20
RECORD: · SPOSITION Instruct - _ _ N _ AT _ 1o _ N _ A _ L _ A _ R _ C H _ 1v _ E _ s _ A _ N _ D _ R _ E _ c _ o R _ o _ s _ s _ E _ Rv _ 1c _ E _ . _ w _ A _ SH _ 1 _ N G _ T _ O _ N. _ o _ c _ 2 _ 0 _ 4o _ e __ - D ATE RECEI V E D ] EQUEÞT FOR•. AUTHORITY LEAVE B{See on reverse) JOB NO NCl-462-80-1 TO: GENERAL SERVICES ADMINISTRATION, 1. FROM (AGENCY OR ESTABLISHMENT) 9/26/79 U. S. Department of Agriculture NOTIFICATION TO AGENCY Cosmo D. Fornaro 447-5033 Dare 6. CERTIFICATE OF AGENCY REPRESENTATI V E. I hereby certify that I am authorized to act for this agency in matters pertaining to the disposal of the agency's records; that the records proposed for disposal in this Request of 2o page(s) are not now needed for the business of this agency or will not be needed after the retention periods specified. D A Request for immediate disposal. I B Request for disposal after a specified period of time or request for permanent retention. E. TITLE Chief, Paperwork Management Branch 7. 8. D ESCRIPTION OF ITEM 10. SAMPLE OR ITEM NO. (With Inclusive D ates or Retention Periods) ACTI ON TAKEN JOB NO. The Food Safety and Quality Service (FSQS) was established as an autonomous agency within the U. S. Department of Agriculture in May 1977. FSQS program functions consist of: 1. The inspection of meat and poultry and meat and poultry products, regulation of pro- cessing and distribution, and preventing movemen or sale of meat and poultry products which are unwholesome, adulterated, or misbranded. These functions were formerly part of Animal and Plant Health Inspection Service (APHIS) . 2. The purchase service for comodities, standardization,. quality inspection, and grading of dairy and dairy products, fresh and processed fruits and vegetables, meat, poultry, ·poultry products, shell eggs, egg products, rabbits, and miscellaneous comodities. These functions were formerly part of the Agricultural Marketing Service (AMS) . STANDARD FORM 115 Revised April, 1975 Prescribed by General Services Administration FPMR (41CFR)101-11.4

Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

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Page 1: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

RECORD middotSPOSITION Instruct-

__ N_A T_1o_ N_ A _L _A_R _CH _1v_ E_s _ A_ N_D _ R_E _c_o R_o _s _ s_E _R v_1 c_ E_ _w_A _SH _1_NG_T _O _N _ o_ c_2_0_4o _e __ -i DATE RECEIVED

EQUE T FORbull AUTHORITY LEAVE BLA See on reverse) JOB NO

NCl-462-80-1 TO GENERAL SERVICES ADMINISTRATION

1 FROM (AGENCY OR ESTABLISHMENT) 92679U S Department of Agriculture NOTIFICATION TO AGENCY

Cosmo D Fornaro 4 4 7-50 33 Dare 6 CERTIFICATE OF AGENCY REPRESENTATIVE

I hereby certify that I am authorized to act for this agency in matters pertaining to the disposal of the agencys records that the records proposed for disposal in this Request of 2o page(s) are not now needed for the business of this agency or will not be needed after the retention periods specified

D A Request for immediate disposal

IX] B Request for disposal after a specified period of time or request for permanent retention

E TITLE

Chief Paperwork Management Branch 9middot7 8 DESCRIPTION OF ITEM 10SAMPLE OR ITEM NO (With Inclusive Dates or Retention Periods) ACTION TAKENJOB NO

The Food Safety and Quality Service (FSQS) was established as an autonomous agency within the U S Department of Agriculture in May 1977

FSQS program functions consist of

1 The inspection of meat and poultry and meat and poultry products regulation of proshycessing and distribution and preventing movemen or sale of meat and poultry products which are unwholesome adulterated or misbranded

These functions were formerly part of Animal and Plant Health Inspection Service (APHIS)

2 The purchase service for commodities standardization quality inspection and gradingof dairy and dairy products fresh and processed fruits and vegetables meat poultry middotpoultry products shell eggs egg products rabbits and miscellaneous commodities

These functions were formerly part of the Agricultural Marketing Service (AMS)

STANDARD FORM 115 Revised April 1975

Prescribed by General Services Administration

FPMR (41CFR)101-114

_ _ _ _ _

Policy

Copies

Copies

Copy

Copies

Reports in

summarie includinq

Copy

Copies refer

bullbull 2Standard Form No 115-A

Revised November 1951 Prescribed by General Servic Administration Job No PageGSA Reg 3-IV-106

11amp-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

The Administrative supporting records of the above mentioned functions are now a part of FSQS records holdings

This schedule covers all FSQS administrative function records except those records covered by the General Records Schedule (GRS) GRS items requiring submission of a SF-115 are included in this schedule This schedule supersedes all existing USDA and Agency administrative schedules and items for FSQS use

1 and Guidelines covering all administrashytive functions of the Agency

a Policy and guidelines prescribed by other agencies

All Destroy when superseded or obsolete

b Policy and guidelines of transitory value

All Destroy when 3 years old

c All other policy and guidelines

1 Record Destroy when 20 years old

2 Other Destroy when superseded or obsolete but not later than when 10 years old

2 covering all administrative functions the Agency not covered on the GRS

a Substantive reports such as annual and comprehensive nonrecurring reportsspecial or one-time reports

1 Record Destroy when 20 years old

2 Other Destroy when no longer needed for ence but no later than when 3 years old

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original lo be bullumittetl lo the National llrchivem and Rcoru Service

No ----- Pae_3 __ a

Copy

Copy

Copies

MeetingsCommittees

aavisr1y e international

Copy

Copies

committees

Copy

all

COEY when

bullStandanl Form No 116-A bull c

Revised November 1951 Prescribed by General Services Administration Job GSA Reg 3-IV-106

115-202 of __ p ges REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

3

b Activity reports consisting of periodicsummaries of specific action or work performed

1 Record Destroy when 3 years old

2 Other CopiesDestroy when 2 years old

c Motor vehicle printouts of operations and maintenance

Record Destroy when 4 years old

d All other reports

All Destroy when 2 years old

covering all administrative functions in the Agency except those records covered by the GRS

a Records concerning the establishment organization membership and policy of intershyagency committees

1 Record Destroy 5 years after termination of committee

2 Other Destroy when no longer needed or when committee terminated whichever occurs first

b Agendas minutes and related material of substantive or significant meetings or

Record Destroy when 20 years old

c Agendas minutes and related material of other committees or meetings not listed in a or b abov

Record Destroy 2 years old

Fou copiH mclading original to be sabmitted to the National Archives and Records Service GPO 1961-0-711-917

No -----

Projects

oz

Copy

Copies

Copy

Copies

Organization

Copy

planninc

Copy accomplishec

__ __ Standard Form No 1115-A Revised No7ember 1951

Job Page 4Prescribed by General Services Administration

GSA Reg 3-IV-106115-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

4 covering all administrative functions in the Agency except records covered by the GRS

a Case files of approved projects studies task forces including basic documentation and final report or other substantive material

1 Record Destroy 5 years after completion of project

2 Other Destroy when 2 years old

b Proposed projects studies and task forces

1 Record If no further action taken destroywhen 5 years old

2 Other Destroy when 2 years old

5 and Functions of Agency

a Material dealing with the history of the organization Includes organizational charts and functional statements reorganizations and openings or discontinuance of offices Arranged by organization structure

Record (14 cubic feet on handPermanent Transfer to PARC when 10 years old Offer to NARS when 20 yearsold () r t

b Material relating to organizational Includes records dealing with organizational goals and objectives

Record Destroy 5 years after goals or 3 years if cancelled superseded or rescinded

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Fou copies incl11dillg original to be 1111bmitted to the National Arcbives and Records Service GPO 1963-0-711-917

No -----

Delegations Authority

Copy

Copies

Copies

Emergency Preparedness Program

Copy

Copies

Budget 8H8le1ing EiUl89s

sampvYampli Je1 the e1

Copy

Copies

Page_S __

Standard Form No 115-A

JobRevised November 1951 Prescribed by General Services Administration GSA Reg 3-IV-106

11amp-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPT ION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

6 of throughout Agency

a Order of succession and functional or signing delegations

1 Record Destroy 10 years after delegation cancelled

2 Other Destroy 1 year after delegation cancelled

b Temporary delegations for one to act for another on a temporary basis such as duringleave and illness

All Destroy when 1 year old

7 records throughshyout the Agency Includes material related to planning and testing plans dealing with nuclear attack biological warfare radiation natural disasters and the like excluding records covered by the GRS

a Record Destroy 3 years after end of period of applicability

b Other Destroy when superseded or obsolete

8 Submission records consisting of budgetestimates and justifications

a Budgets prepared by each organizational entity including the master copy of budgets of agency organizational components

1 Record Destroy when 3 years old

2 Other Destroy when 1 year old

9 SAMPLE OR

JOB NO

10

ACTION TAKEN

Four copies including original to be inalomitted to the National Archive aad R11cor Service

____ _

Copy

Copies

Copy

Copies

Budget Requests

Copy

Copies

Copies

Congressional

Standard Form No 115-A

Job No Page 6Revised November 1951 Prescribed by General Service Administration GSA Reg IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

9

10

8 DESCRIPT ION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

b Cost estimates and justifications

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

c Multi-year funding program and financial plan

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

to Office of Management and Budget ( OMB)

a Material relating to the consolidated Agency submission for inclusion by OMB in the Government-wide annual budget Includes supplementary schedules exhibits and special data for OMB review

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b OMB Hearings including material regarding scheduling of witnesses preparation of stateshyments and arrangements for appearing

All Destroy when 1 year old

Presentation of Agency budget requests

a Appropriation committee hearings Records regarding the coordination and preparation of Agency programs including position papers and related material of the Administrator and statements of witnesses before standing or special congressional committees minutes

9 SAMPLE OR 1

JOB NO

10 ACTION TAKEN

Foar copies inchacling originol to be aumilled to the Nationol Archives and Racor Service

____ _

Copy

appropriation

Copy

Copy

Copies

Operational

Copy

Copies

Page_7 __ ag

Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration Job No GSA Reg 3-IV-106

116-202 of __ p es REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

97 8 DESCRIPTION OF ITEM 10 SAMPLE OR ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS) ACTION TAKEN

JOB NO

agenda and reports of presentation steering groups copies of reports in hearings of

congressional committees special studies group files consisting of copies of reports on surshyveys of Agency programs prepared by direction of the President or by Congress and Agency position on points of adverse criticisms reported Includes statement of Administrator or his designee

1 Record Destroy when 20 years old

2 Other CopiesDestroy when 2 years old

b Copies and analyses of proposed approprishyation bills and amendment thereto position papers on proposed legislation and acts

1 Recordmiddot Destroy when 20 years old

2 Other CopiesDestroy when 2 years old

c Requests for supplemental appropriations within a fiscal year for that fiscal year necessitated by developments not foreseen in the initial Agency budget submissions

1 Record Destroy when 20 years old

2 Other Destroy when 2 years old

11 Year Budget excluding records covered by the GRS Includes the Operating Year Funding Plan review and revision

a Record Destroy when 4 years old

b Other Destroy when 2 years old

Four copies including original lo be imitted lo the National Archives and a cor Service

____ _

Ceiling

Copy

Copies

Copies

Symbols

Copy

Copies

Copy

Copies

Page_8 __ Standard Form No 115-A

Job No Revised November 1951 Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

12 1 Personnel material excluding records covered by the GRS Records relating to requests for establishment and control of numerical authorization of staffing levels Includes employment limitations

a Record Destroy when 4 years old

b Other Destroy when 2 years old

13 Claims correspondence and supporting material relating to settlement of claims by Agency and against Agency excepting records covered by the GRS

All Destroy 3 years after settlement

14 Financial Codes and materials relating to the issuing of or information concerning allotment and appropriation symbols and objectclassification codes

a Record Destroy when 3 years old

b Other Destroy when 2 years old

15 Public Relations material of the Agency

a Material related to maintaining relations or improving public image of Agency

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

b Precedent files of replies to requests for information publications and printed material from the public used as reference in preparingreplies to similar inquiries

9 SAMPLE OR

JOB NO

10

ACTION TAKEN

lour copiebull incl11cling original to be bullaltmittecl to the National Archives and R cor Service

_ ____ _

Copy

countrief

Copy

Copies

by Vv- kfifJM k1sc

ti 1 Appf

Copy

Copies

issuancef

Copy

Copies

Copies obsoletE

Pa e_9 __ Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

Record Destroy when 5 years old

c Material relating to foreign and domestic visitors Includes material relating to technical assistance foreign training programs and other visitors from and to foreign

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

9 SAMPLE OR

JOB NO

d Use of mass media of the press radio and television in supporting Agency programs Includes press releases radio and television scripts prepared or issued and clearances for same Excludes material covered the GRS

oved Agency issuances t s ampo

(a) Record Destroy when 20 years old

(b) Other Destroy when 2 years old or when superseded or obsolete whichever is sooner

2 Unapproved and unissued Agency

(a) Record Destroy when 5 years old

(b) Other Destroy when 2 years old

3 Copies of Departmental issuances

All Destroy when superseded or bull

10 ACTION TAKEN

Four copies inclbullcling original to be sumitted to the National Archives and R11cosu Sesvice

____ _

I

Ai J J-(kL4vh tdli a -s bstantive pubficfation aescribing the

1 olijiies of maj9r Agency programs Ud4A _ -1klJ n1Jv middot v

1 Record Copy I Pm 4 lt5 liaGaWey when 20 years o d h or

Copies

J A f irsjj fr lJJ l) dJ Sc1-S-fb

1 neWsle4ters dealing

Copy

Copies

Copies

Speeches

Administratora- a c 181 ilia Iamp a bullaiiHi iRl

elticf staff gfficcrla 1 -middot

Copy IJ1+e lieBelef ollt1

Page_l_O __ -

Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

16

17

8 DESCRIPTION OF ITEM (WITH INCLUSIVE DATES OR RETENTION PERIODS)

Publication development records including clearances and copy of final publication Excludes records covered by the GRS

history overall administration and general

2 Other Destroy when 3 years old or when supershyseded or obsolete1 whichever occurs

b Agency with administrashytive or program functions

1 Record Destroy when 20 years old

2 Other Destroy when 3 months old

d All other cations including those relating to routine operational procedures brochures public information handouts and similar publications

