Free 01141.PDF - Indiana

Agency

Agency number

RECORDS INVENTORY AND ANALYSIS WORKSHEET
INDIANA COMMISSION ON PUBLIC RECORDS RECORDS MANAGEMENT DIVISION
State Form 1141 (R3 / 8-98) Name of records coordinator

Division

Subdivision

E-mail address

Telephone number

Record series title

FAX number

Description

RETENTION REQUIREMENTS State law / rule ___________________ years; citation ________________

RECOMMENDED RETENTION Retain in agency __________________________ years Retain in record center _________________________ years Microfilm and destroy after ___________________ years Destroy after __________________________________ years Transfer to the State Archives _______________ years

Federal law / rule ___________________ years; citation ________________ State Board of Accounts audit required? ___________________ Administrative need ________________ years; Other ___________________________________________________

Recommended retention (in sentence form):

Do any indexes or finding aids exist for these records? If so, please describe them.

QUANTITY OF RECORDS ___________ Letter size drawer(s) ___________ Legal size drawer(s) ___________ 1 cubic foot box

TYPE OF RECORD Paper Original Duplicate Microfilm Computer Computer Output Microfiche Other

Are these records confidential? If so, please provide a legal reason.

___________ 1 bankers box (2.5 cf) ___________ Index cards ___________ Other (please specify)

Date (month, day, year)

Prepared by: