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Kansas Records Retention Schedules

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Agency Code: 264 (Department of Health and Environment)

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Agency Number: 264-001
Department of Health and Environment
Administration

SERIES ID 0535-264 
TITLE Rules and Regulations Adoption Process Files 
DESCRIPTION Economic impact statements, public hearing records, hearing officer reports and other documentation relating to revisions of administrative regulations as required by statute. 
RETENTION See Comments 
COMMENTS Retain until published plus 3 fiscal years, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-10-13 
K.A.R. NUMBER 53-2-103 

Agency Number: 264-001
Department of Health and Environment
Administration
Comptroller, Office of the

SERIES ID 0021-264 
TITLE Division of Environment Information Files 
DESCRIPTION Copies of various documents and notes related to the Division of the Environment finances - used for reference. 
RETENTION See Comments 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14 
K.A.R. NUMBER 53-2-075 

SERIES ID 0028-264 
TITLE Federal Grant Programs Control and Reference Files 
DESCRIPTION Wide range of documents related to federal funded health and environment programs administered by KDHE: budgets, vouchers, reports, plans, correspondence, journals, ledgers, procedures, etc. 
RETENTION 015 fisc yrs 
COMMENTS Earlier records from this series have been transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-07-14 
K.A.R. NUMBER 53-2-075 

SERIES ID 0030-264 
TITLE Gas and Oil Purchase in Kansas - Monthly Reports of 
DESCRIPTION Reports submitted to KDHE by initial purchasers (wholesalers) of gas and oil for the purpose of tax assessments - includes name of purchaser, date, quantity purchased, and tax assessed and paid. 
RETENTION 003 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14 
K.A.R. NUMBER 53-2-075 

SERIES ID 0071-264 
TITLE Women, Infants, and Children Program - Subject Files 
DESCRIPTION Reference materials regarding the federal WIC (food issues) program: publications, reports, correspondence, and various financial documents. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-07-14 
K.A.R. NUMBER 53-2-075 

Agency Number: 264-001
Department of Health and Environment
Administration
General Services

SERIES ID 0078-264 
TITLE Internal Program Evaluation 
DESCRIPTION Documents relating to the evaluations of various programs within the agency. 
RETENTION Permanent 
DISPOSITION Permanent 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

Agency Number: 264-001
Department of Health and Environment
Administration
Legal Services

SERIES ID 0177-264 
TITLE Case Files 
DESCRIPTION Documents relating to case files including: correspondence, pleadings, transcripts, pictures, attorney work papers, complaints, etc. 
RETENTION 007 cldr years post closure 
COMMENTS Transfer significant cases as determined by the agency in consultation with the state archives staff to the archives. Destroy all others.  
DISPOSITION See Comments 
RESTRICTIONS Portions may be restricted per K.S.A. 45-221(a)(1)(2)(3)(4)(5)(6)(10)(11)(14)(20)(25)(29)(30)(47), K.S.A. 60-226, and K.S.A. 60-426. 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0180-264 
TITLE Desk Reference Files 
DESCRIPTION Convenience aggregations of legal reference materials. 
RETENTION Retain until no longer useful, or superseded 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0706-629 
TITLE Estate Recovery Case Files 
DESCRIPTION Correspondence, eligibility history, probate pleadings, family agreements, and related documents relating to legal action taken to recover assets from deceased medical assistance recipients' estates. 
RETENTION 005 cldr yrs post closure 
DISPOSITION Destroy 
RESTRICTIONS KSA 39-709b & 45-221(a)(1)(3)(14)(30) 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0176-264 
TITLE General Bureau Information Files 
DESCRIPTION Variety of documents dealing with information about specific bureaus in the department including: memoranda, letters, etc. 
RETENTION Until superseded or no longer useful 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0700-629 
TITLE Medical Subrogation Case Files 
DESCRIPTION Medical reports, police reports, accident inquiries, correspondence, and related documents relating to agency efforts to recover medical costs. 
RETENTION 005 cldr yrs post closure 
DISPOSITION Destroy 
RESTRICTIONS KSA 39-709b & 45-221(a)(1)(3)(14)(30) 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

Agency Number: 264-001
Department of Health and Environment
Administration
Secretary's Office

SERIES ID 0186-264 
TITLE Federal/State Task Forces and Advocate Groups 
DESCRIPTION A variety of documents relating to the task forces on the state and federal level and the advocacy groups that have an impact on the agency. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0188-264 
TITLE Health and Environment Case Files 
DESCRIPTION Reference copies of documents of case files. Contents include: information concerning cases, letters, attorney's notes, correspondence, etc. 
RETENTION Until Case is Closed 
COMMENTS Original Documents are held under 0177-264 
DISPOSITION Destroy 
RESTRICTIONS K.S.A. 45-221(a)(1)(2)(3)(4)(5)(6)(10)(11)(14)(20)(25)(29)(30)(47), K.S.A. 60-226, and K.S.A. 60-426. 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0190-264 
TITLE Proposed Kansas Administrative Rules and Regulations 
DESCRIPTION Documents relating to new and proposed amendments to existing regulations that govern the agency including: proposed regulations, notices, economic impact statements, hearing officer's report, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

Agency Number: 264-002
Department of Health and Environment
Environment Division

SERIES ID 0654-264 
TITLE Special Projects Files 
DESCRIPTION Contain documents related to one time/ad hoc projects. May contain lab reports, correspondence, reports, and planning documents related to environmental issues within the state of Kansas. 
RETENTION 020 cldr yrs 
COMMENTS Contact state archives for appraisal - if not accepted then destroy. 
DISPOSITION See Comments 
RESTRICTIONS KSA 45-221(a)(14)(20) 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Air

SERIES ID 0419-264 
TITLE Air Emissions Inventory Forms 
DESCRIPTION Completed forms listing basic information regarding industrial operations which emit particles into the air - used as input form for "Air Emissions Inventory Database System". 
RETENTION 003 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0432-264 
TITLE Air Quality Assement Logs 
DESCRIPTION Registers of various section activities related to air quality assessment and enforcement: Order Logs, Complaint Logs, New Plant Logs, Oil Spill Logs, Report Notice Mailing Logs, and Source Test Logs. 
RETENTION 003 cldr yrs 
COMMENTS Contact State Archives for appraisal - if not accepted then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0446-264 
TITLE Asbestos Files 
DESCRIPTION Documents used to verify and justify actions concerning initial and annual renewal licensing of businesses, as well as public agencies, to engage in asbestos abatement work. Includes permits and correspondence, notification forms and project inspection documents. 
RETENTION 003 Calendar Years 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0448-264 
TITLE Asbestos Program Files 
DESCRIPTION Policy and procedure documents regarding administration of asbestos program includes: respiratory protection, training, certification, inspection, etc. 
RETENTION 003 Calendar Years 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0449-264 
TITLE Asbestos Worker Certification Files 
DESCRIPTION Documents used to verify and justify actions concerning initial and annual renewal of certification of persons as either asbestos abatement workers or supervisors. 
RETENTION 003 Calendar Years 
DISPOSITION Destroy 
RESTRICTIONS Portions per KSA 45-221(a)(3) 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0413-264 
TITLE Facility Files 
DESCRIPTION Variety of documents relating to facilities including: permits, inspection reports, investigations, reports to federal agencies and working files. 
RETENTION 003 Calendar Years 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0452-264 
TITLE Federal Asbestos Hazard Emergency Response Act Management Plans 
DESCRIPTION Asbestos management plans that are required to be submitted to the agency by public and private schools under Federal law/regulation. 
RETENTION 001 cldr yr  
COMMENTS Contact State Archives for appraisal - if not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0423-264 
TITLE Municipal Air Quality Files 
DESCRIPTION Records related to general and specific air quality issues in individual Kansas cities and/or counties includes: correspondence, publications, applications, reports, inspections, and monitoring, and related documents. 
RETENTION 003 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0430-264 
TITLE Open Burning Permit Files 
DESCRIPTION Documents related to requests for permits to perform open burnings, to the review of those requests, and to the enforcement of associated laws and regulations. 
RETENTION 003 cldr yrs 
COMMENTS Transfer significant files as determined by the agency staff in collaboration with state archives staff. If not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0436-264 
TITLE Visible Emission Inspector Certification Records 
DESCRIPTION Documents related to the training and certification of employees for observation and identification of visible air emissions (smoke): correspondence, examination sheets, certifications, and related documents. 
RETENTION 003 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1998-10-13 
K.A.R. NUMBER 53-2-076 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Air and Radiation
Monitoring Section

SERIES ID 0417-264 
TITLE Air Emission Inventory Database System 
DESCRIPTION Computer database used to manage and reference information collected in the process of monitoring and enforcing air emission standards - information entered from "Air Emission Inventory Forms" (q.v.). 
RETENTION See Comments 
COMMENTS Retain annual backup tapes for 7 years, then transfer to archives. 
DISPOSITION Archives 
RESTRICTIONS Portions per KSA 45-221(a)(1) 
APPROVED 1988-10-13 
K.A.R. NUMBER 53-2-076 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Air and Radiation
Radiation Section

SERIES ID 0409-264 
TITLE Liaison Officer Network Files 
DESCRIPTION Documents provided to the chief of the radiation control section related to the NRC actions at Wolf Creek Nuclear Station and the "no significant impact" determinations of NRC license actions at W.C. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. This information is available at the public information centers in Burlington, Washington, Washburn University and others. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0273-264 
TITLE Low Level Radiation Waste (LLRW) Files 
DESCRIPTION Documents relating to low level radiation waste and in particular, Kansas' activities relative to the Central Interstate Low Level Radiation Waste Compact Commission. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0277-264 
TITLE Transportation Files 
DESCRIPTION Documents generated by or relative to the transportation of radiation materials in Kansas. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Air and Radiation
Right to Know Section

SERIES ID 0394-264 
TITLE Master Database 
DESCRIPTION Database under design to combine information from all aspects of sections reporting (Series 302-311) and will inter-link with the U.S. Environmental Protection Agency system. 
RETENTION See Comments 
COMMENTS Retain permanently or transfer to the archives when no longer useful. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1990-07-19 
K.A.R. NUMBER 53-2-085 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Environmental Field Services

SERIES ID 0615-264 
TITLE Data Requests 
DESCRIPTION Correspondence, memos, reports, etc.. related to requests for water quality information stored on the EPA STORET computer system. 
RETENTION 020 Calendar Years 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0641-264 
TITLE Fish Kill Reports 
DESCRIPTION Reports regarding investigations of fish kills that are used to determine who or what was responsible for the kill and if any regulations have been violated. 
RETENTION 020 cldr yrs 
COMMENTS Contact the State Archives for appraisal. If not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Environmental Field Services
Data Support Section

SERIES ID 0660-264 
TITLE Fresh Water Mussels Distribution Data 
DESCRIPTION Documentation relating to the type and size of mussel samples collected at stream biological network sites to monitor toxicity levels. 
RETENTION See Comments 
COMMENTS Retain hard copy until data is transferred to the Kansas Biological System Data Base, then destroy. Retain PC database until data is transferred to the Kansas Biological System Data Base, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1996-04-18 
K.A.R. NUMBER 53-2-108 

SERIES ID 0616-264 
TITLE Kansas Water Data Base 
DESCRIPTION Ambient chemical water quality data gathered routinely and stored electronically to provide historical background information on water quality in Kansas. 
RETENTION See Comments 
COMMENTS Retain permanently. Data stored off-line should be refreshed periodically to ensure data integrity. All data should be migrated to new electronic information systems as needed. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1996-04-18 
K.A.R. NUMBER 53-2-108 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Environmental Field Services
Public Advocate

SERIES ID 0608-264 
TITLE Pollution Prevention Award Files 
DESCRIPTION Applications and supporting documents relating to pollution prevention awards given annually to recognize private sector organizations' efforts throughout Kansas. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1996-04-18 
K.A.R. NUMBER 53-2-108 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Environmental Field Services
Technical Services Section

SERIES ID 0465-264 
TITLE Chemical Analysis Data Sheets 
DESCRIPTION Computerized laboratory reports on results of chemical analyses of water samples. 
RETENTION See Comments 
COMMENTS Retain until data is published in "Water Quality Data for Kansas," then destroy. This data is also input into the EPA STORET computer system. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-04-14 
K.A.R. NUMBER 53-2-074 

SERIES ID 0491-264 
TITLE Reports - Original Manuscripts 
DESCRIPTION Original manuscripts of reports and other documents published by the section regarding water quality subjects. 
RETENTION 010 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-04-14 
K.A.R. NUMBER 53-2-074 

SERIES ID 0494-264 
TITLE Reports - Unpublished 
DESCRIPTION Reports compiled by the section but not formally published: "Kansas River Pollution Survey," "The Kansas River and Its Tributaries," "Summary Report on Quality of Interstate Waters," etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful on a regular basis, then transfer to archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-04-14 
K.A.R. NUMBER 53-2-074 

SERIES ID 0662-264 
TITLE Whole Effluent Toxicity Tests 
DESCRIPTION Lab sheets, reports, and memos relating to tests performed on waste water discharge effluent samples to ensure compliance with the established permit conditions. 
RETENTION 015 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Environmental Field Services
Technical Services Section
Stream Biological Monitoring Unit

