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Agency Schedule Detail

Authorization Number :  50740106
Agency Series No. :  DDDMDA-7
Status :  Active
Agency Web Link : 
Agency :  DDD
Confidential Description :  Contains PII of individuals with developmental disabilities.
Division :  DDDMDA
Vital Description : 
Section : 
Record Title :  Preadmission Counseling (PAC)
Revision :  0
Record Description :  This includes the form and all related documentation to inform individuals of options and their rights to decide on placement into a large intermediate care facility (ICF).
Retention Period Retention Justification Media Code Method of Disposal
Retain for 5 years. Electronic Delete

Approvals

Status Name Title Date
Approved Stephanie Deters Records Officer 1/6/2023 2:38:38 PM
Approved Terri Dittmar Record Administrator 1/10/2023 2:16:57 PM
Approved Fred Previts State Archivist 1/10/2023 4:43:42 PM
Approved Martin Meeks State Auditor 1/11/2023 1:19:14 PM

Notes

Date Reason User

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