Agency Schedule Detail

Authorization Number : 795-1078

Agency Series No. : BSH-02

Status : Active

Agency Web Link :

Agency : JFS

Confidential Description : 9.01, 149.38

Division : JFSOLAS

Vital Description :

Section : JFSOLAS

Record Title : Dismissal Notice

Revision : 0

Record Description : Records showing that hearing requests and administrative appeal requests have been dismissed. File also contains DHS 4004, Statistical Date for Federal Report SSA 4105 .

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain in office 4 years.		Electronic	Erase

Approvals

Status	Name	Title	Date
Approved	Shelia Robinson	Records Officer	2/2/2024 12:44:32 PM
Approved	Terri Dittmar	Record Administrator	2/5/2024 3:32:19 PM
Approved	Martin Meeks	State Auditor	2/6/2024 8:50:19 AM
Approved	Fred Previts	State Archivist	2/6/2024 9:27:32 AM

Notes

Date	Reason	User