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PROGRAM PROTOCOL Data matching under the Data-matching Program (Assistance and Tax) Act 1990 Updated By Compliance Data Matching and Review Section Business Integrity Performance Branch CENTRELINK July 2008
CONTENTS PRELIMINARY MATTERS ...................................................................................... 4 BACKGROUND .......................................................................................................... 4 IMPLEMENTATION OF THE NEW MEASURES................................................ 4 1 THE MATCHING AGENCY AND SOURCE AGENCIES ............................ 7 1.2 THE SOURCE AGENCIES .................................................................................. 7 1.3 ASSISTANCE AGENCIES ................................................................................... 7 2 LEGAL BASIS FOR ANY COLLECTION, USE OR DISCLOSURE OF INFORMATION INVOLVED IN THE PROGRAM ..................................... 8 2.1 COLLECTION OF DATA .................................................................................... 8 2.2 USE OF DATA .................................................................................................. 8 2.3 CONFIDENTIALITY – DISCLOSURE OF INFORMATION ....................................... 9 3 OBJECTIVES OF THE PROGRAM AND RELATED MATTERS ........... 10 3.1 OBJECTIVES OF AND JUSTIFICATION FOR THE PROGRAM ............................... 10 3.2 PROCEDURES TO BE EMPLOYED .................................................................... 11 3.3 NATURE AND FREQUENCY OF MATCHING ..................................................... 12 3.4 ORIGINAL JUSTIFICATION FOR THE DATA-MATCHING PROGRAM - 1991........ 14 4 ALTERNATIVE METHODS ........................................................................... 16 5 COST/BENEFIT ANALYSIS - ORIGINAL ................................................... 17 6 OUTLINE OF TECHNICAL CONTROLS TO ENSURE DATA QUALITY, INTEGRITY AND SECURITY .................................................. 20 6.1 DATA QUALITY ............................................................................................. 20 6.2 DATA INTEGRITY .......................................................................................... 20 6.3 SECURITY ...................................................................................................... 20 7 USE OF IDENTIFICATION NUMBERS (INCLUDING TAX FILE NUMBERS) ....................................................................................................... 21 8 OUTLINE OF ACTION ARISING FROM THE DATA-MATCHING PROGRAM ....................................................................................................... 22 8.1 ASSISTANCE AGENCIES ................................................................................. 22 8.2 CUSTOMER HAS 28 DAYS TO RESPOND .......................................................... 22 8.3 DEBT DUE TO THE COMMONWEALTH ............................................................ 23 8.4 CUSTOMER DISPUTES INFORMATION ............................................................. 23 8.5 WHEN SECTION 11 LETTERS ARE NOT ISSUED ............................................... 23 8.6 ADMINISTRATIVE ERROR .............................................................................. 23 8.7 PRIVACY ....................................................................................................... 23 8.8 DECEASED CUSTOMERS ................................................................................. 24 8.9 THE AUSTRALIAN TAXATION OFFICE ........................................................... 24 9 NOTICES TO INDIVIDUALS ABOUT EXISTENCE OF THE DATA- MATCHING PROGRAM................................................................................ 25 10 TIME LIMITS ON THE CONDUCT OF PROGRAM ................................. 26 10.1 LENGTH OF DATA MATCHING CYCLE ........................................................... 26 10.2 DESTRUCTION OF DATA ................................................................................ 26 2
APPENDIX 1 .............................................................................................................. 27 CENTRELINK LISTING & COPIES OF SECTION 11 LETTERS ........................................ 27 APPENDIX 2 .............................................................................................................. 33 DVA LISTING & COPIES OF SECTION 11 LETTERS ................................................... 33 3
PRELIMINARY MATTERS 'Data matching' is the comparison of two or more sets of data to identify similarities or dissimilarities. In the context of the Protocol, the term is used to denote the use of computer techniques to compare data found in two or more computer files to identify cases where there is risk of incorrect payment of personal financial assistance or of tax evasion. The Data-matching Program (DMP) is the system of data matching as defined in Section 6 of the Data-matching Program (Assistance and Tax) Act 1990 (the DMP Act). The most recent copy of the DMP Act can be located on the Attorney-General’s Departmental website, or by following the link: ComLaw Acts - Data-matching Program (Assistance and Tax) Amendment Act 1998 (111) BACKGROUND In the 1990/91 Budget the Government announced new measures to detect incorrect payments in the income-support system. These involved; v the use of Tax File Numbers (TFNs) to assist in the verification with the Australian Taxation Office (ATO) of income information supplied by customers seeking government income-support payments; and v increased use of data matching between various government agencies making financial assistance payments, especially the Departments of: - Social Security (DSS) now Centrelink; - Employment, Education and Training (DEET); and - Department of Veterans' Affairs (DVA); to detect "dual payments" - i.e. instances in which people collect more than one payment, usually from different agencies, where no entitlement exists to one or more of the payments. The rationale for the new measures adopted by the Government was that further major savings in financial assistance payments could be made if computer technology was employed which facilitated the automatic checking of data across Agencies. These savings cannot be achieved using labour intensive, manual checking techniques. IMPLEMENTATION OF THE NEW MEASURES The decision announced in the 1990/91 Budget to extend the requirement to provide TFNs and the subsequent matching of data is embodied in four pieces of legislation: v Social Security and Veterans' Affairs Legislation Amendment Act (No. 2) 1990; v Social Security Legislation Amendment Act 1990; 4
