naval Surface Warfare Ctr-HRO Bethesda MD - Navy 3 0057 Naval Surface Warfare Ctr-HRO Indian Head MD - Navy 3 0058 Naval Surface Warfare Ctr-P50 Dahlgren VA - Navy 3 0059 Naval Undersea Warfare Ctr Div Newport RI - Navy 3 0060 Navy Ship Parts Control Ctr Mechanicsburg PA - Navy 3 0061 Norfolk Naval Base HRO Norfolk Va - Navy 3 0062 Norfolk Naval Shipyard Portsmouth VA - Navy 3 0063 Office of Civ. Personnel Mgmt -Arlington VA - Navy 3 0064 OPCM - Pacific Region-Code 51 Honolulu HI - Navy 3 0065 Pearl Harbor Naval Shipyard HRO Pearl Harbor HI- Navy 3 0066 Portsmouth Naval Shipyard-HRO Indian Head MD - Navy 3 0067 Public Works Ctr N. Isl San Diego CA - Navy 3 0068 Public Works Ctr N. Isl Coronado San Diego CA- Navy 3 0069 Public Works Ctr HRO Code 42A Honolulu HI - Navy 3 0070 Puget Sound Naval Shipyard Bremerton WA - Navy 3 0071 S HRO Arlington Annex Washington DC - Navy 3 0072 Secretariat HQ - HRO Arlington VA - Navy 3 0073 SPAWAR POI 3231 HRO San Diego CA - Navy 3 0074 SPAWAR POI 4219 HRO San Diego CA - Navy 3 0075 Stennis Space Ctr SE HR Ctr. Mississippi - Navy 3 0076 U. S. Naval Base - HRO FPO AE - Navy 3 424 Department of the Air Force Appropriated Funds 11 MSS DPC CPO Bolling AFB Washington DC - Air Force 3 Academy MAJCOM Dir. HQ Colorado Springs CO - Air Force 3 Civilian Personnel Office Grissom AFB IN - Air Force 3 Civilian Personnel Office Andrews AFB MD - Air Force 3 Civilian Personnel Office Kirkland AFB NM - Air Force 3 Combat Command CPO 24MSS Howard AFB APO AA - Air Force 3 Combat Command CPO 65MSS Lajes Fld Unt APO AE - Air Force 3 Combat Command CPO 355MSS Davis-Monthan AFB AZ- Air Force 3 Combat Command CPO 9MSS Beale AFB CA - Air Force 3 Combat Command CPO 6MSS DPC ACC MacDill AFB FL- Air Force 3 Combat Command CPO 347MSS Moody AFB GA - Air Force 3 Combat Command CPO 366MSS Mountain Home AFB ID- Air Force 3 Combat Command CPO 2MSS Barksdale AFB LA - Air Force 3 Combat Command CPO 509MSS Whiteman AFB MO - Air Force 3 Combat Command CPO 55MSS Offutt AFB NE - Air Force 3 Combat Command CPO 554MSS Nellis AFB NV - Air Force 3 Combat Command CPO 27MSS Cannon AFB NM - Air Force 3 Combat Command CPO 49MSS MSC Holloman AFB NM - Air Force 3 Combat Command CPO 23MSS Pope AFB NC - Air Force 3 Index - 7 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 0020 Combat Command CPO 4MSS Seymour Johnson AFB NC- Air Force 3 0021 Combat Command CPO 5MSS DPC ACC Minot AFB ND - Air Force 3 0022 Combat Command CPO 28MSS Ellsworth AFB SD - Air Force 3 0023 Combat Command CPO 20MSS DPC ACC Shaw AFB SC - Air Force 3 0024 Educ Training Command 42MSS Maxwell AFB AL - Air Force 3 0025 Educ Training Command 56MSS Luke AFB AZ - Air Force 3 0026 Educ Trg Command 314MSS Little Rock AFB AR - Air Force 3 0027 Educ Training Command 325MSS Tyndall AFB FL- Air Force 3 0028 Educ Training Command 14MSS Columbus AFB MS- Air Force 3 0029 Educ Training Command 81MSS Keesler AFB MS - Air Force 3 0030 Educ Training Command 97MSS Altus AFB OK - Air Force 3 0031 Educ Training Command 71MSS Vance AFB OK - Air Force 3 0032 Europe CPO 31 MSS MSC USAFE Aviano APO AE - Air Force 3 0033 Europe CPO 425 ABS DPC USAFE Izmir APO AE - Air Force 3 0034 Europe CPO 3 AF DPC USAFE Mildenhall APO AE - Air Force 3 0035 Europe CPO 86 MSS DPC Ramstein AB GE APO AE - Air Force 3 0036 Europe CPO 39 MSS MSC Incirlik AB TU APO AE- Air Force 3 0037 Europe CPO 52 MSS Spangdahlem AB GE APO AE - Air Force 3 0038 Headquarters USAF DPC Pentagon Wash DC - Air Force 3 0039 MAJCOM Directors HQ USA FE DPC APO AE - Air Force 3 0040 MAJCOM Directors HQ AFSPC DPC Peterson AFB CO - Air Force 3 0041 MAJCOM Directors HQ 11 SPTW DPC Washington DC - Air Force 3 0042 MAJCOM Directors HQ AFRES DPC Robins AFB GA - Air Force 3 0043 MAJCOM Directors HQ PACAF Hickam AFB HI - Air Force 3 0044 MAJCOM Directors HQ AMC DPC Scott AFB IL - Air Force 3 0045 MAJCOM Dir HQ AFMC DPC Wright Patterson AFB OH- Air Force 3 0046 Materiel Command CPO 95MSS Edwards AFB CA - Air Force 3 0047 Materiel Command CPO 61MSS Los Angeles AFB CA - Air Force 3 0048 Materiel Command CPO 77SPTG McClellan AFB CA - Air Force 3 0049 Materiel Command CPO 96MSS Eglin AFB FL - Air Force 3 0050 Materiel Command CPO 78SPTG Robins AFB GA - Air Force 3 0051 Materiel Command CPO 66SPTG Hanscom AFB MA - Air Force 3 0052 Materiel Command 88SPTG-Wright-Patterson AFB OH- Air Force 3 0053 Materiel Command CPO OC-ALC Tinker AFB OK - Air Force 3 0054 Materiel Command CPO 656ABS Arnold AS TN - Air Force 