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New-hire directory cross-matches for UI payment integrity

Summary ETA issued enhanced procedures for states to cross-match unemployment claims against the national and state directories of new hires. The attached procedures address how to act on matches to detect claimants who returned to work and prevent improper payments. State UI integrity and Benefit Accuracy Measurement staff were the intended readers.
Document
Federal guidance
Agency
U.S. Department of Labor, Employment and Training Administration (ETA)
Document number
UIPL No. 13-19
Date issued
June 7, 2019
Status
Active
ETA’s listing marks this letter Active, and its accessible PDF prints “Rescissions: None” and “Expiration Date: Continuing.”
Status last verified October 24, 2026

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About this page: The full text below is the official document from U.S. Department of Labor, Employment and Training Administration (ETA). Ezel adds the plain-English summary and tracks the document's status. The official source linked on this page is authoritative for any reliance.
CLASSIFICATION
   EMPLOYMENT AND TRAINING ADMINISTRATION                UI
               ADVISORY SYSTEM                           CORRESPONDENCE SYMBOL
          U.S. DEPARTMENT OF LABOR                       OUI/DPM
             Washington, D.C. 20210                      DATE
                                                         June 7, 2019

ADVISORY:       UNEMPLOYMENT INSURANCE PROGRAM LETTER NO. 13-19

TO:              STATE WORKFORCE AGENCIES

FROM:           MOLLY E. CONWAY /s/
                Acting Assistant Secretary

SUBJECT:        National Directory of New Hires (NDNH) and State Directory of New Hires
                (SDNH) Guidance and Best Practices

1. Purpose. To issue enhanced Recommended Operating Procedures (ROPs) for NDNH and
   SDNH Cross-Matching Activity, that expand upon ROPs previously attached to
   Unemployment Insurance Program Letter (UIPL) No. 19-11, National Effort to Reduce
   Improper Payments in the Unemployment Insurance (UI) Program, by providing additional
   guidance and updated best practices on the use of New Hires tools.

2. Action Requested. State Unemployment Insurance (UI) agency administrators are requested
   to provide the information in this UIPL and its attachment to UI staff and other appropriate
   staff involved in New Hires operations and are advised to: 1) replace the ROPs attached to
   UIPL No. 19-11 with the ROPs attached to this UIPL; 2) immediately apply the enhanced
   guidance provided in this UIPL and the attached ROPs to improve New Hires cross-match
   operations; and 3) use technical assistance opportunities offered by the UI Integrity Center
   (https://integrity.naswa.org/contact-us) to institute recommended New Hires practices.

3. Summary and Background.

   a. Summary — This UIPL provides enhanced and updated ROPs that focus on targeted
      issues associated with New Hires operations that impede New Hires processes and
      outcomes in reducing UI improper payments.

   b. Background — The UI program has been out of compliance with the Improper Payment
      Elimination and Recovery Act (IPERA) of 2010, reporting an improper payment rate that
      exceeds 10 percent. This designation triggers additional oversight by Congress, the
      Office of Management and Budget (OMB), and the Office of the Inspector General
      (OIG). For the 2018 annual reporting period, the U.S. Department of Labor (Department)
      reported an estimated improper payment rate of 13.05 percent for the UI program. The
      Department is committed to bringing the UI program into compliance and has called on
      all states in this effort to reduce UI improper payments to achieve that goal.

 RESCISSIONS                                            EXPIRATION DATE
 None                                                   Continuing

       The Department has partnered with states to implement a wide array of national integrity
       strategies and to develop tools and share best practices to prevent improper payments and
       reduce the improper payment rate. The Department expects states to continue
       implementing integrity strategies that focus on targeting the leading root causes of
       improper payments, including payments to individuals who continue to claim benefits
       after they have returned to work and either fail to report or underreport their earnings,
       which result in Benefit Year Earnings (BYE) errors.

       Overpayments resulting from BYE errors were the second leading cause of improper UI
       benefit payments in 2018. The Strategic Plan for Reducing the Improper Payment Rate,
       discussed in UIPL No. 19-11, explains that the strategy of cross-matching with the
       NDNH and SDNH, followed by immediate contact with the claimant and employer when
       there is a match, is considered one of the most effective improper payment detection
       strategies for addressing BYE errors.

       In 2017, the OIG conducted an audit to verify the effectiveness of the NDNH cross-match
       by states. The OIG issued its audit report on September 27, 2018, Improved Oversight of
       States’ Use of New Hire Tools Would Help Reduce Improper Payments,
       https://www.oig.dol.gov/cgi-bin/oa_rpts-v4.cgi?s=&y=2018&a=all. The OIG cited
       weaknesses in New Hires cross-match operations and concluded that states were
       underutilizing New Hires cross-matches.

       The ROPs attached to UIPL No. 19-11 outlined best practices to detect and prevent
       improper payments using NDNH and SDNH cross-matches for the Benefit Accuracy
       Measurement (BAM) program which is used to estimate the UI improper payment rate
       and state UI Benefit Payment Control (BPC) programs, which are responsible for
       preventing, detecting, and recovering improper payments and detecting and prosecuting
       fraud.

4. New Hires Directories. UIPL No. 3-07, Change 1 Use of National Directory of New Hires
   (NDNH) in Unemployment Insurance (UI) Benefit Accuracy Measurement (BAM) Audits,
   mandated the use of NDNH for the BAM program beginning the week of December 30,
   2007, and UIPL No. 19-11, mandated the use of NDNH for BPC related work performed by
   BPC or other staff by December 11, 2011.

   To strengthen the efficacy of New Hires cross-matches, the Department strongly encourages
   states to implement processes and best practices included in this UIPL and the attached
   enhanced ROPs. We particularly encourage states to utilize the SDNH in addition to the
   NDNH for BPC programs, given that SDNH data is more current and enables states to detect
   BYE errors more quickly, thus preventing improper payments.

      State Directory of New Hires (SDNH)
       It is important for states to understand the advantages of cross-matching against both the
       NDNH and the SDNH. Since the SDNH is the state’s internal data source, there is no
       limit on the frequency for states to perform this cross-matching. SDNH cross-matching

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       can be conducted daily and on any day of the week, while NDNH cross-matching occurs
       only once a week. Daily SDNH cross-matching has the potential to prevent or reduce
       overpayments by one week or more.

       The SDNH database is dynamic. Cross-match information is available shortly after new
       or updated information is entered into the SDNH database. Employer-reported New
       Hires W-4 information (Internal Revenue Service Form W-4 information regarding
       recently hired individuals) will be available in the SDNH for cross-matching five or more
       days before it is available in the NDNH. The SDNH database may also contain additional
       data elements not found in the NDNH database that could expedite investigations, such as
       the employer’s phone number or the employer’s email address. States can use this
       information to contact the employer when conducting NDNH investigations. Given these
       beneficial aspects, states are strongly encouraged to cross-match with their state SDNH
       on a daily basis.

      National Directory of New Hires (NDNH)
       The NDNH cross-match has essential improper payment detection characteristics. Multi-
       state employers (employers that have businesses in more than one state) may report New
       Hires W-4 information to any one of the states where their business is located, rather than
       in the specific state where the individual was hired. Further, multi-state employers may
       elect to report New Hires information to only one state, rather than in all states where
       their businesses are located. Since multi-state employers have these reporting options,
       the state where the individual was hired may not have the New Hires W-4 information in
       their SDNH if the employer is reporting in a different state. NDNH provides states access
       to multi-state employer New Hires information that was reported in any and all states.
       Additionally, NDNH contains New Hires information submitted by all states. If a
       claimant in one state goes to work in another state, this information should be available
       through an NDNH cross-match. Finally, NDNH also provides information on Federal
       employees because the Federal government reports new hires directly to NDNH.

5. Availability, Accessibility, and Quality of New Hires Data.

   A. Employer Compliance with New Hires Data Reporting.

       Employers are required to submit New Hires data to the SDNH by a deadline that each
       state designates. The Department of Health and Human Services’ Office of Child
       Support Enforcement (HHS-OCSE) is the Federal agency that manages the NDNH.
       Quarterly reports that are provided to states by HHS-OCSE contain information about
       employers that may not have reported new hires. States are strongly encouraged to
       review these reports and to remind those employers that appear to be noncompliant of the
       requirement to report new hires. In notifying employers of this requirement, states are
       encouraged to also include information on how to correctly report New Hires data and its
       value in preventing UI improper payments, which helps keep UI employer taxes low.

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       Additionally, state UI agencies are encouraged to collaborate with the agency in their
       state responsible for the New Hires directories to promote greater employer compliance,
       such as having laws or regulations in place to impose monetary or nonmonetary penalties
       on employers for failure to report new hires and ensuring enforcement of those penalties.
       The Department’s data demonstrate that states that more actively promote and enforce
       employer compliance with New Hires reporting have more complete and accurate New
       Hires data and, as a result, have lower BYE overpayment rates.

   B. Data Quality.

       States designate various agencies to oversee the SDNH including receiving employer
       New Hires W-4 data and sending it to the NDNH. These agencies include child support
       agencies, state workforce agencies (SWAs) (i.e., the state UI agency), state revenue
       departments, and any other agency a state may choose to send and receive this data.
       Employers and the designated state agency managing the SDNH must follow specific
       data submission guidelines and reporting requirements to submit New Hires W-4 records
       successfully to the SDNH and to the NDNH. In some cases, employers and state agencies
       managing the SDNH are failing to adhere to these requirements. The resulting data errors
       can affect the availability of and access to NDNH data for cross-matching. Each
       submitting state agency receives a notification report with information about the data
       supplied, such as the total number of records the NDNH received and processed, and any
       data errors. These reports can help states identify and resolve data quality issues.

       Another source of data quality issues is state UI agencies not meeting specific data
       requirements when requesting an NDNH cross-match. State UI agencies must follow the
       guidelines provided for record layout specifications; otherwise, data submission errors
       may occur. If data submission errors occur, they should be corrected and the records
       resubmitted for cross-matching, to ensure access to all available NDNH information. See
       Sections 4.1 through 4.3 (Employer Input Records, State Input Records, and NDNH
       Output Records) of the attached ROPs for guidance on submitting data.

       State UI agencies should coordinate with the state agency managing the SDNH to develop
       initiatives to conduct employer outreach, provide technical assistance to employers, and
       address issues relating to data preparation or processing that might impact data
       submission (including the timeliness of submissions to the NDNH) or data reporting
       accuracy. If the state UI agency manages the SDNH, it should conduct these actions.

6. Enhanced ROPs. The Department identified several practices at various stages in the New
   Hires process that maximize the value of the New Hires information and potentially reduce
   the number of successive improper payments over the course of a claim. The enhanced ROPs
   being provided with this UIPL expand upon the ROPs originally issued on June 10, 2011, as
   an attachment to UIPL No. 19-11, highlight these practices, and provide guidance and
   instruction about their use. States should use these enhanced ROPs to assess their current
   New Hires procedures; to improve their New Hires detection performance; and to prevent
   more UI improper payments. State UI agencies needing to reduce BYE errors are strongly

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encouraged to include the implementation of these enhanced ROPs as part of the Integrity
Action Plan submitted as part of their State Quality Service Plan.

A. New Strategies to Maximize New Hires Cross-Match Outcomes to Bring Down the UI
   Improper Payment Rate:
    Establishing Date Parameters to Target NDNH Claimant Populations for Cross -
      matching — As states prepare to cross-match against the NDNH, they should take
      steps to determine which UI benefit records should be selected to request NDNH data,
      by parsing claimant data using specific date parameters. Date parameters allow states
      to designate specific periods to compare UI benefits weeks to a reasonable period
      when the employer may have submitted W-4 information. The Department
      recommends states use date parameters to match BPC records against New Hires files
      that are 40 days old to compare the most comprehensive data. By requesting a match
      of BPC records against New Hires records that extend 40 days prior to the date of the
      match, states can optimize the management of BPC New Hires workloads. The 40-
      day period was established by taking into account the timeframes permitted for
      employers, Federal agencies, the SDNH and the NDNH to report information that
      ultimately populates the NDNH. See Section 4.7 (Understanding New Hires
      Timeframes) in the attached ROPs. These permitted timeframes isolate the date of
      hire and provides a reasonable period within which “hits" (when there is a date of hire
      during the same period as UI benefit payments) will potentially occur and are more
      likely to be detected. States that set date parameters that extend further, such as 60
      days prior or starting from the benefit year beginning date (as is required for BAM)
      for BPC, may find that this is a factor that contributes to backlogs and delays in
      processing New Hires cases, by generating additional and unnecessary workload.
      States should consider the 40-day period as a starting point for matching new claims.
      If a claimant received UI benefits and was hired during the 40-day or 6-week period
      (the first 6 weeks for the claim), there would be a “hit” when compared against the
      NDNH database. Using a date parameter that extends further back would be
      unnecessary, and as long as the claimant is receiving UI benefits and a date of hire has
      not been identified, the state may continue to include the claimant record in the group
      of records sent to NDNH for cross-matching.

