Kansas Records Retention Schedules
| Agency: | Department of Social and Rehabilitation Services |
712 Schedule Entries Found:
Agency Number: 629-001 Department of Social and Rehabilitation Services Secretary's Office and Administration Division
| SERIES ID | 0017-629 | | TITLE | Fee Fund Reconciliation Form | | DESCRIPTION | Report compiled by the agency and used to reconcile all cash transactions made on a daily basis. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-07-14 | | K.A.R. NUMBER | 53-2-101 |
| SERIES ID | 0018-629 | | TITLE | Warrant Registers | | DESCRIPTION | Copies of monthly listing of warrant checks issued to clients for assistance. | | RETENTION | 001 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1994-10-13 | | K.A.R. NUMBER | 53-2-102 |
Agency Number: 629-002 Department of Social and Rehabilitation Services Health Care Policy
| SERIES ID | 0019-629 | | TITLE | Audit Reports | | DESCRIPTION | Results of audits conducted by the Legislative Division of Post-Audit and other state and/or federal auditing agencies. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0020-629 | | TITLE | Budget Preparation Files - Annual | | DESCRIPTION | Documents used the preparation of the annual agency budget: correspondence, draft budget requests, computer reports, notes, and other miscellaneous materials. | | RETENTION | 005 fisc yrs | | COMMENTS | Contact the archives for appraisal - if not accepted fro transfer to eh archives, then destroy. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0021-629 | | TITLE | Budget Requests and Appeals - Annual | | DESCRIPTION | Copies of budgets submitted yearly to the state legislature for approval and subsequent appeals: DA forms 400 thru 518 and associated supporting documents. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0022-629 | | TITLE | Community Work Experience Program Files (CWEP) | | DESCRIPTION | Agreements between SRS and cooperative worksites and other documents relating to the administration of CWEP which provides employment opportunities for individuals receiving public assistance. | | RETENTION | See Comments | | COMMENTS | Retain until expiration of the agreement plus 5 years, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0023-629 | | TITLE | Comprehensive Adult Student Assessment System Files | | DESCRIPTION | Variety of documents relating to the Comprehensive Adult Student Assessment System which is a test used in the JOBS program to measure skills and educational level of participants. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0024-629 | | TITLE | Constituent Complaint Files | | DESCRIPTION | Incoming and outgoing letters and memoranda, case logs, and intake logs relating to complaints submitted by constituents. | | RETENTION | 005 fisc yrs | | COMMENTS | Retain 5 fiscal years, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(14) | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0025-629 | | TITLE | Customer Relations and Referral Services Program Files | | DESCRIPTION | Correspondence, area office plans, and other documents relating to the establishment and administration of the Customer Relations and Referral Services Program in selected SRS area offices. | | RETENTION | 005 fisc yrs | | COMMENTS | Retain 5 fiscal years, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0026-629 | | TITLE | Employee Personnel Files - Office Copies | | DESCRIPTION | Copies of documents in agency's Employee Personnel Files associated with employment of specific personnel (applications, evaluations, etc.) maintained for convenience of reference. | | RETENTION | See Comments | | COMMENTS | Retain for length of employee's tenure plus 5 calendar years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0027-629 | | TITLE | Employee Position Descriptions | | DESCRIPTION | Formal descriptions of duties and other characteristics of particular employment positions: DA forms 281-2 and supporting documents. | | RETENTION | See Comments | | COMMENTS | Retain until superseded plus 3 years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0028-629 | | TITLE | Employee Time Report Records | | DESCRIPTION | Records documenting time worked by individual employees on a daily, weekly, or monthly basis: time sheets, time cards, attendance reports, absence reports, sign-in/out sheets, etc. | | RETENTION | 005 fisc yrs | | COMMENTS | Internal agency forms. See also Leave Requests. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0029-629 | | TITLE | Full Time Equivalent Files | | DESCRIPTION | Documents reporting the number of full time equivalent employees working for SRS maintained for reference purposes. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0030-629 | | TITLE | Grant Files - Funded | | DESCRIPTION | Variety of documents relating to applications for federal, state, and private grants and to the implementation of those received. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after the end of the grant period, transfer original applications and annual and final performance reports to the archives, destroy remaining documents. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0031-629 | | TITLE | Job Club Program Files | | DESCRIPTION | Correspondence, reports, commissioner's letters, and other documents relating to the administration of the Job Club program which provides employment and training to public assistance recipients. | | RETENTION | 005 fisc yrs | | COMMENTS | Retain 5 fiscal years, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0032-629 | | TITLE | Job Club Training Files | | DESCRIPTION | Materials used to conduct training sessions for staff involved in the Job Club program. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0033-629 | | TITLE | Job Opportunities and Basic Skills (JOBS) Program Files | | DESCRIPTION | Correspondence, state plans, federal reports, and other documents relating to the administration of the JOBS program which provides employment and training to public assistance recipients. | | RETENTION | 005 fisc yrs | | COMMENTS | Retain 5 fiscal years, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0034-629 | | TITLE | KanWork Program Files | | DESCRIPTION | Correspondence, minutes, policy and procedure manuals, and other documents relating to the administration of the KanWork program which provides job training to public assistance recipients. | | RETENTION | 005 fisc yrs | | COMMENTS | Retain 5 fiscal years, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0035-629 | | TITLE | KanWork Training Files | | DESCRIPTION | Materials used to conduct training sessions for staff involved in the KanWork program. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0036-629 | | TITLE | Leave Requests | | DESCRIPTION | Internal forms used to request and authorize the taking of leave by employees. | | RETENTION | 005 fisc yrs | | COMMENTS | See also Employee Time Report Records. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0037-629 | | TITLE | Mobile Job Club Files | | DESCRIPTION | Variety of documents relating to the administration of the Mobile Job Club program which provides public assistance recipients with access to employment training opportunities. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Transfer immediately to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0038-629 | | TITLE | More Opportunities for Self-Sufficiency Training (MOST) Program Files | | DESCRIPTION | Correspondence, reports, and other documents relating the administration of the MOST program which provides employment and training opportunities to food stamp recipients. | | RETENTION | 005 fisc yrs | | COMMENTS | Retain 5 fiscal years, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0039-629 | | TITLE | Payroll Warrant Registers | | DESCRIPTION | Monthly listing of warrant checks issued to state agency employees for payroll purposes. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0040-629 | | TITLE | Policy Statements | | DESCRIPTION | Original copies of formal explanations of agency policies and procedures issued in individual statement formats including SRS commissioners' letters. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect, then transfer to the archives. Retain convenience copies until no longer useful, then destroy. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0742-629 | | TITLE | Procedures Manuals | | DESCRIPTION | Original copies of agency procedures issued in a collective manual. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect, then transfer 1 copy to the archives, destroy the remainder. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0042-629 | | TITLE | Reference Files - Customer Relations and Referral Service Program | | DESCRIPTION | External publications and other documents relating to ombudsmen programs in other states maintained for convenience of reference. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0043-629 | | TITLE | Reference Files - Refugee Program | | DESCRIPTION | Copies of correspondence, brochures, reports, and other documents relating to refugee programs that are maintained for convenience of reference. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0044-629 | | TITLE | Reference Files - SRS Programs | | DESCRIPTION | Copies of correspondence, brochures, policy and procedure manuals, and other documents relating to SRS programs that are used to answer constituent complaints. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0045-629 | | TITLE | Subject Files | | DESCRIPTION | Correspondence, notes, reports, and other documents relating to a variety of Department of Social and Rehabilitation Services programs, policies, and procedures. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0047-629 | | TITLE | Subject Files - Kansas Cares | | DESCRIPTION | Correspondence and other materials relating to the Kansas Cares computer system for the JOBS, MOST and child care programs. | | RETENTION | See Comments | | COMMENTS | Retain and dispose of in conjunction with associated computer system. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0048-629 | | TITLE | Volunteer Program Training Files | | DESCRIPTION | Materials used to conduct training sessions for staff involved in the volunteer program. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0049-629 | | TITLE | Youth Job Program Training Files | | DESCRIPTION | Materials used to conduct training sessions for staff involved in the youth job program. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
Agency Number: 629-002 Department of Social and Rehabilitation Services Health Care Policy Child Care Services
| SERIES ID | 0041-629 | | TITLE | Purchase of Service Applications | | DESCRIPTION | Copies of agreements between SRS and child care providers to record rates and other information. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Records maintained in area provider files. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0046-629 | | TITLE | Subject Files | | DESCRIPTION | Variety of documents relating to the activities of the Child Care Services unit. | | RETENTION | See Comments | | COMMENTS | Retain according to general schedule where applicable - otherwise retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | Portions per KSA 45-221(a)(4) | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
Agency Number: 629-003 Department of Social and Rehabilitation Services Human Resources
| SERIES ID | 0050-629 | | TITLE | Abuse/Neglect Investigation Files | | DESCRIPTION | Allegation report, social service plan, intervention plan, etc. relating to the investigation of suspected abuse and/or neglect cases. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after investigation is closed, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0051-629 | | TITLE | Accounts Payable Records | | DESCRIPTION | Documents related to payment for goods and services: vouchers, correspondence, invoices, ledger books and cards, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | See also Ledger - General, Vouchers and Requisitions - Purchase, Vendor Files, Bid Records, and Purchasing Records. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0052-629 | | TITLE | Accounts Receivable Records | | DESCRIPTION | Documents related to the collection of payments due the agency: copies of invoices, correspondence, DA forms 32, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | See also Vouchers - Receipts. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0053-629 | | TITLE | Applications for Examination | | DESCRIPTION | Standardized form developed by the Department of Administration-Division of Personnel Services to determine if an applicant is qualified to take an examination for a specific classified position. | | RETENTION | 003 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0054-629 | | TITLE | Area Management Report | | DESCRIPTION | Copies of a report compiled to inform the SRS Secretary of the activities and conditions within the area offices. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0055-629 | | TITLE | Audit Reports | | DESCRIPTION | Results of audits conducted by the Legislative Division of Post-Audit and other state and/or federal auditing agencies. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0056-629 | | TITLE | Banking Records | | DESCRIPTION | Bank statements, deposit books and slips, check registers, and canceled checks. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0057-629 | | TITLE | Batch Transmittal Forms | | DESCRIPTION | Completed forms used to transmit documents for mass computer input - includes both DA forms 199 and/or equivalent internal documents. | | RETENTION | See Comments | | COMMENTS | Retain in conjunction with transmitted documents, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0058-629 | | TITLE | Budget Allocation Records | | DESCRIPTION | Documents maintained to monitor expenditures charged to each program account number insuring allocation amounts are not exceeded or under charged. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0059-629 | | TITLE | Budget Preparation Files - Annual | | DESCRIPTION | Documents used in the preparation of the annual agency budget: correspondence, draft budget requests, computer reports, notes, and other miscellaneous materials. | | RETENTION | 005 fisc yrs | | COMMENTS | Contact the archives for appraisal - if not accepted for transfer to the archives, then destroy. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0060-629 | | TITLE | Budget Requests and Appeals - Annual | | DESCRIPTION | Copies of budgets submitted yearly to the state legislature for approval and subsequent appeals: DA forms 400 thru 518 and associated supporting documents. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0061-629 | | TITLE | Certification Log | | DESCRIPTION | List verifying licenses required by certain staff members to maintain classification or employment. | | RETENTION | See Comments | | COMMENTS | Retain until superseded, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0062-629 | | TITLE | Child Abuse/Neglect Public Awareness Fund Files | | DESCRIPTION | Correspondence, payment vouchers, spreadsheets, etc. relating to the monitoring of program expenditures. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0063-629 | | TITLE | Child Care Allocation Fund Files | | DESCRIPTION | Correspondence, payment vouchers, spreadsheets, etc. relating to the monitoring of program expenditures. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0064-629 | | TITLE | Child Support Enforcement Receipt Reports | | DESCRIPTION | Forms FA-3101 and FA-3451 summarizing the daily totals of monies collected. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0065-629 | | TITLE | Client Assistance Printouts | | DESCRIPTION | Computer printouts listing the benefit amount granted to clients prior to the implementation of the Kansas Automated Eligibility Child Support Enforcement System. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0066-629 | | TITLE | Client Billing Records | | DESCRIPTION | Reports, receipt books, provider billings, time sheets, etc. relating to billing clients for program services. | | RETENTION | 006 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0067-629 | | TITLE | Client Case Files - Adoption Services | | DESCRIPTION | Application, medical history, correspondence, etc. relating to adoption of individuals. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 39-709(b) | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0068-629 | | TITLE | Client Case Files - Employment Preparation Services | | DESCRIPTION | Application, action plan, determination notification, fiscal materials, etc. relating to Employment Preparation Services eligibility determination and administration of benefits. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after closure of file, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0069-629 | | TITLE | Client Case Files - Social Services | | DESCRIPTION | Application, medical history, determination notification, fiscal materials, etc. relating to Social Services eligibility determination and administration of benefits. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after closure of file, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0070-629 | | TITLE | Client Case Files - Vocational Rehabilitation Services | | DESCRIPTION | Applications, medical history, rehabilitation plan, determination notification, etc. relating to Vocational Rehabilitation Services eligibility determination and administration of benefits. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after closure of file, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0071-629 | | TITLE | Client Fraud Files | | DESCRIPTION | Investigation form, client notification form, budget, and payment records relating to clients who may have committed fraud to gain SRS services or benefits. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after investigation is closed, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0072-629 | | TITLE | Client Payment Records | | DESCRIPTION | Logs, contracts, copies of court orders, etc. relating to payments made by clients to SRS. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0073-629 | | TITLE | Committee Files | | DESCRIPTION | Records relating to the establishment, organization, membership, policies, activities, and accomplishments of internal, interagency, and advisory committees. | | RETENTION | 003 cldr yrs | | COMMENTS | Retain 3 calendar years, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0074-629 | | TITLE | Community Organizations and Committees Files | | DESCRIPTION | Correspondence, policies and procedures, organization endorsement letters, etc. relating to the mutual interests shared by various community organizations and SRS. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0075-629 | | TITLE | Complaint Files | | DESCRIPTION | Copies of written complaints received from clients regarding allegations of impropriety or misconduct by SRS staff which did not result in disciplinary action taken by SRS. | | RETENTION | See Comments | | COMMENTS | Transfer to employee personnel file and retain according to general schedule. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 45-221(a)(4), 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0076-629 | | TITLE | Computer Conversion Information File | | DESCRIPTION | Configuration sheets, newsletters, correspondence, field issuance printouts, etc. relating to the implementation of case files on the Kansas Automated Eligibility Child Support Enforcement System. | | RETENTION | See Comments | | COMMENTS | Retain or dispose of in conjunction with disposition of data in associated computer programs and systems. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0078-629 | | TITLE | Continuing Education Files | | DESCRIPTION | Correspondence, forms, brochures, etc. relating to staff requests to attend meetings, conferences, and workshops. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0079-629 | | TITLE | Contracts | | DESCRIPTION | Legal agreements with individuals and organizations. Includes all associated documents, e.g.. DA-146 series. | | RETENTION | See Comments | | COMMENTS | Retain until expiration of contract plus 5 calendar years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0080-629 | | TITLE | Correspondence - Policy Related | | DESCRIPTION | Incoming and outgoing letters and memoranda that state or form the basis for policy, set precedent, or record important events in the operational and organizational history of the agency. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0081-629 | | TITLE | Correspondence - Routine | | DESCRIPTION | Incoming and outgoing letters and memoranda which pertain only to routine matters handled in accordance with existing policy and procedures: requests for information, letters of transmittal, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0082-629 | | TITLE | Employee Disciplinary Action File | | DESCRIPTION | Documents relating to investigations of allegations made against SRS staff and any resulting action taken by the agency. | | RETENTION | See Comments | | COMMENTS | Transfer to employee personnel file and retain according to the general schedule. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0083-629 | | TITLE | Employee Personnel Files | | DESCRIPTION | Documents associated with the employment of specific personnel: employee evaluation forms, applications for employment, and other personnel materials. | | RETENTION | See Comments | | COMMENTS | Retain in office for length of employee's tenure plus 3 calendar years. Purge documents to create abstracted work history (appointment data and change of status information), transfer to the records center for 62 calendar years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0084-629 | | TITLE | Employee Personnel Files - Office Copies | | DESCRIPTION | Copies of documents in agency's Employee Personnel Files associated with employment of specific personnel (applications, evaluations, etc.) maintained for convenience of reference. | | RETENTION | See Comments | | COMMENTS | Retain for length of employee's tenure plus 5 calendar years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0085-629 | | TITLE | Employee Position Descriptions | | DESCRIPTION | Formal descriptions of duties and other characteristics of particular employment positions: DA forms 281-2 and supporting documents. | | RETENTION | See Comments | | COMMENTS | Retain until superseded plus 3 years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0086-629 | | TITLE | Employee Time Report Records | | DESCRIPTION | Records documenting time worked by individual employees on a daily, weekly, or monthly basis: time sheets, time cards, attendance reports, absence reports, sign-in/out sheets, etc. | | RETENTION | 005 fisc yrs | | COMMENTS | Internal agency forms. See also Leave Requests. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0087-629 | | TITLE | Employee Training Course Materials | | DESCRIPTION | Record copy of manuals, syllabi, textbooks and other training aids created for agency sponsored employee training programs. | | RETENTION | See Comments | | COMMENTS | Retain until training program is obsolete, then transfer one copy of each manual, syllabus, and textbook to the archives, destroy the remainder. See also Employee Training Records. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0088-629 | | TITLE | Employee Training Records | | DESCRIPTION | Correspondence, reports, and other records relating to the operation of agency sponsored training programs and to employee participation in training programs sponsored by external organizations. | | RETENTION | See Comments | | COMMENTS | Retain 5 calendar years or until superseded, whichever is sooner, then destroy. See also Employee Training Course Materials. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0089-629 | | TITLE | Employee Withholding Allowance Certificates | | DESCRIPTION | Internal Revenue Service W-4 forms completed by employees to establish rate of tax to be withheld from paychecks. | | RETENTION | See Comments | | COMMENTS | Retain until no longer in effect, then destroy provided four years have passed since date tax was due or paid (whichever is later). | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0090-629 | | TITLE | Employment Applications - Not Hired | | DESCRIPTION | DA forms 203 and supplementary materials submitted by unsuccessful applicants for employment. | | RETENTION | 003 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0091-629 | | TITLE | Employment Security Clearance Request | | DESCRIPTION | Form used to request security clearance for employees, volunteers, students, etc. | | RETENTION | See Comments | | COMMENTS | Transfer to employee personnel file, student file, or volunteer file and retain according to general schedule or agency schedule. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0092-629 | | TITLE | Equipment Operation Records | | DESCRIPTION | Documents related to the use of agency equipment (e.g.. Photocopy logs, check-out forms, use request forms, etc.) including photocopiers, typewriters, computers, calculators, adding machines, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | See also Equipment Ownership and Maintenance Records. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0093-629 | | TITLE | Foster Care Training Fund Files | | DESCRIPTION | Correspondence, payment vouchers, spreadsheets, etc. relating to the monitoring of foster parent training expenditures. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0094-629 | | TITLE | Grant Files - Funded | | DESCRIPTION | Variety of documents relating to applications for federal, state, and private grants and to the implementation of those received. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after the end of the grant period, transfer original applications and annual and final performance reports to the archives, destroy remaining documents. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0095-629 | | TITLE | Historical Files | | DESCRIPTION | Case files, budgets, minutes, etc. relating to the early administration of area offices. | | RETENTION | See Comments | | COMMENTS | Obsolete series, transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0096-629 | | TITLE | Home Care Worker Shopping Requisitions | | DESCRIPTION | Form SA-1062 used to verify the home care workers expenditure of client funds and maintained for accountability purposes. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0097-629 | | TITLE | Home Care Worker Time Verification Records | | DESCRIPTION | Form MS-1063 used to verify the total number of hours worked by the home care worker for each client. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4), 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0098-629 | | TITLE | Imprest Fund | | DESCRIPTION | Documents related to the administration and accounting of the imprest fund which allows an agency to use a local bank account as authorized by statute: DA forms 152-Checkbook Record--Imprest Fund. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0099-629 | | TITLE | Inventory Records - Expendable Property | | DESCRIPTION | Records of receipts, disbursements, and balances of office supplies and other expendable inventory materials. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0100-629 | | TITLE | Inventory Records - Non-Expendable Property | | DESCRIPTION | Records related to capital equipment inventory management: DA forms 80 thru 83, computer reports from the Department of Administration, internal documents, correspondence, etc. | | RETENTION | See Comments | | COMMENTS | Retain until superseded by new inventory plus 3 fiscal years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0638629 | | TITLE | Janitorial Reference Files | | DESCRIPTION | Contracts, correspondence, etc. relating to independent janitorial companies contracted by SRS to perform maintenance services. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after termination of contract, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0627629 | | TITLE | Laboratory Files | | DESCRIPTION | Contracts, correspondence, test results, etc. relating to independent laboratories contracted by SRS to perform blood tests. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after contract has expired, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0563629 | | TITLE | Leases - Real Property and Capital Equipment | | DESCRIPTION | Documents related to the leasing of real estate and equipment. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or inactive plus 5 calendar years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0571629 | | TITLE | Master Card File | | DESCRIPTION | Index cards listing applicants for the various program services supported by SRS and maintained for convenience of reference. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0568629 | | TITLE | Military Leave Report | | DESCRIPTION | Form compiled identifying staff enlisted in the Reserves or National Guard and maintained as reference in the event of military duty. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0562629 | | TITLE | Minutes | | DESCRIPTION | Proceedings of regular or special meetings of committees, commissions, and other standing or ad hoc organizations. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0622629 | | TITLE | Monthly Contractor Reports | | DESCRIPTION | Computer printouts listing monies collected monthly by each contractor hired by SRS. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0569629 | | TITLE | Monthly Itinerary for Supervisors | | DESCRIPTION | Form listing the location and number of home visits made by supervisors. | | RETENTION | 006 months | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0633629 | | TITLE | Monthly Management Reports | | DESCRIPTION | Report submitted monthly by staff updating the area chief of the status of unit progress, requirements, and activities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0570629 | | TITLE | Monthly Statistical Reports | | DESCRIPTION | Statistical reports verifying monthly applicant referrals for the various program services supported by SRS. | | RETENTION | 001 fisc yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0646629 | | TITLE | Organizational Charts | | DESCRIPTION | Records documenting the agency's current organizational structure. | | RETENTION | 003 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0556629 | | TITLE | Payment Collection Plan | | DESCRIPTION | Plan compiled for the next fiscal year containing projections of SRS client payment collections that is maintained for budgetary purposes. | | RETENTION | 001 fisc yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0548629 | | TITLE | Payroll Adjustment Records | | DESCRIPTION | Copies of documents and supporting materials used to make adjustments in agency payroll accounts: forms AR-9, AR-10, DA-10, DA-10A, DA-21 series, DA-171 thru 177, DA-251 thru 262. | | RETENTION | 003 fisc yrs | | COMMENTS | This schedule does not apply to copies of these records maintained by the Division of Accounts and Reports. See also Payroll Direct Deposit Authorization Records - General. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0572629 | | TITLE | Payroll Deduction Authorization Records - General | | DESCRIPTION | Documents used to authorize various deductions from an employee's pay: insurance enrollments, GHI enrollments, KPERS enrollments, KPERS Annual Account Statements, dues deduction forms, etc. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect plus 1 calendar year, then destroy. This schedule does not apply to W-4 forms or Payroll Direct Deposit Authorization Records - General. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0552629 | | TITLE | Payroll Direct Deposit Authorization Records | | DESCRIPTION | Completed forms used to authorize direct deposits of payroll checks in employee bank accounts. | | RETENTION | See Comments | | COMMENTS | Retain until no longer in effect plus 2 years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0551629 | | TITLE | Payroll Warrant Registers | | DESCRIPTION | Monthly listing of warrant checks issued to state agency employees for payroll purposes. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0553629 | | TITLE | Petty Cash Records | | DESCRIPTION | Documents related to petty cash accounting: DA-71 thru 73. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0600629 | | TITLE | Postal Records | | DESCRIPTION | Records concerning the use of the U.S. Postal Service and express companies: mailing logs, postage purchase reports, registered mail receipts, express company receipts, mailing permits, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0628629 | | TITLE | Project Files | | DESCRIPTION | Reports, memoranda, and other documents relating to research and development activities for the agency. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0647629 | | TITLE | Provider Care Files | | DESCRIPTION | Application, operating plan, correspondence, etc. relating to licensing agreements with independent adult or child care providers contracted by SRS to provide services. | | RETENTION | See Comments | | COMMENTS | Retain 5 fiscal years after contract has expired, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0560629 | | TITLE | Publications | | DESCRIPTION | Internally produced newsletters, pamphlets, leaflets, and brochures distributed to inform a constituency about the activities of the agency. | | RETENTION | See Comments | | COMMENTS | Retain in office 1 year, then transfer 2 copies to the archives and destroy the remainder. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0602629 | | TITLE | Purchase Requests - Internal | | DESCRIPTION | Documents used by subordinate organizations to request purchases of goods and services through the agency central purchasing office. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0604629 | | TITLE | Purchasing Records | | DESCRIPTION | Documents related to the purchase of goods and services: correspondence, vouchers, invoices, ledger books and cards, requisitions, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0558629 | | TITLE | Quarterly Statistical Reports | | DESCRIPTION | Statistical reports verifying quarterly applicant referrals for the various program services supported by SRS. | | RETENTION | 001 fisc yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0639629 | | TITLE | Quarterly Unemployment Reports | | DESCRIPTION | Report produced by the Department of Human Resources listing former SRS employees who have applied for unemployment benefits. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0640629 | | TITLE | Random Employee Sample Technique (REST) Records | | DESCRIPTION | Copies of correspondence, observation forms, technique control lists, etc. related to the random quality control checks on staff performing directly related program functions. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0606629 | | TITLE | Receipts Records - Cash | | DESCRIPTION | Records of cash received by the agency: receipt slips, receipt books, receipt ledgers, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0607629 | | TITLE | Records Management Records | | DESCRIPTION | Documents related to the management of agency records including completed survey forms, inventories, and other miscellaneous materials such as correspondence or reference materials. | | RETENTION | See Comments | | COMMENTS | Retain survey forms and inventories until superseded, then contact the archives for appraisal of other documents - if not accepted for transfer to the archives, then destroy. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0645629 | | TITLE | Recruitment Files | | DESCRIPTION | Variety of documents relating to the recruitment process for hiring employees to fill vacant positions. | | RETENTION | 003 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | Portions per KSA 45-221(a)(4) | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0745-629 | | TITLE | Reorganization Studies | | DESCRIPTION | Records documenting actual and proposed agency organizational structure. | | RETENTION | 003 cldr yrs | | COMMENTS | Retain in office 3 calendar years, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0603629 | | TITLE | Replacement/Repair Request Forms | | DESCRIPTION | Claim forms submitted by clients for compensation for repair or replacement of damaged items. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0608629 | | TITLE | Request for Access to Records | | DESCRIPTION | Documents related to requests for access to state agency records and agency responses prepared pursuant to KSA 45-218. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0644629 | | TITLE | SHaRP Reports | | DESCRIPTION | Computer reports concerning agency payroll issued on a periodic basis from the Division of Accounts and Reports to agencies in the Statewide Human Resources and Payroll Project. | | RETENTION | See Comments | | COMMENTS | Retain electronic or paper copy 3 fiscal years, then destroy. Not applicable to the Division of Accounts and Reports. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0615629 | | TITLE | STARS Reports: Daily Financial | | DESCRIPTION | Computer reports regarding agency financial status issued on a daily basis from the Division of Accounts and Reports to agencies in the Statewide Accounting and Reporting Systems. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. Schedule does not apply to originals maintained at Accounts and Reports. Replaces the old CASK Reports. Includes: DAFR8010, DAFR8120, DAFR8210, DAFR8420, DAFR8101, etc. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0614629 | | TITLE | STARS Reports: Monthly Financial | | DESCRIPTION | Computer reports regarding agency financial status issued on a monthly basis from the Division of Accounts and Reports to agencies in the Statewide Accounting and Reporting Systems. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. Schedule does not apply to originals maintained at Accounts and Reports. Replaces the old CASK Reports. Includes: DAFR8290, DAFR8300, DAFR8280, DAFR8070, DAFR8101, etc. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0613629 | | TITLE | STARS Reports: Yearly Financial | | DESCRIPTION | Computer reports regarding agency financial status issued on a yearly basis from the Division of Accounts and Reports to agencies in the Statewide Accounting and Reporting Systems. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. Schedule does not apply to originals maintained at Accounts and Reports. Replaces the old CASK Reports. Includes: DAFR8290. DAFR8101, DAFR8120, DAFR8210, etc. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0610629 | | TITLE | Schedules - Office Activities | | DESCRIPTION | Internal forms, appointment books, paper and electronic calendars used to schedule employees, office activities, vehicles, meeting rooms, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0632629 | | TITLE | Secretary's Letters | | DESCRIPTION | Copies of statements issued from the SRS Secretary outlining agency policies and practices. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0625629 | | TITLE | Sensitive Client Information Files | | DESCRIPTION | Variety of documents relating to pending and current client case investigations and appeals which are maintained for convenience of reference. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0601629 | | TITLE | Services Provided Annual Summary | | DESCRIPTION | Annual statistical report compiled on client services for the various program services supported by SRS. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0631629 | | TITLE | State Director's Letters | | DESCRIPTION | Copies of policy statements issued by SRS Commissioners regarding agency practices and procedures. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0598629 | | TITLE | Statements of Lost Warrants | | DESCRIPTION | Copies of DA form 6 used to request re-issues of lost warrants. | | RETENTION | currt fisc yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0643629 | | TITLE | Technical Reference Files | | DESCRIPTION | Copies of documents retained strictly for convenience of reference that are not part of official files: copies of external reports, studies, periodicals, books, brochures, catalogs, vendor lists, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0642629 | | TITLE | Telecommunications Logs | | DESCRIPTION | Registers recording incoming and outgoing telephone calls of the agency. | | RETENTION | 6 months | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0612629 | | TITLE | Telephone Billing Records | | DESCRIPTION | Copies of computer billings and supporting documents concerning the use of a telecommunications service provider. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0595629 | | TITLE | Travel Request and Authorization Records | | DESCRIPTION | Records related to employee travel: DA forms 25 (Request for Out of State Travel) and various internal documents. | | RETENTION | 003 fisc yrs | | COMMENTS | See also Vouchers - Travel and Vehicle Operation Records. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0565629 | | TITLE | Vacancy Report | | DESCRIPTION | Report submitted to the central office confirming vacant positions within the area office. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0621629 | | TITLE | Vehicle Maintenance and Ownership Records | | DESCRIPTION | Documents related to the legal ownership and maintenance of agency vehicles: maintenance logs, legal titles, warranties, etc. | | RETENTION | See Comments | | COMMENTS | Retain for the life of the vehicle, then transfer to subsequent owner or destroy as appropriate. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0620629 | | TITLE | Vehicle Operation Records | | DESCRIPTION | Documents related to the use of state-owned motor vehicles: MP forms 1a, 2c, 3a, 3b, 10, 20, and internal agency forms. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0619629 | | TITLE | Vendor Files | | DESCRIPTION | Records concerning purchases from specific vendors: invoices, correspondence, vouchers, ledger books and cards, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | Retain for 5 fiscal years if record is subject to KSA 75-3704(e). See also Vouchers - Purchase, Purchasing Records, Bid Records, Contracts, and Accounts Payable Records. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0618629 | | TITLE | Vouchers - Purchase | | DESCRIPTION | Copies of documents used to order and pay for goods and services: DA forms 100 thru 109 and DA-120. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0616629 | | TITLE | Vouchers - Travel | | DESCRIPTION | Copies of documents used to certify the validity of claims for the reimbursement of travel expenses: DA forms 121, 122, and 123. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0567629 | | TITLE | Workers' Compensation Files | | DESCRIPTION | Copy of form (#1101) submitted by the employee reporting an accident or injury which occurred while on the work site. | | RETENTION | 003 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0626629 | | TITLE | Working Files - Area Director | | DESCRIPTION | Correspondence, policies, fiscal notes, program data, etc. relating to the management of area office resources. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0634629 | | TITLE | Working Files - Family Support Program | | DESCRIPTION | Correspondence, policies, fiscal, program data, etc. relating to the management of program resources. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0605629 | | TITLE | Working Files - Home and Community Based Services | | DESCRIPTION | Correspondence, policies, fiscal, program data, etc. relating to the management of program resources. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0566629 | | TITLE | Working Files - Personnel Officer | | DESCRIPTION | Correspondence, copies of position descriptions, etc. relating to the function and interests of the personnel office. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0609629 | | TITLE | Working Files - Quality Control Specialist | | DESCRIPTION | Correspondence, interview notes, reports, etc. relating to the operation of the quality control review process conducted on the various types of client cases. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0586629 | | TITLE | Working Files - Social Service Chief | | DESCRIPTION | Variety of documents relating to the management and operation of the program. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
| SERIES ID | 0611629 | | TITLE | Working Files - Social Worker | | DESCRIPTION | Variety of documents relating to the interests and activities of the social worker. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1996-08-08 | | K.A.R. NUMBER | 53-2-109 |
Agency Number: 629-005 Department of Social and Rehabilitation Services Operations Area Offices
| SERIES ID | 0708629 | | TITLE | Client Case Files - Employment Preparation Services | | DESCRIPTION | Applications and supporting documentation used to determine the eligibility of individuals for services and records documenting all case activities. | | RETENTION | See Comments | | COMMENTS | Produced only in electronic format. Retain data until no longer useful or 3 years, whichever is longer, then delete. Complies with new federal regulations. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0707629 | | TITLE | Client Case Files - Income Maintenance | | DESCRIPTION | Applications and supporting documentation used to determine the eligibility of individuals for programs and records documenting all case activities. | | RETENTION | See Comments | | COMMENTS | Produced only in electronic format. Retain data until no longer useful or 3 years whichever is longer, then delete. Complies with new federal regulations. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
Agency Number: 629-005 Department of Social and Rehabilitation Services Operations Division of Income Maintenance Area Office
| SERIES ID | 0747-629 | | TITLE | Policy Statements | | DESCRIPTION | Original copies of formal explanations of agency policies and procedures issued in individual statement formats. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect, then transfer to the archives. Retain convenience copies until no longer useful, then destroy. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1993-01-14 | | K.A.R. NUMBER | 53-2-095 |
Agency Number: 629-005 Department of Social and Rehabilitation Services Operations Division of Income Maintenance Area Offices
| SERIES ID | 0375629 | | TITLE | Active Case Listing Report | | DESCRIPTION | Computer printout (CR 300) providing a detailed listing of all cases in a specified eligibility or social services worker's caseload. | | RETENTION | See Comments | | COMMENTS | Retain until superseded, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0230629 | | TITLE | Adult Care Homes Payment Rate Update | | DESCRIPTION | Monthly update of local area adult care homes billing rates used to calculate payments made to long term care facilities. | | RETENTION | See Comments | | COMMENTS | Retain until superseded, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0368629 | | TITLE | Approvals and Denials Summary Report | | DESCRIPTION | Monthly computer printout (MR 161) summarizing action taken on all cash and medical assistance applications received. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0371629 | | TITLE | Base Wage, New Hire, and Unemployment Insurance Detailed Report | | DESCRIPTION | Monthly computer printout (CR 520) containing income or benefit data on clients who have started a new job or who have begun to receive unemployment insurance benefits. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0233629 | | TITLE | Base Wage, New Hire, and Unemployment Insurance Summary Report | | DESCRIPTION | Monthly computer printout (CR 521) listing clients who have started a new job or who have begun to receive unemployment insurance and arranged by eligibility worker for convenience of reference. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0237-629 | | TITLE | Card Files - Master | | DESCRIPTION | Index cards containing information on clients created for convenience of reference. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0232629 | | TITLE | Case Management Report | | DESCRIPTION | Monthly computer printout (MR 610) summarizing by area the total number of cases opened, closed, and denied. | | RETENTION | 002 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0209629 | | TITLE | Caseload Report | | DESCRIPTION | Monthly computer printout (MR 310) summarizing a unit's activities by listing the name, program, and month-end status of each client. | | RETENTION | See Comments | | COMMENTS | Retain until superseded, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0208629 | | TITLE | Caseload Summary Report | | DESCRIPTION | Monthly computer printout (MR 320) summarizing an eligibility worker's caseload by listing the name, program, and month-end status of each client. | | RETENTION | See Comments | | COMMENTS | Retain until superseded, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0318629 | | TITLE | Cases Closed for Non-Receipt of Monthly Report | | DESCRIPTION | Monthly computer printout (CR 121) listing cases closed because the client failed to submit the required monthly report. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0261629 | | TITLE | Cases Notified of Monthly Report Non-Receipt | | DESCRIPTION | Monthly computer printout (CR 120) listing the names of clients who failed to submit the required monthly report to alert the eligibility worker. | | RETENTION | 001 cldr yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0240629 | | TITLE | Cash Assistance Recovery Report | | DESCRIPTION | Monthly computer printout (MR 100) listing recoveries of incorrect cash assistance payments by individual case. | | RETENTION | 002 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0200629 | | TITLE | Discrepancy Reports (Bendex Letters) | | DESCRIPTION | Computer generated letters (SWRUN D12) informing eligibility caseworkers of discrepancies between information in income maintenance case files and Social Security Administration files. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to individual case file. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0214629 | | TITLE | Dummy Warrant Register | | DESCRIPTION | Computer printout (MR 180) listing warrants issued to clients. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0308629 | | TITLE | Eligibility Worker Alert Report | | DESCRIPTION | Computer printout (CR 330) notifying eligibility caseworkers of cases that are due, overdue, or coming due within the next 14 days. | | RETENTION | See Comments | | COMMENTS | Retain until superseded, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0196629 | | TITLE | Employee Personnel Files | | DESCRIPTION | Documents associated with employment of specific personnel: employee evaluation forms, applications for employment, INS Residence Status forms, and other personnel materials. | | RETENTION | See Comments | | COMMENTS | Retain in office for length of employee's tenure plus 3 calendar years. Purge documents to create abstracted work history (appointment data and change of status information), transfer to the records center for 62 calendar years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0197629 | | TITLE | Employee Training Manuals | | DESCRIPTION | Original copies of manuals used to train agency personnel. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0213629 | | TITLE | Food Stamp Benefits For Local Office Pick Up Report | | DESCRIPTION | Daily computer printout (MR 200) listing clients who have reported mail loss and have requested food stamp benefit replacement. | | RETENTION | 001 fisc yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0198629 | | TITLE | Food Stamp Mail Issuance Report | | DESCRIPTION | Monthly computer printout (FR 259) containing accounting data by county on mail issuance, mail returns, and food stamp replacements with state totals. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0199629 | | TITLE | Food Stamp Program Summary Report | | DESCRIPTION | Monthly computer printout (FR 256) summarizing by county the number of households and individuals receiving food stamps and the total value of food stamps issued. | | RETENTION | 002 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0212629 | | TITLE | Food Stamp Recoveries Report | | DESCRIPTION | Monthly computer printout (MR 242) listing claims against clients for food stamp overissuances and amounts recouped. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0370629 | | TITLE | IRS Unearned Income Tracking Report | | DESCRIPTION | Monthly computer printout (CR 535) containing information obtained from the IRS on unearned income received by clients. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0204629 | | TITLE | Income Maintenance Case Files | | DESCRIPTION | Applications and supporting documentation used to determine the eligibility of persons for income maintenance programs and records documenting all case activity. | | RETENTION | See Comments | | COMMENTS | Data is maintained in both paper and electronic format. Retain 4 cldr. years after case is closed, then destroy. Retain every 100th file (make hard copy of electronic data) and transfer to archives. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0217629 | | TITLE | Income Maintenance Statistics Report | | DESCRIPTION | Monthly computer printout (MR 600) summarizing expenditures for each income maintenance program: cash, food stamps, and medical. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0218629 | | TITLE | KANWORK Program Files | | DESCRIPTION | Variety of documents related to the administration of the KANWORK employment training program for income maintenance clients. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0228629 | | TITLE | Log Book | | DESCRIPTION | Log listing the numbers assigned to correspondence. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0236629 | | TITLE | Low Income Energy Assistance Program Master Report | | DESCRIPTION | Annual computer printout (SW61905V) listing Low Income Energy Assistance Program clients and benefits received during the previous year. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0239629 | | TITLE | Low Income Energy Assistance Program Payment Register | | DESCRIPTION | Computer printout (SW61233C) listing warrants issued to Low Income Energy Assistance Program clients. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0238629 | | TITLE | Low Income Energy Assistance Program Weekly Report | | DESCRIPTION | Weekly reports created to monitor the number of Low Income Energy Assistance applications received and processed. | | RETENTION | 001 cldr yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0195629 | | TITLE | Mass Change Detail Summary Report | | DESCRIPTION | Computer printout (MR 340) containing summary Social Security cost of living adjustment data used to monitor changes in income maintenance program eligibility. | | RETENTION | 002 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0202629 | | TITLE | Medical Transportation Recipients Report | | DESCRIPTION | Monthly computer printout (MR 710) listing clients who received benefits to pay for transportation to medical appointments. | | RETENTION | 001 fisc yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0205629 | | TITLE | Pending Applications Area Report | | DESCRIPTION | Weekly computer printout (MR 105) summarizing pending applications for assistance in each area office. | | RETENTION | See Comments | | COMMENTS | Retain until superseded, then destroy. Case names are not included on the report. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0369629 | | TITLE | Pregnant Women Report | | DESCRIPTION | Computer printout (CR 600) informing eligibility workers of clients who are pregnant so that they can refer them to local health departments for special services related to pregnancy. | | RETENTION | 002 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0263629 | | TITLE | Procedures Manuals | | DESCRIPTION | Office copies of agency procedures issued in collective manual including Income Support & Medical Services Commissioner's letters. | | RETENTION | See Comments | | COMMENTS | Retain until superseded, then destroy. Original copies are retained in the central office. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0207629 | | TITLE | Quality Control Files | | DESCRIPTION | Office copies of documents relating to quality control unit reviews of selected cases. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. Original copies are retained by the central office quality control unit. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0262629 | | TITLE | Reviews Due and Overdue Reports | | DESCRIPTION | Monthly computer printouts (CR 110) providing a detailed listing of cases with required eligibility reviews coming due within the next two months, as well as reviews overdue. | | RETENTION | 002 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0234629 | | TITLE | Social Security Number Validation Discrepancy Report | | DESCRIPTION | Monthly computer printout (CR 510) listing clients whose income maintenance social security number record does not match the social security number on file at the Social Security Administration. | | RETENTION | 001 cldr yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0231629 | | TITLE | Subject Files | | DESCRIPTION | Wide variety of documents maintained by eligibility workers for reference purposes. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0229629 | | TITLE | Subject Files - Income Maintenance Chief | | DESCRIPTION | Variety of documents related to the operation and management of income maintenance programs. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0201629 | | TITLE | Supplemental Security Income Monthly Payment Report | | DESCRIPTION | Monthly computer printout (SWRUN 115) reporting Supplemental Security Income payments received by income maintenance clients used to monitor client eligibility. | | RETENTION | 001 cldr yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0215629 | | TITLE | Timeliness Measurement of Approved Cash and Medical Applications Report | | DESCRIPTION | Monthly computer printout (MR 162) containing information on cases that were not approved in a timely manner and the reasons for the delay. | | RETENTION | 001 cldr yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0210629 | | TITLE | Timeliness Summary of Food Stamp Transactions Report | | DESCRIPTION | Monthly computer printout (MR 272) containing information on whether food stamp applications were processed in a timely manner. | | RETENTION | 002 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0211629 | | TITLE | Untimely Food Stamp Disposition Report | | DESCRIPTION | Monthly computer printout (MR 270) containing information on all food stamp program transactions that were not processed in a timely manner and the reasons for the delay. | | RETENTION | 002 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0206629 | | TITLE | Weekly Application Summary Report | | DESCRIPTION | Computer printout (MR 370) summarizing each eligibility worker's weekly activities including the number of applications received and actions taken. | | RETENTION | 001 cldr yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
Agency Number: 629-005 Department of Social and Rehabilitation Services Operations Division of Income Maintenance Central Office
| SERIES ID | 0278629 | | TITLE | Complaint Files | | DESCRIPTION | Correspondence and documentation relating to complaints made by clients and the general public about Division of Income Maintenance services and activities. | | RETENTION | 004 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(14) | | APPROVED | 1993-01-14 | | K.A.R. NUMBER | 53-2-095 |
| SERIES ID | 0267629 | | TITLE | Correspondence - Federal | | DESCRIPTION | Incoming and outgoing letters and memoranda to a variety of federal agencies. | | RETENTION | See Comments | | COMMENTS | Retain in office 4 years, transfer to the records center for 3 years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-01-14 | | K.A.R. NUMBER | 53-2-095 |
| SERIES ID | 0744-629 | | TITLE | Correspondence - Policy Related | | DESCRIPTION | Incoming and outgoing letters and memoranda that state or from the basis for policy, set precedent, or record important events in the operational history of the agency. | | RETENTION | 005 cldr yrs | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1993-01-14 | | K.A.R. NUMBER | 53-2-095 |
| SERIES ID | 0266629 | | TITLE | Correspondence - Routine | | DESCRIPTION | Incoming and outgoing letters and memoranda which pertain only to routine matters handled in accordance with existing policy and procedures : requests for information, letters of transmittal, etc. | | RETENTION | See Comments | | COMMENTS | Retain in office 4 years, transfer to the records center for 3 years, then destroy. Supersedes general schedule. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-01-14 | | K.A.R. NUMBER | 53-2-095 |
| SERIES ID | 0264629 | | TITLE | Employee Personnel Files - Office Copies | | DESCRIPTION | Copies of documents in agency's Employee Personnel File associated with employment of specific personnel (applications, evaluations, etc.) maintained by the division for convenience of reference. | | RETENTION | See Comments | | COMMENTS | Retain for length of employee's tenure plus 5 calendar years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1993-01-14 | | K.A.R. NUMBER | 53-2-095 |
| SERIES ID | 0272629 | | TITLE | Food Stamp Program Federal Reports | | DESCRIPTION | Variety of computer generated statistical reports required by the federal government to monitor the food stamp program to ensure compliance and accountability. | | RETENTION | 004 fisc yrs | | COMMENTS | Retain 4 years, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | Portions under 7CFR 272.1(s) | | APPROVED | 1993-01-14 | | K.A.R. NUMBER | 53-2-095 |
| SERIES ID | 0271629 | | TITLE | Income Maintenance Finance Files | | DESCRIPTION | Variety of documents relating to the fiscal operation of the division including vouchers, receipts, and purchase orders, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-01-14 | | K.A.R. NUMBER | 53-2-095 |
| SERIES ID | 0260629 | | TITLE | Policy Statements | | DESCRIPTION | Original copies of formal explanations of agency policies and procedures issued in individual statement formats including Income Support & Medical Services Commissioner's letters. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect, then transfer to the archives. Retain convenience copies until no longer useful, then destroy. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1993-01-14 | | K.A.R. NUMBER | 53-2-095 |
| SERIES ID | 0746-629 | | TITLE | Procedures Manuals | | DESCRIPTION | Original copies of agency procedures issued in a collective manual. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect, then transfer 1 copy to the archives, destroy the remainder. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1993-01-14 | | K.A.R. NUMBER | 53-2-095 |
| SERIES ID | 0269629 | | TITLE | Subject Files | | DESCRIPTION | Working files containing convenience copies of a wide variety of documents regarding division activities maintained by individual staff members. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-01-14 | | K.A.R. NUMBER | 53-2-095 |
Agency Number: 629-005 Department of Social and Rehabilitation Services Operations Employment Preparation Services
| SERIES ID | 0596629 | | TITLE | Child Care Facility Complaints and Reports of Investigation Files | | DESCRIPTION | Documents received from local SRS offices relating to complaints lodged against child care facilities including reports of suspected child abuse, neglect, or sexual abuse. | | RETENTION | See Comments | | COMMENTS | Retain confirmed child abuse, neglect, or sexual abuse complaints permanently or transfer to the archives. Retain unconfirmed child abuse neglect, or sexual abuse complaints 3 fisc yrs, then destroy. Retain all other complaints 3 fisc yrs, then destroy. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 45-221(a)(11) | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0561629 | | TITLE | Child Development Associate Scholarship Application Files | | DESCRIPTION | Applications, correspondence, award letters, and other documents relating to applications for federally funded Child Development Associate Scholarships. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after the end of the grant period, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0584629 | | TITLE | Contracts - Job Opportunities and Basic Skills (JOBS) and KanWork Programs | | DESCRIPTION | Contracts between SRS and local organizations providing employment through the JOBS and KanWork programs to individuals receiving public assistance. | | RETENTION | See Comments | | COMMENTS | Retain until expiration of contract plus 5 calendar years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0550629 | | TITLE | Correspondence - Department of Human Resources | | DESCRIPTION | Correspondence with the Kansas Department of Human Resources relating to employment programs for public assistance recipients. | | RETENTION | 005 cldr yrs | | COMMENTS | Retain 5 calendar years, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0623629 | | TITLE | Employee Training Records | | DESCRIPTION | Correspondence, reports, and other records relating to the operation of agency sponsored training programs and to employee participation in training programs sponsored by external organizations. | | RETENTION | See Comments | | COMMENTS | Retain 5 calendar years or until superseded, whichever is sooner, then destroy. See also Employee Training Course Materials. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0637629 | | TITLE | Grant Files - Funded | | DESCRIPTION | Variety of documents relating to applications for federal, state, and private grants and to the implementation of those received. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after the end of the grant period, transfer original applications and annual and final performance reports to the archives, destroy remaining documents. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0599629 | | TITLE | Refugee Arrivals and Assurances Report | | DESCRIPTION | Copy of federal report documenting the arrival and settlement of refugees into the country. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0554629 | | TITLE | Refugee Financial Reports | | DESCRIPTION | Variety of reports completed by SRS staff maintained to monitor expenditures incurred throughout the refugee program. | | RETENTION | 010 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0635629 | | TITLE | Subject Files - United States Department of Agriculture (USDA) | | DESCRIPTION | Variety of documents relating to policy information distributed by the USDA to update SRS staff. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0641629 | | TITLE | Technical Reference Files | | DESCRIPTION | Copies of documents retained strictly for convenience of reference that are not part of official files: copies of external reports, studies, periodicals, books, brochures, catalogs, vendor lists, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0559629 | | TITLE | Technical Reference Files - Contracts | | DESCRIPTION | Memoranda, articles, and other materials compiled from various sources maintained as a guide to writing and monitoring contracts. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0630629 | | TITLE | Work Incentive Program (WIN) Grant Reduction Files | | DESCRIPTION | Correspondence, reduction reports, and other documents relating to the administration of the WIN program grant reduction. | | RETENTION | See Comments | | COMMENTS | Obsolete series. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
| SERIES ID | 0648629 | | TITLE | Work Incentive Program (WIN) Program Files | | DESCRIPTION | Correspondence, reports, and other documents relating to the administration of the WIN program which provides employment and training opportunities to qualified recipients. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Transfer to the archives immediately. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1995-04-13 | | K.A.R. NUMBER | 53-2-104 |
Agency Number: 629-005 Department of Social and Rehabilitation Services Operations Estate Recovery Unit
| SERIES ID | 0706629 | | TITLE | Estate Recovery Case Files | | DESCRIPTION | Correspondence, eligibility history, probate pleadings, family agreements, etc. relating to legal action taken to recover assets from deceased medical assistance recipients' estates. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after case is closed, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b & 45-221(a)(3) | | APPROVED | 1998-10-08 | | K.A.R. NUMBER | 53-2-117 |
Agency Number: 629-006 Department of Social and Rehabilitation Services Children and Family Services
| SERIES ID | 0712629 | | TITLE | Child Support Case Files | | DESCRIPTION | Court records, payment histories, correspondence, etc. relating to paternity establishment for child support order and collections of child support, medical support and alimony. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after case is closed, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1998-10-08 | | K.A.R. NUMBER | 53-2-117 |
| SERIES ID | 0695629 | | TITLE | Guardianship/Adoption Records - State Wards | | DESCRIPTION | Documents relating to guardianship cases filed with Social and Rehabilitation Services that are closed at the time of adoption or at age 21. | | RETENTION | See Comments | | COMMENTS | Retain hard copy until microfilmed, then destroy or transfer hard copy to the archives if microfilm does not meet archival standards. Retain microfilm until no longer useful, then transfer to the archives. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 65-2423 | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
Agency Number: 629-006 Department of Social and Rehabilitation Services Children and Family Services Legal Division
| SERIES ID | 0700629 | | TITLE | Medical Subrogation Case Files | | DESCRIPTION | Medical reports, police reports, accident inquiries, correspondence, etc. relating to agency efforts to recover medical costs. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after cased is closed, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b & 45-221(a) (3) | | APPROVED | 1998-10-08 | | K.A.R. NUMBER | 53-2-117 |
Agency Number: 629-007 Department of Social and Rehabilitation Services State Hospitals and Facilities Comprehensive Eval. and Transition
| SERIES ID | 0672629 | | TITLE | Child/Adult Abuse Hotline Report | | DESCRIPTION | Copies of reports summarizing the content of calls received on the child and adult abuse and neglect hotline which are maintained to verify that proper action was taken in the event of a lawsuit. | | RETENTION | See Comments | | COMMENTS | Retain in office 2 calendar years, transfer to the records center for 19 years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 38-1507 and 39-1404 | | APPROVED | 1994-04-14 | | K.A.R. NUMBER | 53-2-100 |
| SERIES ID | 0579629 | | TITLE | Evaluation and Treatment Records | | DESCRIPTION | Documents relating to the psychological, medical and educational screening evaluations conducted to determine the proper level of treatment or care for children in the custody of SRS. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Retain until child reaches majority at 21 plus 3 additional years in the records center, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 38-1507,38-1514,38-1608,38-1609,45-221(a)(3), & 65-5602 | | APPROVED | 1997-07-10 | | K.A.R. NUMBER | 53-2-112 |
| SERIES ID | 0578629 | | TITLE | Incident Reports | | DESCRIPTION | Reports describing any breach of security or other risks which pose a danger to clients. | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602, 65-4915, 65-4291 & 45-221(3) | | APPROVED | 1997-07-10 | | K.A.R. NUMBER | 53-2-112 |
Agency Number: 629-007 Department of Social and Rehabilitation Services State Hospitals and Facilities State Facilities
| SERIES ID | 0309629 | | TITLE | Accountable Medication Records | | DESCRIPTION | Documents used to maintain inventories of controlled substances in the residential units - indicates all issuances, to whom issued, and running balances. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-074 |
| SERIES ID | 0185629 | | TITLE | Accounts Payable Records | | DESCRIPTION | Documents related to payment for goods and services: vouchers, correspondence, invoices, ledger books, and cards, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | See also Ledgers - General, Vouchers and Requisitions - Purchase, Vendor Files, Bid Records, and Purchasing Records. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0176629 | | TITLE | Accounts Receivable Records | | DESCRIPTION | Documents related to the collection of payments due the agency: copies of invoices, correspondence, DA forms 32, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | See also Vouchers - Receipts. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0216629 | | TITLE | Activity Descriptions | | DESCRIPTION | Descriptions made and reviewed by the staff of various recreational activities planned for the residents which are used to determine the feasibility of such activities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0148629 | | TITLE | Admission Application Files - Not Accepted | | DESCRIPTION | Documents regarding applications for admission to the Institute which were not approved: correspondence, reports, application forms, and supporting materials. | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1989-04-27 | | K.A.R. NUMBER | 53-2-079 |
| SERIES ID | 0222629 | | TITLE | Agency Financial Reports | | DESCRIPTION | Daily, monthly, and annual computer printouts listing by object code all funds budgeted, expended, encumbered, and the balance. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. These are not CASK or STARS reports. Previously titled "Agency Monthly Reports." | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0187629 | | TITLE | Agency Monthly Reports | | DESCRIPTION | Monthly computer reports listing by object code all funds budgeted, expended, encumbered, and the balance. | | RETENTION | See Comments | | COMMENTS | These are not CASK or STARS reports. Previously titled "Summary of Expenditures by Object Code Reports." | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0184629 | | TITLE | Annual and Special Reports | | DESCRIPTION | General and specific reports on agency activities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0472629 | | TITLE | Applicants Register | | DESCRIPTION | Computer reports listing names and addresses of applicants for employment. | | RETENTION | 003 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0536629 | | TITLE | Architectural Drawings, Plans, Maps, and Specifications | | DESCRIPTION | Records documenting physical plant of the agency. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(12) | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0246629 | | TITLE | Audit Reports | | DESCRIPTION | Results of audits conducted by the Legislative Division of Post-Audit and other state and/or federal auditing agencies. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0179629 | | TITLE | Augmentative Files | | DESCRIPTION | Documents concerning the use and operation of the augmentative equipment which provides alternative ways to communicate with residents. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0395629 | | TITLE | Authorized Purchase Order Listings | | DESCRIPTION | Handwritten journals of expenditures encumbered and allowed by funding codes. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0159629 | | TITLE | Autopsy Records | | DESCRIPTION | Records of autopsies performed on deceased clients. | | RETENTION | See Comments | | COMMENTS | Obsolete records series - transfer to archives immediately. This record series now maintained as part of "Client Records" (q.v.). | | DISPOSITION | Archives | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1989-04-27 | | K.A.R. NUMBER | 53-2-079 |
| SERIES ID | 0452629 | | TITLE | Bank Statements and Cancelled Checks | | DESCRIPTION | Banking documents related to a variety of fund accounts. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0491629 | | TITLE | Banking Records | | DESCRIPTION | Bank statements, deposit books and slips, check registers, and canceled checks. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0526629 | | TITLE | Batch Transmittal Forms | | DESCRIPTION | Completed forms used to transmit documents for mass computer input - includes both DA forms 199 and/or equivalent internal documents. | | RETENTION | See Comments | | COMMENTS | Retain in conjunction with transmitted documents, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0125629 | | TITLE | Biennial Reports | | DESCRIPTION | Biennial reports containing information relating to the activities of the state hospitals. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer one copy to the archives and destroy the remainder. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0525629 | | TITLE | Billing Accounts Receivable Reports | | DESCRIPTION | Experimental accounting report abandoned as uneconomical. | | RETENTION | See Comments | | COMMENTS | Obsolete records series - destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0524629 | | TITLE | Boiler Operation Log | | DESCRIPTION | Record of essential data on power plant boiler operation: temperature, pressure, etc. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0523629 | | TITLE | Budget Preparation Files - Annual | | DESCRIPTION | Documents used in the preparation of annual agency budget: correspondence, draft budget requests, computer reports, notes, and other miscellaneous materials. | | RETENTION | 005 fisc yrs | | COMMENTS | Portions and/or duplicates of this series is also maintained in the business office - duplicate materials may be discarded prior to transfer to the archive or purged once transferred. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0522629 | | TITLE | Budget Requests and Appeals - Annual | | DESCRIPTION | Copies of budgets submitted yearly to the state legislature for approval and subsequent appeals: DA forms 400 thru 518 and associated supporting documents. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0521629 | | TITLE | Building Construction Files | | DESCRIPTION | Records related to building construction projects: correspondence, drawings, contracts, specifications, bid information and awards, etc. | | RETENTION | Permanent | | COMMENTS | Retain permanently in office or transfer to archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0520629 | | TITLE | Building Maintenance Files | | DESCRIPTION | Records related to building maintenance projects: correspondence, drawings, bids, publications, notes, etc. | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0166629 | | TITLE | CETA Files | | DESCRIPTION | Records concerning work performance and training of individuals employed under the CETA program: copies of certificates and diplomas, applications, transcripts, time sheets, agreements, etc. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(9) | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-076 |
| SERIES ID | 0250629 | | TITLE | Cancelled Forms List | | DESCRIPTION | List of all the cancelled forms which is kept for reference in the event a discontinued form needs to be used again. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0509629 | | TITLE | Canteen Accounting Records | | DESCRIPTION | Records concerning financial affairs of the canteen: ledgers, receipts, bank statements, invoices, check ledgers, etc. | | RETENTION | See Comments | | COMMENTS | Obsolete records series - destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0518629 | | TITLE | Capital Improvement Projects Cost Statistics | | DESCRIPTION | Documents related to building construction costs: vouchers, ledger sheets, correspondence, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0505629 | | TITLE | Capital Improvement Projects Files | | DESCRIPTION | Records related to real estate and construction projects: correspondence, architectural drawings, financial records, reports, photographs, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. See also Architectural Plans, Drawings, and Specifications. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0527629 | | TITLE | Capital Outlay Records | | DESCRIPTION | Documents related to the purchase of capital equipment: ledgers, correspondence, copies of vouchers, etc. | | RETENTION | See Comments | | COMMENTS | This is an obsolete records series - retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0103629 | | TITLE | Cemetery Records | | DESCRIPTION | Documents listing deceased residents buried at the facilities including name and grave number. | | RETENTION | Permanent | | COMMENTS | Retain permanently or transfer to the archives. | | DISPOSITION | Permanent | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0241629 | | TITLE | Center Forms List | | DESCRIPTION | List of all the forms created for the facilities which is used to keep track of any revisions, cancellations, or new forms. | | RETENTION | See Comments | | COMMENTS | Retain until superseded, then place in "Cancelled Forms List." | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0490629 | | TITLE | Check Registers and Stubs | | DESCRIPTION | Records of bank transactions related to reimbursement operations. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0516629 | | TITLE | Client Abuse Records | | DESCRIPTION | Records related to allegations, charges, and investigations of abuse of clients by staff members: correspondence, reports, photographs, legal documents, etc. | | RETENTION | See Comments | | COMMENTS | Retain until case is closed plus 3 calendar years, then transfer to archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(3) | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0482629 | | TITLE | Client Account Ledger Cards | | DESCRIPTION | Record of expenditures for individual client's care and board, of reimbursement received thereof, and subsequent credit/debit balances. | | RETENTION | See Comments | | COMMENTS | Two subseries: 1. Care and Maintenance and 2. Trust Fund (obsolete). | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0471629 | | TITLE | Client Accounts Worksheets | | DESCRIPTION | Ledger style spread sheets used in accounting for client costs & reimbursements thereof. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0161629 | | TITLE | Client Admission and Discharge Register | | DESCRIPTION | Log of all patients admitted and discharged - includes date of admission, patient number, county of admission, number of admissions and re-admissions for each client, and client's date of birth. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to archives. Contains three sub-series: residents, out-patients, and discharges. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1989-04-27 | | K.A.R. NUMBER | 53-2-079 |
| SERIES ID | 0313629 | | TITLE | Client Benefit Fund Database System | | DESCRIPTION | Inter-related computer databases used to manage Client Benefit Fund. | | RETENTION | See Comments | | COMMENTS | Print data in report monthly and maintain with Client Benefit Fund General Accounting Records, then delete data from hard disk. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0480629 | | TITLE | Client Benefit Fund General Accounting Files | | DESCRIPTION | Documents related to the administration of and accounting for the Client Benefit Fund: receipt books, worksheets, memoranda of withdrawals, computer reports, check stubs and books, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0154629 | | TITLE | Client Card File - Master | | DESCRIPTION | Abstracts of client records maintained on 5x7 cards: name, number, parents or guardians, vital statistics, admission and discharged information, personal information, diagnoses, records of leaves. | | RETENTION | See Comments | | COMMENTS | Retain until client deceased or discharged plus 25 years, then transfer to archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1989-04-27 | | K.A.R. NUMBER | 53-2-079 |
| SERIES ID | 0170629 | | TITLE | Client Census Reports | | DESCRIPTION | Daily and monthly summaries of client movement statistics (admissions, discharges, etc.) - includes short entries regarding individual clients moved. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1989-04-27 | | K.A.R. NUMBER | 53-2-079 |
| SERIES ID | 0157629 | | TITLE | Client Census Working Files | | DESCRIPTION | Records documenting the compilation of the Client Census Reports (q.v.): notes, completed forms, worksheets, etc. | | RETENTION | 003 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1989-04-27 | | K.A.R. NUMBER | 53-2-079 |
| SERIES ID | 0497629 | | TITLE | Client Files | | DESCRIPTION | Records of financial conditions of clients' guardians or parents maintained for purposes of assigning reimbursement charges for care and board of those patients. | | RETENTION | See Comments | | COMMENTS | Retain until after death or discharge of client plus 20 calendar years, then transfer to archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(1)(3) | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0298629 | | TITLE | Client Prescription Profiles | | DESCRIPTION | Records of prescriptions for individual clients - duplicate maintained in Client Files (q.v.) at medical records center. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-076 |
| SERIES ID | 0162629 | | TITLE | Client Records | | DESCRIPTION | Records on all aspects of clients' diagnoses and treatment: medical, psychological, social, educational, speech and audiology, dental, unit filings, crisis files, etc. Includes outpatient & transfer. | | RETENTION | See Comments | | COMMENTS | Retain 10 years after client deceased or discharged, or one year beyond date minor client reaches age 18, whichever is greater, then transfer every 100th file to archives - destroy remainder. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1989-04-27 | | K.A.R. NUMBER | 53-2-079 |
| SERIES ID | 0289629 | | TITLE | Client Trust Fund Database System | | DESCRIPTION | Inter-related computer databases used to manage the Client Trust Fund and containing information regarding receipts, expenditures, balances, and individual patients' financial situations. | | RETENTION | See Comments | | COMMENTS | Transfer data to floppy disks yearly and delete from hard disk - retain floppy disks for 3 additional fiscal years, then erase. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0489629 | | TITLE | Client Trust Fund General Accounting Records | | DESCRIPTION | Records related to administration of and accounting for the Client Trust Fund: receipts, withdrawal slips, bank books and statements, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0478629 | | TITLE | Client Trust Fund Monthly Transaction Lists | | DESCRIPTION | Monthly computer report of all activities in the Client Trust Fund. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0503629 | | TITLE | Client Trust Fund Receipts and Sales Slips | | DESCRIPTION | Records of purchases for and/or by clients using trust fund monies. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0477629 | | TITLE | Client Trust Fund Vouchers | | DESCRIPTION | Internal form used to document purchases by resident using trust fund monies. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0299629 | | TITLE | Clothing Inventory Records | | DESCRIPTION | Documents used to keep track of the clothing and personal property of residents. | | RETENTION | See Comments | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0255629 | | TITLE | Community Services Client Files | | DESCRIPTION | Documents maintained on clients outside the facility which contains behavioral consults, testing, and recommendations by the staff for them. | | RETENTION | Permanent | | COMMENTS | | | DISPOSITION | Permanent | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0268629 | | TITLE | Community Services Files | | DESCRIPTION | Documents relating to community services projects completed by the staff including logs, hours, trips, evaluation reports, and test results. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0275629 | | TITLE | Compliance Reports | | DESCRIPTION | Reports created to help plan, monitor and review the various programs within the facility to ensure compliance with federal and state regulations. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0515629 | | TITLE | Condition Reports | | DESCRIPTION | Completed forms used to survey and report on conditions for specific units of the physical plant. | | RETENTION | 001 cldr yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0135629 | | TITLE | Consent Form Files | | DESCRIPTION | Consent forms signed by the individual resident's guardian for a variety of reasons including medication consents, photo releases, release of information forms, authorizations for off-campus. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then place in respective 'Client Records.' | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0514629 | | TITLE | Contracts | | DESCRIPTION | Legal agreements with individuals and organizations. Includes all associated documents, e.g.. DA-146 series. | | RETENTION | See Comments | | COMMENTS | Retain until expiration of contract plus 5 calendar years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0116629 | | TITLE | Contracts - Consultants | | DESCRIPTION | Legal agreements with consultants to the facility. Includes all associated documents, e.g.. DA-140 series. | | RETENTION | See Comments | | COMMENTS | Retain until expiration of contract plus 5 calendar years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0156-629 | | TITLE | Correspondence - Medical Records | | DESCRIPTION | Correspondence removed from Client Records (q.v.) and established as a separate series. | | RETENTION | See Comments | | COMMENTS | Retain and dispose of in conjunction with associated Client Records (q.v.). | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1989-04-27 | | K.A.R. NUMBER | 53-2-079 |
| SERIES ID | 0557629 | | TITLE | Correspondence - Policy Related | | DESCRIPTION | Incoming and outgoing letters and memoranda that state or form the basis for policy, set precedent, or record important events in the operational and organizational history of the agency. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0151629 | | TITLE | Correspondence - Routine | | DESCRIPTION | Incoming and outgoing letters and memoranda which pertain only to routine matters handled in accordance with existing policy and procedures: requests for information, letters of transmittal, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0144629 | | TITLE | Courier Log | | DESCRIPTION | Log used to record all packages delivered to the switchboard by the courier companies. | | RETENTION | 001 fisc yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0307629 | | TITLE | Daily Activity Journals - Pharmacy | | DESCRIPTION | Daily logs of prescription medication issued, to whom, by whom, and quantity issued. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-074 |
| SERIES ID | 0510629 | | TITLE | Delivery Log | | DESCRIPTION | Record of the receipts of purchased goods delivered. | | RETENTION | See Comments | | COMMENTS | Obsolete records series - destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0293629 | | TITLE | Departmental Cost Reports | | DESCRIPTION | Completed forms IM-A-1 detailing monthly expenditures of each unit by expense classifications. | | RETENTION | See Comments | | COMMENTS | Obsolete records series - destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0248629 | | TITLE | Departmental Internal Cost Reports | | DESCRIPTION | Monthly expenditures of selected objects by the service department and unit compared to allocated amounts including internal reports by department and object. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0300629 | | TITLE | Diet Database System | | DESCRIPTION | Inter-related databases regarding dietary requirements of individual clients - duplicates information maintained in Client Records. | | RETENTION | See Comments | | COMMENTS | Retain data until superseded or until death or discharge of client, then delete. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-076 |
| SERIES ID | 0141629 | | TITLE | Diet Requests | | DESCRIPTION | Documents related to special dietary requirements for some residents. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0301629 | | TITLE | Dietary Staff Scheduling Database | | DESCRIPTION | Computer database used to generate work schedules and sign-out sheets for the Dietary Department staff on a monthly basis. | | RETENTION | See Comments | | COMMENTS | Retain until updated and no longer useful, then delete. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-076 |
| SERIES ID | 0302629 | | TITLE | Direct Care Staff Scheduling Database | | DESCRIPTION | Computer database used to print monthly work schedules and sign-in sheets for the direct care staff. | | RETENTION | See Comments | | COMMENTS | Retain until updated and no longer useful, then delete. | | DISPOSITION | Delete | | RESTRICTIONS | None | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-076 |
| SERIES ID | 0242629 | | TITLE | Dispatch Log | | DESCRIPTION | Log used to record all communications with security and any resulting action taken during all the shifts. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0316629 | | TITLE | Drug Inspection Reports | | DESCRIPTION | Reports of inspection of institution units by pharmacist concerning conditions of drugs storage and other adherence to policies and procedures. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-074 |
| SERIES ID | 0305629 | | TITLE | Drug Waste and Returns Records | | DESCRIPTION | Records of drugs issued but not used and their dispositions (destroyed or re-issued) thereafter. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-074 |
| SERIES ID | 0304629 | | TITLE | Drugs Inventory | | DESCRIPTION | Records of periodic inventory of pharmaceuticals on hand. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-074 |
| SERIES ID | 0249629 | | TITLE | Dysphagia Consults | | DESCRIPTION | Documents related to video swallow consultations for residents who have difficulty in swallowing to the Nutritional Guidance Committee. | | RETENTION | See Comments | | COMMENTS | Maintain along with individual "Client Records." | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0499629 | | TITLE | Electronic Data System Federal Corporation Adjustment Records | | DESCRIPTION | Copies of forms used to make adjustments in patients' reimbursement account records at the EDS Federal Corporation. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0280629 | | TITLE | Emergency Paging and Announcement Logs | | DESCRIPTION | Logs used to record all calls made over the public address system. | | RETENTION | 001 fisc yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0538629 | | TITLE | Employee Files - Special | | DESCRIPTION | Records related to specific employees regarding either their professional credentials or concerning non-routine events such as grievances, disciplinary actions, etc. | | RETENTION | See Comments | | COMMENTS | Retain during tenure of specific employee plus 5 calendar years, then transfer. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0312629 | | TITLE | Employee Health Cards | | DESCRIPTION | Card files recording tuberculosis tests, tetanus shots, pinworm medication, hepatitis tests, and other medical tests and treatments administered to employees - a.k.a. "TB Cards." | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-076 |
| SERIES ID | 0277629 | | TITLE | Employee Health Records | | DESCRIPTION | Documents related to employees' health maintained pursuant to K.A.R. 28-34-8 including examination sheets, health histories, hepatitis test results, correspondence, etc. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after employee tenure, then destroy. Retain hepatitis B and HIV results permanently. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0519629 | | TITLE | Employee Injury Reports | | DESCRIPTION | Completed forms detailing injuries suffered by employees while at work - includes staff physician's diagnosis. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0545629 | | TITLE | Employee Personnel Files | | DESCRIPTION | Documents associated with employment of specific personnel: employee evaluation forms, applications for employments, INS Residence Status forms, and other personnel materials. | | RETENTION | See Comments | | COMMENTS | Retain for length of employee's tenure, then transfer vital information to Employee Personnel Cards (q.v.). Retain files additional 5 calendar years and then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0543629 | | TITLE | Employee Position Descriptions | | DESCRIPTION | Formal descriptions of duties and other characteristics of particular employment positions: DA forms 281-2 and supporting documents. | | RETENTION | See Comments | | COMMENTS | Retain until superseded plus 3 years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0171629 | | TITLE | Employee Time Report Records | | DESCRIPTION | Records documenting time worked by individual employees on a daily, weekly, or monthly basis: time sheets, time cards, attendance reports, absence reports, sign-in/out sheets, etc. | | RETENTION | 005 fisc yrs | | COMMENTS | Internal agency forms. See also Leave Requests. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0169629 | | TITLE | Employee Training Files | | DESCRIPTION | Records related to the training/career development of individual employees: correspondence, course plans, records requests, grades, transcripts, evaluations, copies of certificates and diplomas, etc. | | RETENTION | See Comments | | COMMENTS | Will require some purging by archives staff. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(9) | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-076 |
| SERIES ID | 0542629 | | TITLE | Employment Applications - Not Hired | | DESCRIPTION | DA forms 203 and supplementary materials submitted by unsuccessful applicants for employment. | | RETENTION | 003 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0535629 | | TITLE | Employment Eligibility Verification Form | | DESCRIPTION | Immigration and Naturalization Service (INS) form I-9 completed by the employee verifying eligibility to work in the United States. | | RETENTION | See Comments | | COMMENTS | Retain until end of employee's tenure plus 3 years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0541629 | | TITLE | Encumbrance Authorization Records | | DESCRIPTION | Copies of DA forms 146 and supporting materials authorizing encumbrances of agency funds. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0415629 | | TITLE | Equal Employment Opportunity Plans | | DESCRIPTION | Documents related to agency compliance with laws and regulations concerning EEO/AA plans including the agency characteristic plan. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0540629 | | TITLE | Expendable Inventory Reports | | DESCRIPTION | Inventory forms listing supplies consumed, unit costs, total costs, and summaries. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0539629 | | TITLE | Feedback Sheets | | DESCRIPTION | Daily reports from housekeeping staff on their work activities. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0528629 | | TITLE | Fire and Safety Records | | DESCRIPTION | Records regarding maintenance and inspections of fire and safety equipment, training, and related issues. | | RETENTION | See Comments | | COMMENTS | Retain 3 calendar years then destroy except for certifications required by regulations to remain on file perpetually - retain these documents until superseded, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0244629 | | TITLE | Foster Grandparent Financial Records | | DESCRIPTION | Documents related to the financial accounting of the Foster Grandparent Program. | | RETENTION | See Comments | | COMMENTS | Retain according to general schedule (KAR 53-3-1) where applicable, otherwise retain 3 fiscal years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0537629 | | TITLE | Foster Grandparents Meal Records | | DESCRIPTION | Forms documenting meals served to persons participating in the Foster Grandparents Program. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0547629 | | TITLE | Funds Review Committee Records | | DESCRIPTION | Records regarding activities of committee charged with the oversight of the Patient Benefit and Trust Funds: minutes and financial statements. | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0167629 | | TITLE | Grade Books | | DESCRIPTION | Records of student grades for specific courses given. | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(9) | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-076 |
| SERIES ID | 0276629 | | TITLE | Grant Files - Funded | | DESCRIPTION | Variety of documents relating to applications for federal, state, and private grants and to the implementation of those received. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after the end of the grant period, transfer original applications and annual and final performance reports to the archives, destroy remaining documents. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0155629 | | TITLE | Guardian Change of Address Card File | | DESCRIPTION | Notification received from social workers or postal service pertaining to changes of address by guardians of clients. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or until associated client has been discharged or deceased, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1989-04-27 | | K.A.R. NUMBER | 53-2-079 |
| SERIES ID | 0147629 | | TITLE | Guardian Information Files | | DESCRIPTION | Documents relating to the individual resident's guardian in the event the facilities need to contact him/her regarding the resident. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0111629 | | TITLE | Hepatitis B Files | | DESCRIPTION | Documents relating to vaccines given to staff to protect them from possible infection by resident Hepatitis B carriers. | | RETENTION | See Comments | | COMMENTS | Place in respective employee personnel file and retain accordingly. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0165629 | | TITLE | In-Service Files | | DESCRIPTION | Records related to specific courses taught and the participation of individuals in them: student rosters, attendance records, syllabi, and other miscellaneous documents. | | RETENTION | See Comments | | COMMENTS | Will require purging by archives staff. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-076 |
| SERIES ID | 0534629 | | TITLE | Incident and Elopement Reports | | DESCRIPTION | Narrative reports describing security related incidents and specifically unauthorized absences from institution grounds by residents. | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(1)(3) | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0121629 | | TITLE | Infectious Surveillance Records | | DESCRIPTION | Documents used to monitor residents' infectious diseases and antibiotic use to prevent further spread. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0533629 | | TITLE | Intermediate Care Facilities Files | | DESCRIPTION | Records related to inspections and certifications required by the federal Health Care Financing Administration: reports, regulations, correspondence, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0120629 | | TITLE | Intermediate Care Facilities for Mentally Retarded Surveys | | DESCRIPTION | Surveys made by the Department of Health and Environment to monitor programs and services which cite any deficiencies and the agency's plan of corrections to ensure compliance with federal standards. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0243629 | | TITLE | Intermediate Care Facilities for the Mentally Retarded Financial Records | | DESCRIPTION | Financial and statistical records required by all Intermediate Care Facilities for the Mentally Retarded providers to ensure the accountability to the federal government including cost reports. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0130629 | | TITLE | Internal Memos - Routine | | DESCRIPTION | Memos distributed to staff members to keep them informed of events and changes at the facilities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0314629 | | TITLE | Inventory Database | | DESCRIPTION | Computer database used to manage capital property inventory. | | RETENTION | See Comments | | COMMENTS | Retain data until updated, then delete. Data is also printed in reports scheduled as part of other series. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0498629 | | TITLE | Inventory Property Cards | | DESCRIPTION | Card file with record for each capital equipment inventory item. | | RETENTION | See Comments | | COMMENTS | Obsolete series - now being placed on computer database. Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0531629 | | TITLE | Inventory Property Number Registers | | DESCRIPTION | Lists of agency non-expendable property on inventory: dates of acquisitions, types of property, descriptions, and property numbers assigned. | | RETENTION | See Comments | | COMMENTS | Retain until no longer in effect plus 3 fiscal years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0190629 | | TITLE | Inventory Records - Expendable Property | | DESCRIPTION | Records of receipts, disbursements, and balances of office supplies and other expendable inventory materials. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0532629 | | TITLE | Inventory Records - Non-Expendable Property | | DESCRIPTION | Records related to capital equipment inventory management: DA forms 80 and 83, computer reports from the Department of Administration, internal documents, correspondence, etc. | | RETENTION | See Comments | | COMMENTS | Retain until superseded by new inventory plus 3 fiscal years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0530629 | | TITLE | Inventory Transaction Register | | DESCRIPTION | Hand completed forms listing all purchases of capital equipment - maintained in conjunction with copies of DAM013 reports. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0500629 | | TITLE | Invoice Files | | DESCRIPTION | Accounts payable records consisting of invoices from vendors and contractors along with some supporting documents. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0227629 | | TITLE | Job Training and Partnership Act Employees Files | | DESCRIPTION | Documents associated with employment of specific personnel under the Job Training and Partnership Act: employment contract, time sheets, evaluations, and other personnel materials. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) & 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0270629 | | TITLE | Key Security Log | | DESCRIPTION | Log relating to the control and issuing of facility security key sets. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0253629 | | TITLE | Laboratory Request Slips | | DESCRIPTION | Internal forms used to keep track of requests from physicians for various types of laboratory work to be completed on residents including type of work needed, resident's name, date of birth, etc. | | RETENTION | 002 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0186629 | | TITLE | Laboratory Specimen Log | | DESCRIPTION | Specimen log used to record the completion of laboratory work for residents. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0517629 | | TITLE | Leave Requests | | DESCRIPTION | Internal forms used to request and authorize the taking of leave by employees. | | RETENTION | 005 fisc yrs | | COMMENTS | See also Employee Time Report Records. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0419629 | | TITLE | Ledgers - General | | DESCRIPTION | General records maintained by agencies of financial receipts and expenditures normally used to monitor, manage, and verify agency budget. | | RETENTION | 003 fisc yrs | | COMMENTS | This series includes only internal documents. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0149629 | | TITLE | Legislative Relations Files | | DESCRIPTION | Copies of bills and statutes, drafts of legislation, notes, correspondence, testimony, and other miscellaneous documents related to various legislative activities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0104629 | | TITLE | Leisure Activities Evaluation Forms | | DESCRIPTION | Forms used to evaluate the effectiveness of large group leisure activities for the residents at the facilities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0132629 | | TITLE | Linen Delivery Records | | DESCRIPTION | Documents used to record the amount of linen delivered to each unit daily. | | RETENTION | 001 fisc yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0488629 | | TITLE | Lists of Outstanding Obligations | | DESCRIPTION | DA forms 118 and associated materials used to document funds encumbered from previous fiscal year which are yet to be disbursed. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0487629 | | TITLE | Meal Tickets | | DESCRIPTION | Tickets for meals sold to employees and other non-residents. | | RETENTION | 001 fisc yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0251629 | | TITLE | Mealtime Management Files | | DESCRIPTION | Documents relating to the unit feeding committees to assess at-risk residents and their progress. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0142629 | | TITLE | Medication and Supply Requisitions | | DESCRIPTION | Internal requisitions received from all areas to the central supply for medication and supplies including area requesting items, date, items requested, quantity, price, person requesting item, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0153629 | | TITLE | Midnight Movement Reports | | DESCRIPTION | Reports from residence units regarding patient movements in and out of the units - information summarized in Client Census Reports (q.v.). | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1989-04-27 | | K.A.R. NUMBER | 53-2-079 |