All Destroy when 3 years old or when supershyseded or obsolete whichever occurs first

developed and prepared by own organishyzational staff Includes clearances and final copy Excludes records covered by the GRS

a Speeches containing policy statements made by the Administrator Associate Deputy Administrator

middot Record (f -h AArS when 20 years llJ -

Sl 2-- -fO

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Fo11r copiebull incl11ding original to be bullabmitted to the National Archives and R coru Sesvice

No -----

1 A Al1 _U __r rr fAM rt i-s-ri

Copy

Copies

Cooperation

government

Copy

Copies

Regulations

Copy

Copies

Copy

Copies

Standard Form No 115-A Revised November 1951 Job Page 11 Prescribed by General ServicM Administration GSA Reg 3-IV-106 of__ pages

115-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

2 Other CopiesD stroy when 3 months old

micro ot er speeches

1 Record Destroy when 2 years old

2 Other Destroy when 3 months old

18 records including cooperative agreements and memorandums of understanding reflecting cooperation with other Federal agencies state governments foreignand private companies

a Record Destroy 5 years after superseded or terminated

b Other Destroy when superseded or terminated

19 Laws and relating to the Agency

a Case files of hearings and material related to quasi-judicial proceedings involving testishymony and arguments concerned with proposed or existing legislation executive orders Agencyregulations rules and the like

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

b Case files of dockets for publication in the Federal Register and related material Includes clearances and supporting material

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

9 SAMPLE OR

JOB NO

FoW copiebull including original to be bullnllmittecl to the National Archives anti Rcor Service

10

ACTION TAKEN

____ _

Copy

Copy

Copy

Copies

Management Operations

services

Copy

Co y w

Standard Form No 115-A Revised November 1951 Prescribed by General Servic Administration Job No Page 12 GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

1

20

c Legal opinions and decisions on laws regulations and executive orders

1 Record Destroy 2 years after superseded or obsolete

2 Other CopiesDestroy when superseded or obsolete

d Material on external and internal legal constraints

1 Record Destroy when 15 years old

2 Other CopiesDestroy when 2 years old

e Copies of laws and regulations

1 Record Destroy 2 years after superseded or obsolete bull

2 Other Destroy when superseded or obsolete

and Reviews either by or for the Agency dealing with the review and analysis of progress made by or deficiencies of Agency administration or programs Includes statistical consultive and analytical Also includes final report and all supporting material such as documents reflecting actual performance progress accomplishmentsdeficiencies and problems in relation to administrative or program goals Except files involving Agency employees see GRS

a Reviews of program operations

Record Destroy when 20 years old

b Other reviews

Record Destroy en 10 years old

Fovr copies inclading original lo be aaltmilled lo the National Archives and R cor Service

____ _

Copies

first

Investigations

personneJ

Copy

Copies

Management Improvement

Copy

Copies

Copy

__ Job No

see GRS

13 Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration GSA Reg 3-IV-106

Pageof pages116-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

98 DESCRIPTION OF ITEM 107

SAMPLE OR (WITH INCLUSIVE DATES OR RETENTION PERIODS) ITEM NO JOB NO

c Other copies of reviews

All Destroy upon receipt of next review or when 5 years old whichever occurs

21 Audits and of Agency administrashytion or programs by GAO OGC OIG OPM and others Except files involving Agency

a Record Destroy 5 years after case closed or final action taken

b Other Destroy 2 years after case closed or final action taken

22 reviews or studies These reviews or studies may result in the ini tiation of changes in the manner or method of planning directing controlling or pershyforming work which results in increased effectiveness efficiency and economy

a Reviews or studies from which action is taken

1 Record Destroy 5 years after all action has been taken or upon receipt of second subsequent report whichever is sooner

2 Other Destroy upon receipt of next report or when 2 years old whichever is sooner

b Reviews or studies on which no action is taken

1 Record Destroy when 5 years old

2 Other Copies Destroy when 2 years old

ACTION TAKEN

Four copies inchacling original to be 1111bmitted to the National Archives and Rolcor Service

____ _

Copy

Copies

Copy

Copies

Copy

Copy

Copies

Standard Fonn No 115-A Revised November 1951

Job No Page 14Prescribed by General Service Administration GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

23 1 Work Simplification material

a Material dealing with work programming manpower utilization and work measurement Includes time and motion studies established workload and assignment computations and summary report

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b Work plans and accomplishments except work plans supporting budget submission

1 Record Destroy 4 years after work plan is completed or implemented or when 4 years old if no further action taken

2 Other Destroy when work plan is completed or implemented or when 2 years old if no further action taken

c Work standards and related material

1 Approved work standards

(a) Record Destroy 5 years after standard superseded or obsolete

(b) Other CopiesDestroy when standard superseded or obsolete

2 Proposed work standards

(a) Record Destroy when 4 years old if no further action is taken

(b) Other Destroy when 4 years old

10

ACTION TAKEN

Foar copies incl11ding original to be salgtmitted to the National Archives and R cor Service

_ _ _ _ _

Management

haoing preceaeneial BiBifieaAee

IncludesAfevisionsee ieerleEieAaJ er hiseerical maeerial relating tu clearancee iHeer reeaEieAs aae elaFif iea iea ef ineLrtteeieft8

Copy

old b f i- tJ JtJ rrl)_ sci44() b - fn ctional issuances ttaving s ort-term effect and value

Copy

Copy

Copies

Records

Exclude

Standard Form No 115-A Revised November 1951

Job No Pag e 15Prescribed by General Service Administration

GSA Reg 3-IV-106 116-202 of __pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO ACTION TAKEN

24 Directive material relating to the 1 development and control of Agency issuances

such as administrative and program directives notices bulletins and the like

a Issuances concerned with formal Agency policy formulation organization functions procedures and operations

Arranged numerically f

Record ci cubic feet on hand)Permanent Transfer to FARC when 10 years old Offer to NARS when 20 years

Record Destroy 5 years after superseded or obsolete

c Notices bulletins indexes announcements and similar material not part of a or b above

Record Destroy 2 years after terminated superseded or obsolete

d Other copies of issuances

All Destroy when terminated superseded or obsolete

25 Maintenance material covering standards and systems for creating organizing and maintaining records Includes related correspondence and Agency file systems and disposal schedules when they are incorporated and approved as part of a file systemmaterial covered by the GRS except disposalschedules made part of a file system Those schedules must be maintained with the file system since the case file records and the file

lour copies including original to be inahmittetl to the Notional Archives anti Raco Service

____ _

Copy

Copies

Micrographics Systems

Copy terminated

Copies

Security

Copy

Copies

Correspondence Management preparaticn

correspondencE

the

Copy

Copies

Standard Form No 115-A Revised November 1951

Job No Page 16Prescribed by General Service Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

system and schedule itself are inseparable

a Record Destroy 5 years after superseded or obsolete

b Other Destroy when superseded or obsolete

26 including studies applishycations for systems requisitions certifishycations and approvals

a Record Destroy 5 years after system

b Other Destroy when system terminated

27 Records material dealing with systems and procedures for protecting and controlling documents and information except records covered by the GRS

a Record Destroy 1 year after superseded or obsolete

b Other Destroy when superseded or obsolete

28 standards handbooks and related material dealing with the of correspondence format clearances and signature requirements Includes instructions for preparing formal and informal telegrams envelopes forms of address and similar matters Except material covered byGRS

a Record Destroy 2 years after superseded or obsolete

b Other Destroy when superseded or obsolete

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original to be llUltmitted to the National Archives and Rcaru Service

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 2: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

_ _ _ _ _

Policy

Copies

Copies

Copy

Copies

Reports in

summarie includinq

Copy

Copies refer

bullbull 2Standard Form No 115-A

Revised November 1951 Prescribed by General Servic Administration Job No PageGSA Reg 3-IV-106

11amp-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

The Administrative supporting records of the above mentioned functions are now a part of FSQS records holdings

This schedule covers all FSQS administrative function records except those records covered by the General Records Schedule (GRS) GRS items requiring submission of a SF-115 are included in this schedule This schedule supersedes all existing USDA and Agency administrative schedules and items for FSQS use

1 and Guidelines covering all administrashytive functions of the Agency

a Policy and guidelines prescribed by other agencies

All Destroy when superseded or obsolete

b Policy and guidelines of transitory value

All Destroy when 3 years old

c All other policy and guidelines

1 Record Destroy when 20 years old

2 Other Destroy when superseded or obsolete but not later than when 10 years old

2 covering all administrative functions the Agency not covered on the GRS

a Substantive reports such as annual and comprehensive nonrecurring reportsspecial or one-time reports

1 Record Destroy when 20 years old

2 Other Destroy when no longer needed for ence but no later than when 3 years old

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original lo be bullumittetl lo the National llrchivem and Rcoru Service

No ----- Pae_3 __ a

Copy

Copy

Copies

MeetingsCommittees

aavisr1y e international

Copy

Copies

committees

Copy

all

COEY when

bullStandanl Form No 116-A bull c

Revised November 1951 Prescribed by General Services Administration Job GSA Reg 3-IV-106

115-202 of __ p ges REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

3

b Activity reports consisting of periodicsummaries of specific action or work performed

1 Record Destroy when 3 years old

2 Other CopiesDestroy when 2 years old

c Motor vehicle printouts of operations and maintenance

Record Destroy when 4 years old

d All other reports

All Destroy when 2 years old

covering all administrative functions in the Agency except those records covered by the GRS

a Records concerning the establishment organization membership and policy of intershyagency committees

1 Record Destroy 5 years after termination of committee

2 Other Destroy when no longer needed or when committee terminated whichever occurs first

b Agendas minutes and related material of substantive or significant meetings or

Record Destroy when 20 years old

c Agendas minutes and related material of other committees or meetings not listed in a or b abov

Record Destroy 2 years old

Fou copiH mclading original to be sabmitted to the National Archives and Records Service GPO 1961-0-711-917

No -----

Projects

oz

Copy

Copies

Copy

Copies

Organization

Copy

planninc

Copy accomplishec

__ __ Standard Form No 1115-A Revised No7ember 1951

Job Page 4Prescribed by General Services Administration

GSA Reg 3-IV-106115-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

4 covering all administrative functions in the Agency except records covered by the GRS

a Case files of approved projects studies task forces including basic documentation and final report or other substantive material

1 Record Destroy 5 years after completion of project

2 Other Destroy when 2 years old

b Proposed projects studies and task forces

1 Record If no further action taken destroywhen 5 years old

2 Other Destroy when 2 years old

5 and Functions of Agency

a Material dealing with the history of the organization Includes organizational charts and functional statements reorganizations and openings or discontinuance of offices Arranged by organization structure

Record (14 cubic feet on handPermanent Transfer to PARC when 10 years old Offer to NARS when 20 yearsold () r t

b Material relating to organizational Includes records dealing with organizational goals and objectives

Record Destroy 5 years after goals or 3 years if cancelled superseded or rescinded

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Fou copies incl11dillg original to be 1111bmitted to the National Arcbives and Records Service GPO 1963-0-711-917

No -----

Delegations Authority

Copy

Copies

Copies

Emergency Preparedness Program

Copy

Copies

Budget 8H8le1ing EiUl89s

sampvYampli Je1 the e1

Copy

Copies

Page_S __

Standard Form No 115-A

JobRevised November 1951 Prescribed by General Services Administration GSA Reg 3-IV-106

11amp-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPT ION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

6 of throughout Agency

a Order of succession and functional or signing delegations

1 Record Destroy 10 years after delegation cancelled

2 Other Destroy 1 year after delegation cancelled

b Temporary delegations for one to act for another on a temporary basis such as duringleave and illness

All Destroy when 1 year old

7 records throughshyout the Agency Includes material related to planning and testing plans dealing with nuclear attack biological warfare radiation natural disasters and the like excluding records covered by the GRS

a Record Destroy 3 years after end of period of applicability

b Other Destroy when superseded or obsolete

8 Submission records consisting of budgetestimates and justifications

a Budgets prepared by each organizational entity including the master copy of budgets of agency organizational components

1 Record Destroy when 3 years old

2 Other Destroy when 1 year old

9 SAMPLE OR

JOB NO

10

ACTION TAKEN

Four copies including original to be inalomitted to the National Archive aad R11cor Service

____ _

Copy

Copies

Copy

Copies

Budget Requests

Copy

Copies

Copies

Congressional

Standard Form No 115-A

Job No Page 6Revised November 1951 Prescribed by General Service Administration GSA Reg IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

9

10

8 DESCRIPT ION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

b Cost estimates and justifications

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

c Multi-year funding program and financial plan

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

to Office of Management and Budget ( OMB)

a Material relating to the consolidated Agency submission for inclusion by OMB in the Government-wide annual budget Includes supplementary schedules exhibits and special data for OMB review

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b OMB Hearings including material regarding scheduling of witnesses preparation of stateshyments and arrangements for appearing

All Destroy when 1 year old

Presentation of Agency budget requests

a Appropriation committee hearings Records regarding the coordination and preparation of Agency programs including position papers and related material of the Administrator and statements of witnesses before standing or special congressional committees minutes

9 SAMPLE OR 1

JOB NO

10 ACTION TAKEN

Foar copies inchacling originol to be aumilled to the Nationol Archives and Racor Service

____ _

Copy

appropriation

Copy

Copy

Copies

Operational

Copy

Copies

Page_7 __ ag

Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration Job No GSA Reg 3-IV-106