SERIES ID 0648-264 
TITLE Fish Tissue Monitoring Program Files 
DESCRIPTION Documents relating to collection and analysis of fish tissue samples to check for the presence of toxic chemicals which may not be detected through water samples. 
RETENTION See Comments 
COMMENTS Retain paper files until an AS400 database system is implemented, then destroy. Retain AS400 fish tissue monitoring data base permanently. Data stored offline should be refreshed periodically and all data should be transferred to new systems as needed. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1996-04-18 
K.A.R. NUMBER 53-2-108 

SERIES ID 0657-264 
TITLE Kansas Biological System Data Base 
DESCRIPTION Biological water quality data gathered routinely and stored electronically to provide historical background information on water quality in Kansas. 
RETENTION See Comments 
COMMENTS Retain permanently. Data stored offline should be refreshed periodically to ensure data integrity. All data should be migrated to new electronic information systems as needed. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1996-04-18 
K.A.R. NUMBER 53-2-108 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Environmental Field Services
Technical Services Section
Stream Chemistry Monitoring Unit

SERIES ID 0681-264 
TITLE Fish Kill Data Base 
DESCRIPTION Single PC-based data base containing summary information on fish kills in Kansas: date, location, number killed, cause, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then contact the archives for appraisal - if not accepted for transfer to the archives, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1996-04-18 
K.A.R. NUMBER 53-2-108 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Environmental Remediation

SERIES ID 1002-264 
TITLE Abandoned Mine Land Project Files 
DESCRIPTION Records related to the investigation and remediation of safety hazards posed by historic mining sites, including investigation reports, background research, and environmental and other agreements; and supporting documentation including maps, designs, specifications, analytic data, and construction and post construction inspection reports. 
RETENTION 030 cldr yrs post closure 
COMMENTS Contact State Archives for appraisal, if not accepted then destroy. 
DISPOSITION See Comments 
RESTRICTIONS NONE 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 1003-264 
TITLE Closed Storage Tank Facility Files 
DESCRIPTION Records related to historical operations of storage tank facilities that are no longer active. Records include those identifying the dates of facility operation; facility owners and operators; the number and size of the storage tanks; types of materials stored; storage tank installation, upgrade, and repair records; permanent abandonment records; compliance and inspection records; site drawings and maps; information submitted to fulfill emergency planning and community right-to-know requirements; insurance and financial responsibility records; and supporting documentation. 
RETENTION 30 years after facility closure 
DISPOSITION Archive 
RESTRICTIONS KSA 45-221(a)(14)(30)(45) 
APPROVED 2017-01-19 
K.A.R. NUMBER 53-2-194 

SERIES ID 1001-264 
TITLE Coal Mine Permits 
DESCRIPTION Records related to active coal mining, including inspection reports, permit documents, and agreements; and supporting documents including surface water and groundwater reports, analytical data, notice of violations, cessation orders, per ton fees, and other activities required under the Kansas Mine Land Conservation and Reclamation Act. 
RETENTION 030 cldr yrs post closure 
COMMENTS Contact State Archives for appraisal, if not accepted then destroy. 
DISPOSITION See Comments 
RESTRICTIONS NONE 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0462-264 
TITLE County Environmental Reference Files 
DESCRIPTION Records documenting environmental conditions at locations where a Bureau of Environmental Remediation(BER) response was not warranted. Records are kept for future reference, and include complaints referred to other agencies, regional groundwater studies, reports for environmental assessment and response actions performed without BER oversight, background information and facility inventories related to industrial sector evaluations, unregulated dump or landfill information, and other related records. 
RETENTION Permanent 
DISPOSITION Permanent 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0454-264 
TITLE Environmental Site File 
DESCRIPTION Records related to the investigation and remediation of environmentally contaminated sites, including investigations reports, background research, environmental and other agreements, and supporting documentation including: maps, superfund material, monitoring records, and analytic data. 
RETENTION 030 Calendar Years after site closure 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0461-264 
TITLE Federally Funded Program Files 
DESCRIPTION All records related to work performed under a federal grant or cooperative agreement. Does not include records scheduled under Environmental Site Files. 
RETENTION 010 cldr years 
COMMENTS Maintain all financial and programmatic records, supporting documents, statistical records, and other records related to work performed under the grant or agreement for a minimum of 10 years following the submission of the final expenditure report, or for awards that are renewed quarterly or annually, from the date of the submission o the quarterly or annual financial report. If any litigation, claim, negotiation, audit, cost recovery, or other action has been initiated, the records must be retained until completion of such action and resolution of all issues which arise from it or until the end of the regular 10 year period, whichever is later. 
DISPOSITION Destroy 
RESTRICTIONS K.S.A. 45-221 (a)(1); 42 USCA 9601 et Sec. 113(k)(1) 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0456-264 
TITLE Leaking Tank Files 
DESCRIPTION Records related to the investigation and remediation of environmental contaminated tank sites. These may include: investigation reports, background research, environmental and other agreements, and supporting documentation.  
RETENTION 030 Calendar years after closure 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0460-264 
TITLE Spill Reports 
DESCRIPTION Documents relating to reports of spills that contaminate the soil or water. 
RETENTION 030 calender years after remediation 
COMMENTS Environmentally significant spills generate Site Files (0454-264). Contact archives for appraisal, materials not accepted should then be destroyed. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-084 

SERIES ID 0810-264 
TITLE Storage Tank Compliance Files 
DESCRIPTION Records documenting a facility's routine procedures such as leak detection, inventory control, tightness testing, monitoring, and other activities required to prevent product releases into the environment as required by the Underground Storage Tank Act. 
RETENTION 031 cldr years 
COMMENTS Records are scanned for convenience, but the paper copy remains the record copy. 
DISPOSITION Destroy 
RESTRICTIONS K.S.A. 65-34, 108 (d); KSA 45-221 (a)(1) 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Radiation

SERIES ID 0624-264 
TITLE Central Interstate Compact (CIC) Low-Level Radioactive Waste Program Files 
DESCRIPTION Correspondence, reports, newsclippings, and other documents relating generally to the compact formed by Kansas, Nebraska, Oklahoma, Arkansas, and Louisiana to manage and dispose of the five states' low-level radioactive waste. 
RETENTION Until Compact Superseded 
COMMENTS Contact the State Archives for appraisal. If not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0391-264 
TITLE County Emergency Planning Committee Files 
DESCRIPTION Documents concerning Emergency Planning Committees including lists of members, correspondence, proceedings, and other supporting materials.  
RETENTION 010 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0392-264 
TITLE Hazardous Substance Facilities Reporting Files 
DESCRIPTION Documents resulting from the required reporting of the production, use, or storage of hazardous substances by industrial or commercial facilities under Federal statute. 
RETENTION 010 cldr yrs 
COMMENTS Includes reports required by Sections 302, 304, 311, 312, and 313 of the Superfund Amendments and Reauthorization Acts of 1986, Title III. See also "Material Safety Data Sheets." Contact State Archives for appraisal - if not accepted, then destroy 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0272-264 
TITLE Incident Investigation Files 
DESCRIPTION Documents relating to investigations of accidents, incidents, or complaints involving radioactive materials or radiation conducted by Radiation Program staff. 
RETENTION 010 cldr yrs post closure 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0412-264 
TITLE Small Hospital X-Ray Equipment Survey 
DESCRIPTION Survey questions and answers used to determine the methods used by small hospitals in operating the x-ray equipment. 
RETENTION 002 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0275-264 
TITLE Staff Health and Safety Files 
DESCRIPTION Documents relating to the occupational safety and health of Radiation Program staff. 
RETENTION Permanent 
DISPOSITION Permanent 
RESTRICTIONS None 
APPROVED 1990-04-19  ; Revised 2015-06-09
K.A.R. NUMBER 53-2-084 

SERIES ID 0276-264 
TITLE Training Files 
DESCRIPTION Documents relating to the radiation program training activities and staff training. 
RETENTION Permanent 
DISPOSITION Permanent 
RESTRICTIONS None 
APPROVED 1990-04-19  ; Revised 2015-06-09
K.A.R. NUMBER 53-2-084 

SERIES ID 0416-264 
TITLE X-Ray Registration and Inspection Files 
DESCRIPTION Documents relating to the registration files and the inspection reports for all possessors and users of x-ray or ionizing radiation producing devices. 
RETENTION 010 cldr yrs after disposal of device 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Waste Management

SERIES ID 0577-264 
TITLE Hazardous Waste Generator Files 
DESCRIPTION Correspondence, generator and inspection reports, and other documents relating to efforts to monitor generators of hazardous waste (ex: refinery) to ensure compliance with federal and state statutes and regulations. 
RETENTION 010 cldr yrs 
COMMENTS Purge materials other than reports. Transfer reports to archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0580-264 
TITLE Hazardous Waste Resource Conservation and Recovery Act (RCRA) Groundwater Files 
DESCRIPTION Documents relating to monitoring of hazardous waste facility groundwater during operations and for 30 yrs after closure as required by RCRA Title C: Sampling and analysis plan, reports, etc. 
RETENTION 030 Calendar Years after closure 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0579-264 
TITLE Hazardous Waste Statistical Data 
DESCRIPTION Data submitted annually by facilities generating, treating, storing, and/or disposing of hazardous waste that summarize the quantity, chemical composition, type, and methods of managing the waste. 
RETENTION 007 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0588-264 
TITLE Household Hazardous Waste Files 
DESCRIPTION Permits, correspondence, reports, and other documents relating to the monitoring of household hazardous waste disposal programs and facilities to ensure compliance with state statutes and regulations. 
RETENTION 010 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-104 

SERIES ID 0596-264 
TITLE Mausoleum Creation Permits 
DESCRIPTION Permit applications, permits, correspondence, and other documents relating to the issuance of permits for the construction of mausoleums or vaults to ensure that the structure will be sound and maintain the sanitation of surrounding environment. 
RETENTION 010 cldr yrs 
COMMENTS Purge files of transactional material. Transfer remaining file to archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0584-264 
TITLE Solid Waste Facility Permits 
DESCRIPTION Permit applications, correspondence, inspection reports, and other documents relating to efforts to monitor solid waste activities to ensure compliance with state statutes (65-3407 and 65-3410) and regulations. 
RETENTION 030 Calendar Years after closure 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0581-264 
TITLE Solid Waste Resource Conservation and Recovery Act (RCRA) Groundwater Files 
DESCRIPTION Documents relating to monitoring of solid waste facility groundwater during operations and after closure as required by RCRA Title D: Sampling and analysis plan, reports, and related records. 
RETENTION 030 Calendar Years after closure 
COMMENTS
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0578-264 
TITLE Treatment, Storage, and Disposal Facility Files  
DESCRIPTION Permits, correspondence, and other documents relating to the monitoring of facilities involved in hazardous waste treatment, storage, and disposal. 
RETENTION 005 Calendar years after notification of closure 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0597-264 
TITLE Waste Collection Truck Tipping Fee Files 
DESCRIPTION Documents relating to the administration and collection of tipping fees assessed on each ton of solid waste disposed of at any solid waste disposal area.  
RETENTION 003 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-10-22 
K.A.R. NUMBER 53-2-189 

SERIES ID 0585-264 
TITLE Waste Tire Files 
DESCRIPTION Permits, correspondence, reports, and other documents relating to the monitoring of waste tire processing and collection facilities to ensure compliance with tire disposal and reclamation regulations. 
RETENTION 010 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Waste Management
Solid Waste Section

SERIES ID 0595-264 
TITLE Disposal Authorization Files 
DESCRIPTION Documents relating to requests submitted by individuals and firms seeking authorization to dispose of solid waste in a landfill. 
RETENTION 010 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1995-04-13  ; Revised 2015-05-04
K.A.R. NUMBER 53-2-104 

SERIES ID 0598-264 
TITLE Landfill Database 
DESCRIPTION Electronic database (Lotus Notes) containing summary information on each solid waste facility: name, address, landfill type, landfill status, permit issue date, permit expire date, tipping fee data. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1995-04-13 
K.A.R. NUMBER 53-2-104 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Water

SERIES ID 0811-264 
TITLE 503 Sludge Reports 
DESCRIPTION Reports submitted by Municipal and Industrial Wastewater Treatment facilities including laboratory results covering the disposal of sludge waste. 
RETENTION 005 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-04-16  ; Revised 2015-04-20
K.A.R. NUMBER 53-2-185 