v Student Assistance Amendment Bill 1991; and v Data-matching Program (Assistance and Tax) Act 1990 (the DMP Act). The Social Security and Veterans' Affairs Legislation Amendment Act (No. 2) 1990 and the Social Security Legislation Amendment Act 1990 received Royal Assent on 28 December 1990 and 8 January 1991 respectively. They extended the requirement to provide a TFN, which previously applied to certain DSS and DEET customers, to virtually all customers receiving personal financial assistance payments under the: v Social Security Act 1947 v Veterans' Entitlement Act 1986; and v Seamen's War Pensions and Allowances Act 1940. The Student Assistance Amendment Bill 1991, proposed similar extensions of TFN requirements in respect of payments under the Student Assistance Act 1973 (Austudy and Abstudy). Where specified in the legislation, TFNs must be provided in respect of partners and parents as their incomes may have a bearing on the eligibility of a customer to a particular payment or on the level of payment he or she is entitled to receive. THE PROGRAM PROTOCOL The Data-matching Program (Assistance and Tax) Act 1990 (the DMP Act), which received Royal Assent on 23 January 1991 provided the authority for the matching of certain data held by the Australian Taxation Office (ATO), Department of Social Security (DSS), Department of Employment Education and Training (DEET), Department of Veteran’ Affairs (DVA) and Department of Community Services and Health (DCS&H). Subsequent Ministry of Government changes have altered the agencies involved in this data-matching; and this is reflected in the current DMP Act and in the following pages. The Schedule to the Act requires that a Program Protocol be prepared by the Data- Matching Agency (DMA) in consultation with the Source Agencies. The purpose of this document is to: i. identify the Matching Agency and the Source Agencies; ii. in the case of each source agency, set out the legal basis for any collection, use or disclosure of personal information involved in the program; iii. outline the objectives of the program, the procedures to be employed, the nature and frequency of the matching covered by the program, and the justifications for the program; iv. explain what methods other than data matching were available and why they were rejected; v. detail any cost/benefit analysis or other measures of effectiveness which were taken into account in deciding to initiate the program; 5
vi. outline the technical controls proposed to ensure data quality, integrity and security in the conduct of the program; vii. provide an explanation for any use of identification numbers and, in particular, the tax file numbers; viii. outline the nature of the action proposed to be taken in relation to the result of the program including the proformas of any letters to be used by source agencies when providing notice under section 11 of the Act; ix. indicate what form of notice, if any, of the proposed activities in relation to their personal information has been given or is intended to be given to affected individuals; and x. specify any time limits on the conduct of the program. The Program Protocol must be filed with the Privacy Commissioner and be made available for public inspection unless the Privacy Commissioner is satisfied that its availability would be or would be likely to be contrary to the public interest (e.g. by prejudicing the integrity of legitimate investigative methods). The Program Protocol for the Data-matching Program was listed in the Commonwealth Government Gazette of 1991. Since this time, a number of changes have been made to the matching program. This document has been updated to reflect these changes. Agencies involved in data matching undertaken under the authority of the Act must observe privacy principles. Part 2 of the Act sets out the provisions for data matching, the use of the results and includes privacy and confidentiality provisions. People who consider that an agency has interfered with their privacy by a breach of Part 2 of the Act may complain to the Privacy Commissioner. 6
1 THE MATCHING AGENCY AND SOURCE AGENCIES 1.1 The Data-Matching Agency (DMA) Section 4 of the Act provides for the establishment of a DMA to match data supplied to it by Source Agencies. Under the DMP Act, the Chief Executive Officer of Centrelink is to ensure that there are officers of the Agency who are responsible for: v receiving data from the government departments involved in the Program (source agencies); v validating identity data; v matching income and payment data; v returning information about possible discrepancies; and v destroying any data that does not result in a possible discrepancy at the end of the matching cycle. While operating as part of the DMA, these officers do not have access to customer information other than that provided to the DMA by Source Agencies. The confidentiality and security provisions that apply to the DMA operations are discussed further in Sections 3 and 8 of this document. 1.2 The Source Agencies Source Agencies supply customer data to the DMA for the purposes of data matching under the DMP Act. These source agencies are: v Centrelink; v the Department of Veterans' Affairs (DVA); and v the Australian Taxation Office (ATO). 1.3 Assistance Agencies The Department of Veterans' Affairs and Centrelink are also known as Assistance Agencies. 7
2 LEGAL BASIS FOR ANY COLLECTION, USE OR DISCLOSURE OF INFORMATION INVOLVED IN THE PROGRAM The DMP Act provides the authority for: v the establishment of a Matching Agency; v the matching of specified data held by Source Agencies; v the nature and frequency of matching that can be undertaken by the DMA; v the steps in a matching cycle; v the major procedural steps Source Agencies must undertake to conduct reviews; and v strict requirements for the handling and destruction of DMP information. 2.1 Collection of Data Section 3 of the DMP Act details the data that can be matched under the DMP. This includes 'basic data' which in relation to a person means: - the person's family identity data; or - the person's income data; or - the person's TFN data. Section 3 of the Act also provides definitions for 'family identity data', 'income data' and 'tax data'. 2.2 Use of Data Section 6 of the DMP Act provides the legal basis for the matching of data. It specifically approves: v the transfer of data between Source Agencies and the DMA; v the matching of data within processes defined in the Act by the DMA or the ATO; and v the provision of the results of matching to the Source Agencies. Section 10 of the Act provides the legal basis for Source Agencies to use the results of the data matching process, details what action can be taken and the timeframes for completing any action taken. 8
2.3 Confidentiality – Disclosure of Information Section 15 of the DMP Act prohibits an officer of the DMA or Source Agencies from recording or disclosing information available to them because of their duties under the DMP Act except if the information is recorded or disclosed: v in the course of carrying out functions or duties under the Act; or v with the consent of the person to whom the information relates. For the purposes of data matching, it is this disclosure provision that applies, rather than the disclosure provisions of other Acts governing the Agencies. The penalty for breaching this confidentiality provision is 2 years imprisonment. 9