3 0055 Materiel Command CPO CASC DPC Battlecreek MI - Air Force 3 0056 Mobility Command CPO 22MSS McConnell AFB KS - Air Force 3 0057 Mobility Command CPO 89MSS Andrews AFB MD - Air Force 3 0058 Mobility Command CPO 437MSS Charleston AFB SC - Air Force 3 0059 Mobility Command CPO 305MSS McGuire AFB NJ - Air Force 3 0060 Mobility Command CPO319MSS Grand Forks AFB ND - Air Force 3 0061 Mobility Command CPO 375MSS DPC Scott AFB IL - Air Force 3 0062 Mobility Command CPO 60MSS DPC Travis AFB CA - Air Force 3 0063 Mobility Command CPO 436MSS DPC Dover AFB DE - Air Force 3 Index - 8 0001 0002 0003 00040005 0006 0007 0008 0009 0010 0011 0012 0013 0014 0015 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 0064 National Guard 5USC CPO 102MSS DPC Milford MA- Air Force 3 0065 National Guard 5USC CPO 127FW-Selfridge ANGB MI- Air Force 3 0066 Onizuka Air Station 750MSS Sunnyvale CA - Air Force 3 0067 Pacific CPO 354MSS MSC Eielson AFB AK - Air Force 3 0068 Pacific CPO 3MSS DPC Elmendorf AFB AK - Air Force 3 0069 Pacific CPO 18MSS DPC Kadena AB JA APO AP - Air Force 3 0070 Pacific CPO 374MSS DPC Yokota AB JA APO AP - Air Force 3 0071 Pacific CPO 8MSS MSCK Kunsan AB KOR APO AP - Air Force 3 0072 Pacific CPO 36MSS MSC Andersen AFB GU APO AP - Air Force 3 0073 Pacific CPO 51MSS MSC Osan AB KOR APO AP - Air Force 3 0074 Pacific CPO 15MSS.DPC Hickam AFB HI - Air Force 3 0075 Pacific CPO 432MSS MSC Misawa AB JA APO AP - Air Force 3 0076 PALACE COMPASS-SCOTT AMCCPO DPCC Scott AFB IL - Air Force 3 0077 Reserve Command CPO 452SPTG DPC March AFB CA - Air Force 3 0078 Reserve CPO 482SPTG DPC AFRES Homestead AFB FL- Air Force 3 0079 Reserve CPO 94SUG DPC AFRES Dobbins ARB GA - Air Force 3 0080 Reserve 911SPTG-Pittsburgh IAP-ARS Coraopolis PA- Air Force 3 0081 Reserve CPO 939SPTG DPC AFRES Portland IAP OR - Air Force 3 0082 Reserve CPO 913Sptg DPC Willow Grove ARS PA - Air Force 3 0083 Reserve CPO 439SPTG DPC Westover AFB MA - Air Force 3 0084 Reserve CPO 926SPTG DPC New Orleans LA - Air Force 3 0085 Reserve CPO 934SPTG DPC St Paul MN - Air Force 3 0086 Reserve 910SPTG Yngstwn-Warren Aprt Vienna OH- Air Force 3 0087 Reserve CPO 914SPTG Niagra Falls IAP-ARS NY - Air Force 3 0088 Space Command CPO 341MSS DPC Malmstrom AFB MT - Air Force 3 0089 Space Command CPO 21MSS Peterson AFB CO - Air Force 3 0090 Space Command CPF 45MSS DPC Patrick AFB FL - Air Force 3 425 0001 Army-Central Payroll Office NAF Texarkana TX - Army 427 Department of the Air Force Non-Appropriated Funds Bergstrom Air Reserve Station 924FG Austin TX - Air Force 3 Combat Command NAF 7MSS MSC Dyess AFB TX - Air Force 3 Combat Command NAF 1MSS DPC Langley AFB VA - Air Force 3 Combat Command CPO NAF 92MSS Fairchild AFB WA - Air Force 3 Educ Trg Command NAF17MSS Goodfellow AFB TX - Air Force 3 Educ Trg Command NAF 37MSS Lackland AFB TX - Air Force 3 Educ Trg Command NAF 47MSS Laughlin AFB TX - Air Force 3 Educ Trg Command NAF 12MSS Randolph AFB TX - Air Force 3 Educ Trg Command NAF 82MSS Sheppard AFB TX - Air Force 3 Hdqtrs USAF AFCPMC DR NAF Randolph AFB TX - Air Force 3 Hdqtrs AFPC DPCM NAF Randolph AFB TX - Air Force 3 Intelligence Command NAF HQ AIA San Antonio TX- Air Force 3 Mobility Command NAF 62MSS MSC McChord AFB WA - Air Force 3 MAJCOM Directors NAF HQ AETC Randolph AFB TX - Air Force 3 MAJCOM Directors NAF Langley AFB VA - Air Force 3 Index - 9 3 0001 0002 0003 0004 0005 0006 0007 0008 0009 00100011 0012 0013 0014 0015 0016 0017 0018 0019 0020 0021 0022 0023 0024 0025 0026 0027 0028 0029 0030 0031 0032 0033 0034 0035 0036 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 0016 Materiel Command NAF HSC DPC Brooks AFB TX - Air Force 3 0017 Materiel Command NAF 76SPTG DPC Kelly AFB TX - Air Force 3 0018 Materiel Command NAF 75SPTG DPC Hill AFB UT - Air Force 3 0019 Reserve NAF301SPTG Ft Worth TX - Air Force 3 0020 Reserve CPO NAF440SPTG Milwaukee WI - Air Force 3 0021 Space Command NAF 90MSS Fran E. Warren AFB WY - Air Force 3 429 0001 Army Air Exchange Service Dallas TX - Army 430 Department of Justice Alternative Dispute Resolution Antitrust Division Associate Attorney General Attorney General Civil Division Civil Rights Division Community Oriented Policing Services Justice 1 Justice 1 Justice 1 Justice 1 Justice 1 Justice 1 Justice 1 Community Relations Service Court Services Offender Supervision for DC Criminal Division Justice Justice Justice 1 1 1 Drug Enforcement Administration Executive Office For Immigration Review