| SERIES ID | 0150629 | | TITLE | Minutes | | DESCRIPTION | Proceedings of regular or special meetings of committees, commissions, and other standing or ad hoc organizations. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0224629 | | TITLE | Minutes - Health Promotion Council | | DESCRIPTION | Proceedings of regular or special meetings of the Health Promotion Council. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0311629 | | TITLE | Neighborhood Youth Corps Health Records | | DESCRIPTION | Minimal health examination records maintained on participants in the NYC (summer job) program: nursing assessments, TB test results, and injury reports. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-076 |
| SERIES ID | 0107629 | | TITLE | Nursing Administration Records | | DESCRIPTION | Wide variety of documents used in the administration of the nursing services at the facilities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | Portions may be restricted | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0123629 | | TITLE | Nursing Staff Records | | DESCRIPTION | Daily staffing sheets used to schedule nurses in the wards to ensure adequate coverage. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0484629 | | TITLE | Object Code Ledger Books | | DESCRIPTION | Handwritten record of all agency expenditures arranged by object codes: object codes, dates, vendors, voucher numbers, estimated costs, dates paid, and fund balances. | | RETENTION | 010 fisc yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0252629 | | TITLE | Off Campus Appointment Records | | DESCRIPTION | Internal forms used to schedule all appointments made for the residents with consulting physicians not at the facilities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0483629 | | TITLE | Organization Files | | DESCRIPTION | Miscellaneous records related to interaction with other organizations, including local, state, and federal agencies: correspondence, reports, notes, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0508629 | | TITLE | Outpatient Files | | DESCRIPTION | Records of financial situations of guardians or parents of outpatients and reimbursement charges to them for various services. | | RETENTION | See Comments | | COMMENTS | Obsolete records series - transfer immediately to archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(1)(3) & 65-5602 | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0113629 | | TITLE | Outpatient Resident Index Cards | | DESCRIPTION | Background documentation filled out on index cards about residents for possible admission to the facility on an outpatient basis. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12(b)(11) & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0225629 | | TITLE | Patient Account Management Records | | DESCRIPTION | Database records, reports, vouchers and other documents related to collection of payments from clients maintained in hard copy and electronic format. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(1)(3) | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0476629 | | TITLE | Payment Journal - Patient Reimbursement | | DESCRIPTION | Record of payments credited to patients reimbursement accounts: dates, patient identification, source code, amounts, description of payment, name of parent or guardian, trust fund. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0364629 | | TITLE | Payroll Deduction Authorization Records - General | | DESCRIPTION | Documents used to authorize various deductions from an employee's pay: insurance enrollments, GHI enrollments, KPERS enrollments, KPERS Annual Account Statements, dues deduction forms, etc. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect plus 1 calendar year, then destroy. This schedule does not apply to W-4 forms or Payroll Direct Deposit Authorization Records - General. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0373629 | | TITLE | Payroll Direct Deposit Authorization Records | | DESCRIPTION | Completed forms used to authorize direct deposits of payroll checks in employee bank accounts. | | RETENTION | See Comments | | COMMENTS | Retain until no longer in effect plus 2 years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0475629 | | TITLE | Payroll Records - General | | DESCRIPTION | Copies of DA forms 4, 10, 10A, and miscellaneous supporting materials. | | RETENTION | See Comments | | COMMENTS | Obsolete records series - destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0474629 | | TITLE | Personnel Administration Files | | DESCRIPTION | Wide variety of documents used to administer personnel at agency: correspondence, reports, statistics, policies, procedures, studies, notes, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0315629 | | TITLE | Personnel and Payroll Database System | | DESCRIPTION | Inter-related computer databases used to manage agency personnel and payroll. | | RETENTION | See Comments | | COMMENTS | All information in database duplicates that found in paper records series schedule elsewhere. Retain data until updated or until no longer useful, then delete. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0183629 | | TITLE | Petty Cash Records | | DESCRIPTION | Documents related to petty cash accounting: DA-71 thru 73. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0160629 | | TITLE | Photographic and Video Materials | | DESCRIPTION | Photo-prints, negatives, slides, films, and videotapes. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then contact the archives for appraisal - if not accepted for transfer to the archives, then destroy. | | DISPOSITION | See Comments | | RESTRICTIONS | Portions may be restricted. | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0192629 | | TITLE | Policy Statements | | DESCRIPTION | Original copies of formal explanations of agency policies and procedures issued in individual statement formats. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect, then transfer to the archives. Retain convenience copies until no longer useful, then destroy. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0152629 | | TITLE | Postal Records | | DESCRIPTION | Records concerning the use of the U.S. Postal Service and express companies: mailing logs, postage purchase reports, registered mail receipts, express company receipts, mailing permits, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0303629 | | TITLE | Prescriptions | | DESCRIPTION | Physicians prescriptions for various medications to be issued to clients. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-076 |
| SERIES ID | 0473629 | | TITLE | Printing Requisitions | | DESCRIPTION | Copies of DA forms 104 used to order and pay for work by the State Printer, and supporting materials. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0748629 | | TITLE | Procedures Manuals | | DESCRIPTION | Original copies of agency procedures issued in a collective manual. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect, then transfer 1 copy to the archives, destroy the remainder. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0181629 | | TITLE | Programs and Invitations | | DESCRIPTION | Documents related to official agency functions. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0511629 | | TITLE | Property Disposition Records - Non-Expendable | | DESCRIPTION | Copies of DA forms 110 and supporting documents used to remove capital equipment from the agency inventory. | | RETENTION | 003 fisc yrs | | COMMENTS | A.k.a. "Condemnation Records." | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0117629 | | TITLE | Property Relocation Requests | | DESCRIPTION | Documents used to keep track of property locations and any possible relocation within the facility. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0110629 | | TITLE | Protection from Harm Files | | DESCRIPTION | Documents relating to investigations by the Risk Management Division of resident abuse cases which are used to take measures to protect the residents from any further harm. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0127629 | | TITLE | Psychological Test Kits | | DESCRIPTION | Standard psychological tests completed on residents to determine their intelligence level. | | RETENTION | See Comments | | COMMENTS | Retain test protocols until no longer useful, then destroy. Retain test protocol summaries in respective "Client Records" and retain accordingly. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0193629 | | TITLE | Psychology Files | | DESCRIPTION | Documents relating to the profile and progress or regression in the individual resident's program. | | RETENTION | See Comments | | COMMENTS | Retain until tenure of resident, then transfer to the resident's file. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0177629 | | TITLE | Purchase Requests - Internal | | DESCRIPTION | Documents used by subordinate organizations to request purchases of goods and services through the agency central purchasing office. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0506629 | | TITLE | Purchase Requisition Control Log | | DESCRIPTION | Register of all purchase requisitions generated. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0507629 | | TITLE | Purchase Requisitions | | DESCRIPTION | Bound copies of DA forms 100 used in purchasing goods and services. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0178629 | | TITLE | Purchasing Records | | DESCRIPTION | Documents related to the purchase of goods and services: correspondence, vouchers, invoices, ledger books and cards, requisitions, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0479629 | | TITLE | Purchasing Records - General | | DESCRIPTION | Wide variety of documents (largely copies) related to operation of purchasing unit: correspondence, reports, invoices, procedures, publications, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0128629 | | TITLE | Reach Program Index Cards | | DESCRIPTION | Index cards relating to the screening of preschool children with learning disabilities to determine their level and needs for the Reach program which helps prepare them for school. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0504629 | | TITLE | Receipts Records - Cash | | DESCRIPTION | Records of cash received by the agency: receipt slips, receipt books, receipt ledgers, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0502629 | | TITLE | Reconciliation of Change Fund (Petty Cash) Records | | DESCRIPTION | DA form 75 used to account for petty cash. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0129629 | | TITLE | Recreation and Leisure Records | | DESCRIPTION | Documents related to the residents' related recreational and leisure activities including assessments data sheets, forms, meeting notes, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | Portions may be restricted | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0496629 | | TITLE | Reimbursement Statements | | DESCRIPTION | Copies of billings sent to guardians and/or parents of patients for care and board of those patients. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0501629 | | TITLE | Remittance Advice Reports | | DESCRIPTION | Computer reports listing patients and their reimbursement status via MEDICAID for care given - received from the Electronic Data System Federal Corporation. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0486629 | | TITLE | Reports - Miscellaneous | | DESCRIPTION | Collection of special reports on a variety of topics related to the agency mission. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0164629 | | TITLE | Research and Reference Files | | DESCRIPTION | Documents resulting from research projects and programs conducted: theses, dissertations, papers, publications, and other miscellaneous materials. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-076 |
| SERIES ID | 0126629 | | TITLE | Resident Activity Attendance Records | | DESCRIPTION | Documents relating the attendance of residents participating in leisure activities at the facilities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0105629 | | TITLE | Resident Care/Behavior Sheets | | DESCRIPTION | Reports made by the direct care staff on the units to the nursing staff regarding resident care or behavior incidents. | | RETENTION | See Comments | | COMMENTS | Retain 7 years after dismissal or death, then destroy. If resident is a minor, retain until majority is reached and/or dismissal plus 7 yrs, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0106629 | | TITLE | Resident Check Sheets | | DESCRIPTION | Bed check sheets filled out nightly to monitor the residents in the wards. | | RETENTION | 001 cldr yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0254629 | | TITLE | Resident I.D. Picture Cards | | DESCRIPTION | Photographs taken of residents to use on identification cards which are used by the physicians to help recognize them. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0274629 | | TITLE | Resident Ledgers | | DESCRIPTION | Logs of residents admitted to the state hospitals for patient care. | | RETENTION | See Comments | | COMMENTS | Obsolete series, transfer to the archives immediately. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-10-08 | | K.A.R. NUMBER | 53-2-094 |
| SERIES ID | 0133629 | | TITLE | Resident Review Records | | DESCRIPTION | Documents relating to the review of the individual resident's current training level to assess the effectiveness of the program plan. | | RETENTION | See Comments | | COMMENTS | Place in the respective resident's files and retain accordingly. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0495629 | | TITLE | Residents Employment Files | | DESCRIPTION | Personnel records maintained on residents employed. | | RETENTION | See Comments | | COMMENTS | Retain during tenure of employee plus 3 calendar years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0102629 | | TITLE | Residents by Age Records | | DESCRIPTION | Index cards listing the residents by age and their birthdate which are used for reference purposes. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0136629 | | TITLE | Residents by County Records | | DESCRIPTION | Index cards listing the number of residents admitted from a specific county which are used for reference purposes. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0145629 | | TITLE | Residents' Training Materials | | DESCRIPTION | Daily routines and data used to help train residents for a variety of tasks including personal hygiene, speech, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0257629 | | TITLE | Respite Files | | DESCRIPTION | Documents maintained for approved respite clients which provides short-term care at the facilities to give some relief for the caregiver of a mentally retarded person. | | RETENTION | Permanent | | COMMENTS | | | DISPOSITION | Permanent | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0109629 | | TITLE | Restraint Reports | | DESCRIPTION | Reports made on the use of restraints placed on individual residents along with a medical procedure checksheet to ensure the proper use and the well-being of the resident. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0245629 | | TITLE | STARS Reports: Daily Financial | | DESCRIPTION | Computer reports regarding agency status issued on a daily basis from the Division of Accounts and Reports to agencies in the Statewide Accounting and Reporting Systems. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. Schedule does not apply to originals maintained at Accounts and Reports. Replaces the old CASK Reports. Includes: DAFR8010, DAFR8120, DAFR8210, DAFR8420, DAFR8101, etc. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0182629 | | TITLE | STARS Reports: Monthly Financial | | DESCRIPTION | Computer reports regarding agency financial status issued on a monthly basis from the Division of Accounts and Reports to agencies in the Statewide Accounting and Reporting Systems. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. Schedule does not apply to originals maintained at Accounts and Reports. Replaces the old CASK Reports. Includes: DAFR8290, DAFR8300, DAFR8280, DAFR8070, DAFR8101, etc. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0194629 | | TITLE | STARS Reports: Yearly Financial | | DESCRIPTION | Computer reports regarding agency financial status issued on a yearly basis from the Division of Accounts and Reports to the Statewide Accounting and Reporting Systems. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. Schedule does not apply to originals maintained at Accounts and Reports. Replaces the old CASK Reports. Includes: DAFR8290, DAFR8101, DAFR7680, DAFR8120, DAFR8210, etc. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0163629 | | TITLE | SWEP Files | | DESCRIPTION | Records regarding participation of individuals in the Summer Work Employment Program: applications, correspondence, physical examination results, performance ratings, and time sheets. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(9) | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-076 |
| SERIES ID | 0494629 | | TITLE | Salary and Wages Authorizations and Expenditures Reports | | DESCRIPTION | Monthly computer printout listing all payroll authorized and paid for each organizational unit of agency. | | RETENTION | See Comments | | COMMENTS | Obsolete records series. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0158629 | | TITLE | Sanitation Checklists | | DESCRIPTION | Lists used to monitor monthly sanitation checks of all the units to ensure compliance with federal standards. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0114629 | | TITLE | Schedules - Office Activities | | DESCRIPTION | Internal forms, appointment books, paper and electronic calendars used to schedule employees, office activities, vehicles, meeting rooms, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0493629 | | TITLE | Security Log | | DESCRIPTION | Daily narrative record of all security related activities and events. | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0492629 | | TITLE | Security Records | | DESCRIPTION | Copies of records maintained by Security Office (see Incident and Elopement Reports). | | RETENTION | See Comments | | COMMENTS | Reports will be used by archives staff to fill gaps in Incidents and Elopement Reports after transfers. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0512629 | | TITLE | Security Report Sheets - Daily | | DESCRIPTION | Logs of daily activities by individual security staff members. | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0175629 | | TITLE | Sewing Room Requests | | DESCRIPTION | Memos relating to requests for clothing articles to be manufactured or altered by the sewing room staff including item requested, by whom, what area and amount, and a description of said item. | | RETENTION | 001 cldr yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0124629 | | TITLE | Social Service Case Activity Log | | DESCRIPTION | Log used by the social workers to keep track of individual resident's contacts and activities which is used for reference purposes. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0137629 | | TITLE | Social Service Records | | DESCRIPTION | Documents relating to client care and training which are duplicates from other units for reference use by the staff. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0372629 | | TITLE | Special Projects Accounting Records | | DESCRIPTION | Documents related to the financial administration of various special grant-funded projects, many associated with University of Kansas: routine correspondence, vouchers, telephone logs, invoices, etc. | | RETENTION | See Comments | | COMMENTS | Obsolete records series - destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0131629 | | TITLE | Speech Therapy Files | | DESCRIPTION | Documents relating to an individual resident's program in speech therapy which are used to keep track of any progress or regression. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to resident's file. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0221629 | | TITLE | Speech and Hearing Outpatient Reports | | DESCRIPTION | Monthly summary reports used for billing purposes containing outpatient's name and date and length of treatment. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(1)(3) | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0146629 | | TITLE | Staff In-Service Attendance Lists | | DESCRIPTION | Rosters of staff members listing the in-services they have attended which are used to monitor their certification requirements. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0112629 | | TITLE | Staff In-Service Files | | DESCRIPTION | Short in-service training sessions taught by professional and non-professional support staff to other staff members which are required either for promotions or to fulfill position expectations. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. Delete from computer when no longer useful. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0140629 | | TITLE | Sterilization Records | | DESCRIPTION | Documents relating to residents who underwent sterilization procedures performed at the facility. | | RETENTION | See Comments | | COMMENTS | Obsolete series, transfer to the archives immediately. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0529629 | | TITLE | Stock Inventory Records - Expendable | | DESCRIPTION | Records of receipts of expendable stock items. | | RETENTION | See Comments | | COMMENTS | Obsolete records series - being transferred to computer database. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0414629 | | TITLE | Stock Requisitions | | DESCRIPTION | Completed internal forms used by Purchasing Unit to record orders of expendable goods. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0296629 | | TITLE | Stores Requisitions | | DESCRIPTION | Completed internal forms (IM-1105) used to requisition supplies by and for various organizational units in the agency. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0418629 | | TITLE | Subject Files | | DESCRIPTION | Records related to general activities of the office: "Outstanding Projects, Vehicle Cost Reports, KRDC, Work Therapy Payroll, Development of Leisure Time and Activities, Records Dispositions," etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0295629 | | TITLE | Subject Files | | DESCRIPTION | Wide variety of documents related to multiple aspects of logistical and administrative activities at the agency. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0173629 | | TITLE | Subject Files - Chaplain | | DESCRIPTION | Variety of documents relating to the services of chaplain for the residents at the facilities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | Portions may be restricted | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0256629 | | TITLE | Subject Files - Community Services | | DESCRIPTION | Wide variety of documents relating to the administration of the community services program. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. Portions may be restricted. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0168629 | | TITLE | Subject Files - General | | DESCRIPTION | Records related to the employee training and career development program: correspondence, reports, publications, personnel records, and other materials. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-10-13 | | K.A.R. NUMBER | 53-2-076 |