      Using a Case Management System to Prioritize Cross-Match Results — Once the
       population of selected records is sent to the NDNH, workload “hits” are returned to
       the state. The “hits” identify claimants who are potentially working and receiving UI
       benefits. An automated case management system can help states manage and
       organize cross-match workloads by using data analytics to prioritize “hits.” In
       addition to setting the priority of “hits,” a case management system may have other
       features that improve the efficiency of the cross-match process including comparing
       “hit” information with benefit claim information and electronically generating
       documents for outreach with claimants and employers. To achieve better outcomes
       on “hits,” case management systems allow states to set parameters that can prioritize
       “hits” to escalate prevention and detection of overpayments with a greater impact,
       such as those with large dollar amounts or involving an excessive number of weeks.

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    Another valuable feature in some case management systems used to support state
    integrity activities is the identification of duplicate records. Duplication occurs when
    New Hires comparisons result in multiple hits that contain the same characteristics.
    Section 4.5 (Using Parameters for Workload Management) in the attached ROPs
    contains additional guidance on the detection of duplicate records.

   Using the SIDES Earnings Verification to Independently Verify Cross-Match Results
    — States should make efforts to independently verify New Hires information with
    claimants and employers. For the employer, states request an earnings verification to
    obtain specific information on days worked and dollars earned. Some states use
    electronic systems to allow employers to respond to earnings verification requests.
    Electronic systems, such as the State Information Data Exchange System (SIDES)
    Earnings Verification module, provide employers the ability to respond
    instantaneously and in a standardized format where employers can apply wage
    information in a configuration necessary to compute the overpayment amount. States
    are encouraged to have a program/system that upon receipt will automatically
    compare weekly earning amounts reported by the claimant with the earnings
    information reported by the employer. This comparison and the list of potential
    weeks affected by potential overpayments or underpayments should be generated and
    stored electronically in the claimant’s case file. The BPC staff can use this
    information to determine whether an issue exists and conduct further investigation as
    needed.

    The Department recommends that states implement the SIDES Earnings Verification
    module to enhance employer information and to augment New Hires cross-match
    investigations. The SIDES Earnings Verification module is managed by the National
    Association of State Workforce Agencies (NASWA). The SIDES NASWA team is
    available to assist with implementation and technical assistance,
    http://www.itsc.org/Pages/sidescontact.aspx.

   Using the Continued Claims Process to Independently Verify Cross-Match Results —
    To bolster states efforts to independently verify New Hires information with the
    claimant, the Department recommends integrating identified New Hires “hits” with
    the continued claims process. This practice can be effective in improving the
    prevention and detection of improper payment outcomes. While claimants are in
    continued claims status, they certify their eligibility for UI benefits. If a claimant is
    the subject of a New Hires “hit,” the date of hire reported by the employer, employer
    name, address and account number are automatically added to the individual's claim.
    When the claimant contacts the agency’s Interactive Voice Response (IVR) system or
    files on-line to attempt to certify, a questionnaire is generated. The claimant must
    complete the questionnaire prior to certification. Once completed, the claimant may
    receive payment and continue to certify for future weeks while the agency concludes
    its investigation. This practice helps address nonresponsive claimants by allowing
    staff to obtain information prior to claimants certifying to receive additional weeks of
    benefits. This practice is most effective when applied to the next continued claim

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      certification that is due immediately following a New Hires “hit.” To achieve this, the
      state must establish automated business processes for handling continued claim filing
      exceptions related to New Hires “hits.” Additionally, the UI agency should document
      the claimant’s case to indicate that wage information was obtained, and they should
      identify and address any other issues such as a separation or suitable work. Staff
      and/or the system should also promptly establish any improper payments or remove
      any barriers that were applied to the continued claim process and release any
      payments due.

B. Recommended Practices for Immediate Notification, Timely Determinations, and
   Investigation Follow-up.
   The most important thing that states can do to prevent improper payments related to BYE
   errors is to take immediate steps when there is a New Hires cross-match “hit” to ensure
   that the claimant is made aware that the state UI agency has received information
   indicating that (s)he has returned to work and/or has earnings, and for the state to
   commence fact-finding and to adjudicate the issue as quickly as possible. As in the case
   with the ROPs issued in 2011, attached to UIPL No. 19-11, the enhanced ROPs provided
   with this UIPL instruct states to immediately contact (no later than the next business day)
   claimants and employers once a New Hires cross-match “hit” is flagged for investigation.
   When data identifying a cross-match “hit” is received states should immediately send a
   letter/notice to the claimant and employer identified by the match and provide a deadline
   for all parties to respond to the cross-match investigation. ETA continues to encourage
   states to adopt these processes.

   The notices the state sends to the claimants and to the employers who are identified by the
   cross-match results should communicate the relevant claimant and employer
   responsibilities. The notice should instruct claimants to report or respond and provide
   information by a specific deadline date, and the notice to the employer should clearly
   indicate the earnings verification information to be provided by a specific deadline date.
   A party’s failure to timely respond and to provide the needed information hinders the
   state’s ability to complete an overpayment determination at the earliest point possible.
   Therefore, it is important to provide clear instructions and specific deadlines.

   If the claimant fails to respond to the notice within the allowed response time, then the
   BPC unit must treat the failure to report in accordance with state law or policy. State law
   or policy may provide for an open or indefinite denial period or a closed denial period for
   the failure to report and/or failure to provide information when directed. If the state law
   or policy allows for such a determination then it must be applied. The reporting issue is a
   separate determination from the question of earnings and any denial based on reporting
   may not begin any sooner than the week in which the claimant failed to report or provide
   information. Therefore, after the claimant has been given an opportunity to respond, the
   reporting requirement issue may be used to stop payment of benefits for failure to report
   or failure to contact the agency for any week until such time that the individual reports or
   contacts the agency as directed. The Department reminds states that the failure to report
   is not sufficient to make a finding on whether or not any prior weeks of benefits were

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improperly paid. The state is required to make a separate determination based on the
facts to determine whether an overpayment has occurred (UIPL No. 01-16, Change 1,
Q&A #10). Establishing a reporting requirements issue and completing a failure to
report/provide information determination are critical steps in New Hires cross-match
operations to control investigations and ensure payment when due.

In New Hires cross-match investigations, it is essential that sufficient information is
obtained and quickly followed by the immediate completion of a determination.
Although the notice serves as an attempt to obtain information, the Department
recognizes that not all claimants and employers respond to the notice and that this failure
to respond can result in lapses in relevant information. The Department reminds states
that “[i]t is the responsibility of the agency to take the initiative in the discovery of
information. This responsibility may not be passed on to the claimant or the employer”
(Employment Security Manual (ESM), Section 6012, Criteria for Review of State Law
Conformity with Federal Requirements, A. 1.). Because it is the responsibility of the
state unemployment compensation (UC) agency to take the initiative to obtain
information regarding an individual’s claim, independent verification of the information
that is the basis of the overpayment, such as an individual’s return to work, must be
initiated by the state agency. State agency staff must independently verify the information
through the normal required fact-finding process and make the determination of eligibility
based upon that verification (UIPL No. 01-16). As such, states must pursue the relevant
and critical information when encountering non-responsive parties.

To ensure that states are proactive in the discovery of the information critical to
completing a determination on an overpayment, the enhanced ROPs issued with this
UIPL include a new recommendation as part of the New Hires cross-match
investigations: the Department instructs states to make another attempt to obtain
information immediately in those cases where there is no response to the state’s initial
notice. The Department has determined that a second effort to obtain information is
particularly helpful in augmenting investigation outcomes. This new recommendation,
set out in 4.6 of the ROPs, is intended to enhance investigation outcomes and minimize
BYE overpayments. Furthermore, states should work to complete determinations
immediately after deadlines have expired.

UIPL No. 1145, Procedures for the Implementation of the JAVA Decision, describes
requirements imposed on UI agencies, as a result of the U.S. Supreme Court ruling in
California Dept. of Human Resources Development v. Java, 402 U.S. 121 (1971),
regarding when UC is payable. UIPL No. 04-01, Payment of Compensation and
Timeliness of Determinations during a Continued Claim Series, addresses payment of UC
and timeliness of determinations during a continued claim series. UIPL No. 04-01
explains that because individuals in a continued claim series have been determined to be
eligible for UC, benefit payments may not be suspended or delayed pending a
determination on an eligibility issue. UIPL No. 01-16, Change 1, Federal Requirements
to Protect Claimant Rights in State Unemployment Compensation Overpayment
Prevention and Recovery Procedures – Questions and Answers, further explains: “If a

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       determination of ineligibility has not been made, a benefit payment must be made by the
       end of the week following the week in which an issue is detected. In practice, that means
       that states would have at most 7–10 days to make a determination of ineligibility in order
       to not issue the benefit payment.” These directives further establish that it is critical that
       states complete overpayment determinations promptly, since claimants can continue to
       draw UI benefit payments, once the 7–10-day timeframe expires, thereby increasing the
       duration and amount of improper payments.

7. Integrity Resources. ETA encourages states to make use of the various integrity resources
   discussed in this section to address BYE errors. NASWA operates the UI Integrity Center, a
   state-driven source of innovative program integrity strategies to prevent and detect improper
   payments and reduce fraud. The Department strongly encourages states to actively use UI
   Integrity Center resources designed to reduce improper payments. The UI Integrity Center
   continues to develop new products and should be considered a technical assistance resource
   for states in addressing integrity-related matters. Among its offerings to states, the Integrity
   Center compiles best-promising practices (such as integrating the continued claims process
   into the NDNH cross-match); provides a blueprint for state BPC operations using state best
   practices; and provides training curriculum for state BPC and integrity staff through its
   National Integrity Academy. When identifying potential strategies to address improper
   payments, states are also encouraged to use the “Integrity” tab on the UI Community of
   Practice (CoP) on the WorkforceGPS website, which is populated with best-promising
   practices by the Integrity Center (see https://ui.workforcegps.org). States that require
   technical assistance with integrity-related matters may contact UI Integrity Center staff at
   https://integrity.naswa.org/contact-us.

8. Employment and Training Administration (ETA) 227 Overpayment Detection and
   Recovery Activities Report. The Employment and Training Administration (ETA) 227,
   Overpayment Detection and Recovery Activities Report, is the required quarterly report states
   use to record data on established overpayments, recovered overpayments, criminal and civil
   actions involving fraud overpayments, and the age of overpayments. The ETA 227 report is
   vital because it provides information on the improper payment prevention, detection,
   recovery, and prosecution activities conducted by the state as part of its BPC operations.
   ETA 227 data can be used by states to evaluate and monitor the work performed by
   examining fluctuations in quarterly data. ETA 227 data is also important, because it is used
   in the computation of integrity-related UI performance measures; therefore, reporting
   accuracy is essential.
   The NDNH and the SDNH are considered methods of detecting potential overpayments for
   investigations that are reported on the ETA 227 report. In addition to reporting NDNH and
   SDNH investigations, states report the number of overpayments established using the new
   hires detection method and associated overpayment amounts. ET Handbook No. 401, 5th
   Edition, contains the ETA 227 reporting instructions. When states conclude investigations
   and report quarterly on the NDNH and SDNH outcomes, they must ensure that they are
   adhering to ETA 227 reporting instructions and definitions.