116-202 of __ p es REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

97 8 DESCRIPTION OF ITEM 10 SAMPLE OR ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS) ACTION TAKEN

JOB NO

agenda and reports of presentation steering groups copies of reports in hearings of

congressional committees special studies group files consisting of copies of reports on surshyveys of Agency programs prepared by direction of the President or by Congress and Agency position on points of adverse criticisms reported Includes statement of Administrator or his designee

1 Record Destroy when 20 years old

2 Other CopiesDestroy when 2 years old

b Copies and analyses of proposed approprishyation bills and amendment thereto position papers on proposed legislation and acts

1 Recordmiddot Destroy when 20 years old

2 Other CopiesDestroy when 2 years old

c Requests for supplemental appropriations within a fiscal year for that fiscal year necessitated by developments not foreseen in the initial Agency budget submissions

1 Record Destroy when 20 years old

2 Other Destroy when 2 years old

11 Year Budget excluding records covered by the GRS Includes the Operating Year Funding Plan review and revision

a Record Destroy when 4 years old

b Other Destroy when 2 years old

Four copies including original lo be imitted lo the National Archives and a cor Service

____ _

Ceiling

Copy

Copies

Copies

Symbols

Copy

Copies

Copy

Copies

Page_8 __ Standard Form No 115-A

Job No Revised November 1951 Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

12 1 Personnel material excluding records covered by the GRS Records relating to requests for establishment and control of numerical authorization of staffing levels Includes employment limitations

a Record Destroy when 4 years old

b Other Destroy when 2 years old

13 Claims correspondence and supporting material relating to settlement of claims by Agency and against Agency excepting records covered by the GRS

All Destroy 3 years after settlement

14 Financial Codes and materials relating to the issuing of or information concerning allotment and appropriation symbols and objectclassification codes

a Record Destroy when 3 years old

b Other Destroy when 2 years old

15 Public Relations material of the Agency

a Material related to maintaining relations or improving public image of Agency

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

b Precedent files of replies to requests for information publications and printed material from the public used as reference in preparingreplies to similar inquiries

9 SAMPLE OR

JOB NO

10

ACTION TAKEN

lour copiebull incl11cling original to be bullaltmittecl to the National Archives and R cor Service

_ ____ _

Copy

countrief

Copy

Copies

by Vv- kfifJM k1sc

ti 1 Appf

Copy

Copies

issuancef

Copy

Copies

Copies obsoletE

Pa e_9 __ Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

Record Destroy when 5 years old

c Material relating to foreign and domestic visitors Includes material relating to technical assistance foreign training programs and other visitors from and to foreign

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

9 SAMPLE OR

JOB NO

d Use of mass media of the press radio and television in supporting Agency programs Includes press releases radio and television scripts prepared or issued and clearances for same Excludes material covered the GRS

oved Agency issuances t s ampo

(a) Record Destroy when 20 years old

(b) Other Destroy when 2 years old or when superseded or obsolete whichever is sooner

2 Unapproved and unissued Agency

(a) Record Destroy when 5 years old

(b) Other Destroy when 2 years old

3 Copies of Departmental issuances

All Destroy when superseded or bull

10 ACTION TAKEN

Four copies inclbullcling original to be sumitted to the National Archives and R11cosu Sesvice

____ _

I

Ai J J-(kL4vh tdli a -s bstantive pubficfation aescribing the

1 olijiies of maj9r Agency programs Ud4A _ -1klJ n1Jv middot v

1 Record Copy I Pm 4 lt5 liaGaWey when 20 years o d h or

Copies

J A f irsjj fr lJJ l) dJ Sc1-S-fb

1 neWsle4ters dealing

Copy

Copies

Copies

Speeches

Administratora- a c 181 ilia Iamp a bullaiiHi iRl

elticf staff gfficcrla 1 -middot

Copy IJ1+e lieBelef ollt1

Page_l_O __ -

Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

16

17

8 DESCRIPTION OF ITEM (WITH INCLUSIVE DATES OR RETENTION PERIODS)

Publication development records including clearances and copy of final publication Excludes records covered by the GRS

history overall administration and general

2 Other Destroy when 3 years old or when supershyseded or obsolete1 whichever occurs

b Agency with administrashytive or program functions

1 Record Destroy when 20 years old

2 Other Destroy when 3 months old

d All other cations including those relating to routine operational procedures brochures public information handouts and similar publications

All Destroy when 3 years old or when supershyseded or obsolete whichever occurs first

developed and prepared by own organishyzational staff Includes clearances and final copy Excludes records covered by the GRS

a Speeches containing policy statements made by the Administrator Associate Deputy Administrator

middot Record (f -h AArS when 20 years llJ -

Sl 2-- -fO

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Fo11r copiebull incl11ding original to be bullabmitted to the National Archives and R coru Sesvice

No -----

1 A Al1 _U __r rr fAM rt i-s-ri

Copy

Copies

Cooperation

government

Copy

Copies

Regulations

Copy

Copies

Copy

Copies

Standard Form No 115-A Revised November 1951 Job Page 11 Prescribed by General ServicM Administration GSA Reg 3-IV-106 of__ pages

115-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

2 Other CopiesD stroy when 3 months old

micro ot er speeches

1 Record Destroy when 2 years old

2 Other Destroy when 3 months old

18 records including cooperative agreements and memorandums of understanding reflecting cooperation with other Federal agencies state governments foreignand private companies

a Record Destroy 5 years after superseded or terminated

b Other Destroy when superseded or terminated

19 Laws and relating to the Agency

a Case files of hearings and material related to quasi-judicial proceedings involving testishymony and arguments concerned with proposed or existing legislation executive orders Agencyregulations rules and the like

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

b Case files of dockets for publication in the Federal Register and related material Includes clearances and supporting material

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

9 SAMPLE OR

JOB NO

FoW copiebull including original to be bullnllmittecl to the National Archives anti Rcor Service

10

ACTION TAKEN

____ _

Copy

Copy

Copy

Copies

Management Operations

services

Copy

Co y w

Standard Form No 115-A Revised November 1951 Prescribed by General Servic Administration Job No Page 12 GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

1

20

c Legal opinions and decisions on laws regulations and executive orders

1 Record Destroy 2 years after superseded or obsolete

2 Other CopiesDestroy when superseded or obsolete

d Material on external and internal legal constraints

1 Record Destroy when 15 years old

2 Other CopiesDestroy when 2 years old

e Copies of laws and regulations

1 Record Destroy 2 years after superseded or obsolete bull

2 Other Destroy when superseded or obsolete

and Reviews either by or for the Agency dealing with the review and analysis of progress made by or deficiencies of Agency administration or programs Includes statistical consultive and analytical Also includes final report and all supporting material such as documents reflecting actual performance progress accomplishmentsdeficiencies and problems in relation to administrative or program goals Except files involving Agency employees see GRS

a Reviews of program operations

Record Destroy when 20 years old

b Other reviews

Record Destroy en 10 years old

Fovr copies inclading original lo be aaltmilled lo the National Archives and R cor Service

____ _

Copies

first

Investigations

personneJ

Copy

Copies

Management Improvement

Copy

Copies

Copy

__ Job No

see GRS

13 Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration GSA Reg 3-IV-106

Pageof pages116-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

98 DESCRIPTION OF ITEM 107

SAMPLE OR (WITH INCLUSIVE DATES OR RETENTION PERIODS) ITEM NO JOB NO

c Other copies of reviews

All Destroy upon receipt of next review or when 5 years old whichever occurs

21 Audits and of Agency administrashytion or programs by GAO OGC OIG OPM and others Except files involving Agency

a Record Destroy 5 years after case closed or final action taken

b Other Destroy 2 years after case closed or final action taken

22 reviews or studies These reviews or studies may result in the ini tiation of changes in the manner or method of planning directing controlling or pershyforming work which results in increased effectiveness efficiency and economy

a Reviews or studies from which action is taken

1 Record Destroy 5 years after all action has been taken or upon receipt of second subsequent report whichever is sooner

2 Other Destroy upon receipt of next report or when 2 years old whichever is sooner

b Reviews or studies on which no action is taken

1 Record Destroy when 5 years old

2 Other Copies Destroy when 2 years old

ACTION TAKEN

Four copies inchacling original to be 1111bmitted to the National Archives and Rolcor Service

____ _

Copy

Copies

Copy

Copies

Copy

Copy

Copies

Standard Fonn No 115-A Revised November 1951

Job No Page 14Prescribed by General Service Administration GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

23 1 Work Simplification material

a Material dealing with work programming manpower utilization and work measurement Includes time and motion studies established workload and assignment computations and summary report

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b Work plans and accomplishments except work plans supporting budget submission

1 Record Destroy 4 years after work plan is completed or implemented or when 4 years old if no further action taken

2 Other Destroy when work plan is completed or implemented or when 2 years old if no further action taken

c Work standards and related material

1 Approved work standards

(a) Record Destroy 5 years after standard superseded or obsolete

(b) Other CopiesDestroy when standard superseded or obsolete

2 Proposed work standards

(a) Record Destroy when 4 years old if no further action is taken

(b) Other Destroy when 4 years old

10

ACTION TAKEN

Foar copies incl11ding original to be salgtmitted to the National Archives and R cor Service

_ _ _ _ _

Management

haoing preceaeneial BiBifieaAee

IncludesAfevisionsee ieerleEieAaJ er hiseerical maeerial relating tu clearancee iHeer reeaEieAs aae elaFif iea iea ef ineLrtteeieft8

Copy

old b f i- tJ JtJ rrl)_ sci44() b - fn ctional issuances ttaving s ort-term effect and value

Copy

Copy

Copies

Records

Exclude

Standard Form No 115-A Revised November 1951

Job No Pag e 15Prescribed by General Service Administration

GSA Reg 3-IV-106 116-202 of __pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO ACTION TAKEN

24 Directive material relating to the 1 development and control of Agency issuances

such as administrative and program directives notices bulletins and the like

a Issuances concerned with formal Agency policy formulation organization functions procedures and operations

Arranged numerically f

Record ci cubic feet on hand)Permanent Transfer to FARC when 10 years old Offer to NARS when 20 years

Record Destroy 5 years after superseded or obsolete

c Notices bulletins indexes announcements and similar material not part of a or b above

Record Destroy 2 years after terminated superseded or obsolete

d Other copies of issuances

All Destroy when terminated superseded or obsolete

25 Maintenance material covering standards and systems for creating organizing and maintaining records Includes related correspondence and Agency file systems and disposal schedules when they are incorporated and approved as part of a file systemmaterial covered by the GRS except disposalschedules made part of a file system Those schedules must be maintained with the file system since the case file records and the file

lour copies including original to be inahmittetl to the Notional Archives anti Raco Service

____ _

Copy

Copies

Micrographics Systems

Copy terminated

Copies

Security

Copy

Copies

Correspondence Management preparaticn

correspondencE

the

Copy

Copies

Standard Form No 115-A Revised November 1951

Job No Page 16Prescribed by General Service Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

system and schedule itself are inseparable

a Record Destroy 5 years after superseded or obsolete

b Other Destroy when superseded or obsolete

26 including studies applishycations for systems requisitions certifishycations and approvals

a Record Destroy 5 years after system

b Other Destroy when system terminated

27 Records material dealing with systems and procedures for protecting and controlling documents and information except records covered by the GRS

a Record Destroy 1 year after superseded or obsolete

b Other Destroy when superseded or obsolete

28 standards handbooks and related material dealing with the of correspondence format clearances and signature requirements Includes instructions for preparing formal and informal telegrams envelopes forms of address and similar matters Except material covered byGRS

a Record Destroy 2 years after superseded or obsolete

b Other Destroy when superseded or obsolete

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original to be llUltmitted to the National Archives and Rcaru Service

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 3: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

No ----- Pae_3 __ a

Copy

Copy

Copies

MeetingsCommittees

aavisr1y e international

Copy

Copies

committees

Copy

all

COEY when

bullStandanl Form No 116-A bull c

Revised November 1951 Prescribed by General Services Administration Job GSA Reg 3-IV-106

115-202 of __ p ges REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

3

b Activity reports consisting of periodicsummaries of specific action or work performed

1 Record Destroy when 3 years old

2 Other CopiesDestroy when 2 years old

c Motor vehicle printouts of operations and maintenance

Record Destroy when 4 years old

d All other reports

All Destroy when 2 years old

covering all administrative functions in the Agency except those records covered by the GRS

a Records concerning the establishment organization membership and policy of intershyagency committees

1 Record Destroy 5 years after termination of committee

2 Other Destroy when no longer needed or when committee terminated whichever occurs first

b Agendas minutes and related material of substantive or significant meetings or

Record Destroy when 20 years old

c Agendas minutes and related material of other committees or meetings not listed in a or b abov

Record Destroy 2 years old

Fou copiH mclading original to be sabmitted to the National Archives and Records Service GPO 1961-0-711-917

No -----

Projects

oz

Copy

Copies

Copy

Copies

Organization

Copy

planninc

Copy accomplishec

__ __ Standard Form No 1115-A Revised No7ember 1951

Job Page 4Prescribed by General Services Administration

GSA Reg 3-IV-106115-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

4 covering all administrative functions in the Agency except records covered by the GRS

a Case files of approved projects studies task forces including basic documentation and final report or other substantive material

1 Record Destroy 5 years after completion of project

2 Other Destroy when 2 years old

b Proposed projects studies and task forces

1 Record If no further action taken destroywhen 5 years old

2 Other Destroy when 2 years old

5 and Functions of Agency

a Material dealing with the history of the organization Includes organizational charts and functional statements reorganizations and openings or discontinuance of offices Arranged by organization structure

Record (14 cubic feet on handPermanent Transfer to PARC when 10 years old Offer to NARS when 20 yearsold () r t

b Material relating to organizational Includes records dealing with organizational goals and objectives

Record Destroy 5 years after goals or 3 years if cancelled superseded or rescinded

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Fou copies incl11dillg original to be 1111bmitted to the National Arcbives and Records Service GPO 1963-0-711-917

No -----

Delegations Authority

Copy

Copies

Copies

Emergency Preparedness Program

Copy

Copies

Budget 8H8le1ing EiUl89s

sampvYampli Je1 the e1

Copy

Copies

Page_S __

Standard Form No 115-A

JobRevised November 1951 Prescribed by General Services Administration GSA Reg 3-IV-106

