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 ID0017-629
TITLEFee Fund Reconciliation Form
DESCRIPTIONReport compiled by the agency and used to reconcile all cash transactions made on a daily basis.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-07-14
K.A.R. NUMBER53-2-101


SERIES ID0018-629
TITLEWarrant Registers
DESCRIPTIONCopies of monthly listing of warrant checks issued to clients for assistance.
RETENTION001 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1994-10-13
K.A.R. NUMBER53-2-102


Agency Number: 629-002
Department of Social and Rehabilitation Services
Health Care Policy

SERIES ID0019-629
TITLEAudit Reports
DESCRIPTIONResults of audits conducted by the Legislative Division of Post-Audit and other state and/or federal auditing agencies.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0020-629
TITLEBudget Preparation Files - Annual
DESCRIPTIONDocuments used the preparation of the annual agency budget: correspondence, draft budget requests, computer reports, notes, and other miscellaneous materials.
RETENTION005 fisc yrs
COMMENTSContact the archives for appraisal - if not accepted fro transfer to eh archives, then destroy.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0021-629
TITLEBudget Requests and Appeals - Annual
DESCRIPTIONCopies of budgets submitted yearly to the state legislature for approval and subsequent appeals: DA forms 400 thru 518 and associated supporting documents.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0022-629
TITLECommunity Work Experience Program Files (CWEP)
DESCRIPTIONAgreements between SRS and cooperative worksites and other documents relating to the administration of CWEP which provides employment opportunities for individuals receiving public assistance.
RETENTIONSee Comments
COMMENTSRetain until expiration of the agreement plus 5 years, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0023-629
TITLEComprehensive Adult Student Assessment System Files
DESCRIPTIONVariety 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.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0024-629
TITLEConstituent Complaint Files
DESCRIPTIONIncoming and outgoing letters and memoranda, case logs, and intake logs relating to complaints submitted by constituents.
RETENTION005 fisc yrs
COMMENTSRetain 5 fiscal years, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(14)
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0025-629
TITLECustomer Relations and Referral Services Program Files
DESCRIPTIONCorrespondence, 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.
RETENTION005 fisc yrs
COMMENTSRetain 5 fiscal years, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0026-629
TITLEEmployee Personnel Files - Office Copies
DESCRIPTIONCopies of documents in agency's Employee Personnel Files associated with employment of specific personnel (applications, evaluations, etc.) maintained for convenience of reference.
RETENTIONSee Comments
COMMENTSRetain for length of employee's tenure plus 5 calendar years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0027-629
TITLEEmployee Position Descriptions
DESCRIPTIONFormal descriptions of duties and other characteristics of particular employment positions: DA forms 281-2 and supporting documents.
RETENTIONSee Comments
COMMENTSRetain until superseded plus 3 years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0028-629
TITLEEmployee Time Report Records
DESCRIPTIONRecords 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.
RETENTION005 fisc yrs
COMMENTSInternal agency forms. See also Leave Requests.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0029-629
TITLEFull Time Equivalent Files
DESCRIPTIONDocuments reporting the number of full time equivalent employees working for SRS maintained for reference purposes.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0030-629
TITLEGrant Files - Funded
DESCRIPTIONVariety of documents relating to applications for federal, state, and private grants and to the implementation of those received.
RETENTIONSee Comments
COMMENTSRetain 5 years after the end of the grant period, transfer original applications and annual and final performance reports to the archives, destroy remaining documents.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0031-629
TITLEJob Club Program Files
DESCRIPTIONCorrespondence, 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.
RETENTION005 fisc yrs
COMMENTSRetain 5 fiscal years, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0032-629
TITLEJob Club Training Files
DESCRIPTIONMaterials used to conduct training sessions for staff involved in the Job Club program.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0033-629
TITLEJob Opportunities and Basic Skills (JOBS) Program Files
DESCRIPTIONCorrespondence, state plans, federal reports, and other documents relating to the administration of the JOBS program which provides employment and training to public assistance recipients.
RETENTION005 fisc yrs
COMMENTSRetain 5 fiscal years, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0034-629
TITLEKanWork Program Files
DESCRIPTIONCorrespondence, minutes, policy and procedure manuals, and other documents relating to the administration of the KanWork program which provides job training to public assistance recipients.
RETENTION005 fisc yrs
COMMENTSRetain 5 fiscal years, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0035-629
TITLEKanWork Training Files
DESCRIPTIONMaterials used to conduct training sessions for staff involved in the KanWork program.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0036-629
TITLELeave Requests
DESCRIPTIONInternal forms used to request and authorize the taking of leave by employees.
RETENTION005 fisc yrs
COMMENTSSee also Employee Time Report Records.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0037-629
TITLEMobile Job Club Files
DESCRIPTIONVariety of documents relating to the administration of the Mobile Job Club program which provides public assistance recipients with access to employment training opportunities.
RETENTIONSee Comments
COMMENTSObsolete series. Transfer immediately to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0038-629
TITLEMore Opportunities for Self-Sufficiency Training (MOST) Program Files
DESCRIPTIONCorrespondence, reports, and other documents relating the administration of the MOST program which provides employment and training opportunities to food stamp recipients.
RETENTION005 fisc yrs
COMMENTSRetain 5 fiscal years, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0039-629
TITLEPayroll Warrant Registers
DESCRIPTIONMonthly listing of warrant checks issued to state agency employees for payroll purposes.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0040-629
TITLEPolicy Statements
DESCRIPTIONOriginal copies of formal explanations of agency policies and procedures issued in individual statement formats including SRS commissioners' letters.
RETENTIONSee Comments
COMMENTSRetain until superseded or no longer in effect, then transfer to the archives. Retain convenience copies until no longer useful, then destroy.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0742-629
TITLEProcedures Manuals
DESCRIPTIONOriginal copies of agency procedures issued in a collective manual.
RETENTIONSee Comments
COMMENTSRetain until superseded or no longer in effect, then transfer 1 copy to the archives, destroy the remainder.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0042-629
TITLEReference Files - Customer Relations and Referral Service Program
DESCRIPTIONExternal publications and other documents relating to ombudsmen programs in other states maintained for convenience of reference.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0043-629
TITLEReference Files - Refugee Program
DESCRIPTIONCopies of correspondence, brochures, reports, and other documents relating to refugee programs that are maintained for convenience of reference.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0044-629
TITLEReference Files - SRS Programs
DESCRIPTIONCopies of correspondence, brochures, policy and procedure manuals, and other documents relating to SRS programs that are used to answer constituent complaints.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0045-629
TITLESubject Files
DESCRIPTIONCorrespondence, notes, reports, and other documents relating to a variety of Department of Social and Rehabilitation Services programs, policies, and procedures.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0047-629
TITLESubject Files - Kansas Cares
DESCRIPTIONCorrespondence and other materials relating to the Kansas Cares computer system for the JOBS, MOST and child care programs.
RETENTIONSee Comments
COMMENTSRetain and dispose of in conjunction with associated computer system.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0048-629
TITLEVolunteer Program Training Files
DESCRIPTIONMaterials used to conduct training sessions for staff involved in the volunteer program.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0049-629
TITLEYouth Job Program Training Files
DESCRIPTIONMaterials used to conduct training sessions for staff involved in the youth job program.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


Agency Number: 629-002
Department of Social and Rehabilitation Services
Health Care Policy
Child Care Services

SERIES ID0041-629
TITLEPurchase of Service Applications
DESCRIPTIONCopies of agreements between SRS and child care providers to record rates and other information.
RETENTIONSee Comments
COMMENTSObsolete series. Records maintained in area provider files.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0046-629
TITLESubject Files
DESCRIPTIONVariety of documents relating to the activities of the Child Care Services unit.
RETENTIONSee Comments
COMMENTSRetain according to general schedule where applicable - otherwise retain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSPortions per KSA 45-221(a)(4)
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


Agency Number: 629-003
Department of Social and Rehabilitation Services
Human Resources