Environment and Natural Resources Division Justice Justice Justice 1 1 1 Federal Prison System Foreign Claims Settlement Commission Immigration and Naturalization Service Independent Counsel RE Madison Justice Justice Justice Justice 1 1 1 1 Information and Privacy Intelligence Policy and Review Intergovernmental Affairs Inspector General Justice Programs Legal Counsel Legislative Affairs Management Division Marshals Service National Drug Intelligence Center Office of Professional Responsibility Justice 1 Justice 1 Justice 1 Justice 1 Justice 1 Justice 1 Justice 1 Justice 1 Justice 1 Justice 1 Justice 1 Pardon Attorney Parole Commission Justice Justice 1 1 Policy Development President s Crime Prevention Council Justice Justice 1 1 Professional Responsibility Advisory Office Public Affairs Justice Justice 1 1 Solicitor General Justice 1 Special Counsel Justice 1 Index - 10 3 0001 0002 0003 0004 0005 0006 0007 0008 0009 0010 0011 0001 0002 0003 0004 0005 0006 0007 0008 0009 0010 0011 0012 0013 0014 0015 00160017 0018 0019 0020 0021 0022 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 0037 Tax Division 0038 Trustee Program 0039 U.S. Trustees 0040 United States Attorneys 0041 USNCB - Interpol 431 0001 Federal Bureau of Investigation 432 0001 Drug Enforcement Agency 440 Department of the Interior Bureau of Indian Affairs Bureau of Land Management Bureau of Mines Bureau of Reclamation Minerals Management Services National Park Service Office of The Secretary Office of The Solicitor Office of Surface Mining U.S. Fish Wildlife Service U.S. Geological Survey 445 Department of Agriculture Agricultural Marketing Service Agricultural Research Service Animal And Plant Health Inspection Service Cooperative State Research Service Economic Analysis Staff Economics Management Staff Economic Research Service Farmers Home Administration Federal Crop Insurance Corporation Federal Grain Inspection Service Food and Nutrition Service Food Safety and Inspection Service Forest Service Natural Resources Conservation Service National Agricultural Statistical Service Office of EnergyOffice of Finance and Management Office of Personnel Office of Operations Packers and Stockyards Administration Soil Conservation Service World Agricultural Outlook Board 450 Department of Commerce 0001 Bureau of the Census Justice 1 Justice 1 Justice 1 Justice 1 Justice 1 Justice 3 Justice 3 Interior 1 Interior 1 Interior 1 Interior 1 Interior 1 Interior 1 Interior 1 Interior 1 Interior 1 Interior 1 Interior 1 Agriculture 1 Agriculture 1 Agriculture 1 Agriculture 1 Agriculture 1 Agriculture 1 Agriculture 1 Agriculture 1 Agriculture 1 Agriculture 1Agriculture 1 Agriculture 1 Agriculture 1 Agriculture 1 Agriculture 1 Agriculture 1 Agriculture 1 Agriculture 1 Agriculture 1 Agriculture 1 Agriculture 1 Agriculture 1 Commerce 1 Index - 11 0001 0002 0003 0004 0005 0006 0007 0001 0002 0003 0004 0005 0006 0007 0008 0009 0010 0011 0012 0013 0014 0015 0016 0017 0018 0019 0020 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 460 0002 0003 0004 0005 Bureau of Economic Analysis Bureau of Export Administration Economic Development Administration Economics and Statistics Administration Commerce Commerce Commerce Commerce 1 1 1 1 0006 International Trade Administration Commerce 1 0007 0008 0009 0010 Minority Business Development Agency Natl Institute of Standards and Technology National Oceanic Atmospheric Admin. National Technical Information Service Commerce Commerce Commerce Commerce 1 1 1 1 0011 National Telecommunications Info. Admin. Commerce 1 0012 Patent and Trademark Office Commerce 1 0013 0014 0015 0016 Office of the Inspector General Office of the Secretary Technology Administration Travel Tourism Administration Commerce Commerce Commerce Commerce 1 1 1 1 455 U.S. Department of Labor Atlanta GA Region Boston MA Region Chicago IL Region Dallas TX Region Philadelphia PA Region San Francisco CA Region Washington DC National Office Labor Labor Labor Labor Labor Labor Labor 3 3 3 3 3 3 3 Department of Health and Human Services DHHS ACF OA OHRM L Enfant Promenade SW Washington DC HHS 3 AHCPR Rockville MD HHS 3 Center for Disease Control HRMO Atlanta GA HHS 3 Food Drug Admin OHRMS San Francisco CA HHS 3 Food Drug Administration HQ Rockville MD HHS 3 Food Drug Admin NY Pers. Office New York NY HHS 3 Gillis W. Long Hansen Disease Carville LA HHS 3 HCFA Baltimore MD HHS 3 HRSA Fishers Lane Rockville MD HHS 3 Indian Health Services