E-IWO Record Layouts - Appendix D

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OCSE O&M and Continuous Improvementse-IWOA Guide to an Employer’s Role in the ChildSupport ProgramAppendix D: e-IWO Record LayoutsVersion 4.0August 25, 2021Administration for Children and FamiliesOffice of Child Support Enforcement330 C Street SW, 5th FloorWashington, DC 20201

This document was prepared for the United States Department of Health and Human Services, Office of ChildSupport Enforcement under Contract Number HHSN316201200034W by Leidos Innovations Corporation. Thework was authorized in compliance with the following specific prime task order:Delivery Order Number:C-34668-ODelivery Order Title:e-IWODocument Date:August 25, 2021Document Number:C2-C0211H1.80.01

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Appendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 09/30/2023Table of ContentsIntroduction . 1Chart D–1: Universal Header (File and Batch) . 2Chart D–2: Universal Trailer (File and Batch) . 6Chart D-3: e-IWO Record Layout . 8Chart D–4: e–IWO Acknowledgment Record . 35Chart D–5: Summary of Changes . 45IntroductioniAugust 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Appendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 09/30/2023IntroductionAppendix D of A Guide to an Employer’s Role in the Child Support s/documents/ocse/employer guide.pdf) contains thevarious record layouts established for the e–IWO system: Chart D–1 is the Universal Header record layout.Chart D–2 is the Universal Trailer record layout.Chart D–3 is the e–IWO Detail record layout.Chart D–4 is the e–IWO Acknowledgment record layout.Chart D–5 lists the summary of changes for version 4.0.PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of thisinformation collection is to provide uniformity and standardization. Public reporting burden for this collection ofinformation is estimated to average two to five minutes per response, including the time for reviewinginstructions, gathering and maintaining the data needed, and reviewing the collection of information. This is amandatory collection of information in accordance with 45 CFR 303.100 of the Child Support EnforcementProgram. An agency may not conduct or sponsor, and a person is not required to respond to, a collection ofinformation subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currentlyvalid OMB control number. If you have any comments on this collection of information, please contact theEmployer Services Team by email at employerservices@acf.hhs.gov.Introduction1August 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Appendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 09/30/2023Chart D–1: Universal Header (File and Batch)Element NameDocument CodeDefinitionA code that indicateswhether the header isfor a file or a batch andthe type of record thatfollows.Chart D–1: Universal Header (File and Batch)LocationLengthTypeReq/Opt1–33AR2Data Element RulesRequired for all headers.First two characters indicate header type:FH always indicates a file header.BH always indicates a batch header.The third character indicates the record type. Recordtypes are:A – Acknowledgment: file sent from an employer to astate (FHA, BHA).I – IWO Detail: file sent from a state to an employer(FHI, BHI).K – Acknowledgment Result: file sent from the Portalto an employer (FHK, BHK). Used by the Portal.S – IWO Result: file sent from the Portal to a state(FHS, BHS). Used by the Portal.August 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Appendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 09/30/2023Element NameDefinitionLocationLengthTypeReq/OptControl NumberAn identifier assignedby the state, tribe, orterritory, employer, orpayroll processor thatuniquely identifies a fileor group of records in abatch.4–2522A/NRRequired for all headers.A unique, alphanumeric element that identifies a specificfile or a batch within a file. You cannot reuse previouslysubmitted control numbers.The file header (FH) has a unique control number toidentify a file.The state must assign a unique control number for eachemployer batch (BHI) contained in a file.Recommended format:Five-digit Locator – 21000 (two-digit state LocatorCode number followed by three zeros)Date – YYMMDDTime– HHMMSSSequence # – 0000For acknowledgments, employers can enter an identifierof