SERIES ID0050-629
TITLEAbuse/Neglect Investigation Files
DESCRIPTIONAllegation report, social service plan, intervention plan, etc. relating to the investigation of suspected abuse and/or neglect cases.
RETENTIONSee Comments
COMMENTSRetain 5 years after investigation is closed, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0051-629
TITLEAccounts Payable Records
DESCRIPTIONDocuments related to payment for goods and services: vouchers, correspondence, invoices, ledger books and cards, etc.
RETENTION003 fisc yrs
COMMENTSSee also Ledger - General, Vouchers and Requisitions - Purchase, Vendor Files, Bid Records, and Purchasing Records.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0052-629
TITLEAccounts Receivable Records
DESCRIPTIONDocuments related to the collection of payments due the agency: copies of invoices, correspondence, DA forms 32, etc.
RETENTION003 fisc yrs
COMMENTSSee also Vouchers - Receipts.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0053-629
TITLEApplications for Examination
DESCRIPTIONStandardized 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.
RETENTION003 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0054-629
TITLEArea Management Report
DESCRIPTIONCopies of a report compiled to inform the SRS Secretary of the activities and conditions within the area offices.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0055-629
TITLEAudit Reports
DESCRIPTIONResults of audits conducted by the Legislative Division of Post-Audit and other state and/or federal auditing agencies.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0056-629
TITLEBanking Records
DESCRIPTIONBank statements, deposit books and slips, check registers, and canceled checks.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0057-629
TITLEBatch Transmittal Forms
DESCRIPTIONCompleted forms used to transmit documents for mass computer input - includes both DA forms 199 and/or equivalent internal documents.
RETENTIONSee Comments
COMMENTSRetain in conjunction with transmitted documents, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0058-629
TITLEBudget Allocation Records
DESCRIPTIONDocuments maintained to monitor expenditures charged to each program account number insuring allocation amounts are not exceeded or under charged.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0059-629
TITLEBudget Preparation Files - Annual
DESCRIPTIONDocuments used in the preparation of the annual agency budget: correspondence, draft budget requests, computer reports, notes, and other miscellaneous materials.
RETENTION005 fisc yrs
COMMENTSContact the archives for appraisal - if not accepted for transfer to the archives, then destroy.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0060-629
TITLEBudget Requests and Appeals - Annual
DESCRIPTIONCopies of budgets submitted yearly to the state legislature for approval and subsequent appeals: DA forms 400 thru 518 and associated supporting documents.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0061-629
TITLECertification Log
DESCRIPTIONList verifying licenses required by certain staff members to maintain classification or employment.
RETENTIONSee Comments
COMMENTSRetain until superseded, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0062-629
TITLEChild Abuse/Neglect Public Awareness Fund Files
DESCRIPTIONCorrespondence, payment vouchers, spreadsheets, etc. relating to the monitoring of program expenditures.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0063-629
TITLEChild Care Allocation Fund Files
DESCRIPTIONCorrespondence, payment vouchers, spreadsheets, etc. relating to the monitoring of program expenditures.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0064-629
TITLEChild Support Enforcement Receipt Reports
DESCRIPTIONForms FA-3101 and FA-3451 summarizing the daily totals of monies collected.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0065-629
TITLEClient Assistance Printouts
DESCRIPTIONComputer printouts listing the benefit amount granted to clients prior to the implementation of the Kansas Automated Eligibility Child Support Enforcement System.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0066-629
TITLEClient Billing Records
DESCRIPTIONReports, receipt books, provider billings, time sheets, etc. relating to billing clients for program services.
RETENTION006 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0067-629
TITLEClient Case Files - Adoption Services
DESCRIPTIONApplication, medical history, correspondence, etc. relating to adoption of individuals.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSKSA 39-709(b)
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0068-629
TITLEClient Case Files - Employment Preparation Services
DESCRIPTIONApplication, action plan, determination notification, fiscal materials, etc. relating to Employment Preparation Services eligibility determination and administration of benefits.
RETENTIONSee Comments
COMMENTSRetain 5 years after closure of file, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0069-629
TITLEClient Case Files - Social Services
DESCRIPTIONApplication, medical history, determination notification, fiscal materials, etc. relating to Social Services eligibility determination and administration of benefits.
RETENTIONSee Comments
COMMENTSRetain 5 years after closure of file, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0070-629
TITLEClient Case Files - Vocational Rehabilitation Services
DESCRIPTIONApplications, medical history, rehabilitation plan, determination notification, etc. relating to Vocational Rehabilitation Services eligibility determination and administration of benefits.
RETENTIONSee Comments
COMMENTSRetain 5 years after closure of file, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0071-629
TITLEClient Fraud Files
DESCRIPTIONInvestigation form, client notification form, budget, and payment records relating to clients who may have committed fraud to gain SRS services or benefits.
RETENTIONSee Comments
COMMENTSRetain 5 years after investigation is closed, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0072-629
TITLEClient Payment Records
DESCRIPTIONLogs, contracts, copies of court orders, etc. relating to payments made by clients to SRS.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0073-629
TITLECommittee Files
DESCRIPTIONRecords relating to the establishment, organization, membership, policies, activities, and accomplishments of internal, interagency, and advisory committees.
RETENTION003 cldr yrs
COMMENTSRetain 3 calendar years, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0074-629
TITLECommunity Organizations and Committees Files
DESCRIPTIONCorrespondence, policies and procedures, organization endorsement letters, etc. relating to the mutual interests shared by various community organizations and SRS.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0075-629
TITLEComplaint Files
DESCRIPTIONCopies 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.
RETENTIONSee Comments
COMMENTSTransfer to employee personnel file and retain according to general schedule.
DISPOSITIONSee Comments
RESTRICTIONSKSA 45-221(a)(4), 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0076-629
TITLEComputer Conversion Information File
DESCRIPTIONConfiguration sheets, newsletters, correspondence, field issuance printouts, etc. relating to the implementation of case files on the Kansas Automated Eligibility Child Support Enforcement System.
RETENTIONSee Comments
COMMENTSRetain or dispose of in conjunction with disposition of data in associated computer programs and systems.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0078-629
TITLEContinuing Education Files
DESCRIPTIONCorrespondence, forms, brochures, etc. relating to staff requests to attend meetings, conferences, and workshops.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0079-629
TITLEContracts
DESCRIPTIONLegal agreements with individuals and organizations. Includes all associated documents, e.g.. DA-146 series.
RETENTIONSee Comments
COMMENTSRetain until expiration of contract plus 5 calendar years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0080-629
TITLECorrespondence - Policy Related
DESCRIPTIONIncoming 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.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0081-629
TITLECorrespondence - Routine
DESCRIPTIONIncoming 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0082-629
TITLEEmployee Disciplinary Action File
DESCRIPTIONDocuments relating to investigations of allegations made against SRS staff and any resulting action taken by the agency.
RETENTIONSee Comments
COMMENTSTransfer to employee personnel file and retain according to the general schedule.
DISPOSITIONSee Comments
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0083-629
TITLEEmployee Personnel Files
DESCRIPTIONDocuments associated with the employment of specific personnel: employee evaluation forms, applications for employment, and other personnel materials.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0084-629
TITLEEmployee Personnel Files - Office Copies
DESCRIPTIONCopies of documents in agency's Employee Personnel Files associated with employment of specific personnel (applications, evaluations, etc.) maintained for convenience of reference.
RETENTIONSee Comments
COMMENTSRetain for length of employee's tenure plus 5 calendar years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0085-629
TITLEEmployee Position Descriptions
DESCRIPTIONFormal descriptions of duties and other characteristics of particular employment positions: DA forms 281-2 and supporting documents.
RETENTIONSee Comments
COMMENTSRetain until superseded plus 3 years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0086-629
TITLEEmployee Time Report Records
DESCRIPTIONRecords 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.
RETENTION005 fisc yrs
COMMENTSInternal agency forms. See also Leave Requests.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0087-629
TITLEEmployee Training Course Materials
DESCRIPTIONRecord copy of manuals, syllabi, textbooks and other training aids created for agency sponsored employee training programs.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0088-629
TITLEEmployee Training Records
DESCRIPTIONCorrespondence, reports, and other records relating to the operation of agency sponsored training programs and to employee participation in training programs sponsored by external organizations.
RETENTIONSee Comments
COMMENTSRetain 5 calendar years or until superseded, whichever is sooner, then destroy. See also Employee Training Course Materials.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0089-629
TITLEEmployee Withholding Allowance Certificates
DESCRIPTIONInternal Revenue Service W-4 forms completed by employees to establish rate of tax to be withheld from paychecks.
RETENTIONSee Comments
COMMENTSRetain until no longer in effect, then destroy provided four years have passed since date tax was due or paid (whichever is later).
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0090-629
TITLEEmployment Applications - Not Hired
DESCRIPTIONDA forms 203 and supplementary materials submitted by unsuccessful applicants for employment.
RETENTION003 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0091-629
TITLEEmployment Security Clearance Request
DESCRIPTIONForm used to request security clearance for employees, volunteers, students, etc.
RETENTIONSee Comments
COMMENTSTransfer to employee personnel file, student file, or volunteer file and retain according to general schedule or agency schedule.
DISPOSITIONSee Comments
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0092-629
TITLEEquipment Operation Records
DESCRIPTIONDocuments 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.
RETENTION003 fisc yrs
COMMENTSSee also Equipment Ownership and Maintenance Records.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0093-629
TITLEFoster Care Training Fund Files
DESCRIPTIONCorrespondence, payment vouchers, spreadsheets, etc. relating to the monitoring of foster parent training expenditures.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0094-629
TITLEGrant Files - Funded
DESCRIPTIONVariety of documents relating to applications for federal, state, and private grants and to the implementation of those received.
RETENTIONSee Comments
COMMENTSRetain 5 years after the end of the grant period, transfer original applications and annual and final performance reports to the archives, destroy remaining documents.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0095-629
TITLEHistorical Files
DESCRIPTIONCase files, budgets, minutes, etc. relating to the early administration of area offices.
RETENTIONSee Comments
COMMENTSObsolete series, transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0096-629
TITLEHome Care Worker Shopping Requisitions
DESCRIPTIONForm SA-1062 used to verify the home care workers expenditure of client funds and maintained for accountability purposes.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0097-629
TITLEHome Care Worker Time Verification Records
DESCRIPTIONForm MS-1063 used to verify the total number of hours worked by the home care worker for each client.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4), 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0098-629
TITLEImprest Fund
DESCRIPTIONDocuments 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.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0099-629
TITLEInventory Records - Expendable Property
DESCRIPTIONRecords of receipts, disbursements, and balances of office supplies and other expendable inventory materials.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0100-629
TITLEInventory Records - Non-Expendable Property
DESCRIPTIONRecords related to capital equipment inventory management: DA forms 80 thru 83, computer reports from the Department of Administration, internal documents, correspondence, etc.
RETENTIONSee Comments
COMMENTSRetain until superseded by new inventory plus 3 fiscal years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0638629
TITLEJanitorial Reference Files
DESCRIPTIONContracts, correspondence, etc. relating to independent janitorial companies contracted by SRS to perform maintenance services.
RETENTIONSee Comments
COMMENTSRetain 5 years after termination of contract, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0627629
TITLELaboratory Files
DESCRIPTIONContracts, correspondence, test results, etc. relating to independent laboratories contracted by SRS to perform blood tests.
RETENTIONSee Comments
COMMENTSRetain 5 years after contract has expired, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0563629
TITLELeases - Real Property and Capital Equipment
DESCRIPTIONDocuments related to the leasing of real estate and equipment.
RETENTIONSee Comments
COMMENTSRetain until superseded or inactive plus 5 calendar years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0571629
TITLEMaster Card File
DESCRIPTIONIndex cards listing applicants for the various program services supported by SRS and maintained for convenience of reference.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0568629
TITLEMilitary Leave Report
DESCRIPTIONForm compiled identifying staff enlisted in the Reserves or National Guard and maintained as reference in the event of military duty.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0562629
TITLEMinutes
DESCRIPTIONProceedings of regular or special meetings of committees, commissions, and other standing or ad hoc organizations.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0622629
TITLEMonthly Contractor Reports
DESCRIPTIONComputer printouts listing monies collected monthly by each contractor hired by SRS.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0569629
TITLEMonthly Itinerary for Supervisors
DESCRIPTIONForm listing the location and number of home visits made by supervisors.
RETENTION006 months
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0633629
TITLEMonthly Management Reports
DESCRIPTIONReport submitted monthly by staff updating the area chief of the status of unit progress, requirements, and activities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0570629
TITLEMonthly Statistical Reports
DESCRIPTIONStatistical reports verifying monthly applicant referrals for the various program services supported by SRS.
RETENTION001 fisc yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0646629
TITLEOrganizational Charts
DESCRIPTIONRecords documenting the agency's current organizational structure.
RETENTION003 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0556629
TITLEPayment Collection Plan
DESCRIPTIONPlan compiled for the next fiscal year containing projections of SRS client payment collections that is maintained for budgetary purposes.
RETENTION001 fisc yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0548629
TITLEPayroll Adjustment Records
DESCRIPTIONCopies 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.
RETENTION003 fisc yrs
COMMENTSThis 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.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0572629
TITLEPayroll Deduction Authorization Records - General
DESCRIPTIONDocuments used to authorize various deductions from an employee's pay: insurance enrollments, GHI enrollments, KPERS enrollments, KPERS Annual Account Statements, dues deduction forms, etc.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0552629
TITLEPayroll Direct Deposit Authorization Records
DESCRIPTIONCompleted forms used to authorize direct deposits of payroll checks in employee bank accounts.
RETENTIONSee Comments
COMMENTSRetain until no longer in effect plus 2 years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0551629
TITLEPayroll Warrant Registers
DESCRIPTIONMonthly listing of warrant checks issued to state agency employees for payroll purposes.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0553629
TITLEPetty Cash Records
DESCRIPTIONDocuments related to petty cash accounting: DA-71 thru 73.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0600629
TITLEPostal Records
DESCRIPTIONRecords 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.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0628629
TITLEProject Files
DESCRIPTIONReports, memoranda, and other documents relating to research and development activities for the agency.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0647629
TITLEProvider Care Files
DESCRIPTIONApplication, operating plan, correspondence, etc. relating to licensing agreements with independent adult or child care providers contracted by SRS to provide services.
RETENTIONSee Comments
COMMENTSRetain 5 fiscal years after contract has expired, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0560629
TITLEPublications
DESCRIPTIONInternally produced newsletters, pamphlets, leaflets, and brochures distributed to inform a constituency about the activities of the agency.
RETENTIONSee Comments
COMMENTSRetain in office 1 year, then transfer 2 copies to the archives and destroy the remainder.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0602629
TITLEPurchase Requests - Internal
DESCRIPTIONDocuments used by subordinate organizations to request purchases of goods and services through the agency central purchasing office.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0604629
TITLEPurchasing Records
DESCRIPTIONDocuments related to the purchase of goods and services: correspondence, vouchers, invoices, ledger books and cards, requisitions, etc.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0558629
TITLEQuarterly Statistical Reports
DESCRIPTIONStatistical reports verifying quarterly applicant referrals for the various program services supported by SRS.
RETENTION001 fisc yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0639629
TITLEQuarterly Unemployment Reports
DESCRIPTIONReport produced by the Department of Human Resources listing former SRS employees who have applied for unemployment benefits.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0640629
TITLERandom Employee Sample Technique (REST) Records
DESCRIPTIONCopies of correspondence, observation forms, technique control lists, etc. related to the random quality control checks on staff performing directly related program functions.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0606629
TITLEReceipts Records - Cash
DESCRIPTIONRecords of cash received by the agency: receipt slips, receipt books, receipt ledgers, etc.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0607629
TITLERecords Management Records
DESCRIPTIONDocuments related to the management of agency records including completed survey forms, inventories, and other miscellaneous materials such as correspondence or reference materials.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0645629
TITLERecruitment Files
DESCRIPTIONVariety of documents relating to the recruitment process for hiring employees to fill vacant positions.
RETENTION003 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSPortions per KSA 45-221(a)(4)
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0745-629
TITLEReorganization Studies
DESCRIPTIONRecords documenting actual and proposed agency organizational structure.
RETENTION003 cldr yrs
COMMENTSRetain in office 3 calendar years, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0603629
TITLEReplacement/Repair Request Forms
DESCRIPTIONClaim forms submitted by clients for compensation for repair or replacement of damaged items.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0608629
TITLERequest for Access to Records
DESCRIPTIONDocuments related to requests for access to state agency records and agency responses prepared pursuant to KSA 45-218.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0644629
TITLESHaRP Reports
DESCRIPTIONComputer 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.
RETENTIONSee Comments
COMMENTSRetain electronic or paper copy 3 fiscal years, then destroy. Not applicable to the Division of Accounts and Reports.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0615629
TITLESTARS Reports: Daily Financial
DESCRIPTIONComputer 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.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0614629
TITLESTARS Reports: Monthly Financial
DESCRIPTIONComputer 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.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0613629
TITLESTARS Reports: Yearly Financial
DESCRIPTIONComputer 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.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0610629
TITLESchedules - Office Activities
DESCRIPTIONInternal forms, appointment books, paper and electronic calendars used to schedule employees, office activities, vehicles, meeting rooms, etc.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0632629
TITLESecretary's Letters
DESCRIPTIONCopies of statements issued from the SRS Secretary outlining agency policies and practices.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0625629
TITLESensitive Client Information Files
DESCRIPTIONVariety of documents relating to pending and current client case investigations and appeals which are maintained for convenience of reference.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0601629
TITLEServices Provided Annual Summary
DESCRIPTIONAnnual statistical report compiled on client services for the various program services supported by SRS.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0631629
TITLEState Director's Letters
DESCRIPTIONCopies of policy statements issued by SRS Commissioners regarding agency practices and procedures.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0598629
TITLEStatements of Lost Warrants
DESCRIPTIONCopies of DA form 6 used to request re-issues of lost warrants.
RETENTIONcurrt fisc yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0643629
TITLETechnical Reference Files
DESCRIPTIONCopies 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0642629
TITLETelecommunications Logs
DESCRIPTIONRegisters recording incoming and outgoing telephone calls of the agency.
RETENTION6 months
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0612629
TITLETelephone Billing Records
DESCRIPTIONCopies of computer billings and supporting documents concerning the use of a telecommunications service provider.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0595629
TITLETravel Request and Authorization Records
DESCRIPTIONRecords related to employee travel: DA forms 25 (Request for Out of State Travel) and various internal documents.
RETENTION003 fisc yrs
COMMENTSSee also Vouchers - Travel and Vehicle Operation Records.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0565629
TITLEVacancy Report
DESCRIPTIONReport submitted to the central office confirming vacant positions within the area office.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0621629
TITLEVehicle Maintenance and Ownership Records
DESCRIPTIONDocuments related to the legal ownership and maintenance of agency vehicles: maintenance logs, legal titles, warranties, etc.
RETENTIONSee Comments
COMMENTSRetain for the life of the vehicle, then transfer to subsequent owner or destroy as appropriate.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0620629
TITLEVehicle Operation Records
DESCRIPTIONDocuments related to the use of state-owned motor vehicles: MP forms 1a, 2c, 3a, 3b, 10, 20, and internal agency forms.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0619629
TITLEVendor Files
DESCRIPTIONRecords concerning purchases from specific vendors: invoices, correspondence, vouchers, ledger books and cards, etc.
RETENTION003 fisc yrs
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0618629
TITLEVouchers - Purchase
DESCRIPTIONCopies of documents used to order and pay for goods and services: DA forms 100 thru 109 and DA-120.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0616629
TITLEVouchers - Travel
DESCRIPTIONCopies of documents used to certify the validity of claims for the reimbursement of travel expenses: DA forms 121, 122, and 123.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0567629
TITLEWorkers' Compensation Files
DESCRIPTIONCopy of form (#1101) submitted by the employee reporting an accident or injury which occurred while on the work site.
RETENTION003 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0626629
TITLEWorking Files - Area Director
DESCRIPTIONCorrespondence, policies, fiscal notes, program data, etc. relating to the management of area office resources.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0634629
TITLEWorking Files - Family Support Program
DESCRIPTIONCorrespondence, policies, fiscal, program data, etc. relating to the management of program resources.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0605629
TITLEWorking Files - Home and Community Based Services
DESCRIPTIONCorrespondence, policies, fiscal, program data, etc. relating to the management of program resources.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0566629
TITLEWorking Files - Personnel Officer
DESCRIPTIONCorrespondence, copies of position descriptions, etc. relating to the function and interests of the personnel office.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0609629
TITLEWorking Files - Quality Control Specialist
DESCRIPTIONCorrespondence, interview notes, reports, etc. relating to the operation of the quality control review process conducted on the various types of client cases.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0586629
TITLEWorking Files - Social Service Chief
DESCRIPTIONVariety of documents relating to the management and operation of the program.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


SERIES ID0611629
TITLEWorking Files - Social Worker
DESCRIPTIONVariety of documents relating to the interests and activities of the social worker.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1996-08-08
K.A.R. NUMBER53-2-109


Agency Number: 629-005
Department of Social and Rehabilitation Services
Operations
Area Offices

SERIES ID0708629
TITLEClient Case Files - Employment Preparation Services
DESCRIPTIONApplications and supporting documentation used to determine the eligibility of individuals for services and records documenting all case activities.
RETENTIONSee Comments
COMMENTSProduced only in electronic format. Retain data until no longer useful or 3 years, whichever is longer, then delete. Complies with new federal regulations.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0707629
TITLEClient Case Files - Income Maintenance
DESCRIPTIONApplications and supporting documentation used to determine the eligibility of individuals for programs and records documenting all case activities.
RETENTIONSee Comments
COMMENTSProduced only in electronic format. Retain data until no longer useful or 3 years whichever is longer, then delete. Complies with new federal regulations.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


Agency Number: 629-005
Department of Social and Rehabilitation Services
Operations
Division of Income Maintenance
Area Office

SERIES ID0747-629
TITLEPolicy Statements
DESCRIPTIONOriginal copies of formal explanations of agency policies and procedures issued in individual statement formats.
RETENTIONSee Comments
COMMENTSRetain until superseded or no longer in effect, then transfer to the archives. Retain convenience copies until no longer useful, then destroy.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1993-01-14
K.A.R. NUMBER53-2-095


Agency Number: 629-005
Department of Social and Rehabilitation Services
Operations
Division of Income Maintenance
Area Offices

SERIES ID0375629
TITLEActive Case Listing Report
DESCRIPTIONComputer printout (CR 300) providing a detailed listing of all cases in a specified eligibility or social services worker's caseload.
RETENTIONSee Comments
COMMENTSRetain until superseded, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0230629
TITLEAdult Care Homes Payment Rate Update
DESCRIPTIONMonthly update of local area adult care homes billing rates used to calculate payments made to long term care facilities.
RETENTIONSee Comments
COMMENTSRetain until superseded, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0368629
TITLEApprovals and Denials Summary Report
DESCRIPTIONMonthly computer printout (MR 161) summarizing action taken on all cash and medical assistance applications received.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0371629
TITLEBase Wage, New Hire, and Unemployment Insurance Detailed Report
DESCRIPTIONMonthly 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0233629
TITLEBase Wage, New Hire, and Unemployment Insurance Summary Report
DESCRIPTIONMonthly 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0237-629
TITLECard Files - Master
DESCRIPTIONIndex cards containing information on clients created for convenience of reference.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0232629
TITLECase Management Report
DESCRIPTIONMonthly computer printout (MR 610) summarizing by area the total number of cases opened, closed, and denied.
RETENTION002 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0209629
TITLECaseload Report
DESCRIPTIONMonthly computer printout (MR 310) summarizing a unit's activities by listing the name, program, and month-end status of each client.
RETENTIONSee Comments
COMMENTSRetain until superseded, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0208629
TITLECaseload Summary Report
DESCRIPTIONMonthly computer printout (MR 320) summarizing an eligibility worker's caseload by listing the name, program, and month-end status of each client.
RETENTIONSee Comments
COMMENTSRetain until superseded, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0318629
TITLECases Closed for Non-Receipt of Monthly Report
DESCRIPTIONMonthly computer printout (CR 121) listing cases closed because the client failed to submit the required monthly report.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0261629
TITLECases Notified of Monthly Report Non-Receipt
DESCRIPTIONMonthly computer printout (CR 120) listing the names of clients who failed to submit the required monthly report to alert the eligibility worker.
RETENTION001 cldr yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0240629
TITLECash Assistance Recovery Report
DESCRIPTIONMonthly computer printout (MR 100) listing recoveries of incorrect cash assistance payments by individual case.
RETENTION002 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0200629
TITLEDiscrepancy Reports (Bendex Letters)
DESCRIPTIONComputer generated letters (SWRUN D12) informing eligibility caseworkers of discrepancies between information in income maintenance case files and Social Security Administration files.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to individual case file.
DISPOSITIONSee Comments
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0214629
TITLEDummy Warrant Register
DESCRIPTIONComputer printout (MR 180) listing warrants issued to clients.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0308629
TITLEEligibility Worker Alert Report
DESCRIPTIONComputer printout (CR 330) notifying eligibility caseworkers of cases that are due, overdue, or coming due within the next 14 days.
RETENTIONSee Comments
COMMENTSRetain until superseded, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0196629
TITLEEmployee Personnel Files
DESCRIPTIONDocuments associated with employment of specific personnel: employee evaluation forms, applications for employment, INS Residence Status forms, and other personnel materials.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0197629
TITLEEmployee Training Manuals
DESCRIPTIONOriginal copies of manuals used to train agency personnel.
RETENTIONSee Comments
COMMENTSRetain until superseded or no longer in effect, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0213629
TITLEFood Stamp Benefits For Local Office Pick Up Report
DESCRIPTIONDaily computer printout (MR 200) listing clients who have reported mail loss and have requested food stamp benefit replacement.
RETENTION001 fisc yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0198629
TITLEFood Stamp Mail Issuance Report
DESCRIPTIONMonthly computer printout (FR 259) containing accounting data by county on mail issuance, mail returns, and food stamp replacements with state totals.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0199629
TITLEFood Stamp Program Summary Report
DESCRIPTIONMonthly computer printout (FR 256) summarizing by county the number of households and individuals receiving food stamps and the total value of food stamps issued.
RETENTION002 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0212629
TITLEFood Stamp Recoveries Report
DESCRIPTIONMonthly computer printout (MR 242) listing claims against clients for food stamp overissuances and amounts recouped.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0370629
TITLEIRS Unearned Income Tracking Report
DESCRIPTIONMonthly computer printout (CR 535) containing information obtained from the IRS on unearned income received by clients.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0204629
TITLEIncome Maintenance Case Files
DESCRIPTIONApplications and supporting documentation used to determine the eligibility of persons for income maintenance programs and records documenting all case activity.
RETENTIONSee Comments
COMMENTSData 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.
DISPOSITIONSee Comments
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0217629
TITLEIncome Maintenance Statistics Report
DESCRIPTIONMonthly computer printout (MR 600) summarizing expenditures for each income maintenance program: cash, food stamps, and medical.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0218629
TITLEKANWORK Program Files
DESCRIPTIONVariety of documents related to the administration of the KANWORK employment training program for income maintenance clients.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0228629
TITLELog Book
DESCRIPTIONLog listing the numbers assigned to correspondence.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0236629
TITLELow Income Energy Assistance Program Master Report
DESCRIPTIONAnnual computer printout (SW61905V) listing Low Income Energy Assistance Program clients and benefits received during the previous year.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0239629
TITLELow Income Energy Assistance Program Payment Register
DESCRIPTIONComputer printout (SW61233C) listing warrants issued to Low Income Energy Assistance Program clients.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0238629
TITLELow Income Energy Assistance Program Weekly Report
DESCRIPTIONWeekly reports created to monitor the number of Low Income Energy Assistance applications received and processed.
RETENTION001 cldr yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0195629
TITLEMass Change Detail Summary Report
DESCRIPTIONComputer printout (MR 340) containing summary Social Security cost of living adjustment data used to monitor changes in income maintenance program eligibility.
RETENTION002 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0202629
TITLEMedical Transportation Recipients Report
DESCRIPTIONMonthly computer printout (MR 710) listing clients who received benefits to pay for transportation to medical appointments.
RETENTION001 fisc yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0205629
TITLEPending Applications Area Report
DESCRIPTIONWeekly computer printout (MR 105) summarizing pending applications for assistance in each area office.
RETENTIONSee Comments
COMMENTSRetain until superseded, then destroy. Case names are not included on the report.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0369629
TITLEPregnant Women Report
DESCRIPTIONComputer 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.
RETENTION002 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0263629
TITLEProcedures Manuals
DESCRIPTIONOffice copies of agency procedures issued in collective manual including Income Support & Medical Services Commissioner's letters.
RETENTIONSee Comments
COMMENTSRetain until superseded, then destroy. Original copies are retained in the central office.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0207629
TITLEQuality Control Files
DESCRIPTIONOffice copies of documents relating to quality control unit reviews of selected cases.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy. Original copies are retained by the central office quality control unit.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0262629
TITLEReviews Due and Overdue Reports
DESCRIPTIONMonthly 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.
RETENTION002 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0234629
TITLESocial Security Number Validation Discrepancy Report
DESCRIPTIONMonthly 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.
RETENTION001 cldr yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0231629
TITLESubject Files
DESCRIPTIONWide variety of documents maintained by eligibility workers for reference purposes.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0229629
TITLESubject Files - Income Maintenance Chief
DESCRIPTIONVariety of documents related to the operation and management of income maintenance programs.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0201629
TITLESupplemental Security Income Monthly Payment Report
DESCRIPTIONMonthly computer printout (SWRUN 115) reporting Supplemental Security Income payments received by income maintenance clients used to monitor client eligibility.
RETENTION001 cldr yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0215629
TITLETimeliness Measurement of Approved Cash and Medical Applications Report
DESCRIPTIONMonthly computer printout (MR 162) containing information on cases that were not approved in a timely manner and the reasons for the delay.
RETENTION001 cldr yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0210629
TITLETimeliness Summary of Food Stamp Transactions Report
DESCRIPTIONMonthly computer printout (MR 272) containing information on whether food stamp applications were processed in a timely manner.
RETENTION002 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0211629
TITLEUntimely Food Stamp Disposition Report
DESCRIPTIONMonthly 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.
RETENTION002 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0206629
TITLEWeekly Application Summary Report
DESCRIPTIONComputer printout (MR 370) summarizing each eligibility worker's weekly activities including the number of applications received and actions taken.
RETENTION001 cldr yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