Anchorage AK HHS 3 Indian Health Personnel Office Window Rock AR HHS 3 Indian Health Services OHR Phoenix AZ HHS 3 Indian Health Services Tucson AZ HHS 3 Indian Health Services Albuquerque NM HHS 3 Indian Health Services Oklahoma City OK HHS 3 Indian Health Service PHS Portland OR HHS 3 Indian Health Services Billings MT HHS 3 Indian Health Services Aberdeen SD HHS 3 National Institute of Health CIT Bethesda MD HHS 3 National Institute of Health2 NCI Bethesda MD HHS 3 Index - 12 0001 0002 0003 0004 0005 0006 0007 0008 0009 0010 0011 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 0021 National Institute of Health2 NHLBI Bethesda MD HHS 3 0022 National Institute of Health NIMH Bethesda MD HHS 3 0023 National Institute of Health NIDDK OHRM Bethesda MD HHS 3 0024 National Institute of Health NICHDHRMB Bethesda MD HHS 3 0025 NCHS 6525 Belcrest Road Hyattsville MD HHS 3 0026 NIAID OHRM Rockville MD HHS 3 0027 NIEHS EC-II Research Triangle Park NC HHS 3 0028 NIOSH CDC Cincinnati OH HHS 3 0029 NIOSH Spokane Research Laboratory Spokane WA HHS 3 0030 NLM Bethesda MD HHS 3 0031 OD MSC 2215 31 Center Drive Bethesda MD HHS 3 0033 OHRMS Central RO Chicago Personnel Operation HHS 3 0034 PHS CA Area Office Bell Street Sacramento CA HHS 3 0035 POD OS 330 C St. SW Washington DC HHS 3 0036 PSC Fisher Lane Rockville MD HHS 3 0037 SAMHSA DPM POB Fisher Lane Rockville MD HHS 3 465 0001 Dept of Housing and Urban Development Chicago IL 3 466 0001 Department of Housing and Urban Development OIG 1 470 Department of Transportation Federal Aviation Administration Transportation 1 Federal Highways Administration Transportation 1 Federal Railroad Administration Transportation 1 Inspector General Transportation 1 Maritime Administration Transportation 1 Natl Highway Transportation Safety Admin. Transportation 1 Office of the Secretary Transportation 1 Research-Special Programs Administration Transportation 1 Transportation System Center Transportation 1 U.S. Coast Guard Transportation 1 Urban Mass Transportation Safety Admin. Transportation 1 475 0001 Department of Energy 3 0002 African Development Foundation 1 480 0001 Department of Education 1 502 0001 Action 3 503 0001 Administrative Conference of the U.S. 3 505 0001 Advisory Committee on Federal Pay 3 506 0001 U.S. Agency for International Development 3 507 0001 Advisory Council on Historic Preservation 3 508 0001 Alaska National Gas Transportation 3 509 0001 Appalachian Regional Commission 3 510 0001 American Battle Monuments Commission 3 511 0001 Board For International Broadcasting 3 512 0001 U.S. Arms Control Disarmament Agency 3 520 0001 Federal Reserve System 3 Index - 13 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 531 0001 Commission For the Purchase of Products From the Handicap 3 532 0001 Delaware River Basin Commission 3 535 0001 Office of Personnel Management 3 538 0001 Commission on Fine Arts 3 539 0001 U.S. Commission on Civil Rights 3 540 0001 Office of Government Ethics 3 541 0001 U.S. Consumer Product Safety Commission 3 543 0001 Commodity Futures Trading Commission 3 545 0001 Advisory Commission On Intergovernmental Relations 3 552 0001 Environmental Protection Agency 1 554 0001 Equal Employment Opportunity Commission 3 555 0001 Export-Import Bank 3 557 0001 Farm Credit Administration 3 558 0001 Farm Credit System Assistance Board 3 570 0001 Federal Communications Commission 3 572 0001 Federal Election Commission 3 574 0001 Federal Emergency Management Agency 1 575 0001 Federal Deposit Insurance Corporation 1 576 0001 Office of Thrift Supervision 3 577 0001 Federal Labor Relations Authority 1 578 0001 Federal Maritime Commission 3 579 0001 Federal Housing Finance Board 3 580 0001 Federal Mediation and Conciliation Service 3 583 0001 Federal Mine Safety Health Rev. Commission 3 584 0001 Federal Retirement Thrift Investment Board 3 590 0001 Federal Trade Commission 1 592 0001 Foreign Claims Settlement Commission 3 600 0001 General Services Administration 1 601 0001 Harry S. Truman Scholarship 1 602 0001 Japan-U.S. Friendship Commission 1 603 0001 U.S. Chemical Safety and Hazard Investigation Board 1 618 0001 Institute of Museum Services 3 619 0001 JFK Center For The Performing Arts 3 620 0001 U.S. Information Agency 3 621 0001 Inter-American Foundation 1 622 0001 International Boundary and Water Comm 3 623 0001 International Trade Commission 1 625 0001 Interstate Commerce Commission 1 0002 Surface Transportation Board Interstate