3 OBJECTIVES OF THE PROGRAM AND RELATED MATTERS This section outlines what the DMP is designed to achieve and explains why these measures are a vital addition to incorrect payment detection work already carried out by income support Agencies. 3.1 Objectives of and Justification for the Program The overall objectives of the DMP are to: v detect instances where people are possibly receiving incorrect payments from an income support agency; v verify with the ATO the accuracy of individual customer, partner and parental income and identity information disclosed to agencies which make income support payments; v encourage voluntary compliance – this includes deterring people from attempting to claim payments to which they are not entitled, the voluntary surrender of payments to which people may not be entitled and the voluntary disclosure of changes in circumstances which affect rates of payment; v identify debtors who have resumed receiving an income support payment; and v detect fictitious or assumed identities. The DMP is designed to identify: v 'dual payments' - that is, instances in which people collect more than one payment where no entitlement exists to one or more of the payments; v fictitious or assumed identities used by individuals to obtain payments to which they are not entitled; v non-disclosure of correct income for the purposes of obtaining or continuing to receive an income-support payment or an incorrect level of payment; v non-disclosure of changes of circumstances; v inconsistent personal identity data for Assistance Agency and ATO records where the TFN is the same; v opportunities for re-raising overpayments of Government income-support so they can be recovered; and v tax evasion. 10
3.2 Procedures Employed The DMA on behalf of Centrelink, DVA and the ATO undertakes matching under the DMP. The DMA comprises officers of Centrelink who have been directed to be responsible for the matching of data under the Act. Officers of the DMA notify Source Agencies when a cycle of matching is to begin and ask Source Agencies to prepare files of their data in a particular format for inclusion in the data-matching process. Those files are delivered to the DMA on a specified day under strict security conditions. The steps which comprise a matching cycle are set out in detail in Section 7 of the DMP Act. The DMA and the ATO follow these steps in conducting the data- matching for which they are responsible. As the various steps in the data matching cycle are completed, cases of possible incorrect TFNs, identities or payments are identified. The DMA refers these discrepant cases back to the relevant Source Agency for examination. The Source Agencies make an assessment of the information provided and decide whether or not further investigation is warranted. When all the data matching procedures in a cycle have been completed the DMA destroys all the data provided which has not led to the identification of a discrepancy. For each subsequent cycle new data is sought from the Source Agencies. Privacy safeguards The main safeguards associated with the DMP ensure that: v Source Agency data are not held by the DMA for any longer than is necessary; v Source Agencies cannot link or merge the information used in the DMP to create a new separate, permanent database of information; v the Source Agency data that are used are as up to date as possible; v the data received and generated by the DMA are protected by strict physical and system security arrangements; v Source Agencies must establish reasonable procedures for confirming the validity of results; v customers have been advised of the existence of the DMP and its use of their information within it; v customers are contacted only when the discrepancy cannot be explained following an examination of the Source Agency's records; and v information no longer required is destroyed. 11
3.3 Nature and Frequency of Matching Section 9 of the DMP Act specifies that a data matching cycle must be completed within two months of its commencement and that no more than nine cycles may be conducted each year. A new cycle cannot commence until the previous one has finished. A full data matching cycle has six steps. Each step is described in detail below. A cycle that includes income matching takes approximately six weeks to complete. Where the cycle involves only payment matching, the length of the cycle can be reduced to about two weeks and only contains steps 1, 5 and 6. Section 7 of the DMP Act details the steps involved in a data matching cycle. These are summarised below. There are six steps in each full data matching cycle: v Step 1 The DMA checks the validity of the records given to it by the Assistance Agencies. Records with errors in them, including invalid TFNs, are then referred back to the relevant Assistance Agencies, and these do not continue through to income matching in step 5. v Step 2 Records containing valid TFNs are extracted from the data provided to the DMA, together with the Assistance Agency Identification Number, which are the numbers that the Assistance Agency assigns to each record, and these are then sent to the ATO. v Step 3 The ATO extracts taxable income and personal identity data from its records for each person who has a TFN. It then passes this information back to the DMA. v Step 4 The DMA compares the identity information (e.g. name, sex etc) given to it by the ATO with identity information for the same customer provided to it by the Assistance Agencies. The purpose of identity matching is to verify that the TFN provided to the Assistance Agency belongs to that customer. Any cases that fail the identity matching process are referred back to the relevant Source Agency to follow up. These cases do not proceed to income matching in Step 5. 12
v Step 5 The DMA undertakes payment matching and income matching. In the payment matching process, data provided to the DMA by Assistance Agencies is compared to establish if people are receiving inconsistent payments at the same time, for example, Age Pension and Service Pension. In the income matching process the DMA compares income details of Assistance Agency customers (and partners and parents where applicable) provided to Assistance Agencies with taxable income details recorded by the ATO for the same people. The purpose of this matching is to identify cases in which customers have misinformed one or more agencies about their or their partner's or parents' income and so may be receiving incorrect Assistance Agency payments. In step 5, details of debts owing to the Commonwealth are also included for the purpose of identifying whether people may now be in receipt of assistance from another agency that can be withheld to repay the debt. The DMP Act specifies that step 5 must not take longer than seven days. v Step 6 In step 6 the DMA gives the raw output to the Source Agencies. Under section 9 (3) of the DMP Act, the DMA must do this within seven days after the completion of step 5. Personal information used in a data matching cycle that does not indicate a discrepancy is destroyed by the DMA at the completion of the cycle. A comprehensive report on the outcome of each cycle is provided to the Assistance/Source Agencies and the Privacy Commissioner. Agency follow-up procedures – Centrelink and Department of Veterans’ Affairs Upon receipt of the output from the DMA, both Centrelink and the Department of Veterans’ Affairs undertake refinements before releasing the cases for review. This process is critical for ensuring that only those cases where there is a likelihood of incorrect payment are examined further and unnecessary contact with customers is avoided. Staff conducting the reviews adhere to established clerical procedures, which were developed in consultation with the Privacy Commissioner. 13
