M21-1 Manual / Part XIV, Chapter 4, Section C

Federal Tax Information (FTI) Match_ Post Award Audit (PAA) for Pension and Parents' Dependency and Indemnity Compensation (DIC) Beneficiaries

M21-1, Part XIV, Chapter 4, Section C

Overview

In This Section

This section contains the following topics:

Topic	Topic Name
1	Operational Performance and Establishing Controls
2	Notification and Verification Requests
3	Final Action for PAA
4	PAA Worksheet

1. Operational Performance and Establishing Controls

Introduction

This topic contains general information on operational performance and establishing controls, including

definition of a PAA
overview of the match
Office of Performance Analysis & Integrity (OPA&I) filtering of matches
Hines Information Technology Center (ITC) filtering of matches
PAA worksheets
PAA end product (EP)
claims jurisdiction for PAA, and
periodic release dates for PAA.

Change Date

June 17, 2025

XIV.4.C.1.a. Definition: PAA

The post award audit(PAA) is an income match with the Internal Revenue Service (IRS) and the Social Security Administration (SSA) that allows the Department of Veterans Affairs (VA) to ensure a beneficiary continues to be entitled to VA benefits. The match is conducted only
after a grant of benefits and only if there is a current award, and
unlike upfront verification, without the initiation of a claim from a Veteran or survivor.

XIV.4.C.1.b. Overview of the Match

The table below provides an overview of the match.

Stage	Description
1	The Office of Performance Analysis & Integrity (OPA&I) selects beneficiary files for the data match and sends the files to Hines Information Technology Center (ITC).Reference: For more information on OPA&I selection, see M21-1, Part XIV, 4.C.1.c.
2	Hines ITC sends the file to the SSA and IRS.
3	The SSA and IRS run this file against their files.
4	Files are then returned from both the SSA and IRS.
5	Hines ITC combines the SSA and IRS files and matches the combined file against the corporate record.
6	Hines ITC performs a filter to exclude those cases where development based on income or net worth is not required.Reference: For more information on Hines ITC filtering of matches, see M21-1, Part XIV, 4.C.1.d.
7	For cases not filtered, Hines ITC establishes the appropriate end product (EP) for the pension management center (PMC) mails the appropriate letter(s) to the beneficiary, and uploads the letter(s) to the secured Federal tax information (FTI) file repository (FFR). References: For more information on the PAA EP, see M21-1, Part XIV, 4.C.1.f, and automatic generation of compressed letter, see M21-1, Part XIV, 4.C.2.d.

XIV.4.C.1.c. OPA&I Filtering of Matches

OPA&I selects eligible beneficiary records to send to Hines ITC. Prior to selecting records, OPA&I will automatically exclude records in which the beneficiary

has a pending FTI eligible EP during the PAA match
has had an FTI eligible EP claim established within two years from the date OPA&I selects records for a PAA match
is receiving a payment of $90 due to Medicaid status as of the date of the PAA selection
has a missing cost-of-living adjustment line for the tax year of the requested match, or
is deceased.

Note: The first two bullets apply to EP series with claim labels listed in M21-1, Part XIV, 4.A.1.d.

XIV.4.C.1.d. Hines ITC Filtering of Matches

Prior to releasing PAAs to the PMCs, Hines ITC will exclude the matches in which the

beneficiary is deceased
medical expenses of record exceed the higher of either the
- total income of record in the corporate record, or
- total countable FTI
benefit was discontinued for the full calendar year matched
total income of record for the year matched in the corporate record is greater than the total countable FTI
total income in the corporate record for the matched year is $0 and the total countable FTI is $0
total countable FTI exceeds the income in the corporate record, for the same year, by $100 or less, or
following three statements are true
- value listed in the NET WORTH field in the corporate record is $0
- the total income reported on IRS Form 1099-INT, Statement for Recipients of Interest Income, is less than or equal to $100, and
- the medical expenses of record exceed the greater of income in the corporate record or total countable FTI.

Exception: Hines ITC will not exclude those cases identified for a substantial net worth discrepancy in which medical expenses exceed the greater income.