Commerce 3 0003 St. Lawrence Seaway Dev. Corp. Interstate Commerce 3 626 0001 Interagency Council On the Homeless 3 627 0001 Marine Mammal Commission 3 628 0001 U.S. Merit Systems Protection Board 3 631 0001 National Aeronautics Space Administration 3 Index - 14 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 633 0001 National Archives Records Administration 1 634 0001 National Credit Union Administration 3 635 0001 National Commission for Employment Policy 3 640 0001 National Capital Planning Commission 3 642 0001 National Gallery Of Arts 3 645 0001 National Labor Relations Board 3 646 0001 National Endowment For the Arts 3 647 0001 National Endowment For the Humanities 3 650 0001 National Mediation Board 3 652 0001 National Railroad Adjustment Board 3 655 0001 National Science Foundation 3 656 0001 National Transportation Policy Study Commission 3 657 0001 Navajo Hopi Indian Relocation Commission 3 659 0001 Nuclear Regulatory Commission 3 660 0001 National Transportation Safety Board 3 661 0001 NUC Safety Oversight Committee 3 663 0001 Occupational Safety Health Review Commission 3 664 0001 Overseas Private Investment Corp. 1 665 0001 Panama Canal Commission 3 667 0001 Pension Benefit Guaranty Corporation 3 668 0001 Postal Rate Commission 3 670 0001 Railroad Retirement Board 3 677 0001 Peace Corps 3 678 0001 Pennsylvania Avenue Development Corporation 3 680 0001 President s Commission on Ethical Problems 3 682 0001 President s Commission on Pension Policy 3 683 0001 Railroad Accounting Principles Board 3 687 0001 Social Security Administration 1 690 0001 U.S. Securities and Exchange Commission 1 695 0001 Selective Service System 1 697 0001 Susquehanna River Basin Commission 3 700 0001 Small Business Administration 1 701 0001 United States Holocaust Memorial Museum 3 705 0001 Smithsonian Institution 3 710 0001 Soldiers and Airmen s Home 3 730 0001 Tennessee Valley Authority 3 732 0001 U.S. Postal Service St Paul MN 1 0002 U.S. Postal Service Washington DC 1 735 Department of Veterans Affairs 0001 Health Care Center 756 El Paso TX 3 0002 Medical Center 619 Montgomery AL 3 0003 Medical Center 644 Phoenix AZ 3 0004 Medical Center 649 Prescott AZ 3 0005 Medical Center 564 Fayetteville AR 3 Index - 15 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 0006 Medical Center 598 W. 7th Street Little Rock AR 3 0007 Medical Center 570 East Clinton Avenue Fresno CA 3 0008 Medical Center 599 Concord CA 3 0009 Medical Center 605 Loma Linda CA 3 0010 Medical Center 600 E. 7 th Street Long Beach CA 3 0011 Medical Center 691 Wilshire Blvd. Los Angeles CA 3 0012 Medical Center 640 Miranda Avenue Palo Alto CA 3 0013 Medical Center 664 La Jolla Village Dr. San Diego CA 3 0014 Medical Center 662 Clement Street San Francisco CA 3 0015 Medical Center 665 Plummer Street Sepulveda CA 3 0016 Medical Center 339 Denver CO 3 0017 Medical Center 554 Clemont Street Denver CO 3 0018 Medical Center 567 Fort Lyon CO 3 0019 Medical Center 575 Grand Junction CO 3 0020 Medical Center 627 Willard Avenue Newington CT 3 0021 Medical Center 689 Campbell Avenue West Haven CT 3 0022 Medical Center 688 Irving Street N.W Washington DC 3 0023 Medical Center 573 Archer Road Gainesville FL 3 0024 Medical Center 594 Lake City FL 3 0025 Medical Center 546 Northwest 16 th Street Miami FL 3 0026 Medical Center 673 Bruce B. Downs Blvd. Tampa FL 3 0027 Medical Center 548 N. Military Dr. W. Palm Beach FL 3 0028 Medical Center 557 1826 Veteran s Blvd. Dublin GA 3 0029 Medical Center 531 West Fort Street Boise ID 3 0030 Medical Center 535 East Huron Street Chicago IL 3 0031 Medical Center 537 So. Damen Avenue Chicago IL 3 0032 Medical Center 556 Green Bay Road North Chicago IL 3 0033 Medical Center 550 Danville IL 3 0034 Medical Center 578 Hines IL 3 0035 Medical Center 609 West Main Street Marion IL 3 0036 Medical Center 569 Fort Wayne IN 3 0037 Medical Center 583 West 10th Street Indianapolis IN 3 0038 Medical Center 610 Marion IN 3 0039 Medical Center 555 30th Euclid Avenue Des Moines IA 3 0040 Medical Center 584 Highway 6 West Iowa City IA 3 0041 Medical Center 592 W. Pleasant Street Knoxville IA 3 0042 Medical Center 696 Leavenworth KS 3 0043 Medical Center 677 Gaple Blvd Topeka KS 3 0044 Medical Center 596 Lexington KY 3 0045 Medical Center 603 Zorn Avenue Louisville KY 3 0046 Medical Center 629 Perdido Street New Orleans LA 3 0047 Medical Center 66 East Stoner Avenue Shreveport LA 3 0048 Medical Center 566 Fort Howard