Agency Number: 629-005
Department of Social and Rehabilitation Services
Operations
Division of Income Maintenance
Central Office

SERIES ID0278629
TITLEComplaint Files
DESCRIPTIONCorrespondence and documentation relating to complaints made by clients and the general public about Division of Income Maintenance services and activities.
RETENTION004 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(14)
APPROVED1993-01-14
K.A.R. NUMBER53-2-095


SERIES ID0267629
TITLECorrespondence - Federal
DESCRIPTIONIncoming and outgoing letters and memoranda to a variety of federal agencies.
RETENTIONSee Comments
COMMENTSRetain in office 4 years, transfer to the records center for 3 years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-01-14
K.A.R. NUMBER53-2-095


SERIES ID0744-629
TITLECorrespondence - Policy Related
DESCRIPTIONIncoming 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.
RETENTION005 cldr yrs
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1993-01-14
K.A.R. NUMBER53-2-095


SERIES ID0266629
TITLECorrespondence - Routine
DESCRIPTIONIncoming 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.
RETENTIONSee Comments
COMMENTSRetain in office 4 years, transfer to the records center for 3 years, then destroy. Supersedes general schedule.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-01-14
K.A.R. NUMBER53-2-095


SERIES ID0264629
TITLEEmployee Personnel Files - Office Copies
DESCRIPTIONCopies 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.
RETENTIONSee Comments
COMMENTSRetain for length of employee's tenure plus 5 calendar years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1993-01-14
K.A.R. NUMBER53-2-095


SERIES ID0272629
TITLEFood Stamp Program Federal Reports
DESCRIPTIONVariety of computer generated statistical reports required by the federal government to monitor the food stamp program to ensure compliance and accountability.
RETENTION004 fisc yrs
COMMENTSRetain 4 years, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSPortions under 7CFR 272.1(s)
APPROVED1993-01-14
K.A.R. NUMBER53-2-095


SERIES ID0271629
TITLEIncome Maintenance Finance Files
DESCRIPTIONVariety of documents relating to the fiscal operation of the division including vouchers, receipts, and purchase orders, etc.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-01-14
K.A.R. NUMBER53-2-095


SERIES ID0260629
TITLEPolicy Statements
DESCRIPTIONOriginal copies of formal explanations of agency policies and procedures issued in individual statement formats including Income Support & Medical Services Commissioner's letters.
RETENTIONSee Comments
COMMENTSRetain until superseded or no longer in effect, then transfer to the archives. Retain convenience copies until no longer useful, then destroy.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1993-01-14
K.A.R. NUMBER53-2-095


SERIES ID0746-629
TITLEProcedures Manuals
DESCRIPTIONOriginal copies of agency procedures issued in a collective manual.
RETENTIONSee Comments
COMMENTSRetain until superseded or no longer in effect, then transfer 1 copy to the archives, destroy the remainder.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1993-01-14
K.A.R. NUMBER53-2-095


SERIES ID0269629
TITLESubject Files
DESCRIPTIONWorking files containing convenience copies of a wide variety of documents regarding division activities maintained by individual staff members.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-01-14
K.A.R. NUMBER53-2-095


Agency Number: 629-005
Department of Social and Rehabilitation Services
Operations
Employment Preparation Services

SERIES ID0596629
TITLEChild Care Facility Complaints and Reports of Investigation Files
DESCRIPTIONDocuments received from local SRS offices relating to complaints lodged against child care facilities including reports of suspected child abuse, neglect, or sexual abuse.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONSee Comments
RESTRICTIONSKSA 45-221(a)(11)
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0561629
TITLEChild Development Associate Scholarship Application Files
DESCRIPTIONApplications, correspondence, award letters, and other documents relating to applications for federally funded Child Development Associate Scholarships.
RETENTIONSee Comments
COMMENTSRetain 5 years after the end of the grant period, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0584629
TITLEContracts - Job Opportunities and Basic Skills (JOBS) and KanWork Programs
DESCRIPTIONContracts between SRS and local organizations providing employment through the JOBS and KanWork programs to individuals receiving public assistance.
RETENTIONSee Comments
COMMENTSRetain until expiration of contract plus 5 calendar years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0550629
TITLECorrespondence - Department of Human Resources
DESCRIPTIONCorrespondence with the Kansas Department of Human Resources relating to employment programs for public assistance recipients.
RETENTION005 cldr yrs
COMMENTSRetain 5 calendar years, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0623629
TITLEEmployee Training Records
DESCRIPTIONCorrespondence, reports, and other records relating to the operation of agency sponsored training programs and to employee participation in training programs sponsored by external organizations.
RETENTIONSee Comments
COMMENTSRetain 5 calendar years or until superseded, whichever is sooner, then destroy. See also Employee Training Course Materials.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0637629
TITLEGrant Files - Funded
DESCRIPTIONVariety of documents relating to applications for federal, state, and private grants and to the implementation of those received.
RETENTIONSee Comments
COMMENTSRetain 5 years after the end of the grant period, transfer original applications and annual and final performance reports to the archives, destroy remaining documents.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0599629
TITLERefugee Arrivals and Assurances Report
DESCRIPTIONCopy of federal report documenting the arrival and settlement of refugees into the country.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0554629
TITLERefugee Financial Reports
DESCRIPTIONVariety of reports completed by SRS staff maintained to monitor expenditures incurred throughout the refugee program.
RETENTION010 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0635629
TITLESubject Files - United States Department of Agriculture (USDA)
DESCRIPTIONVariety of documents relating to policy information distributed by the USDA to update SRS staff.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0641629
TITLETechnical Reference Files
DESCRIPTIONCopies 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0559629
TITLETechnical Reference Files - Contracts
DESCRIPTIONMemoranda, articles, and other materials compiled from various sources maintained as a guide to writing and monitoring contracts.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0630629
TITLEWork Incentive Program (WIN) Grant Reduction Files
DESCRIPTIONCorrespondence, reduction reports, and other documents relating to the administration of the WIN program grant reduction.
RETENTIONSee Comments
COMMENTSObsolete series.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


SERIES ID0648629
TITLEWork Incentive Program (WIN) Program Files
DESCRIPTIONCorrespondence, reports, and other documents relating to the administration of the WIN program which provides employment and training opportunities to qualified recipients.
RETENTIONSee Comments
COMMENTSObsolete series. Transfer to the archives immediately.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1995-04-13
K.A.R. NUMBER53-2-104


Agency Number: 629-005
Department of Social and Rehabilitation Services
Operations
Estate Recovery Unit

SERIES ID0706629
TITLEEstate Recovery Case Files
DESCRIPTIONCorrespondence, eligibility history, probate pleadings, family agreements, etc. relating to legal action taken to recover assets from deceased medical assistance recipients' estates.
RETENTIONSee Comments
COMMENTSRetain 5 years after case is closed, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b & 45-221(a)(3)
APPROVED1998-10-08
K.A.R. NUMBER53-2-117


Agency Number: 629-006
Department of Social and Rehabilitation Services
Children and Family Services

SERIES ID0712629
TITLEChild Support Case Files
DESCRIPTIONCourt records, payment histories, correspondence, etc. relating to paternity establishment for child support order and collections of child support, medical support and alimony.
RETENTIONSee Comments
COMMENTSRetain 5 years after case is closed, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1998-10-08
K.A.R. NUMBER53-2-117


SERIES ID0695629
TITLEGuardianship/Adoption Records - State Wards
DESCRIPTIONDocuments relating to guardianship cases filed with Social and Rehabilitation Services that are closed at the time of adoption or at age 21.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONSee Comments
RESTRICTIONSKSA 65-2423
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


Agency Number: 629-006
Department of Social and Rehabilitation Services
Children and Family Services
Legal Division

SERIES ID0700629
TITLEMedical Subrogation Case Files
DESCRIPTIONMedical reports, police reports, accident inquiries, correspondence, etc. relating to agency efforts to recover medical costs.
RETENTIONSee Comments
COMMENTSRetain 5 years after cased is closed, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b & 45-221(a) (3)
APPROVED1998-10-08
K.A.R. NUMBER53-2-117


Agency Number: 629-007
Department of Social and Rehabilitation Services
State Hospitals and Facilities
Comprehensive Eval. and Transition

SERIES ID0672629
TITLEChild/Adult Abuse Hotline Report
DESCRIPTIONCopies 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.
RETENTIONSee Comments
COMMENTSRetain in office 2 calendar years, transfer to the records center for 19 years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 38-1507 and 39-1404
APPROVED1994-04-14
K.A.R. NUMBER53-2-100


SERIES ID0579629
TITLEEvaluation and Treatment Records
DESCRIPTIONDocuments 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.
RETENTIONSee Comments
COMMENTSObsolete series. Retain until child reaches majority at 21 plus 3 additional years in the records center, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 38-1507,38-1514,38-1608,38-1609,45-221(a)(3), & 65-5602
APPROVED1997-07-10
K.A.R. NUMBER53-2-112


SERIES ID0578629
TITLEIncident Reports
DESCRIPTIONReports describing any breach of security or other risks which pose a danger to clients.
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602, 65-4915, 65-4291 & 45-221(3)
APPROVED1997-07-10
K.A.R. NUMBER53-2-112


Agency Number: 629-007
Department of Social and Rehabilitation Services
State Hospitals and Facilities
State Facilities

SERIES ID0309629
TITLEAccountable Medication Records
DESCRIPTIONDocuments used to maintain inventories of controlled substances in the residential units - indicates all issuances, to whom issued, and running balances.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3)
APPROVED1988-10-13
K.A.R. NUMBER53-2-074


SERIES ID0185629
TITLEAccounts Payable Records
DESCRIPTIONDocuments related to payment for goods and services: vouchers, correspondence, invoices, ledger books, and cards, etc.
RETENTION003 fisc yrs
COMMENTSSee also Ledgers - General, Vouchers and Requisitions - Purchase, Vendor Files, Bid Records, and Purchasing Records.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0176629
TITLEAccounts Receivable Records
DESCRIPTIONDocuments related to the collection of payments due the agency: copies of invoices, correspondence, DA forms 32, etc.
RETENTION003 fisc yrs
COMMENTSSee also Vouchers - Receipts.
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0216629
TITLEActivity Descriptions
DESCRIPTIONDescriptions made and reviewed by the staff of various recreational activities planned for the residents which are used to determine the feasibility of such activities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0148629
TITLEAdmission Application Files - Not Accepted
DESCRIPTIONDocuments regarding applications for admission to the Institute which were not approved: correspondence, reports, application forms, and supporting materials.
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1989-04-27
K.A.R. NUMBER53-2-079


SERIES ID0222629
TITLEAgency Financial Reports
DESCRIPTIONDaily, monthly, and annual computer printouts listing by object code all funds budgeted, expended, encumbered, and the balance.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy. These are not CASK or STARS reports. Previously titled "Agency Monthly Reports."
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0187629
TITLEAgency Monthly Reports
DESCRIPTIONMonthly computer reports listing by object code all funds budgeted, expended, encumbered, and the balance.
RETENTIONSee Comments
COMMENTSThese are not CASK or STARS reports. Previously titled "Summary of Expenditures by Object Code Reports."
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0184629
TITLEAnnual and Special Reports
DESCRIPTIONGeneral and specific reports on agency activities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0472629
TITLEApplicants Register
DESCRIPTIONComputer reports listing names and addresses of applicants for employment.
RETENTION003 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0536629
TITLEArchitectural Drawings, Plans, Maps, and Specifications
DESCRIPTIONRecords documenting physical plant of the agency.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(12)
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0246629
TITLEAudit Reports
DESCRIPTIONResults of audits conducted by the Legislative Division of Post-Audit and other state and/or federal auditing agencies.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0179629
TITLEAugmentative Files
DESCRIPTIONDocuments concerning the use and operation of the augmentative equipment which provides alternative ways to communicate with residents.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0395629
TITLEAuthorized Purchase Order Listings
DESCRIPTIONHandwritten journals of expenditures encumbered and allowed by funding codes.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0159629
TITLEAutopsy Records
DESCRIPTIONRecords of autopsies performed on deceased clients.
RETENTIONSee Comments
COMMENTSObsolete records series - transfer to archives immediately. This record series now maintained as part of "Client Records" (q.v.).
DISPOSITIONArchives
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1989-04-27
K.A.R. NUMBER53-2-079


SERIES ID0452629
TITLEBank Statements and Cancelled Checks
DESCRIPTIONBanking documents related to a variety of fund accounts.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0491629
TITLEBanking Records
DESCRIPTIONBank statements, deposit books and slips, check registers, and canceled checks.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0526629
TITLEBatch Transmittal Forms
DESCRIPTIONCompleted forms used to transmit documents for mass computer input - includes both DA forms 199 and/or equivalent internal documents.
RETENTIONSee Comments
COMMENTSRetain in conjunction with transmitted documents, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0125629
TITLEBiennial Reports
DESCRIPTIONBiennial reports containing information relating to the activities of the state hospitals.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer one copy to the archives and destroy the remainder.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0525629
TITLEBilling Accounts Receivable Reports
DESCRIPTIONExperimental accounting report abandoned as uneconomical.
RETENTIONSee Comments
COMMENTSObsolete records series - destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0524629
TITLEBoiler Operation Log
DESCRIPTIONRecord of essential data on power plant boiler operation: temperature, pressure, etc.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0523629
TITLEBudget Preparation Files - Annual
DESCRIPTIONDocuments used in the preparation of annual agency budget: correspondence, draft budget requests, computer reports, notes, and other miscellaneous materials.
RETENTION005 fisc yrs
COMMENTSPortions 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.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0522629
TITLEBudget Requests and Appeals - Annual
DESCRIPTIONCopies of budgets submitted yearly to the state legislature for approval and subsequent appeals: DA forms 400 thru 518 and associated supporting documents.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0521629
TITLEBuilding Construction Files
DESCRIPTIONRecords related to building construction projects: correspondence, drawings, contracts, specifications, bid information and awards, etc.
RETENTIONPermanent
COMMENTSRetain permanently in office or transfer to archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0520629
TITLEBuilding Maintenance Files
DESCRIPTIONRecords related to building maintenance projects: correspondence, drawings, bids, publications, notes, etc.
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0166629
TITLECETA Files
DESCRIPTIONRecords concerning work performance and training of individuals employed under the CETA program: copies of certificates and diplomas, applications, transcripts, time sheets, agreements, etc.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(9)
APPROVED1988-10-13
K.A.R. NUMBER53-2-076


SERIES ID0250629
TITLECancelled Forms List
DESCRIPTIONList of all the cancelled forms which is kept for reference in the event a discontinued form needs to be used again.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0509629
TITLECanteen Accounting Records
DESCRIPTIONRecords concerning financial affairs of the canteen: ledgers, receipts, bank statements, invoices, check ledgers, etc.
RETENTIONSee Comments
COMMENTSObsolete records series - destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0518629
TITLECapital Improvement Projects Cost Statistics
DESCRIPTIONDocuments related to building construction costs: vouchers, ledger sheets, correspondence, etc.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0505629
TITLECapital Improvement Projects Files
DESCRIPTIONRecords related to real estate and construction projects: correspondence, architectural drawings, financial records, reports, photographs, etc.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging. See also Architectural Plans, Drawings, and Specifications.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0527629
TITLECapital Outlay Records
DESCRIPTIONDocuments related to the purchase of capital equipment: ledgers, correspondence, copies of vouchers, etc.
RETENTIONSee Comments
COMMENTSThis is an obsolete records series - retain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0103629
TITLECemetery Records
DESCRIPTIONDocuments listing deceased residents buried at the facilities including name and grave number.
RETENTIONPermanent
COMMENTSRetain permanently or transfer to the archives.
DISPOSITIONPermanent
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0241629
TITLECenter Forms List
DESCRIPTIONList of all the forms created for the facilities which is used to keep track of any revisions, cancellations, or new forms.
RETENTIONSee Comments
COMMENTSRetain until superseded, then place in "Cancelled Forms List."
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0490629
TITLECheck Registers and Stubs
DESCRIPTIONRecords of bank transactions related to reimbursement operations.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0516629
TITLEClient Abuse Records
DESCRIPTIONRecords related to allegations, charges, and investigations of abuse of clients by staff members: correspondence, reports, photographs, legal documents, etc.
RETENTIONSee Comments
COMMENTSRetain until case is closed plus 3 calendar years, then transfer to archives.
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(3)
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0482629
TITLEClient Account Ledger Cards
DESCRIPTIONRecord of expenditures for individual client's care and board, of reimbursement received thereof, and subsequent credit/debit balances.
RETENTIONSee Comments
COMMENTSTwo subseries: 1. Care and Maintenance and 2. Trust Fund (obsolete).
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0471629
TITLEClient Accounts Worksheets
DESCRIPTIONLedger style spread sheets used in accounting for client costs & reimbursements thereof.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0161629
TITLEClient Admission and Discharge Register
DESCRIPTIONLog 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to archives. Contains three sub-series: residents, out-patients, and discharges.
DISPOSITIONArchives
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1989-04-27
K.A.R. NUMBER53-2-079