XIV.4.C.1.e. PAA Worksheets

Hines ITC will produce worksheets and upload them with the secured category description of IRS/SSA – Verification within the secured FFR for all matched cases, including those that were filtered by Hines ITC. Note: The worksheets associated with the matches filtered by Hines ITC require no further action. Reference: For more information pertaining to the data shown on the PAA worksheets, see M21-1, Part XIV, 4.C.4.

XIV.4.C.1.f. PAA EP

For those matches not excluded, Hines ITC automatically establishes an EP 154 with the claim label

Post Award Audit for those beneficiaries without a fiduciary, or
Post Award Audit – Fid Review for those beneficiaries with a fiduciary.

Notes:
The suspense date is automatically set for 65 days.
If at any time while the EP 154 is pending the beneficiary obtains a fiduciary, update the claim label to Post Award Audit – Fid Review.
Important:
Only one EP 154 is allowed per beneficiary record. If an EP 154 is pending and the beneficiary is selected for a subsequent PAA match, cancel the newest EP(s) and adjudicate the award using the earliest established EP 154.
Leave the EP pending until final action is taken.
Example: An EP 154 is established on December 16, 2020, due to a PAA. A review of the record shows that a second EP 154, established October 5, 2019, is due to an income verification match (IVM). Cancel the EP that was established December 16, 2020, and work the PAA and the IVM under the EP established October 5, 2019. Reference: For more information on when a fiduciary may verify FTI, see M21-1, Part XIV, 4.B.4.

XIV.4.C.1.g. Claims Jurisdiction for PAA

Jurisdiction is determined based on the beneficiary’s address of record in the corporate record and established at the appropriate PMC. Exception: If the beneficiary has a fiduciary, then jurisdiction is based on the beneficiary’s address of record in the Veterans Benefits Management System (VBMS).

XIV.4.C.1.h. Periodic Release Dates for PAA

PAAs will be established twice per fiscal year to support an equitable distribution throughout the year.

2. Notification and Verification Requests

Introduction

This topic contains information on the notification and verification letters, including

independent verification
due process
compression letter
automatic generation of compressed letter
effective date of proposed action for the compressed letter, and
attachments mailed with beneficiary letter.

Change Date

January 25, 2017

XIV.4.C.2.a. Independent Verification

The terms of the computer matching agreement require VA to make reasonable efforts to independently verify FTI received from the source agencies, IRS and SSA. For independent verification, VA will only send letters to the recipient of the identified income.

XIV.4.C.2.b. Due Process

Due process procedures require VA to give the beneficiary 60 days to submit evidence to show why a reduction or discontinuance should not be made. Reference: For more information on due process, see
M21-1, Part I, Subpart i, 1.B, and
38 CFR 3.103.

XIV.4.C.2.c. Compression Letter

Beginning in fiscal year 2016, the matching agreements with IRS (unearned income) and SSA (earned income) allow for compression of independent verification and due process. This is different from the IVMs in which two separate steps were required. The compressed letter allows VA to reduce the time it takes to process the match. Reference: For more information on how to process IVMs, see M21-1, Part XIV, 4.D.

XIV.4.C.2.d. Automatic Generation of Compressed Letter

Hines ITC will automatically issue a compressed letter to the beneficiary at the time the EP is automatically established. The letter provides the beneficiary of the identified income 60 days to respond. Notes:
All letters are identified with a notation, CONTAINS FTI.
Depending on the number of pages of the letter and attachments, automated letters are mailed in either a
blue envelope, or
a manila envelope.
References: For information on
identifying undeliverable mail containing FTI, see M21-1, Part II, Subpart i, 1.A.2.d, and
safeguarding FTI, see M21-1, Part XIV, 4.B.

XIV.4.C.2.e. Effective Date of Proposed Action for the Compressed Letter

For the purposes of the compressed letter, VA will

presume that the FTI was received in January of the tax year matched and propose to adjust effective February 1, and
propose the most adverse action to stop the benefit effective February 1 of the tax year matched unless evidence is received to the contrary.