their choosing.Leading or embedded spaces are not allowed.State LocatorCodeThe state/tribe/territoryLocator Code.Formerly known asFIPS code.26–305A/NCRFormat: 21000 (two-digit state Locator Code numberfollowed by three zeros)IWO detail sent by states:FHI – Required; input own Locator CodeBHI – Required; input own Locator CodeAcknowledgment sent by an employer or its payrollprocessor:FHA – Fill with spacesBHA– Required; input state, tribe, or territory the batchis intended forChart D–1: Universal Header (File and Batch)3Data Element RulesAugust 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Element NameDefinitionAppendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 09/30/2023LocationLengthTypeReq/OptData Element RulesEIN TextFederal EmployerIdentification Number(FEIN).31–399A/NCRIWO Detail sent by states:FHI – Fill with spacesBHI – Required; employer FEINAcknowledgment sent by employers:FHA – Required; employer FEINBHA – Required; employer FEINAcknowledgment sent by the primary employer withmultiple FEINs or third party:FHA – Fill with spacesBHA – Optional; can input primary FEINAcknowledgment sent to states:FHA – Fill with spacesBHA – Employer FEINPrimary EINTextThe FEIN of the parentcompany processingIWOs for itssubsidiaries or thirdparty processing IWOsfor an employer.40–489A/NCRAcknowledgment sent by an employer with one FEIN:FHA – Fill with spacesBHA – Fill with spacesAcknowledgment sent by the primary employer withmultiple FEINs or a third-party processor:FHA – Required; input primary FEINBHA – Required; input primary FEINIWO Detail sent by states:FHI – Fill with spacesBHI – Fill with spacesAcknowledgment sent to states:FHA – Fill with spacesBHA – Fill with spacesChart D–1: Universal Header (File and Batch)4August 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Appendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: ion DateThe date the header wasgenerated.49–568A/NRRequired for all headers.Must be a valid date in CCYYMMDD format.Creation TimeThe time the header wasgenerated.57–626A/NRRequired for all headers.Must be a valid time in HHMMSS format.Error FieldName TextThe list of fields that didnot pass the e-IWOedits.63–8018A/NOUsed only by the Portal to return the abbreviated Version4.0 field names in error. Each code is separated by acomma.Valid values:CDT – Creation dateCNM – Control numberCTM – Creation timeDOC – Document codeDUP – File already receivedEIN – FEIN textFPS – State Locator CodePPE – Payroll processor FEIN text81Varies:23264932326493A/NOThe filler length varies based on the file it is associatedwith.Element NameFillerFHI and BHIFHA and BHAFHS and BHSFHK and BHKIWO Detail/AcknowledgmentIWO Result/Acknowledgment/ResultChart D–1: Universal Header (File and Batch)5Data Element RulesAugust 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Appendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 09/30/2023Chart D–2: Universal Trailer (File and Batch)DefinitionLocationLengthTypeReq/Opt.Document CodeA code that indicateswhether the trailer is for afile or a batch and the typeof records.1–33ARRequired for all trailers.First two characters indicate trailer type. FT alwaysindicates a file trailer; BT always indicates a batchtrailer.The third character indicates the record type:A – Acknowledgment: file sent from an employerto a state (FTA, BTA).I – IWO Detail: file sent from a state to anemployer (FTI, BTI).K – Acknowledgment Result: file sent from thePortal to an employer (FTK, BTK). Used by thePortal.S – IWO Result: file sent from the Portal to a state(FTS, BTS). Used by the Portal.Control NumberAn identifier assigned bythe state, tribe, or territorythat uniquely identifies afile or group of records ina batch.4–2522A/NRRequired for all trailers.A unique, alphanumeric element that identifies aspecific file or a batch within a file.This must be the same number specified in thecorresponding file or batch header control number.Batch CountIndicates the number ofbatches contained in thefile.26–305NRUsed with file trailers (FTA, FTI, FTK, and FTS).If batch trailers (BTA, BTI, BTK, and BTS), fillwith zeros.Element NameChart D–2: Universal Trailer (File and Batch)6Data Element RulesAugust 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Element NameDefinitionAppendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 09/30/2023LocationLengthTypeReq/Opt.Data