The customer's computer record and, if necessary, the paper file are examined to ensure that the information provided by the DMA does relate to the customer in question. The file is also examined to see if the discrepancy has already been actioned; for example, the customer may have advised of a change in circumstances after the start of the data matching cycle. If additional information is required to conduct the review a formal approach is made to the other agency, which is a party to the match, in writing. Following these checks, if there still appears to be a discrepancy, a letter under Section 11 of the DMP Act is sent to the customer. The customer then has 28 days in which to respond. 3.4 Original justification for the Data-matching Program - 1991 Successive governments have been concerned to uphold the integrity of the financial assistance programs administered through government agencies and to ensure that the agencies are properly accountable for the funds they distribute. Assistance Agencies have control measures in place to help them ensure that the payments they make are at the correct level and are made only to persons entitled to receive them. Existing control measures, particularly some of the technical measures introduced in recent years, have been very effective. Nonetheless, opportunities remain for some people to receive payments to which they are not entitled. It is important that the funds available for financial assistance programs be directed to those entitled to them. If this is to be achieved, the integrity of financial assistance payment systems must be raised to the highest possible level. Incorrect payments may arise either through people not advising assistance agencies of changes in their employment, income or living circumstances or through deliberate fraud. Many millions of Australians receive forms of financial assistance from government agencies. The cost of undertaking regular manual reviews of the circumstances of all these clients is prohibitive. For that reason, most Assistance Agencies have adopted a risk based approach in their review work so that efforts are directed at customers with a higher than average chance of being incorrectly paid. Most agencies have introduced some form of computer based data matching, which permits the checking of customer circumstances with a rapidity and efficiency, which cannot be matched by labour intensive manual methods. This has been made possible through the development in recent years of new computer technologies, which permit high speed matching of very high volumes of information. The Government has decided to close remaining loopholes in the control systems used by agencies paying financial assistance by: v extending requirements for the clients of Assistance Agencies to provide TFNs; and v taking advantage of the data-matching technologies now available. 14
The provision of TFNs will allow income information provided by customers to Assistance Agencies to be checked against income records held by the ATO. This cross checking of income information will greatly strengthen the income test arrangements, which apply to most financial assistance payments. Without this cross checking it is possible for people to declare one level of income to one agency and another level of income to another agency. Second, the use of new high speed matching technologies will allow the matching of customer information held by the various Assistance Agencies to be undertaken with a degree of efficiency and effectiveness not previously available. This will greatly assist in the identification of cases where customers may be receiving payments to which they are not entitled from one or more agencies. These cases cannot be identified without the cross matching of data held by different agencies. The cases would not exist, of course, if all customers met their obligations to inform agencies about their true circumstances at grant of payment and to report promptly to agencies any subsequent change in their circumstances. The check of income information with the ATO could not be achieved as efficiently and effectively without the use of TFNs. Matching using other identity keys such as name, address and date of birth is possible, but experience has shown that it is a technique fraught with imperfections. That is not to say that it cannot be cost effective in the absence of more reliable bases for matching. Use of TFNs for income matching purposes will produce a high degree of confidence in the results. In the system proposed, TFNs and other customer information will be revealed to far fewer Agency staff than would be the case if less accurate matching systems requiring more manual scrutiny of customer records were to be employed. The Privacy Commissioner has been fully briefed on this aspect, as has the Senate Standing Committee on Legal and Constitutional Affairs, which recommended to the Senate that the enabling legislation be approved. The matching arrangements are to be implemented in a way, which will protect confidentiality of customer information and will protect the rights of individuals who may be contacted by Assistance Agencies as a result of the data matching. The legislation authorising the new matching arrangements contains strict privacy safeguards and these, together with the monitoring role to be adopted by the Privacy Commissioner, offer the community strong guarantees against the adoption of insensitive approaches by the agencies involved with the new measures. 15
4 ALTERNATIVE METHODS In the late 1980’s, it was known as a result of a DSS sample survey of Family Allowance payments and through earlier experiences of matching selected data between agencies that, despite the various control measures employed within agencies, there was a residual level of incorrect payments which remained undetected. Risk based control measures employed by most agencies aim to achieve the most cost effective and productive control arrangements by concentrating the efforts of available resources on reviewing the entitlements of customers considered to be most at risk of being incorrectly paid. Implicit in this approach is the less frequent reviewing of customers not in the categories considered to be at higher risk. It is among these customers (the majority) that the residual cases of incorrect payment reside. To identify the residual cases it was considered necessary to review very large numbers of customers rather than just a sample of customers. Given (in the late 1980’s): v the many customers serviced by the Assistance Agencies (about 5.5 million customers for Centrelink, about 0.5 million customers for DVA; and v the even larger customer base of the ATO (about 10 million), and the size of reference data files which