Important: Although the most adverse action is proposed, claims processors must take the most appropriate action based on the evidence of record. Reference: For examples on final award actions, see M21-1, Part XIV, 4.C.3.d and e.

XIV.4.C.2.f. Attachments Mailed With Beneficiary Letter

VA forms will be attached to the beneficiary letter based on the IRS Source and IRS Income Type identified. Use the table below to determine the VA form(s) Hines ITC mailed to the beneficiary.

If the match identifies FTI related to the IRS Source …

Then Hines ITC mails a VA Form …

beneficiary's share of income, credits, deductions, etc.

21P-8049, Request for Details of Expenses.

changes in corporate control and capital structure

21P-8049.

distributions from pensions, annuities, retirement or profit-sharing plans, individual retirement arrangements (IRAs), insurance contracts, etc.

21P-8049.

partner’s share of income, credits, deductions, etc.

shareholder's share of undistributed taxable income, credits, deductions, etc.

21P-8049.

statement for recipients of certain government payments

21P-4165 if the income type is agricultural subsidies.Note: A VA form is not mailed when the income type is unemployment compensation.

statement for recipients of dividends and distributions

21P-8049.

statement for recipients of miscellaneous income

depending on the income type. Use the table below to determine what form(s) Hines ITC mailed based on the income type.

If the income type is …	*Hines ITC mails a VA Form* …**
medical payments, or other income	21P-4185,and 21P-8049.
rents	21P-4165 21P-4185, and 21P-8049.
royalties	21P-4165, and 21P-8049.
substitute payments for dividends	21P-8049.

statement for recipients of proceeds from real estate brokers and barters exchange transactions

21P-8049.

statement for recipients of proceeds from real estate transactions

21P-4185.

Exception: Beneficiaries of Parents' Dependency and Indemnity Compensation (DIC) will not receive VA Form 21P-8049.

3. Final Action for PAA

Introduction

This topic contains information on final action of the award, including

when to take final action
additional development
finalizing the PAA claim
example 1 of final award actions, and
example 2 of final award actions.

Change Date

January 18, 2022

XIV.4.C.3.a. When to Take Final Action

Do not take final action until a reasonable income verification process is completed. In most cases, the verification process is considered completed when the compressed letter is sent to the beneficiary and the 60-day response period has expired. Note: In all cases, final action may be taken prior to the expiration of the 60-day due process period if the beneficiary waives the due process rights. Reference: For an example of when further development may be required, see M21-1, Part XIV, 4.C.3.d.

XIV.4.C.3.b. Additional Development

In some instances, further development may be required. The EP must be left pending until the issue is finalized. If further development is required, but evidence received from the beneficiary could be used to adjust the benefit, take interim action while resolving the discrepancy. The effective date of the interim action should be based on the evidence of record. Reference: For an example of when further development may be required, see M21-1, Part XIV, 4.C.3.d.

XIV.4.C.3.c. Finalizing the PAA Claim

Once the verification and due process period are complete for PAA, take final action based on the table below.

If the beneficiary …

Then finalize the award based on the …

verifies the matched amount
verifies more income than the match amount, or
verifies less income than the matched amount with substantiating evidence

beneficiary verified amount.

verifies less income than the matched amount without substantiating evidence, and
reported income would result in the reduction or discontinuance of benefits, or
the beneficiary does not respond

PAA worksheet. Note: In the decision notice, give the beneficiary the opportunity to provide evidence to support the claim of less income. Beneficiaries should also be provided a VA Form 21P-8416, Medical Expense Report, and given the opportunity to submit unreimbursed medical expenses that they paid to reduce an overpayment. Reference: For more information on time limits to submit amended income information to reduce an overpayment, see M21-1, Part IX, Subpart iii, 1.H.1.f.

Notes:

Although the most adverse action is proposed, claims processors must take the most appropriate action based on the evidence of record.
The determination that a running pension award should be reduced or discontinued is not bound under the favorable finding rule found in 38 CFR 3.104(c) with respect to the initial award of pension. Therefore, favorable findings from the decision to grant pension do not have to be rebutted in order to reduce a running pension award.