Element RulesRecord CountIndicates the number ofrecords contained in abatch.31–355NRUsed with batch trailers (BTA, BTI, BTK, andBTS).If file trailers (FTA, FTI, FTK, and FTS), fill withzeros.Employer SentCountIndicates the number ofvalid records sent to anemployer after the editingprocess.36–405NCRUsed for the IWO Results file (BTS). Only used bythe Portal. Always fill with zeros.State Sent CountIndicates the number ofvalid records sent to astate after the editingprocess.41–455NCRUsed for the Acknowledgment Results file (BTK).Only used by the Portal. Always fill with zeros.Error Field NameTextThe list of fields that didnot pass the e-IWO edits.46–6318A/NOUsed only by the Portal to return the abbreviatedVersion 4.0 field names in error. Each code isseparated by a comma.Valid values:BCT – Batch Count fieldCNM – Control Number fieldDOC – Document Code fieldRCT – Record Count fieldREC – Invalid file structure64Varies23435102343510A/NOThe filler length varies based on the file it isassociated with.FillerFTI and BTIFTA and BTAFTS and BTSFTK and BTKIWO DetailAcknowledgmentIWO ResultAcknowledgment ResultChart D–2: Universal Trailer (File and Batch)7August 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Appendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 09/30/2023Chart D-3: e-IWO Record LayoutLocationLengthTypeReq/OptDocument Code Code indicating theprimary e-IWO recordfollows.1–33A/NRValue must be DTL.N/AFillerFor future use.4–63A/NOFor future use.N/ADocumentAction CodeCode indicating the typeof IWO document.7–93A/NRValid values:AMD – Amended: any change for thesubmitted case number/identifier by thesubmitting state, except termination tothe original order.LUM – Lump Sum: sent when a state,tribe, or territory is made aware that alump sum payment will be made, and itis requesting a deduction be made fromthis lump sum.ORG – Original: new order for thesubmitted case number/identifier by thesubmitting state.TRM – Termination: closure of anorder; stoppage of wage withholdingfor the submitted case number/identifierby the submitting state.1a1b1c1dDocument DateDate the record wasgenerated.10–178A/NRMust be a valid date in CCYYMMDDformat.1eElement NameDefinitionChart D-3: e-IWO Record Layout8FormX-RefData Element RulesAugust 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Element NameDefinitionAppendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 09/30/2023LocationLengthTypeReq/OptData Element RulesFormX-RefIssuing StateTribe-TerritoryNameThe name of thejurisdiction (forexample, state, tribe,territory) issuing thedocument.18–5235A/NRState, tribe, or territory full name. Thefirst character cannot be a space.1gIssuingJurisdictionNameName of the county,city, district, or tribeissuing the document.53–8735A/NOIf entered, must be a full name.1iCase IDValue assigned by astate to uniquely identifyeach IV-D case in thestate.88–10215A/NRIn a state IV-D case, as defined at 45Code of Federal Regulations (CFR)305.1, the identifier reported to theFederal Case Registry (FCR).No leading spaces, back slashes (\), orasterisks are (*) allowed.1lEmployerNameName ofemployer/withholder thewithholding order isbeing sent to.103–15957A/NRFirst character must be a letter or anumber.2aEmployerAddress Line 1TextLine 1 rst character must be a letter or anumber.2bEmployerAddress Line 2TextLine 2 rst character must be a letter or anumber.2bEmployerAddress CityNameEmployer/withholder’scity name.210–23122A/NRFirst character must be a letter or anumber.2bChart D-3: e-IWO Record Layout9August 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Element NameDefinitionAppendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 09/30/2023LocationLengthTypeReq/OptFormX-RefData Element RulesEmployerAddress StateCodeEmployer/withholder’sstate code.232–2332ARValid alphabetic, two-character state orterritory code.2bEmployerAddress ZIPCodeEmployer/withholder’sZIP code.234–2385NRFollows Length and Type instructions.2bEmployerAddress ExtZIP CodeEmployer/withholder’sextension ZIP code.239–2424A/NOFollows Length and Type instructions.2bEIN TextEmployer’s/withholder’sFederal EmployerIdentification Number(FEIN).243–2519NRMust contain the FEIN of an employerparticipating in the e-IWO system.This FEIN must match the FEIN in thebatch header.2cEmployee LastNameObligor’s last name.252–27120A/NRFirst