| SERIES ID | 0138629 | | TITLE | Subject Files - Music Therapy | | DESCRIPTION | Wide variety of documents relating to the administration of the music therapy program. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | Portions may be restricted. | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0416629 | | TITLE | Subject Files - Non-Routine | | DESCRIPTION | Wide variety of documents related to the physical plant activities of a non-routine nature. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0172629 | | TITLE | Subject Files - Reimbursement | | DESCRIPTION | Wide variety of financial documents relating to the reimbursement unit. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0294629 | | TITLE | Subject Files - Reimbursement Unit | | DESCRIPTION | Miscellaneous documents regarding operations of the Reimbursement Unit. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0417629 | | TITLE | Subject Files - Routine | | DESCRIPTION | Records related to routine activities of the office: correspondence, receipts, bid sheets, reports, gasoline reports, copies of vouchers, etc. | | RETENTION | See Comments | | COMMENTS | See also Subject Files, Non-Routine. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0174629 | | TITLE | Subject Files - Sewing Room | | DESCRIPTION | Variety of documents relating to the activities and administration of the sewing room. | | RETENTION | See Comments | | COMMENTS | Retain until no longer needed, then transfer to the archives for purging. Portions may be restricted. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0101629 | | TITLE | Subject Files - Staff Training | | DESCRIPTION | Wide variety of documents relating to the administration of the staff training program. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0108629 | | TITLE | Subject Files - Volunteer Services | | DESCRIPTION | Wide variety of documents relating to the administration of the volunteer services division. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | Portions may be restricted. | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0292629 | | TITLE | Summary of Expenditures by Object Code Reports | | DESCRIPTION | Monthly computer reports listing by object code all funds budgeted, expended, encumbered, and balances. | | RETENTION | See Comments | | COMMENTS | This is not a CASK report. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0273629 | | TITLE | Supplemental Information for Registers | | DESCRIPTION | Supplemental information which should have been included in the residents' registers. | | RETENTION | See Comments | | COMMENTS | Obsolete series, transfer to the archives immediately. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-10-08 | | K.A.R. NUMBER | 53-2-094 |
| SERIES ID | 0226629 | | TITLE | Supported Family Living Reimbursement Files | | DESCRIPTION | Documents relating to payments made to supported family living providers to reimburse families with mentally retarded children living in their home. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0139629 | | TITLE | Surveys and Questionnaires | | DESCRIPTION | Survey forms and general questionnaires sent to Intermediate Care Facilities for the Mentally Retarded by federal agencies to be filled out regarding various aspects of health care. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0555629 | | TITLE | Telecommunications Logs | | DESCRIPTION | Registers recording incoming and outgoing telephone calls of the agency. | | RETENTION | 6 months | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0143629 | | TITLE | Telephone Billing Records | | DESCRIPTION | Copies of computer billings and supporting documents concerning the use of a telecommunications service provider. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0291629 | | TITLE | Time Report Work Sheets | | DESCRIPTION | Completed forms used to input monthly time data into KIPPS computer system. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0290629 | | TITLE | Time Reports - Daily | | DESCRIPTION | Internal reports submitted by each unit listing time work for each employee daily (sign-in and -out sheets). | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0134629 | | TITLE | Toll Log | | DESCRIPTION | Log used to record long distance calls not on the KANS-A-N line made by staff. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0118629 | | TITLE | Tool Control Files | | DESCRIPTION | Documents used to monitor the distribution of tools within the facilities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0188629 | | TITLE | Training Sheets | | DESCRIPTION | Forms used to track and analyze the task performances of residents in training programs which are used to assess the effectiveness of the program. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 76-12b11 & 45-221(a)(3) | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0362629 | | TITLE | Travel Request and Authorization Records | | DESCRIPTION | Records related to employee travel: DA forms 25 (Request for Out of State Travel) and various internal documents. | | RETENTION | 003 fisc yrs | | COMMENTS | See also Vouchers - Travel and Vehicle Operation Records. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0191629 | | TITLE | Tuition Assistance Records | | DESCRIPTION | Documents related to the administration of tuition assistance programs for employees including applications, information on tuition assistance programs elsewhere, and educational institutions. | | RETENTION | See Comments | | COMMENTS | Retain 1 year after employee's tenure, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0288629 | | TITLE | Turn Around Documents | | DESCRIPTION | Copies of form DFA-386-A recording in detail services provided for individual patients and reimbursement claimed thereof under Title XIX Medicaid program - also forms 389-A and -B. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0297629 | | TITLE | Utilization Sheets | | DESCRIPTION | Daily summary of housekeeping staff activities by building and task. | | RETENTION | 001 fisc yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0283629 | | TITLE | VRU Billing Records | | DESCRIPTION | Documents related to purchases of goods and services by the Vocational Rehabilitation Unit. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0119629 | | TITLE | Vehicle Maintenance and Ownership Records | | DESCRIPTION | Documents related to the legal ownership and maintenance of agency vehicles: maintenance logs, legal titles, warranties, etc. | | RETENTION | See Comments | | COMMENTS | Retain for the life of the vehicle, then transfer to subsequent owner or destroy as appropriate. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0286629 | | TITLE | Vehicle Operation Records | | DESCRIPTION | Documents related to the use of state-owned motor vehicles: MP forms 1a, 2c, 3a, 3b, 10, 20, and internal agency forms. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0285629 | | TITLE | Vending - Records of Daily Sales | | DESCRIPTION | Daily records of sales receipts from vending machines - internal form "A." | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0223629 | | TITLE | Visitors Logs | | DESCRIPTION | Registers or logs used to record names, outside contractors, service personnel, and other visitors to agency facilities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0220629 | | TITLE | Volunteer Applications | | DESCRIPTION | Applications submitted by individuals interested in volunteer work at state hospitals. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1993-04-15 | | K.A.R. NUMBER | 53-2-096 |
| SERIES ID | 0284629 | | TITLE | Vouchers - Receipts | | DESCRIPTION | DA forms 100, 103, 120, and 123 used to make payments to individuals and organizations, periodic abstracts, and occasional copies of invoices and other supporting materials. | | RETENTION | 003 fisc yrs | | COMMENTS | Includes a sub-series of duplicates of DA forms 103 which may be destroyed immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0115629 | | TITLE | Wash and Finishing Records | | DESCRIPTION | Daily wash and finishing reports including wash room weights and finishing count. | | RETENTION | 001 cldr yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0259629 | | TITLE | Weekly/Monthly Duplicating Tally | | DESCRIPTION | Tally of the usage and costs accrued on photoduplication machines on a weekly and monthly basis which is used for accounting purposes to the company. | | RETENTION | 001 fisc yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0281629 | | TITLE | Work Order Logs | | DESCRIPTION | Handwritten register of work orders for maintenance tasks. | | RETENTION | 003 fisc yrs | | COMMENTS | Obsolete records series - destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0306629 | | TITLE | Work Orders and Logs | | DESCRIPTION | Internal documents used to request and record requests for the performance of maintenance or other services. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0247629 | | TITLE | Work Therapy Benefit Fund | | DESCRIPTION | Financial records related to the administration of the Work Therapy Benefit Fund which helps fund projects for residents. | | RETENTION | See Comments | | COMMENTS | Retain according to general schedule (KAR 53-3-1) entries where applicable, otherwise retain 3 fiscal years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | Portions may be restricted. | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0282629 | | TITLE | Workers Compensation Files | | DESCRIPTION | Records regarding employee accidents reported to the state workers compensation system: Report of Employee Injury, WC form 1101A, correspondence, vouchers, notes, medical reports, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
| SERIES ID | 0287629 | | TITLE | Workshop Earnings Listings | | DESCRIPTION | Records of pay earned by residents participating in workshop program as applied to re-imbursement for care provide to them. | | RETENTION | See Comments | | COMMENTS | Obsolete records series - destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
Agency Number: 629-007 Department of Social and Rehabilitation Services State Hospitals and Facilities State Faculties
| SERIES ID | 0122629 | | TITLE | Subject Files - Activity | | DESCRIPTION | Wide variety of documents relating to resident activities including special Olympics materials. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | Portions may be restricted | | APPROVED | 1992-07-09 | | K.A.R. NUMBER | 53-2-093 |
| SERIES ID | 0279629 | | TITLE | Time Schedules - Monthly | | DESCRIPTION | Record of time worked by employees - compiled from Daily Time Reports (q.v.). | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1988-07-14 | | K.A.R. NUMBER | 53-2-075 |
Agency Number: 629-007 Department of Social and Rehabilitation Services State Hospitals and Facilities State Hospitals
| SERIES ID | 0583629 | | TITLE | AWOL/Missing Persons Reports | | DESCRIPTION | Copies of forms completed by Security Department officers indicating that a patient's location is unknown and used to notify the proper authorities and personnel to begin search procedures. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 | | APPROVED | 1997-04-10 | | K.A.R. NUMBER | 53-2-111 |
| SERIES ID | 0361629 | | TITLE | Accounts Payable Records | | DESCRIPTION | Documents related to payment for goods and services: vouchers, correspondence, invoices, ledger books and cards, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | See also Ledgers - General, Vouchers and Requisitions - Purchase, Vendor Files, Bid Records, and Purchasing Records. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0382629 | | TITLE | Accounts Receivable Ledgers - Patients | | DESCRIPTION | Documents related to the collection of payments due the facility for Medicare, Medicaid, and insurance billing purposes. | | RETENTION | 003 fisc yrs | | COMMENTS | See also Vouchers - Receipts. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0360629 | | TITLE | Accounts Receivable Records | | DESCRIPTION | Documents related to the collection of payments due the agency: copies of invoices, correspondence, DA forms 32, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | See also Vouchers - Receipts. | | DISPOSITION | Destroy | | RESTRICTIONS | Portions may be restricted per KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0359629 | | TITLE | Activity Therapy Monthly Reports | | DESCRIPTION | Monthly reports monitoring patient participation in scheduled activities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0358629 | | TITLE | Activity Therapy Patient Program Files | | DESCRIPTION | Wide variety of documents relating to the activity therapy programs offered to patients to help with their progress. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0357629 | | TITLE | Activity Therapy Quality Assurance Monitors Files | | DESCRIPTION | Semi-annual staff performance evaluations produced to ensure the quality and appropriateness of activity therapy programs and activities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0411629 | | TITLE | Administrative Segregation Reports | | DESCRIPTION | Reports no longer in use by the facility containing reasons for segregating patients and subsequent reviews of justification and decisions to release from segregation. | | RETENTION | See Comments | | COMMENTS | Obsolete series, destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0356629 | | TITLE | Admissions Log | | DESCRIPTION | Log compiled on all patients admitted to the state hospitals which is used for reimbursement purposes. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0435629 | | TITLE | Antibiotic Daily Reports | | DESCRIPTION | Reports of antibiotics issued on a daily basis to patients. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0755-629 | | TITLE | Asbestos Removal Reports | | DESCRIPTION | Documents relating to the removal of asbestos from buildings on the state hospital grounds. | | RETENTION | 005 cldr yrs | | COMMENTS | Retain in office 5 calendar years, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 2003-01-09 | | K.A.R. NUMBER | 53-2-133 |
| SERIES ID | 0444629 | | TITLE | Audiometric Screening Test Results | | DESCRIPTION | Requisitions for hearing tests and test results for patients. | | RETENTION | See Comments | | COMMENTS | Retain for 10 years after the date of last discharge or one year beyond the date that patients who are minors reach their majority, whichever is longer. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0384629 | | TITLE | Banking Records | | DESCRIPTION | Bank statements, deposit books and slips, check registers, and canceled checks. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0365629 | | TITLE | Batch Transmittal Forms | | DESCRIPTION | Completed forms used to transmit documents for mass computer input - includes both DA forms 199 and/or equivalent internal documents. | | RETENTION | See Comments | | COMMENTS | Retain in conjunction with transmitted documents, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0391629 | | TITLE | Budget Preparation Files - Annual | | DESCRIPTION | Documents used in the preparation of annual agency budget: correspondence, draft budget requests, computer reports, notes, and other miscellaneous materials. | | RETENTION | 005 fisc yrs | | COMMENTS | Contact the archives for appraisal - if not accepted for transfer to the archives, then destroy. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0390629 | | TITLE | Budget Requests and Appeals - Annual | | DESCRIPTION | Copies of budgets submitted yearly to the state legislature for approval and subsequent appeals: DA forms 400 thru 518 and associated supporting documents. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0597629 | | TITLE | Building Security Violation Report | | DESCRIPTION | Form completed by Security Department officers during their assigned routine inspections to ensure that any lapses in security procedures are corrected. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1997-04-10 | | K.A.R. NUMBER | 53-2-111 |
| SERIES ID | 0405629 | | TITLE | Bylaws | | DESCRIPTION | Formal policy statements regarding the administrative and organizational structure of the hospital and the responsibilities of individuals and committees. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0389629 | | TITLE | Canteen Fund Records | | DESCRIPTION | Documents concerning the financial accounting of the canteen fund: ledgers, receipts, bank statements, invoices, check ledgers. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0388629 | | TITLE | Capital Improvement Projects Files | | DESCRIPTION | Records related to construction projects: correspondence, bids, specifications, plans, drawings, reports, notes, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. See also Architectural Plans, Drawings, and Specifications. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0451629 | | TITLE | Card File of Patients | | DESCRIPTION | Documents relating to patients' medical history and current status. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer one copy to the archives, the remainder destroy. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0387629 | | TITLE | Carpet Care Records | | DESCRIPTION | Documents recording the frequency of carpet care to ensure proper maintenance. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0397629 | | TITLE | Case Files of Employees | | DESCRIPTION | Documents relating to investigations of employee conduct including: court orders, reports to courts, correspondence and personal notes of attorneys, investigative reports, and grievances. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after case is closed, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0460629 | | TITLE | Case Files of Patients | | DESCRIPTION | Documents relating to investigations of patient conduct including: court orders, reports to courts, correspondence and personal notes of attorneys, investigative reports, grievances. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after case is closed, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0425629 | | TITLE | Caseload Sampling | | DESCRIPTION | Samplings made of case loads to compare against certain standards and how the patient was being supported. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0465629 | | TITLE | Cemetery Records - Patients and Stillborn Infants | | DESCRIPTION | Documents related to the graves in the hospital cemetery. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0386629 | | TITLE | Census Reports | | DESCRIPTION | Electronic and manual census reports of patients compiled to monitor the patient population and used for billing purposes. | | RETENTION | 005 cldr yrs | | COMMENTS | Formerly titled Computer Census Reports. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0394629 | | TITLE | Central Nursing Daily Reports | | DESCRIPTION | Daily reports of nursing concerns related to patient care or medical conditions including illnesses and behaviors that required special control. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0374629 | | TITLE | Chaplainry Services Monthly Reports | | DESCRIPTION | Monthly reports relating to the various types of chaplainry services provided for the patients. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0385629 | | TITLE | Chaplainry Services Quality Assurance Monitors Files | | DESCRIPTION | Documents used to monitor the quality and appropriateness of chaplainry services to ensure quality assurance standards are met. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0682629 | | TITLE | Children Hospitalization Report | | DESCRIPTION | Documents relating to the hospitalization of children who are ready for placement in the community. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0383629 | | TITLE | Clinical Director's Files | | DESCRIPTION | Documents relating to the administration and management of the clinical director's office. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0404629 | | TITLE | Clinical Privileges | | DESCRIPTION | Documents relating to the granting of clinical privileges for persons in various departments. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0393629 | | TITLE | Clinical Privileges Review Panel Files | | DESCRIPTION | Minutes and other documents relating to the review process for granting clinical privileges to staff in various departments. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0430629 | | TITLE | Continuing Education Units | | DESCRIPTION | Documents relating to the accumulation of continuing education units granted to maintain licensure of the professional staff. | | RETENTION | See Comments | | COMMENTS | Retain until expiration of license, plus 1 year, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0381629 | | TITLE | Contracts | | DESCRIPTION | Legal agreements with individuals and organizations. Includes all associated documents, e.g.. DA-146 series. | | RETENTION | See Comments | | COMMENTS | Retain until expiration of contract plus 5 calendar years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0434629 | | TITLE | Controlled Drugs Records | | DESCRIPTION | Documents listing controlled drugs prescribed and dispensed by physicians and used as a tracking mechanism and required by the Drug Enforcement Act. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0380629 | | TITLE | Correspondence | | DESCRIPTION | Incoming and outgoing letters and memoranda. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then contact the archives for appraisal - if not accepted for transfer to the archives, then destroy. | | DISPOSITION | See Comments | | RESTRICTIONS | Portions may be restricted per KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0428629 | | TITLE | County Masterfile Error Listing | | DESCRIPTION | Lists of case errors that workers made in entering amounts to be paid by clients. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0379629 | | TITLE | Craft Ideas and Samples Files | | DESCRIPTION | Documents relating to the planning and implementation of patient recreational activities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0378629 | | TITLE | Credential Files | | DESCRIPTION | Documents relating to the credentialing of the staff including: correspondence, evaluations, and credentials added during time of employment. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after termination of employee, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0377629 | | TITLE | Daily Activity Log | | DESCRIPTION | Daily log listing patient activities used for convenience of reference. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0458629 | | TITLE | Daily Bulletins | | DESCRIPTION | Daily census reports indicating names, legal status, and county of origin, as well as daily patient movement within the grounds. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0376629 | | TITLE | Daily Fund Balances | | DESCRIPTION | Final balances on all funds calculated on a daily basis to ensure accountability for all financial transactions. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0757-629 | | TITLE | Daily Infection Report | | DESCRIPTION | Reports submitted daily by each unit to the health clinic indicating the types of infections and treatments for patients. | | RETENTION | 002 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 2003-07-17 | | K.A.R. NUMBER | 53-2-135 |
| SERIES ID | 0346629 | | TITLE | Daily Movement Log | | DESCRIPTION | Daily log used to monitor the movement of the patient population. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0392629 | | TITLE | Dedication of All Faith Chapel File | | DESCRIPTION | Documents relating to the dedication of the All Faith Chapel at Larned State Hospital. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0443629 | | TITLE | Dental Clinic Patients' Charts | | DESCRIPTION | Documents relating to an individual patient's dental work. | | RETENTION | See Comments | | COMMENTS | Retain for 10 years after the date of last discharge or one year beyond the date that patients who are minors reach their majority, whichever is longer. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0432629 | | TITLE | Dental Procedures - Monitors | | DESCRIPTION | Documents relating to the monitors used as a check on dental procedures and completed to meet accreditation requirements. | | RETENTION | 003 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0363629 | | TITLE | Direct Service Reports | | DESCRIPTION | Reports detailing the number of staff hours provided in direct service to Community Mental Health Center patients which are used to justify staff allocation. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0334629 | | TITLE | Discharge Log | | DESCRIPTION | Log used to monitor the discharge dates of patients released from the facility. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0450629 | | TITLE | Electrocardigram Test Results | | DESCRIPTION | Results of electrocardigram tests of each patient to check for heart abnormalities. | | RETENTION | See Comments | | COMMENTS | Retain for 10 years after the date of last discharge or one year beyond the date that patients who are minors reach their majority, whichever is longer. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0441629 | | TITLE | Electroencephalogram Card File | | DESCRIPTION | Cards pertaining to patient data regarding electroencephalogram tests for handy access. | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0420629 | | TITLE | Electroencephalogram Test Results | | DESCRIPTION | Requisitions and printouts of results for electroencephalogram tests given to patients. Tracings are interpreted by the neurologist and information about abnormalities placed in the medical record. | | RETENTION | See Comments | | COMMENTS | Retain tracing until interpretation by the neurologist, then destroy. Retain requisitions 10 years after the date of last discharge or patient turns 21. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-10-17 | | K.A.R. NUMBER | 53-2-090 |
| SERIES ID | 0439629 | | TITLE | Electroencephalogram and Electrocardigram Technicians' Continuing Education File | | DESCRIPTION | Documents pertaining to the educational programs attended by the technicians as required. | | RETENTION | See Comments | | COMMENTS | Retain for tenure of the technician, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0333629 | | TITLE | Emergency Light Inspections Reports | | DESCRIPTION | Monthly and annual emergency light inspection reports made to ensure proper maintenance and functioning at all times. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0577629 | | TITLE | Employee Health Files | | DESCRIPTION | Correspondence, examination sheets, health histories, hepatitis test results, etc. related to individual employee's health as required by KAR 28-34-8. | | RETENTION | See Comments | | COMMENTS | Retain in office 5 years after employee tenure, then destroy. Retain positives for hepatitis B and HIV permanently. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 45-221(a)(3) | | APPROVED | 1998-01-08 | | K.A.R. NUMBER | 53-2-114 |
