Form 1141 - Records Inventory And Analysis Worksheet - State Of Indiana
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1Agency
Agency number
RECORDS INVENTORY AND ANALYSIS
WORKSHEET
Division
INDIANA COMMISSION ON PUBLIC RECORDS
RECORDS MANAGEMENT DIVISION
Subdivision
State Form 1141 (R3 / 8-98)
E-mail address
Telephone number
Name of records coordinator
Record series title
FAX number
Description
RETENTION REQUIREMENTS
RECOMMENDED RETENTION
State law / rule ___________________ years; citation ________________
Retain in agency __________________________ years
Federal law / rule ___________________ years; citation ________________
Retain in record center _________________________ years
State Board of Accounts audit required? ___________________
Microfilm and destroy after ___________________ years
Administrative need ________________ years;
Destroy after __________________________________ years
Other ___________________________________________________
Transfer to the State Archives _______________ years
Recommended retention (in sentence form):
Do any indexes or finding aids exist for these records? If so, please describe them.
QUANTITY OF RECORDS
TYPE OF RECORD
Paper
___________ Letter size drawer(s)
Original
___________ Legal size drawer(s)
Duplicate
___________ 1 cubic foot box
Are these records confidential? If so, please provide a legal reason.
Microfilm
___________ 1 bankers box (2.5 cf)
Computer
___________ Index cards
Computer Output Microfiche
___________ Other (please specify)
Other
Date (month, day, year)
Prepared by:
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