Agency Schedule Detail

Authorization Number : 50760033

Agency Series No. : 40-FIS-004

Status : Active

Agency Web Link :

Agency : OOD

Confidential Description : Records may contain confidential personal information of consumers or claimants.

Division : OODFISC

Vital Description :

Section : OODFISC

Record Title : Social Security Reimbursement Requests & Ticket-to-Work Payment Requests

Revision : 0

Record Description : Records that document the reimbursement and payment requests for federal programs. Records may include: UI wage data, EN Split payment requests, EN payment request form, IWP Lookback tool, Social Security Reimbursement Payment Requests, SSA-199, WORK NUMBER wages and any additional record relating to these program requests.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain for seven (7) state fiscal years and then destroy. A Certificate of Disposal is required when destroying these records.	Retain for audit purposes. Records may have legal value.	Paper	Shred
Retain for seven (7) state fiscal years and then destroy. A Certificate of Disposal is required when destroying these records.	Retain for audit purposes. Records may have legal value.	Electronic	Delete

Approvals

Status	Name	Title	Date
Approved	Debbie Stevens	Records Officer	4/29/2014 10:06:00 AM
Approved	Bunnie Jones	Record Administrator	5/4/2014 8:52:00 PM
Approved	Fred Previts	State Archivist	5/13/2014 10:15:00 AM
Approved	Martin Meeks	State Auditor	5/13/2014 2:57:00 PM

Notes

Date	Reason	User