11amp-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPT ION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

6 of throughout Agency

a Order of succession and functional or signing delegations

1 Record Destroy 10 years after delegation cancelled

2 Other Destroy 1 year after delegation cancelled

b Temporary delegations for one to act for another on a temporary basis such as duringleave and illness

All Destroy when 1 year old

7 records throughshyout the Agency Includes material related to planning and testing plans dealing with nuclear attack biological warfare radiation natural disasters and the like excluding records covered by the GRS

a Record Destroy 3 years after end of period of applicability

b Other Destroy when superseded or obsolete

8 Submission records consisting of budgetestimates and justifications

a Budgets prepared by each organizational entity including the master copy of budgets of agency organizational components

1 Record Destroy when 3 years old

2 Other Destroy when 1 year old

9 SAMPLE OR

JOB NO

10

ACTION TAKEN

Four copies including original to be inalomitted to the National Archive aad R11cor Service

____ _

Copy

Copies

Copy

Copies

Budget Requests

Copy

Copies

Copies

Congressional

Standard Form No 115-A

Job No Page 6Revised November 1951 Prescribed by General Service Administration GSA Reg IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

9

10

8 DESCRIPT ION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

b Cost estimates and justifications

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

c Multi-year funding program and financial plan

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

to Office of Management and Budget ( OMB)

a Material relating to the consolidated Agency submission for inclusion by OMB in the Government-wide annual budget Includes supplementary schedules exhibits and special data for OMB review

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b OMB Hearings including material regarding scheduling of witnesses preparation of stateshyments and arrangements for appearing

All Destroy when 1 year old

Presentation of Agency budget requests

a Appropriation committee hearings Records regarding the coordination and preparation of Agency programs including position papers and related material of the Administrator and statements of witnesses before standing or special congressional committees minutes

9 SAMPLE OR 1

JOB NO

10 ACTION TAKEN

Foar copies inchacling originol to be aumilled to the Nationol Archives and Racor Service

____ _

Copy

appropriation

Copy

Copy

Copies

Operational

Copy

Copies

Page_7 __ ag

Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration Job No GSA Reg 3-IV-106

116-202 of __ p es REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

97 8 DESCRIPTION OF ITEM 10 SAMPLE OR ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS) ACTION TAKEN

JOB NO

agenda and reports of presentation steering groups copies of reports in hearings of

congressional committees special studies group files consisting of copies of reports on surshyveys of Agency programs prepared by direction of the President or by Congress and Agency position on points of adverse criticisms reported Includes statement of Administrator or his designee

1 Record Destroy when 20 years old

2 Other CopiesDestroy when 2 years old

b Copies and analyses of proposed approprishyation bills and amendment thereto position papers on proposed legislation and acts

1 Recordmiddot Destroy when 20 years old

2 Other CopiesDestroy when 2 years old

c Requests for supplemental appropriations within a fiscal year for that fiscal year necessitated by developments not foreseen in the initial Agency budget submissions

1 Record Destroy when 20 years old

2 Other Destroy when 2 years old

11 Year Budget excluding records covered by the GRS Includes the Operating Year Funding Plan review and revision

a Record Destroy when 4 years old

b Other Destroy when 2 years old

Four copies including original lo be imitted lo the National Archives and a cor Service

____ _

Ceiling

Copy

Copies

Copies

Symbols

Copy

Copies

Copy

Copies

Page_8 __ Standard Form No 115-A

Job No Revised November 1951 Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

12 1 Personnel material excluding records covered by the GRS Records relating to requests for establishment and control of numerical authorization of staffing levels Includes employment limitations

a Record Destroy when 4 years old

b Other Destroy when 2 years old

13 Claims correspondence and supporting material relating to settlement of claims by Agency and against Agency excepting records covered by the GRS

All Destroy 3 years after settlement

14 Financial Codes and materials relating to the issuing of or information concerning allotment and appropriation symbols and objectclassification codes

a Record Destroy when 3 years old

b Other Destroy when 2 years old

15 Public Relations material of the Agency

a Material related to maintaining relations or improving public image of Agency

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

b Precedent files of replies to requests for information publications and printed material from the public used as reference in preparingreplies to similar inquiries

9 SAMPLE OR

JOB NO

10

ACTION TAKEN

lour copiebull incl11cling original to be bullaltmittecl to the National Archives and R cor Service

_ ____ _

Copy

countrief

Copy

Copies

by Vv- kfifJM k1sc

ti 1 Appf

Copy

Copies

issuancef

Copy

Copies

Copies obsoletE

Pa e_9 __ Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

Record Destroy when 5 years old

c Material relating to foreign and domestic visitors Includes material relating to technical assistance foreign training programs and other visitors from and to foreign

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

9 SAMPLE OR

JOB NO

d Use of mass media of the press radio and television in supporting Agency programs Includes press releases radio and television scripts prepared or issued and clearances for same Excludes material covered the GRS

oved Agency issuances t s ampo

(a) Record Destroy when 20 years old

(b) Other Destroy when 2 years old or when superseded or obsolete whichever is sooner

2 Unapproved and unissued Agency

(a) Record Destroy when 5 years old

(b) Other Destroy when 2 years old

3 Copies of Departmental issuances

All Destroy when superseded or bull

10 ACTION TAKEN

Four copies inclbullcling original to be sumitted to the National Archives and R11cosu Sesvice

____ _

I

Ai J J-(kL4vh tdli a -s bstantive pubficfation aescribing the

1 olijiies of maj9r Agency programs Ud4A _ -1klJ n1Jv middot v

1 Record Copy I Pm 4 lt5 liaGaWey when 20 years o d h or

Copies

J A f irsjj fr lJJ l) dJ Sc1-S-fb

1 neWsle4ters dealing

Copy

Copies

Copies

Speeches

Administratora- a c 181 ilia Iamp a bullaiiHi iRl

elticf staff gfficcrla 1 -middot

Copy IJ1+e lieBelef ollt1

Page_l_O __ -

Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

16

17

8 DESCRIPTION OF ITEM (WITH INCLUSIVE DATES OR RETENTION PERIODS)

Publication development records including clearances and copy of final publication Excludes records covered by the GRS

history overall administration and general

2 Other Destroy when 3 years old or when supershyseded or obsolete1 whichever occurs

b Agency with administrashytive or program functions

1 Record Destroy when 20 years old

2 Other Destroy when 3 months old

d All other cations including those relating to routine operational procedures brochures public information handouts and similar publications

All Destroy when 3 years old or when supershyseded or obsolete whichever occurs first

developed and prepared by own organishyzational staff Includes clearances and final copy Excludes records covered by the GRS

a Speeches containing policy statements made by the Administrator Associate Deputy Administrator

middot Record (f -h AArS when 20 years llJ -

Sl 2-- -fO

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Fo11r copiebull incl11ding original to be bullabmitted to the National Archives and R coru Sesvice

No -----

1 A Al1 _U __r rr fAM rt i-s-ri

Copy

Copies

Cooperation

government

Copy

Copies

Regulations

Copy

Copies

Copy

Copies

Standard Form No 115-A Revised November 1951 Job Page 11 Prescribed by General ServicM Administration GSA Reg 3-IV-106 of__ pages

115-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

2 Other CopiesD stroy when 3 months old

micro ot er speeches

1 Record Destroy when 2 years old

2 Other Destroy when 3 months old

18 records including cooperative agreements and memorandums of understanding reflecting cooperation with other Federal agencies state governments foreignand private companies

a Record Destroy 5 years after superseded or terminated

b Other Destroy when superseded or terminated

19 Laws and relating to the Agency

a Case files of hearings and material related to quasi-judicial proceedings involving testishymony and arguments concerned with proposed or existing legislation executive orders Agencyregulations rules and the like

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

b Case files of dockets for publication in the Federal Register and related material Includes clearances and supporting material

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

9 SAMPLE OR

JOB NO

FoW copiebull including original to be bullnllmittecl to the National Archives anti Rcor Service

10

ACTION TAKEN

____ _

Copy

Copy

Copy

Copies

Management Operations

services

Copy

Co y w

Standard Form No 115-A Revised November 1951 Prescribed by General Servic Administration Job No Page 12 GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

1

20

c Legal opinions and decisions on laws regulations and executive orders

1 Record Destroy 2 years after superseded or obsolete

2 Other CopiesDestroy when superseded or obsolete

d Material on external and internal legal constraints

1 Record Destroy when 15 years old

2 Other CopiesDestroy when 2 years old

e Copies of laws and regulations

1 Record Destroy 2 years after superseded or obsolete bull

2 Other Destroy when superseded or obsolete

and Reviews either by or for the Agency dealing with the review and analysis of progress made by or deficiencies of Agency administration or programs Includes statistical consultive and analytical Also includes final report and all supporting material such as documents reflecting actual performance progress accomplishmentsdeficiencies and problems in relation to administrative or program goals Except files involving Agency employees see GRS

a Reviews of program operations

Record Destroy when 20 years old

b Other reviews

Record Destroy en 10 years old

Fovr copies inclading original lo be aaltmilled lo the National Archives and R cor Service

____ _

Copies

first

Investigations

personneJ

Copy

Copies

Management Improvement

Copy

Copies

Copy

__ Job No

see GRS

13 Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration GSA Reg 3-IV-106

Pageof pages116-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

98 DESCRIPTION OF ITEM 107

SAMPLE OR (WITH INCLUSIVE DATES OR RETENTION PERIODS) ITEM NO JOB NO

c Other copies of reviews

All Destroy upon receipt of next review or when 5 years old whichever occurs

21 Audits and of Agency administrashytion or programs by GAO OGC OIG OPM and others Except files involving Agency

a Record Destroy 5 years after case closed or final action taken

b Other Destroy 2 years after case closed or final action taken

22 reviews or studies These reviews or studies may result in the ini tiation of changes in the manner or method of planning directing controlling or pershyforming work which results in increased effectiveness efficiency and economy

a Reviews or studies from which action is taken

1 Record Destroy 5 years after all action has been taken or upon receipt of second subsequent report whichever is sooner

2 Other Destroy upon receipt of next report or when 2 years old whichever is sooner

b Reviews or studies on which no action is taken

1 Record Destroy when 5 years old

2 Other Copies Destroy when 2 years old

ACTION TAKEN

Four copies inchacling original to be 1111bmitted to the National Archives and Rolcor Service

____ _

Copy

Copies

Copy

Copies

Copy

Copy

Copies

Standard Fonn No 115-A Revised November 1951

Job No Page 14Prescribed by General Service Administration GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

23 1 Work Simplification material

a Material dealing with work programming manpower utilization and work measurement Includes time and motion studies established workload and assignment computations and summary report

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b Work plans and accomplishments except work plans supporting budget submission

1 Record Destroy 4 years after work plan is completed or implemented or when 4 years old if no further action taken

2 Other Destroy when work plan is completed or implemented or when 2 years old if no further action taken

c Work standards and related material

1 Approved work standards

(a) Record Destroy 5 years after standard superseded or obsolete

(b) Other CopiesDestroy when standard superseded or obsolete

2 Proposed work standards

(a) Record Destroy when 4 years old if no further action is taken

(b) Other Destroy when 4 years old

10

ACTION TAKEN

Foar copies incl11ding original to be salgtmitted to the National Archives and R cor Service

_ _ _ _ _

Management

haoing preceaeneial BiBifieaAee

IncludesAfevisionsee ieerleEieAaJ er hiseerical maeerial relating tu clearancee iHeer reeaEieAs aae elaFif iea iea ef ineLrtteeieft8

Copy

old b f i- tJ JtJ rrl)_ sci44() b - fn ctional issuances ttaving s ort-term effect and value

Copy

Copy

Copies

Records

Exclude

Standard Form No 115-A Revised November 1951

Job No Pag e 15Prescribed by General Service Administration

GSA Reg 3-IV-106 116-202 of __pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO ACTION TAKEN

24 Directive material relating to the 1 development and control of Agency issuances

such as administrative and program directives notices bulletins and the like

a Issuances concerned with formal Agency policy formulation organization functions procedures and operations

Arranged numerically f

Record ci cubic feet on hand)Permanent Transfer to FARC when 10 years old Offer to NARS when 20 years

Record Destroy 5 years after superseded or obsolete

c Notices bulletins indexes announcements and similar material not part of a or b above

Record Destroy 2 years after terminated superseded or obsolete

d Other copies of issuances

All Destroy when terminated superseded or obsolete

25 Maintenance material covering standards and systems for creating organizing and maintaining records Includes related correspondence and Agency file systems and disposal schedules when they are incorporated and approved as part of a file systemmaterial covered by the GRS except disposalschedules made part of a file system Those schedules must be maintained with the file system since the case file records and the file

lour copies including original to be inahmittetl to the Notional Archives anti Raco Service

____ _

Copy

Copies

Micrographics Systems

Copy terminated

Copies

Security

Copy

Copies

Correspondence Management preparaticn

correspondencE

the

Copy

Copies

Standard Form No 115-A Revised November 1951

Job No Page 16Prescribed by General Service Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

system and schedule itself are inseparable

a Record Destroy 5 years after superseded or obsolete

b Other Destroy when superseded or obsolete

26 including studies applishycations for systems requisitions certifishycations and approvals

a Record Destroy 5 years after system

b Other Destroy when system terminated

27 Records material dealing with systems and procedures for protecting and controlling documents and information except records covered by the GRS

a Record Destroy 1 year after superseded or obsolete

b Other Destroy when superseded or obsolete

28 standards handbooks and related material dealing with the of correspondence format clearances and signature requirements Includes instructions for preparing formal and informal telegrams envelopes forms of address and similar matters Except material covered byGRS

a Record Destroy 2 years after superseded or obsolete

b Other Destroy when superseded or obsolete

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original to be llUltmitted to the National Archives and Rcaru Service

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 4: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