may need to be consulted (e.g. the Australian Electoral Commission file (about 10 million records) and the Health Insurance Commission file (about 20 million records)); the task of manually reviewing the bulk of Assistance Agency customers on an individual basis and making the necessary checks against the various agency records would clearly be impossible. It was considered the task would be so logistically complex and would consume the efforts of so many thousands of staff that it was not subject to detailed costing. If a comprehensive review of Assistance Agency customers was to be undertaken to identify residual overpayments, there was considered no option but to employ modern technology to match automatically the data held by various agencies. The amounts of data involved and the complexity of the review processes proposed effectively meant that if the task was to be undertaken at all, then it had to employ modern computing techniques. There was simply not a range of other viable options for completing the task. It would be possible to undertake the matching proposed without using TFNs, but as has been noted elsewhere, matching on keys such as name, date of birth and address is much less reliable than matching which can be based on unique identifiers such as TFNs. The more reliable the matching of income details can be made, the more effective it will be in achieving savings and the less likely it will be that incorrect matches lead agencies to contact their customers unnecessarily. 16
5 COST/BENEFIT ANALYSIS - ORIGINAL This section discusses in more detail the costs and benefits taken into account in the deliberations leading to the decision to introduce the DMP in 1991. Financial Considerations Income support agencies use risk analysis techniques to detect incorrect payments, which occur as a result of customers failing to disclose changes of circumstances. For the DSS, the results of that work are set out in the Department's Annual Report. In the 1989-90 financial year, the DSS undertook: v 472,100 reviews of Unemployment Benefit customers and cancelled 51,600 payments i.e. 10.9% of the cases reviewed; v 149,900 reviews of Sole Parent Pension customers and cancelled 18,600 payments i.e. 12.4% of the cases reviewed; v 873,100 reviews of Age, Invalid and other Pension customers and varied fortnightly payment rates downwards for 111,500 cases i.e. 12.8% of the cases reviewed, and v 232,000 reviews of Family Allowance recipients and cancelled 30,400 payments i.e. 13.1% of the cases reviewed. The incorrect payments listed above were detected by targeting cases where it was believed there was a higher than average risk of incorrect payment. If the Department focused solely on 'the higher than average risk' population it would not detect residual incorrect payments distributed throughout the remainder of the population. For that reason, the Department ensures that, in addition to risk-based review activity, residual parts of its customer populations are sampled and subject to review as well. In the 1989-90 financial year, DSS undertook a random sample survey of the correctness of payments to the Family Allowance population. The survey indicated that 2.3 per cent of the samples were being incorrectly paid because parental income exceeded allowable limits. Based on the findings of the survey, the Department believed that the proportion of residual incorrect payments in the income support payment populations would be in the order of 2 per cent. While this is a low percentage, the size of the overall populations is very large, standing at present at approximately four and a half million customers. The Department could not contemplate using manual systems to identify and correct these residual cases. The staffing costs involved were considered prohibitive. The Government concluded that the only effective strategy for identifying and correcting the residual incorrect payments would be to employ computer data matching techniques. The Department was aware that the technology was available to permit high speed matching of very large volumes of data. 17
It was estimated that these efforts could produce savings in DSS outlays in the order of $300m in a full financial year. A detailed dissection of the estimated savings by program type is provided at the end of this Section. There are potential savings in the outlays of other agencies. For example, it was estimated that introduction of the new matching program could produce savings in the order of $30m in a full financial year in DVA outlays. Potential savings were also acknowledged but not actually estimated in the case of DEET outlays, Department of Community Services and Health outlays and increased revenue to the ATO flowing from the identification of cases of income tax evasion. It was estimated that through the adoption of computer matching techniques some 60,000 to 70,000 customers/claimants would have: v their existing payments cancelled and reductions in fortnightly rates of payment made for a further 40,000. These estimates were considered conservative. It meant that approximately: (a) two per cent of current Unemployment, Sickness and Special Benefit payments would be cancelled; (b) two per cent of Sole Parent Pension payments would be cancelled; (c) one per cent of Age and Invalid Pensions would be cancelled (and a further two and a half per cent would be subject to downward variations in rates of payment), and (d) two per cent of Family Allowance payments would be cancelled. No account was taken of Family Allowance Supplement payments since these were already checked manually using taxation information. Against these projected savings, implementation costs were estimated to be relatively low. The major cost involved the acquisition of new high speed computer matching equipment for the DSS. For estimate purposes this was set at $4.5m. As it was known that the lead time for acquisition of the equipment would be significant, allowance was also made for the purchase of additional processing power and disks for the Department's existing Canberra Mainframe so that some matching could occur and savings be made before the installation of the new equipment. The estimated cost of this upgrade was $2.5m. Within the Social Security portfolio other net costs identified were $1.25m for publicity associated with changes in the requirements for customers to provide TFNs, $2m as a share of ATO costs associated with collection of TFNs and $100,000 supplementation for the Privacy Commissioner's Office so suitably qualified staff could be recruited. It was estimated that other implementation costs would be offset by savings made available through the new matching program. Three major areas of saving were identified: v staff savings flowing from the reduction in customer populations as customers voluntarily surrendered payments or had their payments cancelled; 18