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   States report NDNH and SDNH data in Section B., Line 210 (for – NDNH) and Line 204 (for
   – SDNH), on the ETA 227 report. The Department reminds states that they must ensure that
   NDNH data and SDNH data:
       1) are reported on the appropriately designated line;
       2) are not combined;
       3) are not over or under reported; and
       4) properly depict the quarterly counts of NDNH and SDNH investigations and amounts
           of overpayment determinations — and not quarterly counts of NDNH and SDNH
           cross-match “hits.”

   State are encouraged to program their systems to separate NDNH and SDNH data to ensure
   proper reporting. This automated process allows states to easily identify the source of the
   investigation and overpayment, i.e., whether it was from NDNH or SDNH. Identifying the
   source should occur when the state receives the cross-match “hit.” By automating this
   activity, BPC staff will not have to perform this task. Rather, it will occur routinely as the
   state receives “hits.” However, if states rely on staff to distinguish between the two New
   Hires cross-match sources, they should ensure that staff are trained and can accurately
   identity and code each cross-match appropriately for proper accounting and reporting on the
   ETA 227 report.

   Section B, of the ETA 227 report, is subject to Data Validation. Data Validation is the
   program that compares the data on UI required reports and the data in benefit systems to
   ensure such data is consistent, validating report counts and classification accuracy. States
   must use Data Validation results to reveal and investigate issues associated with ETA 227
   reporting and work to resolve discovered issues. During FY 2019, the Department will
   provide interactive webinars to reinforce required reporting and share best practices.

9. Inquiries. Please direct inquiries to the appropriate ETA Regional Office.

10. References.
     Improper Payment Information Act (IPIA) of 2002 (P.L. 107-300);
     Improper Payment Elimination and Recovery Act (IPERA) of 2010 (P.L. 111-024);
     UIPL No. 1145, Procedures for Implementation of the Java Decision, issued November
       12, 1971;
     UIPL No. 04-01, Payment of Compensation and Timeliness of Determinations during a
       Continued Claims Series, issued October 27, 2000;
     UIPL No. 3-07, Change 1, Use of National Directory of New Hires (NDNH) in
       Unemployment Insurance (UI) Benefit Accuracy Measurement (BAM) Audits, issued
       October 31, 2006;
     UIPL No. 19-11, National Effort to Reduce Improper Payments in the Unemployment
       Insurance (UI) Program, issued June 10, 2011;
     UIPL No. 2-12, Unemployment Compensation (UC) Program Integrity – Amendments
       made by the Trade Adjustment Assistance Extension Act of 2011 (TAAEA) , issued
       December 20, 2011;

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      UIPL No. 2-12, Change 1, Unemployment Compensation (UC) Program Integrity -
       Amendments made by the Trade Adjustment Assistance Extension Act of 2011 (TAAEA) --
       Questions and Answers, issued August 7, 2012;
      UIPL No. 2-12, Change 2, Unemployment Compensation (UC) Program Integrity
       Provisions - Amendments made by the Trade Adjustment Assistance Extension Act of
       2011 (TAAEA) - Combined Wage Claim (CWC) Program Questions and Answers, issued
       October 15, 2014;
      UIPL No. 8-12, Change 1, Consolidation of the Employment and Training Administration
       (ETA) 9000 and ETA 227 Reports, issued July 27, 2015;
      UIPL No. 1-16, Federal Requirements to Protect Individual Rights in State
       Unemployment Compensation Overpayment Prevention and Recovery Procedures, issued
       October 1, 2015;
      UIPL No. 1-16, Change 1, Federal Requirements to Protect Claimant Rights in State
       Unemployment Compensation Overpayment Prevention and Recovery Procedures –
       Questions and Answers, issued January 13, 2017;
      Employment and Training (ET) Handbook No. 401, 5th Edition;
      ET Handbook No. 301, 5th Edition; and
      OIG Audit Report, Report number: 04-18-003-03-315, Improved Oversight of States’ Use
       of New Hire Tools Would Help Reduce Improper Payments (September 27, 2018).

11. Attachment.
    I. Recommended Operating Procedures for Cross-Matching Activity: National and State
       Directories of New Hires (2019).

                                            11

Attachment I (official PDF: https://www.dol.gov/sites/dolgov/files/ETA/advisories/UIPL/2019/UIPL_13-19_Attachment_I_acc.pdf)

Recommended Operating Procedures For Cross-Matching Activity:

          National and State Directories of New Hires

                            (2019)

                                                    Table of Contents

1.   PURPOSE ..................................................................................................................................... I-3

2.   SCOPE .......................................................................................................................................... I-3

3.   RESPONSIBILITIES .................................................................................................................. I-3

4.   RECOMMENDED OPERATING PROCEDURES...................................................... I-3 I-17
     4.1      EMPLOYER INPUT RECORDS

     4.2      STATE INPUT RECORDS

     4.3      NDNH OUTPUT RECORDS

     4.4      FREQUENCY AND TIMING OF CROSS-MATCHES

     4.5      USING PARAMETERS FOR WORKLOAD MANAGEMENT

     4.6      KEY ACTIONS

     4.7      UNDERSTANDING NEW HIRES TIMEFRAMES

5.   APPENDICES ................................................................................................................ A-1 -
     APPENDIX A - FIGURE 1 PROCESS FLOW

     APPENDIX B - FIGURE 2 PROCESS FLOW

     APPENDIX C - FIGURE 3 PROCESS FLOW

     APPENDIX D - FIGURE 4 PROCESS FLOW

     APPENDIX E - FIGURE 5 PROCESS FLOW

     APPENDIX F - SWA INPUT DETAIL RECORD

     APPENDIX G - SWA W-4 OUTPUT DETAIL RECORD

     APPENDIX H - SWA NOTIFY OUTPUT DETAIL RECORD

                                                                    I-2

1. PURPOSE
  These Recommended Operating Procedures (ROPs) for benefit cross-matching with the
  National Directory of New Hires (NDNH) and the State Directory of New Hires (SDNH)
  contain key guidelines, procedures, and requirements designed to successfully operate
  effective cross-matching programs to prevent, deter, and detect improper payments. The
  U.S. Department of Labor (Department) has enhanced these ROPs, (originally issued on
  June 10, 2011, as an attachment to Unemployment Insurance Program Letter (UIPL) No.
  19-11, National Effort to Reduce Improper Payments in the Unemployment Insurance
  (UI) Program) to share additional effective procedures and recently updated best
  practices focused on targeting issues associated with states’ New Hires cross-matching
  operations. These ROPs replace the original ROPs attached to UIPL No. 19-11. A
  summary and reasoning for the enhanced guidelines in this document is provided in the
  accompanying advisory – UIPL No. XX-19. The Department strongly encourages states
  to use the processes and procedures outlined in these ROPs when conducting NDNH and
  SDNH cross-matches.

2. SCOPE
  These ROPs are not all-inclusive of the actions and procedures that states may undertake
  in order to improve the efficiency and efficacy of cross-match activities. However, the
  expectation is for states to use these recommendations provided herein as a model for
  results-oriented cross-matching activities. States may add or incorporate other successful
  practices not covered in these ROPs.

3. RESPONSIBILITIES
  In most state workforce agencies (SWAs), the Benefit Payment Control (BPC) unit is
  generally responsible for conducting benefit payment cross-matches against data sources
  and are responsible for implementing procedures contained in these ROPs. States should
  consider the tasks contained in these ROPs and determine the appropriate BPC, Benefit
  Accuracy Measurement (BAM) or other staff to carry out these tasks and functions.

4. RECOMMENDED OPERATING PROCEDURES FOR NEW HIRES CROSS-
   MATCHES
  This section outlines recommended and required actions and timelines identified as being
  key activities in a state’s New Hires cross-matching program.
  Overview
  4.1    Employer Input Records
         Provides instructions on submitting of employer New Hires W-4 information
         (Internal Revenue Service W-4 information regarding recently hired individuals)
         to the SDNH.
  4.2    State Input Records
         Provides instructions on submitting state records for the purpose of New Hires
         cross-matching.

                                          I-3

4.3   NDNH Output Records
      Provides information on NDNH records that are returned to states.
4.4   Frequency and Timing of Cross-Matches
      Describes the frequency in which states should submit records for New Hires
      cross-matches.
4.5   Using Parameters for Workload Management
      Provides information on the effective use of parameters to organize and prioritize
      New Hires cross-match hits.
4.6   Key Actions
      Describes the key follow-up actions that states should take upon receiving NDNH
      and SDNH responses.
4.7   Understanding New Hires Timeframes
      Describes critical activities and timeframes associated with the New Hires cross-
      match process.

                                      I-4

Procedures
    4.1   Employer Input Records – The new hires employee data that employers send to
          the SDNH are referred to as employer input records. The employer input records
          contain information regarding newly hired and rehired individuals that states will
          submit to populate New Hires directories. Employers send a W-4 form or an
          equivalent form, for each newly hired individual that contains required data
          elements to the SDNH. The W-4 form is available on the Internal Revenue
          Service (IRS) website https://www.irs.gov/pub/irs-pdf/fw4.pdf. Employer input
          records also include quarterly wage information that states are required to submit
          to NDNH. In addition to the employer input records, states are required to submit
          Unemployment Insurance (UI) claims information to the NDNH. These records
          are all critical for state cross-matching and child support enforcement purposes.

          Employer input records submitted to the SDNH are subsequently submitted to the
          NDNH by the state agency designated to manage the SDNH and the records must
          be formatted properly to guarantee successful submission. The NDNH will reject
          individual or groups of employer input records that are formatted incorrectly and
          return them to the state as errors in a response file. Corrections to employer input
          records may require the state agency managing the SDNH process to follow-up
          with employers. Errors left uncorrected by states or employers can prevent the
          records from being included in the NDNH database and may reduce the amount
          of data accessible to states. UI state agencies should coordinate and direct the
          state agency managing the SDNH process to pursue errors made by submitting
          employers and the state, apply corrections and resubmit records to the NDNH.
          Data submission requirements for employer input records are established by the
          Department of Health and Human Services’ Office of Child Support Enforcement
          (HHS-OCSE) and are described in the NDNH Guide for Data Submissions,
          https://www.acf.hhs.gov/css/resource/ndnh-guide-for-data-submission (Note:
          Naming conventions established by HHS-OCSE may differ from those
          established by the Department; therefore, states should refer to descriptions
          provided by each agency for clarification).

          Types of data submission issues that result in errors include missing dates of hire,
          missing employer addresses, missing or partial employer or employee names,
          missing or nonnumeric Social Security Numbers (SSNs), and missing Federal
          Employer Identification Numbers (FEINs). Other data submission issues that can
          result in the rejection or prevention of a state’s record submission to the NDNH
          database may include significant reductions or increases in the volume of records
          submitted by the state and state’s internal system edits that set higher submission
          standards (for example, requiring additional data elements not required for record
          submission to NDNH) and can prevent record submission entirely. The
          Department recommends that for NDNH input record submissions, states:
               Review the accompanying advisory section 5B Availability, Accessibility,
                   and Quality of New Hires Data;
               Use the HHS-OCSE’s NDNH Guide for Data Submission:
                   https://www.acf.hhs.gov/css/resource/ndnh-guide-for-data-submission;
               Review employer records to ensure they are accurate/in the correct format
                   and contain all required data elements;
               Report all required data elements in records submitted to SDNH;
                                            I-5

            Perform outreach to employers that fail to submit records in the proper
             format, apply corrections, and resubmit corrected records;
            Provide technical assistance to employers on formatting guidelines;
            Ensure the volume of records is consistent with each submission, since
             record volumes are compared against historic norms; and
            Ensure that state system edits are in place to validate the data required for
             the NDNH submission, but are not severely restrictive to prevent the
             submission of employer records to the SDNH.

      In addition to HHS-OCSE data submission guidelines, there are certain reporting
      requirements, established by the Social Security Act, relative to employers’
      submission of New Hires data to the SDNH. Each employer will furnish a report
      that contains the following information for the employee: name, address, SSN,
      and the date of hire. Although the state UI agency may not be directly involved in
      receiving New Hires information from the employer, the UI agency should still
      educate employers on the requirements for New Hires reporting. To reinforce
      these requirements, the Department highly recommends that states include in the
      letter/notice that is sent to the employer as part of the conduct of a New Hires
      investigation, an educational component that advises employers: 1) of the
      definition of the date of hire; 2) to report the date of hire of an individual; and 3)
      to report individuals who have been rehired (rehires). Rehires are employees who
      have temporarily separated from the employer for a period of 60 days or more.
      The “date of hire” is the date on which services for remuneration were first
      performed by the new employee.

      When a rehired employee returns to work, the employer is required to report the
      employee as a new hire even if the individual is returning in the same job capacity
      held previously. Rehire reporting must include the date of hire (the date the
      employee first performed services for remuneration following a break in service
      of 60 days or more). State UI agencies should conduct ongoing employer
      education and/or engagement that may include using other methods of
      communication such as reminders on agency websites, information supplied in
      employer guides, etc.

4.2   State Input Records – State input records refers to records that states send to the
      NDNH and SDNH to match against the information in each directory. States send
      a SWA Input Detail Record (Appendix F) to the NDNH for each claimant to
      generate a cross-match request. The SWA Input Detail Record layout is used to
      define the cross-match parameters that determine the type of information returned
      to states following the cross-match. Similar to the employer input records, cross-
      match request record layouts must meet specific data submission guidelines that
      are defined in the SWA Input Detail Record layout. The Department advises
      states to follow SWA Input Detail Record layout instructions to prevent data
      submission issues and ensure essential information is returned. Additionally,
      states should:
           Submit records for cross-matching through their state designated hub so
               that the SWA Input Detail Records arrive at the NDNH each Friday by
               3:00 p.m., Eastern Time;
           Submit records for cross-matching each week for the NDNH;
                                       I-6

      Submit records for cross-matching each day for the SDNH; and
      Ensure that record formats are correct and contain all required data
       elements.

To run an efficient NDNH operation, states need practices in place to contend
with increasing workloads. States construct SWA Input Detail Records and
submit them to NDNH each week to cross-match new and existing claims.
Whether and when a claimant is selected for cross-matching can be determined by
isolating key UI claim characteristics. To prepare records for cross-matching,
states should complete a record construction process using claim characteristics to
determine the population of claimant records submitted to the NDNH. Record
construction allows states to focus on cross-matching claimants that meet an
established selection criteria and minimizes inflated NDNH workloads. The
following section describes how to identify the population of claimants for cross-
matching and several parameters that the state must address during record
construction.

A. Selection of the Claimant Population for NDNH Cross-Matching –
State certification policies, payment lag times, determination timeliness issues,
and the NDNH timeframes (the amount of time it takes for information to
populate and be available in the NDNH) create the need for a “reach-back period”
for constructing SWA Input Detail Records. The “reach-back period” refers to
the period or days prior to the date that cross-match will be conducted. The
“reach-back period” allows states to compare prior UI benefit weeks to the New
Hires directory information submitted by employers, to determine if claimants
worked and earned wages during the same period that UI benefits were paid. The
“reach-back period” is the critical component that the Department recommends
states use to determine which claimants should be matched against the NDNH
directory. For the “reach-back period,” the state first determines whether a
claimant has received a payment within the past 40 days. Selecting claimants that
have received a payment (compensated weeks) within the past 40 days compared
to selecting claimants who have only certified for benefit weeks within the past 40
days will help states manage workloads and prioritize “hits.”

Filtering out claimants with no compensated weeks refines the cross-match
parameters and provides a sensible approach to workload management, since
states are attempting to detect weeks worked and weeks paid. Matching against
individuals who only certified during the 40-day period increases the number of
NDNH record submissions and NDNH outcomes that require filtering to
determine whether investigation is needed. If the claimant has received payment
within 40 days, then their name and SSN must be included with that week’s
submission file to the NDNH and a SWA Input Detail Record is created for that
claimant. The 40-day period takes into account the timeframes allowed for the
employers, the SDNH, and the NDNH to submit data elements that populate the
NDNH. These timeframes are described in section 4.7 (Understanding New Hires

                                I-7

Timeframes). Employer data submission timeframes may vary based on state law
or policy.

Table 1 (below) provides an example of the process for selecting claimants for
cross-matching while factoring in the “reach-back period.” As demonstrated in
Table 1, states parse claimant data for cross-matching by applying certain filters.
This filtering process should be automated to eliminate the need for BPC or other
state staff to perform this function. This automated file construction process
should include the following fields as shown in the columns in Table 1:

    1. Record Construct and Transmit Date – This cell is the date that records
      are compiled for submission to the NDNH. The Department recommends
      that states construct their records on Thursday for transmission to the
      NDNH on Friday. Constructing records on Thursday takes into account
      state payment cycles and provides for the inclusion of benefits paid
      through Thursday of the week’s record submission to the NDNH
      occurring on Friday.
    2. Record Construct and Transmit Day of Week – This cell reflects the
      day of week (Thursday) when records are compiled for submission to the
      NDNH.
    3. NDNH Cross-Match Date Always Occurs on Friday – This cell reflects
      the Friday date of the week’s submission.
    4. SWA Cross-Match Day of the Week – This cell should always be
      Friday. HHS-OCSE requires the submission of records to the NDNH for
      cross-matching by Friday, 3:00 pm Eastern Time. Records submitted to
      HHS-OCSE after this deadline will not be matched until the following
      Friday.
    5. Weeks Compensated in Last 40 days? (Y/N) – Did the claimant receive
      UI payments in the last 40 days, “Y” for Yes or “N” for No. This 40-day
      period represents the “reach-back period.”
    6. If Week Compensated = “Y” for a Given SSN – This cell directs the
      state to create a SWA Input Detail Record for claimants in receipt of UI
      payments in the last 40 days, which is the “reach-back period.”
    7. W-4 From Date = Record Construct Date – 46 Days – The W-4 From
      Date is a field in the SWA Input Detail Record. It is used to insert the
      beginning period for which the cross-match should occur. W-4 From date
      should be 47 days prior to the cross-match date (Record Construct Date
      minus 46 days).
    8. W-4 From Date Day of the Week = Benefit Week Beginning (BWB)
      Day – If a state constructs their records on Thursday, the W-4 From date
      day of the week will always be Sunday. In most states, this is also the day
      of the week when the benefit week begins.

                                I-8

                                     Table 1
    1.          2.           3.          4.         5.         6.             7.             8.
                                                                                           W-4
                                                            If Week
            Record       NDNH         SWA       Weeks                                      From
                                                           Compen-
 Record     Construct    Cross-       Cross-   Compen-                                   Date Day
                                                             sated =
Construct     and       Match Date    Match    sated in                  W-4 From         of the
                                                           “Y” for a
  and       Transmit     Always       Day of    Last 40                Date = Record      week =
                                                              Given
Transmit     Day of     Occurs on      the      Days?                  Construct Date     BWB
                                                              SSN
  Date       Week        Friday       Week      (Y/N)                    - 46 Days         Day
1/10/2019   Thursday    1/11/2019     Friday       Y        If “Y”      11/25/2018       Sunday
                                                            create
1/17/2019   Thursday    1/18/2019     Friday       Y         SWA         12/2/2018       Sunday
1/24/2019   Thursday    1/25/2019     Friday       Y         Input       12/9/2018       Sunday
                                                            Detail
1/31/2019   Thursday     2/1/2019     Friday       Y        Record      12/16/2018       Sunday

  Each row in Table 1 represents a claimant that has received at least one UI payment
  within the last 40 days. The table also contains a number of dates/days to consider,
  since the NDNH process is very time sensitive. For more information about
  timeframes, refer to section 4.7 (Understanding New Hires Timeframes).

  B. SSN-Name Verification – The SWA Input Detail Record contains several fields.
  Many of the fields are “Optional” and some are designated as “Required.” However, a
  state’s decision on whether to populate certain fields can have significant consequences
  on the information returned from NDNH.

  As mentioned, a state constructs a SWA Input Detail Record for each claimant selected
  during the automated filtering process. The “Optional” field, field name Verification
  Request Indicator, notifies the NDNH on whether a state is requesting SSN-name
  verifications against the Social Security Administration (SSA) database. If states enter
  “Y,” the SSN-name verification is requested. Any record that fails verification is
  eliminated from the cross-match and the verification result is returned in the Reject
  Code field on the SWA Notify Output Detail Record. The NDNH performs the SSA
  verification regardless of whether “Y” is entered and unverified SSN-name
  combinations are rejected from the cross-match. If a state selects “N” in the
  Verification Request Indicator field, the state is choosing not to be notified that the
  records failed verification and that the records were eliminated from the cross-match.

  The Department advises states to select “Y” in the Verification Request Indicator, to
  conduct SSN-name verifications, for all BPC records. This action ensures states are
  notified by the NDNH of unverifiable SSN-name combinations. States should review
  records eliminated from the cross-match, resolve the issues if possible, and resubmit the
  record(s) for cross-match. For example, an SSN-name combination submitted by the
  state could differ from the one on file with the SSA (e.g., due to marriage, divorce,
  adoption, or a misspelled name). Records that could not be verified may also be an
  indicator of identity theft or the fraudulent use of an SSN.

  C. Request a Match of In-State Records – Another “Optional” field in the SWA
  Input Detail Record is the W-4 Same State Data Indicator. The Department suggests
                                        I-9

      that states enter ‘Y’ in the W-4 Same State Data Indicator field to ensure that claimant
      records are cross-matched against New Hires records submitted to the NDNH by its
      own state/state employers. By selecting this option, states are provided an opportunity
      to match against New Hires information that an employer reported late (after the
      required reporting period) or information that was resubmitted to NDNH to correct
      errors.

      Another reason to include in-state requests concerns the “reach-back period” for SDNH
      cross-matches. While there is a recommended “reach-back period” for the NDNH (40
      days), states set their own “reach-back period” for the SDNH. In some cases, states are
      reaching back for a shorter duration. By requesting in-state cross-matching through
      NDNH, states are afforded New Hires information that may not be detected during the
      state designated SDNH “reach-back period.”

      There is a potential that states will encounter some of the same records identified in the
      SDNH. However, the existence of duplicates is a characteristic of the NDNH process
      and can occur at various stages. Duplication issues should be managed by applying an
      automated routine that filters out duplicate records – see discussion in section 4.5
      (Using Parameters for Workload Management).

      D. W-4 From Date – As discussed in section A (Selection of the Claimant Population
      for NDNH Cross-Matching), the W-4 From Date is a field that states should apply
      when filtering claimants for cross-matching. The W-4 From Date is an “Optional” field
      in the SWA Input Detail Record that instructs states to provide a date that will represent
      the beginning period to conduct the cross-match comparison. This date is one of two
      dates that form the critical 40-day “reach-back period,” where the NDNH completes a
      comparison that identifies employer W-4 records that were processed during the period.
      The Department recommends that states provide a date in W-4 From Date field that
      designates the beginning of the 40-day “reach-back period.” Providing a W-4 From
      Date will ensure that records are matched against employer provided W-4 records that
      were processed starting from the W-4 From Date specified by the state. If this field is
      left blank or if an invalid date is provided, the cross-match will be limited to comparing
      W-4 records from two weeks prior to the match date.

      E. W-4 Through Date – The “Optional” W-4 Through Date field, in the SWA Input
      Detail Record, is the second of the two dates that form the critical 40-day “reach-back
      period.” The W-4 Through Date allows states to request (for a given SSN) the return of
      all available W-4 records processed by the NDNH for a period that begins on the W-4
      From Date and ends on the W-4 Through Date. The Department recommends that
      states populate the W-4 Through Date with a date that is no earlier than the date of the
      cross-match (Friday). By using the date of the cross-match, states will match the most
      up-to-date information available. States may also leave this field blank to ensure the
      entire “reach-back period” is requested, since the W-4 Through Date will default to end
      on the date of the cross-match (Friday).

4.3   NDNH Output Records – NDNH output records refer to the cross-match information
      records that the NDNH returns to the state in response to the request submitted in the
      SWA Input Detail Records. The NDNH returns two records to the state: the SWA W-4
      Output Detail Record (described in Appendix G) and the SWA Notify Output Detail

                                            I-10

    Record (described in Appendix H). The SWA W-4 Output Detail Record is also known
    as the “hit” file. The “hit” file contains the results of a state’s cross-match request
    including SSN-name verification results and the date of hire. The date of hire is a
    critical element since it can assist states in organizing cross-match results and
    establishing parameters for prioritizing “hits” that require investigation. When the “hit”
    file is received, states can use the date of hire as a starting point for comparing weeks
    compensated, to narrow down the weeks affected by the “hit.” The date of hire can
    also be used to review claimant certification responses that were provided during the
    week the claimant was hired and subsequent to that date. Certification responses can
    reveal how a claimant responded to questions regarding having worked and earned
    wages, to identify potential fraud or a claimant’s failure to report earnings. If the New
    Hires record received from the NDNH does not contain the date of hire, the W-4 From
    Date should be used instead to organize cross-match results.