MD 3 0049 Medical Center 641 Perry Point MD 3 Index - 16 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 0050 Medical Center 325 Belmont Street Brockton MA 3 0051 Medical Center 631 Northampton MA 3 0052 Medical Center 553 John R Street Detroit MI 3 0053 Medical Center 585 Iron Mountain MI 3 0054 Medical Center 655 Weiss Street Saginaw MI 3 0055 Medical Center 618 Veterans Drive Minneapolis MN 3 0056 Medical Center 656 8th Street North St. Cloud MN 3 0057 Medical Center 586 East Woodrow Wilson Dr Jackson MS 3 0058 Medical Center 543 Hospital Drive Columbia MO 3 0059 Medical Center 589 Linwood Boulevard Kansas City MO 3 0060 Medical Center 647 Poplar Bluff MO 3 0061 Medical Center 657 Jefferson Barracks St. Louis MO 3 0062 Medical Center 617 Miles City MT 3 0063 Medical Center 574 Grand Island NE 3 0064 Medical Center 597 South 70th Street Lincoln NE 3 0065 Medical Center 636 Woolworth Avenue Omaha NE 3 0066 Medical Center 593 Vegas Drive Las Vegas NV 3 0067 Medical Center 654 Locust Street Reno NV 3 0068 Medical Center 608 Smyth Road Manchester NH 3 0069 Medical Center 561 East Orange NJ 3 0070 Medical Center 604 Knollcroft Road Lyons NJ 3 0071 Medical Center 526 West Kingsbridge Road Bronx NY 3 0072 Medical Center 527 Poly Place Brooklyn NY 3 0073 Medical Center 528 Bailey Avenue Buffalo NY 3 0074 Medical Center 532 Fort Hill Avenue Canandaigua NY 3 0075 Medical Center 533 Castlepoint NY 3 0076 Medical Center 620 P.O. Box 100 Rt 9A Montrose NY 3 0077 Medical Center 630 East 23rd Street New York NY 3 0078 Medical Center 632 Northport NY 3 0079 Medical Center 670 Irving Ave Univ. Pl. Syracuse NY 3 0080 Medical Center 637 Asheville NC 3 0081 Medical Center 558 Fulton Street Durham NC 3 0082 Medical Center 565 Ramsey Street Fayetteville NC 3 0083 Medical Center 659 Brenner Avenue Salisbury NC 3 0084 Medical Center 538 Chillicothe OH 3 0085 Medical Center 539 Vine Street Cincinnati OH 3 0086 Medical Center 541 East Blvd Cleveland OH 3 0087 Medical Center 552 West Third Street Dayton OH 3 0088 Medical Center 623 Honor Heights Drive Muskogee OK 3 0089 Medical Center 635 NE 13th Street Oklahoma City OK 3 0090 Medical Center 648 P.0. Box 1034 Portland OR 3 0091 Medical Center 653 Roseburg OR 3 0092 Medical Center 692 Crater Lake Highway White City OR 3 0093 Medical Center 529 Butler PA 3 Index - 17 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 0094 Medical Center 542 Coatesville PA 3 0095 Medical Center 562 East 38 th Street Erie PA 3 0096 Medical Center 595 Lebanon PA 3 0097 Medical Center 642 Univ. Woodland Aves. Phila. PA 3 0098 Medical Center 646 Highland Univ. Drive Pittsburgh PA 3 0099 Medical Center 693 East End Blvd Wilkes-Barre PA 3 0100 Medical Center 677 San Juan PR 3 0101 Medical Center 650 Providence RI 3 0102 Medical Center 534 Bee Street Charleston SC 3 0103 Medical Center 544 Garners Road Columbia SC 3 0104 Medical Center 558 Comanche Road Fort Meade SD 3 0105 Medical Center 579 Hot Springs SD 3 0106 Medical Center 614 Jefferson Avenue Memphis TN 3 0107 Medical Center 621 Johnson City Mountain Home TN 3 0108 Medical Center 622 Lebanon Road Murfreesboro TN 3 0109 Medical Center 626 24th Avenue South Nashville TN 3 0110 Medical Center 549 South Lancaster Road Dallas TX 3 0111 Medical Center 580 Holcombe Blvd Houston TX 3 0112 Medical Center 591 Memorial Blvd. Kerrville TX 3 0113 Medical Center 611 Marlin TX 3 0114 Medical Center 671 Merton Miriter Blvd San Antonio TX 3 0115 Medical Center 674 South 1 st Street Temple TX 3 0116 Medical Center 685 Memorial Drive Waco TX 3 0117 Medical Center 660 Foothill Blvd Salt Lake City UT 3 0118 Medical Center 590 Hampton VA 3 0119 Medical Center 652 Broad Rock Road Richmond VA 3 0120 Medical Center 658 Salem VA 3 0121 Medical Center 663 South Columbia Way Seattle WA 3 0122 Medical Center 668 Spokane WA 3 0123 Medical Center 687 Wainwright Drive Walla Walla WA 3 0124 Medical Center 540 Clarksburg WV 3 0125 Medical Center 581 Spring Valley Drive Huntington WV 3 0126 Medical Center 613 Martinsburg WV 3 0127 Medical Center 607 Overlook Terrace Madison WI 3 0128 Medical Center G95 West National Avenue Milwaukee WI 3 0129 Medical Center 676 Torriah WI 3 0130 Medical Center 666 Sheridan WY 3 0131 Northern CA Systems of Clinics 612 Pleasant Hill CA 3 0132 Outpatient Clinic 752 East Tenipic Los Angeles CA 3 0133 Outpatient Clinic 677 San Juan PR 3 0134 Outpatient Clinic 750 Causeway Street Boston MA 3 0135 Outpatient Clinic 757 