SERIES ID0313629
TITLEClient Benefit Fund Database System
DESCRIPTIONInter-related computer databases used to manage Client Benefit Fund.
RETENTIONSee Comments
COMMENTSPrint data in report monthly and maintain with Client Benefit Fund General Accounting Records, then delete data from hard disk.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0480629
TITLEClient Benefit Fund General Accounting Files
DESCRIPTIONDocuments 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.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0154629
TITLEClient Card File - Master
DESCRIPTIONAbstracts of client records maintained on 5x7 cards: name, number, parents or guardians, vital statistics, admission and discharged information, personal information, diagnoses, records of leaves.
RETENTIONSee Comments
COMMENTSRetain until client deceased or discharged plus 25 years, then transfer to archives.
DISPOSITIONArchives
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1989-04-27
K.A.R. NUMBER53-2-079


SERIES ID0170629
TITLEClient Census Reports
DESCRIPTIONDaily and monthly summaries of client movement statistics (admissions, discharges, etc.) - includes short entries regarding individual clients moved.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1989-04-27
K.A.R. NUMBER53-2-079


SERIES ID0157629
TITLEClient Census Working Files
DESCRIPTIONRecords documenting the compilation of the Client Census Reports (q.v.): notes, completed forms, worksheets, etc.
RETENTION003 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1989-04-27
K.A.R. NUMBER53-2-079


SERIES ID0497629
TITLEClient Files
DESCRIPTIONRecords of financial conditions of clients' guardians or parents maintained for purposes of assigning reimbursement charges for care and board of those patients.
RETENTIONSee Comments
COMMENTSRetain until after death or discharge of client plus 20 calendar years, then transfer to archives.
DISPOSITIONArchives
RESTRICTIONSKSA 65-5602 & 45-221(a)(1)(3)
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0298629
TITLEClient Prescription Profiles
DESCRIPTIONRecords of prescriptions for individual clients - duplicate maintained in Client Files (q.v.) at medical records center.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3)
APPROVED1988-10-13
K.A.R. NUMBER53-2-076


SERIES ID0162629
TITLEClient Records
DESCRIPTIONRecords on all aspects of clients' diagnoses and treatment: medical, psychological, social, educational, speech and audiology, dental, unit filings, crisis files, etc. Includes outpatient & transfer.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONSee Comments
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1989-04-27
K.A.R. NUMBER53-2-079


SERIES ID0289629
TITLEClient Trust Fund Database System
DESCRIPTIONInter-related computer databases used to manage the Client Trust Fund and containing information regarding receipts, expenditures, balances, and individual patients' financial situations.
RETENTIONSee Comments
COMMENTSTransfer data to floppy disks yearly and delete from hard disk - retain floppy disks for 3 additional fiscal years, then erase.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0489629
TITLEClient Trust Fund General Accounting Records
DESCRIPTIONRecords related to administration of and accounting for the Client Trust Fund: receipts, withdrawal slips, bank books and statements, etc.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0478629
TITLEClient Trust Fund Monthly Transaction Lists
DESCRIPTIONMonthly computer report of all activities in the Client Trust Fund.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0503629
TITLEClient Trust Fund Receipts and Sales Slips
DESCRIPTIONRecords of purchases for and/or by clients using trust fund monies.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0477629
TITLEClient Trust Fund Vouchers
DESCRIPTIONInternal form used to document purchases by resident using trust fund monies.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0299629
TITLEClothing Inventory Records
DESCRIPTIONDocuments used to keep track of the clothing and personal property of residents.
RETENTIONSee Comments
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0255629
TITLECommunity Services Client Files
DESCRIPTIONDocuments maintained on clients outside the facility which contains behavioral consults, testing, and recommendations by the staff for them.
RETENTIONPermanent
COMMENTS
DISPOSITIONPermanent
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0268629
TITLECommunity Services Files
DESCRIPTIONDocuments relating to community services projects completed by the staff including logs, hours, trips, evaluation reports, and test results.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0275629
TITLECompliance Reports
DESCRIPTIONReports created to help plan, monitor and review the various programs within the facility to ensure compliance with federal and state regulations.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0515629
TITLECondition Reports
DESCRIPTIONCompleted forms used to survey and report on conditions for specific units of the physical plant.
RETENTION001 cldr yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0135629
TITLEConsent Form Files
DESCRIPTIONConsent 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then place in respective 'Client Records.'
DISPOSITIONSee Comments
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0514629
TITLEContracts
DESCRIPTIONLegal agreements with individuals and organizations. Includes all associated documents, e.g.. DA-146 series.
RETENTIONSee Comments
COMMENTSRetain until expiration of contract plus 5 calendar years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0116629
TITLEContracts - Consultants
DESCRIPTIONLegal agreements with consultants to the facility. Includes all associated documents, e.g.. DA-140 series.
RETENTIONSee Comments
COMMENTSRetain until expiration of contract plus 5 calendar years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0156-629
TITLECorrespondence - Medical Records
DESCRIPTIONCorrespondence removed from Client Records (q.v.) and established as a separate series.
RETENTIONSee Comments
COMMENTSRetain and dispose of in conjunction with associated Client Records (q.v.).
DISPOSITIONSee Comments
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1989-04-27
K.A.R. NUMBER53-2-079


SERIES ID0557629
TITLECorrespondence - Policy Related
DESCRIPTIONIncoming 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.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0151629
TITLECorrespondence - Routine
DESCRIPTIONIncoming 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0144629
TITLECourier Log
DESCRIPTIONLog used to record all packages delivered to the switchboard by the courier companies.
RETENTION001 fisc yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0307629
TITLEDaily Activity Journals - Pharmacy
DESCRIPTIONDaily logs of prescription medication issued, to whom, by whom, and quantity issued.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3)
APPROVED1988-10-13
K.A.R. NUMBER53-2-074


SERIES ID0510629
TITLEDelivery Log
DESCRIPTIONRecord of the receipts of purchased goods delivered.
RETENTIONSee Comments
COMMENTSObsolete records series - destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0293629
TITLEDepartmental Cost Reports
DESCRIPTIONCompleted forms IM-A-1 detailing monthly expenditures of each unit by expense classifications.
RETENTIONSee Comments
COMMENTSObsolete records series - destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0248629
TITLEDepartmental Internal Cost Reports
DESCRIPTIONMonthly expenditures of selected objects by the service department and unit compared to allocated amounts including internal reports by department and object.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0300629
TITLEDiet Database System
DESCRIPTIONInter-related databases regarding dietary requirements of individual clients - duplicates information maintained in Client Records.
RETENTIONSee Comments
COMMENTSRetain data until superseded or until death or discharge of client, then delete.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3)
APPROVED1988-10-13
K.A.R. NUMBER53-2-076


SERIES ID0141629
TITLEDiet Requests
DESCRIPTIONDocuments related to special dietary requirements for some residents.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0301629
TITLEDietary Staff Scheduling Database
DESCRIPTIONComputer database used to generate work schedules and sign-out sheets for the Dietary Department staff on a monthly basis.
RETENTIONSee Comments
COMMENTSRetain until updated and no longer useful, then delete.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-10-13
K.A.R. NUMBER53-2-076


SERIES ID0302629
TITLEDirect Care Staff Scheduling Database
DESCRIPTIONComputer database used to print monthly work schedules and sign-in sheets for the direct care staff.
RETENTIONSee Comments
COMMENTSRetain until updated and no longer useful, then delete.
DISPOSITIONDelete
RESTRICTIONSNone
APPROVED1988-10-13
K.A.R. NUMBER53-2-076


SERIES ID0242629
TITLEDispatch Log
DESCRIPTIONLog used to record all communications with security and any resulting action taken during all the shifts.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0316629
TITLEDrug Inspection Reports
DESCRIPTIONReports of inspection of institution units by pharmacist concerning conditions of drugs storage and other adherence to policies and procedures.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-10-13
K.A.R. NUMBER53-2-074


SERIES ID0305629
TITLEDrug Waste and Returns Records
DESCRIPTIONRecords of drugs issued but not used and their dispositions (destroyed or re-issued) thereafter.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-10-13
K.A.R. NUMBER53-2-074


SERIES ID0304629
TITLEDrugs Inventory
DESCRIPTIONRecords of periodic inventory of pharmaceuticals on hand.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-10-13
K.A.R. NUMBER53-2-074


SERIES ID0249629
TITLEDysphagia Consults
DESCRIPTIONDocuments related to video swallow consultations for residents who have difficulty in swallowing to the Nutritional Guidance Committee.
RETENTIONSee Comments
COMMENTSMaintain along with individual "Client Records."
DISPOSITIONSee Comments
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0499629
TITLEElectronic Data System Federal Corporation Adjustment Records
DESCRIPTIONCopies of forms used to make adjustments in patients' reimbursement account records at the EDS Federal Corporation.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0280629
TITLEEmergency Paging and Announcement Logs
DESCRIPTIONLogs used to record all calls made over the public address system.
RETENTION001 fisc yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0538629
TITLEEmployee Files - Special
DESCRIPTIONRecords related to specific employees regarding either their professional credentials or concerning non-routine events such as grievances, disciplinary actions, etc.
RETENTIONSee Comments
COMMENTSRetain during tenure of specific employee plus 5 calendar years, then transfer.
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0312629
TITLEEmployee Health Cards
DESCRIPTIONCard files recording tuberculosis tests, tetanus shots, pinworm medication, hepatitis tests, and other medical tests and treatments administered to employees - a.k.a. "TB Cards."
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3)
APPROVED1988-10-13
K.A.R. NUMBER53-2-076


SERIES ID0277629
TITLEEmployee Health Records
DESCRIPTIONDocuments related to employees' health maintained pursuant to K.A.R. 28-34-8 including examination sheets, health histories, hepatitis test results, correspondence, etc.
RETENTIONSee Comments
COMMENTSRetain 5 years after employee tenure, then destroy. Retain hepatitis B and HIV results permanently.
DISPOSITIONSee Comments
RESTRICTIONSKSA 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0519629
TITLEEmployee Injury Reports
DESCRIPTIONCompleted forms detailing injuries suffered by employees while at work - includes staff physician's diagnosis.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0545629
TITLEEmployee Personnel Files
DESCRIPTIONDocuments associated with employment of specific personnel: employee evaluation forms, applications for employments, INS Residence Status forms, and other personnel materials.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0543629
TITLEEmployee Position Descriptions
DESCRIPTIONFormal descriptions of duties and other characteristics of particular employment positions: DA forms 281-2 and supporting documents.
RETENTIONSee Comments
COMMENTSRetain until superseded plus 3 years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0171629
TITLEEmployee Time Report Records
DESCRIPTIONRecords 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.
RETENTION005 fisc yrs
COMMENTSInternal agency forms. See also Leave Requests.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0169629
TITLEEmployee Training Files
DESCRIPTIONRecords related to the training/career development of individual employees: correspondence, course plans, records requests, grades, transcripts, evaluations, copies of certificates and diplomas, etc.
RETENTIONSee Comments
COMMENTSWill require some purging by archives staff.
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(9)
APPROVED1988-10-13
K.A.R. NUMBER53-2-076


SERIES ID0542629
TITLEEmployment Applications - Not Hired
DESCRIPTIONDA forms 203 and supplementary materials submitted by unsuccessful applicants for employment.
RETENTION003 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0535629
TITLEEmployment Eligibility Verification Form
DESCRIPTIONImmigration and Naturalization Service (INS) form I-9 completed by the employee verifying eligibility to work in the United States.
RETENTIONSee Comments
COMMENTSRetain until end of employee's tenure plus 3 years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0541629
TITLEEncumbrance Authorization Records
DESCRIPTIONCopies of DA forms 146 and supporting materials authorizing encumbrances of agency funds.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0415629
TITLEEqual Employment Opportunity Plans
DESCRIPTIONDocuments related to agency compliance with laws and regulations concerning EEO/AA plans including the agency characteristic plan.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0540629
TITLEExpendable Inventory Reports
DESCRIPTIONInventory forms listing supplies consumed, unit costs, total costs, and summaries.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0539629
TITLEFeedback Sheets
DESCRIPTIONDaily reports from housekeeping staff on their work activities.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0528629
TITLEFire and Safety Records
DESCRIPTIONRecords regarding maintenance and inspections of fire and safety equipment, training, and related issues.
RETENTIONSee Comments
COMMENTSRetain 3 calendar years then destroy except for certifications required by regulations to remain on file perpetually - retain these documents until superseded, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0244629
TITLEFoster Grandparent Financial Records
DESCRIPTIONDocuments related to the financial accounting of the Foster Grandparent Program.
RETENTIONSee Comments
COMMENTSRetain according to general schedule (KAR 53-3-1) where applicable, otherwise retain 3 fiscal years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0537629
TITLEFoster Grandparents Meal Records
DESCRIPTIONForms documenting meals served to persons participating in the Foster Grandparents Program.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0547629
TITLEFunds Review Committee Records
DESCRIPTIONRecords regarding activities of committee charged with the oversight of the Patient Benefit and Trust Funds: minutes and financial statements.
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0167629
TITLEGrade Books
DESCRIPTIONRecords of student grades for specific courses given.
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(9)
APPROVED1988-10-13
K.A.R. NUMBER53-2-076


SERIES ID0276629
TITLEGrant Files - Funded
DESCRIPTIONVariety of documents relating to applications for federal, state, and private grants and to the implementation of those received.
RETENTIONSee Comments
COMMENTSRetain 5 years after the end of the grant period, transfer original applications and annual and final performance reports to the archives, destroy remaining documents.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0155629
TITLEGuardian Change of Address Card File
DESCRIPTIONNotification received from social workers or postal service pertaining to changes of address by guardians of clients.
RETENTIONSee Comments
COMMENTSRetain until superseded or until associated client has been discharged or deceased, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1989-04-27
K.A.R. NUMBER53-2-079


SERIES ID0147629
TITLEGuardian Information Files
DESCRIPTIONDocuments relating to the individual resident's guardian in the event the facilities need to contact him/her regarding the resident.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0111629
TITLEHepatitis B Files
DESCRIPTIONDocuments relating to vaccines given to staff to protect them from possible infection by resident Hepatitis B carriers.
RETENTIONSee Comments
COMMENTSPlace in respective employee personnel file and retain accordingly.
DISPOSITIONSee Comments
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0165629
TITLEIn-Service Files
DESCRIPTIONRecords related to specific courses taught and the participation of individuals in them: student rosters, attendance records, syllabi, and other miscellaneous documents.
RETENTIONSee Comments
COMMENTSWill require purging by archives staff.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-10-13
K.A.R. NUMBER53-2-076


SERIES ID0534629
TITLEIncident and Elopement Reports
DESCRIPTIONNarrative reports describing security related incidents and specifically unauthorized absences from institution grounds by residents.
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSKSA 65-5602 & 45-221(a)(1)(3)
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0121629
TITLEInfectious Surveillance Records
DESCRIPTIONDocuments used to monitor residents' infectious diseases and antibiotic use to prevent further spread.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0533629
TITLEIntermediate Care Facilities Files
DESCRIPTIONRecords related to inspections and certifications required by the federal Health Care Financing Administration: reports, regulations, correspondence, etc.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0120629
TITLEIntermediate Care Facilities for Mentally Retarded Surveys
DESCRIPTIONSurveys 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0243629
TITLEIntermediate Care Facilities for the Mentally Retarded Financial Records
DESCRIPTIONFinancial 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.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0130629
TITLEInternal Memos - Routine
DESCRIPTIONMemos distributed to staff members to keep them informed of events and changes at the facilities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0314629
TITLEInventory Database
DESCRIPTIONComputer database used to manage capital property inventory.
RETENTIONSee Comments
COMMENTSRetain data until updated, then delete. Data is also printed in reports scheduled as part of other series.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0498629
TITLEInventory Property Cards
DESCRIPTIONCard file with record for each capital equipment inventory item.
RETENTIONSee Comments
COMMENTSObsolete series - now being placed on computer database. Retain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0531629
TITLEInventory Property Number Registers
DESCRIPTIONLists of agency non-expendable property on inventory: dates of acquisitions, types of property, descriptions, and property numbers assigned.
RETENTIONSee Comments
COMMENTSRetain until no longer in effect plus 3 fiscal years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0190629
TITLEInventory Records - Expendable Property
DESCRIPTIONRecords of receipts, disbursements, and balances of office supplies and other expendable inventory materials.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0532629
TITLEInventory Records - Non-Expendable Property
DESCRIPTIONRecords related to capital equipment inventory management: DA forms 80 and 83, computer reports from the Department of Administration, internal documents, correspondence, etc.
RETENTIONSee Comments
COMMENTSRetain until superseded by new inventory plus 3 fiscal years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0530629
TITLEInventory Transaction Register
DESCRIPTIONHand completed forms listing all purchases of capital equipment - maintained in conjunction with copies of DAM013 reports.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0500629
TITLEInvoice Files
DESCRIPTIONAccounts payable records consisting of invoices from vendors and contractors along with some supporting documents.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0227629
TITLEJob Training and Partnership Act Employees Files
DESCRIPTIONDocuments associated with employment of specific personnel under the Job Training and Partnership Act: employment contract, time sheets, evaluations, and other personnel materials.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4) & 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0270629
TITLEKey Security Log
DESCRIPTIONLog relating to the control and issuing of facility security key sets.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0253629
TITLELaboratory Request Slips
DESCRIPTIONInternal 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.
RETENTION002 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0186629
TITLELaboratory Specimen Log
DESCRIPTIONSpecimen log used to record the completion of laboratory work for residents.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0517629
TITLELeave Requests
DESCRIPTIONInternal forms used to request and authorize the taking of leave by employees.
RETENTION005 fisc yrs
COMMENTSSee also Employee Time Report Records.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0419629
TITLELedgers - General
DESCRIPTIONGeneral records maintained by agencies of financial receipts and expenditures normally used to monitor, manage, and verify agency budget.
RETENTION003 fisc yrs
COMMENTSThis series includes only internal documents.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0149629
TITLELegislative Relations Files
DESCRIPTIONCopies of bills and statutes, drafts of legislation, notes, correspondence, testimony, and other miscellaneous documents related to various legislative activities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0104629
TITLELeisure Activities Evaluation Forms
DESCRIPTIONForms used to evaluate the effectiveness of large group leisure activities for the residents at the facilities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0132629
TITLELinen Delivery Records
DESCRIPTIONDocuments used to record the amount of linen delivered to each unit daily.
RETENTION001 fisc yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0488629
TITLELists of Outstanding Obligations
DESCRIPTIONDA forms 118 and associated materials used to document funds encumbered from previous fiscal year which are yet to be disbursed.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0487629
TITLEMeal Tickets
DESCRIPTIONTickets for meals sold to employees and other non-residents.
RETENTION001 fisc yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0251629
TITLEMealtime Management Files
DESCRIPTIONDocuments relating to the unit feeding committees to assess at-risk residents and their progress.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0142629
TITLEMedication and Supply Requisitions
DESCRIPTIONInternal 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.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0153629
TITLEMidnight Movement Reports
DESCRIPTIONReports from residence units regarding patient movements in and out of the units - information summarized in Client Census Reports (q.v.).
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1989-04-27
K.A.R. NUMBER53-2-079