    The SWA Notify Output Detail Record is used to provide states with an
    acknowledgement that the cross-match request was received and in the Reject Code
    field it notifies states of any errors that occurred. Errors occur when records contain
    insufficient name information, the SSN was missing or invalid, or the SSN-name
    combination submitted was unverifiable. These errors cause records to be eliminated
    from the match process. States should work to correct errors and resubmit records to
    NDNH.
4.4 Frequency and Timing of Cross-Matches – SDNH input records are generally
    expected to be submitted on a daily basis since these files are updated daily. NDNH
    input records are generally expected to be submitted on a weekly basis (each Friday
    before 3:00 pm, Eastern Time). States should ensure that records are submitted to the
    NDNH each Friday by 3:00 pm, Eastern Time, because records submitted after 3:00 pm
    will not be processed (cross-matched) until the following Friday. HHS-OCSE performs
    the NDNH cross-match on Friday and any records submitted by states for cross-
    matching before Friday are not matched until that time.
4.5 Using Parameters for Workload Management – Effective automation allows states
    to effectively manage workloads with the innovative use of parameters to perform
    various functions. Parameters can be used to narrow the scope of the information in the
    cross-match results returned by HHS-OCSE. Workload management through the
    effective use of parameters helps to identify duplicate records, identify “hits” requiring
    investigation, or prioritize the work (“hits”) by screening out matches that do not
    require immediate action. Many states use automated case management systems to
    perform these tasks thereby eliminating the need for these activities to be performed
    manually by BPC staff.
    There are different types of parameters states should apply for effective workload
    management:
    Duplicate detection parameters can classify records as identical when they contain
    information for the same claimant (i.e., duplicate claimant name and SSN); who was
    hired by the same employer (i.e., duplicate employer name, employer address and
    FEIN); and who was hired (or rehired) on the same date (i.e., duplicate date of hire or
    rehire date). Dual “hit” records are identified when comparing newly received New
    Hires data to UI claims information in the UI benefits system to determine if there are
                                           I-11

any identical records that would eliminate the need to investigate the new “hit” due to
an existing staff investigation assignment. The duplication occurs when the same
claimant record is submitted for cross-matching more than once and each submission
results in a cross-match “hit.” States should institute a process to detect duplicate
records to filter out “hits” that have already been assigned to staff for investigation.
Including this parameter prevents this type of duplication that can inflate workloads.
The detection of duplicates function should also be used to ensure that records are
correctly classified as duplicates. This approach to detecting duplicates is particularly
helpful when states match against the SDNH and also in-state records through the
NDNH. In matching against both directories, it is important for the state to consider
the variables that would constitute an actual duplicate record. For example, a state may
have records with similar characteristics, with the exception of the date of hire. These
characteristics may represent an individual who has different dates of hire due to
different periods of employment (e.g., a rehired employee). This differential would
suggest that there would be an individual record for each employment period rather
than one record being characterized as a duplicate and being eliminated from
investigation.
Identifying dates of hire within the “reach back period” is another parameter that states
should apply when the “hit” record is returned. States should review the information
contained in the SWA W-4 Output Record to determine whether a date of hire has been
provided that falls within the “reach-back period,” or if a W-4 was processed during the
“reach-back period.” These date parameters manage “hits” by allowing states to use
the date of hire or W-4 Processed Date as a starting point for comparing weeks
compensated during the “reach-back period” to days that the claimant may have
worked and simultaneously received UI benefit compensation. This comparison can
assist states in determining which records require further investigation. States should
also use date parameters to eliminate records from investigation when there is no
indication of any days worked within the weeks compensated during the “reach-back
period.”
Other characteristics in the “hit” file can be used to set parameters. The Employee State
of Hire, can allow states to identify claimants who worked for a multi-state employer
(employer who has employees in two or more states), if states include this field with the
data elements used to conduct comparisons of cross-match and UI data to identify
potential investigations. States should use the Employee State of Hire field as part of
their established parameters in order to include claimants employed by multi-state
employers in the population of potential investigations.
There are other types of parameters that states can consider for workload management.
These boundaries can help determine whether the claimant-committed fraud, failed to
report earnings, or underreported based on state law. They can also help standardize
the sequence for prioritizing “hits” for investigation. These types of parameters
include:
      Did the claimant have a prior fraud overpayment determination?
      Did the claimant have a prior non-fraud overpayment determination?

                                      I-12

           Did the claimant previously fail to report wage information resulting in an
            earnings adjustment of benefit weeks paid?
           Did the claimant previously “underreport” earnings resulting in earnings
            adjustment of benefit weeks paid?
           What responses did the claimant provide, during the continued claims process,
            regarding whether they worked and earned wages?
           Does the amount of the overpayment constitute fraud based on state law or
            policy?
           Is the overpayment amount excessive as established by the state law or policy?
           Is the overpayment duration excessive as established by the state law or policy?
    The Department advises states to immediately apply parameters to cross-match results
    as they are received and use all available NDNH data and UI claims data to determine
    whether records should be eliminated or considered for potential investigation. The
    elimination of duplicate records, selection of “hits” for investigation, and the
    prioritization of investigations will allow states to focus on investigations with the most
    significant impact to the UI system. States are reminded that circumstances (such as a
    minimal number of weeks overpaid (e.g., 1 week) or a minimal dollar amount overpaid
    (e.g., $50)) may be used to determine the priority of investigations; however, it should
    not be a determining factor for eliminating cases from investigation. Established
    parameters also provides states with information to determine outcomes of
    overpayment investigations, i.e., a fraud determination, a non-fraud determination or an
    earnings adjustment. Review section 6A (New Strategies to Maximize New Hires
    Cross-Match Outcomes to Bring Down the UI Improper Payment Rate) in the
    accompanying advisory for more information on the use of parameters for workload
    management.
    States are reminded that when establishing investigations it is important to assign work
    to staff with the skills and experience to handle these investigations and any other
    issues that may arise (e.g., separation issues or non-separation issues). States should
    assign work in a manner to avoid delays in the resolution of all outstanding issues on an
    individual’s claim and to ensure payment when due.
4.6 Key Actions – States should ensure the following actions occur during New Hires
   cross-match operations:
     States are encouraged to process data from the SDNH and the NDNH as soon as it
        is received (which is daily for SDNH and weekly (generally, Mondays) for NDNH).

       States should identify issues based on “hit” results and designate the Issue
        Detection Date (IDD). Many state systems either are programmed to automatically
        identify the IDD or are programmed to allow state staff to enter the IDD manually.
        The IDD is the date that the state receives the “hit.” The IDD is not the date that
        an employer returns the earnings verification notice/request. It is also not the date
        the state completes the investigation of the “hit” and/or establishes the
        overpayment. See ET Handbook No. 401, 5th Edition, Section V-3 and ET

                                          I-13

          Handbook No. 301, 5th Edition, Chapter V, for additional information regarding
          IDD.

        As states process data, they should determine the sequence of investigations, begin
         conducting investigations and complete determinations. The Department reminds
         states to refer to and ensure compliance with UIPL No. 1-16 and UIPL No. 1-16,
         Change 1, Federal Requirements to Protect Individual Rights in State
         Unemployment Compensation Overpayment Prevention and Recovery Procedures
         and review the accompanying advisory section 6B (Recommended Practices for
         Immediate Notification, Timely Determinations, and Investigation Follow-up).
        States are strongly encouraged to take immediate action and send a letter/notice on
         the same day as the cross-match result is received (or no later than the next business
         day) to claimants and employers identified by the NDNH or SDNH “hits.” Since
         state laws and policies vary regarding the repercussions for committing fraud
         (criminal prosecution, etc.) and the ineligibility period for failure to report or
         provide information, states should modify the sample notice (below) to reflect state
         specific information.

    Sample Notice for Claimants:
          IMPORTANT NOTICE ABOUT YOUR UNEMPLOYMENT BENEFITS

    Agency records indicate that you received unemployment insurance benefits for a
    period of time during which you may have also been employed. Employer information
    has been received that indicates you are working or have worked and earned wages.

    We are contacting this employer for a breakdown of actual wages for each week in
    question in order to assist this agency in determining whether a benefit payment issue
    exists. Such an issue exists if wages were earned during the same period/week(s) that
    you received benefits.

    During each week that you are claiming benefits, you are required to inform this
    agency of your employment status. If you are working, you must report any and all
    wages earned. Please note: Reporting of wages is required for the week(s) in which
    such wages are earned, not delayed until the wages are paid. Working, earning wages
    and failing to report such work and earnings while filing for unemployment insurance
    benefits may constitute FRAUD. Individuals may be criminally prosecuted, fined
    and/or imprisoned for committing fraud and will be required to repay any benefits
    determined to be overpaid.
    We need you to respond to this notice by (insert date/time). Please contact this agency
    by calling (xxx) xxx-xxxx. If you fail to respond within the required response
    timeframes, you may be held ineligible for benefits until you respond and provide the
    information requested. Additionally, you will be prevented from completing (filing)
    your weekly (or biweekly) certifications.
       States are strongly encouraged to notify affected claimants that they are required to
        report or required to contact the state UI agency, preferably before the date of the next
                                            I-14

    continued claim certification, in order to resolve the issue.
   States should use the continued claims filing system to manage claimants that fail to
    report or contact the agency in response to the notice (see section 6A (New Strategies
    to Maximize New Hires Cross-Match Outcomes to Bring Down the UI Improper
    Payment Rate)) in the accompanying advisory. The Department recommends two
    practices:
        1. Program the continued claim filing system to allow an adjudicator or BPC
          staff to intervene to speak to claimants who have been identified as potentially
          working (based on NDNH/SDNH matches).
        2. Program the continued claim filing system to automatically add the date of
          hire reported by the employer, employer name, address and account number to
          an individual's claim when they have been identified as potentially working
          (based on NDNH/SDNH matches), and have the system generate a
          questionnaire that the claimant must complete before filing their certification.
    These practices allow states to conduct necessary fact-finding and resolve the issue
    with the claimants at the time the claimant attempts to file their next weekly (or
    biweekly) claim certification. In some cases, this intervention will give states an
    opportunity to gather information from a claimant even earlier than the due date of
    the claimant response to the agency’s notice/letter.
   States are strongly encouraged to notify appropriate employers that the state is
    seeking earnings information and require responses within a specified period of time
    (for example, within 7 business days). The Department recommends that states use
    an electronic system to expedite the transmission of the earnings verification from the
    employer to the state.
   States should capture the employer provided wage information in a benefits system
    and run an automated program to compare claimant certified earnings to the employer
    reported earnings. The automated system should have the capability to calculate
    differences between weekly values, identify weeks with differences, and flag a
    potential overpayment or underpayment. This type of activity can be performed by a
    case management system (see section 6A (New Strategies to Maximize New Hires
    Cross-Match Outcomes to Bring Down the UI Improper Payment Rate)) in the
    accompanying advisory.
   States should make an immediate additional attempt to obtain information from any
    claimants or employers that fail to respond to the initial letter/notice. Review section
    6B (Recommended Practices for Immediate Notification, Timely Determinations, and
    Investigation Follow-up) in the accompanying advisory.
   States should conclude investigations promptly after the allotted response deadline
    has elapsed and issue an appropriate determination based on the responses or lack of
    responses. Determinations may include denials for failure to report or failure to
    contact the agency, as required under the state’s UI law (lack of responses from both
    parties prevents a determination based on NDNH matches since these are generally
    needed to complete an independent verification of the NDNH data).