Important: PMCs must store FTI created for PAA in the secured FFR folder. Documents that contain FTI can be viewed via the FTI DOCUMENTS tab in VBMS.

XIV.4.C.3.d. Example 1: Final Award Actions

Scenario: The Veteran’s income for VA purposes (IVAP) is $0. The PAA discovered income of $1,000 in wages (considered recurring income) and $2,000 in gambling winnings (considered nonrecurring income). Veteran states as related to the wages, of being a victim of identity theft. He provided no evidence pertaining to the identity theft and he did not dispute the gambling winnings. Result: Take interim action to count the gambling winnings, removing the gambling winnings after it has been counted for 12 months. In the decision notice,
advise the Veteran that additional evidence is required in order for VA not to count the wages
provide the examples of proof of identity theft contained in M21-1, Part XIV, 4.D.11.e
inform the Veteran that if evidence is not received regarding proof of identity theft, the final action will be taken to count the wages, and
give the Veteran 30 days to respond.
After the 30 days has expired, if the Veteran
does not respond or provides insufficient evidence of identity theft, count the wages on the Veteran’s awards as recurring income, finalize the award, and provide decision notification to the Veteran, or
responds with sufficient evidence, do not count the wages, clear the EP, and provide decision notification to the Veteran.
Reference: For more information on decision notification requirements, see M21-1, Part VI, Subpart i, 1.B.1.b.

XIV.4.C.3.e. Example 2: Final Award Actions

Example: The Veteran’s IVAP is $3,000 due to the retirement income reported in the application for pension in 2019. The compressed letter was mailed to the Veteran advising him of the income identified from the PAA for tax year 2020. The PAA showed the income in the table below. The Veteran did not respond to the letter.
Income Source Income Type Income Income Classification
Distributions from Medical Savings Accounts Gross Benefits $2,000 Recurring
Distributions from Medical Savings Accounts Earnings on Distributive Excess Contribution $200 This amount is included in gross benefits. Do not count twice. Subtract excess contributions from gross benefits after 12 months.
Result: Continue counting the retirement income. Adjust the Veteran’s award beginning February 1, by including the $2,000 Gross Benefits from the Distributions from Medical Savings Accounts. After 12 months, remove $200 from the $2,000 which was received from Earnings on Distributive Excess Contribution. Finalize the award and provide decision notice to the Veteran.

4. PAA Worksheet

Introduction

This topic contains information on the PAA worksheet, including

PAA worksheet data
PAA worksheet data definitions
determining income classification
PAA worksheet - IRS SOURCE field reads distributions from pensions, annuities, retirement or profit-sharing plans, IRAs, insurance contracts, etc.
sample PAA worksheet (page one), and
sample PAA worksheet (additional pages).

Change Date

April 2, 2020

XIV.4.C.4.a. PAA Worksheet Data

PAA worksheets may contain the following:

applicable tax year
month and year of match
date letter mailed or the filter reason and date
Veteran’s claims information
benefit type
income recipient information
payer name and address
gross income
recurring income
nonrecurring income
unknown income, and
not income for Veterans Benefits Administration (VBA) purposes.

References: For information on
Hines ITC filter reasons, see M21-1, Part XIV, 4.C.1.d, and
a sample PAA worksheet, see M21-1, Part XIV, 4.C.4.e and f.

XIV.4.C.4.b. PAA Worksheet Data Definitions

The table below explains the data received on the PAA worksheet. Review the income, as reported by IRS, for

income, and
net worth.