Taylor Avenue Columbus OH 3 0136 Regional Office 322 Perry Hill Road Montgomery AL 3 0137 Regional Office 343 N. Central Avenue Phoenix AZ 3 Index - 18 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 0138 Regional Office 350 North Little Rock AR 3 0139 Regional 0ffice 344 11000 Wilshire Blvd LA CA 3 0140 Regional Office 343 1301 Clay Street Oakland CA 3 0141 Regional Office 359 1301 Clay Street Oakland CA 3 0142 Regional Office 339 P.O. Box 25126 Denver CO 3 0143 Regional Office 308 Main Street Hartford CT 3 0144 Regional Office 317 P.O. Box 1437 St. Petersburg FL 3 0145 Regional Office Peachtree Street NE Atlanta GA 3 0146 Regional Office 480 P.O. Box 50188 Honolulu HI 3 0147 Regional Office 347 West Franklin Street Boise ID 3 0148 Regional Office 329 PO Box 91336 Chicago IL 3 0149 Regional Office 326 N. Penn. St. Indianapolis IN 3 0150 Regional Office 333 Walnut Street Des Moines IA 3 0151 Regional Office 327 S. Third Street Louisville KY 3 0152 Regional Office 321 Loyola Avenue New Orleans LA 3 0153 Regional Office 313 31 Hopkins Plaza Baltimore MD 3 0154 Regional Office 301 Govt Center Boston MA 3 0155 Regional Office 329 Michigan Avenue Detroit MI 3 0156 Regional Office Fort Snelling St. Paul MN 3 0157 Regional Office 323 West Capitol Street Jackson MS 3 0158 Regional Office 131 N. Market Street St. Louis MO 3 0159 Regional Office 334 South 48 th Street Lincoln NE 3 0160 Regional Office 054 Terminal Way Reno NV 3 0161 Regional Office 373 Chestnut Manchester NH 3 0162 Regional Office 309 Washington Place Newark NJ 3 0163 Regional Office 340 Gold Avenue S.W. Albuquerque NM 3 0164 Regional Office 307 West Huron Street Buffalo NY 3 0165 Regional Office 306 Houston Street New York NY 3 0166 Regional Office 319 N. Main St. Winston-Salem NC 3 0167 Regional Office 325 East Ninth Street Cleveland OH 3 0168 Regional Office 351 South Main Street Muskogee OK 3 0169 Regional Office S.W. Third Avenue Portland OR 3 0170 Regional Office 310 Wissahickon Ave. Philadelphia PA 3 0171 Regional Office 311 Liberty Avenue Pittsburgh PA 3 0172 Regional Office 355 GPO Box 364867 San Juan PR 3 0173 Regional Office Westminister Mall Providence RI 3 0174 Regional Office 311 Assembly Street Columbia SC 3 0175 Regional Office 320 Ninth Avenue South Nashville TN 3 0176 Regional 0ffice 349 N. Valley Mills Drive Waco TX 3 0177 Regional Office 341 S. State St. Salt Lake City UT 3 0178 Regional Office 314 Franklin Road S.W. Roanoke VA 3 0179 Regional Office 346 2nd Avenue Seattle WA 3 0180 Regional Office 315 4th Avenue Huntington WV 3 0181 Regional Office P.O. Box 6 Milwaukee WI 3 Index - 19 0001 0002 0003 0004 0005 0006 0007 0008 0009 0010 0011 0012 0013 0014 0015 0016 0017 0018 0019 0020 0021 0022 0023 0024 0025 0026 0027 0028 0029 0030 0031 0032 0033 0034 0035 0036 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 801 0001 Department of Army NAF DFAS IN UCX 3 802 0001 Department of Navy NAF 3 803 0001 Department of Air Force NAF HQ AFPC DPPTU 3 804 0001 U.S. Marine Corps NAF DFAS-KC 3 805 0001 U.S. Coast Guard NAF Coast Guard Pers. Command 3 806 0001 National Oceanic and Atmospheric Administration 1 807 0001 Navy Exchange Service Navy 3 808 DEPARTMENT OF NAVY NAF - MORALE WELFARE RECREATION Administrative Unit S.W Asia Bahrain FPO AE Navy 3 Administrative Unit Scotia NY Navy 3 Air Engineering Station Lakehurst NJ Navy 3 Air Facility Atsugi Japan FPO AP Navy 3 Air Facility Building 318 Code 60 El Centro CA Navy 3 Air Station Sigonella Italy FPO AE Navy 3 Air Station Keflavik FPO AP Navy 3 Air Station ADAK PSC 486 Box 1219 FPO AP Navy 3 Air Station N. Island PO Box 357083 San Diego CA Navy 3 Air Station Cecil Field FL Navy 3 Air Station Jacksonville FL Navy 3 Air Station Key West FL Navy 3 Air Station Milton FL Navy 3 Air Station Atlanta Marietta GA Navy 3 Air Station Brunswick ME Navy 3 Air Station-Patuxent Annapolis MD Navy 3 Air Station Meridian MS Navy 3 Air Station Fallon NV Navy 3 Air Station Joint Reserve Willow Grove PA Navy 3 Air Station Corpus Christi TX Navy 3 Air Station Fort Worth TX Navy 3 Air Station Kingville TX Navy 3 Air Station Oceana Virginia Beach VA Navy 3 Air Weapons Station Building 21 China Lake CA Navy 3 Air Weapons Station 521 9 th Street Point Mugu CA Navy 3 Air Weapons Station P.O. Box 6169 Ridgecrest CA Navy 3 Amphibious Base Little Creek Norfolk VA Navy 3 Antarctic Support Unit Christchurch FPO AP Navy 3 Armed Forces Staff College Norfolk VA Navy 3 Coastal Systems