No -----

Projects

oz

Copy

Copies

Copy

Copies

Organization

Copy

planninc

Copy accomplishec

__ __ Standard Form No 1115-A Revised No7ember 1951

Job Page 4Prescribed by General Services Administration

GSA Reg 3-IV-106115-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

4 covering all administrative functions in the Agency except records covered by the GRS

a Case files of approved projects studies task forces including basic documentation and final report or other substantive material

1 Record Destroy 5 years after completion of project

2 Other Destroy when 2 years old

b Proposed projects studies and task forces

1 Record If no further action taken destroywhen 5 years old

2 Other Destroy when 2 years old

5 and Functions of Agency

a Material dealing with the history of the organization Includes organizational charts and functional statements reorganizations and openings or discontinuance of offices Arranged by organization structure

Record (14 cubic feet on handPermanent Transfer to PARC when 10 years old Offer to NARS when 20 yearsold () r t

b Material relating to organizational Includes records dealing with organizational goals and objectives

Record Destroy 5 years after goals or 3 years if cancelled superseded or rescinded

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Fou copies incl11dillg original to be 1111bmitted to the National Arcbives and Records Service GPO 1963-0-711-917

No -----

Delegations Authority

Copy

Copies

Copies

Emergency Preparedness Program

Copy

Copies

Budget 8H8le1ing EiUl89s

sampvYampli Je1 the e1

Copy

Copies

Page_S __

Standard Form No 115-A

JobRevised November 1951 Prescribed by General Services Administration GSA Reg 3-IV-106

11amp-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPT ION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

6 of throughout Agency

a Order of succession and functional or signing delegations

1 Record Destroy 10 years after delegation cancelled

2 Other Destroy 1 year after delegation cancelled

b Temporary delegations for one to act for another on a temporary basis such as duringleave and illness

All Destroy when 1 year old

7 records throughshyout the Agency Includes material related to planning and testing plans dealing with nuclear attack biological warfare radiation natural disasters and the like excluding records covered by the GRS

a Record Destroy 3 years after end of period of applicability

b Other Destroy when superseded or obsolete

8 Submission records consisting of budgetestimates and justifications

a Budgets prepared by each organizational entity including the master copy of budgets of agency organizational components

1 Record Destroy when 3 years old

2 Other Destroy when 1 year old

9 SAMPLE OR

JOB NO

10

ACTION TAKEN

Four copies including original to be inalomitted to the National Archive aad R11cor Service

____ _

Copy

Copies

Copy

Copies

Budget Requests

Copy

Copies

Copies

Congressional

Standard Form No 115-A

Job No Page 6Revised November 1951 Prescribed by General Service Administration GSA Reg IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

9

10

8 DESCRIPT ION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

b Cost estimates and justifications

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

c Multi-year funding program and financial plan

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

to Office of Management and Budget ( OMB)

a Material relating to the consolidated Agency submission for inclusion by OMB in the Government-wide annual budget Includes supplementary schedules exhibits and special data for OMB review

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b OMB Hearings including material regarding scheduling of witnesses preparation of stateshyments and arrangements for appearing

All Destroy when 1 year old

Presentation of Agency budget requests

a Appropriation committee hearings Records regarding the coordination and preparation of Agency programs including position papers and related material of the Administrator and statements of witnesses before standing or special congressional committees minutes

9 SAMPLE OR 1

JOB NO

10 ACTION TAKEN

Foar copies inchacling originol to be aumilled to the Nationol Archives and Racor Service

____ _

Copy

appropriation

Copy

Copy

Copies

Operational

Copy

Copies

Page_7 __ ag

Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration Job No GSA Reg 3-IV-106

116-202 of __ p es REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

97 8 DESCRIPTION OF ITEM 10 SAMPLE OR ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS) ACTION TAKEN

JOB NO

agenda and reports of presentation steering groups copies of reports in hearings of

congressional committees special studies group files consisting of copies of reports on surshyveys of Agency programs prepared by direction of the President or by Congress and Agency position on points of adverse criticisms reported Includes statement of Administrator or his designee

1 Record Destroy when 20 years old

2 Other CopiesDestroy when 2 years old

b Copies and analyses of proposed approprishyation bills and amendment thereto position papers on proposed legislation and acts

1 Recordmiddot Destroy when 20 years old

2 Other CopiesDestroy when 2 years old

c Requests for supplemental appropriations within a fiscal year for that fiscal year necessitated by developments not foreseen in the initial Agency budget submissions

1 Record Destroy when 20 years old

2 Other Destroy when 2 years old

11 Year Budget excluding records covered by the GRS Includes the Operating Year Funding Plan review and revision

a Record Destroy when 4 years old

b Other Destroy when 2 years old

Four copies including original lo be imitted lo the National Archives and a cor Service

____ _

Ceiling

Copy

Copies

Copies

Symbols

Copy

Copies

Copy

Copies

Page_8 __ Standard Form No 115-A

Job No Revised November 1951 Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

12 1 Personnel material excluding records covered by the GRS Records relating to requests for establishment and control of numerical authorization of staffing levels Includes employment limitations

a Record Destroy when 4 years old

b Other Destroy when 2 years old

13 Claims correspondence and supporting material relating to settlement of claims by Agency and against Agency excepting records covered by the GRS

All Destroy 3 years after settlement

14 Financial Codes and materials relating to the issuing of or information concerning allotment and appropriation symbols and objectclassification codes

a Record Destroy when 3 years old

b Other Destroy when 2 years old

15 Public Relations material of the Agency

a Material related to maintaining relations or improving public image of Agency

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

b Precedent files of replies to requests for information publications and printed material from the public used as reference in preparingreplies to similar inquiries

9 SAMPLE OR

JOB NO

10

ACTION TAKEN

lour copiebull incl11cling original to be bullaltmittecl to the National Archives and R cor Service

_ ____ _

Copy

countrief

Copy

Copies

by Vv- kfifJM k1sc

ti 1 Appf

Copy

Copies

issuancef

Copy

Copies

Copies obsoletE

Pa e_9 __ Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

Record Destroy when 5 years old

c Material relating to foreign and domestic visitors Includes material relating to technical assistance foreign training programs and other visitors from and to foreign

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

9 SAMPLE OR

JOB NO

d Use of mass media of the press radio and television in supporting Agency programs Includes press releases radio and television scripts prepared or issued and clearances for same Excludes material covered the GRS

oved Agency issuances t s ampo

(a) Record Destroy when 20 years old

(b) Other Destroy when 2 years old or when superseded or obsolete whichever is sooner

2 Unapproved and unissued Agency

(a) Record Destroy when 5 years old

(b) Other Destroy when 2 years old

3 Copies of Departmental issuances

All Destroy when superseded or bull

10 ACTION TAKEN

Four copies inclbullcling original to be sumitted to the National Archives and R11cosu Sesvice

____ _

I

Ai J J-(kL4vh tdli a -s bstantive pubficfation aescribing the

1 olijiies of maj9r Agency programs Ud4A _ -1klJ n1Jv middot v

1 Record Copy I Pm 4 lt5 liaGaWey when 20 years o d h or

Copies

J A f irsjj fr lJJ l) dJ Sc1-S-fb

1 neWsle4ters dealing

Copy

Copies

Copies

Speeches

Administratora- a c 181 ilia Iamp a bullaiiHi iRl

elticf staff gfficcrla 1 -middot

Copy IJ1+e lieBelef ollt1

Page_l_O __ -

Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

16

17

8 DESCRIPTION OF ITEM (WITH INCLUSIVE DATES OR RETENTION PERIODS)

Publication development records including clearances and copy of final publication Excludes records covered by the GRS

history overall administration and general

2 Other Destroy when 3 years old or when supershyseded or obsolete1 whichever occurs

b Agency with administrashytive or program functions

1 Record Destroy when 20 years old

2 Other Destroy when 3 months old

d All other cations including those relating to routine operational procedures brochures public information handouts and similar publications

All Destroy when 3 years old or when supershyseded or obsolete whichever occurs first

developed and prepared by own organishyzational staff Includes clearances and final copy Excludes records covered by the GRS

a Speeches containing policy statements made by the Administrator Associate Deputy Administrator

middot Record (f -h AArS when 20 years llJ -

Sl 2-- -fO

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Fo11r copiebull incl11ding original to be bullabmitted to the National Archives and R coru Sesvice

No -----

1 A Al1 _U __r rr fAM rt i-s-ri

Copy

Copies

Cooperation

government

Copy

Copies

Regulations

Copy

Copies

Copy

Copies

Standard Form No 115-A Revised November 1951 Job Page 11 Prescribed by General ServicM Administration GSA Reg 3-IV-106 of__ pages

115-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

2 Other CopiesD stroy when 3 months old

micro ot er speeches

1 Record Destroy when 2 years old

2 Other Destroy when 3 months old

18 records including cooperative agreements and memorandums of understanding reflecting cooperation with other Federal agencies state governments foreignand private companies

a Record Destroy 5 years after superseded or terminated

b Other Destroy when superseded or terminated

19 Laws and relating to the Agency

a Case files of hearings and material related to quasi-judicial proceedings involving testishymony and arguments concerned with proposed or existing legislation executive orders Agencyregulations rules and the like

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

b Case files of dockets for publication in the Federal Register and related material Includes clearances and supporting material

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

9 SAMPLE OR

JOB NO

FoW copiebull including original to be bullnllmittecl to the National Archives anti Rcor Service

10

ACTION TAKEN

____ _

Copy

Copy

Copy

Copies

Management Operations

services

Copy

Co y w

Standard Form No 115-A Revised November 1951 Prescribed by General Servic Administration Job No Page 12 GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

1

20

c Legal opinions and decisions on laws regulations and executive orders

1 Record Destroy 2 years after superseded or obsolete

2 Other CopiesDestroy when superseded or obsolete

d Material on external and internal legal constraints

1 Record Destroy when 15 years old

2 Other CopiesDestroy when 2 years old

e Copies of laws and regulations

1 Record Destroy 2 years after superseded or obsolete bull

2 Other Destroy when superseded or obsolete

and Reviews either by or for the Agency dealing with the review and analysis of progress made by or deficiencies of Agency administration or programs Includes statistical consultive and analytical Also includes final report and all supporting material such as documents reflecting actual performance progress accomplishmentsdeficiencies and problems in relation to administrative or program goals Except files involving Agency employees see GRS

a Reviews of program operations

Record Destroy when 20 years old

b Other reviews

Record Destroy en 10 years old

Fovr copies inclading original lo be aaltmilled lo the National Archives and R cor Service

____ _

Copies

first

Investigations

personneJ

Copy

Copies

Management Improvement

Copy

Copies

Copy

__ Job No

see GRS

13 Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration GSA Reg 3-IV-106

Pageof pages116-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

98 DESCRIPTION OF ITEM 107

SAMPLE OR (WITH INCLUSIVE DATES OR RETENTION PERIODS) ITEM NO JOB NO

c Other copies of reviews

All Destroy upon receipt of next review or when 5 years old whichever occurs

21 Audits and of Agency administrashytion or programs by GAO OGC OIG OPM and others Except files involving Agency

a Record Destroy 5 years after case closed or final action taken

b Other Destroy 2 years after case closed or final action taken

22 reviews or studies These reviews or studies may result in the ini tiation of changes in the manner or method of planning directing controlling or pershyforming work which results in increased effectiveness efficiency and economy

a Reviews or studies from which action is taken

1 Record Destroy 5 years after all action has been taken or upon receipt of second subsequent report whichever is sooner

2 Other Destroy upon receipt of next report or when 2 years old whichever is sooner

b Reviews or studies on which no action is taken

1 Record Destroy when 5 years old

2 Other Copies Destroy when 2 years old

ACTION TAKEN

Four copies inchacling original to be 1111bmitted to the National Archives and Rolcor Service

____ _

Copy

Copies

Copy

Copies

Copy

Copy

Copies

Standard Fonn No 115-A Revised November 1951

Job No Page 14Prescribed by General Service Administration GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

23 1 Work Simplification material

a Material dealing with work programming manpower utilization and work measurement Includes time and motion studies established workload and assignment computations and summary report

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b Work plans and accomplishments except work plans supporting budget submission

1 Record Destroy 4 years after work plan is completed or implemented or when 4 years old if no further action taken

2 Other Destroy when work plan is completed or implemented or when 2 years old if no further action taken

c Work standards and related material

1 Approved work standards

(a) Record Destroy 5 years after standard superseded or obsolete

(b) Other CopiesDestroy when standard superseded or obsolete

2 Proposed work standards

(a) Record Destroy when 4 years old if no further action is taken

(b) Other Destroy when 4 years old

10

ACTION TAKEN

Foar copies incl11ding original to be salgtmitted to the National Archives and R cor Service

_ _ _ _ _

Management

haoing preceaeneial BiBifieaAee

IncludesAfevisionsee ieerleEieAaJ er hiseerical maeerial relating tu clearancee iHeer reeaEieAs aae elaFif iea iea ef ineLrtteeieft8

Copy

old b f i- tJ JtJ rrl)_ sci44() b - fn ctional issuances ttaving s ort-term effect and value

Copy

Copy

Copies

Records

Exclude

Standard Form No 115-A Revised November 1951

Job No Pag e 15Prescribed by General Service Administration

GSA Reg 3-IV-106 116-202 of __pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO ACTION TAKEN

24 Directive material relating to the 1 development and control of Agency issuances

such as administrative and program directives notices bulletins and the like

a Issuances concerned with formal Agency policy formulation organization functions procedures and operations

Arranged numerically f

Record ci cubic feet on hand)Permanent Transfer to FARC when 10 years old Offer to NARS when 20 years

Record Destroy 5 years after superseded or obsolete

c Notices bulletins indexes announcements and similar material not part of a or b above

Record Destroy 2 years after terminated superseded or obsolete

d Other copies of issuances

All Destroy when terminated superseded or obsolete

25 Maintenance material covering standards and systems for creating organizing and maintaining records Includes related correspondence and Agency file systems and disposal schedules when they are incorporated and approved as part of a file systemmaterial covered by the GRS except disposalschedules made part of a file system Those schedules must be maintained with the file system since the case file records and the file

lour copies including original to be inahmittetl to the Notional Archives anti Raco Service

____ _

Copy

Copies

Micrographics Systems

Copy terminated

Copies

Security

Copy

Copies

Correspondence Management preparaticn

correspondencE

the

Copy

Copies

Standard Form No 115-A Revised November 1951

Job No Page 16Prescribed by General Service Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

system and schedule itself are inseparable

a Record Destroy 5 years after superseded or obsolete

b Other Destroy when superseded or obsolete

26 including studies applishycations for systems requisitions certifishycations and approvals

a Record Destroy 5 years after system

b Other Destroy when system terminated

27 Records material dealing with systems and procedures for protecting and controlling documents and information except records covered by the GRS

a Record Destroy 1 year after superseded or obsolete

b Other Destroy when superseded or obsolete

28 standards handbooks and related material dealing with the of correspondence format clearances and signature requirements Includes instructions for preparing formal and informal telegrams envelopes forms of address and similar matters Except material covered byGRS

a Record Destroy 2 years after superseded or obsolete

b Other Destroy when superseded or obsolete

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original to be llUltmitted to the National Archives and Rcaru Service

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 5: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

No -----

Delegations Authority

Copy

Copies

Copies

Emergency Preparedness Program

Copy

Copies

Budget 8H8le1ing EiUl89s

sampvYampli Je1 the e1

Copy

Copies

Page_S __

Standard Form No 115-A

JobRevised November 1951 Prescribed by General Services Administration GSA Reg 3-IV-106

11amp-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPT ION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

6 of throughout Agency

a Order of succession and functional or signing delegations

1 Record Destroy 10 years after delegation cancelled

2 Other Destroy 1 year after delegation cancelled

b Temporary delegations for one to act for another on a temporary basis such as duringleave and illness

All Destroy when 1 year old

7 records throughshyout the Agency Includes material related to planning and testing plans dealing with nuclear attack biological warfare radiation natural disasters and the like excluding records covered by the GRS

a Record Destroy 3 years after end of period of applicability

b Other Destroy when superseded or obsolete

8 Submission records consisting of budgetestimates and justifications

a Budgets prepared by each organizational entity including the master copy of budgets of agency organizational components

1 Record Destroy when 3 years old

2 Other Destroy when 1 year old

9 SAMPLE OR

JOB NO

10

ACTION TAKEN

Four copies including original to be inalomitted to the National Archive aad R11cor Service

____ _

Copy

Copies

Copy

Copies

Budget Requests

Copy

Copies

Copies

Congressional

Standard Form No 115-A

Job No Page 6Revised November 1951 Prescribed by General Service Administration GSA Reg IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

9

10

8 DESCRIPT ION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

b Cost estimates and justifications

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

c Multi-year funding program and financial plan

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

to Office of Management and Budget ( OMB)

a Material relating to the consolidated Agency submission for inclusion by OMB in the Government-wide annual budget Includes supplementary schedules exhibits and special data for OMB review

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b OMB Hearings including material regarding scheduling of witnesses preparation of stateshyments and arrangements for appearing

All Destroy when 1 year old

Presentation of Agency budget requests

a Appropriation committee hearings Records regarding the coordination and preparation of Agency programs including position papers and related material of the Administrator and statements of witnesses before standing or special congressional committees minutes

9 SAMPLE OR 1

JOB NO

10 ACTION TAKEN

Foar copies inchacling originol to be aumilled to the Nationol Archives and Racor Service

____ _

Copy

appropriation

Copy

Copy

Copies

Operational

Copy

Copies

Page_7 __ ag

Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration Job No GSA Reg 3-IV-106

116-202 of __ p es REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

97 8 DESCRIPTION OF ITEM 10 SAMPLE OR ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS) ACTION TAKEN

JOB NO

agenda and reports of presentation steering groups copies of reports in hearings of

congressional committees special studies group files consisting of copies of reports on surshyveys of Agency programs prepared by direction of the President or by Congress and Agency position on points of adverse criticisms reported Includes statement of Administrator or his designee

1 Record Destroy when 20 years old

2 Other CopiesDestroy when 2 years old

b Copies and analyses of proposed approprishyation bills and amendment thereto position papers on proposed legislation and acts

1 Recordmiddot Destroy when 20 years old

2 Other CopiesDestroy when 2 years old

c Requests for supplemental appropriations within a fiscal year for that fiscal year necessitated by developments not foreseen in the initial Agency budget submissions

1 Record Destroy when 20 years old

2 Other Destroy when 2 years old

11 Year Budget excluding records covered by the GRS Includes the Operating Year Funding Plan review and revision

a Record Destroy when 4 years old

b Other Destroy when 2 years old

Four copies including original lo be imitted lo the National Archives and a cor Service

____ _

Ceiling

Copy

Copies

Copies

Symbols

Copy

Copies

Copy

Copies

Page_8 __ Standard Form No 115-A

Job No Revised November 1951 Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

12 1 Personnel material excluding records covered by the GRS Records relating to requests for establishment and control of numerical authorization of staffing levels Includes employment limitations

a Record Destroy when 4 years old

b Other Destroy when 2 years old

13 Claims correspondence and supporting material relating to settlement of claims by Agency and against Agency excepting records covered by the GRS

All Destroy 3 years after settlement

14 Financial Codes and materials relating to the issuing of or information concerning allotment and appropriation symbols and objectclassification codes

a Record Destroy when 3 years old

b Other Destroy when 2 years old

15 Public Relations material of the Agency

a Material related to maintaining relations or improving public image of Agency

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

b Precedent files of replies to requests for information publications and printed material from the public used as reference in preparingreplies to similar inquiries

9 SAMPLE OR

JOB NO

10

ACTION TAKEN

lour copiebull incl11cling original to be bullaltmittecl to the National Archives and R cor Service

_ ____ _

Copy

countrief

Copy

Copies

by Vv- kfifJM k1sc

ti 1 Appf

Copy

Copies

issuancef

Copy

Copies

Copies obsoletE

Pa e_9 __ Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

Record Destroy when 5 years old

c Material relating to foreign and domestic visitors Includes material relating to technical assistance foreign training programs and other visitors from and to foreign

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

9 SAMPLE OR

JOB NO

d Use of mass media of the press radio and television in supporting Agency programs Includes press releases radio and television scripts prepared or issued and clearances for same Excludes material covered the GRS

oved Agency issuances t s ampo

(a) Record Destroy when 20 years old

(b) Other Destroy when 2 years old or when superseded or obsolete whichever is sooner

2 Unapproved and unissued Agency

(a) Record Destroy when 5 years old

(b) Other Destroy when 2 years old

3 Copies of Departmental issuances

All Destroy when superseded or bull

10 ACTION TAKEN

Four copies inclbullcling original to be sumitted to the National Archives and R11cosu Sesvice

____ _

I

Ai J J-(kL4vh tdli a -s bstantive pubficfation aescribing the

1 olijiies of maj9r Agency programs Ud4A _ -1klJ n1Jv middot v

1 Record Copy I Pm 4 lt5 liaGaWey when 20 years o d h or

Copies

J A f irsjj fr lJJ l) dJ Sc1-S-fb

1 neWsle4ters dealing

Copy

Copies

Copies

Speeches

Administratora- a c 181 ilia Iamp a bullaiiHi iRl

elticf staff gfficcrla 1 -middot

Copy IJ1+e lieBelef ollt1

Page_l_O __ -

Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

16

17

8 DESCRIPTION OF ITEM (WITH INCLUSIVE DATES OR RETENTION PERIODS)

Publication development records including clearances and copy of final publication Excludes records covered by the GRS

history overall administration and general

2 Other Destroy when 3 years old or when supershyseded or obsolete1 whichever occurs

b Agency with administrashytive or program functions

1 Record Destroy when 20 years old

2 Other Destroy when 3 months old

d All other cations including those relating to routine operational procedures brochures public information handouts and similar publications

All Destroy when 3 years old or when supershyseded or obsolete whichever occurs first

developed and prepared by own organishyzational staff Includes clearances and final copy Excludes records covered by the GRS

a Speeches containing policy statements made by the Administrator Associate Deputy Administrator

middot Record (f -h AArS when 20 years llJ -

Sl 2-- -fO

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Fo11r copiebull incl11ding original to be bullabmitted to the National Archives and R coru Sesvice

No -----

1 A Al1 _U __r rr fAM rt i-s-ri

Copy

Copies

Cooperation

government

Copy

Copies

Regulations

Copy

Copies

Copy

Copies

Standard Form No 115-A Revised November 1951 Job Page 11 Prescribed by General ServicM Administration GSA Reg 3-IV-106 of__ pages

115-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

2 Other CopiesD stroy when 3 months old

micro ot er speeches

1 Record Destroy when 2 years old

2 Other Destroy when 3 months old

18 records including cooperative agreements and memorandums of understanding reflecting cooperation with other Federal agencies state governments foreignand private companies

a Record Destroy 5 years after superseded or terminated

b Other Destroy when superseded or terminated

19 Laws and relating to the Agency

a Case files of hearings and material related to quasi-judicial proceedings involving testishymony and arguments concerned with proposed or existing legislation executive orders Agencyregulations rules and the like

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

b Case files of dockets for publication in the Federal Register and related material Includes clearances and supporting material

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

9 SAMPLE OR

JOB NO

FoW copiebull including original to be bullnllmittecl to the National Archives anti Rcor Service

10

ACTION TAKEN

____ _

Copy

Copy

Copy

Copies

Management Operations

services

Copy

Co y w

Standard Form No 115-A Revised November 1951 Prescribed by General Servic Administration Job No Page 12 GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

1

20

c Legal opinions and decisions on laws regulations and executive orders

1 Record Destroy 2 years after superseded or obsolete

2 Other CopiesDestroy when superseded or obsolete

d Material on external and internal legal constraints

1 Record Destroy when 15 years old

2 Other CopiesDestroy when 2 years old

e Copies of laws and regulations

1 Record Destroy 2 years after superseded or obsolete bull

2 Other Destroy when superseded or obsolete

and Reviews either by or for the Agency dealing with the review and analysis of progress made by or deficiencies of Agency administration or programs Includes statistical consultive and analytical Also includes final report and all supporting material such as documents reflecting actual performance progress accomplishmentsdeficiencies and problems in relation to administrative or program goals Except files involving Agency employees see GRS

a Reviews of program operations

Record Destroy when 20 years old

b Other reviews

Record Destroy en 10 years old

Fovr copies inclading original lo be aaltmilled lo the National Archives and R cor Service

____ _

Copies

first

Investigations

personneJ

Copy

Copies

Management Improvement

Copy

Copies

Copy

__ Job No

see GRS

13 Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration GSA Reg 3-IV-106

Pageof pages116-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

98 DESCRIPTION OF ITEM 107

SAMPLE OR (WITH INCLUSIVE DATES OR RETENTION PERIODS) ITEM NO JOB NO

c Other copies of reviews

All Destroy upon receipt of next review or when 5 years old whichever occurs

21 Audits and of Agency administrashytion or programs by GAO OGC OIG OPM and others Except files involving Agency

a Record Destroy 5 years after case closed or final action taken

b Other Destroy 2 years after case closed or final action taken

22 reviews or studies These reviews or studies may result in the ini tiation of changes in the manner or method of planning directing controlling or pershyforming work which results in increased effectiveness efficiency and economy

a Reviews or studies from which action is taken

1 Record Destroy 5 years after all action has been taken or upon receipt of second subsequent report whichever is sooner

2 Other Destroy upon receipt of next report or when 2 years old whichever is sooner

b Reviews or studies on which no action is taken

1 Record Destroy when 5 years old

2 Other Copies Destroy when 2 years old

ACTION TAKEN

Four copies inchacling original to be 1111bmitted to the National Archives and Rolcor Service

____ _

Copy

Copies

Copy

Copies

Copy

Copy

Copies

Standard Fonn No 115-A Revised November 1951

Job No Page 14Prescribed by General Service Administration GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

23 1 Work Simplification material

a Material dealing with work programming manpower utilization and work measurement Includes time and motion studies established workload and assignment computations and summary report

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b Work plans and accomplishments except work plans supporting budget submission

1 Record Destroy 4 years after work plan is completed or implemented or when 4 years old if no further action taken

2 Other Destroy when work plan is completed or implemented or when 2 years old if no further action taken

c Work standards and related material

1 Approved work standards

(a) Record Destroy 5 years after standard superseded or obsolete

(b) Other CopiesDestroy when standard superseded or obsolete

2 Proposed work standards

(a) Record Destroy when 4 years old if no further action is taken

(b) Other Destroy when 4 years old

10

ACTION TAKEN

Foar copies incl11ding original to be salgtmitted to the National Archives and R cor Service

_ _ _ _ _

Management

haoing preceaeneial BiBifieaAee

IncludesAfevisionsee ieerleEieAaJ er hiseerical maeerial relating tu clearancee iHeer reeaEieAs aae elaFif iea iea ef ineLrtteeieft8

Copy

old b f i- tJ JtJ rrl)_ sci44() b - fn ctional issuances ttaving s ort-term effect and value

Copy

Copy

Copies

Records

Exclude

Standard Form No 115-A Revised November 1951

Job No Pag e 15Prescribed by General Service Administration

GSA Reg 3-IV-106 116-202 of __pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO ACTION TAKEN

24 Directive material relating to the 1 development and control of Agency issuances

such as administrative and program directives notices bulletins and the like

a Issuances concerned with formal Agency policy formulation organization functions procedures and operations

Arranged numerically f

Record ci cubic feet on hand)Permanent Transfer to FARC when 10 years old Offer to NARS when 20 years

Record Destroy 5 years after superseded or obsolete

c Notices bulletins indexes announcements and similar material not part of a or b above

Record Destroy 2 years after terminated superseded or obsolete

d Other copies of issuances

All Destroy when terminated superseded or obsolete

25 Maintenance material covering standards and systems for creating organizing and maintaining records Includes related correspondence and Agency file systems and disposal schedules when they are incorporated and approved as part of a file systemmaterial covered by the GRS except disposalschedules made part of a file system Those schedules must be maintained with the file system since the case file records and the file

lour copies including original to be inahmittetl to the Notional Archives anti Raco Service