character cannot be a space.All uppercase letters or spaces.Only special characters allowed areperiods (.), hyphens (-), apostrophes (’),and embedded spaces.3aEmployee FirstNameObligor’s first name.272–28615A/NRFirst character cannot be a space.All uppercase letters or spaces.Only special characters allowed areperiods, hyphens, apostrophes, andembedded spaces.3aChart D-3: e-IWO Record Layout10August 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Element NameDefinitionAppendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 09/30/2023LocationLengthTypeReq/OptData Element RulesFormX-RefEmployeeMiddle NameObligor’s middle nameor initial.287–30115A/NOFirst character cannot be a space.All uppercase letters or spaces.Only special characters allowed areperiods, hyphens, apostrophes, andembedded spaces.3aEmployeeSuffixObligor’s name suffix.302–3054A/NOFollows Length and Type instructions.3aEmployee SSNObligor’s SocialSecurity number.306–3149NRFollows Length and Type instructions.3bEmployee BirthDateObligor’s date of birth.315–3228A/NOValid date in CCYYMMDD format.If unknown, fill with spaces.3cObligee LastNameObligee’s last name.323–37957A/NRFirst character cannot be a space.All uppercase letters or spaces.Only special characters allowed areperiods, hyphens, apostrophes, andembedded spaces.3dObligee FirstNameObligee’s first name.380–39415A/NRFirst character cannot be a space.All uppercase letters or spaces.Only special characters allowed areperiods, hyphens, apostrophes, andembedded spaces.3dObligee MiddleNameObligee’s middle nameor initial.395–40915A/NOFirst character cannot be a space.All uppercase letters or spaces.Only special characters allowed areperiods, hyphens, apostrophes, andembedded spaces.3dChart D-3: e-IWO Record Layout11August 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Element NameDefinitionAppendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 09/30/2023LocationLengthTypeReq/OptFormX-RefData Element RulesObligee NameSuffixObligee’s name suffix.410–4134A/NOFollows Length and Type instructions.3dIssuingTribunal NameName of the state, tribe,or territory that issuedthe support orwithholding order.414–44835A/NRMust contain the full name.4Support CurrentChild AmountDollar amount to bewithheld for payment ofcurrent child support.449–45911NRDecimal is assumed.Unsigned.No rounding.Right justified.Zero fill to left.Zero fill if N/A.5aSupport CurrentChildFrequencyCodeInterval the currentsupport amount isrequired to be paid.4601A/NCRIf a dollar amount other than zero is in theSupport Current Child Amount field(positions 449–459), this field is required.Valid values:A – AnnuallyB – BiweeklyM – MonthlyQ – QuarterlyS – SemimonthlyW – WeeklyX – SemiannuallySpace fill if N/A.5bChart D-3: e-IWO Record Layout12August 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Appendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: rt PastDue ChildAmountDollar amount to bewithheld for payment ofpast due child support.461–47111NRSupport PastDue ChildFrequencyCodeInterval the past duechild support amount isrequired to be paid.4721A/NCRSupport CurrentMedicalAmountDollar amount to bewithheld for payment ofcurrent medical support.473–48311NRElement NameChart D-3: e-IWO Record Layout13FormX-RefData Element RulesDecimal is assumed.Unsigned.No rounding.Right justified.Zero fill to left.Zero fill if N/A.6aIf a dollar amount other than zero is in theSupport Past Due Child Amount field(positions 461–471), this field is required.Valid values:A – AnnuallyB – BiweeklyM – MonthlyQ – QuarterlyS – SemimonthlyW – WeeklyX – SemiannuallySpace fill if N/A.6bDecimal is assumed.Unsigned.No rounding.Right justified.Zero fill to left.Zero fill if N/A.7aAugust 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Appendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 09/30/2023Element NameDefinitionLocationLengthTypeReq/OptSupport CurrentMedicalFrequencyCodeInterval the currentmedical support amountis required to be paid.4841A/NCRSupport PastDue MedicalAmountDollar amount to bewithheld for payment ofpast due medicalsupport.485–49511NRChart D-3: e-IWO Record Layout14FormX-RefData Element RulesIf a dollar amount other than zero is in theSupport Current Medical Amount field(positions 473–483), this field is required.Valid values:A – AnnuallyB – BiweeklyM – MonthlyQ – QuarterlyS – SemimonthlyW – WeeklyX – SemiannuallySpace fill if N/A.7bDecimal is assumed.Unsigned.No rounding.Right justified.Zero fill to left.Zero fill if N/A.8aAugust 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Appendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: rt PastDue MedicalFrequencyCodeInterval the past duemedical support amountis required to be paid.4961A/NCRSupport CurrentSpousalAmountDollar amount to bewithheld for payment ofcurrent spousal support.497–50711NRElement NameChart D-3: e-IWO Record Layout15FormX-RefData Element RulesIf a dollar amount other than zero is in theSupport Past Due Medical Amount field(positions 485–495), this field is required.Valid values:A – AnnuallyB – BiweeklyM – MonthlyQ – QuarterlyS – SemimonthlyW – WeeklyX – SemiannuallySpace fill if N/A.8bDecimal is assumed.Unsigned.No rounding.Right justified.Zero fill to left.Zero fill if N/A.9aAugust 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Element NameDefinitionSupport CurrentSpousalFrequencyCodeInterval over which thespousal support isrequired to be paid.Support PastDue SpousalAmountDollar amount to bewithheld for payment ofpast due spousal support.Chart D-3: e-IWO Record LayoutAppendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 51911NR16FormX-RefData Element RulesIf a dollar amount other than zero is in theSupport Current Spousal Amount field(positions 497–507), this field is required.Valid values:A – AnnuallyB – BiweeklyM – MonthlyQ – QuarterlyS – SemimonthlyW – WeeklyX – SemiannuallySpace fill if N/A.9bDecimal is assumed.Unsigned.No rounding.Right justified.Zero fill to left.Zero fill if N/A.10aAugust 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Appendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: rt PastDue SpousalFrequencyCodeInterval over which thepast due spousal supportamount is required to bepaid.5201A/NCRObligationOther AmountDollar amount to bewithheld for payment ofmiscellaneousobligations.521–53111NRElement NameChart D-3: e-IWO Record Layout17FormX-RefData Element RulesIf a dollar amount other than zero is in theSupport Past Due Spousal Amount field(positions 509–519), this field is required.Valid values:A – AnnuallyB – BiweeklyM – MonthlyQ – QuarterlyS – SemimonthlyW – WeeklyX – SemiannuallySpace fill if N/A.10bDecimal is assumed.Unsigned.No rounding.Right justified.Zero fill to left.Zero fill if N/A.11aAugust 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Element NameDefinitionAppendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 09/30/2023LocationLengthTypeReq/Opt5321A/NCRIf a dollar amount other than zero is in theObligation Other Amount field (positions521–531), this field is required.Valid values:A – AnnuallyB – BiweeklyM – MonthlyQ – QuarterlyS – SemimonthlyW – WeeklyX – SemiannuallySpace fill if N/A.11bIf a dollar amount other than zero is in theObligation Other Amount field (positions521-531), this field is required.11cDecimal is assumed.Unsigned.No rounding.Right justified.Zero fill to left.Zero fill if N/A.12aObligationOtherFrequencyCodeInterval over which themiscellaneousobligations amount isrequired to be paid.ObligationOtherDescriptionTextDescription of tionTotal AmountSum of the current childsupport, past due childsupport, current cashmedical support, pastdue cash medicalsupport, current spousalsupport, past due spousalsupport, andmiscellaneousobligations.568–57811NRChart D-3: e-IWO Record Layout18FormX-RefData Element RulesAugust 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Element NameDefinitionAppendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: FrequencyCodeInterval over which thetotal obligation isrequired to be paid.5791A/NCRArrears 12wkOverdue CodeIndicates whether pastdue child support is inarrears for a periodlonger than 12 tAmount theemployer/incomewithholder shouldwithhold if the employeeis paid weekly.581–59111NChart D-3: e-IWO Record Layout19FormX-RefData Element RulesIf a dollar amount other than zero is in theObligation Total Amount field (positions568-578), this field is required.Valid values:A – AnnuallyB – BiweeklyM – MonthlyQ – QuarterlyS – SemimonthlyW – WeeklyX – SemiannuallySpace fill if N/A.12bOValid values:Y – Arrears greater than 12 weeksN – Arrears less than 12 weeksSpaces are allowed.6cRDecimal is assumed.Unsigned.No rounding.Right justified.Zero fill to left.Zero fill if