                                         I-15

     4.7 Understanding New Hires Timeframes –
             Activity                                                  Timeframe
                                      Required to be made no later than 20 days after the date the employer
Employers report W-4 (New             hires the employee; or in the case of an employer transmitting reports
Hires) data to the SDNH               magnetically or electronically, by 2 monthly transmissions (if necessary)
                                      no less than 12 days, no more than 16 days apart.
New Hires data received from          Within 5 business days of receiving W-4 New Hires reports from
employers entered into the SDNH       employers, states must enter these reports into the SDNH database.
                                      If employers and the SDNH adhere to minimum reporting timeframes,
                                      New Hires data could be available in the SDNH in 20 days or earlier.
                                      However, if the maximum timeframes described for SDNH are used, a
Timeframe For New Hires
                                      total of 25 days may lapse before SDNH information is available for
information to be available for
                                      matching. If the employer and SDNH use the maximum amount of time
cross-matching in the SDNH
                                      allotted for reporting and recording new hires, a claimant may have
                                      worked between 21 and 25 days (or later) before New Hires information
                                      is available for matching.
SDNHs transmit New Hires data         Within 3 business days after the New Hires data is entered into the
to the NDNH                           SDNH, the state must furnish the New Hires data to the NDNH.
New Hires data from Federal
                                      New Hires data must be entered into the NDNH within 2 business days
agencies and SDNHs entered into
                                      upon receiving the data.
the NDNH
                                      If employers, Federal agencies, the SDNH and the NDNH adhere to
                                      minimum reporting timeframes, New Hires data could be available in the
                                      NDNH in 25 days or earlier. However, if the maximum timeframes
Timeframe For New Hires               described for NDNH are used, a total of 30 days may lapse before NDNH
information to be available for       information is available for matching. If the employer, Federal agencies,
cross-matching in the NDNH            the SDNH, and the NDNH use the maximum amount of time allotted for
                                      reporting and recording new hires, a claimant may have worked between
                                      26 and 30 days (or later) before New Hires information is available for
                                      matching.
                                      For BPC, the Department recommends that the state requests a cross-
                                      match for all claimants who have received payment within the past 40
                                      days. This allows for the business steps shown above and takes into
State constructs and submits its      consideration the weekly or biweekly certification processes and time lags
cross-match request daily to the      associated with the claim. The 40-day “reach-back period” also accounts
SDNH                                  for payment delays due to other issues that result in temporary
                                      ineligibility and a claimant being paid benefits later in the benefit year.
                                      State requests the return of all new hires reported to SDNH from 47 days
                                      prior to the cross-match date for each individual SSN.
State constructs and submits its      For BPC, the Department recommends the state request a cross-match for
cross-match request every week        all claimants who have received payment within the past 40 days. This
to the NDNH. State may transmit       allows for the business steps shown above and takes into consideration
multiple requests (input records)     the weekly or biweekly certification processes and time lags associated
in a week.                            with the claim. The 40-day “reach-back period” also accounts for
                                      payment delays due to other issues that result in temporary ineligibility
NDNH will cross-match requests        and a claimant being paid benefits later in the benefit year. State requests
received during the prior 7 days if   the return of all new hires reported to NDNH from 47 days prior to the
the state submits the request         cross-match date for each individual SSN.

                                                    I-16

             Activity                                               Timeframe
before 3:00 pm, Eastern time on
Friday.                             For BAM, the state requests the return of all audited claimants starting
                                    from the benefit year beginning date through 30 days after the end of the
                                    key week. At least one request must be transmitted to NDNH 30 days
                                    after the end of the key week. See UIPL No. 03-07, Change 1, for BAM
                                    cross-match parameters.
NDNH returns summary and            NDNH sends transmittal, summary, and error data to the submitting
transmittal data, including error   Federal or state agency and/or SDNH (agency), as appropriate, within 4
reporting, to the submitter         business days of the system receiving the data.
                                    NDNH matching information is transmitted to the state within 2 business
Report matches from the NDNH
                                    days of the match. The earliest information would be available is on the
to the state
                                    following Sunday or Monday after the cross-match occurs.
                                    State eliminates duplicate records from the dataset (Same SSN, employer,
State processes the NDNH/SDNH
                                    hire date, etc.) on the date of receipt of the information from
records that are returned
                                    NDNH/SDNH.
State compares cross-match          State software determines whether weeks are compensated after the hire
outcomes to compensated weeks       date (or W-4 From Date if hire date is not provided). If the claimant
and determines “hits” requiring     reports work in the weeks identified, the state may verify earnings
investigation                       reported on the date of receipt of the NDNH/SDNH information.
                                    State simultaneously sends a letter/notice to the claimant and a request for
State begins investigation          earnings verification to the employer no later than the next business day
                                    following receipt of the information from the NDNH/SDNH.
                                    If feasible, the state requires the claimant to contact the agency to resolve
                                    the issue prior to the date of filing the next continued claim for benefits,
State manages delays and            or to complete a questionnaire prior to filing the next continued claim.
nonresponsive claimants and         The employer is required to provide information within a specified time
employers                           (e.g., 7 business days), preferably using an electronic system to accelerate
                                    responses. Without delay, the state makes an additional attempt to
                                    nonresponsive claimants and employers to obtain needed information.
                                    A written determination is made and processed promptly following the
State concludes investigation
                                    deadline for the requested information, as appropriate.

                                                  I-17

                                    Appendices

This section contains the appendices to the Recommended Operating Procedures for Cross-
Matching Activity, which include various flow charts that illustrate NDNH and SNDH technical
operations and tables describing record layout formats that are used for NDNH and SDNH file
transfers. The flow charts and tables are provided in order to assist state technology staff with
New Hires cross-match system programming and benefit system integration.
Appendix A: Figure 1 Process Flow – State New Hires Workflow Overview
       This figure depicts the steps involved in New Hires operations -- beginning with states’
       transmission of records to NDNH and SDNH through the completion of cross-matching
       “hits” investigation.
Appendix B: Figure 2 Process Flow – New Hires Cross-match Hits – Applying Parameters
       This figure depicts the steps involved for states to apply parameters and eliminate
       duplicate cross-match “hits’ once cross-match results are received from NDNH and
       SDNH.
Appendix C: Figure 3 Process Flow – Generate Claimant Letter/Notice and Distribute Staff
     Assignments
       This figure depicts activities states should undertake to adjudicate overpayments selected
       for investigation once the claimant letter/notice is generated.
Appendix D: Figure 4 Process Flow – Generate Employer Letter/Notice and Process
     Employer Responses
       This figure depicts the activities states should undertake to adjudicate overpayments
       selected for investigation once the employer letter/notice is generated.
Appendix E: Figure 5 Process Flow – Electronic Earnings Verification (EV)
       This figure depicts state activities that may be involved when using an electronic system
       to receive and verify employer wage information.
Appendix F: SWA Input Detail Record
       This table presents the record layout format used by states to submit individual claimant
       records to NDNH for cross-matching.
Appendix G: SWA W-4 Output Detail Record
       This table presents the record layout format used by the NDNH to return cross-match
       information and SSN-name verification outcomes to states.
Appendix H: SWA Notify Output Detail Record
       This table presents the record layout format used by the NDNH to provide an
       acknowledgement to states that the cross-match request was received and to notify the
       state of any errors that occurred during the NDNH process.

                                                                                                                                Appendix A

                                        Figure 1 Process Flow – State New Hires Workflow Overview
                                                Identify Claimants for
                                                   NDNH or SDNH
                                                   Cross-Matching
                                                          1.

                                    Generate Input             Generate Input
                                   Records for SDNH           Records for NDNH
                                       Request                    Request
                                         2a.                        2b.

                                   STATE NEW HIRE            NATIONAL NEW HIRE
                                         3a.                        3b.

               Correct SSN-Name
             Combination Errors and
                                               RECEIVE CROSS-
            Resubmit for Cross-match
                       18.                     MATCH RESULTS
                                                     4.

            SSN-Name Combination,               Apply Various
            Assign for Staff Review              Parameters
                      17.                             5.

      No Weeks affected based on
          priority parameters               Identify Weeks Affected
                  END                        Based on Date of Hire
                   19.                                 6.

                                            Set Issue and Generate
                                           Earnings Verification Form
                                                       7.

  Automatically Generate Claimant                                                Automatically Generate Employer
Contact Required To Report Letter And     Concurrent Processing                        Letter, Attach Earnings
Imbed Report Flag In Continued Claim                                             Verification (EV) Form, and/or the
               System                                                                Process for Electronic EV
                 8.                                                                             9.

                                   Process Paper Responses and Investigator
                                   Compares Information and/or Comparison
                                    Completed by Case Management System
                                              (or similar system)

                                   Make an additional attempt to nonresponsive
                                           claimants and/or employers
                                                        10.

                                             Select Determination
                                                     Type
                                                      11.

                                                                            No Issue, No weeks
                                                                                                           Complete Earnings
                         Conduct Non-          Address Failure to            affected, No other
 Conduct Fraud                                                                                            Adjustment and Send
                            Fraud              Report or Provide            Issues, No Further
  Investigation                                                                                            Notice to Claimant
                         Investigation           Information                       Action
        12.                                                                                                         16.
                              13.                     14.                            15.

                                            Issue Determination and/
                                               or Adjust Benefits
                                                       20.

                                                                                              A-2

                                                                                                             Appendix B

 Figure 2 Process Flow – New Hires (NH) Cross-match Hits – Applying Parameters

                                NH Cross-match
                                    returns a hit
                                         to UI
                                           1.

                             Apply Parameters and Detect
                            Duplicates in UI Benefit System
                                   Using Automation
                                           2.

                                      Incomplete
                                       Employer
                                        Address
                                          3.
                                                                Yes

                                             No

                                      Duplicate
                                         4.
                                                                Yes
                                    No
                                                                         Eliminate              No Further
                                       Weeks
                                                                      Record(s) from             Action
                                       affected
                                                                       Investigation
                                          5.              No                                     Needed
                                                                             6.
                                   Yes
                        Check for prior fraud or earnings
                        related non fraud determinations
                                        7.

                               Check for prior earnings
                                    adjustments
                                          8.

                                  Set Issue Type,
                                   Assign to Staff,
                              Imbed Reporting Flag in
                              Continued Claim Process
                                         9.

                              Concurrent Processing
                               Information Requests
         A                              10.                                    B
            11.                                                                    12.

Generate Claimant Letter/                                       Generate employer request (notice)
Required to Report Notice                                           for Earnings Verification (EV)
                                                                or Provide Process for Electronic EV

                                                          A-3

                                                                                                                               Appendix C

                                        Figure 3 Process Flow –
                     Generate Claimant Letter/Notice and Distribute Staff Assignments

                                                                             A

                                                               Generate claimant contact letter/
                                                                  Required to report notice
                                                                             1.

                                                                       Select Issue Type                 Flag Next Continued
                                                                                3.                          Claim (e.g., via
                                                                                                         phone, webpage) to
                                                                                                          Direct Claimant to
                                                                       Update Claimant                     Appropriate Staff
                                                                          Case File                               2.
                                                                             4.

                                Assign to Staff Skilled
                                 in Special Programs                       Special
                                     (e.g., Trade)                         Program
                                           6.                                 5.
                                                                Yes

                                                                                 No

                                                                             Prior
                                                                       Fraud or Earnings
                                                                          Related Non
                                                                      Fraud Determination                Yes
                                                                               7.
                                                                                 No
                                  Less Than
                                                                                                         Exceeded State Law/
                               State Law/Policy                              Prior
                                                                                                             Policy Fraud
                               Fraud Threshold                            earnings
                                                                                                         Threshold, Generate
                                      9.                                 adjustments               Yes
                                                          No                                                 Fraud Issue
                                                                              8.
                                                                                                                  10.
                                            Yes

                           Generate Non Fraud Issue                               Contact
                            or a Potential Earnings                           Letter /Request
                                  Adjustment                                 Due Date Elapsed
                                      11.                                           12.

                                                                                                                  No
                             Generate (or continue) failure
                             to report or failure to provide
Make an additional
                               information determination          No              Claimant
 attempt to obtain
                                (apply ineligibility period                      Responded
    information
                                        according                                    13.
        15.
                                   to state law/policy).
                                           14.

                                                No
                     No                                                                    Yes
                                             Adequate
                                            Information
    Claimant
                                            provided to
   responded
                                         resolve potential
       16.
                                               issues
                                                 17.
                     Yes
                                                   Yes

                                        Resolve Issues
                                       close investigation
                                               18.