Station Panama City FL Navy 3 Communications Station Stockton CA Navy 3 Computers Tele Area Station Guam FPO AP Navy 3 Computers Tele Command MA Ave Washington DC Navy 3 Computers Tele Station Cutler ME Navy 3 Construction Battalion Center Port Hueneme CA Navy 3 Construction Battalion Center Gulfport MS Navy 3 Index - 20 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 0037 Education and Training Pensacola FL Navy 3 0038 Education and Training Newport RI Navy 3 0039 Fleet Activities China FPO AP Navy 3 0040 Fleet Activities Okinawa Japan FPO AP Navy 3 0041 Fleet Activities Sasebo FPO AP Navy 3 0042 Fleet Activities Yokosuka FPO AP Navy 3 0043 Fleet Industrial Supply Exec. Way Oakland CA Navy 3 0044 Fleet Industrial Supply Williamsburg VA Navy 3 0045 Hospital Guam FPO AP Navy 3 0046 Inventory Control Point Mechanicsburg PA Navy 3 0047 Joint Maritime Facility St Mawgan FPO AE Navy 3 0048 Joint Military Affairs Group Korea FPO AP Navy 3 0049 Joint Services Activity New Sanno FPO AP Navy 3 0050 Marine Corp Barracks 8 th I Sts. Washington DC Navy 3 0051 Medical Center Code BEA Building 26 San Diego CA Navy 3 0052 Medical Center Bethesda MD Navy 3 0053 Medical Center Portsmouth VA Navy 3 0054 MWR Department Comnavact UK FPO AE Navy 3 0055 MWR Department NSA Gaeta FPO AE Navy 3 0056 MWR Department Naval Forces Korea FPO AP Navy 3 0057 MWR Department US Forces Marianas FPO AP Navy 3 0058 MWR Department Building 950 Code 90 Lemoore CA Navy 3 0059 MWR Department Regulus Ave Virginia Beach VA Navy 3 0060 NCTAMS EASTPAC Wahiawa HI Navy 3 0061 Naval District Washington Anacostia Washington DC Navy 3 0062 Naval Forces Europe FPO AE Navy 3 0063 Naval Magazine Lualualei Waianae HI Navy 3 0064 Naval Station Roosevelt Roads FPO AA Navy 3 0065 Naval Station Guantanamo Bay Cuba FPO AE Navy 3 0066 Naval Station Rota Spain FPO AP Navy 3 0067 Naval Station Recreation Way San Diego CA Navy 3 0068 Naval Station Mayport FL Navy 3 0069 Naval Station Pearl Harbor HI Navy 3 0070 Naval Station Annapolis MD Navy 3 0071 Naval Station Pascagoula MS Navy 3 0072 Naval Station Ingleside TX Navy 3 0073 Naval Station Norfolk VA Navy 3 0074 Office of Naval Intelligence Suitland Rd Wash DC Navy 3 0075 Ordnance Test Unit Cape Canaveral FL Navy 3 0076 Pacific Missile Range Facility Kekaha HI Navy 3 0077 Recreation Center Solomons MD Navy 3 0078 Regional Contracting Center FPO AP Navy 3 0079 Research Lab Rec Club Overlook Ave Washington DC Navy 3 0080 Security Group Activity Edzell FPO AE Navy 3 Index - 21 Attachment II to UIPL 47-01 Directory of Federal Agencies - Index 0081 Security Group Activity Sabana Seca FPO AP Navy 3 0082 Security Group Activity Winter Harbor ME Navy 3 0083 Security Group Activity Chesapeake Va Navy 3 0084 Security Group Activity Suger Grove WV Navy 3 0085 Security Station Nebraska Ave Washington DC Navy 3 0086 Shipyard Portsmouth NH Navy 3 0087 Shipyard Norfolk Portsmouth VA Navy 3 0088 Submarine Base New London Groton CT Navy 3 0089 Submarine Base Kings Bay GA Navy 3 0090 Supply Corps School Athens GA Navy 3 0091 Support Activity Souda Bay Crete Greece FPO AP Navy 3 0092 Support Activity Code 45 NSAMB Monterey CA Navy 3 0093 Support Activity Naples Italy FPO AE Navy 3 0094 Support Activity New Orleans LA Navy 3 0095 Support Activity Memphis Millington TN Navy 3 0096 Support Facility Diego Garcia FPO AE Navy 3 0097 Support Facility Kami Seya Japan FPO AP Navy 3 0098 Support Facility Pascagoula MS Navy 3 0099 Support Office La Maddalena Italy FPO AE Navy 3 0100 Surface Warfare Ctr Crane IN Navy 3 0101 Surface Warfare Indian Head MD Navy 3 0102 Surface Warfare Dahlgren VA Navy 3 0103 Tech Training Center Pensacola FL Navy 3 0104 Training Center Great Lakes IL Navy 3 0105 Undersea Warfare Center Keyport WA Navy 3 0106 Weapons Station 10 Delta Street Concord CA Navy 3 0107 Weapons Station 800 Seal Beach Blvd Seal Beach CA Navy 3 0108 Weapons Station Earle Colts Neck NJ Navy 3 0109 Weapons Station Charleston Goose Creek SC Navy 3 0110 Weapons Station Lackey VA Navy 3 0111 Weapons Station Yorktown VA Navy 3 809 0001 U.S. Marine Corps 3 811 0001 U. S. Coast Guard - Non-Appropriated Fund 3 902 0001 Central Intelligence Agency 3 910 0001 Bureau of Census 1 911 0001 Presidio Trust 1 1 Delivery Indicator 1 Electronic Request for Wage and Separation Information 2 Electronic Request for Wage Information and MailRequest for Separation Information 3 Mail Request for Wage ands Separation Information Index - 22