The field titled …	Contains …
DATE LETTER MAILED	the date the beneficiary letter was mailed by Hines ITC. *Note*: This field will be blank if the PAA was excluded by Hines ITC.
PAA WAS AUTOMATICALLY FILTERED DATE	the date the automatic filter was completed by Hines ITC to exclude the match.
REASON	the automatic filter reasons for exclusion of the match, provided by Hines ITC. The following are the filter reasons: beneficiary reported deceased terminated for full calendar year of match current medical expenses reduce countable income to zero income of record for matched year, is greater than income reported by IRS/SSA income on award equals zero and FTI equals zero, or discrepant income is within threshold. *Reference*: For the full description of Hines ITC filtering reasons, see M21-1, Part XIV, 4.C.1.d.
C-FILE NUMBER	the file number of the pension or Parents' DIC award.
SSN	the Veteran’s Social Security number (SSN).
STUB	the Veteran’s stub name as it is shown in the corporate record.
ENTITLEMENT CODE	one of the following: Veterans Pension Survivors Pension, or Parents' DIC.
INCOME RECIPIENT’S NAME	the name of the beneficiary, or survivor.
INCOME RECIPIENT’S SSN	the SSN of the beneficiary, or survivor.
INCOME RECIPIENT’S ADDRESS	the address of the beneficiary, or survivor.
PAYER NAME AND ADDRESS	the name and address of the individual, business, or entity that paid the income.
ACCOUNT NUMBER	the account number associated with the income paid, if applicable.
GROSS INCOME	the gross amount of income, as provided by the payer of the income.
IRS SOURCE	the IRS form name on which the income was reported. Example: Statement for Recipients of Certain Government Payments.
IRS INCOME TYPE	the specific type of gross income as reported to IRS on the applicable IRS form. *Example: The IRS provides VA from the IRS Form 1099-G, Statement for Recipients of Certain Government Payments, the following income information: box one, unemployment compensation, and box seven, agriculture payments. If FTI is received documenting an individual received income reported on IRS Form1099-G*, the field on the PAA worksheef, IRS INCOME TYPE, will display unemployment compensation, or agriculture subsidies.
INDICATOR 1	supplemental information provided by the income payer on the IRS form. Indicator 1 will be provided when the gross income reported to IRS is received on the following forms: 1099-CAP, Changes in Corporate Control and Capital Structure (Info Copy Only) 1099-MSA, Distributions from Medical Savings Accounts 1099-Q, Qualified Tuition Program Payments, or 1099-R, Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans. *Note*: In most cases, interpretation of the information is not required, as Hines ITC will provide the income classification on the PAA worksheet.
INDICATOR 2	supplemental information provided by the income payer on the IRS form. It is only available on the IRS Form 1099-R. *Note*: In most cases, interpretation of the information is not required, as Hines ITC will provide the income classification on the PAA worksheet.
COUNT AS	the VBA income classification.

Reference: For more information on determining how long the income should be counted on the award, see M21-1, Part XIV, 4.C.4.c.

XIV.4.C.4.c. Determining Income Classification

Claims processors must consider how long the FTI should be counted when determining the final award. Review the PAA worksheet and follow the steps in the table below to determine how long the income should be counted.

Step

Action

Review the COUNT AS field for each income amount received and follow the instructions in the table below.

If the COUNT AS field states …

Then ...

Income from SSA, or
Recurring Income

count on an open-ended basis from the first day of the month after the month during which the income is first received, and
take no further action unless other types of income are reported on the worksheet.

Note: If there is no evidence to show otherwise, presume that the income was received in January of the tax year shown on the PAA worksheet.

Nonrecurring Income

count this income from the first day of the month after the month during which the income is first received
remove the income after 12 months, and
take no further action unless other types of income are reported on the worksheet.

Note: If there is no evidence to show the date in which the income is received, presume that the income was received in January of the tax year shown on the PAA worksheet. Reference: For more information regarding the effect nonrecurring income has on pension payments, see M21-1, Part IX, Subpart iii, 1.A.6.e.

Nonrecurring Income * (noted with an asterisk)

review the evidence of record to determine if the income can be excluded under 38 CFR 3.272(e).

If the income can …

Then ...

be excluded

do not count the income.

not be excluded

count this income from the first day of the month after the month during which the income is first received
remove the income after 12 months, and
take no further action unless other types of income are reported on the worksheet.

Note: If there is no evidence to show the date in which the income is received, presume that the income was received in January of the tax year shown on the PAA worksheet. In the final letter to the beneficiary, provide notice of the following: Evidence shows you received the following income which may profit from the sale of property:[insert income] If you did not receive this income through the course of business, the income can be excluded. To have the income excluded, provide us the amount of income and evidence showing the income was not received due to profit from a business, such as a letter from the income payer.Reference: For more information regarding the effect nonrecurring income has on pension payments, see M21-1, Part IX, Subpart iii, 1.A.6.e.