                                                                                             A-4

                                                                                                                       Appendix D

Figure 4 Process Flow– Generate Employer Letter/Notice and Process Employer Responses

                B

                                                  Determine Request Type / Response
       Generate Electronic
                                                    Methodology Letter Required –
       Earnings Verification
                                               depends if employer is machine to machine
      (EV) Request or paper
                                                 respondent based determined or other
             EV form
                                                         based on lookup table
                1.
                                                                  2.

                                                                                                Check for and
                                         Assign EV                                               Resolve Any
              SWA is           Yes                                      Potential      Yes
                                      Information to UI                                         Other Pending
             Employer                                                    Issues
                                         Supervisor                                               Issues (as
                3.                                                          5.
                                             4.                                                  appropriate)
                                                                                                      6.
                                                                                No
             Special
             Program                 Yes                              Close any open
                8.                                                        related
        No                                                             assignments
                                                                             7.

   Mail out Employer Process for           No Further
    Electronic EV or EV form                Action
                9.                          Needed
                                                                       No Further
                                                                        Action
                                                                         Needed
         Update Claimant
            Case File
               10.

        No                                                                                             Generate
                                      Make an additional attempt to            Employer    No      failure to report
              Employer                     obtain information                                        or failure to
                                                                            Responded with
             responded                 Phone or other employer                                          provide
                                                                               Adequate
                11.            No               request                                              information
                                                                              Information
                                                   12.                                                  record
                                                                                  13.                     14.
       Yes
                                                                             Yes
             Adequate
             Employer                  No                                                            If Sufficient
       Information Provided                                    Process Employer Earning              Information
               EVF                                              Verification Information                Resolve
                15.                                              and compare against                  issues and
                                                                    claimant weeks                       close
                                      Yes                                  16.                      investigation
                                                                                                          17.

                                                                                             A-5

                                                                                                            Appendix E

                    Figure 5 Process Flow – Electronic Earnings Verification (EV)

          Check for EV Response
                 at Broker
                     1.

                                                             Make an additional attempt to obtain
                                          No                 information when EV response is not
                Response                                                  completed
                Completed                                                     3.
                   2.
                                          Yes                     Parse ASCII or XML File and create
                                                                  a Earnings verification Record for a
Insert Record into Earning Verification Table                      given employer, SSN and Issue
    for comparison against claims record                                           4.
                     5.

                                                                Generate Separation Issue ,
                     Sep                                               Assign to Staff,
                    Issue                                      Initiate request for Separation
                      6.            Yes                                   information
                                                                               7.

    Electronic comparison of earnings verification weekly                    No weeks affected, close
  values against claimant certification weeks values , identify              other pending issues (as
       weeks at issue, and generate notice of potential                    appropriate), update case file
               overpayment or underpayment                                  to reflect there is no issue
                               8.                                                        9a.

                                                        No
     Check for existing staff assigned                                              Reset continued
                  issues                                                             Claim process
                    10.                                                          reflecting that there is
                                                                                         no issue
              Yes                                                                          9b.

                  Current                                   Generate earnings
                Open Issue                               related issue, attempt to
              assignment exist                           resolve or assign to staff
                    11.                                             13.

                            Yes             No

               Exceeds State                                      Weeks appended
                 Law/Policy                                   to issue, used determine
              Fraud Threshold                              if fraud, nonfraud or earnings
                    12.                                              adjustment
                                                                         14.
                             Yes

             Notify Adjudicator
             of Earnings Data
                   Arrival
                     15.

                                                                             A-6

Federal Parent Locator Service                                                                Appendix F
National Directory of New Hires            SWA Input Detail Record

                                                 SWA INPUT HEADER RECORD
                                                         Alpha/
       Field Name            Location          Length   Numeric                            Comments
  Submitter Identifier              1-3               3   A/N   Required
                                                                This field uniquely identifies the submitter of the request file
                                                                and must contain the characters ‘SWA’.
  Record Identifier                  4-6              3   A/N   Required
                                                                This field must contain the characters ‘HDR’.
  Submitting State Code              7-8              2   A/N   Required for State Submitters
                                                                This field must contain the 2-digit numeric state FIPS code
                                                                of the state submitting the transaction.
  Date Stamp                        9-16              8   A/N   Required
                                                                This field must contain the input file transmission date. This
                                                                must be in the Year 2000-compliant format of
                                                                CCYYMMDD.
  Filler                           17-24              8   A/N   This field may be used for future enhancements. For the
                                                                current version, this must be spaces.
  Batch Number                     25-32              8    N    Optional
                                                                This field may contain the unique number assigned by the
                                                                submitter to identify the batch of transactions submitted.
                                                                Batch numbers are not edited for uniqueness. It is the
                                                                responsibility of the submitter to ensure that a unique batch
                                                                number is used for each submission.
  Filler                          33-200            168   A/N   This field may be used for future enhancements. For the
                                                                current version, this field must be spaces.

                                                                 A-7

Federal Parent Locator Service                                                                    Appendix F
National Directory of New Hires          SWA Input Detail Record

                                                 SWA INPUT DETAIL RECORD
                                                    Alpha/
      Field Name           Location      Length    Numeric                                Comments
 Submitter Identifier            1-3            3    A/N    Required
                                                            This field uniquely identifies the submitter of the request file and
                                                            must contain the characters ‘SWA’.

 Record Identifier                 4-6          3      A/N       Required
                                                                 This field must contain the characters ‘MCH’.

 SSN                              7-15          9      A/N       Required
                                                                 This field must contain a nine-digit Social Security number (SSN).
                                                                 If this field is spaces, contains any alphabetic characters, is all zeros,
                                                                 all sixes or all nines, then the record will be eliminated from the
                                                                 match and notification will be returned on the Output Error Detail
                                                                 Record.
 Verification Request              16           1      A/N       Optional
 Indicator                                                       This field must contain one of the following values to indicate if the
                                                                 submitter is requesting verification of the person’s SSN and Name
                                                                 combination:
                                                                 ‘Y’ – SSN/Name verification is requested. Verification will be
                                                                 performed using SSA SSN verification routines. If verification fails,
                                                                 the record will be eliminated from the match and the verification
                                                                 result will be returned on the Output Error Detail Record.
                                                                 ‘N’ – SSN/Name verification is not requested and the submitter is
                                                                 certifying that this SSN/Name combination has been verified using
                                                                 SSA SSN verification routines prior to the match request.
                                                                 Default is ‘Y’.

                                                                A-8

Federal Parent Locator Service                                                                 Appendix F
National Directory of New Hires           SWA Input Detail Record

                                                  SWA INPUT DETAIL RECORD
                                                     Alpha/
      Field Name           Location       Length    Numeric                                  Comments
 Person First Name            17-26             10     A     Required
                                                             This field must contain at least one alphabetic character or the record
                                                             will be eliminated from the match and notification will be returned
                                                             on the Output Error Detail Record.
                                                             This field may contain hyphens.
 Person Middle Name               27-36         10     A     Optional
                                                             This field must contain alphabetic characters or spaces. This field
                                                             may contain hyphens.
 Person Last Name                 37-56         20     A     Required
                                                             This field must contain at least two alphabetic characters or the
                                                             record will be eliminated from the match and notification will be
                                                             returned on the Output Error Detail Record. This field may contain
                                                             hyphens.
 Passback Data                    57-76         20    A/N    Optional
                                                             This field may be used by the submitter for identifying information
                                                             and will be returned on the corresponding output match detail or
                                                             error record.
 W-4 Match Indicator                77           1    A/N    Optional
                                                             This field indicates if a state wants to match the submitted SSN to
                                                             NDNH W-4 data. This field must contain a space or an ‘N’.
                                                             ‘N’ – Do not match the submitted SSN to NDNH W-4 data.
                                                             ‘ ‘ – A space in this field indicates that the submitted SSN will be
                                                             matched to NDNH W-4 data.
                                                             Default is ‘ ‘ space.

                                                                 A-9

Federal Parent Locator Service                                                                  Appendix F
National Directory of New Hires           SWA Input Detail Record

                                                  SWA INPUT DETAIL RECORD
                                                     Alpha/
       Field Name          Location       Length    Numeric                                  Comments
 W-4 Same State Data              78             1    A/N    Optional
 Indicator                                                   This field indicates if the submitter is requesting W-4 data submitted
                                                             to the NDNH by their state. This field must contain a space or one
                                                             of the following values:
                                                             ‘Y’ - Return matches where the submitter is the same as the W-4
                                                             submitting state.
                                                             ‘N’ – Do not return matches where the submitter is the same as the
                                                             W-4 submitting state.
                                                             Default is ‘N’.
 W-4 From Date                    79-86          8    A/N    Optional
                                                             If this field contains a date in CCYYMMDD format, match only W-
                                                             4 records processed from this date forward, dependent upon the W-4
                                                             Through Date.
                                                             If this field contains spaces or an invalid date, match all available W-
                                                             4 records from two weeks prior to the match, dependent upon the W-
                                                             4 Through Date.
 W-4 Through Date                 87-94          8    A/N    Optional
                                                             If this field contains a date in CCYYMMDD format and the W-4
                                                             indicator is ‘Y’, match only W-4 records processed through this
                                                             date, dependent upon the W-4 From Date.
                                                             If this field contains spaces or an invalid date, match all available W-
                                                             4 records, dependent upon the W-4 From Date.

                                                                 A-10

Federal Parent Locator Service                                                              Appendix F
National Directory of New Hires        SWA Input Detail Record

                                               SWA INPUT DETAIL RECORD
                                                  Alpha/
     Field Name            Location    Length    Numeric                                  Comments
 QW Match Code                    95          1    A/N    Optional
                                                          This field must contain one of the following values to indicate if the
                                                          submitter is requesting QW data and the type of match requested:
                                                          ‘N’ – QW matching is not requested.
                                                          ‘R’ – QW matching is requested based on Reporting Period.
                                                          Default is ‘N’.
 QW Same State Data               96          1    A/N    Optional
 Indicator                                                This field indicates if the submitter is requesting QW data submitted
                                                          to the NDNH by their state. This field must contain one of the
                                                          following values:
                                                          ‘Y’ – Return matches where the submitter is the same as the QW
                                                          submitting state.
                                                          ‘N’ – Do not return matches where the submitter is the same as the
                                                          QW submitting state.
                                                          Default is ‘N’.
 QW From Reporting            97-101          5    A/N    Optional
 Period                                                   If this field contains a reporting quarter in QCCYY format and the
                                                          QW match code is ‘R’, match only QW records containing this
                                                          calendar year reporting period forward, dependent upon the QW
                                                          Through Reporting Period.
                                                          If this field contains spaces or an invalid date and the QW Match
                                                          Code is ‘R’, match all available QW records, dependent upon the
                                                          QW Through Reporting Period.
                                                          Valid quarter values (Q) are 1, 2, 3, or 4.

                                                             A-11

Federal Parent Locator Service                                                                Appendix F
National Directory of New Hires          SWA Input Detail Record

                                                 SWA INPUT DETAIL RECORD
                                                    Alpha/
      Field Name           Location      Length    Numeric                                  Comments
 QW Through                 102-106             5    A/N    Optional
 Reporting Period                                           If this field contains a reporting quarter in QCCYY format and the
                                                            QW Match Code is ‘R’, match only QW records up through this
                                                            calendar year reporting period, dependent upon the QW From
                                                            Reporting Period.
                                                            If this field contains spaces or an invalid date and the QW Match
                                                            Code is ‘R’, match all available QW records, dependent upon the
                                                            QW From Reporting Period.
                                                            Valid quarter values (Q) are 1, 2, 3, or 4.
 Filler                     107-200            94    A/N    This field must contain spaces.

                                                SWA INPUT TRAILER RECORD
                                                    Alpha/
      Field Name           Location      Length    Numeric                                Comments
 Submitter Identifier            1-3            3    A/N    Required
                                                            This field uniquely identifies the submitter of the request file and
                                                            must contain the characters ‘SWA’.
 Record Identifier                 4-6          3    A/N    Required
                                                            This field must contain the characters ‘TRL’.
 Data Record Count                7-17         11     N     Required
                                                            This field must contain the number of records in the transmission,
                                                            including the header and trailer records.
 Filler                      18-200          183     A/N    This field may be used for future enhancements. For the current
                                                            version, this should be spaces.

