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RECORDS RETENTION and DISPOSAL SCHEDULE Schedule No. Page 1 of 1 DGS 550-1 (Rev. 10/92)

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RECORDS RETENTION and DISPOSAL SCHEDULE Schedule No. Page 1 of 1 DGS 550-1 (Rev. 10/92) DEPARTMENT OF GENERAL SERVICES Schedule No. RECORDS MANAGEMENT DIVISION M-48 RECORDS RETENTION AND DISPOSAL SCHEDULE Page 1 of 1 Agency Division/Unit CITY OF ROCKVILLE CITY MANAGER'S OFFICE/Wellness Program Item] No Description Retention CORRESPONDENCE AND SUBJECT FILES RETAIN HEALTH FAIR This series includes correspondence, INFORMATION IN OFFICE. information on programs such as FOR TWO YEARS THEN the employee health fair and material DESTROY. RETAIN ALL on health-concerned associations. OTHER CORRESPONDENCE AND SUBJECT FILES IN OFFICE FOR FOUR YEARS THEN DESTROY. EMPLOYEE RECORDS RETAIN IN OFFICE FOR This file contains health records THREE YEARS THEN DESTROY on employees who participate in BY SHREDDING. the wellness program, results of cholesterol tests and blood pressure screenings and weight loss statistics. WELLNESS UPDATES RETAIN IN OFFICE FOR Wellness Updates are fliers that TWO YEARS THEN DESTROY. list the programs, lectures and services available to city employees. Approved by Department, Agency, Schedule Authorized by State or Division Representative. Archivist. Date Date Signature- Bruce Romer Type Name- City Manager Title DGS 550-1 (Rev. 10/92) INSTRUCT IONS--TYPE OR PHINT A DEPARTMENT OF GENERAL SERVICES SEPARATE FORM FOR EACH NEW OR RECORDS MANAGEMENT DIVISION AGENCY RECORDS INVENTORY REVISES RECORD SERIES. FORWARD 7278 WATERLOO ROAD WITH RECORDS RETENT1ON SCHEDULE P.O. BOX 279 PAGE 1 OF 3 m(DCS BBO•1) JESSUP, MARYLAND 20794 1 1. DEPARTMENT/AGENCY 2. DIVISION 3. UNIT Icitv of Rockville City Manager's Office Wellness Program DEFINITION-RECORD SERIES- A aneup OP RELATED RECORDS NORMALLY FILED AND utic AS A UNIT FOR REFERENCE AS WELL AS WKTZNTI ON AND DISPOSITION 4. RECORD SERIES TITLE EARLIEST TEAR/LATEST YEAS Correspondence and Subject Files 1987 TO 1993 «. RECORD SERIES DESCRIPTION |M,KFi*'r OBSCJtlBK THE TYPES OP INPORMAT f ON / DOCUMENTS / FORMS POUND IN THE SERIES. INCLUDE THE PURPOSE ON FUNCTION OF THE SERIES) This series includes correspondence, information on programs such as the employee health fair and material on helath-concerned associations. 