v savings in postage as the new matching program removed the need for a substantial portion of current mail reviews of customers' circumstances; and v savings in clerical effort associated with some reviews which would no longer need to be done after the introduction of the new matching arrangements. The identified costs taken into account for the ATO were $4.5m and were shared by DSS as mentioned above. Identified costs for the DVA were $0.9m in running costs in 1990/91 and 1991/92 and $0.lm in 1992/93 and 1993/94. The estimated savings in program expenditure far exceed implementation and on going costs. Social Considerations There were two key social issues associated with the initiative. One was the desire of most taxpayers for the welfare system to be secure from cheating and fraud. The other was the concern to protect the individual right to privacy. Allied to the concerns most people have to see a welfare system with a high degree of financial integrity is a concern for social justice. In particular, there was strong support in the community for a welfare system which directed available funds to those most in need of assistance. The new measures helped to achieve that in several ways. First, by strengthening controls in financial assistance payment systems it significantly reduced the leakage of funds from those systems. This provided funds for Government to direct to other priorities. Second, the existence of effective controls in payment systems soon became evident to the community and rapidly increased voluntary compliance. When people realised that there was a high probability of incorrect payments being detected they were much more likely to meet their obligations under the law. Suitable safeguards against unreasonable intrusion into people's privacy were built into the data-matching arrangements. To this end, in addition to normal safeguards, the Privacy Commissioner was consulted about the arrangements and as implementation proceeded. The Commissioner monitored the implementation of the initiative and continues to be consulted on all major aspects of the Program. Financial Benefits When the Government decided in the 1990/91 Budget, to proceed with data matching arrangements, it took into account that there was a Social Security income support population of over 4 million people with average annual individual amounts of payment ranging from around $800 for Family Allowance to $7,900 for Special Benefit. There was a belief that a randomly distributed incorrect payment rate of around 2 per cent existed throughout that population. 19
6 OUTLINE OF TECHNICAL CONTROLS TO ENSURE DATA QUALITY, INTEGRITY AND SECURITY 6.1 Data Quality Data quality is a term, which refers to the accuracy and currency of data. Poor quality data is of limited value, so most agencies take considerable measures to ensure their data is of high quality. The DMA checks the validity of the records given to it by the Assistance Agencies. Records with errors in them, including invalid TFNs, are then referred back to the relevant Assistance Agencies. 6.2 Data Integrity Data integrity is a term, which refers to the consistency and completeness of data records. Measures which can be taken to maintain integrity levels include designing systems which will not accept records which are incomplete, and identifying and correcting records which appear to be inadequate or corrupt. 6.3 Security The DMA conducts its business in accordance with the DMP Act and guidelines set by the Privacy Commissioner. It has responsibility for protecting both the data it receives from other sources and the data it generates while that data remains under its control. Arrangements are made for data to be stored in a safe and secure environment and, where required, to be destroyed in accordance with standard destruction procedures within the time constraints imposed by the legislation. These safeguards ensure that individual privacy is protected by keeping customer details used for the purpose of data-matching secure and accessible only to authorised persons. The DMA operates in the National Support Office environment of Centrelink. Its staff are subject to all the security controls already in place in that administration and are also subject to the confidentiality provisions of the Social Security Act 1991 (Section 1312 - 1321A) as well as to the confidentiality provisions of Section 15 of the DMP Act. The Privacy Commissioner and or staff, and other Assistance Agencies and elsewhere may attend the premises of the DMA as observers during a data matching cycle. Centrelink staff have access to DMA data only while they are acting as members of the DMA. While acting as DMA staff, Centrelink officers do not have access to any Centrelink data additional to that provided by the Department as a Source Agency. All data held in printed form by the DMA is stored in a locked, secured area while not in use.
7 USE OF IDENTIFICATION NUMBERS INCLUDING TAX FILE NUMBERS Section 7 of the DMP Act clearly defines the use of identification numbers, including TFNs, in the various steps of a matching cycle. The first step of the matching cycle specifies that Assistance Agencies supply to the DMA basic data about their customers. This information includes the customer's TFN and the customer's unique Assistance Agency Identification Number. The unique Assistance Agency Identification Numbers are important because they are the means by which agencies identify customer records. They can be likened to a key to a particular customer record. Both the key and the record are unique, so information about one customer cannot be confused with information about another. Such confusion could easily occur if customer records were identified by name only. Government agencies deal with very large numbers of customers and the incidence of common or very similar names is high. The use of unique identification numbers gives agency records an integrity they would otherwise lack and protects the privacy of customers by guarding against the mistaken use of information they provide to agencies. Provision of the Assistance Agency Identification Number to the DMA helps ensure that information about different customers is not confused during the various matching routines to be performed. It also allows the DMA to clearly identify clients when returning information on discrepancies to the assistance agencies. TFNs are the unique identifiers used by the ATO to identify taxpayers. As part of the matching process, the ATO extracts specified data from its records and provides that data to the DMA. It is important that these extraction processes be as accurate as possible to protect the integrity of subsequent steps in the matching process. Matching with tax records could not be nearly as precise without the use of TFNs. This is the key reason they are used in the matching process. Where the matching of family identity data given by Assistance Agencies in Step 1 cannot identify a person for the purposes of paragraph 12, the DMA matches TFN data given to it in Step 1 with the data being matched under that paragraph. 21
