ACTION REQUESTED (Check the appropriate box.)
-If this series is newly created/received by your agency or does no appear on your retention schedules or the general retention schedule, please check the "Establish retention schedule" box.
-If you are revising the retention schedule requirements for a records series already on a retention schedule, check "Revise retention schedule". If the "Revise retention schedule" box is checked, enter the schedule number of the schedule being revised in the space provided under "Revise retention schedule".
-Record Group Number assignment is for Archives use only.
SECTION A
SECTION B
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Examples of good titles |
Examples of poor titles |
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Annual Reports of Charitable Boards |
DOS-32 Reports |
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Public Relations Photograph Files |
Photographs |
- Title: Enter the official title of the series. If the series is already on a records retention schedule, enter the title exactly as it appears on the schedule.
- Variant title(s): If applicable, enter any other title(s) by which the series is commonly referred to within the office or unit. This may be any previous title or any other informal title which differs from item 6a. For example, Program Status Reports may be referred to in-house, as Status Reports. This entry provides another means of identifying and accessing a series.
7. Dates of Records: Indicate the earliest and latest dates covered in the records described. If applicable, include dates for missing records.
8. Are records still created? Check "yes" if record series is a continuing series; check "no" if this series is no longer created.
9. Index: Check the appropriate box to indicate whether or not the records are covered by an index or code book providing access to information in the record.
10. Arrangement of Record Series: Describe the filing arrangement of paper and microfilm records only. Common arrangements are chronological, alphabetical, numeric, and by subject. Indicate how file is broken within each category; ie., alphabetically by person's name, geographic location, etc., or chronologically by calendar or fiscal year, month, pay period, etc.
11. Description of record series: A record series is a group of related records, files, documents and/or other media which are used, indexed or filed together and which permit evaluation for disposition purposes. Be sure the series description includes all elements to answer the following questions:
11a. Who creates and/or uses the records and for what purposes: A summary description of who creates, sends, receives, or otherwise compiles the information, how and by whom the information is used, and what purpose is served by the record series. Avoid the use of abbreviations and technical jargon known only to program staff.
11b. Informational content: Describe the information consistently found in the series and provide a summary of the subject matter of the record series. If most information is compiled on standard forms, the description should note that such forms are used. If possible, attach copies of the forms.
11c. Value of records: Check the box(es) that best describe(s) the value(s) of these records.
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Administrative: |
Primarily needed to conduct program business only. |
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Fiscal : |
Document the receipt, management, and expenditure of public funds and are usually subject to audit. |
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Legal : |
Contain information on the legal rights and obligations of government or its citizens, created or maintained to defend those rights or obligations in litigation. |
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Historical: |
Used by program or other staff or citizens to conduct research into particular topics. |
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Other : |
Records which are created for special purposes such as proclamations and certificates of achievement. |
11d. Are these vital records? Vital records are records essential to the continuing operation of an organization. These records are necessary for an organization to resume its operations after a major disaster.
11e. Reference frequency: Enter the rate of reference activity for the records. This information is used to determine when to place a record series in off-site storage or to microfilm.
12a. Characteristics: Check the medium for recording the information; e.g.,paper, audio-visual, microfilm, and computer machine readable.
12b. Total volume and locations of records (by cu.ft.): Indicate the volume of the portion of the record series described/located in your agency or in the State Records Center, if applicable. (see Table of Volumes). If "other storage" is checked, specify where records are located (such as an agency or commercial off-site storage facility or some other storage area outside the office).
12c. Total volume generated per year (most recent year): Indicate the volume of records generated in the most recent year. This information is useful in projecting the rate of growth and future space needs.
Payroll data may be summarized in the agency's payroll Register or the Comptroller General's Payroll Warrant Register.
Fiscal record information is usually summarized in (one or more) of the agency's General Ledger series.
Monthly and Quarterly Reports may be summarized in the agency's official printed Annual Report.
Personnel records information is usually duplicated and/or summarized in the agency's Personnel Files (Active and Inactive).
SECTION C
Please Note: Before forwarding to the Department of Archives and History's Records Analysis Section, this form should be reviewed by the records custodian, supervisor, or records officer to ensure accuracy and completeness of information.
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QTY. |
ITEM/SIZE |
CAPACITY |
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CABINETS |
1 |
vertical letter-size file drawer |
1.5 cubic feet |
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1 |
vertical legal-size file drawer |
2.0 cubic feet |
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1 |
lateral legal-size drawer |
2.5 cubic feet |
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BOXES |
1 |
Standard Records Center box |
1.0 cubic feet |
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SHELVES |
1 |
letter-size open shelf - 36" long |
2.0 cubic feet |
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1 |
legal-size open shelf - 36" long |
2.5 cubic feet |
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CARD FILES |
10 |
12" rows of 3" x 5" cards |
1.0 cubic feet |
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6 |
12" rows of 4" x 6" cards |
1.0 cubic feet |
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4 |
12" rows of 5" x 8" cards |
1.0 cubic feet |
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5 |
14" boxes of tab cards |
1.0 cubic feet |
Cubic foot Equivalency Formula
Length x Width x Height (In Inches)
1728 inches = cubic feet / unit