7. RECORD SERIES FORMAT(S) 8. RECORD SERIES SEQUENCE VOLUME • LETTER SIZE ° MICROFILM • ALPHABETICAL • FILE DRAWER(S) • MICROFILM REEL(S) • LEGAL SIZE • COMPUTER TAPE 0 NUMERICAL 8 D COMPUTER TAPE(S) NUMBER • BOUND BOOK • FLOPPY DISK • CHRONOLOGICAL • OTHER(SPECIFY) folders • AUDIO TAPE Q VIDEO TAPE • GEOGRAPHICAL 10. ANNUAL ACCUMULATION D OTHER(SPECIFY) • OTHER(SPECI FY] • FILE DRAWER(S) • MICROFILM REEL(S) RTjUrair ° COMPUTER TAPE(S) • OTVFP(«;prriry) ill. FILE IS USED 12. FILE BECOMES INACTIVE AFTER ° DAILY • WEEKLY O MONTHLY O MONTH(S) • YEAR(S] ; 13. CURRENT LOCATION(S) (BLDG..FLOOR,ROOM) 14. IS RECORD SERIES DUPLICATED ELSEWHERET City Manager's Office tlP YES, SPECIFY AOEKCT OR OFFICE) 111 Maryland Avenue, 3rd Floor O YES • NO 18. ACCESS RESTRICTIONS • YES • NO IS. AUDIT REQUIREMENTS (IP YES, CITE LAw(s) * REOULATION(S) • NONE O STATE D FEDERAL D INDEPENDENT 17. IS AN INDEX SYSTEM USEDT (|p YES.EXPLAIN 18. RECOMMENDED RETENTION BRIEFLY AND DESCRIBE ANY HARDBARE/SOFTWARE) Retain in office for three years then Q YES • NO destroy by shredding. 19. NAME AND TITLE OF PREPARER 20. TELEPHONE NUMBER 2 I . DATE Carolyn Barnett-Jones Elections Clerk/Records Managed (301) 309-3314 March 4, 1993 DCS 380-4 (REVISED 2/87) INSTRUCTIONS--TYPE OR PRINT A DEPARTMENT OF GENERAL SERVICES SEPARATE FORM FOR EACH NEW OR RECORDS MANAGEMENT DIVISION AGENCY RECORDS INVENTORY REVISED RECORD SERIES. FORWARD 7275 WATERLOO ROAD WITH RECORDS RETENTION SCHEDULE P.O. BOX 279 PAGE _2 OF 3 k(DCS BBO - t ) JESSUP, MARYLAND 20794 T 1. DEPARTMENT/AGENCY 2. DIVISION 3 . UNIT iCitv of Rockville Citv Manager's Office | DEFINITION-RECORD SERIES-* 9*OVW °* MLATHD MCERM NORMALLY FIL1D AMWellnesD USEDs AProqraS A UNImT FOR i REPKRKNCZ AS IBU. A* RBTSNTION AND DISPOS IT ION FURPoaea 4. RECORD SERIES TITLE 3. EARLIEST YEAR/LATEST YEAH ; Employee Records 1991 TO 1993 6. RECORD SERIES DESCRIPTION |B,IIK,RL-Y DESCRIBE THE TYPES OF 1NPORMAT ION/DOCUMENTS/FORMS FOUND 'IN THE SERIES. INCLUDE THE PURPOSE Oil FUNCTION OF THE SERIES) This file contains health records on employees who participate in the Wellness Program, results of cholesterol tests and blood pressure screenings and weight loss statistics. 7. RECORD SERIES FORMAT(S) 8. RECORD SERIES SEQUENCE 9. VOLUME • LETTER SIZE • MICROFILM • ALPHABETICAL • FILE DRAWER(S) • MICROFILM REEL(S) • LEGAL SIZE • COMPUTER TAPE O NUMERICAL 3 D COMPUTER TAPEIS) NUMBER m QTHER(SPECI FY) | O BOUND BOOK 0 FLOPPY DISK • CHRONOLOGICAL folders O AUDIO TAPE • VIDEO TAPS Q GEOGRAPHICAL 10. ANNUAL ACCUMULATION D OTHER(SPECIFY) • OTHER(SPECIFY} • FILE DRAWER(S) D MICROFILM REEL[S J • OTWBKprriFyl 11 ! * F1LE IS USED 12 • FILE BECOMES INACTIVE AFTER • DAILY • WEEKLY 0 MONTHLY 3 D MONTH (S1 • YEARIS) ' NUMBKR ' i ; 13. CURRENT LOCATION(S) (BLDG..FLOOR,ROOM J 14. IS RECORD SERIES DUPLICATED ELSEWHERET \ City Manager's Office tlF YES, SPECIFY /.OfKCY OR OFFICE ) j 111 Maryland Avenue, 3rd Floor • YES • NO RncVvi HP