Not Income for VBA purposes

do not count this as income, and
take no further action unless other types of income are reported on the worksheet.

This amount is included in gross benefits. Do not count twice. Subtract excess contributions from gross benefits after 12 months

do not count this as income, and
follow the steps in the table below.

Step	Action
1	Review the Income Source on the PAA worksheet and locate the two incomes received from Distributions from Medical Savings Accounts. The income types should differ and will be gross benefits, and earnings on distributive excess contributions.
2	Review the income classification for the income type, gross benefits. Is the income classification nonrecurring? If yes, take no further action unless other types of income are reported on the worksheet. If no, go to Step 3.
3	Count the full amount of the income type, gross benefits, for 12 months.
4	After 12 months, reduce gross benefits amount by the amount of the income type, earnings on distributive excess contributions. *Reference*: For an example, see M21-1, Part XIV, 4.C.3.e.

Unknown, or
blank/empty

go to Step 2.

any other language

send an encrypted e-mail to VAVBAWAS/CO/P&F POL & PROC with the following information:
- claim number
- claimant name, and
- PAA worksheet field information including the
  - PAYER NAME
  - GROSS INCOME
  - IRS SOURCE
  - IRS INCOME TYPE
  - INDICATOR 1, and
  - INDICATOR 2, and
wait for further instructions from Pension and Fiduciary (P&F) Service.

Review the IRS SOURCE field and follow the instructions in the table below.

If the IRS SOURCE field states …

Then ...

Changes in Corporate Control and Capital Structure

review the evidence of record to determine if the income can be excluded under 38 CFR 3.272(e).

If the income can …

Then ...

be excluded

do not count the income.

not be excluded

count this income from the first day of the month after the month during which the income is first received
remove the income after 12 months, and
take no further action unless other types of income are reported on the worksheet.

Note: If there is no evidence to show the date in which the income is received, presume that the income was received in January of the tax year shown on the PAA worksheet. In the final letter to the beneficiary, provide notice of the following: Evidence shows you received the following income which may profit from the sale of property:[insert income] If you did not receive this income through the course of business, the income can be excluded. To have the income excluded, provide a statement regarding the income that should be included and evidence showing the income was not received due to profit from a business. The evidence can in the form of a statement from the income payer. Reference: For more information regarding the effect nonrecurring income has on pension payments, see M21-1, Part IX, Subpart iii, 1.A.6.e.

Distributions from Pensions, Annuities, Retirement or Profit-sharing Plans, IRAs, Insurance Contracts, Etc.

follow the instructions in M21-1, Part XIV, 4.C.4.d. Note: M21-1, Part XIV, 4.C.4.d only pertains to Distributions from Pensions, Annuities, Retirement or Profit-sharing Plans, IRAs, Insurance Contracts, Etc.

Distributions from Medical Savings Accounts

go to Step 3. Note: Step 3 only pertains to Distributions from Medical Savings Accounts.

Qualified Tuition Program Payments

count this income from the first day of the month after the month during which the income is first received
do not remove from the award unless there is evidence to show that the income stopped, and
take no further action unless other types of income are reported on the worksheet.

Note: If there is no evidence to show the date in which the income is received, presume that the income was received in January of the tax year shown on the PAA worksheet.

Review the INDICATOR 1 field and follow the instructions in the table below. Note: This step pertains only when the IRS SOURCE field is Distributions from Medical Savings Accounts.

If the INDICATOR 1 field states (or displays) …	Then …
empty (or blank) Disability Normal Distribution, or Not Set	count this income from the first day of the month after the month during which the income is first received do not remove from the award unless there is evidence to show that the income stopped, and take no further action unless other types of income are reported on the worksheet. *Note*: If there is no evidence to show the date in which the income is received, presume that the income was received in January of the tax year shown on the PAA worksheet.
Death Distribution to a Non-Spousal Beneficiary, or Prohibited Transaction	count this income from the first day of the month after the month during which the income is first received remove the income after 12 months, and take no further action unless other types of income are reported on the worksheet. *Note: If there is no evidence to show the date in which the income is received, presume that the income was received in January of the tax year shown on the PAA worksheet. Reference*: For more information regarding the effect nonrecurring income has on pension payments, see M21-1, Part IX, Subpart iii, 1.A.6.e.
Excess Contributions	do not count this as income.