SERIES ID 0601-264 
TITLE Agricultural Waste Facilities Files 
DESCRIPTION Plan sheets, correspondence, registration applications, reports, and other documents related to issuing permits and regulating waste water produced by animal feed lot facilities. 
RETENTION 010 cldr yrs  
DISPOSITION Archives 
RESTRICTIONS KSA 45-221 (a)(1); KSA 65-170g, KAR 28-46-23, 40 CFR 122.7 40 CFR 123.25 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0568-264 
TITLE Annual Priority List - EPA Construction Grants and State Revolving Fund Loans 
DESCRIPTION Annual report prepared to inform the public of the priorities established for the allocation of EPA construction grants and state revolving fund loans for wastewater facility construction. 
RETENTION Permanent 
DISPOSITION Permanent 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0689-264 
TITLE Aquatic Macro-Invertebrate Sample Identification Sheets 
DESCRIPTION Records of the contents of water samples taken from sampling stations as regards aquatic organisms according to laboratory analysis. 
RETENTION 020 cldr yrs 
COMMENTS This data is available in the Water Quality Data for Kansas report and the EPA's STORET system. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0690-264 
TITLE Arkansas River Corridor Assessment Project Records 
DESCRIPTION Documents containing chemical, biological, and hydrological information on the Arkansas River and used to prepare a comprehensive analysis of the river's water quality. 
RETENTION 020 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0691-264 
TITLE Bio-Screening Program Records 
DESCRIPTION Documents regarding the screening, analysis, and impact assessment of municipal and industrial waste water on aquatic life: correspondence, reports, notes, and related records. 
RETENTION 020 Calendar Years 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0005-264 
TITLE Bond Fund Accounts Audit Reports 
DESCRIPTION Audit reports related to municipal sewer construction revenue bonds held by the agency. 
RETENTION 007 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0634-264 
TITLE Chlorophyll A Analysis Sheets 
DESCRIPTION Chemical analysis data relating to tests for chlorophyll A in lakes and wetlands that is used to monitor levels and ensure compliance with water quality standards. 
RETENTION 020 cldr yrs 
COMMENTS Data is found in the EPA's STORET system and the Kansas University's Kansas Water Database. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0466-264 
TITLE Chlorophyll Test Results 
DESCRIPTION Worksheets used to plot results of tests for chlorophyll content in water samples. 
RETENTION 005 cldr yrs 
COMMENTS Some of this information can also be found in the EPA's STORET system. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0468-264 
TITLE Clean Lakes Restoration Priority Data Sheets 
DESCRIPTION Surveys of physical features of lakes including general topography, drainage, ownership and other legal issues, water use, and miscellaneous information. 
RETENTION 020 cldr yrs 
COMMENTS Contact State Archives for appraisal, if not accepted then destroyed. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0514-264 
TITLE Consulting Engineers' Reports 
DESCRIPTION Reports submitted by consulting engineers to the department on behalf of water treatment plants prior to major changes in the treatment process that provide a historical summary of plant operations. 
RETENTION 005 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-10-22 
K.A.R. NUMBER 53-2-189 

SERIES ID 0511-264 
TITLE County Sanitation Files 
DESCRIPTION Correspondence, lab reports, and other documents relating to domestic sewer and water issues maintained to ensure that private property owners comply with water supply and sanitation regulations. 
RETENTION 005 cldr yrs 
COMMENTS a.k.a. "4.0 Files" 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0566-264 
TITLE County Wide Plan Files 
DESCRIPTION Copies of plans, correspondence, and other documents concerning long range plans prepared by counties to guide the development of water and wastewater treatment facilities. 
RETENTION Until Plan is Superseded 
COMMENTS Contact State Archives for appraisal, if not accepted then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0650-264 
TITLE Data Analysis Records 
DESCRIPTION Documents that represent efforts to analyze, interpret, and give greater meaning to Kansas Biological System data to facilitate preparation of program development reports. 
RETENTION Published in final report 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0268-264 
TITLE Drinking Water Program Files 
DESCRIPTION Documents relating to the radiation portion of the state drinking water program. 
RETENTION Until Superseded 
COMMENTS Contact the State Archives for appraisal. If not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0697-264 
TITLE Farmstead Well Water Quality Study Records 
DESCRIPTION Documents regarding the study of private farmstead well water quality: correspondence, reports, notes, data sheets, lab reports, and related records. 
RETENTION 010 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-04-14 
K.A.R. NUMBER 53-2-074 

SERIES ID 0651-264 
TITLE Fish Consumption Advisory Files 
DESCRIPTION Documents relating to fish filet samples taken to assess the human health risks of eating fish from certain sites in Kansas and to the issuance of fish consumption advisories when necessary. 
RETENTION 020 cldr yrs 
COMMENTS Contact the State Archives for appraisal - if not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0477-264 
TITLE Fish Tissue Advisory Files 
DESCRIPTION Records related to development of health advisory notices for issuance to the public concerning the consumption of fish: correspondence, press releases, maps, data sheets, reports, and related records. 
RETENTION 020 cldr yrs 
COMMENTS Contact the State Archives for appraisal - if not accepted, then destory. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0649-264 
TITLE Fish Tissue Monitoring Program Administrative Files 
DESCRIPTION Copies of EPA fish program work plans, analytical data reports, work plan correspondence, etc. relating to the administration of the fish monitoring program. 
RETENTION 020 cldr yrs 
COMMENTS Contact state archives for appraisal, if not accepted then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0479-264 
TITLE Geographic Information Database System 
DESCRIPTION Computerized mapping system used to provide geographic information for water quality assessment operations. 
RETENTION 010 cldr years 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0698-264 
TITLE Groundwater Nitrate Problem Files 
DESCRIPTION Documents related to the administration of studies to assess nitrate contents of drinking water sources: correspondence, reports, publications, lab analyses, and related records. 
RETENTION 010 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-04-14 
K.A.R. NUMBER 53-2-074 

SERIES ID 0480-264 
TITLE Groundwater Quality Monitoring Network Data Files 
DESCRIPTION Records related to the monitoring of groundwater quality at sampling sites: results of lab analyses, field measurement notes, sample collection notes. 
RETENTION 020 cldr yrs 
COMMENTS Some information is also found in the EPA's STORET system. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0644-264 
TITLE Groundwater Quality Monitoring Network Files 
DESCRIPTION Field notes, lab submission forms, map of site, etc. relating to well sites that are monitored every other year to ensure compliance with groundwater quality standards. 
RETENTION 020 cldr yrs 
COMMENTS Some data is also found in EPA's STORET system and Kansas University's Kansas Water Database. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0812-264 
TITLE Hydrostatic Test Discharge General Permits 
DESCRIPTION Applications, Maps, Permits, Laboratory Data, Correspondence, etc. related to the Hydrostatic testing of new and existing underground pipeline and storage tanks and discharge of test water. 
RETENTION 010 cldr yrs from closure of project 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

SERIES ID 0813-264 
TITLE Industrial Stormwater Construction files 
DESCRIPTION Engineering Plans, permits, data, correspondence, etc. related to industrial stromwater construction permits. 
RETENTION 010 cldr yrs from closure of project 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

SERIES ID 0700-264 
TITLE Intensive Water Quality Survey Records 
DESCRIPTION Documents related to intensive surveys of specific water sources not normally monitored on a regular basis: correspondence, interim reports, field data sheets, notes, final reports, and related records. 
RETENTION 020 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0622-264 
TITLE Kansas Water Quality Assessment Report (305(b) Report) Files 
DESCRIPTION Report submitted to the U.S. Environmental Protection Agency every two years summarizing water quality in Kansas and the state's efforts to monitor and regulate water quality. Includes data and other supporting information used in preparing the report. 
RETENTION 020 Calendar Years 
COMMENTS Send final report to archives, all other material may be destroyed. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0705-264 
TITLE Laboratory Sample Log Sheets 
DESCRIPTION Record of water samples submitted to the laboratory for analysis - used to track progress of sample. 
RETENTION 010 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0706-264 
TITLE Lake Drinking Water Supply Quality Study Records 
DESCRIPTION Records related to the study of the quality of drinking water supplied from multiple-use lakes: correspondence, reports, data, notes, drafts, and reference materials. 
RETENTION 020 cldr yrs 
COMMENTS Contact state archives for appraisal, if not accepted then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0484-264 
TITLE Lake Water Quality Data Files 
DESCRIPTION Records regarding water quality for various lakes in Kansas: correspondence, data sheets, reports, publications, notes, maps, and related records 
RETENTION 020 cldr yrs 
COMMENTS Much of this information is also found in the EPA's STORET system. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0633-264 
TITLE Lake and Wetland Water Quality Monitoring Program Files 
DESCRIPTION Field forms, notes, and other documents related to data gathered by KDHE employees on routine lake and wetland water samples which are analyzed to ensure compliance with standards. 
RETENTION 020 cldr yrs 
COMMENTS Data is transferred to EPA's STORET system and Kansas University's Kansas Water Database. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0544-264 
TITLE Local Nonpoint Source Management Plans 
DESCRIPTION County conservation plans submitted for technical assistance and review to ensure consistency with the state nonpoint source management plan. 
RETENTION 004 fisc yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0661-264 
TITLE National Pollutant Discharge Elimination System (NPDES) Review Files 
DESCRIPTION Results of chemical analyses of waste water discharges conducted to ensure compliance with the established permit conditions. 
RETENTION 010 cldr years 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-108 

SERIES ID 0709-264 
TITLE Netbug Computer Reports 
DESCRIPTION Information from "Aquatic Macro-Invertebrate Sample Identification Sheets" in computer report format: site information, date of sample, taxonomy of present organisms, count, and method of sampling. 
RETENTION 020 cldr yrs 
COMMENTS Data may also be found in the EPA's STORET system. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0710-264 
TITLE Pesticide Analysis Sheets 
DESCRIPTION Reports received from departmental laboratory on analysis of water samples in regard to their pesticides content. 
RETENTION 020 cldr yrs 
COMMENTS This data is also found in the EPA's STORET computer system. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0711-264 
TITLE Pesticide Records- Interagency with Department of Agriculture 
DESCRIPTION Documents concerning inter-action between the section and the Board of Agriculture in regards to pesticides and water quality: correspondence, notes, proposed memoranda of agreement, and related records. 
RETENTION 020 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0507-264 
TITLE Public Water Supply - Facility Plans, Drawings, and Specifications 
DESCRIPTION Plans, drawings, and specifications relating to public water supply facilities submitted to the Bureau of Water for approval to ensure that facilities are constructed in accordance with standards. 
RETENTION 005 cldr yrs 
COMMENTS Supersedes general schedule retention requirements for "Architectural Plans, Drawings, Maps, and Specifications -0007-000" 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0493-264 
TITLE Reports - Lake Water Quality 
DESCRIPTION Summary reports regarding lake water quality compiled from water sampling and laboratory analyses. 
RETENTION 020 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0713-264 
TITLE Rural Clean Water Project Files 
DESCRIPTION Documents concerning the administration the Rural Clean Water Project: correspondence, reports, notes, maps, computer reports, site inventories, and related records. 
RETENTION 010 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-04-14 
K.A.R. NUMBER 53-2-074 

SERIES ID 0497-264 
TITLE Sample Station Water Year Data Files (Ambient Water) 
DESCRIPTION Computerized laboratory reports containing results of the analysis of water samples taken monthly from sampling stations: chemical, biological, and radiological data. 
RETENTION 020 cldr yrs 
COMMENTS Some data is input into the EPA STORET computer system. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0498-264 
TITLE Sampling Run Planning Documents 
DESCRIPTION Materials used to plan water sample "runs." Includes sample site information, sampling requirements, personnel, equipment, and other documents. Maintained for both lake and stream sampling programs. 
RETENTION 005 cldr yrs 
COMMENTS Destroy duplicate/convenience copies yearly, but retain master records for 5 calendar years, then transfer to archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0545-264 
TITLE State Nonpoint Source Management Plan Files 
DESCRIPTION Documents relating to the development and implementation of the state's plan to control nonpoint source pollution. 
RETENTION Until Plan is Superseded 
COMMENTS Contact State Archives for appraisal - if not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0655-264 
TITLE Stream Biological Monitoring Files 
DESCRIPTION Field collection, sample identification, and habitat development forms relating to water samples collected at network sites visited annually to monitor compliance with water quality standards. 
RETENTION 020 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0642-264 
TITLE Stream Chemistry Monitoring Program Records 
DESCRIPTION Field forms, notes, and other documents related to data gathered on routine stream water samples which are analyzed to ensure compliance with water quality standards. 
RETENTION 020 cldr yrs 
COMMENTS Some data is found in EPA's STORET system and Kansas University's Kansas Water Database. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0499-264 
TITLE Stream Flow Rating Curve Charts 
DESCRIPTION Charts supplied by the Kansas Geologic Survey which plot the flow of streams by "gauge height" and "discharge." 
RETENTION 020 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0501-264 
TITLE Surface Water Quality Standards Records 
DESCRIPTION Documents concerning the development and modification of water quality standards for the state: correspondence, reports, drafts, notes, hearing rosters, agendas, minutes, and reference materials. 
RETENTION 025 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0637-264 
TITLE Survey Forms - Lakes 
DESCRIPTION Data gathered on the physical features of lakes including water quality, general topography, drainage, ownership and other legal issues, water use, and miscellaneous information. 
RETENTION 020 Cldr years 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-108 

