Agency Schedule Detail

Authorization Number : 200-0552

Agency Series No. : EDU-LIC-01

Status : Active

Agency Web Link :

Agency : EDU

Confidential Description : Personal Identifiable Information is captured on forms, (i.e. name, birth date and last 4 digits of social security information)

Division : EDU4200

Vital Description :

Section : EDU42007700

Record Title : Pupil Activity Provider Forms

Revision : 1

Record Description : Applications to become a provider to direct or supervise a pupil activity program.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain 5 years, if paper copy is scanned into a computer database, ensure quality and completeness before discarding the paper.	O.R.C. 3301.27.01	Paper	Shred
Retain 5 years, then delete	O.R.C. 3301.27.01	Electronic	Delete

Approvals

Status	Name	Title	Date
Approved	Yvonne Harris	Records Officer	5/24/2021 2:25:30 PM
Approved	Terri Dittmar	Record Administrator	5/25/2021 12:19:37 PM
Approved	Fred Previts	State Archivist	5/25/2021 3:53:48 PM
Approved	Martin Meeks	State Auditor	5/27/2021 10:19:10 AM

Notes

Date	Reason	User