Mn IS. ACCESS RESTRICTIONS • YES • NO 18. AUDIT REQUIREMENTS (IF YES, CITE LAE(S) * HEOULATION(S) • NONE O STATE • FEDERAL • INDEPENDENT 17. IS AN INDEX SYSTEM USEDT [ IF YES.EXPLAIN 18. RECOMMENCED RETENTION BRIEFLY AND DESCRIBE ANY HARDWARE/SOFTWARE} Retain in office for three years then a YES • NO destroy by shredding. •| Il8. NAME AND TITLE OF PREPARER 20. TELEPHONE NUMBER 2 1 . DATE Carolyn Barnett-Jones Elections Clerk/Records Managei (301) 309-3314 March 4, 1993 DCS 580-4 (REVISED 2/87) INSTRUCT I QMS - - TYPE OR PRINT A DEPARTMENT OF GENERAL SERVICES SEPARATE FORM FOR EACH NEW OR RECORDS MANAGEMENT DIVISION AGENCY RECORDS INVENTORY REVISED RECORD SERIES. FORWARD 7279 WATERLOO ROAD WITH RECORDS RETENTION SCHEDULE P.O. BOX 279 PAGE OF [DCS 550 -t ) JESSUP, MARYLAND 20794 ! I. DEPARTMENT/AGENCY 2. DIVISION UNIT icitv of Rockville City Manager's Office Wellness Program DEFINITION-RECORD SERIES A aneup op MUTSO RECORDS NORMAI-LY PILED AND USED AS A UNIT FOR REFERENCE AS SELL AS RETENTION AND DISPOSITION PURPOSES 4. RECORD SERIES TITLE 5. EARLIEST YEAR/LATEST YEAR Wellness Updates 1 QQD TO 1993 6. RECORD SERIES DESCRIPTION {,M,IB:FTR BSSCSISE THE TYPES OP INFORMATION/DOCUMENTS/FORMS FOUND IN THE SERIES. INCLUDE THE PURPOSE OR FUNCTION OF THE SERIES) Wellness Updates are fliers that list the programs, lectures and services available to city employees. >• 7. RECORD SERIES FORMAT(S] S. RECORD SERIES SEQUENCE VOLUME • LETTER SIZE O MICROFILM • ALPHABETICAL • FILE DRAWER(S) • MICROFILM REEL(S) • LEGAL SIZE O COMPUTER TAPE • NUMERICAL 1 O COMPUTER TAPE(S) NUMBE • BOUND BOOK • FLOPPY DISK • CHRONOLOGICAL * • OTHER(SPECI FY) folder O AUDIO TAPE • VIDEO TAPE 0 GEOGRAPHICAL 10. ANNUAL ACCUMULATION O OTHER(SPEC IFY) Q OTHER(SPECIFY) • FILE DRAWER(S] • MICROFILM REEL(S) kbUlgW 0 COMPUTER TAPE(S) • • cmJFP(^prriFY) ill FILE IS USED 12. FILE BECOMES INACTIVE AFTER 2 ° DAILY Q WEEKLY • MONTHLY • MCNTH(S) YEAR(S) TOffETfTT ! 13. CURRENT LOCATION(S) (BLDG..FLOOR,ROOMJ 14. IS RECORD SERIES DUPLICATED ELSEWHERE1 City Manager's Office tlP YES, SPECIFY AGENCY OR OFFI«) 111 Maryland Avenue, 3rd Floor n YES • NO Rnrkvilip MP . IS. ACCESS RESTRICTIONS • YES • NO 16. AUDIT REQUIREMENTS (IP YES, CITE LAE(S) * RSOULATION( B ) • NONE D STATE O FEDERAL • INDEPENDENT 17. IS AN INDEX SYSTEM USEDT (|p YES.EXPLAIN 18. RECOMMENDED RETENTION BRIEFLY AKO DESCRIBE ANY HARDBARE/SOPT1 Retain in office for two years then destroy. O YES NO 19. NAME AND TITLE OF PREPARER 20. TELEPHONE NUMBER 21. DATE Carolyn Barnett-Jones Elections Clerk/Records Managed (301) 309-3314 March 4, 1993 DCS 380-4 (REVISED 2/87) .
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