SERIES ID 0635-264 
TITLE Taste and Odor Algae Bloom Program Files 
DESCRIPTION Records relating to the short term investigations of algae bloom incidents on Kansas lakes. 
RETENTION 020 Cldr yrs 
COMMENTS Contact state archives for appraisal, if not accepted then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0716-264 
TITLE U.S. Army Corps of Engineers 404 Permit Applications 
DESCRIPTION Applications by individuals and organizations for permission to engage in construction on waterways and lakes in Kansas, and the evaluation and approval/disapproval thereof per federal program. 
RETENTION 005 cldr yrs 
COMMENTS See also "Construction Notices" for records related to construction following permit approval. Contact State Archives staff for appraisal - if not accepted, then destroy. 
DISPOSITION See COmments 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0719-264 
TITLE Wastewater Effluent Monitoring Reports for Municipal, Commercial, Federal & Municipal Wastewater Treatment Facilities 
DESCRIPTION Reports prepared by the owner of the wastewater treatment facility monitoring the discharge levels and required parameters. 
RETENTION 010 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-04-16  ; Revised 2015-06-12
K.A.R. NUMBER 53-2-185 

SERIES ID 0542-264 
TITLE Water Quality Certification Files 
DESCRIPTION Documents relating to the review and certification of projects which alter water courses to ensure that water quality standards are not compromised as required by state and federal statutes. 
RETENTION 008 fisc yrs 
COMMENTS Contact State Archives for appraisal - if not accepted then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0505-264 
TITLE Water Quality Field Sample Sheets 
DESCRIPTION Records used to identify water sample containers, environmental conditions at time of sample, and field test results for acidity of water. 
RETENTION 020 cldr yrs 
COMMENTS Some data is also input into the EPA STORET computer system. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0652-264 
TITLE Water Quality Standards Files 
DESCRIPTION Technical criteria development documents, interdepartmental reviews, public meeting and hearing materials, revisions, and other documents relating to establishment of water quality standards. 
RETENTION 2 Permit Cycles 
COMMENTS A permit cycle runs 005 cldr years 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0712-264 
TITLE Water Quality Standards Task Force Files 
DESCRIPTION Notes, minutes, drafts, reports, and other miscellaneous documents regarding activities of the task force to review state water quality standards. 
RETENTION 010 cldr yrs 
COMMENTS Agency will purge duplicative materials such as draft copies before transfer. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0603-264 
TITLE Water Well Reports 
DESCRIPTION Reports submitted by applicants for all wells constructed, which is required to ensure compliance with health and safety regulations. 
RETENTION 010 cldr yrs after facility closure 
DISPOSITION Destroy 
RESTRICTIONS K.S.A. 45-221(a)(1), K.S.A. 65-170g, K.A.R. 28-46-23, 40 CFR 122.7, 40 CFR 123.25 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0694-264 
TITLE Waterfront Construction Files 
DESCRIPTION Records regarding review for approval of planned construction projects on waterfronts: correspondence, applications, public notices, and maps. 
RETENTION 004 cldr yrs 
COMMENTS See also "U.S. Army Corps of Engineers 404 Permit Program Records" for applications for permit construction. Disposition - Contact State Archives for appraisal - if not accepted then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0543-264 
TITLE Watershed Demonstration Project Files 
DESCRIPTION Correspondence, final report, work plans, budgets, etc. relating to projects established in cooperation with local sponsors to demonstrate the implementation of nonpoint source pollution controls. 
RETENTION 005 fisc yrs 
COMMENTS Contact State Archives for appraisal - if not accepted then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-07-16 
K.A.R. NUMBER 53-2-187 

SERIES ID 0628-264 
TITLE Watershed Land Use Delineation Maps 
DESCRIPTION Annotated USGS topographical maps containing color coded land use data on watersheds which are part of the monitoring network. 
RETENTION 020 Cldr years 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Water
Geology Section

SERIES ID 0605-264 
TITLE Salt Solution Mining Files 
DESCRIPTION Inspection reports, applications, correspondence, etc. related to salt mining companies that produce salt by injecting water into the ground forcing the brine water to the surface. 
RETENTION 010 cldr yrs after facility closure 
DISPOSITION Archives 
RESTRICTIONS K.S.A. 45-221(a)(1), K.S.A. 65-170g, K.A.R. 28-46-23, 40 CFR 122.7, 40 CFR 123.25 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

SERIES ID 0604-264 
TITLE Underground Hydrocarbon Storage files 
DESCRIPTION Base maps, annual reports, applications, permits, inspection reports, etc. related to the regulation and monitoring of companies storing liquid petroleum gas in underground storage wells. 
RETENTION 010 cldr yrs after facility closure 
COMMENTS Retain in office 10 years, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS K.S.A. 45-221(a)(1), K.S.A. 65-170g, K.A.R. 28-46-23, 40 CFR 122.7, 40 CFR 123.25 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

SERIES ID 0602-264 
TITLE Underground Injection Control Correspondence files 
DESCRIPTION Permits, monthly monitoring reports, applications, correspondence, and mechanical integrity test files relating to underground injection disposal wells maintained to ensure compliance with standards. 
RETENTION 010 cldr yrs after facility closure 
DISPOSITION Archives 
RESTRICTIONS K.S.A. 45-221(a)(1)(14), K.S.A. 65-170g, K.A.R. 28-46-23, 40 CFR 122.7, 40 CFR 123.25 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

SERIES ID 0600-264 
TITLE Underground Injection Control Files - Well Logs 
DESCRIPTION Logs submitted by industries used to monitor underground injection waste disposal wells to ensure the activity and structural integrity of the wells are in compliance with standards. 
RETENTION 010 cldr yrs after facility closure 
DISPOSITION Archives 
RESTRICTIONS K.S.A. 45-221(a)(1), K.S.A. 65-170g, K.A.R. 28-46-23, 40 CFR 122.7 40 CFR 123.25 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Water
Industrial Programs Section

SERIES ID 0599-264 
TITLE Industrial and Pretreatment Wastewater Facilities Files 
DESCRIPTION Industrial and Pretreatment Wastewater Facilities Files, including permits, engineering reports, correspondence, and related records. 
RETENTION 020 cldr yrs after facility is no longer active 
DISPOSITION Destroy 
RESTRICTIONS K.S.A. 45-221(a)(1), K.S.A. 65-170g, K.A.R. 28-46-23, 40 CFR 22.7 40 CFR 123.25 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Water
Municipal Programs Section

SERIES ID 0565-264 
TITLE Municipal and Commercial Wastewater Facilities Design Reviews - Engineer Reports 
DESCRIPTION Engineer reports relating to proposed wastewater facilities submitted to the Bureau of Water for examination and approval to ensure that facilities are designed in accordance with standards. 
RETENTION See Comments 
COMMENTS Engineering Reports, Plans, Drawings, and Specifications are retained in Topeka central office during the construction project and retained either in Topeka or the appropriate District Office and destroyed 10 cldr yrs after completion of project.  
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

SERIES ID 0563-264 
TITLE Municipal and Commercial Wastewater Facilities Design Reviews - Plans/Drawings 
DESCRIPTION Plans and drawings relating to proposed wastewater facilities submitted to the Bureau of Water for examination and approval to ensure that facilities are designed in accordance with standards. 
RETENTION See Comments 
COMMENTS Engineering Reports, Plans, Drawings, and Specifications are retained in Topeka central office during the construction project and retained either in Topeka or the appropriate District Office and destroyed 10 cldr yrs after completion of project. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

SERIES ID 0564-264 
TITLE Municipal and Commercial Wastewater Facilities Design Reviews - Specifications 
DESCRIPTION Specifications relating to proposed wastewater facilities submitted to the Bureau of Water for examination and approval to ensure that facilities are designed in accordance with standards. 
RETENTION See Comments 
COMMENTS Engineering Reports, Plans, Drawings, and Specifications are retained in Topeka central office during the construction project and retained either in Topeka or the appropriate District Office and destroyed 10 cldr yrs after completion of project. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

SERIES ID 0561-264 
TITLE Municipal and Commercial Wastewater Facilities Permit Files 
DESCRIPTION Correspondence, engineer reports, permits and other documents pertaining to the monitoring of municipal and commercial wastewater facilities to ensure adherence to state and federal regulations. Also known as 2.0 Files. 
RETENTION 010 cldr yrs after facility closure 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

SERIES ID 0567-264 
TITLE State Revolving Fund Loan Files - Wastewater 
DESCRIPTION Application, correspondence, and financial records relating to the administration of a program through which the state provides 20 year loans to cities to fund the construction of wastewater facilities.  
RETENTION 025 cldr yrs after loan effective date 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Water
Public Water Supply Section

SERIES ID 0508-264 
TITLE Engineer Reports 
DESCRIPTION Narrative reports prepared by Bureau of Water field engineers relating to public water supply facilities' structural integrity, water quality, etc. used to monitor compliance with regulations. Also known as Orange Files. 
RETENTION 005 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

SERIES ID 0725-264 
TITLE Lead and Copper Compliance Files 
DESCRIPTION Correspondence and reports relating to lead and copper water analysis tests used to monitor compliance with federal and state public water supply contaminant regulations. 
RETENTION 005 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

SERIES ID 0724-264 
TITLE Phase II/V Compliance Files 
DESCRIPTION Correspondence and reports relating to IOC, SOC and VOC organic chemical water analysis tests used to monitor compliance with federal and state public water supply contaminant regulations. 
RETENTION 005 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

SERIES ID 0506-264 
TITLE Public Water Supply Files 
DESCRIPTION Correspondence, reports, fines/orders, public notices, and other documents pertaining to testing and monitoring public water supply facilities to ensure adherence to state and federal regulations. Applies to all documents pertaining to public water supply activities except those documents pertaining to the Kansas Public Water Supply Revolving Loan Program (KPWSLF) for drinking water. Also known as 1.0 Files or Green Files. 
RETENTION 005 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

SERIES ID 0726-264 
TITLE Public Water Supply Loan Fund Files 
DESCRIPTION Application, correspondence, & accounting records relating to a funding program sponsored by the Department of Health and Environment which loans money to cities for public water supply programs. 
RETENTION 002 fisc yrs post repayment 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

SERIES ID 0723-264 
TITLE Surface Water Treatment Compliance Files 
DESCRIPTION Correspondence and monthly reports submitted by surface water supply facilities used to monitor compliance with federal and state requirements on turbidity, disinfections and contact time levels. 
RETENTION 005 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

SERIES ID 0510-264 
TITLE Water Analysis Files 
DESCRIPTION Reports of results of pesticide, radiological, inorganic chemical, and organic chemical water analysis tests used to monitor compliance with public water supply contaminant regulations. Also known as 1.1 Files or Blue Files. 
RETENTION 005 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-04-16 
K.A.R. NUMBER 53-2-185 

SERIES ID 0509-264 
TITLE Water Analysis Files - Bacteriological 
DESCRIPTION Reports of results of water analysis tests showing the quantity and type of bacteria found in public water supplies used to monitor compliance with state and federal regulations. 
RETENTION 001 cldr yr 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1993-10-07 
K.A.R. NUMBER 53-2-098 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Bureau of Water
Technical Services Section

SERIES ID 0516-264 
TITLE Water and Wastewater Operator Certification Exam Applications 
DESCRIPTION Applications submitted by individuals seeking to take the certification exam that is administered to ensure that water and wastewater treatment facilities are staffed with qualified operators. 
RETENTION See Comments 
COMMENTS Retain hard copy in office 2 calendar years, transfer to the records center for 3 calendar years, then destroy. Retain electronic database until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(9) 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

Agency Number: 264-002
Department of Health and Environment
Environment Division
Director's Office

SERIES ID 0673-264 
TITLE Quality Management Plan Files 
DESCRIPTION Documents used to prepare the division's quality management plan that establishes written quality assurance goals and standard operating procedures for each of the division's programs. 
RETENTION See Comments 
COMMENTS Retain working documents until incorporated into Quality Management Plan, then destroy. Retain Quality Management Plan until superseded, then transfer one copy to the archives, destroy the remainder. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1996-04-18 
K.A.R. NUMBER 53-2-108 

Agency Number: 264-003
Department of Health and Environment
Health Division
Bureau of Child Care & Health Facilities
Child Care Licensing

SERIES ID 0745-264 
TITLE Foster Care Licensing Files 
DESCRIPTION Application and supporting documentation relating to the licensing process for individuals, group boarding homes, associations, detention centers, etc. applying to provide residential care for a child or children. 
RETENTION See Comments 
COMMENTS Retain until facility is closed, transfer to the Records Center and retain for six years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-507(b) 
APPROVED 2010-10-28 
K.A.R. NUMBER 53-2-165 

Agency Number: 264-003
Department of Health and Environment
Health Division
Bureau of Community Health Systems

SERIES ID 0269-264 
TITLE Emergency Preparedness Files 
DESCRIPTION Documents generated by or relative to the department's radiological emergency preparedness and response plan. 
RETENTION Until Plan is Superseded 
COMMENTS Contact the State Archives for appraisal. If not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-10-22 
K.A.R. NUMBER 53-2-189 

SERIES ID 0270-264 
TITLE Environmental Surveillance program Files 
DESCRIPTION Documents generated by or relative to the department's radiation environmental surveillance programs that are compiled into an annual report that is available on the bureau website. 
RETENTION 001 cldr year after publication 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-10-22 
K.A.R. NUMBER 53-2-189 