SERIES ID0150629
TITLEMinutes
DESCRIPTIONProceedings of regular or special meetings of committees, commissions, and other standing or ad hoc organizations.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0224629
TITLEMinutes - Health Promotion Council
DESCRIPTIONProceedings of regular or special meetings of the Health Promotion Council.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0311629
TITLENeighborhood Youth Corps Health Records
DESCRIPTIONMinimal health examination records maintained on participants in the NYC (summer job) program: nursing assessments, TB test results, and injury reports.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3)
APPROVED1988-10-13
K.A.R. NUMBER53-2-076


SERIES ID0107629
TITLENursing Administration Records
DESCRIPTIONWide variety of documents used in the administration of the nursing services at the facilities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSPortions may be restricted
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0123629
TITLENursing Staff Records
DESCRIPTIONDaily staffing sheets used to schedule nurses in the wards to ensure adequate coverage.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0484629
TITLEObject Code Ledger Books
DESCRIPTIONHandwritten record of all agency expenditures arranged by object codes: object codes, dates, vendors, voucher numbers, estimated costs, dates paid, and fund balances.
RETENTION010 fisc yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0252629
TITLEOff Campus Appointment Records
DESCRIPTIONInternal forms used to schedule all appointments made for the residents with consulting physicians not at the facilities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0483629
TITLEOrganization Files
DESCRIPTIONMiscellaneous records related to interaction with other organizations, including local, state, and federal agencies: correspondence, reports, notes, etc.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0508629
TITLEOutpatient Files
DESCRIPTIONRecords of financial situations of guardians or parents of outpatients and reimbursement charges to them for various services.
RETENTIONSee Comments
COMMENTSObsolete records series - transfer immediately to archives for purging.
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(1)(3) & 65-5602
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0113629
TITLEOutpatient Resident Index Cards
DESCRIPTIONBackground documentation filled out on index cards about residents for possible admission to the facility on an outpatient basis.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12(b)(11) & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0225629
TITLEPatient Account Management Records
DESCRIPTIONDatabase records, reports, vouchers and other documents related to collection of payments from clients maintained in hard copy and electronic format.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(1)(3)
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0476629
TITLEPayment Journal - Patient Reimbursement
DESCRIPTIONRecord of payments credited to patients reimbursement accounts: dates, patient identification, source code, amounts, description of payment, name of parent or guardian, trust fund.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0364629
TITLEPayroll Deduction Authorization Records - General
DESCRIPTIONDocuments used to authorize various deductions from an employee's pay: insurance enrollments, GHI enrollments, KPERS enrollments, KPERS Annual Account Statements, dues deduction forms, etc.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0373629
TITLEPayroll Direct Deposit Authorization Records
DESCRIPTIONCompleted forms used to authorize direct deposits of payroll checks in employee bank accounts.
RETENTIONSee Comments
COMMENTSRetain until no longer in effect plus 2 years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0475629
TITLEPayroll Records - General
DESCRIPTIONCopies of DA forms 4, 10, 10A, and miscellaneous supporting materials.
RETENTIONSee Comments
COMMENTSObsolete records series - destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0474629
TITLEPersonnel Administration Files
DESCRIPTIONWide variety of documents used to administer personnel at agency: correspondence, reports, statistics, policies, procedures, studies, notes, etc.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0315629
TITLEPersonnel and Payroll Database System
DESCRIPTIONInter-related computer databases used to manage agency personnel and payroll.
RETENTIONSee Comments
COMMENTSAll information in database duplicates that found in paper records series schedule elsewhere. Retain data until updated or until no longer useful, then delete.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0183629
TITLEPetty Cash Records
DESCRIPTIONDocuments related to petty cash accounting: DA-71 thru 73.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0160629
TITLEPhotographic and Video Materials
DESCRIPTIONPhoto-prints, negatives, slides, films, and videotapes.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then contact the archives for appraisal - if not accepted for transfer to the archives, then destroy.
DISPOSITIONSee Comments
RESTRICTIONSPortions may be restricted.
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0192629
TITLEPolicy Statements
DESCRIPTIONOriginal copies of formal explanations of agency policies and procedures issued in individual statement formats.
RETENTIONSee Comments
COMMENTSRetain until superseded or no longer in effect, then transfer to the archives. Retain convenience copies until no longer useful, then destroy.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0152629
TITLEPostal Records
DESCRIPTIONRecords 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.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0303629
TITLEPrescriptions
DESCRIPTIONPhysicians prescriptions for various medications to be issued to clients.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3)
APPROVED1988-10-13
K.A.R. NUMBER53-2-076


SERIES ID0473629
TITLEPrinting Requisitions
DESCRIPTIONCopies of DA forms 104 used to order and pay for work by the State Printer, and supporting materials.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0748629
TITLEProcedures Manuals
DESCRIPTIONOriginal copies of agency procedures issued in a collective manual.
RETENTIONSee Comments
COMMENTSRetain until superseded or no longer in effect, then transfer 1 copy to the archives, destroy the remainder.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0181629
TITLEPrograms and Invitations
DESCRIPTIONDocuments related to official agency functions.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0511629
TITLEProperty Disposition Records - Non-Expendable
DESCRIPTIONCopies of DA forms 110 and supporting documents used to remove capital equipment from the agency inventory.
RETENTION003 fisc yrs
COMMENTSA.k.a. "Condemnation Records."
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0117629
TITLEProperty Relocation Requests
DESCRIPTIONDocuments used to keep track of property locations and any possible relocation within the facility.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0110629
TITLEProtection from Harm Files
DESCRIPTIONDocuments 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0127629
TITLEPsychological Test Kits
DESCRIPTIONStandard psychological tests completed on residents to determine their intelligence level.
RETENTIONSee Comments
COMMENTSRetain test protocols until no longer useful, then destroy. Retain test protocol summaries in respective "Client Records" and retain accordingly.
DISPOSITIONSee Comments
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0193629
TITLEPsychology Files
DESCRIPTIONDocuments relating to the profile and progress or regression in the individual resident's program.
RETENTIONSee Comments
COMMENTSRetain until tenure of resident, then transfer to the resident's file.
DISPOSITIONSee Comments
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0177629
TITLEPurchase Requests - Internal
DESCRIPTIONDocuments used by subordinate organizations to request purchases of goods and services through the agency central purchasing office.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0506629
TITLEPurchase Requisition Control Log
DESCRIPTIONRegister of all purchase requisitions generated.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0507629
TITLEPurchase Requisitions
DESCRIPTIONBound copies of DA forms 100 used in purchasing goods and services.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0178629
TITLEPurchasing Records
DESCRIPTIONDocuments related to the purchase of goods and services: correspondence, vouchers, invoices, ledger books and cards, requisitions, etc.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0479629
TITLEPurchasing Records - General
DESCRIPTIONWide variety of documents (largely copies) related to operation of purchasing unit: correspondence, reports, invoices, procedures, publications, etc.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0128629
TITLEReach Program Index Cards
DESCRIPTIONIndex 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0504629
TITLEReceipts Records - Cash
DESCRIPTIONRecords of cash received by the agency: receipt slips, receipt books, receipt ledgers, etc.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0502629
TITLEReconciliation of Change Fund (Petty Cash) Records
DESCRIPTIONDA form 75 used to account for petty cash.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0129629
TITLERecreation and Leisure Records
DESCRIPTIONDocuments related to the residents' related recreational and leisure activities including assessments data sheets, forms, meeting notes, etc.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSPortions may be restricted
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0496629
TITLEReimbursement Statements
DESCRIPTIONCopies of billings sent to guardians and/or parents of patients for care and board of those patients.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0501629
TITLERemittance Advice Reports
DESCRIPTIONComputer reports listing patients and their reimbursement status via MEDICAID for care given - received from the Electronic Data System Federal Corporation.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0486629
TITLEReports - Miscellaneous
DESCRIPTIONCollection of special reports on a variety of topics related to the agency mission.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0164629
TITLEResearch and Reference Files
DESCRIPTIONDocuments resulting from research projects and programs conducted: theses, dissertations, papers, publications, and other miscellaneous materials.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-10-13
K.A.R. NUMBER53-2-076


SERIES ID0126629
TITLEResident Activity Attendance Records
DESCRIPTIONDocuments relating the attendance of residents participating in leisure activities at the facilities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0105629
TITLEResident Care/Behavior Sheets
DESCRIPTIONReports made by the direct care staff on the units to the nursing staff regarding resident care or behavior incidents.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0106629
TITLEResident Check Sheets
DESCRIPTIONBed check sheets filled out nightly to monitor the residents in the wards.
RETENTION001 cldr yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0254629
TITLEResident I.D. Picture Cards
DESCRIPTIONPhotographs taken of residents to use on identification cards which are used by the physicians to help recognize them.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0274629
TITLEResident Ledgers
DESCRIPTIONLogs of residents admitted to the state hospitals for patient care.
RETENTIONSee Comments
COMMENTSObsolete series, transfer to the archives immediately.
DISPOSITIONArchives
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-10-08
K.A.R. NUMBER53-2-094


SERIES ID0133629
TITLEResident Review Records
DESCRIPTIONDocuments relating to the review of the individual resident's current training level to assess the effectiveness of the program plan.
RETENTIONSee Comments
COMMENTSPlace in the respective resident's files and retain accordingly.
DISPOSITIONSee Comments
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0495629
TITLEResidents Employment Files
DESCRIPTIONPersonnel records maintained on residents employed.
RETENTIONSee Comments
COMMENTSRetain during tenure of employee plus 3 calendar years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0102629
TITLEResidents by Age Records
DESCRIPTIONIndex cards listing the residents by age and their birthdate which are used for reference purposes.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0136629
TITLEResidents by County Records
DESCRIPTIONIndex cards listing the number of residents admitted from a specific county which are used for reference purposes.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0145629
TITLEResidents' Training Materials
DESCRIPTIONDaily routines and data used to help train residents for a variety of tasks including personal hygiene, speech, etc.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0257629
TITLERespite Files
DESCRIPTIONDocuments 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.
RETENTIONPermanent
COMMENTS
DISPOSITIONPermanent
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0109629
TITLERestraint Reports
DESCRIPTIONReports 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.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0245629
TITLESTARS Reports: Daily Financial
DESCRIPTIONComputer 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.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0182629
TITLESTARS Reports: Monthly Financial
DESCRIPTIONComputer 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.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0194629
TITLESTARS Reports: Yearly Financial
DESCRIPTIONComputer reports regarding agency financial status issued on a yearly basis from the Division of Accounts and Reports to the Statewide Accounting and Reporting Systems.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0163629
TITLESWEP Files
DESCRIPTIONRecords regarding participation of individuals in the Summer Work Employment Program: applications, correspondence, physical examination results, performance ratings, and time sheets.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(9)
APPROVED1988-10-13
K.A.R. NUMBER53-2-076


SERIES ID0494629
TITLESalary and Wages Authorizations and Expenditures Reports
DESCRIPTIONMonthly computer printout listing all payroll authorized and paid for each organizational unit of agency.
RETENTIONSee Comments
COMMENTSObsolete records series.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0158629
TITLESanitation Checklists
DESCRIPTIONLists used to monitor monthly sanitation checks of all the units to ensure compliance with federal standards.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0114629
TITLESchedules - Office Activities
DESCRIPTIONInternal forms, appointment books, paper and electronic calendars used to schedule employees, office activities, vehicles, meeting rooms, etc.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0493629
TITLESecurity Log
DESCRIPTIONDaily narrative record of all security related activities and events.
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0492629
TITLESecurity Records
DESCRIPTIONCopies of records maintained by Security Office (see Incident and Elopement Reports).
RETENTIONSee Comments
COMMENTSReports will be used by archives staff to fill gaps in Incidents and Elopement Reports after transfers.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0512629
TITLESecurity Report Sheets - Daily
DESCRIPTIONLogs of daily activities by individual security staff members.
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0175629
TITLESewing Room Requests
DESCRIPTIONMemos 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.
RETENTION001 cldr yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0124629
TITLESocial Service Case Activity Log
DESCRIPTIONLog used by the social workers to keep track of individual resident's contacts and activities which is used for reference purposes.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0137629
TITLESocial Service Records
DESCRIPTIONDocuments relating to client care and training which are duplicates from other units for reference use by the staff.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0372629
TITLESpecial Projects Accounting Records
DESCRIPTIONDocuments related to the financial administration of various special grant-funded projects, many associated with University of Kansas: routine correspondence, vouchers, telephone logs, invoices, etc.
RETENTIONSee Comments
COMMENTSObsolete records series - destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0131629
TITLESpeech Therapy Files
DESCRIPTIONDocuments relating to an individual resident's program in speech therapy which are used to keep track of any progress or regression.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to resident's file.
DISPOSITIONSee Comments
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0221629
TITLESpeech and Hearing Outpatient Reports
DESCRIPTIONMonthly summary reports used for billing purposes containing outpatient's name and date and length of treatment.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(1)(3)
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0146629
TITLEStaff In-Service Attendance Lists
DESCRIPTIONRosters of staff members listing the in-services they have attended which are used to monitor their certification requirements.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0112629
TITLEStaff In-Service Files
DESCRIPTIONShort 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy. Delete from computer when no longer useful.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0140629
TITLESterilization Records
DESCRIPTIONDocuments relating to residents who underwent sterilization procedures performed at the facility.
RETENTIONSee Comments
COMMENTSObsolete series, transfer to the archives immediately.
DISPOSITIONArchives
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0529629
TITLEStock Inventory Records - Expendable
DESCRIPTIONRecords of receipts of expendable stock items.
RETENTIONSee Comments
COMMENTSObsolete records series - being transferred to computer database.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0414629
TITLEStock Requisitions
DESCRIPTIONCompleted internal forms used by Purchasing Unit to record orders of expendable goods.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0296629
TITLEStores Requisitions
DESCRIPTIONCompleted internal forms (IM-1105) used to requisition supplies by and for various organizational units in the agency.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0418629
TITLESubject Files
DESCRIPTIONRecords 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0295629
TITLESubject Files
DESCRIPTIONWide variety of documents related to multiple aspects of logistical and administrative activities at the agency.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0173629
TITLESubject Files - Chaplain
DESCRIPTIONVariety of documents relating to the services of chaplain for the residents at the facilities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSPortions may be restricted
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0256629
TITLESubject Files - Community Services
DESCRIPTIONWide variety of documents relating to the administration of the community services program.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging. Portions may be restricted.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0168629
TITLESubject Files - General
DESCRIPTIONRecords related to the employee training and career development program: correspondence, reports, publications, personnel records, and other materials.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-10-13
K.A.R. NUMBER53-2-076


SERIES ID0138629
TITLESubject Files - Music Therapy
DESCRIPTIONWide variety of documents relating to the administration of the music therapy program.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSPortions may be restricted.
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0416629
TITLESubject Files - Non-Routine
DESCRIPTIONWide variety of documents related to the physical plant activities of a non-routine nature.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0172629
TITLESubject Files - Reimbursement
DESCRIPTIONWide variety of financial documents relating to the reimbursement unit.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0294629
TITLESubject Files - Reimbursement Unit
DESCRIPTIONMiscellaneous documents regarding operations of the Reimbursement Unit.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0417629
TITLESubject Files - Routine
DESCRIPTIONRecords related to routine activities of the office: correspondence, receipts, bid sheets, reports, gasoline reports, copies of vouchers, etc.
RETENTIONSee Comments
COMMENTSSee also Subject Files, Non-Routine.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0174629
TITLESubject Files - Sewing Room
DESCRIPTIONVariety of documents relating to the activities and administration of the sewing room.
RETENTIONSee Comments
COMMENTSRetain until no longer needed, then transfer to the archives for purging. Portions may be restricted.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0101629
TITLESubject Files - Staff Training
DESCRIPTIONWide variety of documents relating to the administration of the staff training program.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0108629
TITLESubject Files - Volunteer Services
DESCRIPTIONWide variety of documents relating to the administration of the volunteer services division.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSPortions may be restricted.
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0292629
TITLESummary of Expenditures by Object Code Reports
DESCRIPTIONMonthly computer reports listing by object code all funds budgeted, expended, encumbered, and balances.
RETENTIONSee Comments
COMMENTSThis is not a CASK report.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0273629
TITLESupplemental Information for Registers
DESCRIPTIONSupplemental information which should have been included in the residents' registers.
RETENTIONSee Comments
COMMENTSObsolete series, transfer to the archives immediately.
DISPOSITIONArchives
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-10-08
K.A.R. NUMBER53-2-094