| SERIES ID | 0332629 | | TITLE | Employee Personnel Cards | | DESCRIPTION | Information abstracted from Employee Personnel Files regarding individual employee's service. | | RETENTION | See Comments | | COMMENTS | Retain for length of employee's tenure, plus 10 years, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0331629 | | TITLE | Employee Personnel Files | | DESCRIPTION | Documents associated with the employment of specific personnel: employee evaluation forms, applications for employment, INS Residence Status forms, and other personnel materials. | | RETENTION | See Comments | | COMMENTS | Retain in office for length of employee's tenure plus 3 calendar years. Purge documents to create abstracted work history appointment data and change of status information), transfer to the records center for 62 calendar years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0330629 | | TITLE | Employee Personnel Files - Office Copies | | DESCRIPTION | Copies of documents in agency's Employee Personnel Files associated with the employment of specific personnel (applications, evaluations, etc.) maintained for convenience of reference. | | RETENTION | See Comments | | COMMENTS | Retain for length of employee's tenure plus 5 calendar years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0440629 | | TITLE | Employee Position Descriptions | | DESCRIPTION | Formal descriptions of duties and other characteristics of particular employment positions: DA forms 281-2 and supporting documents. | | RETENTION | See Comments | | COMMENTS | Retain until superseded plus 3 years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0470629 | | TITLE | Employee Security Clearance Checks | | DESCRIPTION | Reports from the Kansas Bureau of Investigation, SRS Youth Services, SRS Adult Services, and court reports regarding individuals seeking employment at the hospital. | | RETENTION | See Comments | | COMMENTS | Retain for length of employee's tenure plus 20 years in original or abstracted form, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0329629 | | TITLE | Employee Time Report Records | | DESCRIPTION | Records documenting time worked by individual employees on a daily, weekly, or monthly basis: time sheets, time cards, attendance reports, absence reports, sign-in/out sheets, etc. | | RETENTION | 005 fisc yrs | | COMMENTS | Internal agency forms. See also Leave Requests. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0581629 | | TITLE | Employee Training Course Materials | | DESCRIPTION | Record copy of manuals, syllabi, textbooks and other training aids created for agency sponsored employee training programs. | | RETENTION | See Comments | | COMMENTS | Retain until training program is obsolete, then transfer one copy of each manual, syllabus, and textbook to the archives, destroy the remainder. See also Employee Training Records. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1997-04-10 | | K.A.R. NUMBER | 53-2-111 |
| SERIES ID | 0580629 | | TITLE | Employee Training Records | | DESCRIPTION | Correspondence, reports, and other records relating to the operation of agency sponsored training programs and to employee participation in training programs sponsored by external organizations. | | RETENTION | See Comments | | COMMENTS | Retain 5 calendar years or until superseded, whichever is sooner, then destroy. See also Employee Training Course Materials. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1997-04-10 | | K.A.R. NUMBER | 53-2-111 |
| SERIES ID | 0588629 | | TITLE | Employee Vehicle Registration | | DESCRIPTION | Form completed by staff to register their vehicle with the Security Department to ensure that no unauthorized vehicles remain on hospital grounds. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1997-04-10 | | K.A.R. NUMBER | 53-2-111 |
| SERIES ID | 0328629 | | TITLE | Employment Applications - Not Hired | | DESCRIPTION | DA forms 203 and supplementary materials submitted by unsuccessful applicants for employment. | | RETENTION | 003 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0462629 | | TITLE | Equipment Operation Manuals | | DESCRIPTION | Documents used for the maintenance and repair of equipment. | | RETENTION | See Comments | | COMMENTS | Retain for the life of the equipment, then transfer to new owner of equipment or destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0317629 | | TITLE | Event Monitoring and Direct Service Form | | DESCRIPTION | Form listing the current patients with code numbers and descriptions used to report event monitoring and direct services provided by staff. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0582629 | | TITLE | Evidence Custody Receipt | | DESCRIPTION | Copies of the Kansas Bureau of Investigation (KBI) form completed by Security Department officers requesting that the KBI examine evidence seized. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(10) | | APPROVED | 1997-04-10 | | K.A.R. NUMBER | 53-2-111 |
| SERIES ID | 0326629 | | TITLE | Exit Light Inspections Files | | DESCRIPTION | Documents relating to the inspections of all exit lights in every quarter to ensure proper maintenance and functioning at all times. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0335629 | | TITLE | Fire Extinguisher Maintenance Checklist | | DESCRIPTION | Monthly checklist made on fire extinguishers to ensure proper maintenance and functioning at all times. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0324629 | | TITLE | Fire and Safety Reports | | DESCRIPTION | Weekly and monthly reports made on fire and safety related issues. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0403629 | | TITLE | Goals and Objectives | | DESCRIPTION | Planning documents written each budget year based on the needs of the hospital. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0421629 | | TITLE | Hazardous Materials Management Plans | | DESCRIPTION | A wide variety of documents relating to the Hazardous Materials Management Plan required to meet accreditation. | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0464629 | | TITLE | Hazardous Waste Materials Data | | DESCRIPTION | Documents relating to the handling of various hazardous materials used. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0409629 | | TITLE | Hospital Brochures | | DESCRIPTION | Brochures written and published to provide information for visitors, patients, families, hospital staff, and interested persons about programs/current treatment offered. | | RETENTION | See Comments | | COMMENTS | Transfer one copy to the archives, the remainder destroy when no longer useful. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0406629 | | TITLE | Incident Reports | | DESCRIPTION | Reports regarding special incidents regarding patients or staff, including conclusions, recommendations, and results of reviews. | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0323629 | | TITLE | Infection Control Annual Reports | | DESCRIPTION | Annual reports made concerning the activities of the infection control laboratory. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0322629 | | TITLE | Insurance Notebooks | | DESCRIPTION | Insurance claim forms for patient hospitalization billing filed in notebooks for convenience of reference. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0321629 | | TITLE | Inventory Records - Expendable Property | | DESCRIPTION | Records of receipts, disbursements, and balances of office supplies and other expendable inventory materials. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0320629 | | TITLE | Inventory Records - Library Materials | | DESCRIPTION | Records related to inventory management of library materials. | | RETENTION | See Comments | | COMMENTS | Retain until superseded by new inventory plus 3 fiscal years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0319629 | | TITLE | Inventory Records - Non-Expendable Property | | DESCRIPTION | Records related to capital equipment inventory management: DA forms 80 thru 83, computer reports from the Department of Administration, internal documents, correspondence, etc. | | RETENTION | See Comments | | COMMENTS | Retain until superseded by new inventory plus 3 fiscal years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0325629 | | TITLE | Key Deposit Receipt Books | | DESCRIPTION | Receipt books indicating which employee has paid a deposit on a facility key and when the key was returned. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0466629 | | TITLE | Key and Combination Control Files | | DESCRIPTION | Documents listing the combinations to locks and to whom key is assigned. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0327629 | | TITLE | Laundry Production Costs Records | | DESCRIPTION | Laundry production costs summary data compiled for budgetary purposes. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0353629 | | TITLE | Leave Requests | | DESCRIPTION | Internal forms used to request and authorize the taking of leave by employees. | | RETENTION | 005 fisc yrs | | COMMENTS | See also Employee Time Report Records. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0352629 | | TITLE | Mailing Lists | | DESCRIPTION | Lists of names and addresses to whom mail is regularly sent. | | RETENTION | See Comments | | COMMENTS | Retain until updated, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 21-3914 | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0463629 | | TITLE | Maps of Utility Locations | | DESCRIPTION | Maps required for maintenance of water lines, sewer lines, telephone cables and other utilities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0351629 | | TITLE | Medicaid and Medicare Logs | | DESCRIPTION | Logs used in conjunction with cost report data which monitor the charges and payments for billing each patient. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) & 39-709(b) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0350629 | | TITLE | Medicaid/Medicare Cost Report Data | | DESCRIPTION | Statistical and financial data accumulated by the staff and used to prepare the annual Medicare/Medicaid Cost Reports. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) & 39-709(b) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0422629 | | TITLE | Medical Claims | | DESCRIPTION | Claims filed by patient for payment of services by Medicaid. | | RETENTION | See Comments | | COMMENTS | Retain original or duplicate (in whatever form) 3 fiscal years, then destroy. Hard copy may be destroyed after duplication of original. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0457629 | | TITLE | Medical Record - Adult Patients | | DESCRIPTION | Documents concerning individual patient care including: medical, psychiatric, social, and legal information, as well as correspondence, progress notes, and response to treatment. | | RETENTION | See Comments | | COMMENTS | Retain for 10 years after the date of last discharge, strip chart. Destroy except basic 4 or 5 pages of data. Every 100th file transfer to the archives. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0456629 | | TITLE | Medical Record - Child or Adolescent | | DESCRIPTION | Documents of individual patient care including: medical, psychiatric, social, and legal information, as well as correspondence, progress notes, and response to treatment. | | RETENTION | See Comments | | COMMENTS | Retain 1 yr beyond the date that patient reaches majority, or 10 years after last discharge date, whichever is longer. Every 100th file transfer to archives. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0449629 | | TITLE | Medical Staff Bylaws | | DESCRIPTION | Original bylaws and updates which physicians must agree to abide by while practicing at the State Hospitals. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0349629 | | TITLE | Medicare Remittance Advice | | DESCRIPTION | Medicare payment history maintained on patients and used for billing purposes. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0696629 | | TITLE | Medication Alert/El Dorado Medication Error Tool Form | | DESCRIPTION | Forms describing medication errors which occurred during the treatment of patients which are used as a monitoring tool to ensure that quality standards are met and maintained. | | RETENTION | 002 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-04-14 | | K.A.R. NUMBER | 53-2-100 |
| SERIES ID | 0348629 | | TITLE | Menu Files | | DESCRIPTION | Documents relating to the preparation of patient dietary needs. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0347629 | | TITLE | Minutes | | DESCRIPTION | Proceedings of regular or special meetings of committees, commissions, and other standing or ad hoc organizations. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0733629 | | TITLE | Minutes - Treatment Teams | | DESCRIPTION | Minutes of unit treatment teams which meet to review individual patient activities and treatment. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(3) & KSA 65-5602 | | APPROVED | 2001-01-11 | | K.A.R. NUMBER | 53-2-125 |
| SERIES ID | 0408629 | | TITLE | Monitoring Information | | DESCRIPTION | Documents related to monitoring of patient care and staff clinical performance which includes: protocols, monitoring and quarterly reports related to quality assurance functions for accreditation. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0336629 | | TITLE | Monthly Fire Prevention Reports | | DESCRIPTION | Reports made on a variety of fire related activities including building, fire and safety inspections, reported hazards, fire drills, reported fires, fire extinguisher inspections, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0345629 | | TITLE | Monthly Inspection List | | DESCRIPTION | Check list assigning the security officers to the various types of inspections made at the facility for health and safety reasons. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0354629 | | TITLE | Monthly Room Inspection Reports | | DESCRIPTION | Fire and safety inspection reports made of individual living quarters to ensure the welfare of the patients. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0343629 | | TITLE | Music Therapy Activity Files | | DESCRIPTION | Documents relating to the planning and implementation of music therapy activities scheduled for the patients. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0342629 | | TITLE | Music Therapy Professional Files | | DESCRIPTION | Documents relating to the function and operation of the music therapy program. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0468629 | | TITLE | Nutritional Interview | | DESCRIPTION | Data gathered and updated regarding patients' nutritional status, including anthropometric, possible food/drug interaction, obvious clinical signs of malnutrition, food habits, food allergies, etc. | | RETENTION | 001 cldr yr | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0341629 | | TITLE | Office Machine Repair Files | | DESCRIPTION | Documents relating to the service work done on equipment to maintain a repair history and monitor contract maintenance agreements on typewriter and copier machines. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0448629 | | TITLE | On-Duty Books | | DESCRIPTION | Documents relating to the events during the time a physician covers for off-duty medical staff, namely calls from courts or community officials, as well as problems encountered. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then contact the archives for appraisal, if not accepted, destroy. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0340629 | | TITLE | Original Charge Sheets | | DESCRIPTION | Monthly log sheets used to calculate patient charges. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0339629 | | TITLE | Outing Log | | DESCRIPTION | Log used to monitor the location and number of trips which patients and accompanying staff take from the facility. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0437629 | | TITLE | Pathology Laboratory Reports - Monthly | | DESCRIPTION | Lists of procedures done in the laboratory for patients. | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0338629 | | TITLE | Patient Activity Fund Records | | DESCRIPTION | Documents concerning the financial accounting of the patient activity fund including bank statements, deposit books and slips, check registers, and canceled checks. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0337629 | | TITLE | Patient Attendance Records | | DESCRIPTION | Reports relating to patient attendance in activity therapy groups maintained to provide documentation for any possible investigations or audits. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0258-629 | | TITLE | Patient Benefit Fund Records | | DESCRIPTION | Documents concerning the financial accounting of the patient benefit fund: ledgers, receipts, bank statements, invoices, check ledgers. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0636629 | | TITLE | Patient Billing Files | | DESCRIPTION | Patient billing files for hospitalization services including statements, claim forms, copy of insurance cards, insurance authorization, computer printouts, financial packets, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0453629 | | TITLE | Patient Card Files | | DESCRIPTION | Individual cards for each patient with information including dates, diagnosis, number of admissions of each patient. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0736629 | | TITLE | Patient Charge Files | | DESCRIPTION | Documents used to prepare patient billing including doctor orders, patient billing statements, physicians charge sheets, census records and pharmacy charges. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0738629 | | TITLE | Patient Contact Reports | | DESCRIPTION | Monthly statistical reports documenting the number of patient contact hours which are used to provide feedback to the treatment team as well as the summaries used for accreditation surveys. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0447629 | | TITLE | Patient Death - Thanatology Reports | | DESCRIPTION | Reviews completed by ad hoc committees and submitted to the Clinical Director with recommendations regarding problems noted. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0469629 | | TITLE | Patient Grievances | | DESCRIPTION | Grievance form letters written to the ombudsman by patients as part of a Patient Advocacy/Complaint Resolution service. | | RETENTION | See Comments | | COMMENTS | Retain 5 years after resolution of grievance and transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0754629 | | TITLE | Patient Log | | DESCRIPTION | Log listing pertinent patient information which is used to generate assessments on a timely basis and to review the patient's current status. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0753629 | | TITLE | Patient Nutritional Files | | DESCRIPTION | Documents relating to patient nutritional needs maintained to ensure that the proper dietary care is provided by the staff. | | RETENTION | See Comments | | COMMENTS | Retain until superseded, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0455629 | | TITLE | Patient Registers | | DESCRIPTION | Bound registers of patients admitted. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0752629 | | TITLE | Payroll Deduction Authorization Records - General | | DESCRIPTION | Documents used to authorize various deductions from an employee's pay: insurance enrollments, GHI enrollments, KPERS enrollments, KPERS Annual Account Statements, dues deduction forms, etc. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect plus 1 calendar year, then destroy. This schedule does not apply to W-4 forms or Payroll Direct Deposit Authorization Records - General. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0751629 | | TITLE | Payroll Direct Deposit Authorization Records | | DESCRIPTION | Completed forms used to authorize direct deposits of payroll checks in employee bank accounts. | | RETENTION | See Comments | | COMMENTS | Retain until no longer in effect plus 2 years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(4) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0750629 | | TITLE | Payroll Warrant Registers | | DESCRIPTION | Monthly listing of warrant checks issued to state agency employees for payroll purposes. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0741629 | | TITLE | Petty Cash Records | | DESCRIPTION | Documents related to petty cash accounting: DA-71 thru 73. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0459629 | | TITLE | Pharmacy - Daily/Monthly Prescription Records | | DESCRIPTION | Documents used to keep track of the number of prescriptions issued on a daily basis to patients. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0433629 | | TITLE | Pharmacy Billing Journals | | DESCRIPTION | Records of charges to an individual patient and sent to reimbursement for collection purposes to the hospital. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0740629 | | TITLE | Photocopier Log | | DESCRIPTION | Daily log kept to monitor the number of photocopies made on a monthly basis and to generate a summary report. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0446629 | | TITLE | Physicians' Continuing Medical Education Files | | DESCRIPTION | Master list of on-grounds continuing medical education files, along with hours completed for each physician. | | RETENTION | See Comments | | COMMENTS | Retain until termination of physician, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0739629 | | TITLE | Policy Statements | | DESCRIPTION | Original copies of formal explanations of agency policies and procedures issued in individual statement formats. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect, then transfer to the archives. Retain convenience copies until no longer useful, then destroy. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0461629 | | TITLE | Prescription Journal for Patients | | DESCRIPTION | Journal of prescriptions issued to individual patients. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0413629 | | TITLE | Primary Client Service Files | | DESCRIPTION | Follow-up sheet made on patients to check the progress of patients. | | RETENTION | See Comments | | COMMENTS | Retain 10 years after the discharge date. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0650629 | | TITLE | Private Review Organizations Files | | DESCRIPTION | Documents relating to private organizations and reviewed for payment approval to the hospital. | | RETENTION | 007 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & KSA 65-5602 | | APPROVED | 2001-01-11 | | K.A.R. NUMBER | 53-2-125 |
| SERIES ID | 0735629 | | TITLE | Procedures Manuals | | DESCRIPTION | Original copies of agency procedures issued in a collective manual. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect, then transfer 1 copy to the archives, destroy the remainder. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0724629 | | TITLE | Psychiatric Admission/Release Reports | | DESCRIPTION | Reports listing the number of admissions and discharges which are used to determine the necessary services in the community to provide placement for patients. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0737629 | | TITLE | Psychology Department Clinical Monitoring Plans | | DESCRIPTION | Plans developed to monitor the quality and the appropriateness of the care and treatment of individuals who are provided psychological services. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0758-629 | | TITLE | Psychotherapy Notes | | DESCRIPTION | Notes recorded in any medium by a mental health professional documenting or analyzing the contents of a conversation during a private counseling session or a group, joint, or family counseling session that is maintained separate from the rest of the patient's medical record. | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | K.S.A. 65-5602 & 45-221(a)(3) | | APPROVED | 2006-01-13 | | K.A.R. NUMBER | 53-2-146 |
| SERIES ID | 0732629 | | TITLE | Purchasing Records | | DESCRIPTION | Documents related to the purchase of goods and services: correspondence, vouchers, invoices, ledger books and cards, requisitions, etc. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0396629 | | TITLE | Quality Assurance Plans | | DESCRIPTION | A wide variety of documents relating to the Quality Assurance Program required to meet accreditation standards. | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0731629 | | TITLE | Quality Assurance/Risk Management Activities Files | | DESCRIPTION | Documents used to assess the quality assurance and risk management activities at the facility. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0730629 | | TITLE | Quality Assurance/Risk Management Supplemental Files | | DESCRIPTION | Documents used to supplement the primary documentation, excluding that contained in the incident report files, of specific issues addressed by and activities of the Quality Assurance Committee. | | RETENTION | See Comments | | COMMENTS | Retain in conjunction with Quality Assurance/Risk Management Activities Files. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0424629 | | TITLE | Quality Control Files | | DESCRIPTION | Documents relating case analyses made on patients to check on the services provided. | | RETENTION | 005 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0729629 | | TITLE | Quality Improvement Plans | | DESCRIPTION | Documents used to monitor the quality assurance/continuous quality improvement plans and activities at the facility. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0728629 | | TITLE | Quality Improvement Supplemental Files | | DESCRIPTION | Documents used to supplement the primary documentation of hospital-wide and departmental quality assurance/improvement plans and activities. | | RETENTION | See Comments | | COMMENTS | Retain in conjunction with Quality Improvement Plans. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0412629 | | TITLE | Questionnaires/Survey Forms | | DESCRIPTION | Copies of forms completed by the hospital staff as responses to agencies or research programs which have requested data. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0727629 | | TITLE | Receiving Reports | | DESCRIPTION | Reports made regarding the receipt of merchandise or services which are submitted to the accounting section for use in validating invoices. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0442629 | | TITLE | Refill Sheets Regarding Controlled Drugs | | DESCRIPTION | Requests from wards for refills of prescriptions of controlled drugs. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0726629 | | TITLE | Release Form | | DESCRIPTION | Form listing the length of stay and subsequent release of patients from the facility. | | RETENTION | See Comments | | COMMENTS | Retain in conjunction with individual patient file. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0725629 | | TITLE | Release of Information Log | | DESCRIPTION | Log listing the nature and purpose of information requested. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0701629 | | TITLE | Requisition Control Files | | DESCRIPTION | Documents relating to assigning control numbers to requisitions maintained for convenience of reference. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0669629 | | TITLE | Reserve Day Book | | DESCRIPTION | Log used to monitor the number of patient therapeutic pass days billed to Medicare and Medicaid. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0445629 | | TITLE | Residency Training Program Files | | DESCRIPTION | Documents pertaining to the once operative Psychiatric Residency Training Program, including curriculum and class schedules. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0668629 | | TITLE | Resident By Age Report | | DESCRIPTION | Computer printout and electronic data relating to bed usage at the facility according to the various age groups. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0667629 | | TITLE | Resident Ledger Files | | DESCRIPTION | Computer printout of patient charges that have been deleted from the computer for various reasons. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0666629 | | TITLE | Resident Master Balance Sheets | | DESCRIPTION | Ending monthly balances remaining in patient accounts and used for accounting purposes. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0756-629 | | TITLE | Risk Management Files | | DESCRIPTION | Incident reports, peer review documents, minutes, correspondence, etc. relating to reportable incidents under KSA 65-4921(f) and investigated by the Risk Management Division. | | RETENTION | See Comments | | COMMENTS | Retain 2 years after the Final Standard of Care is determined or retain until no longer useful if the case is potentially litigious, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-4925 | | APPROVED | 2003-01-09 | | K.A.R. NUMBER | 53-2-133 |