SERIES ID 0410-264 
TITLE Radioactive Materials License Files 
DESCRIPTION Documents relating to the radioactive material license applications, approval/denial forms, inspection reports, and compliance records. 
RETENTION 010 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS KSA 65-5701 et seq 
APPROVED 2015-10-22 
K.A.R. NUMBER 53-2-189 

SERIES ID 0274-264 
TITLE Radon Activity Files 
DESCRIPTION Documents arranged by site location that are generated by or relative to the agency's radon activities including: correspondence, guidance, survey results, investigation reports, and related documents. 
RETENTION 010 cldr years 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-10-22 
K.A.R. NUMBER 53-2-189 

Agency Number: 264-003
Department of Health and Environment
Health Division
Bureau of Consumer Health

SERIES ID 0266-264 
TITLE Administration Files 
DESCRIPTION Variety of documents relating to the section chief's desk file and the daily operation of the bureau including: travel vouchers, fiscal information, etc. 
RETENTION See Comments 
COMMENTS Retain according to general schedule (KAR 53-3-1) under appropriate headings, the remainder transfer to the archives for purging. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0267-264 
TITLE CPCS & Administrative Officer Reference Files 
DESCRIPTION Documents used for reference purposes including: unfiled reference/miscellaneous material relating to the FDA and CPSC, recall effectiveness checks, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then contact the archives for appraisal, if not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0750-264 
TITLE Elevated Blood Lead Levels Case Management Files - Children 
DESCRIPTION Correspondence, environmental reports, lab results, and other documents relating to the identification, monitoring and medical management of children with elevated blood lead levels. 
RETENTION 001 cldr yr post age 17 
COMMENTS Contact State Archives for appraisal - if not accepted then destroy 
DISPOSITION See Comments 
RESTRICTIONS KSA 45-221(a)(1)(3)(30) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0782-264 
TITLE Environmental Lead Levels 
DESCRIPTION Record of environmental lead levels in soils using Housing and Urban Development (HUD) protocol or composites. 
RETENTION 005 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS  
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0271-264 
TITLE Food and Lodging Business Licensing Files 
DESCRIPTION Documents relating to the inspection and licensing of fFood service and lodging establishments including: routine correspondence, copies of licenses, inspection forms, etc. 
RETENTION See Comments 
COMMENTS Retain until license has become inactive, plus 1 calendar year, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0240-264 
TITLE Health Planning & Statewide Health Coordinating Council Files 
DESCRIPTION Documents pertaining to health planning and Statewide Health Coordinating Council including: reports, correspondence, and miscellaneous information. 
RETENTION Until Superseded 
COMMENTS Contact State Archives for appraisal - if not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0224-264 
TITLE Medical Care Facilities Files 
DESCRIPTION Survey reports, correspondence, and related documents relating to the medical care facilities inspections conducted by the agency to ensure compliance with state and federal requirements. 
RETENTION 005 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1999-10-07 
K.A.R. NUMBER 53-2-121 

Agency Number: 264-003
Department of Health and Environment
Health Division
Bureau of Consumer Health
Food Protection and Consumer Safety Program

SERIES ID 0758-264 
TITLE Bad Checks Files 
DESCRIPTION Records relating to insufficient funds checks returned to the bureau for collection efforts. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2003-01-09 
K.A.R. NUMBER 53-2-133 

SERIES ID 0760-264 
TITLE Consumer Product Safety Commission (CPSC) 
DESCRIPTION Records relating to a contractual agreement with the CPSC to inspect selected businesses to ensure compliance with health standards. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2003-01-09 
K.A.R. NUMBER 53-2-133 

SERIES ID 0757-264 
TITLE Department of Education Summer Education Inspection Contracts 
DESCRIPTION Records relating to a contractual agreement with the Department of Education to inspect summer programs that provide meals to ensure compliance with health standards. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2003-01-09 
K.A.R. NUMBER 53-2-133 

SERIES ID 0753-264 
TITLE Revenue Files 
DESCRIPTION Documents relating to the monitoring of annual fees and fines paid to the bureau. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2003-01-09 
K.A.R. NUMBER 53-2-133 

Agency Number: 264-003
Department of Health and Environment
Health Division
Bureau of Consumer Health
Lead Poisoning Prevention

SERIES ID 0752-264 
TITLE Annual Extracts of Children's Blood Lead Level Test Results 
DESCRIPTION Computer report compiled by the bureau and submitted to the Centers for Disease Control extracting the total number of blood level test results for children. 
RETENTION See Comments 
COMMENTS Retain paper copy for prior 12 months, then shred. The CDC maintains the electronic copy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2003-01-09 
K.A.R. NUMBER 53-2-133 

Agency Number: 264-003
Department of Health and Environment
Health Division
Bureau of Consumer Health
Lead Poisoning Prevention
Healthy Homes

SERIES ID 0769-264 
TITLE In-Home Healthy Homes Survey 
DESCRIPTION Overall assessment of home health risks--not restricted to lead--used to gather info only to ultimately report to the EPA and also to assist families involved. 
RETENTION 002 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(24) 
APPROVED 2003-07-17 
K.A.R. NUMBER 53-2-135 

SERIES ID 0770-264 
TITLE Pre-Inspection Healthy Homes Survey 
DESCRIPTION Overall assessment of home health risks--not restricted to lead--used to gather info only to ultimately report to the EPA and also to assist families involved. 
RETENTION 002 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(24) 
APPROVED 2003-07-17 
K.A.R. NUMBER 53-2-135 

SERIES ID 0771-264 
TITLE Residential Mold Inquiries Assistance 
DESCRIPTION A log including any residential mold information assistance. 
RETENTION 002 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2003-07-17 
K.A.R. NUMBER 53-2-135 

Agency Number: 264-003
Department of Health and Environment
Health Division
Bureau of Consumer Health
Lead Poisoning Prevention
Licensing

SERIES ID 0772-264 
TITLE Accredited Training Course Provider Application Files 
DESCRIPTION Documents required to offer certified training for lead-based paint activities including a copy of the application, course materials, instructors' and training managers' qualifications, proof of payment and any renewal documents. 
RETENTION 005 cldr yrs 
COMMENTS Retain electronic format only as useful. Providers retain any lists of classes, tests, rosters, quality control plan, and curriculum as per KAR 28-72-4(2)(10). 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(9) 
APPROVED 2003-07-17 
K.A.R. NUMBER 53-2-135 

SERIES ID 0773-264 
TITLE Accredited Training Course Provider Re-Application 
DESCRIPTION Documents of renewal required to offer certified training for lead-based paint activities including a copy of the application, course materials, any changes to the training facility, equipment, or course materials since the last application, and proof of payment. 
RETENTION See comments 
COMMENTS Retain until superseded, or 3 calendar years, then destroy. Retain electronic format only as useful. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(9) 
APPROVED 2003-07-17 
K.A.R. NUMBER 53-2-135 

SERIES ID 0774-264 
TITLE Kansas Lead-Based Paint Directory 
DESCRIPTION A list of KDHE approved Lead Activity Firms, Risk Assessors, Lead Inspectors, Lead Abatement Supervisors, and Accredited Training Providers for the state of Kansas. 
RETENTION See comments 
COMMENTS Retain until superseded, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2003-07-17 
K.A.R. NUMBER 53-2-135 

SERIES ID 0775-264 
TITLE Lead Abatement Project Notification Files 
DESCRIPTION Documents required to begin a lead abatement project including a copy of the application, an occupational protection plan, and proof of payment. 
RETENTION 003 cldr yrs 
COMMENTS Retain electronic format only as useful. Firms retain any reports as per KAR 28-72-21. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2003-07-17 
K.A.R. NUMBER 53-2-135 

SERIES ID 0776-264 
TITLE Lead Activity Firm Application Files 
DESCRIPTION Documents required to license an entity prior to conducting lead-based paint activities such as abatement, lead inspections, risk assessments, or project designs. It includes a copy of the application, proof of payment, a list of all KDHE certified employees, copy of current licenses, copy of registration with the Kansas Secretary of State, and any renewal documents. 
RETENTION 003 cldr yrs 
COMMENTS Retain electronic format only as useful. Firms retain record copy of some materials as per KAR 28-72-21. 
DISPOSITION Destroy 
RESTRICTIONS 5 USC 552a 
APPROVED 2003-07-17 
K.A.R. NUMBER 53-2-135 

SERIES ID 0777-264 
TITLE Lead Activity Firm Renewal Application 
DESCRIPTION Documents of renewal required to license an entity prior to conducting lead-based paint activities such as abatement, lead inspections, risk assessments, or project designs. It includes a copy of the application, proof of payment, a list of all KDHE certified employees, copy of current licenses, and a copy of registration with the Kansas Secretary of State. 
RETENTION See comments 
COMMENTS Retain until superseded, or 3 calendar years, then destroy. Retain electronic format only as useful. Firms retain record copy of some materials as per KAR 28-72-21. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2003-07-17 
K.A.R. NUMBER 53-2-135 

SERIES ID 0778-264 
TITLE Lead Occupation Certificate Application/Reciprocity Application Combined Files 
DESCRIPTION Documents required to conduct lead-based paint activities in Kansas including the application forms, proof of payment, copy of training diploma from accredited training, any other state or EPA certification, third party exam results, and any renewal documents. 
RETENTION 003 cldr yrs 
COMMENTS Retain electronic format only as useful. Individuals retain any reports as per KAR 28-72-21. 
DISPOSITION Destroy 
RESTRICTIONS 5 USC 552a; KSA 45-221(a)(9) 
APPROVED 2003-07-17 
K.A.R. NUMBER 53-2-135 

SERIES ID 0779-264 
TITLE Lead Occupation Certificate Renewal Application 
DESCRIPTION Documents of renewal required to conduct lead-based paint activities in Kansas including the application forms, proof of payment, refresher training diploma, KDHE certificate. 
RETENTION See comments 
COMMENTS Retain until superseded, or 3 calendar years, then destroy. Retain electronic format only as useful. Individuals retain any reports as per KAR 28-72-21. 
DISPOSITION Destroy 
RESTRICTIONS 5 USC 552a; KSA 45-221(a)(9) 
APPROVED 2003-07-17 
K.A.R. NUMBER 53-2-135 

SERIES ID 0780-264 
TITLE Violations List 
DESCRIPTION A list of firms', individuals', and training providers' violations including actions taken. 
RETENTION 005 cldr yrs 
COMMENTS Electronic format only. Info may also be in respective firms', individuals', training providers' files. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2003-07-17 
K.A.R. NUMBER 53-2-135 

Agency Number: 264-003
Department of Health and Environment
Health Division
Bureau of Consumer Health
Lead Poisoning Prevention
Pre-Renovation Education

SERIES ID 0783-264 
TITLE Confirmation of Lead Pamphlet Receipt Forms 
DESCRIPTION Completed proof that a contractor has fulfilled pre-renovation education requirements. 
RETENTION 003 cldr yrs 
COMMENTS Place in Contractor Files and retain 3 calendar years, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2003-10-09 
K.A.R. NUMBER 53-2-136 

SERIES ID 0784-264 
TITLE Contractor Files 
DESCRIPTION Correspondence, inspection forms for on-site visits, confirmation of lead pamphlet receipt forms, etc. submitted by construction contractors, property managers, and others who perform renovations for compensation in residential housing that may contain lead-based paint to ensure compliance with K.A.R. 28-72-51 et seq. 
RETENTION 003 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2003-10-09 
K.A.R. NUMBER 53-2-136 

SERIES ID 0785-264 
TITLE Potential Projects File 
DESCRIPTION List of planned or current contractor projects which may warrant contacting or investigating. 
RETENTION See Comments 
COMMENTS Retain until superseded, then destroy. Records of the contact/investigation are in Contractor Files. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2003-10-09 
K.A.R. NUMBER 53-2-136 

SERIES ID 0786-264 
TITLE Pre-Renovation Education (P.R.E) Database 
DESCRIPTION Correspondence, contact information, site visits, and enforcement actions relating to contractors, property owners, housing authorities, higher education institutions, and vendors. 
RETENTION See Comments 
COMMENTS Retain 5 calendar years then destroy. Quarterly reports of selected statistics are sent to the Environmental Protection Agency (E.P.A.) in paper format. Retain paper format only as useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2003-10-09 
K.A.R. NUMBER 53-2-136 

SERIES ID 0787-264 
TITLE Tips and Complaints Files 
DESCRIPTION Documents related to any leads or actions regarding contractors not in compliance with pre-renovation education requirements. 
RETENTION 003 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(14) applies to tips, complaints, leads 
APPROVED 2003-10-09 
K.A.R. NUMBER 53-2-136 

SERIES ID 0788-264 
TITLE Trade Show Files 
DESCRIPTION Contact information, educational materials, and trade show information. 
RETENTION See Comments 
COMMENTS Retain only as useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2003-10-09 
K.A.R. NUMBER 53-2-136 

Agency Number: 264-003
Department of Health and Environment
Health Division
Bureau of Disease Control & Prevention

SERIES ID 0246-264 
TITLE AIDS Disease Registry 
DESCRIPTION Index of patient files used to maintain surveillance of the AIDS disease in the state of Kansas 
RETENTION 005 cldr yrs post final contact 
COMMENTS Contact State Archives for appraisal - if not accepted then destroy 
DISPOSITION See Comments 
RESTRICTIONS KSA 45-221(a)(1)(3)(30) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-10-22 
K.A.R. NUMBER 53-2-189 

SERIES ID 0743-264 
TITLE Active Tuberculosis (TB) Case Management Files 
DESCRIPTION Files containing various notes, records, and other documents related to the direct case management activities of an active case, including identifying and confidential medical information. 
RETENTION 005 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3)(30); HIPAA Privacy Rule, 45 CFR Parts 160 & 164 
APPROVED 2015-10-22 
K.A.R. NUMBER 53-2-189 

SERIES ID 0251-264 
TITLE Disease Investigation Reports 
DESCRIPTION Documents of rubella and measles reports by health care providers by patient's name and address for surveillance and outbreak control. 
RETENTION 020 cldr yrs post closure of investigation 
DISPOSITION Archives 
RESTRICTIONS KSA 45-221(a)(1)(3) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-084 

SERIES ID 0252-264 
TITLE Disease Outbreaks Investigation Reports 
DESCRIPTION Documents relating to study and report of disease outbreaks in an attempt to forestall future occurrences or to determine mode of spread. 
RETENTION 010 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0254-264 
TITLE General Communicable Disease Reports 
DESCRIPTION Documents of officially reported communicable disease reports as submitted by medical providers. 
RETENTION 010 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS KSA 45-221(a)(1)(3) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0737-264 
TITLE HIV/AIDS Epidemiologic Profile 
DESCRIPTION Statistical summary of case data contained in HARS that has no identifying information. 
RETENTION 001 cldr yr 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-128 

SERIES ID 0740-264 
TITLE Immunization Coverage Reports 
DESCRIPTION Retrospective Immunization Coverage Study and the Immunization Coverage Assessment of County Health Departments in Kansas as provided by county health departments and schools. 
RETENTION 001 cldr yr 
COMMENTS NOTE: The reports contain no identifying information. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0257-264 
TITLE Kansas Certification of Immunization School Reports 
DESCRIPTION Documents listing the levels of immunization on individual children entering Kansas schools. 
RETENTION 010 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0258-264 
TITLE Monthly Immunization Reports 
DESCRIPTION Documents relating to the number of doses administered by age and type of vaccine from providers. 
RETENTION 010 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0259-264 
TITLE Quarterly Reports 
DESCRIPTION Quarterly reports to the Centers for Disease Control regarding the progress and compliance with grant requirements. 
RETENTION 005 cldr yrs post completion 
COMMENTS Contact the archives for appraisal, if not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0738-264 
TITLE Ryan White Title II Case Files 
DESCRIPTION Files containing various notes, records, correspondence, and other documents related to the eligibility and treatment case management activities of a case, including identifying and confidential medical information. As established, the Ryan White AIDS/HIV program Title II provides states with a variety of mechanisms to provide HIV care and support to their residents, including grants for home- and community-based services, health insurance continuation, and care consortia to provide a wide range of medical and support services 
RETENTION 005 cldr yrs post final contact 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(3)(30) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0260-264 
TITLE Sexually Transmitted Disease (STD) Patient Records 
DESCRIPTION Documents used to maintain surveillance and monitor treatment on sexually transmitted disease patients and contacts. 
RETENTION 005 cldr yrs post final contact 
COMMENTS Contact State Archives for approval - if not accepted then destroy. 
DISPOSITION See Comments 
RESTRICTIONS KSA 45-221(a)(1)(3) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0739-264 
TITLE Sexually Transmitted Diseases (STD) Investigation Reports 
DESCRIPTION Various reports and data collection tools for investigation and follow-up of STD cases and contacts. 
RETENTION 005 cldr yrs post final contact 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(3) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0264-264 
TITLE Tuberculosis Patient Records 
DESCRIPTION Documents used to maintain surveillance and monitor treatment on individual tuberculosis patients, contacts, and those suspected of having the disease. 
RETENTION 005 cldr yrs post final contact 
DISPOSITION Archives 
RESTRICTIONS KSA 45-221(a)(1)(3)(30) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0741-264 
TITLE Vaccine Adverse Event Reporting System (VAERS) Investigation Reports 
DESCRIPTION Forms used for collecting and reporting information relevant to reportable events that contain identifying and confidential medical information. 
RETENTION 001 cldr yr post closure 
COMMENTS Some data may also be found within the CDC 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(3)(30) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0742-264 
TITLE Vaccine Preventable Disease (VPD) Investigation Reports 
DESCRIPTION Various reports and data collection tools for investigation and follow-up of VPD cases and contacts. 
RETENTION 005 cldr yrs post completion 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(3)(30) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

Agency Number: 264-003
Department of Health and Environment
Health Division
Bureau of Epidemiology and Disease Prevention

SERIES ID 0249-264 
TITLE Chanute Hospital Patient Records 
DESCRIPTION Hospital records of patients admitted to the Chanute Tuberculosis Hospital. 
RETENTION See Comments 
COMMENTS Retain 20 years after patient last seen, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS KSA 45-221(a)(3) 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0262-264 
TITLE Statistical Reports 
DESCRIPTION Quarterly, annual, narrative and statistical reports to the Centers for Disease Control regarding grant activities and accomplishments. 
RETENTION See Comments 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0263-264 
TITLE Statistical and Program Management Reports 
DESCRIPTION Statistical and program management reports required by the U.S. Public Health Service. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then contact the archives for appraisal, if not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

Agency Number: 264-003
Department of Health and Environment
Health Division
Bureau of Epidemiology and Disease Prevention
Epidemiologic Services Section (ESS)

SERIES ID 0733-264 
TITLE Annual Summary of Reportable Diseases in Kansas (Hard Copy) 
DESCRIPTION Annual summary of reportable disease data contained in HAWK, HIV and AIDS Reporting System(HARS), Sexually Transmitted Diseases Management Information System (STD MIS), and KCLPPP databases that contains no identifying information. 
RETENTION 001 cldr yr 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2001-10-18 
K.A.R. NUMBER 53-2-128 

SERIES ID 0735-264 
TITLE Disease Outbreak Investigation Reports (Hard Copy) 
DESCRIPTION Reports of investigation and findings of disease outbreaks that contain no identifying information. 
RETENTION 005 calendar 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2001-10-18 
K.A.R. NUMBER 53-2-128 

Agency Number: 264-003
Department of Health and Environment
Health Division
Bureau of Epidemiology and Disease Prevention
HIV/Sexually Transmitted Diseases (STD) Program

SERIES ID 0736-264 
TITLE HIV and AIDS Report and Investigation Forms 
DESCRIPTION Various paper reports and data collection tools for reporting, investigation, and follow-up of HIV/AIDS cases and contacts. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221 (a)(3) 
APPROVED 2001-10-18 
K.A.R. NUMBER 53-2-128 

Agency Number: 264-003
Department of Health and Environment
Health Division
Bureau of Epidemiology and Public Health Informatics

SERIES ID 0763-264 
TITLE Adult Lead Survey 
DESCRIPTION Questionnaire to ascertain lead blood level and exposure possibilities which includes an individual's work and non-work activities, blood test, children, and personal info. 
RETENTION 005 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(3)(30) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0247-264 
TITLE Adverse Reaction to Immunization Reports 
DESCRIPTION Reports by health care providers of alleged adverse reactions to immunization. 
RETENTION 010 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(3)(30) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0766-264 
TITLE Blood Lead Levels Test Results - Adults 
DESCRIPTION Laboratory results submitted to the bureau of blood lead levels in individual adults. 
RETENTION 001 cldr yr 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3)(24) 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0749-264 
TITLE Blood Lead Levels Test Results - Children 
DESCRIPTION Laboratory results submitted to the bureau of blood lead levels in individual children. 
RETENTION 001 cldr yr 
COMMENTS The CDC maintains the electronic copy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0768-264 
TITLE Blood Lead Levels--Children 
DESCRIPTION Documents related to child blood lead levels after soil remediation. 
RETENTION 001 cldr year post retesting 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(3)(30) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0734-264 
TITLE Communicable Disease (CD) Investigation Reports 
DESCRIPTION Various reports and data collection tools used for investigation, follow-up, and reporting CD cases and contacts. 
RETENTION 005 cldr yrs post last contact 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

Agency Number: 264-003
Department of Health and Environment
Health Division
Bureau of Family Health

SERIES ID 0313-264 
TITLE Administrative Files - Special Supplemental Nutrition Program for Women, Infants, and Children  
DESCRIPTION Documents used in the administration of the WIC program including: state plans, applications for WIC, budget applications, and regulations. 
RETENTION 004 Federal Fisc yrs 
COMMENTS Federal Fiscal Year runs 10/01 - 09/30 Contact State Archives for appraisal - if not accepted then destroy 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0746-264 
TITLE Child Care License Investigation Files - Substantive 
DESCRIPTION Documents relating to complaints, investigations and the ultimate closure of licensed facilities and/or homes due to violations of the Maternal Hospitals or Homes and Homes for Children Act. 
RETENTION 070 cldr yrs post closure 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-507(b) 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0744-264 
TITLE Child Care Licensing Files 
DESCRIPTION Application and renewals including supporting documentation relating to the licensing process including facility surveys to provide child care services for children. 
RETENTION 007 cldr yrs post facility closure 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-507B 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0301-264 
TITLE Children Deceased and 21 Years Old 
DESCRIPTION Documents of children who have died or turned 21 years of age including: applications, financial, insurance, reports, bills, action plans, authorization, correspondence, and other related records. 
RETENTION 010 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(3)(30) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0331-264 
TITLE Client Records 
DESCRIPTION Documents relating to medical files on children including: applications, professional reports, authorizations, action plans, bills, correspondence, narrative, financial & insurance info. 
RETENTION See Comments 
COMMENTS Files are retained for 010 cldr years post first defining event: age 21, deceased, or closed case. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(3)(30) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0218-264 
TITLE Health Care Facilities Risk Management Plans 
DESCRIPTION Documents submitted annually by health care facilities relating to their risk management plans and site review reports. 
RETENTION 005 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-10-07 
K.A.R. NUMBER 53-2-121 

SERIES ID 0761-264 
TITLE Local Agencies Payment Files 
DESCRIPTION Payment vouchers, reports, and other records documenting payments to local county health departments. 
RETENTION 004 fisc yrs 
COMMENTS Retention Period is to meet federal requirements. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-10-22 
K.A.R. NUMBER 53-2-189 

SERIES ID 0687-264 
TITLE Newborn Hearing Loss High Risk Questionnaire 
DESCRIPTION Questionnaire submitted by physicians to the Department of Health and Environment regarding a risk for hearing loss screening test given to all newborn infants. 
RETENTION See Comments 
COMMENTS Retain high risk newborn questionnaires 003 calendar years past 21, then destroy. Retain newborns not at risk questionnaires until aggregate data is determined, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-1155 
APPROVED 1997-07-10 
K.A.R. NUMBER 53-2-112 

SERIES ID 0342-264 
TITLE Newborn Screening Notification records 
DESCRIPTION Documents used to alert doctors to an abnormal screening of a genetic disease, including lab reports from the KDHE laboratory, letters to physicians, correspondence and lab reports from physicians, forms, notes, spreadsheets created to generate aggregate data and make mail merges, etc. Data is also entered into the Bureau for Family Health web-based database system, which is maintained separately. 
RETENTION 005 cldr yrs post final contact 
COMMENTS Final contact with either the parent or physician. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(3)(30) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0747-264 
TITLE Quarterly Blood Lead Level Reports - Children 
DESCRIPTION Report compiled to monitor blood lead levels on individual children. 
RETENTION 001 cldr yr 
COMMENTS The CDC maintains the electronic copy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(3)(30) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0352-264 
TITLE Special Bequest Fund Files 
DESCRIPTION Documents used to keep track of money received and spent from the special bequest fund including: donations, interest receipts, memorials, expenditure records, advisory commission reports, wills. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0069-264 
TITLE Women, Infants, and Children Program - Check File Reports 
DESCRIPTION Monthly report listing all cashed or non-cashed checks issued under the federal WIC (food issue) program to participating food suppliers. 
RETENTION 006 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14 
K.A.R. NUMBER 53-2-075 

Agency Number: 264-003
Department of Health and Environment
Health Division
Bureau of Health Promotion

SERIES ID 0371-264 
TITLE Community Health Nurse Consultant Files 
DESCRIPTION Documents concerning the activities of Community Health Nurse Consultant including: personnel records, activity records, files, memos, and letters. 
RETENTION 003 cldr yrs post employment termination 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3)(4) 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0372-264 
TITLE Continuing Education for Nurses 
DESCRIPTION Documents relating to the continuing education for nurses approved by the Kansas State Board of Nursing including: continuing education, nurse rosters, approved programs, vitae and fee deposits. 
RETENTION 005 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0382-264 
TITLE Refugee Health Assessment Program Files 
DESCRIPTION Documents relating to the Refugee and Health Assessment Program including: names of refugees and medical information to meet federal grant requirements. 
RETENTION 005 fisc yrs 
COMMENTS Contact the archives for appraisal, if not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS KSA 45-221(a)(1)(3)(30) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