XIV.4.C.4.d. PAA Worksheet- IRS SOURCE Field Reads Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, Etc.

Follow the steps in the table below when the IRS SOURCE field reads Distributions from Pensions, Annuities, Retirement or Profit-sharing Plans, IRAs, Insurance Contracts, Etc.
Step Action
1 Review the IRS INCOME TYPE field and follow the instructions in the table below.
If the IRS INCOME TYPE field states … Then …
Gross distributions go to Step 2.
Other income, or
Unrealized appreciation
do not count this as income, and
take no further action unless other types of income are reported on the worksheet.
2 Review the INDICATOR 1 field and follow the instructions in the table below.
If the INDICATOR 1 field states (or displays) … Then …
a number 1, or
Total Distribution
count this income from the first day of the month after the month during which the income is first received
remove the income after 12 months, and
take no further action unless other types of income are reported on the worksheet.
Notes:
If there is no evidence to show the date in which the income is received, presume that the income was received in January of the tax year shown on the PAA worksheet.
A number 1 or total distribution indicates the payer of income checked Box 2b of 1099-R. A total distribution is
one or more distributions, within the applicable tax year, in which the entire balance of the account is distributed, or
a final payment made on a periodic or installment payment.
Reference: For more information regarding the effect nonrecurring income has on pension payments, see M21-1, Part IX, Subpart iii, 1.A.6.e.
a number 0
Information Not Provided, or
Not Checked
go to Step 3.
any other language
send an encrypted e-mail to VAVBAWAS/CO/P&F POL & PROC with the following information:
claim number
claimant name, and
PAA worksheet field information including the
PAYER NAME
GROSS INCOME
IRS SOURCE
IRS INCOME TYPE
INDICATOR 1, and
INDICATOR 2, and
wait for further instructions from P&F Service.
3 Review the INDICATOR 2 field and use the table below to determine the action to take.
If the INDICATOR 2 field states … Then …
1—Early distribution, no known exception.
1—Early distribution, no known exception, B—Designated Roth account distribution
1—Early distribution, no known exception, D—Annuity payments from nonqualified annuities and distributions from life insurance contracts
2—Early distribution, exception applies
2—Early distribution, exception applies, B—Designated Roth account distribution.
2—Early distribution, exception applies, D—Annuity payments from nonqualified annuities and distributions from life insurance contracts
3—Disability, D—Annuity payments from nonqualified annuities and distributions from life insurance contracts
4—Death, D—Annuity payments from nonqualified annuities and distributions from life insurance contracts
7—Normal distribution, B—Designated Roth account distribution
7—Normal distribution, D—Annuity payments from nonqualified annuities and distributions from life insurance contracts
Annuity payments from nonqualified annuities and distributions from life insurance contracts
B—Designated Roth account distribution, U—Dividends distributed from an ESOP under section 404(k)
Charitable gift annuity
Disability
Dividends distributed from an ESOP under section 404(k)
Designated Roth account distribution
Early distribution from a Roth IRA
Early distribution from a SIMPLE IRA in the first 2 years, no known exception
Normal distribution
Qualified distribution from a Roth IRA
Roth IRA distribution, exception applies
RRB-Supplemental
RRB1—Tier 1
RRB1—Tier 2, or
RRB1—Vested dual benefits
count this income from the first day of the month after the month during which the income is first received
do not remove from the award unless there is evidence to show that the income stopped, and
take no further action unless other types of income are reported on the worksheet.
Note: If there is no evidence to show the date in which the income is received, presume that the income was received in January of the tax year shown on the PAA worksheet.
1—Early distribution, no known exception, 8—Excess contributions plus earnings/excess deferrals (and/or earnings) taxable
1—Early distribution, no known exception, K—Distribution of IRA assets not having a readily available FMV