SERIES ID0226629
TITLESupported Family Living Reimbursement Files
DESCRIPTIONDocuments relating to payments made to supported family living providers to reimburse families with mentally retarded children living in their home.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0139629
TITLESurveys and Questionnaires
DESCRIPTIONSurvey 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0555629
TITLETelecommunications Logs
DESCRIPTIONRegisters recording incoming and outgoing telephone calls of the agency.
RETENTION6 months
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0143629
TITLETelephone Billing Records
DESCRIPTIONCopies of computer billings and supporting documents concerning the use of a telecommunications service provider.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0291629
TITLETime Report Work Sheets
DESCRIPTIONCompleted forms used to input monthly time data into KIPPS computer system.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0290629
TITLETime Reports - Daily
DESCRIPTIONInternal reports submitted by each unit listing time work for each employee daily (sign-in and -out sheets).
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0134629
TITLEToll Log
DESCRIPTIONLog used to record long distance calls not on the KANS-A-N line made by staff.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0118629
TITLETool Control Files
DESCRIPTIONDocuments used to monitor the distribution of tools within the facilities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0188629
TITLETraining Sheets
DESCRIPTIONForms used to track and analyze the task performances of residents in training programs which are used to assess the effectiveness of the program.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 76-12b11 & 45-221(a)(3)
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0362629
TITLETravel Request and Authorization Records
DESCRIPTIONRecords related to employee travel: DA forms 25 (Request for Out of State Travel) and various internal documents.
RETENTION003 fisc yrs
COMMENTSSee also Vouchers - Travel and Vehicle Operation Records.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0191629
TITLETuition Assistance Records
DESCRIPTIONDocuments related to the administration of tuition assistance programs for employees including applications, information on tuition assistance programs elsewhere, and educational institutions.
RETENTIONSee Comments
COMMENTSRetain 1 year after employee's tenure, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0288629
TITLETurn Around Documents
DESCRIPTIONCopies 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.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0297629
TITLEUtilization Sheets
DESCRIPTIONDaily summary of housekeeping staff activities by building and task.
RETENTION001 fisc yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0283629
TITLEVRU Billing Records
DESCRIPTIONDocuments related to purchases of goods and services by the Vocational Rehabilitation Unit.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0119629
TITLEVehicle Maintenance and Ownership Records
DESCRIPTIONDocuments related to the legal ownership and maintenance of agency vehicles: maintenance logs, legal titles, warranties, etc.
RETENTIONSee Comments
COMMENTSRetain for the life of the vehicle, then transfer to subsequent owner or destroy as appropriate.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0286629
TITLEVehicle Operation Records
DESCRIPTIONDocuments related to the use of state-owned motor vehicles: MP forms 1a, 2c, 3a, 3b, 10, 20, and internal agency forms.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0285629
TITLEVending - Records of Daily Sales
DESCRIPTIONDaily records of sales receipts from vending machines - internal form "A."
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0223629
TITLEVisitors Logs
DESCRIPTIONRegisters or logs used to record names, outside contractors, service personnel, and other visitors to agency facilities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0220629
TITLEVolunteer Applications
DESCRIPTIONApplications submitted by individuals interested in volunteer work at state hospitals.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1993-04-15
K.A.R. NUMBER53-2-096


SERIES ID0284629
TITLEVouchers - Receipts
DESCRIPTIONDA 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.
RETENTION003 fisc yrs
COMMENTSIncludes a sub-series of duplicates of DA forms 103 which may be destroyed immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0115629
TITLEWash and Finishing Records
DESCRIPTIONDaily wash and finishing reports including wash room weights and finishing count.
RETENTION001 cldr yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0259629
TITLEWeekly/Monthly Duplicating Tally
DESCRIPTIONTally of the usage and costs accrued on photoduplication machines on a weekly and monthly basis which is used for accounting purposes to the company.
RETENTION001 fisc yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0281629
TITLEWork Order Logs
DESCRIPTIONHandwritten register of work orders for maintenance tasks.
RETENTION003 fisc yrs
COMMENTSObsolete records series - destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0306629
TITLEWork Orders and Logs
DESCRIPTIONInternal documents used to request and record requests for the performance of maintenance or other services.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0247629
TITLEWork Therapy Benefit Fund
DESCRIPTIONFinancial records related to the administration of the Work Therapy Benefit Fund which helps fund projects for residents.
RETENTIONSee Comments
COMMENTSRetain according to general schedule (KAR 53-3-1) entries where applicable, otherwise retain 3 fiscal years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSPortions may be restricted.
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0282629
TITLEWorkers Compensation Files
DESCRIPTIONRecords regarding employee accidents reported to the state workers compensation system: Report of Employee Injury, WC form 1101A, correspondence, vouchers, notes, medical reports, etc.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


SERIES ID0287629
TITLEWorkshop Earnings Listings
DESCRIPTIONRecords of pay earned by residents participating in workshop program as applied to re-imbursement for care provide to them.
RETENTIONSee Comments
COMMENTSObsolete records series - destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


Agency Number: 629-007
Department of Social and Rehabilitation Services
State Hospitals and Facilities
State Faculties

SERIES ID0122629
TITLESubject Files - Activity
DESCRIPTIONWide variety of documents relating to resident activities including special Olympics materials.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSPortions may be restricted
APPROVED1992-07-09
K.A.R. NUMBER53-2-093


SERIES ID0279629
TITLETime Schedules - Monthly
DESCRIPTIONRecord of time worked by employees - compiled from Daily Time Reports (q.v.).
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1988-07-14
K.A.R. NUMBER53-2-075


Agency Number: 629-007
Department of Social and Rehabilitation Services
State Hospitals and Facilities
State Hospitals

SERIES ID0583629
TITLEAWOL/Missing Persons Reports
DESCRIPTIONCopies 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602
APPROVED1997-04-10
K.A.R. NUMBER53-2-111


SERIES ID0361629
TITLEAccounts Payable Records
DESCRIPTIONDocuments related to payment for goods and services: vouchers, correspondence, invoices, ledger books and cards, etc.
RETENTION003 fisc yrs
COMMENTSSee also Ledgers - General, Vouchers and Requisitions - Purchase, Vendor Files, Bid Records, and Purchasing Records.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0382629
TITLEAccounts Receivable Ledgers - Patients
DESCRIPTIONDocuments related to the collection of payments due the facility for Medicare, Medicaid, and insurance billing purposes.
RETENTION003 fisc yrs
COMMENTSSee also Vouchers - Receipts.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0360629
TITLEAccounts Receivable Records
DESCRIPTIONDocuments related to the collection of payments due the agency: copies of invoices, correspondence, DA forms 32, etc.
RETENTION003 fisc yrs
COMMENTSSee also Vouchers - Receipts.
DISPOSITIONDestroy
RESTRICTIONSPortions may be restricted per KSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0359629
TITLEActivity Therapy Monthly Reports
DESCRIPTIONMonthly reports monitoring patient participation in scheduled activities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0358629
TITLEActivity Therapy Patient Program Files
DESCRIPTIONWide variety of documents relating to the activity therapy programs offered to patients to help with their progress.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0357629
TITLEActivity Therapy Quality Assurance Monitors Files
DESCRIPTIONSemi-annual staff performance evaluations produced to ensure the quality and appropriateness of activity therapy programs and activities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0411629
TITLEAdministrative Segregation Reports
DESCRIPTIONReports no longer in use by the facility containing reasons for segregating patients and subsequent reviews of justification and decisions to release from segregation.
RETENTIONSee Comments
COMMENTSObsolete series, destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0356629
TITLEAdmissions Log
DESCRIPTIONLog compiled on all patients admitted to the state hospitals which is used for reimbursement purposes.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0435629
TITLEAntibiotic Daily Reports
DESCRIPTIONReports of antibiotics issued on a daily basis to patients.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0755-629
TITLEAsbestos Removal Reports
DESCRIPTIONDocuments relating to the removal of asbestos from buildings on the state hospital grounds.
RETENTION005 cldr yrs
COMMENTSRetain in office 5 calendar years, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED2003-01-09
K.A.R. NUMBER53-2-133


SERIES ID0444629
TITLEAudiometric Screening Test Results
DESCRIPTIONRequisitions for hearing tests and test results for patients.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0384629
TITLEBanking Records
DESCRIPTIONBank statements, deposit books and slips, check registers, and canceled checks.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0365629
TITLEBatch Transmittal Forms
DESCRIPTIONCompleted forms used to transmit documents for mass computer input - includes both DA forms 199 and/or equivalent internal documents.
RETENTIONSee Comments
COMMENTSRetain in conjunction with transmitted documents, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0391629
TITLEBudget Preparation Files - Annual
DESCRIPTIONDocuments used in the preparation of annual agency budget: correspondence, draft budget requests, computer reports, notes, and other miscellaneous materials.
RETENTION005 fisc yrs
COMMENTSContact the archives for appraisal - if not accepted for transfer to the archives, then destroy.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0390629
TITLEBudget Requests and Appeals - Annual
DESCRIPTIONCopies of budgets submitted yearly to the state legislature for approval and subsequent appeals: DA forms 400 thru 518 and associated supporting documents.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0597629
TITLEBuilding Security Violation Report
DESCRIPTIONForm completed by Security Department officers during their assigned routine inspections to ensure that any lapses in security procedures are corrected.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1997-04-10
K.A.R. NUMBER53-2-111


SERIES ID0405629
TITLEBylaws
DESCRIPTIONFormal policy statements regarding the administrative and organizational structure of the hospital and the responsibilities of individuals and committees.
RETENTIONSee Comments
COMMENTSRetain until superseded or no longer in effect, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0389629
TITLECanteen Fund Records
DESCRIPTIONDocuments concerning the financial accounting of the canteen fund: ledgers, receipts, bank statements, invoices, check ledgers.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0388629
TITLECapital Improvement Projects Files
DESCRIPTIONRecords related to construction projects: correspondence, bids, specifications, plans, drawings, reports, notes, etc.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging. See also Architectural Plans, Drawings, and Specifications.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0451629
TITLECard File of Patients
DESCRIPTIONDocuments relating to patients' medical history and current status.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer one copy to the archives, the remainder destroy.
DISPOSITIONSee Comments
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0387629
TITLECarpet Care Records
DESCRIPTIONDocuments recording the frequency of carpet care to ensure proper maintenance.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0397629
TITLECase Files of Employees
DESCRIPTIONDocuments relating to investigations of employee conduct including: court orders, reports to courts, correspondence and personal notes of attorneys, investigative reports, and grievances.
RETENTIONSee Comments
COMMENTSRetain 5 years after case is closed, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0460629
TITLECase Files of Patients
DESCRIPTIONDocuments relating to investigations of patient conduct including: court orders, reports to courts, correspondence and personal notes of attorneys, investigative reports, grievances.
RETENTIONSee Comments
COMMENTSRetain 5 years after case is closed, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0425629
TITLECaseload Sampling
DESCRIPTIONSamplings made of case loads to compare against certain standards and how the patient was being supported.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0465629
TITLECemetery Records - Patients and Stillborn Infants
DESCRIPTIONDocuments related to the graves in the hospital cemetery.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0386629
TITLECensus Reports
DESCRIPTIONElectronic and manual census reports of patients compiled to monitor the patient population and used for billing purposes.
RETENTION005 cldr yrs
COMMENTSFormerly titled Computer Census Reports.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0394629
TITLECentral Nursing Daily Reports
DESCRIPTIONDaily reports of nursing concerns related to patient care or medical conditions including illnesses and behaviors that required special control.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0374629
TITLEChaplainry Services Monthly Reports
DESCRIPTIONMonthly reports relating to the various types of chaplainry services provided for the patients.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0385629
TITLEChaplainry Services Quality Assurance Monitors Files
DESCRIPTIONDocuments used to monitor the quality and appropriateness of chaplainry services to ensure quality assurance standards are met.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0682629
TITLEChildren Hospitalization Report
DESCRIPTIONDocuments relating to the hospitalization of children who are ready for placement in the community.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0383629
TITLEClinical Director's Files
DESCRIPTIONDocuments relating to the administration and management of the clinical director's office.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0404629
TITLEClinical Privileges
DESCRIPTIONDocuments relating to the granting of clinical privileges for persons in various departments.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0393629
TITLEClinical Privileges Review Panel Files
DESCRIPTIONMinutes and other documents relating to the review process for granting clinical privileges to staff in various departments.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0430629
TITLEContinuing Education Units
DESCRIPTIONDocuments relating to the accumulation of continuing education units granted to maintain licensure of the professional staff.
RETENTIONSee Comments
COMMENTSRetain until expiration of license, plus 1 year, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0381629
TITLEContracts
DESCRIPTIONLegal agreements with individuals and organizations. Includes all associated documents, e.g.. DA-146 series.
RETENTIONSee Comments
COMMENTSRetain until expiration of contract plus 5 calendar years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0434629
TITLEControlled Drugs Records
DESCRIPTIONDocuments listing controlled drugs prescribed and dispensed by physicians and used as a tracking mechanism and required by the Drug Enforcement Act.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0380629
TITLECorrespondence
DESCRIPTIONIncoming and outgoing letters and memoranda.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then contact the archives for appraisal - if not accepted for transfer to the archives, then destroy.
DISPOSITIONSee Comments
RESTRICTIONSPortions may be restricted per KSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0428629
TITLECounty Masterfile Error Listing
DESCRIPTIONLists of case errors that workers made in entering amounts to be paid by clients.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0379629
TITLECraft Ideas and Samples Files
DESCRIPTIONDocuments relating to the planning and implementation of patient recreational activities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0378629
TITLECredential Files
DESCRIPTIONDocuments relating to the credentialing of the staff including: correspondence, evaluations, and credentials added during time of employment.
RETENTIONSee Comments
COMMENTSRetain 5 years after termination of employee, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0377629
TITLEDaily Activity Log
DESCRIPTIONDaily log listing patient activities used for convenience of reference.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0458629
TITLEDaily Bulletins
DESCRIPTIONDaily census reports indicating names, legal status, and county of origin, as well as daily patient movement within the grounds.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0376629
TITLEDaily Fund Balances
DESCRIPTIONFinal balances on all funds calculated on a daily basis to ensure accountability for all financial transactions.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0757-629
TITLEDaily Infection Report
DESCRIPTIONReports submitted daily by each unit to the health clinic indicating the types of infections and treatments for patients.
RETENTION002 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED2003-07-17
K.A.R. NUMBER53-2-135


SERIES ID0346629
TITLEDaily Movement Log
DESCRIPTIONDaily log used to monitor the movement of the patient population.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0392629
TITLEDedication of All Faith Chapel File
DESCRIPTIONDocuments relating to the dedication of the All Faith Chapel at Larned State Hospital.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0443629
TITLEDental Clinic Patients' Charts
DESCRIPTIONDocuments relating to an individual patient's dental work.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0432629
TITLEDental Procedures - Monitors
DESCRIPTIONDocuments relating to the monitors used as a check on dental procedures and completed to meet accreditation requirements.
RETENTION003 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0363629
TITLEDirect Service Reports
DESCRIPTIONReports detailing the number of staff hours provided in direct service to Community Mental Health Center patients which are used to justify staff allocation.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0334629
TITLEDischarge Log
DESCRIPTIONLog used to monitor the discharge dates of patients released from the facility.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0450629
TITLEElectrocardigram Test Results
DESCRIPTIONResults of electrocardigram tests of each patient to check for heart abnormalities.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0441629
TITLEElectroencephalogram Card File
DESCRIPTIONCards pertaining to patient data regarding electroencephalogram tests for handy access.
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0420629
TITLEElectroencephalogram Test Results
DESCRIPTIONRequisitions 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.
RETENTIONSee Comments
COMMENTSRetain tracing until interpretation by the neurologist, then destroy. Retain requisitions 10 years after the date of last discharge or patient turns 21.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-10-17
K.A.R. NUMBER53-2-090


SERIES ID0439629
TITLEElectroencephalogram and Electrocardigram Technicians' Continuing Education File
DESCRIPTIONDocuments pertaining to the educational programs attended by the technicians as required.
RETENTIONSee Comments
COMMENTSRetain for tenure of the technician, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0333629
TITLEEmergency Light Inspections Reports
DESCRIPTIONMonthly and annual emergency light inspection reports made to ensure proper maintenance and functioning at all times.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0577629
TITLEEmployee Health Files
DESCRIPTIONCorrespondence, examination sheets, health histories, hepatitis test results, etc. related to individual employee's health as required by KAR 28-34-8.
RETENTIONSee Comments
COMMENTSRetain in office 5 years after employee tenure, then destroy. Retain positives for hepatitis B and HIV permanently.
DISPOSITIONSee Comments
RESTRICTIONSKSA 45-221(a)(3)
APPROVED1998-01-08
K.A.R. NUMBER53-2-114