Agency Number: 264-003
Department of Health and Environment
Health Division
Bureau of Health Promotion
Consumer & Local Health

SERIES ID 0370-264 
TITLE AIDS Education Files 
DESCRIPTION Documents related to AIDS education material for teaching purposes including: pamphlets, letters, memos and typed curriculum guide. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0373-264 
TITLE County Files 
DESCRIPTION Documents of dental reports from the counties. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0377-264 
TITLE Health Promotion Files 
DESCRIPTION Documents relating to Health Promotion material: chronic disease risk factors, physical fitness, pamphlets, workshop material, articles, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0378-264 
TITLE KAN-BE-HEALTHY (EPSOT) Health Assessment 
DESCRIPTION Documents relating to the Health Assessment course and certification procedure as well as recertification including: files, records, memos and letters. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then contact the archives for appraisal, if not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0387-264 
TITLE Migrant and Refugee Files 
DESCRIPTION Variety of documents related to migrant and refugee programs including: client records, general correspondence, grant applications, BCRR reports, booklets, annual reports, historical data. 
RETENTION 003 cldr yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0380-264 
TITLE Public Health Nursing County Reports 
DESCRIPTION Variety of documents relating to public health nursing including: reports, grant applications, contracts for monitoring programs in county health departments. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0381-264 
TITLE Public Health Nursing Files 
DESCRIPTION Documents relating to public health nursing including: Nursing Association Newsletters, mailing lists, workshop information (Health Assessment skills for nurses), information related to other states. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

Agency Number: 264-003
Department of Health and Environment
Health Division
Children, Youth & Families Bureau

SERIES ID 0292-264 
TITLE General Program Files 
DESCRIPTION Documents relating to the administration of programs including manuals, guidance, protocols, planning, evaluation, reports, etc. 
RETENTION 003 fisc yrs 
COMMENTS Retain until no longer useful, then transfer to archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

Agency Number: 264-003
Department of Health and Environment
Health Division
Children, Youth & Families Bureau
Children and Families Section

SERIES ID 0302-264 
TITLE Data Files 
DESCRIPTION Completed forms submitted to the bureau for grant/contract requirements. 
RETENTION See Comments 
COMMENTS Retain for one year until data tables are received, then destroy. Carbon copies go in client's health record/chart. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

Agency Number: 264-003
Department of Health and Environment
Health Division
Children, Youth & Families Bureau
Nutrition and WIC Section

SERIES ID 0314-264 
TITLE Commodity Surplus Food Program - SRS Files 
DESCRIPTION Documents, either completed or in the developmental phases, used for the functioning of the position and in conjunction with SRS. 
RETENTION 004 cldr yrs 
COMMENTS Retain current federal year plus 3 years, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0307-264 
TITLE Statistical and Analytic Data 
DESCRIPTION Various documents used to analyze WIC vendor activity and finances including: ledger books, computer printouts, applications, etc. 
RETENTION See Comments 
COMMENTS Retain as required by state regulation and no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

Agency Number: 264-003
Department of Health and Environment
Health Division
Children, Youth & Families Bureau
Special Health Services

SERIES ID 0340-264 
TITLE Make a Difference Information Network Files 
DESCRIPTION Documents used in the administration of M-A-D-I-N program including: grants, correspondence, requests/referral form, statistics, memorandum of understanding, surveys, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0345-264 
TITLE Phenylketonuria, Congenital Hypothyroidism, Galactosemia Disease Files 
DESCRIPTION Documents used to keep track of children with genetic diseases to meet the requirements of law. 
RETENTION Permanent 
DISPOSITION Permanent 
RESTRICTIONS KSA 45-221(a)(3) 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0334-264 
TITLE Providers Files 
DESCRIPTION Documents relating to agreements by providers to accept the department's payments and not bill patients including documents for potential providers and those who choose not be an SHS provider. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

Agency Number: 264-003
Department of Health and Environment
Health Division
Children, Youth & Families Bureau
Special Health Services Section

SERIES ID 0282-264 
TITLE Clinic Reports 
DESCRIPTION Individual client medical reports listing the status of the disease and other personal information. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

Agency Number: 264-003
Department of Health and Environment
Health Division
Health Facility Regulation Bureau
Health Occupations Credentialing

SERIES ID 0799-264 
TITLE Correspondence - CNA, CMA, HHA 
DESCRIPTION Incoming and outgoing letters and memoranda relating to routine matters concerning the CAN, CMA, and HHS certified professions. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2005-04-14 
K.A.R. NUMBER 53-2-126 

SERIES ID 0803-264 
TITLE Legal Investigations and Action Files 
DESCRIPTION Correspondence, hearing records, legal orders, affidavits, etc. relating to investigations of alleged violations of the Health Occupations Credentialing Act. 
RETENTION See Comments 
COMMENTS Retain 5 years after case is closed, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS KSA 45-221(a)(11) 
APPROVED 2001-04-12 
K.A.R. NUMBER 53-2-126 

SERIES ID 0806-264 
TITLE Nursing Facility Abuse Files 
DESCRIPTION Complaint, correspondence, hearing documents, etc. relating to investigations of abuse of residents by long term care nursing facilities employees. 
RETENTION 040 cldr yrs 
COMMENTS Retain in office 1 calendar year, transfer to the records center for 39 calendar years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) 
APPROVED 2001-04-12 
K.A.R. NUMBER 53-2-126 

SERIES ID 0238-264 
TITLE Subject Files - Health Occupations Credentialing Act 
DESCRIPTION Correspondence, reports, topical information, etc. relating to the health planning and statewide health coordinating council and Health Occupations Credentialing committee. 
RETENTION 005 cldr yrs 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2001-04-12 
K.A.R. NUMBER 53-2-126 

Agency Number: 264-003
Department of Health and Environment
Health Division
Office of Health Promotion

SERIES ID 0295-264 
TITLE Seat Belt Files 
DESCRIPTION Documents relating to the institution and administration of the Seat Belt Program. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0298-264 
TITLE Subject Files - Health Promotion Administrator 
DESCRIPTION Documents used in the day to day work of the position including: work in progress, narrative descriptions, correspondence, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then file in appropriate program file. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

Agency Number: 264-004
Department of Health and Environment
Division of Health and Environmental Laboratories

SERIES ID 0400-264 
TITLE Breath Alcohol Certification Records 
DESCRIPTION Documents relating to the certification of breath testing instruments and individual law enforcement operators, and used to verify the status of operators and instruments for court cases on DUIs. 
RETENTION See Comments 
COMMENTS Retain 18 months after instrument or operator is recertified or replaced, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-07-19 
K.A.R. NUMBER 53-2-085 

SERIES ID 0402-264 
TITLE Clinical Laboratory Certification Records 
DESCRIPTION Documents concerning hospital and clinical laboratories surveyed for Medicare certification, hospital licensure, including survey reports, & proficiency testing results. 
RETENTION 005 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS  
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0403-264 
TITLE Clinical Laboratory Records 
DESCRIPTION Laboratory logs of results of laboratory tests and laboratory activity includes: quality control of media, specimen logsheets with laboratory numbers and patient names, etc. Does NOT apply to neo-natal. 
RETENTION 002 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(3) 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0404-264 
TITLE Environmental Laboratory Certification Records 
DESCRIPTION Applications and annual renewal certificates, etc. relating to all laboratories certified in the Environmental Division certification program. 
RETENTION 010 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0573-264 
TITLE Environmental Laboratory Records 
DESCRIPTION Results of laboratory tests conducted on a variety of environmental samples which are used for monitoring public water supplies and ambient water quality to ensure compliance with standards. 
RETENTION 005 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0704-264 
TITLE KDHE Laboratory Radioactive Materials Licenses 
DESCRIPTION Documents related to the licensing of the section laboratory to handle and use certain radioactive materials - required by the Bureau of Radiation Control - license renewed every 2 years. 
RETENTION 005 cldr yrs 
COMMENTS Retention period covers term of license plus 3 years following expiration. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-05-15 
K.A.R. NUMBER 53-2-074 

SERIES ID 0702-264 
TITLE Laboratory Equipment Operation and Maintenance Records 
DESCRIPTION Documents related to acquisition, use, and maintenance of laboratory equipment: manuals, warranties, correspondence, notes, and related documents. 
RETENTION 005 cldr yrs post supersedence 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0703-264 
TITLE Laboratory Quality Assurance & Control Certification Records 
DESCRIPTION Certifications of laboratory personnel to perform various laboratory activities and operations. 
RETENTION 003 cldr yrs post employment termination 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0570-264 
TITLE Neonatal Screening/Environmental Toxicology Laboratory records 
DESCRIPTION Submission forms and reports of analysis, including any amended reports, regarding newborn screening performed by the KDHE laboratory on individually identifiable newborns.  
RETENTION 021 cldr years 
COMMENTS
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(3) 
APPROVED 2015-05-21 
K.A.R. NUMBER 53-2-186 

SERIES ID 0807-264 
TITLE Radiochemistry Laboratory Public Drinking Water and non-Wolf Creek Records 
DESCRIPTION Sample collection forms, reports, and raw data of public water monitoring and radiological surveillance programs other than Wolf Creek Nuclear Power Generating Station. 
RETENTION 010 cldr yrs 
COMMENTS Retain in lab for 3 years, transfer to the records center for 7 years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2006-07-13 
K.A.R. NUMBER 53-2-148 

SERIES ID 0808-264 
TITLE Radiochemistry Laboratory Wolf Creek Records 
DESCRIPTION Sample collection forms, reports, quality control data, etc. relating to the monitoring of the Wolf Creek Nuclear Power Generating Station. 
RETENTION Permanent 
DISPOSITION Permanent 
RESTRICTIONS None 
APPROVED 2006-10-12 
K.A.R. NUMBER 53-2-149 

Agency Number: 264-005
Department of Health and Environment
Center for Health & Environmental Statistics
Director's Office

SERIES ID 0104-264 
TITLE Director's Administrative Files 
DESCRIPTION Variety of documents related to the administration of the division of information systems including: personnel files, copies of purchase requests, copies of administrative memos, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then contact the archives for appraisal, if not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS Portions per KSA 45-221(a) 
APPROVED 1990-07-19 
K.A.R. NUMBER 53-2-085 

SERIES ID 0105-264 
TITLE Division Files 
DESCRIPTION Documents related to the activities within each office and section of the division including: research and analysis, data processing, activities of state registrar, speaking materials, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then contact the archives for appraisal, if not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0106-264 
TITLE Subject Files 
DESCRIPTION Variety of documents relating to the activities of the bureau including: memos, contracts, budget file, health information files, office equipment files, travel files, secretary minutes, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

Agency Number: 264-005
Department of Health and Environment
Center for Health & Environmental Statistics
Office of Health Care Information

SERIES ID 0081-264 
TITLE Accidental Death Transcripts 
DESCRIPTION Documents listing relevant statistics for accidental death reporting system including: name, date of death, statistical information about cause of accidental death and relevant death certificates. 
RETENTION See Comments 
COMMENTS These should be transferred to the Office of Vital Statistics for permanent retention when no longer useful. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0082-264 
TITLE Annual Tables 
DESCRIPTION Annual tables of births, deaths, marriages and divorces including: births, deaths, marriages, divorces by county, age group, sex, race, etc. 
RETENTION See Comments 
COMMENTS Retain in office permanently or transfer to the archives. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0083-264 
TITLE Annual Vital Statistics Tables 
DESCRIPTION Birth, death, marriage, divorce, and abortion data compiled on an annual basis. 
RETENTION Permanent 
DISPOSITION Permanent 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0087-264 
TITLE Dentists/Dental Hygienists Surveys 
DESCRIPTION Surveys of dentists and dental hygienists listing name, address, sex, age, practice related questions, race, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0088-264 
TITLE Elderly Kansans Survey 
DESCRIPTION Documents relating to health assessment of elderly Kansans including: name, age, address, sex, race, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then contact the archives for appraisal, if not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0090-264 
TITLE Expenditure Study 
DESCRIPTION Documentation for worksheets of health expenditures study including: publications, data table, memos, letters, worksheets and drafts of study, correspondence, notes, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0092-264 
TITLE General Office Files 
DESCRIPTION Documents relating to the daily operation of the unit including: memos, applications, budget documents, general data, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0093-264 
TITLE General Statistical Reference Files 
DESCRIPTION Documents related to statistical compilations used for requests including: correspondence and data compilations related to births, deaths, marriages, divorces and abortions, stats. from other states. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0686-264 
TITLE Induced Termination of Pregnancy Report 
DESCRIPTION Report compiled by the provider facilities and submitted to the Secretary of Health and Environment relating to the number of induced termination of pregnancies performed as required by KSA 65-445. 
RETENTION See Comments 
COMMENTS Retain hard copy 1 year after current report year, then destroy. Retain raw computer data until no longer useful, then delete. 
DISPOSITION See Comments 
RESTRICTIONS KSA 45-221(a)(3) & 65-436 
APPROVED 1997-07-10 
K.A.R. NUMBER 53-2-112 