8 OUTLINE OF ACTION ARISING FROM THE DATA-MATCHING PROGRAM Section 10(2) of the DMP Act requires that, Assistant Agencies supplied with information from Steps 1, 4 or 6 of a data matching cycle must make a decision to undertake an investigation of that information within 90 days of its receipt. Section 11 of the DMP Act specifies that before an agency takes review action to cancel, suspend, reject or vary a person's claim or commence recovery of an overpayment, a DMP Act Section 11 letter must be sent to the customer. The letter should give particulars of the information held by the Assistance Agency and details of the proposed action. The letter must be sent to the most recent address of the customer known to the Assistance Agency (the customer need not be informed if doing so would prejudice the effectiveness of an investigation into the possible commission of an offence). 8.1 Assistance Agencies Standard letters have been developed and are available as On Line Advices (OLA). A sample of these letters is contained in Appendix 1. DMP Act Section 11 letter requirements also apply to partners/parents of customers whose entitlement is being reviewed. Once a DMP Act Section 11 letter has been sent, this action is then recorded on Centrelink’s Integrated Review System (IRS). A message is also recorded on the On Line Document Recording (ODR) facility, indicating that the customer has been issued with a DMP Act Section 11 letter. The message states that no change to the customer's payment status or rate should be made before 28 days have elapsed or the customer has responded, without first consulting the DMP Assessor. 8.2 Customer has 28 days to respond Section 11(1) of the DMP Act gives the customer 28 days in which to show cause why the action should not be taken. The customer may respond either orally or in writing. If the customer responds orally, the person receiving the oral response must make a written and dated record and place this on file, or the response may be recorded on the On-line Document Recording (ODR) system. In all cases, except where the detected discrepancy was caused solely by an administrative error by the Assistance Agency, no action must commence until either the Customer has responded or until 28 days have elapsed. In cases of administrative error, the DMP Act Section 11 letter must still be sent to the Customer but the Assistance Agency does not have to wait before taking the action. 22
8.3 Debt due to the Commonwealth If a customer does not respond to a DMP Act Section 11 letter, any Benefit, Pension or Allowance overpaid during the 28 day period is a debt due to the Commonwealth as per Section 11(6) of the DMP Act, Section 1224(c) of the Social Security Act 1991 and section 205 (1) of the Veterans’ Entitlements Act 1986. 8.4 Customer disputes information A DMP Act Section 11 letter is disputed when the customer questions the accuracy of the information and continues to insist that their view is correct. When a customer disputes the information provided in the DMP Act Section 11 letter and the Assistance Agency still considers it is appropriate to take action, the customer must be advised of: the normal rights of appeal provided by Social Security Act 1991 and the Veterans’ Entitlement Act 1986; and the rights of complaint under the Privacy Act 1988. 8.5 When DMP Act Section 11 letters are not issued Section 11(4) of the DMP Act states that a DMP Act Section 11 letter need not be sent to the customer if 'issuing a notice would prejudice the effectiveness of an investigation into the possible commission of an offence'. There are no other circumstances in which an exemption from issuing a DMP Act Section 11 letter may be applied. 8.6 Administrative Error If a discrepancy has occurred because of an Assistance Agency error (e.g. the customer notified of a change in their circumstances and their payment was not adjusted), action is taken to correct the payment immediately. A DMP Act Section 11 letter designed for this situation must be sent to the customer as soon as practicable. 8.7 Privacy Section 14(2) of the DMP Act states that any person who believes that an act or practice has occurred which has interfered with their privacy may make a complaint to the Privacy Commissioner. This complaint must be in writing, specify the nature of the complaint and cite Centrelink or Department of Veterans’ Affairs as the respondent. 23
8.8 Deceased customers It is a requirement to issue a DMP Act Section 11 letter to a person (as defined in the DMP Act a ‘person’ means an individual whether alive or dead). Prior to proceeding with any action in the case of a deceased customer, notice of such action is given to a surviving family member or the estate of the deceased customer. These cases are referred to a Social Worker prior to contact being made. 8.9 The Australian Taxation Office (ATO) No case selection has been undertaken by the ATO using DMP data in the last few years. If and when the ATO does take action based on DMP data, the ATO will follow the guidelines and procedures set out in the DMP Act and related documents provided by the Privacy Commissioner to ensure the security, privacy and protection for any individuals selected for investigation. Due to the low level of DMP action undertaken by the ATO, the ATO does not have any standard letters for use in its roles in the DMP. 24
9 NOTICES TO INDIVIDUALS ABOUT EXISTENCE OF THE DATA- MATCHING PROGRAM The Schedule to the Data-matching Program (Assistance and Tax) Guidelines requires that Source Agencies inform their customers in writing of the fact that the information they have supplied to the Source Agencies may be used in data matching. The notice may be given either before information is first used in data matching or as soon as practicable after the information is used. In the case of the Tax Agency, agreement has been reached that other Source Agencies when writing to their customers will mention that information the customers have provided to the ATO may also be used in data matching. Claim forms, letters and Information Booklets contain advice that the DMP may be used to check any information provided to Centrelink/DVA with information held by the ATO and other Government Departments. 25
10 TIME LIMITS ON THE CONDUCT OF PROGRAM 10.1 Length of Data Matching Cycle In accordance with the DMP Act the following time limits apply; DMP Act Section 6 (2) states ‘there are to be no more than 9 data matching cycles in any one year’. (3) states ‘only one data matching cycle is to be in progress at any one time’. DMP Act Section 9 (1) states ‘a data matching cycle is to completed no later than 2 months after it began’ 10.2 Destruction of Data Section 10(3) of the DMP Act requires that action under section 10(1) must be commenced within 12 months of step 6 of each data matching cycle taking place. DMA data is used to create individual data matching reports for customers selected for review. In addition, selected data (not including the TFN) is kept for DMP Act Section 11 letter infill data. All source data from the DMA is destroyed within 90 days leaving only report and letter data for the selected customers. Match data screen printouts are not held on file and are destroyed following the completion of any administrative action against the customer. Any remaining details of customers who were selected for review, but the review was not commenced or finalised within 12 months, are destroyed at the 12 month anniversary of the receipt of data from the DMA. The only exception is where the CEO grants an extension of time to investigate cases where exceptional circumstances warrant. Section 10(3B) renders this power incapable of delegation. Any information collected during the course of an investigation (e.g. liaison forms) is kept on file and is not affected by Section 6.3 of the Schedule to the DMP Act Guidelines. A copy of the DMP Act Section 11 letters issued to the customer and documented response (if any) are also recorded on the customers file (e.g. paper or electronic). Letter infill data is destroyed at the 12 month anniversary of its receipt from the DMA. The timeliness of destruction of data is subject to regular audits by the Privacy Commissioner. 26
