AGENCY: Department of Health and Human Services. Office of Children with Special Healthcare Needs

SERIES: 82277
TITLE: Source document
DATES: 1985-
ARRANGEMENT: Chronological

DESCRIPTION: This is a computer output generated by the data system and sent to the bureau which identifies those children believed to have a high risk of hearing problems. One sheet is generated for each child. This is used by the bureau as a working document. As they conduct the screening, the bureau documents the results on the form and uses it as an input document. The information includes child's name and date of birth, the father's name and address, the family history hearing loss code, the pregnancy complication code, the concurrent illness code, the child's birth weight, any congenital defects, and the response to the bureau and any test results. This is a document of automated data system, file key: SHADS.

RETENTION

Retain for 2 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 06/1988

FORMAT MANAGEMENT

Paper: Retain in Office for 2 years or until the information is input into a data system and then destroy.

Computer data files: Retain in Office until updated and then delete.

APPRAISAL

Administrative

Once the information has been followed up on, the case closed, and the information input into the data system, this record can be disposed of.

PRIMARY DESIGNATION

Private

---