1—Early distribution, no known exception, L—Loans treated as deemed distributions under section 72(p)
1—Early distribution, no known exception, P—Excess contributions plus earnings/excess deferrals taxable
2—Early distribution, exception applies, 8—Excess contributions plus earnings/excess deferrals (and/or earnings) taxable
2—Early distribution, exception applies, K—Distribution of IRA assets not having a readily available FMV
2—Early distribution, exception applies, P—Excess contributions plus earnings/excess deferrals taxable
4—Death, 8-Excess contributions plus earnings/excess deferrals (and/or earnings) taxable
4—Death, A—May be eligible for 10-year tax option
4—Death, B—Designated Roth account distribution
4—Death, G—Direct rollover and direct payment
4—Death, H—Direct rollover of a designated Roth account distribution to a Roth IRA.
4—Death, K—Distribution of IRA assets not having a readily available FMV
4—Death, P—Excess contributions plus earnings/excess deferrals taxable
7—Normal distribution, A—May be eligible for 10-year tax option
7—Normal distribution, K—Distribution of IRA assets not having a readily available FMV
8—Excess contributions plus earnings/excess deferrals (and/or earnings) taxable, B—Designated Roth account distribution
8—Excess contributions plus earnings/excess deferrals (and/or earnings) taxable, J—Early distribution from a Roth IRA
8—Excess contributions plus earnings/excess deferrals (and/or earnings) taxable, K—Distribution of IRA assets not having a readily available FMV
B—Designated Roth account distribution, L—Loans treated as deemed distributions under section 72(p)
B—Designated Roth account distribution, P—Excess contributions plus earnings/excess deferrals taxable
Death
Distribution of IRA assets not having a readily available FMV
Excess contributions plus earnings/excess deferrals taxable
Excess contributions plus earnings / excess deferrals (and/or earnings) taxable
J—Early distribution from a Roth IRA, P—Excess contributions plus earnings/excess deferrals taxable
Loans treated as deemed distributions under section 72(p)
May be eligible for 10-year tax option, or
Prohibited transaction.
count this income from the first day of the month after the month during which the income is first received
remove the income after 12 months, and
take further action unless other types of income are reported on the worksheet.
Note: If there is no evidence to show the date in which the income is received, presume that the income was received in January of the tax year shown on the PAA worksheet. Reference: For more information regarding the effect nonrecurring income has on pension payments, see M21-1, Part IX, Subpart iii, 1.A.6.e.
4—Death, L—Loans treated as deemed distributions under section 72(p)
6—Section 1035 exchange, W—Charges or payments for purchasing qualified long-term care insurance contracts under combined arrangements
B—Designated Roth account distribution, G—Direct rollover and direct payment
Cost of current life insurance protection
Direct rollover and direct payment
Direct rollover of a designated Roth account distribution to a Roth IRA
Distributions under Employee Plans Compliance Resolution System (EPCRS)
G—Direct rollover and direct payment, K—Distribution of IRA assets not having a readily available FMV
Recharacterized IRA contribution made for 2014
Recharacterized IRA contribution made, or
Section 1035 exchange.
do not count this as income, and
take no further action unless other types of income are reported on the worksheet.
any other language
send an encrypted e-mail to VAVBAWAS/CO/P&F POL & PROC with the following information:
claim number
claimant name, and
PAA worksheet field information including the
PAYER NAME
GROSS INCOME
IRS SOURCE
IRS INCOME TYPE
INDICATOR 1, and
INDICATOR 2, and
wait for further instructions from P&F Service.

XIV.4.C.4.e. Sample PAA Worksheet (Page One)

Below is a sample of the first page of a PAA worksheet.

XIV.4.C.4.f. Sample PAA Worksheet (Additional Pages)

Below is a sample of an additional page of a PAA worksheet.

Source: VA M21-1 Adjudication Procedures Manual, M21-1, Part XIV, Chapter 4, Section C (U.S. government work, reproduced for reference). Browse all sections →