SERIES ID 0097-264 
TITLE Manpower Statistics 
DESCRIPTION Documents relating to demographic data on physicians, dentists, dental hygienists, physical therapists, occupational therapists, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0098-264 
TITLE Medical Doctor/Doctor of Osteopathy Annual Renewal Survey 
DESCRIPTION Documents used to identify medical doctors and doctors of osteopathy by name, address, practice location, hours worked, and other demographic/statistical data gathered as required by statute. 
RETENTION 003 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

Agency Number: 264-005
Department of Health and Environment
Center for Health & Environmental Statistics
Vital Statistics

SERIES ID 0149-264 
TITLE Administrative Files 
DESCRIPTION Variety of documents relating to the administration of the bureau including: general correspondence for VS, budget material, personnel files, contracts, individual county correspondence files, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS KSA 45-221(a)(4) 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0150-264 
TITLE Adoption Files 
DESCRIPTION Documents used in the process of adoption including: form letters, blank forms, copy rules and regulations, foreign born adoption index, etc. 
RETENTION Permanent 
DISPOSITION Permanent 
RESTRICTIONS KSA 65-2422 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0152-264 
TITLE Applications for Vital Records 
DESCRIPTION Applications for birth, death, marriage, divorce and stillbirth certificates including: names, dates of events, places, parents, relationship of person or reason for having record, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-2422 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0153-264 
TITLE Coding Material for Occupation and Industry on Death Certificate 
DESCRIPTION Documents relating to coding the occupation and industry of the deceased on current death certificates. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0154-264 
TITLE Corrections or Changes Files 
DESCRIPTION Letters, notes, requests for corrections/changes on original records, returned certified copies, etc. relating to requests for changes or corrections on recent birth and death certificates. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS  
APPROVED 2007-05-16 
K.A.R. NUMBER 53-2-151 

SERIES ID 0156-264 
TITLE Death Certificate Material 
DESCRIPTION Documents relating to death certificate registration material used to register and code current death records. 
RETENTION See Comments 
COMMENTS Retain until updated, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0157-264 
TITLE Delayed Birth Certificate Registration 
DESCRIPTION Documents used to establish delayed birth registration in Kansas including: fed. census forms, copies of statutes, sample letters, D.B. index, book of dead town list, original D.B. certificates, etc. 
RETENTION Permanent 
COMMENTS Retain original copy and microfilm permanently. 
DISPOSITION See Comments 
RESTRICTIONS KSA 65-2422 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0157-264 
TITLE Delayed Birth Certificate Registration 
DESCRIPTION Federal census forms, copies of statutes, sample letters and original delayed birth certificates used to establish delayed birth registration in Kansas. 
RETENTION Permanent 
COMMENTS Image documents and return original documents to the source who provided them. Transfer Delayed Certificate of Birth and affidavits to the permanent offsite storage. 
DISPOSITION Permanent 
RESTRICTIONS K.S.A. 65-2422 
APPROVED 2008-04-15 
K.A.R. NUMBER  

SERIES ID 0158-264 
TITLE General Office Files 
DESCRIPTION Variety of documents, generally office copies, used in the daily activities of the division. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0159-264 
TITLE Hospital and Funeral Home Monthly Report 
DESCRIPTION Documents relating to hospital reports of all births and stillbirths which occur in the state. 
RETENTION See Comments 
COMMENTS Retain until all records are accounted for and report is microfilmed, then destroy hard copy. Retain microfilm permanently. 
DISPOSITION See Comments 
RESTRICTIONS KSA 45-221(a)(3) 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0160-264 
TITLE Indexes for Certificates and Microfilm Off-Site Storage 
DESCRIPTION Indexes used to locate certificates and microfilm that are stored off-site. 
RETENTION See Comments 
COMMENTS Retain until superseded, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0161-264 
TITLE Indexing Materials 
DESCRIPTION Microfiche, death index books, computer printouts, etc. used to locate state file numbers on records in order to retrieve and process certified copies. 
RETENTION Permanent 
DISPOSITION Permanent 
RESTRICTIONS None 
APPROVED 2007-05-16 
K.A.R. NUMBER 53-2-151 

SERIES ID 0162-264 
TITLE Indexing Resources 
DESCRIPTION Indexing material used to locate state file number on certificates needed for retrieval and reproduction including: names, date of event, place of event code, index number, type of record, etc. 
RETENTION Permanent 
DISPOSITION Permanent 
RESTRICTIONS None 
APPROVED 2007-05-16 
K.A.R. NUMBER 53-2-151 

SERIES ID 0163-264 
TITLE Original Birth, Death, Marriage, Divorce and Stillbirth Records 
DESCRIPTION Original vital records documenting events which have occurred in Kansas including: names, dates, places, types of records, parents, addresses, occupation, medical information, marital status, social security numbers, etc. 
RETENTION Permanent 
COMMENTS Image records and maintain permanently. Original paper copies are stored offsite and retained permanently. 
DISPOSITION Permanent 
RESTRICTIONS K.S.A. 65-2422 & 5 U.S.C. sec. 552a 
APPROVED 2008-04-15 
K.A.R. NUMBER  

SERIES ID 0163-264 
TITLE Original Birth, Death, Marriage, Divorce and Stillbirth Records 
DESCRIPTION Original records of events which have occurred in Kansas including: names, dates, places, type of records, parents, addresses, occupation, medical info, marital status, social security numbers, etc. 
RETENTION Permanent 
COMMENTS Retain original and microfilm permanently, originals go to off-site storage. 
DISPOSITION See Comments 
RESTRICTIONS KSA 45-221(a)(3) 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0165-264 
TITLE Preparation Files 
DESCRIPTION Documents used to help prepare original birth, death, marriage, divorce, stillbirth and delayed birth registrations. 
RETENTION Permanent 
DISPOSITION Permanent 
RESTRICTIONS K.S.A. 65-2422 
APPROVED 2008-04-15 
K.A.R. NUMBER  

SERIES ID 0165-264 
TITLE Preparation Files 
DESCRIPTION Documents used to help prepare original birth, death, marriage divorce, stillbirth and delayed birth registrations. 
RETENTION Permanent 
COMMENTS After microfilming, destroy hard copy, retain microfilm permanently. 
DISPOSITION Permanent 
RESTRICTIONS KSA 65-2422 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0168-264 
TITLE Reports - Special Projects 
DESCRIPTION Reports produced by the section relating to special projects. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then contact the archives for appraisal, if not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 2007-05-16 
K.A.R. NUMBER 53-2-151 

SERIES ID 0169-264 
TITLE Subject Files 
DESCRIPTION Variety of documents used to register vital events, local register files, reports to NCHS, hospital delinquency reports, individual funeral home files, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then contact the archives for appraisal, if not accepted, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0170-264 
TITLE Subject Files - Accounting 
DESCRIPTION Documents retained for accounting purposes for the issuance of vital records including: money receipts, date of transaction, type of record, amount of fees paid, name, date, place of event, etc. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0171-264 
TITLE Subject Files - Corrections or Changes 
DESCRIPTION Documents used to make corrections or changes on original records. 
RETENTION Permanent 
COMMENTS Destroy hard copy after microfilming. 
DISPOSITION Permanent 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0172-264 
TITLE Subject Files - Marriage Licenses 
DESCRIPTION Variety of documents used to register marriage license issued in Kansas including the statistical portion of the license on microfilm the scanned image or the electronic file provided by the county district court. 
RETENTION Permanent 
DISPOSITION Permanent 
RESTRICTIONS  
APPROVED 2007-05-16 
K.A.R. NUMBER 53-2-151 

SERIES ID 0173-264 
TITLE Subject Files - Registration 
DESCRIPTION Variety of documents used to register birth, stillborn, divorce and annulment records which have occurred in Kansas. 
RETENTION Permanent 
COMMENTS Image records and retain permanently. Original paper copies are transferred to offsite storage and retained permanently. 
DISPOSITION Permanent 
RESTRICTIONS Portions per K.S.A. 65-2422 
APPROVED 2008-04-15 
K.A.R. NUMBER  

SERIES ID 0173-264 
TITLE Subject Files - Registration 
DESCRIPTION Documents used to register birth, stillbirth and divorce or annulment records which have occurred in Kansas. 
RETENTION See Comments 
COMMENTS Retain stillbirth certificates permanently, the remainder retain until no longer useful, then destroy. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0174-264 
TITLE Subject Files - Requests from SRS 
DESCRIPTION Requests from SRS for records which contain fees receipts, requests from SRS with no fees and awaiting receipt of fees, air-bill receipts, copies of vouchers, etc. 
RETENTION See Comments 
COMMENTS Retain for 1 year on pending receipts, the remainder retain 3 months, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

SERIES ID 0175-264 
TITLE Supervisory Files 
DESCRIPTION Variety of documents relating to supervisory activities including: memos, personnel files, training information, minutes, interview files, etc. 
RETENTION See Comments 
COMMENTS Retain personnel files 5 years after termination, then destroy. The remainder refer to general schedule or contact the archives for appraisal, if not accepted, destroy. 
DISPOSITION See Comments 
RESTRICTIONS KSA 45-221(a)(4) 
APPROVED 1990-04-19 
K.A.R. NUMBER 53-2-084 

Agency Number: 264-111
Department of Health and Environment
Division of Health Care Finance

This division initially began under the Department of Social and Rehabilitation Services and then became a separate agency, the Health Policy Authority, which also took over state self insurance duties from the Department of Administration. The KHPA became a sub-agency of KDHE in FY2012, as the Division of Health Care Finance.


SERIES ID 0002-264 
TITLE Aid to Counties - Audit Reports 
DESCRIPTION Reports of audits performed on local health agencies related to the Aid to Counties Program. 
RETENTION 007 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0003-264 
TITLE Aid to Counties Program Records 
DESCRIPTION Documents regarding various public health programs administered by local health departments, funded by federal grants, and monitored by KDHE: correspondence, reports, contracts, budgets, grants, and other related docuements. 
RETENTION 005 fisc yrs 
COMMENTS Contact State Archives for appraisal - if not accepted then destroy. Includes sub-series: Maternity-Infant Care, Maternal & Child Health, General Health Service, Miscellaneous Adult-Child Care, Dental, Migrant, Hyper-Tension Screening, & Family Planning. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1988-07-14 
K.A.R. NUMBER 53-2-075 

SERIES ID 0032-264 
TITLE Health Care Cost Study Records 
DESCRIPTION Wide variety of documents used to create periodic publication "Health Care Cost Flow Study": correspondence, reports, notes, statistics, and related documents. 
RETENTION 010 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14 
K.A.R. NUMBER 53-2-075 

SERIES ID 0155-039 
TITLE Health Care Finance Administration Files - Medicaid 
DESCRIPTION Correspondence, contracts, financial expenditures, estimated expenditures, and other documents relating to the financial management of the Medicaid program. 
RETENTION 007 fisc yrs 
COMMENTS
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0764-629 
TITLE Licensing Treatment Provider Files 
DESCRIPTION Site visit reports, licenses, complaints, Medicaid applications/approvals, waivers, and license applications for treatment providers. 
RETENTION 010 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2011-01-27  ; Revised 2015-08-07
K.A.R. NUMBER 53-2-166 

SERIES ID 0709-629 
TITLE Medicaid Financial Eligibility Files 
DESCRIPTION Documents relating to financial assessments on individuals to determine program eligibility. 
RETENTION 007 cldr yrs post determination 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(3)(14)(30) and KSA 39-709B 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0422-629 
TITLE Medical Claim Files 
DESCRIPTION Claims filed by patient for payment of services by Medicaid. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(3)(30) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0723-629 
TITLE Provider Fraud/Review Files 
DESCRIPTION Documents relating to home care provider contracts that are monitored to ensure compliance and accountability of the charges. 
RETENTION See Comments 
COMMENTS Retain in office 2 years, then transfer to the records center for 3 years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) 
APPROVED 1998-04-16 
K.A.R. NUMBER 53-2-115 

SERIES ID 0145-039 
TITLE Provider Rate Tables 
DESCRIPTION Documents detailing the provider rates for providers and facilities which participate in the Medicare and Medicaid reimbursement program. 
RETENTION 001 fisc yr 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0501-629 
TITLE Remittance Advice Reports 
DESCRIPTION Reports listing patients and their reimbursement status via MEDICAID for care given. 
RETENTION 005 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2013-05-13 
K.A.R. NUMBER 53-2-075 

SERIES ID 0687-629 
TITLE Utilization Review Forms 
DESCRIPTION Forms completed by Medicaid provider demonstrating the medical necessity for an individual patient's hospitalization and reviewed for Medicaid reimbursement to the hospital. 
RETENTION 007 fisc yrs post review closure. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(1)(3)(30) and HIPAA Privacy Rule, 45 CFR Parts 160 and 164 
APPROVED 2015-08-12 
K.A.R. NUMBER 53-2-188 

SERIES ID 0355-629 
TITLE Utilization Review Reports 
DESCRIPTION Monthly report generated using the Utilization Review Forms and private review organizations and reviewed for Medicare/Medicaid funding purposes. 
RETENTION 007 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) & KSA 65-5602 
APPROVED 2013-05-15 
K.A.R. NUMBER 53-2-125 

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