AGENCY: Department of Health and Human Services. Community Health and Well-Being. Division of Population Health.

SERIES: 81554
TITLE: Data collection form
DATES: 1978-
ARRANGEMENT: Chronological

DESCRIPTION: This is an internal management form used by the division to keep track of the work flow in the division so that staff resources can be efficiently allocated. This is the raw data used to compile workload reports. This includes the report month, the specimen type, and the number of specimens reported out and examinations performed by day and type.

RETENTION

Retain for 3 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series were specifically approved by the State Records Committee.

APPROVED: 06/1987

FORMAT MANAGEMENT

Paper: Retain in Office for 3 years and then destroy.

APPRAISAL

Administrative

As raw data, this information only needs to be kept to verify the workload reports. A three year retention will meet this administrative need according to the staff.