____ _

Copy

Copies

Micrographics Systems

Copy terminated

Copies

Security

Copy

Copies

Correspondence Management preparaticn

correspondencE

the

Copy

Copies

Standard Form No 115-A Revised November 1951

Job No Page 16Prescribed by General Service Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

system and schedule itself are inseparable

a Record Destroy 5 years after superseded or obsolete

b Other Destroy when superseded or obsolete

26 including studies applishycations for systems requisitions certifishycations and approvals

a Record Destroy 5 years after system

b Other Destroy when system terminated

27 Records material dealing with systems and procedures for protecting and controlling documents and information except records covered by the GRS

a Record Destroy 1 year after superseded or obsolete

b Other Destroy when superseded or obsolete

28 standards handbooks and related material dealing with the of correspondence format clearances and signature requirements Includes instructions for preparing formal and informal telegrams envelopes forms of address and similar matters Except material covered byGRS

a Record Destroy 2 years after superseded or obsolete

b Other Destroy when superseded or obsolete

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original to be llUltmitted to the National Archives and Rcaru Service

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 6: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

____ _

Copy

Copies

Copy

Copies

Budget Requests

Copy

Copies

Copies

Congressional

Standard Form No 115-A

Job No Page 6Revised November 1951 Prescribed by General Service Administration GSA Reg IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

9

10

8 DESCRIPT ION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

b Cost estimates and justifications

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

c Multi-year funding program and financial plan

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

to Office of Management and Budget ( OMB)

a Material relating to the consolidated Agency submission for inclusion by OMB in the Government-wide annual budget Includes supplementary schedules exhibits and special data for OMB review

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b OMB Hearings including material regarding scheduling of witnesses preparation of stateshyments and arrangements for appearing

All Destroy when 1 year old

Presentation of Agency budget requests

a Appropriation committee hearings Records regarding the coordination and preparation of Agency programs including position papers and related material of the Administrator and statements of witnesses before standing or special congressional committees minutes

9 SAMPLE OR 1

JOB NO

10 ACTION TAKEN

Foar copies inchacling originol to be aumilled to the Nationol Archives and Racor Service

____ _

Copy

appropriation

Copy

Copy

Copies

Operational

Copy

Copies

Page_7 __ ag

Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration Job No GSA Reg 3-IV-106

116-202 of __ p es REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

97 8 DESCRIPTION OF ITEM 10 SAMPLE OR ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS) ACTION TAKEN

JOB NO

agenda and reports of presentation steering groups copies of reports in hearings of

congressional committees special studies group files consisting of copies of reports on surshyveys of Agency programs prepared by direction of the President or by Congress and Agency position on points of adverse criticisms reported Includes statement of Administrator or his designee

1 Record Destroy when 20 years old

2 Other CopiesDestroy when 2 years old

b Copies and analyses of proposed approprishyation bills and amendment thereto position papers on proposed legislation and acts

1 Recordmiddot Destroy when 20 years old

2 Other CopiesDestroy when 2 years old

c Requests for supplemental appropriations within a fiscal year for that fiscal year necessitated by developments not foreseen in the initial Agency budget submissions

1 Record Destroy when 20 years old

2 Other Destroy when 2 years old

11 Year Budget excluding records covered by the GRS Includes the Operating Year Funding Plan review and revision

a Record Destroy when 4 years old

b Other Destroy when 2 years old

Four copies including original lo be imitted lo the National Archives and a cor Service

____ _

Ceiling

Copy

Copies

Copies

Symbols

Copy

Copies

Copy

Copies

Page_8 __ Standard Form No 115-A

Job No Revised November 1951 Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

12 1 Personnel material excluding records covered by the GRS Records relating to requests for establishment and control of numerical authorization of staffing levels Includes employment limitations

a Record Destroy when 4 years old

b Other Destroy when 2 years old

13 Claims correspondence and supporting material relating to settlement of claims by Agency and against Agency excepting records covered by the GRS

All Destroy 3 years after settlement

14 Financial Codes and materials relating to the issuing of or information concerning allotment and appropriation symbols and objectclassification codes

a Record Destroy when 3 years old

b Other Destroy when 2 years old

15 Public Relations material of the Agency

a Material related to maintaining relations or improving public image of Agency

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

b Precedent files of replies to requests for information publications and printed material from the public used as reference in preparingreplies to similar inquiries

9 SAMPLE OR

JOB NO

10

ACTION TAKEN

lour copiebull incl11cling original to be bullaltmittecl to the National Archives and R cor Service

_ ____ _

Copy

countrief

Copy

Copies

by Vv- kfifJM k1sc

ti 1 Appf

Copy

Copies

issuancef

Copy

Copies

Copies obsoletE

Pa e_9 __ Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

Record Destroy when 5 years old

c Material relating to foreign and domestic visitors Includes material relating to technical assistance foreign training programs and other visitors from and to foreign

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

9 SAMPLE OR

JOB NO

d Use of mass media of the press radio and television in supporting Agency programs Includes press releases radio and television scripts prepared or issued and clearances for same Excludes material covered the GRS

oved Agency issuances t s ampo

(a) Record Destroy when 20 years old

(b) Other Destroy when 2 years old or when superseded or obsolete whichever is sooner

2 Unapproved and unissued Agency

(a) Record Destroy when 5 years old

(b) Other Destroy when 2 years old

3 Copies of Departmental issuances

All Destroy when superseded or bull

10 ACTION TAKEN

Four copies inclbullcling original to be sumitted to the National Archives and R11cosu Sesvice

____ _

I

Ai J J-(kL4vh tdli a -s bstantive pubficfation aescribing the

1 olijiies of maj9r Agency programs Ud4A _ -1klJ n1Jv middot v

1 Record Copy I Pm 4 lt5 liaGaWey when 20 years o d h or

Copies

J A f irsjj fr lJJ l) dJ Sc1-S-fb

1 neWsle4ters dealing

Copy

Copies

Copies

Speeches

Administratora- a c 181 ilia Iamp a bullaiiHi iRl

elticf staff gfficcrla 1 -middot

Copy IJ1+e lieBelef ollt1

Page_l_O __ -

Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

16

17

8 DESCRIPTION OF ITEM (WITH INCLUSIVE DATES OR RETENTION PERIODS)

Publication development records including clearances and copy of final publication Excludes records covered by the GRS

history overall administration and general

2 Other Destroy when 3 years old or when supershyseded or obsolete1 whichever occurs

b Agency with administrashytive or program functions

1 Record Destroy when 20 years old

2 Other Destroy when 3 months old

d All other cations including those relating to routine operational procedures brochures public information handouts and similar publications

All Destroy when 3 years old or when supershyseded or obsolete whichever occurs first

developed and prepared by own organishyzational staff Includes clearances and final copy Excludes records covered by the GRS

a Speeches containing policy statements made by the Administrator Associate Deputy Administrator

middot Record (f -h AArS when 20 years llJ -

Sl 2-- -fO

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Fo11r copiebull incl11ding original to be bullabmitted to the National Archives and R coru Sesvice

No -----

1 A Al1 _U __r rr fAM rt i-s-ri

Copy

Copies

Cooperation

government

Copy

Copies

Regulations

Copy

Copies

Copy

Copies

Standard Form No 115-A Revised November 1951 Job Page 11 Prescribed by General ServicM Administration GSA Reg 3-IV-106 of__ pages

115-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

2 Other CopiesD stroy when 3 months old

micro ot er speeches

1 Record Destroy when 2 years old

2 Other Destroy when 3 months old

18 records including cooperative agreements and memorandums of understanding reflecting cooperation with other Federal agencies state governments foreignand private companies

a Record Destroy 5 years after superseded or terminated

b Other Destroy when superseded or terminated

19 Laws and relating to the Agency

a Case files of hearings and material related to quasi-judicial proceedings involving testishymony and arguments concerned with proposed or existing legislation executive orders Agencyregulations rules and the like

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

b Case files of dockets for publication in the Federal Register and related material Includes clearances and supporting material

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

9 SAMPLE OR

JOB NO

FoW copiebull including original to be bullnllmittecl to the National Archives anti Rcor Service

10

ACTION TAKEN

____ _

Copy

Copy

Copy

Copies

Management Operations

services

Copy

Co y w

Standard Form No 115-A Revised November 1951 Prescribed by General Servic Administration Job No Page 12 GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

1

20

c Legal opinions and decisions on laws regulations and executive orders

1 Record Destroy 2 years after superseded or obsolete

2 Other CopiesDestroy when superseded or obsolete

d Material on external and internal legal constraints

1 Record Destroy when 15 years old

2 Other CopiesDestroy when 2 years old

e Copies of laws and regulations

1 Record Destroy 2 years after superseded or obsolete bull

2 Other Destroy when superseded or obsolete

and Reviews either by or for the Agency dealing with the review and analysis of progress made by or deficiencies of Agency administration or programs Includes statistical consultive and analytical Also includes final report and all supporting material such as documents reflecting actual performance progress accomplishmentsdeficiencies and problems in relation to administrative or program goals Except files involving Agency employees see GRS

a Reviews of program operations

Record Destroy when 20 years old

b Other reviews

Record Destroy en 10 years old

Fovr copies inclading original lo be aaltmilled lo the National Archives and R cor Service

____ _

Copies

first

Investigations

personneJ

Copy

Copies

Management Improvement

Copy

Copies

Copy

__ Job No

see GRS

13 Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration GSA Reg 3-IV-106

Pageof pages116-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

98 DESCRIPTION OF ITEM 107

SAMPLE OR (WITH INCLUSIVE DATES OR RETENTION PERIODS) ITEM NO JOB NO

c Other copies of reviews

All Destroy upon receipt of next review or when 5 years old whichever occurs

21 Audits and of Agency administrashytion or programs by GAO OGC OIG OPM and others Except files involving Agency

a Record Destroy 5 years after case closed or final action taken

b Other Destroy 2 years after case closed or final action taken

22 reviews or studies These reviews or studies may result in the ini tiation of changes in the manner or method of planning directing controlling or pershyforming work which results in increased effectiveness efficiency and economy

a Reviews or studies from which action is taken

1 Record Destroy 5 years after all action has been taken or upon receipt of second subsequent report whichever is sooner

2 Other Destroy upon receipt of next report or when 2 years old whichever is sooner

b Reviews or studies on which no action is taken

1 Record Destroy when 5 years old

2 Other Copies Destroy when 2 years old

ACTION TAKEN

Four copies inchacling original to be 1111bmitted to the National Archives and Rolcor Service

____ _

Copy

Copies

Copy

Copies

Copy

Copy

Copies

Standard Fonn No 115-A Revised November 1951

Job No Page 14Prescribed by General Service Administration GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

23 1 Work Simplification material

a Material dealing with work programming manpower utilization and work measurement Includes time and motion studies established workload and assignment computations and summary report

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b Work plans and accomplishments except work plans supporting budget submission

1 Record Destroy 4 years after work plan is completed or implemented or when 4 years old if no further action taken

2 Other Destroy when work plan is completed or implemented or when 2 years old if no further action taken

c Work standards and related material

1 Approved work standards

(a) Record Destroy 5 years after standard superseded or obsolete

(b) Other CopiesDestroy when standard superseded or obsolete

2 Proposed work standards

(a) Record Destroy when 4 years old if no further action is taken

(b) Other Destroy when 4 years old

10

ACTION TAKEN

Foar copies incl11ding original to be salgtmitted to the National Archives and R cor Service

_ _ _ _ _

Management

haoing preceaeneial BiBifieaAee

IncludesAfevisionsee ieerleEieAaJ er hiseerical maeerial relating tu clearancee iHeer reeaEieAs aae elaFif iea iea ef ineLrtteeieft8

Copy

old b f i- tJ JtJ rrl)_ sci44() b - fn ctional issuances ttaving s ort-term effect and value

Copy

Copy

Copies

Records

Exclude

Standard Form No 115-A Revised November 1951

Job No Pag e 15Prescribed by General Service Administration

GSA Reg 3-IV-106 116-202 of __pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO ACTION TAKEN

24 Directive material relating to the 1 development and control of Agency issuances

such as administrative and program directives notices bulletins and the like

a Issuances concerned with formal Agency policy formulation organization functions procedures and operations

Arranged numerically f

Record ci cubic feet on hand)Permanent Transfer to FARC when 10 years old Offer to NARS when 20 years

Record Destroy 5 years after superseded or obsolete

c Notices bulletins indexes announcements and similar material not part of a or b above

Record Destroy 2 years after terminated superseded or obsolete

d Other copies of issuances

All Destroy when terminated superseded or obsolete

25 Maintenance material covering standards and systems for creating organizing and maintaining records Includes related correspondence and Agency file systems and disposal schedules when they are incorporated and approved as part of a file systemmaterial covered by the GRS except disposalschedules made part of a file system Those schedules must be maintained with the file system since the case file records and the file

lour copies including original to be inahmittetl to the Notional Archives anti Raco Service

____ _

Copy

Copies

Micrographics Systems

Copy terminated

Copies

Security

Copy

Copies

Correspondence Management preparaticn

correspondencE

the

Copy

Copies

Standard Form No 115-A Revised November 1951

Job No Page 16Prescribed by General Service Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

system and schedule itself are inseparable

a Record Destroy 5 years after superseded or obsolete

b Other Destroy when superseded or obsolete

26 including studies applishycations for systems requisitions certifishycations and approvals

a Record Destroy 5 years after system

b Other Destroy when system terminated

27 Records material dealing with systems and procedures for protecting and controlling documents and information except records covered by the GRS

a Record Destroy 1 year after superseded or obsolete

b Other Destroy when superseded or obsolete

28 standards handbooks and related material dealing with the of correspondence format clearances and signature requirements Includes instructions for preparing formal and informal telegrams envelopes forms of address and similar matters Except material covered byGRS

a Record Destroy 2 years after superseded or obsolete

b Other Destroy when superseded or obsolete

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original to be llUltmitted to the National Archives and Rcaru Service