N/A.13aAugust 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Appendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: eWithholdingDeduction BiWeeklyAmountAmount theemployer/incomewithholder shouldwithhold if the employeeis paid every two weeks.592–60211NRDecimal is assumed.Unsigned.No rounding.Right justified.Zero fill to left.Zero fill if N/A.13cIncomeWithholdingSemimonthlyAmountAmount theemployer/incomewithholder shouldwithhold if the employeeis paid twice a month.603–61311NRDecimal is assumed.Unsigned.No rounding.Right justified.Zero fill to left.Zero fill if N/A.13bIncomeWithholdingMonthlyAmountAmount theemployer/incomewithholder shouldwithhold if the employeeis paid once a month.614–62411NRDecimal is assumed.Unsigned.No rounding.Right justified.Zero fill to left.Zero fill if N/A.13dState TribeTerritory NameState, tribe, or territorythat issued the supportorder.625–65935A/NRFollows Length and Type instructions.1621BeginWithholdingWithin DaysNumberNumber of days theemployer/incomewithholder must startincome withholding.660–6612NRFollows Length and Type instructions.17Element NameChart D-3: e-IWO Record Layout20Data Element RulesFormX-RefAugust 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Appendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 09/30/2023Element oldingStart InstructionInstruction for theimplementation date ofthe income withholding.662–6698A/NCRSend PaymentWithin DaysNumberNumber of business dayswithin which an incomewithholder must remitamounts withheldpursuant to the issuingstate’s law.670–6712NRChart D-3: e-IWO Record Layout21FormX-RefData Element RulesThis field is only required for DocumentAction Code AMD, LUM, and ORG.Can contain a valid date in theCCYYMMDD format for orders issuedbefore 9/30/21 or the text entry belowbefore or after 9/30/21.For all orders issued on or after 9/30/21,the text entry must be used. The entryshould be left justified and contain one ofthe following instruction words:servicereceiptmailingSpace fill any unused position.Text Instruction entry is based on theissuing state’s statute. For electronicorders, the date the e-IWO was receivedis also the mailing date.If the Document Action Code is TRM,fill with spaces.18If the Document Action Code is TRM,fill with zeros.Right justified.Zero fill to left.Zero fill if N/A.19August 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Appendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: eWithholdingCCPA PercentRateHighest percentage ofthe disposal income thatcan be withheld from theemployee or obligor’swages.672–6732NRIf the Document Action Code is TRM,fill with zeros.20Payee NameName of the statedisbursement unit,individual,tribunal/court, or tribalchild supportenforcement agencypayments are required tobe sent to.674–73057A/NRFirst character must be a letter or anumber.22Payee AddressLine 1 TextLine 1 of the payee’saddress.731–75525A/NRFollows Length and Type instructions.23Payee AddressLine 2 TextLine 2 of the payee’saddress.756–78025A/NOFollows Length and Type instructions.23Payee AddressCity NamePayee’s city address.781–80222A/NRFollows Length and Type instructions.23Payee AddressState CodePayee’s state code.803–8042ARValid alphabetic, two-character state orterritory code.23Payee AddressZIP CodePayee’s ZIP code.805–8095NRFollows Length and Type instructions.23Payee AddressExt ZIP CodePayee’s extension ZIPcode.810–8134A/NOFollows Length and Type instructions.23Element NameChart D-3: e-IWO Record Layout22Data Element RulesFormX-RefAugust 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Appendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: RemittanceLocator CodeLocator Code forremitting paymentsthrough EFT/EDI.Formerly known as FIPScode.814–8207NREither state and county Locator or tribalplace code:The first two characters are the numericstate code.The next three are the county code.The last two are completed by the user.Only the first five characters (state andcounty codes) are required.24Issuing OfficialNameName of the tribunalofficial authorizing thedocument.821–89070A/NOFirst character must be alphanumeric.27Issuing OfficialTitle TextTitle of thegovernmental officialauthorizing thedocument.891–94050A/NOFirst character must be alphanumeric.28FillerFor future use.9411A/NOFor future use.N/ASend EmployeeCopy IndicatorIndicates whether theemployer/incomewithholder