SERIES ID0332629
TITLEEmployee Personnel Cards
DESCRIPTIONInformation abstracted from Employee Personnel Files regarding individual employee's service.
RETENTIONSee Comments
COMMENTSRetain for length of employee's tenure, plus 10 years, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0331629
TITLEEmployee Personnel Files
DESCRIPTIONDocuments associated with the employment of specific personnel: employee evaluation forms, applications for employment, INS Residence Status forms, and other personnel materials.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0330629
TITLEEmployee Personnel Files - Office Copies
DESCRIPTIONCopies of documents in agency's Employee Personnel Files associated with the employment of specific personnel (applications, evaluations, etc.) maintained for convenience of reference.
RETENTIONSee Comments
COMMENTSRetain for length of employee's tenure plus 5 calendar years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0440629
TITLEEmployee Position Descriptions
DESCRIPTIONFormal descriptions of duties and other characteristics of particular employment positions: DA forms 281-2 and supporting documents.
RETENTIONSee Comments
COMMENTSRetain until superseded plus 3 years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0470629
TITLEEmployee Security Clearance Checks
DESCRIPTIONReports from the Kansas Bureau of Investigation, SRS Youth Services, SRS Adult Services, and court reports regarding individuals seeking employment at the hospital.
RETENTIONSee Comments
COMMENTSRetain for length of employee's tenure plus 20 years in original or abstracted form, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0329629
TITLEEmployee Time Report Records
DESCRIPTIONRecords 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.
RETENTION005 fisc yrs
COMMENTSInternal agency forms. See also Leave Requests.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0581629
TITLEEmployee Training Course Materials
DESCRIPTIONRecord copy of manuals, syllabi, textbooks and other training aids created for agency sponsored employee training programs.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1997-04-10
K.A.R. NUMBER53-2-111


SERIES ID0580629
TITLEEmployee Training Records
DESCRIPTIONCorrespondence, reports, and other records relating to the operation of agency sponsored training programs and to employee participation in training programs sponsored by external organizations.
RETENTIONSee Comments
COMMENTSRetain 5 calendar years or until superseded, whichever is sooner, then destroy. See also Employee Training Course Materials.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1997-04-10
K.A.R. NUMBER53-2-111


SERIES ID0588629
TITLEEmployee Vehicle Registration
DESCRIPTIONForm completed by staff to register their vehicle with the Security Department to ensure that no unauthorized vehicles remain on hospital grounds.
RETENTIONSee Comments
COMMENTSRetain until superseded or no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1997-04-10
K.A.R. NUMBER53-2-111


SERIES ID0328629
TITLEEmployment Applications - Not Hired
DESCRIPTIONDA forms 203 and supplementary materials submitted by unsuccessful applicants for employment.
RETENTION003 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0462629
TITLEEquipment Operation Manuals
DESCRIPTIONDocuments used for the maintenance and repair of equipment.
RETENTIONSee Comments
COMMENTSRetain for the life of the equipment, then transfer to new owner of equipment or destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0317629
TITLEEvent Monitoring and Direct Service Form
DESCRIPTIONForm listing the current patients with code numbers and descriptions used to report event monitoring and direct services provided by staff.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0582629
TITLEEvidence Custody Receipt
DESCRIPTIONCopies of the Kansas Bureau of Investigation (KBI) form completed by Security Department officers requesting that the KBI examine evidence seized.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(10)
APPROVED1997-04-10
K.A.R. NUMBER53-2-111


SERIES ID0326629
TITLEExit Light Inspections Files
DESCRIPTIONDocuments relating to the inspections of all exit lights in every quarter to ensure proper maintenance and functioning at all times.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0335629
TITLEFire Extinguisher Maintenance Checklist
DESCRIPTIONMonthly checklist made on fire extinguishers to ensure proper maintenance and functioning at all times.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0324629
TITLEFire and Safety Reports
DESCRIPTIONWeekly and monthly reports made on fire and safety related issues.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0403629
TITLEGoals and Objectives
DESCRIPTIONPlanning documents written each budget year based on the needs of the hospital.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0421629
TITLEHazardous Materials Management Plans
DESCRIPTIONA wide variety of documents relating to the Hazardous Materials Management Plan required to meet accreditation.
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0464629
TITLEHazardous Waste Materials Data
DESCRIPTIONDocuments relating to the handling of various hazardous materials used.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0409629
TITLEHospital Brochures
DESCRIPTIONBrochures written and published to provide information for visitors, patients, families, hospital staff, and interested persons about programs/current treatment offered.
RETENTIONSee Comments
COMMENTSTransfer one copy to the archives, the remainder destroy when no longer useful.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0406629
TITLEIncident Reports
DESCRIPTIONReports regarding special incidents regarding patients or staff, including conclusions, recommendations, and results of reviews.
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0323629
TITLEInfection Control Annual Reports
DESCRIPTIONAnnual reports made concerning the activities of the infection control laboratory.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0322629
TITLEInsurance Notebooks
DESCRIPTIONInsurance claim forms for patient hospitalization billing filed in notebooks for convenience of reference.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0321629
TITLEInventory Records - Expendable Property
DESCRIPTIONRecords of receipts, disbursements, and balances of office supplies and other expendable inventory materials.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0320629
TITLEInventory Records - Library Materials
DESCRIPTIONRecords related to inventory management of library materials.
RETENTIONSee Comments
COMMENTSRetain until superseded by new inventory plus 3 fiscal years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0319629
TITLEInventory Records - Non-Expendable Property
DESCRIPTIONRecords related to capital equipment inventory management: DA forms 80 thru 83, computer reports from the Department of Administration, internal documents, correspondence, etc.
RETENTIONSee Comments
COMMENTSRetain until superseded by new inventory plus 3 fiscal years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0325629
TITLEKey Deposit Receipt Books
DESCRIPTIONReceipt books indicating which employee has paid a deposit on a facility key and when the key was returned.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0466629
TITLEKey and Combination Control Files
DESCRIPTIONDocuments listing the combinations to locks and to whom key is assigned.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0327629
TITLELaundry Production Costs Records
DESCRIPTIONLaundry production costs summary data compiled for budgetary purposes.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0353629
TITLELeave Requests
DESCRIPTIONInternal forms used to request and authorize the taking of leave by employees.
RETENTION005 fisc yrs
COMMENTSSee also Employee Time Report Records.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0352629
TITLEMailing Lists
DESCRIPTIONLists of names and addresses to whom mail is regularly sent.
RETENTIONSee Comments
COMMENTSRetain until updated, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 21-3914
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0463629
TITLEMaps of Utility Locations
DESCRIPTIONMaps required for maintenance of water lines, sewer lines, telephone cables and other utilities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0351629
TITLEMedicaid and Medicare Logs
DESCRIPTIONLogs used in conjunction with cost report data which monitor the charges and payments for billing each patient.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3) & 39-709(b)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0350629
TITLEMedicaid/Medicare Cost Report Data
DESCRIPTIONStatistical and financial data accumulated by the staff and used to prepare the annual Medicare/Medicaid Cost Reports.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3) & 39-709(b)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0422629
TITLEMedical Claims
DESCRIPTIONClaims filed by patient for payment of services by Medicaid.
RETENTIONSee Comments
COMMENTSRetain original or duplicate (in whatever form) 3 fiscal years, then destroy. Hard copy may be destroyed after duplication of original.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0457629
TITLEMedical Record - Adult Patients
DESCRIPTIONDocuments concerning individual patient care including: medical, psychiatric, social, and legal information, as well as correspondence, progress notes, and response to treatment.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONSee Comments
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0456629
TITLEMedical Record - Child or Adolescent
DESCRIPTIONDocuments of individual patient care including: medical, psychiatric, social, and legal information, as well as correspondence, progress notes, and response to treatment.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONSee Comments
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0449629
TITLEMedical Staff Bylaws
DESCRIPTIONOriginal bylaws and updates which physicians must agree to abide by while practicing at the State Hospitals.
RETENTIONSee Comments
COMMENTSRetain until superseded or no longer in effect, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0349629
TITLEMedicare Remittance Advice
DESCRIPTIONMedicare payment history maintained on patients and used for billing purposes.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0696629
TITLEMedication Alert/El Dorado Medication Error Tool Form
DESCRIPTIONForms 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.
RETENTION002 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-04-14
K.A.R. NUMBER53-2-100


SERIES ID0348629
TITLEMenu Files
DESCRIPTIONDocuments relating to the preparation of patient dietary needs.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0347629
TITLEMinutes
DESCRIPTIONProceedings of regular or special meetings of committees, commissions, and other standing or ad hoc organizations.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0733629
TITLEMinutes - Treatment Teams
DESCRIPTIONMinutes of unit treatment teams which meet to review individual patient activities and treatment.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(3) & KSA 65-5602
APPROVED2001-01-11
K.A.R. NUMBER53-2-125


SERIES ID0408629
TITLEMonitoring Information
DESCRIPTIONDocuments related to monitoring of patient care and staff clinical performance which includes: protocols, monitoring and quarterly reports related to quality assurance functions for accreditation.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0336629
TITLEMonthly Fire Prevention Reports
DESCRIPTIONReports made on a variety of fire related activities including building, fire and safety inspections, reported hazards, fire drills, reported fires, fire extinguisher inspections, etc.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0345629
TITLEMonthly Inspection List
DESCRIPTIONCheck list assigning the security officers to the various types of inspections made at the facility for health and safety reasons.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0354629
TITLEMonthly Room Inspection Reports
DESCRIPTIONFire and safety inspection reports made of individual living quarters to ensure the welfare of the patients.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0343629
TITLEMusic Therapy Activity Files
DESCRIPTIONDocuments relating to the planning and implementation of music therapy activities scheduled for the patients.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0342629
TITLEMusic Therapy Professional Files
DESCRIPTIONDocuments relating to the function and operation of the music therapy program.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0468629
TITLENutritional Interview
DESCRIPTIONData gathered and updated regarding patients' nutritional status, including anthropometric, possible food/drug interaction, obvious clinical signs of malnutrition, food habits, food allergies, etc.
RETENTION001 cldr yr
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0341629
TITLEOffice Machine Repair Files
DESCRIPTIONDocuments relating to the service work done on equipment to maintain a repair history and monitor contract maintenance agreements on typewriter and copier machines.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0448629
TITLEOn-Duty Books
DESCRIPTIONDocuments 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then contact the archives for appraisal, if not accepted, destroy.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0340629
TITLEOriginal Charge Sheets
DESCRIPTIONMonthly log sheets used to calculate patient charges.
RETENTIONSee Comments
COMMENTSObsolete series. Retain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0339629
TITLEOuting Log
DESCRIPTIONLog used to monitor the location and number of trips which patients and accompanying staff take from the facility.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0437629
TITLEPathology Laboratory Reports - Monthly
DESCRIPTIONLists of procedures done in the laboratory for patients.
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0338629
TITLEPatient Activity Fund Records
DESCRIPTIONDocuments concerning the financial accounting of the patient activity fund including bank statements, deposit books and slips, check registers, and canceled checks.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0337629
TITLEPatient Attendance Records
DESCRIPTIONReports relating to patient attendance in activity therapy groups maintained to provide documentation for any possible investigations or audits.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0258-629
TITLEPatient Benefit Fund Records
DESCRIPTIONDocuments concerning the financial accounting of the patient benefit fund: ledgers, receipts, bank statements, invoices, check ledgers.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0636629
TITLEPatient Billing Files
DESCRIPTIONPatient billing files for hospitalization services including statements, claim forms, copy of insurance cards, insurance authorization, computer printouts, financial packets, etc.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0453629
TITLEPatient Card Files
DESCRIPTIONIndividual cards for each patient with information including dates, diagnosis, number of admissions of each patient.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0736629
TITLEPatient Charge Files
DESCRIPTIONDocuments used to prepare patient billing including doctor orders, patient billing statements, physicians charge sheets, census records and pharmacy charges.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0738629
TITLEPatient Contact Reports
DESCRIPTIONMonthly 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0447629
TITLEPatient Death - Thanatology Reports
DESCRIPTIONReviews completed by ad hoc committees and submitted to the Clinical Director with recommendations regarding problems noted.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0469629
TITLEPatient Grievances
DESCRIPTIONGrievance form letters written to the ombudsman by patients as part of a Patient Advocacy/Complaint Resolution service.
RETENTIONSee Comments
COMMENTSRetain 5 years after resolution of grievance and transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0754629
TITLEPatient Log
DESCRIPTIONLog listing pertinent patient information which is used to generate assessments on a timely basis and to review the patient's current status.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0753629
TITLEPatient Nutritional Files
DESCRIPTIONDocuments relating to patient nutritional needs maintained to ensure that the proper dietary care is provided by the staff.
RETENTIONSee Comments
COMMENTSRetain until superseded, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0455629
TITLEPatient Registers
DESCRIPTIONBound registers of patients admitted.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to archives.
DISPOSITIONArchives
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0752629
TITLEPayroll Deduction Authorization Records - General
DESCRIPTIONDocuments used to authorize various deductions from an employee's pay: insurance enrollments, GHI enrollments, KPERS enrollments, KPERS Annual Account Statements, dues deduction forms, etc.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0751629
TITLEPayroll Direct Deposit Authorization Records
DESCRIPTIONCompleted forms used to authorize direct deposits of payroll checks in employee bank accounts.
RETENTIONSee Comments
COMMENTSRetain until no longer in effect plus 2 years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(4)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0750629
TITLEPayroll Warrant Registers
DESCRIPTIONMonthly listing of warrant checks issued to state agency employees for payroll purposes.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0741629
TITLEPetty Cash Records
DESCRIPTIONDocuments related to petty cash accounting: DA-71 thru 73.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0459629
TITLEPharmacy - Daily/Monthly Prescription Records
DESCRIPTIONDocuments used to keep track of the number of prescriptions issued on a daily basis to patients.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0433629
TITLEPharmacy Billing Journals
DESCRIPTIONRecords of charges to an individual patient and sent to reimbursement for collection purposes to the hospital.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0740629
TITLEPhotocopier Log
DESCRIPTIONDaily log kept to monitor the number of photocopies made on a monthly basis and to generate a summary report.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0446629
TITLEPhysicians' Continuing Medical Education Files
DESCRIPTIONMaster list of on-grounds continuing medical education files, along with hours completed for each physician.
RETENTIONSee Comments
COMMENTSRetain until termination of physician, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0739629
TITLEPolicy Statements
DESCRIPTIONOriginal copies of formal explanations of agency policies and procedures issued in individual statement formats.
RETENTIONSee Comments
COMMENTSRetain until superseded or no longer in effect, then transfer to the archives. Retain convenience copies until no longer useful, then destroy.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0461629
TITLEPrescription Journal for Patients
DESCRIPTIONJournal of prescriptions issued to individual patients.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0413629
TITLEPrimary Client Service Files
DESCRIPTIONFollow-up sheet made on patients to check the progress of patients.
RETENTIONSee Comments
COMMENTSRetain 10 years after the discharge date.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0650629
TITLEPrivate Review Organizations Files
DESCRIPTIONDocuments relating to private organizations and reviewed for payment approval to the hospital.
RETENTION007 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & KSA 65-5602
APPROVED2001-01-11
K.A.R. NUMBER53-2-125


SERIES ID0735629
TITLEProcedures Manuals
DESCRIPTIONOriginal copies of agency procedures issued in a collective manual.
RETENTIONSee Comments
COMMENTSRetain until superseded or no longer in effect, then transfer 1 copy to the archives, destroy the remainder.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0724629
TITLEPsychiatric Admission/Release Reports
DESCRIPTIONReports listing the number of admissions and discharges which are used to determine the necessary services in the community to provide placement for patients.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0737629
TITLEPsychology Department Clinical Monitoring Plans
DESCRIPTIONPlans developed to monitor the quality and the appropriateness of the care and treatment of individuals who are provided psychological services.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0758-629
TITLEPsychotherapy Notes
DESCRIPTIONNotes 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.
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSK.S.A. 65-5602 & 45-221(a)(3)
APPROVED2006-01-13
K.A.R. NUMBER53-2-146


SERIES ID0732629
TITLEPurchasing Records
DESCRIPTIONDocuments related to the purchase of goods and services: correspondence, vouchers, invoices, ledger books and cards, requisitions, etc.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0396629
TITLEQuality Assurance Plans
DESCRIPTIONA wide variety of documents relating to the Quality Assurance Program required to meet accreditation standards.
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0731629
TITLEQuality Assurance/Risk Management Activities Files
DESCRIPTIONDocuments used to assess the quality assurance and risk management activities at the facility.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0730629
TITLEQuality Assurance/Risk Management Supplemental Files
DESCRIPTIONDocuments 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.
RETENTIONSee Comments
COMMENTSRetain in conjunction with Quality Assurance/Risk Management Activities Files.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0424629
TITLEQuality Control Files
DESCRIPTIONDocuments relating case analyses made on patients to check on the services provided.
RETENTION005 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0729629
TITLEQuality Improvement Plans
DESCRIPTIONDocuments used to monitor the quality assurance/continuous quality improvement plans and activities at the facility.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0728629
TITLEQuality Improvement Supplemental Files
DESCRIPTIONDocuments used to supplement the primary documentation of hospital-wide and departmental quality assurance/improvement plans and activities.
RETENTIONSee Comments
COMMENTSRetain in conjunction with Quality Improvement Plans.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0412629
TITLEQuestionnaires/Survey Forms
DESCRIPTIONCopies of forms completed by the hospital staff as responses to agencies or research programs which have requested data.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0727629
TITLEReceiving Reports
DESCRIPTIONReports made regarding the receipt of merchandise or services which are submitted to the accounting section for use in validating invoices.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0442629
TITLERefill Sheets Regarding Controlled Drugs
DESCRIPTIONRequests from wards for refills of prescriptions of controlled drugs.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0726629
TITLERelease Form
DESCRIPTIONForm listing the length of stay and subsequent release of patients from the facility.
RETENTIONSee Comments
COMMENTSRetain in conjunction with individual patient file.
DISPOSITIONSee Comments
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0725629
TITLERelease of Information Log
DESCRIPTIONLog listing the nature and purpose of information requested.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0701629
TITLERequisition Control Files
DESCRIPTIONDocuments relating to assigning control numbers to requisitions maintained for convenience of reference.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0669629
TITLEReserve Day Book
DESCRIPTIONLog used to monitor the number of patient therapeutic pass days billed to Medicare and Medicaid.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0445629
TITLEResidency Training Program Files
DESCRIPTIONDocuments pertaining to the once operative Psychiatric Residency Training Program, including curriculum and class schedules.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0668629
TITLEResident By Age Report
DESCRIPTIONComputer printout and electronic data relating to bed usage at the facility according to the various age groups.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0667629
TITLEResident Ledger Files
DESCRIPTIONComputer printout of patient charges that have been deleted from the computer for various reasons.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0666629
TITLEResident Master Balance Sheets
DESCRIPTIONEnding monthly balances remaining in patient accounts and used for accounting purposes.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0756-629
TITLERisk Management Files
DESCRIPTIONIncident reports, peer review documents, minutes, correspondence, etc. relating to reportable incidents under KSA 65-4921(f) and investigated by the Risk Management Division.
RETENTIONSee Comments
COMMENTSRetain 2 years after the Final Standard of Care is determined or retain until no longer useful if the case is potentially litigious, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-4925
APPROVED2003-01-09
K.A.R. NUMBER53-2-133