                                                                A-12

Federal Parent Locator Service                                                                   Appendix G
National Directory of New Hires        SWA W-4 Output Detail Record

                                          SWA W-4 OUTPUT DETAIL RECORD
                                                 Alpha/
    Field Name           Location      Length   Numeric                                 Comments
Submitter Identifier           1-3            3   A/N   This field will contain the data submitted on the Input Detail
                                                        Record.
Record Identifier              4-6            3   A/N   This field will contain the characters ‘W4M’.
SSN                           7-15            9   A/N   This field will contain the data submitted on the Input Detail
                                                        Record.
Verification Request              16          1   A/N   This field will contain the information used in the match process.
Indicator                                               ‘Y’ - SSN/Name verification was performed.
                                                        ‘N’ – SSN/Name verification was not performed.
Filler                       17-21            5   A/N   This field will contain spaces.
Person First Name            22-31          10    A/N   This field will contain the data submitted on the Input Detail Record
                                                        with special characters removed.
Person Middle Name           32-41          10    A/N   This field will contain the data submitted on the Input Detail Record
                                                        with special characters removed.
Person Last Name             42-61          20    A/N   This field will contain the data submitted on the Input Detail Record
                                                        with special characters removed.
Filler                       62-71          10    A/N   This field will contain spaces.
W-4 Processed Date           72-79            8   A/N   This field will contain the date the W-4 record was processed by
                                                        OCSE in the Year 2000-compliant format of CCYYMMDD.
W-4 Employee First           80-95          16    A/N   This field will contain the Employee First Name as provided on the
Name                                                    W-4 record submitted to the NDNH.
W-4 Employee Middle         96-111          16    A/N   If present, this field will contain the Employee Middle Name as
Name                                                    provided on the W-4 record submitted to the NDNH.
W-4 Employee Last          112-141          30    A/N   This field will contain the Employee Last Name as provided on the
Name                                                    W-4 record submitted to the NDNH.
W-4 Employee Street        142-181          40    A/N   If present, this field will contain the Employee Street Address Line
Address Line 1                                          1 as provided on the W-4 record submitted to the NDNH.

                                                            A-13

Federal Parent Locator Service                                                                 Appendix G
National Directory of New Hires      SWA W-4 Output Detail Record

                                        SWA W-4 OUTPUT DETAIL RECORD
                                               Alpha/
     Field Name          Location    Length   Numeric                                 Comments
W-4 Employee Street       182-221         40    A/N   If present, this field will contain the Employee Street Address Line
Address Line 2                                        2 as provided on the W-4 record submitted to the NDNH.
W-4 Employee Street        222-261        40    A/N   If present, this field will contain the Employee Street Address Line
Address Line 3                                        3 as provided on the W-4 record submitted to the NDNH.
W-4 Employee City          262-286        25    A/N   If present, this field will contain the Employee City as provided on
                                                      the W-4 record submitted to the NDNH.
W-4 Employee State         287-288          2   A/N   If present, this field will contain the Employee State as provided on
                                                      the W-4 record submitted to the NDNH.
W-4 Employee Zip           289-293          5   A/N   If present, this field will contain the Employee Zip Code as provided
Code                                                  on the W-4 record submitted to the NDNH.
W-4 Employee Zip           294-297          4   A/N   If present, this field will contain the Employee Zip Code Extension
Code Extension                                        as provided on the W-4 record submitted to the NDNH.
Employee Foreign           298-299          2   A/N   If present, this field will contain the Employee Foreign Country
Country Code                                          Code as provided on the W-4 record submitted to the NDNH.
Employee Foreign           300-324        25    A/N   If present, this field will contain the Employee Foreign Country
Country Name                                          Name as provided on the W-4 record submitted to the NDNH.
Employee Foreign Zip       325-339        15    A/N   If present, this field will contain the Employee Foreign Zip Code as
Code                                                  provided on the W-4 record submitted to the NDNH.
Employee Date of Hire      340-347          8   A/N   If present, this field will contain the Employee Date of Hire as
                                                      provided on the W-4 record submitted to the NDNH.
Employee State of Hire     348-349          2    A    If present, this field will contain the Employee State of Hire as
                                                      provided on the W-4 record submitted to the NDNH.

                                                          A-14

Federal Parent Locator Service                                                                     Appendix G
National Directory of New Hires         SWA W-4 Output Detail Record

                                           SWA W-4 OUTPUT DETAIL RECORD
                                                  Alpha/
     Field Name          Location       Length   Numeric                                 Comments
Federal EIN               350-358              9   A/N   If present, this field will contain the Federal Employer Identification
                                                         Number (FEIN) as reported on the NDNH W-4 record. Values are
                                                         000000001 through 999999999, or spaces.
State EIN                  359-370           12    A/N   If present, this field will contain the state Employer Identification
                                                         Number (EIN) as reported on the NDNH W-4 record. Values are
                                                         A through Z, 0 through 9, or spaces.
Department of Defense             371          1   A/N   (DOD only) If present, this field will contain the information on the
Code (DOD)                                               record submitted. The valid values are:
                                                         A – Active duty employees
                                                         C – Civilian employees
                                                         P – Pension/Retired employees
                                                         R – Reserve employees
Employer Name              372-416           45    A/N   If present, this field will contain the Employer Name as provided on
                                                         the W-4 record submitted to the NDNH.
Employer Street            417-456           40    A/N   If present, this field will contain the Employer Street Address Line 1
Address Line 1                                           as provided on the W-4 record submitted to the NDNH.
Employer Street            457-496           40    A/N   If present, this field will contain the Employer Street Address Line 2
Address Line 2                                           as provided on the W-4 record submitted to the NDNH.
Employer Street            497-536           40    A/N   If present, this field will contain the Employer Street Address Line 3
Address Line 3                                           as provided on the W-4 record submitted to the NDNH.

                                                              A-15

Federal Parent Locator Service                                                                  Appendix G
National Directory of New Hires      SWA W-4 Output Detail Record

                                        SWA W-4 OUTPUT DETAIL RECORD
                                               Alpha/
     Field Name          Location    Length   Numeric                                 Comments
Employer City             537-561         25    A/N   If present, this field will contain the Employer City as provided on
                                                      the W-4 record submitted to the NDNH.
Employer State             562-563          2   A/N   If present, this field will contain the Employer State as provided on
                                                      the W-4 record submitted to the NDNH.
Employer Zip Code          564-568          5   A/N   If present, this field will contain the Employer Zip Code as provided
                                                      on the W-4 record submitted to the NDNH.
Employer Zip Code          569-572          4   A/N   If present, this field will contain the Employer Zip Code Extension
Extension                                             as provided on the W-4 record submitted to the NDNH.
Employer Foreign           573-574          2   A/N   If present, this field will contain the Employer Foreign Country
Country Code                                          Code as provided on the W-4 record submitted to the NDNH.
Employer Foreign           575-599        25    A/N   If present, this field will contain the Employer Foreign Country
Country Name                                          Name as provided on the W-4 record submitted to the NDNH.
Employer Foreign Zip       600-614        15    A/N   If present, this field will contain the Employer Foreign Zip Code as
Code                                                  provided on the W-4 record submitted to the NDNH.
Employer Optional          615-654        40    A/N   If present, this is the address where an employer receives child
Street Address Line 1                                 support wage withholding orders. This is a number, street name,
Employer Optional          655-694        40    A/N   rural route or post office box, city, state, and zip code. This may be
Street Address Line 2                                 a foreign address.
Employer Optional          695-734        40    A/N
Street Address Line 3
Employer Optional          735-759        25      A/N
City
Employer Optional          760-761         2      A/N
State
Employer Optional          762-766         5      A/N
Zip Code

                                                           A-16

Federal Parent Locator Service                                                                    Appendix G
National Directory of New Hires         SWA W-4 Output Detail Record

                                           SWA W-4 OUTPUT DETAIL RECORD
                                                  Alpha/
       Field Name        Location       Length   Numeric                                Comments
Employer Optional         767-770              4   A/N
Zip Code Extension
Employer Optional          771-772           2      A/N
Foreign Country Code
Employer Optional          773-797          25      A/N
Foreign Country
Name
Employer Optional          798-812          15      A/N
Foreign Zip Code
Filler                     813-814           2      A/N     This field will contain spaces.
Passback Data              815-834          20      A/N     This field will contain the data submitted on the Input Detail
                                                            Record.
W-4 Match Indicator               835        1      A/N     This field will contain information that was used in the match.
                                                            ‘Y’- W-4 match was performed.
W-4 Same State Data               836        1      A/N     This field will contain information that was used in the match.
Indicator                                                   ‘Y’ - Return matches where the submitter is the same as the W-4
                                                            submitting state.
                                                            ‘N’ – Do not return matches where the submitter is the same as the
                                                            W-4 submitting state.

                                                            A-17

Federal Parent Locator Service                                                                   Appendix G
National Directory of New Hires      SWA W-4 Output Detail Record

                                        SWA W-4 OUTPUT DETAIL RECORD
                                               Alpha/
     Field Name          Location    Length   Numeric                                 Comments
W-4 From Date             837-844           8   A/N   This field will contain the date in CCYYMMDD format that was
                                                      used as the beginning process date for the W-4 match process.
                                                      This field will contain spaces when the match was performed using
                                                      the earliest available data from the NDNH.
W-4 Through Date           845-852          8   A/N   This field will contain the date in CCYYMMDD format that was
                                                      used as the ending process date for the W-4 match process.
                                                      This field will contain spaces when the match was performed using
                                                      the most recent available data on the NDNH.
Filler                     853-908        56    A/N   This field will contain spaces.
Transmitter Agency         909-917          9   A/N   If the submitter of the W-4 record was a federal agency, this field
Code                                                  will contain the Federal Employer Identification Number (FEIN) or
                                                      the FIPS code of the Federal agency that submitted the data to the
                                                      NDNH. Valid values are the FEIN or the letter ‘A’ followed by a
                                                      valid four-digit FIPS code.
Transmitter State          918-919          2   A/N   If the submitter of the W-4 record was a state or territory, this field
Code                                                  will contain the state or territory that transmitted the data to the
                                                      NDNH. Valid values are the numeric FIPS code of the state or
                                                      territory, or spaces.
Transmitter State or       920-977        58    A/N   This field will contain the descriptive name of the Federal agency or
Agency Name                                           state that submitted the data to the NDNH.
Filler                    978-1000        23    A/N   This field will contain spaces.

                                                           A-18

Federal Parent Locator Service                                                                    Appendix H
National Directory of New Hires        SWA Notify Output Detail Record

                                             SWA NOTIFY OUTPUT DETAIL RECORD
  Field Name                Location    Length  Alpha/   Comments
                                                Numeric
  Submitter Identifier         1-3         3       A/N   This field will contain the data submitted on the Input Detail Record.
  Record Identifier            4-6         3       A/N   This field will contain the characters ‘ERM’.
  SSN                         7-15         9       A/N   This field will contain the data submitted on the Input Detail Record.
  Verification Request         16          1       A/N   This field will contain the information used in the match process.
  Indicator                                              ‘Y’ – SSN/Name verification was performed.
                                                         ‘N’ – SSN/Name verification was not requested.

  Person First Name           17-26        10         A/N      This field will contain the data submitted on the Input Detail Record with
                                                               special characters removed.
  Person Middle Name          27-36        10         A/N      This field will contain the data submitted on the Input Detail Record with
                                                               special characters removed.
  Person Last Name            37-56        20         A/N      This field will contain the data submitted on the Input Detail Record with
                                                               special characters removed.
  Passback Data               57-76        20         A/N      This field will contain the data submitted on the Input Detail Record.
  Filler                     77-150        74         A/N      This field will contain spaces.
  Reject Code                  151          1         A/N      This field will contain one of the following values:
                                                               ‘N’ - the Input Detail Record contained insufficient name information. The
                                                               record was eliminated from the match.
                                                               ‘S’ - the SSN was missing or invalid. The record was eliminated from the
                                                               match.
                                                               ‘U’- the SSN/Name combination submitted did not verify using SSA SSN
                                                               verification routines. The record was eliminated from the match.
  Filler                    152-1000      849         A/N      This field will contain spaces.

                                                                  A-19

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