| SERIES ID | 0664629 | | TITLE | Risk Management Plans and Minutes | | DESCRIPTION | Documents relating to the activities of the Risk Management Committee. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0467629 | | TITLE | Roof Moisture Testing Records | | DESCRIPTION | Data gathered in the testing for moisture on the various roofs. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0429629 | | TITLE | Roster of Attendance at Workshops | | DESCRIPTION | Register of attendance for staff members requiring continuing education units for licensure and includes social workers, RNs, LMHTs, and LPNs. | | RETENTION | See Comments | | COMMENTS | Rosters are maintained as required by the Behavioral Sciences Regulatory Board and the Kansas State Board of Nursing. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0663629 | | TITLE | STARS Reports: Daily Financial | | DESCRIPTION | Computer reports regarding agency financial status issued on a daily basis from the Division of Accounts and Reports to agencies in the Statewide Accounting and Reporting Systems. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. Schedule does not apply to originals maintained at Accounts and Reports. Replaces the old CASK Reports. Includes: DAFR8010, DAFR8120, DAFR8210, DAFR8420, DAFR8101, etc. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0654629 | | TITLE | STARS Reports: Monthly Financial | | DESCRIPTION | Computer reports regarding agency financial status issued on a monthly basis from the Division of Accounts and Reports to agencies in the Statewide Accounting and Reporting Systems. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. Schedule does not apply to originals maintained at Accounts and Reports. Replaces the old CASK Reports. Includes: DAFR8290. DAFR8300, DAFR8280, DAFR8070, DAFR8101, etc. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0653629 | | TITLE | STARS Reports: Yearly Financial | | DESCRIPTION | Computer reports regarding agency financial status issued on a yearly basis from the Division of Accounts and Reports to agencies in the Statewide Accounting and Reporting Systems. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. Schedule does not apply to originals maintained at Accounts and Reports. Replaces the old CASK Reports. Includes: DAFR8290, DAFR8101, DAFR7680, DAFR8120, DAFR8210, etc. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0402629 | | TITLE | Safety Program Plans | | DESCRIPTION | A wide variety of documents relating to the Safety Program Plans required to meet accreditation. | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0651629 | | TITLE | Schedules - Office Activities | | DESCRIPTION | Internal forms, appointment books, paper and electronic calendars used to schedule employees, office activities, vehicles, meeting rooms, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0660629 | | TITLE | Security Daily Activity Log | | DESCRIPTION | Log maintained by the security officers on activities which occurred during each shift. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0662629 | | TITLE | Security Daily Reports | | DESCRIPTION | Reports made by the security staff detailing daily activities. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0697629 | | TITLE | Security Patient Assistance Reports | | DESCRIPTION | Reports prepared by security officers describing the type of assistance security offered to patients. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0693629 | | TITLE | Security Safe Log | | DESCRIPTION | Log maintained by the security officers of items going in and out of the security safe. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0691629 | | TITLE | Security Schedules | | DESCRIPTION | Documents relating to the scheduling of inspections in every quarter to ensure proper maintenance and functioning of equipment at all times. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0585629 | | TITLE | Service Rendered Report | | DESCRIPTION | Form completed by Security Department officers indicating the nature and type of assistance. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1997-04-10 | | K.A.R. NUMBER | 53-2-111 |
| SERIES ID | 0427629 | | TITLE | State Summaries of Medical Assistance | | DESCRIPTION | Program statistics of average payments made by clients. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0431629 | | TITLE | Statistical Reports | | DESCRIPTION | Statistics gathered on patients and used to make a variety of reports about patients and patient care. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0454629 | | TITLE | Statistical Studies - Special | | DESCRIPTION | Studies completed either at the request of the Central Office or community SRS related groups, or in-house data needed to make future plans. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0680629 | | TITLE | Student Records | | DESCRIPTION | Documents relating to the rotation of students in training at the various state hospitals as a degree requirement. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(1)(9) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0679629 | | TITLE | Subject Files - Administrative | | DESCRIPTION | Documents relating to the administrative and operational responsibilities of the agency. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then contact the archives for appraisal, if not accepted for transfer to the archives, then destroy. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0678629 | | TITLE | Subject Files - Business Office | | DESCRIPTION | Wide variety of documents relating to the function and operation of the business office. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then contact the archives for appraisal, if not accepted for transfer to the archives, then destroy. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0676629 | | TITLE | Subject Files - Clinical Services | | DESCRIPTION | Wide variety of documents relating to functioning of the office. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then contact the archives for appraisal, if not accepted for transfer to the archives, then destroy. | | DISPOSITION | See Comments | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0670629 | | TITLE | Subject Files - Security | | DESCRIPTION | Wide variety of documents relating to the activities of the security section. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0675629 | | TITLE | Sunday Worship Bulletins | | DESCRIPTION | Programs scheduled for Sunday worship services offered by the chaplainry services staff. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer 2 copies to the archives, destroy the remainder. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0401629 | | TITLE | Survey Reports - Joint Commission on Accreditation of Hospital Organizations | | DESCRIPTION | Reports of surveys, including deficiencies, contingencies and resurvey information, related to the accreditation standards of the Joint Commission on Accreditation of Hospital Organizations. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0399629 | | TITLE | Survey Reports - Medicaid (Periodic Medical Review) | | DESCRIPTION | Reports of Medicaid surveys, including deficiencies, contingencies, and plans for correction. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0400629 | | TITLE | Survey Reports - Medicare | | DESCRIPTION | Reports of Medicare surveys, including deficiencies, contingencies, and plans for correction. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0398629 | | TITLE | Survey Reports - Risk Management | | DESCRIPTION | Reports of site visits made by surveyors from the Department of Health and Environment used to substantiate compliance with laws and regulations. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0438629 | | TITLE | Survey Results - College of American Pathologists | | DESCRIPTION | Surveys of results of hospital laboratory work on specimens in comparison to other labs and used for proficiency testing and required for accreditation. | | RETENTION | 003 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0410629 | | TITLE | Test Protocols | | DESCRIPTION | Test protocols, notes, and copies of the psychological reports used for review and comparison purposes on patients. | | RETENTION | See Comments | | COMMENTS | Retain for 10 years after the date of last discharge or 1 year beyond the date that patients who are minors reach their majority, whichever is longer. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0677629 | | TITLE | Therapeutic Passes | | DESCRIPTION | Patient passes given to the reimbursement office to verify days spent away from the facility and used for reimbursement purposes. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 65-5602 & 45-221(a)(3) | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0681629 | | TITLE | Tile Floor Records | | DESCRIPTION | Documents recording the frequency of floor care to ensure proper maintenance. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0683629 | | TITLE | Traffic Courtesy Reminder Log | | DESCRIPTION | Log maintained by the security officers of improper parking by visitors in the parking lots. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0407629 | | TITLE | Treatment Program Plans | | DESCRIPTION | A variety of documents relating to the Treatment Program Plan and required to meet accreditation standards. | | RETENTION | 010 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0687629 | | TITLE | Utilization Review Forms | | DESCRIPTION | Forms completed demonstrating the medical necessity for an individual patient's hospitalization and reviewed for Medicare/Medicaid reimbursement to the hospital. | | RETENTION | 007 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & KSA 65-5602 | | APPROVED | 2001-01-11 | | K.A.R. NUMBER | 53-2-125 |
| SERIES ID | 0355629 | | TITLE | Utilization Review Reports | | DESCRIPTION | Monthly report generated using the Utilization Review Forms and private review organizations and reviewed for Medicare/Medicaid funding purposes. | | RETENTION | 007 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & KSA 65-5602 | | APPROVED | 2001-01-11 | | K.A.R. NUMBER | 53-2-125 |
| SERIES ID | 0684629 | | TITLE | Vehicle Maintenance and Ownership Records | | DESCRIPTION | Documents related to the legal ownership and maintenance of agency vehicles: maintenance logs, legal titles, warranties, etc. | | RETENTION | See Comments | | COMMENTS | Retain for the life of the vehicle, then transfer to subsequent owner or destroy as appropriate. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0698629 | | TITLE | Vehicle Operation Records | | DESCRIPTION | Documents related to the use of state-owned motor vehicles: MP forms 1a, 2c, 3a, 3b, 10, 20, and internal agency forms. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0686629 | | TITLE | Volunteer Program Files | | DESCRIPTION | Documents relating to the function and activities of the volunteer program. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0674629 | | TITLE | Vouchers - Purchase | | DESCRIPTION | Copies of documents used to order and pay for goods and services: DA forms 100 thru 109 and DA-120. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0688629 | | TITLE | Vouchers - Receipts | | DESCRIPTION | Copies of documents used to transfer funds received by agencies from individuals and organizations into their particular accounts: forms DA-3 series. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0689629 | | TITLE | Vouchers - Travel | | DESCRIPTION | Copies of documents used to certify the validity of claims for the reimbursement of travel expenses: DA forms 121, 122, and 123. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0423629 | | TITLE | Ward Log Books | | DESCRIPTION | Working data (daily status of patients) & log of patient information used to meet deadlines & expedite patient paperwork including: admission, legal status, changes in venue, discharge & summaries. | | RETENTION | 003 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0587629 | | TITLE | Warning Form | | DESCRIPTION | Copies of form completed by Security Department officers and given to staff or visitors for parking or traffic infractions as a reminder to obey all traffic and parking regulations. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1997-04-10 | | K.A.R. NUMBER | 53-2-111 |
| SERIES ID | 0690629 | | TITLE | Weekly Fire Alarm System Tests | | DESCRIPTION | Documents relating to weekly testing of the fire panel and manual stations conducted to ensure proper maintenance of the systems. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0426629 | | TITLE | Welfare Eligibility Records | | DESCRIPTION | Documents relating to the eligibility of clients to qualify for welfare payments. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
| SERIES ID | 0694629 | | TITLE | Work Orders and Logs | | DESCRIPTION | Internal documents used to request and record requests for the performance of maintenance or other services. | | RETENTION | 003 fisc yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1994-01-13 | | K.A.R. NUMBER | 53-2-099 |
| SERIES ID | 0436629 | | TITLE | X-Ray Film and Report | | DESCRIPTION | Reports and film for of x-rays performed on patients. | | RETENTION | See Comments | | COMMENTS | Retain for 10 years after the date of last discharge or one year beyond the date that patients who are minors reach their majority, whichever is longer. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) & 65-5602 | | APPROVED | 1991-01-17 | | K.A.R. NUMBER | 53-2-087 |
Agency Number: 629-008 Department of Social and Rehabilitation Services Integrated Service Delivery
| SERIES ID | 0001-629 | | TITLE | AFDC - Medicaid Negative Case Action Report | | DESCRIPTION | Computer printout listing the cases closed or denied for AFDC or Medicaid assistance which are reviewed for quality control purposes. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1995-07-13 | | K.A.R. NUMBER | 53-2-105 |
| SERIES ID | 0002-629 | | TITLE | AFDC - Medicaid Positive Case Action Report | | DESCRIPTION | Computer printout listing the cases opened for AFDC or Medicaid assistance which are reviewed for quality control purposes. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1995-07-13 | | K.A.R. NUMBER | 53-2-105 |
| SERIES ID | 0003-629 | | TITLE | AFDC Quality Control Review Schedule Reserve Form | | DESCRIPTION | Form generated by the federal government randomly selecting AFDC cases to be reviewed by SRS staff for quality control purposes. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1995-07-13 | | K.A.R. NUMBER | 53-2-105 |
| SERIES ID | 0004-629 | | TITLE | Child Support Collection Report | | DESCRIPTION | Quarterly statistical report compiled by SRS staff documenting the various activities in the area offices regarding collection efforts. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-07-13 | | K.A.R. NUMBER | 53-2-105 |
| SERIES ID | 0005-629 | | TITLE | Child Support Enforcement Activities and Staff Report | | DESCRIPTION | Quarterly statistical report compiled by SRS as required by Title IV-D of the Social Security Act documenting the various caseload activities. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-07-13 | | K.A.R. NUMBER | 53-2-105 |
| SERIES ID | 0006-629 | | TITLE | Contractor Summary Report | | DESCRIPTION | Quarterly statistical report compiled by SRS staff documenting the types of caseload activities which is maintained for monitoring purposes. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-07-13 | | K.A.R. NUMBER | 53-2-105 |
| SERIES ID | 0007-629 | | TITLE | Contractors Report | | DESCRIPTION | Quarterly statistical report completed by the reporting agency to SRS documenting the current status of cases contracted out and maintained for monitoring purposes. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-07-13 | | K.A.R. NUMBER | 53-2-105 |
| SERIES ID | 0008-629 | | TITLE | Court Trustee Monthly Report | | DESCRIPTION | Monthly statistical report completed by the reporting agency to SRS listing the current status of cases and maintained for monitoring purposes. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-07-13 | | K.A.R. NUMBER | 53-2-105 |
| SERIES ID | 0009-629 | | TITLE | Foster Care Home Payment Advice Report | | DESCRIPTION | Computer printout listing the child's name and amount paid to individual caretakers for foster care and maintained for monitoring purposes. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1995-07-13 | | K.A.R. NUMBER | 53-2-105 |
| SERIES ID | 0010-629 | | TITLE | Kansas Parent Locator Monthly Report | | DESCRIPTION | Monthly statistical report tabulating the case status and maintained for monitoring purposes. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-07-13 | | K.A.R. NUMBER | 53-2-105 |
| SERIES ID | 0011-629 | | TITLE | Location and Support Data Report | | DESCRIPTION | Monthly statistical report completed by SRS tabulating the case distribution status and maintained for monitoring purposes. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-07-13 | | K.A.R. NUMBER | 53-2-105 |
| SERIES ID | 0012-629 | | TITLE | Location and Support Unit Quarterly Report | | DESCRIPTION | Statistical report compiled by SRS staff tabulating the quarterly caseload activities totals and is maintained for monitoring purposes. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-07-13 | | K.A.R. NUMBER | 53-2-105 |
| SERIES ID | 0013-629 | | TITLE | Non-Ambulance Medical Transportation Summary Report | | DESCRIPTION | Summary sheets compiled by SRS staff listing the necessary statistical data and used to tabulate the monthly totals. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-07-13 | | K.A.R. NUMBER | 53-2-105 |
| SERIES ID | 0014-629 | | TITLE | Primary Client Service Record Form | | DESCRIPTION | Form completed by an assigned SRS staff member listing the type and status of action and service plans established for individual clients. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 39-709b | | APPROVED | 1995-07-13 | | K.A.R. NUMBER | 53-2-105 |
| SERIES ID | 0015-629 | | TITLE | Prosecuting Attorney Monthly Report | | DESCRIPTION | Statistical form completed by the reporting agency to SRS listing the current status of location and services cases handled by county attorneys and is maintained for monitoring purposes. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-07-13 | | K.A.R. NUMBER | 53-2-105 |
| SERIES ID | 0016-629 | | TITLE | Supplemental Contractor's Report | | DESCRIPTION | Form completed on a quarterly basis by the reporting agency to SRS documenting any additional statistical data not previously listed. | | RETENTION | See Comments | | COMMENTS | Obsolete series. Destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1995-07-13 | | K.A.R. NUMBER | 53-2-105 |
Agency Number: 629-008 Department of Social and Rehabilitation Services Integrated Service Delivery Vocational Rehabilitation Center
| SERIES ID | 0716629 | | TITLE | Admission and Discharge Reports | | DESCRIPTION | Statistical reports compiled listing the number of consumers admitted into the various programs. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0721629 | | TITLE | Census Forms | | DESCRIPTION | Documents recording the number of consumers served in each program and length of stay. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 72-4311 | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0722629 | | TITLE | Client Screening Data Sheet | | DESCRIPTION | Form completed on a potential client before screening for admission. | | RETENTION | See Comments | | COMMENTS | Obsolete series - destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 72-4311 | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0652629 | | TITLE | Client or Consumer Feedback Forms | | DESCRIPTION | Form completed by the client or consumer rating the services provided and suggestions for improvement. | | RETENTION | See Comments | | COMMENTS | Retain in office 5 calendar years, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 72-4311 | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0711629 | | TITLE | Correspondence - Policy Related | | DESCRIPTION | Incoming and outgoing letters and memoranda that state or form the basis for policy, set precedent, or record important events in the operational and organizational history of the agency. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0699629 | | TITLE | Correspondence - Routine | | DESCRIPTION | Incoming and outgoing letters and memoranda which pertain only to routine matters handled in accordance with existing policy and procedures: requests for information, letters of transmittal, etc. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0575629 | | TITLE | Goals and Objectives Reports | | DESCRIPTION | Variety of reports generated to identify and monitor performance factors in the various programs and used to determine efficiency of operations. | | RETENTION | See Comments | | COMMENTS | Retain in office 5 calendar years, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 72-4311 | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0576629 | | TITLE | Incident Reports | | DESCRIPTION | Form completed by staff regarding medical or other incidents which have occurred. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 72-4311 | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0714629 | | TITLE | Minutes | | DESCRIPTION | Proceedings of regular or special meetings of committees, commissions, and other standing or ad hoc organizations. | | RETENTION | See Comments | | COMMENTS | Retain until no longer useful, then transfer to the archives. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0713629 | | TITLE | Policy Statements | | DESCRIPTION | Original copies of formal explanations of agency policies and procedures issued in individual statement formats. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect, then transfer to the archives. Retain convenience copies until no longer useful, then destroy. | | DISPOSITION | Archives | | RESTRICTIONS | None | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0734629 | | TITLE | Procedures Manuals | | DESCRIPTION | Original copies of agency procedures issued in a collective manual. | | RETENTION | See Comments | | COMMENTS | Retain until superseded or no longer in effect, then transfer 1 copy to the archives, destroy the remainder. | | DISPOSITION | See Comments | | RESTRICTIONS | None | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0715629 | | TITLE | Program Evaluation System Reports | | DESCRIPTION | Reports generated to provide input to the central office, program managers, and facility staff on the efficiency and effectiveness of the various programs. | | RETENTION | See Comments | | COMMENTS | Retain in office 5 calendar years, then transfer to the archives for purging. | | DISPOSITION | Archives | | RESTRICTIONS | KSA 72-4311 | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0717629 | | TITLE | Referral Information Sheets | | DESCRIPTION | Form completed by the field counselor or private referral source recommending type of program or service for the individual. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 72-4311 | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
Agency Number: 629-008 Department of Social and Rehabilitation Services Integrated Service Delivery Vocational Rehabilitation Center Vocational Evaluation Program
| SERIES ID | 0720629 | | TITLE | Admission Lists | | DESCRIPTION | Form listing the individual consumer, counselor, assignment, services and admission date. | | RETENTION | 005 cldr yrs | | COMMENTS | | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 72-4311 | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0718629 | | TITLE | Log Sheets and Memos | | DESCRIPTION | Logs and corresponding memos listing the consumer, admission date, counselor, discharge date and used to monitor progress. | | RETENTION | See Comments | | COMMENTS | Obsolete series - destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 72-4311 | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
Agency Number: 629-008 Department of Social and Rehabilitation Services Integrated Service Delivery Vocational Rehabilitation Center Youth Adjustment Program
| SERIES ID | 0574629 | | TITLE | Permanent Leave Reports | | DESCRIPTION | Reports listing individuals who have left the program. | | RETENTION | See Comments | | COMMENTS | Obsolete series - destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 72-4311 | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0549629 | | TITLE | Weekend Pass Lists | | DESCRIPTION | Lists identifying individuals who have been granted weekend leave. | | RETENTION | See Comments | | COMMENTS | Obsolete series - destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 72-4311 | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0719629 | | TITLE | Youth Adjustment Referral Reports | | DESCRIPTION | Monthly reports generated listing the referral sources which recommended transfer to Kansas Vocational Rehabilitation Center. | | RETENTION | See Comments | | COMMENTS | Obsolete series - destroy immediately. | | DISPOSITION | Destroy | | RESTRICTIONS | None | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
Agency Number: 629-010 Department of Social and Rehabilitation Services Adult and Medical Services
| SERIES ID | 0709629 | | TITLE | Consumer Eligibility Files | | DESCRIPTION | Documents relating to health care assessments on individuals to determine the eligibility and type of service to be provided. | | RETENTION | See Comments | | COMMENTS | Retain in office 2 years, transfer to the records center for 3 years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 |
| SERIES ID | 0723629 | | TITLE | Provider Fraud/Review Files | | DESCRIPTION | Documents relating to home care provider contracts which are monitored to ensure compliance and accountability of the charges. | | RETENTION | See Comments | | COMMENTS | Retain in office 2 years, then transfer to the records center for 3 years, then destroy. | | DISPOSITION | Destroy | | RESTRICTIONS | KSA 45-221(a)(3) | | APPROVED | 1998-04-16 | | K.A.R. NUMBER | 53-2-115 | New search
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