SERIES ID0664629
TITLERisk Management Plans and Minutes
DESCRIPTIONDocuments relating to the activities of the Risk Management Committee.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0467629
TITLERoof Moisture Testing Records
DESCRIPTIONData gathered in the testing for moisture on the various roofs.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0429629
TITLERoster of Attendance at Workshops
DESCRIPTIONRegister of attendance for staff members requiring continuing education units for licensure and includes social workers, RNs, LMHTs, and LPNs.
RETENTIONSee Comments
COMMENTSRosters are maintained as required by the Behavioral Sciences Regulatory Board and the Kansas State Board of Nursing.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0663629
TITLESTARS Reports: Daily Financial
DESCRIPTIONComputer 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.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0654629
TITLESTARS Reports: Monthly Financial
DESCRIPTIONComputer 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.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0653629
TITLESTARS Reports: Yearly Financial
DESCRIPTIONComputer 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.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0402629
TITLESafety Program Plans
DESCRIPTIONA wide variety of documents relating to the Safety Program Plans required to meet accreditation.
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0651629
TITLESchedules - Office Activities
DESCRIPTIONInternal forms, appointment books, paper and electronic calendars used to schedule employees, office activities, vehicles, meeting rooms, etc.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0660629
TITLESecurity Daily Activity Log
DESCRIPTIONLog maintained by the security officers on activities which occurred during each shift.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0662629
TITLESecurity Daily Reports
DESCRIPTIONReports made by the security staff detailing daily activities.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0697629
TITLESecurity Patient Assistance Reports
DESCRIPTIONReports prepared by security officers describing the type of assistance security offered to patients.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0693629
TITLESecurity Safe Log
DESCRIPTIONLog maintained by the security officers of items going in and out of the security safe.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0691629
TITLESecurity Schedules
DESCRIPTIONDocuments relating to the scheduling of inspections in every quarter to ensure proper maintenance and functioning of equipment at all times.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0585629
TITLEService Rendered Report
DESCRIPTIONForm completed by Security Department officers indicating the nature and type of assistance.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1997-04-10
K.A.R. NUMBER53-2-111


SERIES ID0427629
TITLEState Summaries of Medical Assistance
DESCRIPTIONProgram statistics of average payments made by clients.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0431629
TITLEStatistical Reports
DESCRIPTIONStatistics gathered on patients and used to make a variety of reports about patients and patient care.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0454629
TITLEStatistical Studies - Special
DESCRIPTIONStudies completed either at the request of the Central Office or community SRS related groups, or in-house data needed to make future plans.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0680629
TITLEStudent Records
DESCRIPTIONDocuments relating to the rotation of students in training at the various state hospitals as a degree requirement.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(1)(9)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0679629
TITLESubject Files - Administrative
DESCRIPTIONDocuments relating to the administrative and operational responsibilities of the agency.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then contact the archives for appraisal, if not accepted for transfer to the archives, then destroy.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0678629
TITLESubject Files - Business Office
DESCRIPTIONWide variety of documents relating to the function and operation of the business office.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then contact the archives for appraisal, if not accepted for transfer to the archives, then destroy.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0676629
TITLESubject Files - Clinical Services
DESCRIPTIONWide variety of documents relating to functioning of the office.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then contact the archives for appraisal, if not accepted for transfer to the archives, then destroy.
DISPOSITIONSee Comments
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0670629
TITLESubject Files - Security
DESCRIPTIONWide variety of documents relating to the activities of the security section.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0675629
TITLESunday Worship Bulletins
DESCRIPTIONPrograms scheduled for Sunday worship services offered by the chaplainry services staff.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer 2 copies to the archives, destroy the remainder.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0401629
TITLESurvey Reports - Joint Commission on Accreditation of Hospital Organizations
DESCRIPTIONReports of surveys, including deficiencies, contingencies and resurvey information, related to the accreditation standards of the Joint Commission on Accreditation of Hospital Organizations.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0399629
TITLESurvey Reports - Medicaid (Periodic Medical Review)
DESCRIPTIONReports of Medicaid surveys, including deficiencies, contingencies, and plans for correction.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0400629
TITLESurvey Reports - Medicare
DESCRIPTIONReports of Medicare surveys, including deficiencies, contingencies, and plans for correction.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0398629
TITLESurvey Reports - Risk Management
DESCRIPTIONReports of site visits made by surveyors from the Department of Health and Environment used to substantiate compliance with laws and regulations.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0438629
TITLESurvey Results - College of American Pathologists
DESCRIPTIONSurveys of results of hospital laboratory work on specimens in comparison to other labs and used for proficiency testing and required for accreditation.
RETENTION003 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0410629
TITLETest Protocols
DESCRIPTIONTest protocols, notes, and copies of the psychological reports used for review and comparison purposes on patients.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0677629
TITLETherapeutic Passes
DESCRIPTIONPatient passes given to the reimbursement office to verify days spent away from the facility and used for reimbursement purposes.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 65-5602 & 45-221(a)(3)
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0681629
TITLETile Floor Records
DESCRIPTIONDocuments recording the frequency of floor care to ensure proper maintenance.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0683629
TITLETraffic Courtesy Reminder Log
DESCRIPTIONLog maintained by the security officers of improper parking by visitors in the parking lots.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0407629
TITLETreatment Program Plans
DESCRIPTIONA variety of documents relating to the Treatment Program Plan and required to meet accreditation standards.
RETENTION010 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0687629
TITLEUtilization Review Forms
DESCRIPTIONForms completed demonstrating the medical necessity for an individual patient's hospitalization and reviewed for Medicare/Medicaid reimbursement to the hospital.
RETENTION007 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & KSA 65-5602
APPROVED2001-01-11
K.A.R. NUMBER53-2-125


SERIES ID0355629
TITLEUtilization Review Reports
DESCRIPTIONMonthly report generated using the Utilization Review Forms and private review organizations and reviewed for Medicare/Medicaid funding purposes.
RETENTION007 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & KSA 65-5602
APPROVED2001-01-11
K.A.R. NUMBER53-2-125


SERIES ID0684629
TITLEVehicle Maintenance and Ownership Records
DESCRIPTIONDocuments related to the legal ownership and maintenance of agency vehicles: maintenance logs, legal titles, warranties, etc.
RETENTIONSee Comments
COMMENTSRetain for the life of the vehicle, then transfer to subsequent owner or destroy as appropriate.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0698629
TITLEVehicle Operation Records
DESCRIPTIONDocuments related to the use of state-owned motor vehicles: MP forms 1a, 2c, 3a, 3b, 10, 20, and internal agency forms.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0686629
TITLEVolunteer Program Files
DESCRIPTIONDocuments relating to the function and activities of the volunteer program.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0674629
TITLEVouchers - Purchase
DESCRIPTIONCopies of documents used to order and pay for goods and services: DA forms 100 thru 109 and DA-120.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0688629
TITLEVouchers - Receipts
DESCRIPTIONCopies of documents used to transfer funds received by agencies from individuals and organizations into their particular accounts: forms DA-3 series.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0689629
TITLEVouchers - Travel
DESCRIPTIONCopies of documents used to certify the validity of claims for the reimbursement of travel expenses: DA forms 121, 122, and 123.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0423629
TITLEWard Log Books
DESCRIPTIONWorking 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.
RETENTION003 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0587629
TITLEWarning Form
DESCRIPTIONCopies 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1997-04-10
K.A.R. NUMBER53-2-111


SERIES ID0690629
TITLEWeekly Fire Alarm System Tests
DESCRIPTIONDocuments relating to weekly testing of the fire panel and manual stations conducted to ensure proper maintenance of the systems.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0426629
TITLEWelfare Eligibility Records
DESCRIPTIONDocuments relating to the eligibility of clients to qualify for welfare payments.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


SERIES ID0694629
TITLEWork Orders and Logs
DESCRIPTIONInternal documents used to request and record requests for the performance of maintenance or other services.
RETENTION003 fisc yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1994-01-13
K.A.R. NUMBER53-2-099


SERIES ID0436629
TITLEX-Ray Film and Report
DESCRIPTIONReports and film for of x-rays performed on patients.
RETENTIONSee Comments
COMMENTSRetain 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.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3) & 65-5602
APPROVED1991-01-17
K.A.R. NUMBER53-2-087


Agency Number: 629-008
Department of Social and Rehabilitation Services
Integrated Service Delivery

SERIES ID0001-629
TITLEAFDC - Medicaid Negative Case Action Report
DESCRIPTIONComputer printout listing the cases closed or denied for AFDC or Medicaid assistance which are reviewed for quality control purposes.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1995-07-13
K.A.R. NUMBER53-2-105


SERIES ID0002-629
TITLEAFDC - Medicaid Positive Case Action Report
DESCRIPTIONComputer printout listing the cases opened for AFDC or Medicaid assistance which are reviewed for quality control purposes.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1995-07-13
K.A.R. NUMBER53-2-105


SERIES ID0003-629
TITLEAFDC Quality Control Review Schedule Reserve Form
DESCRIPTIONForm generated by the federal government randomly selecting AFDC cases to be reviewed by SRS staff for quality control purposes.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1995-07-13
K.A.R. NUMBER53-2-105


SERIES ID0004-629
TITLEChild Support Collection Report
DESCRIPTIONQuarterly statistical report compiled by SRS staff documenting the various activities in the area offices regarding collection efforts.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-07-13
K.A.R. NUMBER53-2-105


SERIES ID0005-629
TITLEChild Support Enforcement Activities and Staff Report
DESCRIPTIONQuarterly statistical report compiled by SRS as required by Title IV-D of the Social Security Act documenting the various caseload activities.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-07-13
K.A.R. NUMBER53-2-105


SERIES ID0006-629
TITLEContractor Summary Report
DESCRIPTIONQuarterly statistical report compiled by SRS staff documenting the types of caseload activities which is maintained for monitoring purposes.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-07-13
K.A.R. NUMBER53-2-105


SERIES ID0007-629
TITLEContractors Report
DESCRIPTIONQuarterly statistical report completed by the reporting agency to SRS documenting the current status of cases contracted out and maintained for monitoring purposes.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-07-13
K.A.R. NUMBER53-2-105


SERIES ID0008-629
TITLECourt Trustee Monthly Report
DESCRIPTIONMonthly statistical report completed by the reporting agency to SRS listing the current status of cases and maintained for monitoring purposes.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-07-13
K.A.R. NUMBER53-2-105


SERIES ID0009-629
TITLEFoster Care Home Payment Advice Report
DESCRIPTIONComputer printout listing the child's name and amount paid to individual caretakers for foster care and maintained for monitoring purposes.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1995-07-13
K.A.R. NUMBER53-2-105


SERIES ID0010-629
TITLEKansas Parent Locator Monthly Report
DESCRIPTIONMonthly statistical report tabulating the case status and maintained for monitoring purposes.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-07-13
K.A.R. NUMBER53-2-105


SERIES ID0011-629
TITLELocation and Support Data Report
DESCRIPTIONMonthly statistical report completed by SRS tabulating the case distribution status and maintained for monitoring purposes.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-07-13
K.A.R. NUMBER53-2-105


SERIES ID0012-629
TITLELocation and Support Unit Quarterly Report
DESCRIPTIONStatistical report compiled by SRS staff tabulating the quarterly caseload activities totals and is maintained for monitoring purposes.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-07-13
K.A.R. NUMBER53-2-105


SERIES ID0013-629
TITLENon-Ambulance Medical Transportation Summary Report
DESCRIPTIONSummary sheets compiled by SRS staff listing the necessary statistical data and used to tabulate the monthly totals.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-07-13
K.A.R. NUMBER53-2-105


SERIES ID0014-629
TITLEPrimary Client Service Record Form
DESCRIPTIONForm completed by an assigned SRS staff member listing the type and status of action and service plans established for individual clients.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSKSA 39-709b
APPROVED1995-07-13
K.A.R. NUMBER53-2-105


SERIES ID0015-629
TITLEProsecuting Attorney Monthly Report
DESCRIPTIONStatistical 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.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-07-13
K.A.R. NUMBER53-2-105


SERIES ID0016-629
TITLESupplemental Contractor's Report
DESCRIPTIONForm completed on a quarterly basis by the reporting agency to SRS documenting any additional statistical data not previously listed.
RETENTIONSee Comments
COMMENTSObsolete series. Destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1995-07-13
K.A.R. NUMBER53-2-105


Agency Number: 629-008
Department of Social and Rehabilitation Services
Integrated Service Delivery
Vocational Rehabilitation Center

SERIES ID0716629
TITLEAdmission and Discharge Reports
DESCRIPTIONStatistical reports compiled listing the number of consumers admitted into the various programs.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0721629
TITLECensus Forms
DESCRIPTIONDocuments recording the number of consumers served in each program and length of stay.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 72-4311
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0722629
TITLEClient Screening Data Sheet
DESCRIPTIONForm completed on a potential client before screening for admission.
RETENTIONSee Comments
COMMENTSObsolete series - destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSKSA 72-4311
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0652629
TITLEClient or Consumer Feedback Forms
DESCRIPTIONForm completed by the client or consumer rating the services provided and suggestions for improvement.
RETENTIONSee Comments
COMMENTSRetain in office 5 calendar years, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSKSA 72-4311
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0711629
TITLECorrespondence - Policy Related
DESCRIPTIONIncoming 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.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0699629
TITLECorrespondence - Routine
DESCRIPTIONIncoming 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.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then destroy.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0575629
TITLEGoals and Objectives Reports
DESCRIPTIONVariety of reports generated to identify and monitor performance factors in the various programs and used to determine efficiency of operations.
RETENTIONSee Comments
COMMENTSRetain in office 5 calendar years, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSKSA 72-4311
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0576629
TITLEIncident Reports
DESCRIPTIONForm completed by staff regarding medical or other incidents which have occurred.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 72-4311
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0714629
TITLEMinutes
DESCRIPTIONProceedings of regular or special meetings of committees, commissions, and other standing or ad hoc organizations.
RETENTIONSee Comments
COMMENTSRetain until no longer useful, then transfer to the archives.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0713629
TITLEPolicy Statements
DESCRIPTIONOriginal copies of formal explanations of agency policies and procedures issued in individual statement formats.
RETENTIONSee Comments
COMMENTSRetain until superseded or no longer in effect, then transfer to the archives. Retain convenience copies until no longer useful, then destroy.
DISPOSITIONArchives
RESTRICTIONSNone
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0734629
TITLEProcedures Manuals
DESCRIPTIONOriginal copies of agency procedures issued in a collective manual.
RETENTIONSee Comments
COMMENTSRetain until superseded or no longer in effect, then transfer 1 copy to the archives, destroy the remainder.
DISPOSITIONSee Comments
RESTRICTIONSNone
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0715629
TITLEProgram Evaluation System Reports
DESCRIPTIONReports generated to provide input to the central office, program managers, and facility staff on the efficiency and effectiveness of the various programs.
RETENTIONSee Comments
COMMENTSRetain in office 5 calendar years, then transfer to the archives for purging.
DISPOSITIONArchives
RESTRICTIONSKSA 72-4311
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0717629
TITLEReferral Information Sheets
DESCRIPTIONForm completed by the field counselor or private referral source recommending type of program or service for the individual.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 72-4311
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


Agency Number: 629-008
Department of Social and Rehabilitation Services
Integrated Service Delivery
Vocational Rehabilitation Center
Vocational Evaluation Program

SERIES ID0720629
TITLEAdmission Lists
DESCRIPTIONForm listing the individual consumer, counselor, assignment, services and admission date.
RETENTION005 cldr yrs
COMMENTS
DISPOSITIONDestroy
RESTRICTIONSKSA 72-4311
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0718629
TITLELog Sheets and Memos
DESCRIPTIONLogs and corresponding memos listing the consumer, admission date, counselor, discharge date and used to monitor progress.
RETENTIONSee Comments
COMMENTSObsolete series - destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSKSA 72-4311
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


Agency Number: 629-008
Department of Social and Rehabilitation Services
Integrated Service Delivery
Vocational Rehabilitation Center
Youth Adjustment Program

SERIES ID0574629
TITLEPermanent Leave Reports
DESCRIPTIONReports listing individuals who have left the program.
RETENTIONSee Comments
COMMENTSObsolete series - destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSKSA 72-4311
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0549629
TITLEWeekend Pass Lists
DESCRIPTIONLists identifying individuals who have been granted weekend leave.
RETENTIONSee Comments
COMMENTSObsolete series - destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSKSA 72-4311
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0719629
TITLEYouth Adjustment Referral Reports
DESCRIPTIONMonthly reports generated listing the referral sources which recommended transfer to Kansas Vocational Rehabilitation Center.
RETENTIONSee Comments
COMMENTSObsolete series - destroy immediately.
DISPOSITIONDestroy
RESTRICTIONSNone
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


Agency Number: 629-010
Department of Social and Rehabilitation Services
Adult and Medical Services

SERIES ID0709629
TITLEConsumer Eligibility Files
DESCRIPTIONDocuments relating to health care assessments on individuals to determine the eligibility and type of service to be provided.
RETENTIONSee Comments
COMMENTSRetain in office 2 years, transfer to the records center for 3 years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3)
APPROVED1998-04-16
K.A.R. NUMBER53-2-115


SERIES ID0723629
TITLEProvider Fraud/Review Files
DESCRIPTIONDocuments relating to home care provider contracts which are monitored to ensure compliance and accountability of the charges.
RETENTIONSee Comments
COMMENTSRetain in office 2 years, then transfer to the records center for 3 years, then destroy.
DISPOSITIONDestroy
RESTRICTIONSKSA 45-221(a)(3)
APPROVED1998-04-16
K.A.R. NUMBER53-2-115

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