is required toprovide a copy of thenotice to the employee.9421A/NRValid values:Y – YesN – No30Element NameChart D-3: e-IWO Record Layout23FormX-RefData Element RulesAugust 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Appendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: tyLiability InfoTextDescribesadditional/specific state,tribal, or territorypenalties or liabilitiesabout theemployer’s/incomewithholder’s failure toobey the notice.943–1102160A/NOStates should insert the citation for theappropriate Penalty Liability text fromstate law.31AntidiscriminationProvisions TextDescribesadditional/specificinformation if theemployer/incomewithholder discharges,fails to employ, ordisciplines the employeeas a result of the notice.1103–1262160A/NOStates should insert the citation for theappropriate antidiscrimination text fromstate law.32SupplementalInformationAdditional informationabout any ws Length and Type instructions.33Employee StateContact NameContact’s name.1423–147957A/NRFollows Length and Type instructions.47Employee StateContact PhoneNumberContact’s phone number.1480–148910A/NRFollows Length and Type instructions.48Employee StateContact FaxNumberContact’s fax number.1490–149910A/NOFollows Length and Type instructions.49Element NameChart D-3: e-IWO Record Layout24FormX-RefData Element RulesAugust 25, 2021

OCSE O&M and Continuous Improvementse-IWOOMB Control Number: 0970-0154Element NameDefinitionAppendix D: e-IWO Record LayoutsVersion 4.0Expiration Date: 09/30/2023LocationLengthTypeReq/OptFormX-RefData Element RulesEmployee StateContact EmailAddress TextContact’s email orwebsite address.1500–154748A/NOFollows Length and Type instructions.50DocumentTrackingNumberNumber assigned by theentity sending thedocument that uniquelyidentifies the document.1548–157730A/NRFirst two

Chart D–1 is the Universal Header record layout. Chart D–2 is the Universal Trailer record layout. Chart D–3 is the e–IWO Detail record layout. Chart D–4 is the e–IWO Acknowledgment record layout. Chart D–

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datacenter managed by VMware vCenter Server. Cisco Intersight Workload Optimizer uses targets to monitor workloads and resources, and to execute actions in your environment. . HPE OneView IWO Essentials No New Relic SaaS or deployed on public cloud IWO Premier No Cisco AppDynamics Deployed on-premises IWO Advantage Yes

Issue of orders 69 : Publication of misleading information 69 : Attending Committees, etc. 69 : Responsibility 69-71 : APPENDICES : Appendix I : 72-74 Appendix II : 75 Appendix III : 76 Appendix IV-A : 77-78 Appendix IV-B : 79 Appendix VI : 79-80 Appendix VII : 80 Appendix VIII-A : 80-81 Appendix VIII-B : 81-82 Appendix IX : 82-83 Appendix X .

Appendix G Children's Response Log 45 Appendix H Teacher's Journal 46 Appendix I Thought Tree 47 Appendix J Venn Diagram 48 Appendix K Mind Map 49. Appendix L WEB. 50. Appendix M Time Line. 51. Appendix N KWL. 52. Appendix 0 Life Cycle. 53. Appendix P Parent Social Studies Survey (Form B) 54

Engineering Striping & Stenciling. Handbook. 2 Section 1 & 2 Striping Patterns/ Layouts & Passing Zone Layouts. Section 3 Truck Lane Layouts. Section 4 Turning Lane Layouts. Section 5 & 6 Stencil Layout, Square Footage Points of Contacts Region Traffic Engineers (RTE) List Region 1 - Southern

much time for P-51 checkouts before leaving for Iwo. In the 21st, the more senior pilots averaged perhaps 20 hours "in type" before landing at the advanced base. Most pilots were newly out of op-erational training and averaged merely five to 10 Mustang hours. In the Pacific—the largest theater of war in history—the Mustang's long

Appendix H Forklift Operator Daily Checklist Appendix I Office Safety Inspection Appendix J Refusal of Workers Compensation Appendix K Warehouse/Yard Inspection Checklist Appendix L Incident Investigation Report Appendix M Incident Investigation Tips Appendix N Employee Disciplinary Warning Notice Appendix O Hazardous Substance List

Tulang tergolong jaringan ikat yang termineralisasi (Ardhiyanto, 2011), termasuk jaringan ikat khusus (Lesson et al, 1995). Komposisi dalam jaringan tulang terdiri dari matrik organik dan matrik inorganik (Nanci, 2005). Sel-sel pada tulang antara lain osteoblast, osteosit, osteoklas dan sel osteoprogenitor. Osteoblast ditemukan dalam lapisan .