APPENDIX 1 Centrelink Listing & Sample Of DMP Act Section 11 Letters Letter Income, Payment Type Letter Description Number Payment or Debtor Match Q081 Income YAL (only) ATO Income Vs Centrelink dependent Youth Allowance customer - Letter to Customer. Q082 Income YAL (can only be ATO Income Vs dependent Youth used in conjunction Allowance customer - Letter to Parent(s). with Q081) Q110 Debtor All Centrelink Debtor now receiving payments from another agency. Q308 Income PPP, NSS, PEN Centrelink Customer (Pension, Newstart & Parenting) Vs ATO income. Q338 Income All Centrelink Invalid TFN, or TFN for another person. Q436 Income & All Centrelink action taken but DMP Act Payment Section 11 letter not issued. Q437 Income & All Centrelink Customer provided Payment information in response to a DMP Act Section 11 letter, courtesy letter advising them that no further action will be taken. Q444 Income & All Administrative Error - Centrelink Payment Customer previously provided information, but it was not acted upon. Q448 Income & All Centrelink Customer has disputed the Payment information contained in the original DMP Act Section 11 letter. This letter advises customer of their rights. Q520 Income YAL Centrelink Family Actual Means Test letter to Youth Allowance customers. Q521 Income Parents of YAL Centrelink Family Actual Means Test customers letter to mother/father of Youth Allowance customer. Q652 Payment All Centrelink customer in receipt of dual payments. All All Data-matching Program Information (attachment to DMP Act Section 11 Letters) 27
Customer Contact Letter - Q308 DMP - Centrelink Income Details Match with ATO {Centrelink Office Postal Address} {Centrelink Office Street Address} {Centrelink Fax} Please quote: {Customer Reference Number} Telephone: {Centrelink Phone Number} Office Hours: {Regional Office Hours} {Customer Name} {Customer Postal Address} Dear {Customer Title and Surname} This letter is about your {BENEFIT.TYPE}. We need to make sure you are getting the right amount of {BENEFIT.TYPE}. One way of doing this is to compare the records of other Government agencies with our records The Data-matching Program (Assistance and Tax) Act 1990 allows us to do this, and I am writing to you under section 11 of that Act. I have enclosed information about the Program with this letter. Using the Data-matching Program, we looked at records from the Australian Tax Office (ATO). They gave us the following results: ATO records show your partner’s income (other than your partner’s Centrelink income) was ${PARTNER’S INCOME}. ATO records show that ${AMOUNT} of your partner’s income came from salary. As you can see, at {DATE} there was a difference between our records of your partner's income for {FIN YEAR} financial year and those of the ATO. However, this information may no longer be correct or you may have already given us new information about your partner’s income. If the ATO records are correct, we might need to adjust the amount of {BENEFIT.TYPE} you received. If you think the information from the ATO is wrong, would you please give us details of your partner's income during {FIN YEAR} financial year, including where and when you received this income. Payslips, group certificates, profit and loss statements, balance sheets, bank books, bank statements and tax returns would give us the information we need to check our records. We may need to check details about your partner's income with the ATO or other third parties such as employers or financial institutions, but we will only do this if we have to. 28
IT IS IMPORTANT THAT YOU CONTACT ME BEFORE {DATE}. Otherwise, your payment could be changed. Please post this information or bring it into the office. The address and phone number are at the top of this letter. Once we have this information we will compare all the details and check your rate of payment. We will write to you again if there is any change to your payment. If you need more information, please phone me, {CONTACT NAME}, on {PHONE}. You can reverse the charges if you live outside the local call area. Yours sincerely {Centrelink Officer In Charge Name} {Officer in Charge Title} {PRINT.DATE} 29
Customer Contact Letter - Q652 DMP - Payment Match between Centrelink and other Commonwealth Agencies {Centrelink Office Postal Address} {Centrelink Office Street Address} {Centrelink Fax} Please quote: {Customer Reference Number Telephone: {Centrelink Phone Number Office Hours: {Regional Office Hours} {Customer Name} {Customer Postal Address} Dear {Customer Title and Surname} This letter is about your {BENEFIT.TYPE}. Centrelink regularly checks its payment information under a program called the Data- matching Program. This program is authorised by an Act of Parliament, the Data- Matching Program (Assistance and Tax) Act 1990. I am writing to you under the provisions of section 11 of that Act. Recent matching with the {DEPARTMENT OR AGENCY} shows that granted {PAYMENT TYPE} from {DATE OF GRANT}. It appears that {BENEFIT.TYPE} and {PAYMENT TYPE} have both been paid for the period {START DATE} to {END DATE}. You should have received
If you would like to talk about this letter, please phone me on {PHONE.NUMBER}. If you are outside the local call area, you can call and reverse the charges. Yours sincerely {Centrelink Officer In Charge Name} {Officer in Charge Title} {PRINT.DATE} 31
DATA-MATCHING PROGRAM INFORMATION (attachment to Centrelink DMP Act Section 11 Letters) Under the Data-matching Program (Assistance and Tax) Act 1990, Centrelink matches records with the: Department of Veterans’ Affairs; and The Australian Taxation Office. This lets us know whether people who are paid social security payments are getting the correct amount. Centrelink has prepared a Program Protocol, which gives details of the Data-matching Program. The Privacy Commissioner has this document and it is available for people to read. The role of the Privacy Commissioner is to make sure privacy is protected. The Commissioner can investigate complaints about the Program or abuse of a person’s privacy. Heavy penalties apply if information held by Centrelink is misused or wrongfully released. If you do not agree with this decision, please contact us and we will explain it. We will reconsider your case and change the decision if appropriate. If you still do not agree, we will advise you of further avenues of review, which may be available to you and how you can apply for them. 32
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