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 7: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

____ _

Copy

appropriation

Copy

Copy

Copies

Operational

Copy

Copies

Page_7 __ ag

Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration Job No GSA Reg 3-IV-106

116-202 of __ p es REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

97 8 DESCRIPTION OF ITEM 10 SAMPLE OR ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS) ACTION TAKEN

JOB NO

agenda and reports of presentation steering groups copies of reports in hearings of

congressional committees special studies group files consisting of copies of reports on surshyveys of Agency programs prepared by direction of the President or by Congress and Agency position on points of adverse criticisms reported Includes statement of Administrator or his designee

1 Record Destroy when 20 years old

2 Other CopiesDestroy when 2 years old

b Copies and analyses of proposed approprishyation bills and amendment thereto position papers on proposed legislation and acts

1 Recordmiddot Destroy when 20 years old

2 Other CopiesDestroy when 2 years old

c Requests for supplemental appropriations within a fiscal year for that fiscal year necessitated by developments not foreseen in the initial Agency budget submissions

1 Record Destroy when 20 years old

2 Other Destroy when 2 years old

11 Year Budget excluding records covered by the GRS Includes the Operating Year Funding Plan review and revision

a Record Destroy when 4 years old

b Other Destroy when 2 years old

Four copies including original lo be imitted lo the National Archives and a cor Service

____ _

Ceiling

Copy

Copies

Copies

Symbols

Copy

Copies

Copy

Copies

Page_8 __ Standard Form No 115-A

Job No Revised November 1951 Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

12 1 Personnel material excluding records covered by the GRS Records relating to requests for establishment and control of numerical authorization of staffing levels Includes employment limitations

a Record Destroy when 4 years old

b Other Destroy when 2 years old

13 Claims correspondence and supporting material relating to settlement of claims by Agency and against Agency excepting records covered by the GRS

All Destroy 3 years after settlement

14 Financial Codes and materials relating to the issuing of or information concerning allotment and appropriation symbols and objectclassification codes

a Record Destroy when 3 years old

b Other Destroy when 2 years old

15 Public Relations material of the Agency

a Material related to maintaining relations or improving public image of Agency

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

b Precedent files of replies to requests for information publications and printed material from the public used as reference in preparingreplies to similar inquiries

9 SAMPLE OR

JOB NO

10

ACTION TAKEN

lour copiebull incl11cling original to be bullaltmittecl to the National Archives and R cor Service

_ ____ _

Copy

countrief

Copy

Copies

by Vv- kfifJM k1sc

ti 1 Appf

Copy

Copies

issuancef

Copy

Copies

Copies obsoletE

Pa e_9 __ Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

Record Destroy when 5 years old

c Material relating to foreign and domestic visitors Includes material relating to technical assistance foreign training programs and other visitors from and to foreign

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

9 SAMPLE OR

JOB NO

d Use of mass media of the press radio and television in supporting Agency programs Includes press releases radio and television scripts prepared or issued and clearances for same Excludes material covered the GRS

oved Agency issuances t s ampo

(a) Record Destroy when 20 years old

(b) Other Destroy when 2 years old or when superseded or obsolete whichever is sooner

2 Unapproved and unissued Agency

(a) Record Destroy when 5 years old

(b) Other Destroy when 2 years old

3 Copies of Departmental issuances

All Destroy when superseded or bull

10 ACTION TAKEN

Four copies inclbullcling original to be sumitted to the National Archives and R11cosu Sesvice

____ _

I

Ai J J-(kL4vh tdli a -s bstantive pubficfation aescribing the

1 olijiies of maj9r Agency programs Ud4A _ -1klJ n1Jv middot v

1 Record Copy I Pm 4 lt5 liaGaWey when 20 years o d h or

Copies

J A f irsjj fr lJJ l) dJ Sc1-S-fb

1 neWsle4ters dealing

Copy

Copies

Copies

Speeches

Administratora- a c 181 ilia Iamp a bullaiiHi iRl

elticf staff gfficcrla 1 -middot

Copy IJ1+e lieBelef ollt1

Page_l_O __ -

Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

16

17

8 DESCRIPTION OF ITEM (WITH INCLUSIVE DATES OR RETENTION PERIODS)

Publication development records including clearances and copy of final publication Excludes records covered by the GRS

history overall administration and general

2 Other Destroy when 3 years old or when supershyseded or obsolete1 whichever occurs

b Agency with administrashytive or program functions

1 Record Destroy when 20 years old

2 Other Destroy when 3 months old

d All other cations including those relating to routine operational procedures brochures public information handouts and similar publications

All Destroy when 3 years old or when supershyseded or obsolete whichever occurs first

developed and prepared by own organishyzational staff Includes clearances and final copy Excludes records covered by the GRS

a Speeches containing policy statements made by the Administrator Associate Deputy Administrator

middot Record (f -h AArS when 20 years llJ -

Sl 2-- -fO

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Fo11r copiebull incl11ding original to be bullabmitted to the National Archives and R coru Sesvice

No -----

1 A Al1 _U __r rr fAM rt i-s-ri

Copy

Copies

Cooperation

government

Copy

Copies

Regulations

Copy

Copies

Copy

Copies

Standard Form No 115-A Revised November 1951 Job Page 11 Prescribed by General ServicM Administration GSA Reg 3-IV-106 of__ pages

115-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

2 Other CopiesD stroy when 3 months old

micro ot er speeches

1 Record Destroy when 2 years old

2 Other Destroy when 3 months old

18 records including cooperative agreements and memorandums of understanding reflecting cooperation with other Federal agencies state governments foreignand private companies

a Record Destroy 5 years after superseded or terminated

b Other Destroy when superseded or terminated

19 Laws and relating to the Agency

a Case files of hearings and material related to quasi-judicial proceedings involving testishymony and arguments concerned with proposed or existing legislation executive orders Agencyregulations rules and the like

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

b Case files of dockets for publication in the Federal Register and related material Includes clearances and supporting material

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

9 SAMPLE OR

JOB NO

FoW copiebull including original to be bullnllmittecl to the National Archives anti Rcor Service

10

ACTION TAKEN

____ _

Copy

Copy

Copy

Copies

Management Operations

services

Copy

Co y w

Standard Form No 115-A Revised November 1951 Prescribed by General Servic Administration Job No Page 12 GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

1

20

c Legal opinions and decisions on laws regulations and executive orders

1 Record Destroy 2 years after superseded or obsolete

2 Other CopiesDestroy when superseded or obsolete

d Material on external and internal legal constraints

1 Record Destroy when 15 years old

2 Other CopiesDestroy when 2 years old

e Copies of laws and regulations

1 Record Destroy 2 years after superseded or obsolete bull

2 Other Destroy when superseded or obsolete

and Reviews either by or for the Agency dealing with the review and analysis of progress made by or deficiencies of Agency administration or programs Includes statistical consultive and analytical Also includes final report and all supporting material such as documents reflecting actual performance progress accomplishmentsdeficiencies and problems in relation to administrative or program goals Except files involving Agency employees see GRS

a Reviews of program operations

Record Destroy when 20 years old

b Other reviews

Record Destroy en 10 years old

Fovr copies inclading original lo be aaltmilled lo the National Archives and R cor Service

____ _

Copies

first

Investigations

personneJ

Copy

Copies

Management Improvement

Copy

Copies

Copy

__ Job No

see GRS

13 Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration GSA Reg 3-IV-106

Pageof pages116-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

98 DESCRIPTION OF ITEM 107

SAMPLE OR (WITH INCLUSIVE DATES OR RETENTION PERIODS) ITEM NO JOB NO

c Other copies of reviews

All Destroy upon receipt of next review or when 5 years old whichever occurs

21 Audits and of Agency administrashytion or programs by GAO OGC OIG OPM and others Except files involving Agency

a Record Destroy 5 years after case closed or final action taken

b Other Destroy 2 years after case closed or final action taken

22 reviews or studies These reviews or studies may result in the ini tiation of changes in the manner or method of planning directing controlling or pershyforming work which results in increased effectiveness efficiency and economy

a Reviews or studies from which action is taken

1 Record Destroy 5 years after all action has been taken or upon receipt of second subsequent report whichever is sooner

2 Other Destroy upon receipt of next report or when 2 years old whichever is sooner

b Reviews or studies on which no action is taken

1 Record Destroy when 5 years old

2 Other Copies Destroy when 2 years old

ACTION TAKEN

Four copies inchacling original to be 1111bmitted to the National Archives and Rolcor Service

____ _

Copy

Copies

Copy

Copies

Copy

Copy

Copies

Standard Fonn No 115-A Revised November 1951

Job No Page 14Prescribed by General Service Administration GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

23 1 Work Simplification material

a Material dealing with work programming manpower utilization and work measurement Includes time and motion studies established workload and assignment computations and summary report

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b Work plans and accomplishments except work plans supporting budget submission

1 Record Destroy 4 years after work plan is completed or implemented or when 4 years old if no further action taken

2 Other Destroy when work plan is completed or implemented or when 2 years old if no further action taken

c Work standards and related material

1 Approved work standards

(a) Record Destroy 5 years after standard superseded or obsolete

(b) Other CopiesDestroy when standard superseded or obsolete

2 Proposed work standards

(a) Record Destroy when 4 years old if no further action is taken

(b) Other Destroy when 4 years old

10

ACTION TAKEN

Foar copies incl11ding original to be salgtmitted to the National Archives and R cor Service

_ _ _ _ _

Management

haoing preceaeneial BiBifieaAee

IncludesAfevisionsee ieerleEieAaJ er hiseerical maeerial relating tu clearancee iHeer reeaEieAs aae elaFif iea iea ef ineLrtteeieft8

Copy

old b f i- tJ JtJ rrl)_ sci44() b - fn ctional issuances ttaving s ort-term effect and value

Copy

Copy

Copies

Records

Exclude

Standard Form No 115-A Revised November 1951

Job No Pag e 15Prescribed by General Service Administration

GSA Reg 3-IV-106 116-202 of __pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO ACTION TAKEN

24 Directive material relating to the 1 development and control of Agency issuances

such as administrative and program directives notices bulletins and the like

a Issuances concerned with formal Agency policy formulation organization functions procedures and operations

Arranged numerically f

Record ci cubic feet on hand)Permanent Transfer to FARC when 10 years old Offer to NARS when 20 years

Record Destroy 5 years after superseded or obsolete

c Notices bulletins indexes announcements and similar material not part of a or b above

Record Destroy 2 years after terminated superseded or obsolete

d Other copies of issuances

All Destroy when terminated superseded or obsolete

25 Maintenance material covering standards and systems for creating organizing and maintaining records Includes related correspondence and Agency file systems and disposal schedules when they are incorporated and approved as part of a file systemmaterial covered by the GRS except disposalschedules made part of a file system Those schedules must be maintained with the file system since the case file records and the file

lour copies including original to be inahmittetl to the Notional Archives anti Raco Service

____ _

Copy

Copies

Micrographics Systems

Copy terminated

Copies

Security

Copy

Copies

Correspondence Management preparaticn

correspondencE

the

Copy

Copies

Standard Form No 115-A Revised November 1951

Job No Page 16Prescribed by General Service Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

system and schedule itself are inseparable

a Record Destroy 5 years after superseded or obsolete

b Other Destroy when superseded or obsolete

26 including studies applishycations for systems requisitions certifishycations and approvals

a Record Destroy 5 years after system

b Other Destroy when system terminated

27 Records material dealing with systems and procedures for protecting and controlling documents and information except records covered by the GRS

a Record Destroy 1 year after superseded or obsolete

b Other Destroy when superseded or obsolete

28 standards handbooks and related material dealing with the of correspondence format clearances and signature requirements Includes instructions for preparing formal and informal telegrams envelopes forms of address and similar matters Except material covered byGRS

a Record Destroy 2 years after superseded or obsolete

b Other Destroy when superseded or obsolete

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original to be llUltmitted to the National Archives and Rcaru Service

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 8: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

____ _

Ceiling

Copy

Copies

Copies

Symbols

Copy

Copies

Copy

Copies

Page_8 __ Standard Form No 115-A

Job No Revised November 1951 Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

12 1 Personnel material excluding records covered by the GRS Records relating to requests for establishment and control of numerical authorization of staffing levels Includes employment limitations

a Record Destroy when 4 years old

b Other Destroy when 2 years old

13 Claims correspondence and supporting material relating to settlement of claims by Agency and against Agency excepting records covered by the GRS

All Destroy 3 years after settlement

14 Financial Codes and materials relating to the issuing of or information concerning allotment and appropriation symbols and objectclassification codes

a Record Destroy when 3 years old

b Other Destroy when 2 years old

15 Public Relations material of the Agency

a Material related to maintaining relations or improving public image of Agency

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

b Precedent files of replies to requests for information publications and printed material from the public used as reference in preparingreplies to similar inquiries

9 SAMPLE OR

JOB NO

10

ACTION TAKEN

lour copiebull incl11cling original to be bullaltmittecl to the National Archives and R cor Service

_ ____ _

Copy

countrief

Copy

Copies

by Vv- kfifJM k1sc

ti 1 Appf

Copy

Copies

issuancef

Copy

Copies

Copies obsoletE

Pa e_9 __ Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

Record Destroy when 5 years old

c Material relating to foreign and domestic visitors Includes material relating to technical assistance foreign training programs and other visitors from and to foreign

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

9 SAMPLE OR

JOB NO

d Use of mass media of the press radio and television in supporting Agency programs Includes press releases radio and television scripts prepared or issued and clearances for same Excludes material covered the GRS

oved Agency issuances t s ampo

(a) Record Destroy when 20 years old

(b) Other Destroy when 2 years old or when superseded or obsolete whichever is sooner

2 Unapproved and unissued Agency

(a) Record Destroy when 5 years old

(b) Other Destroy when 2 years old

3 Copies of Departmental issuances

All Destroy when superseded or bull

10 ACTION TAKEN

Four copies inclbullcling original to be sumitted to the National Archives and R11cosu Sesvice

____ _

I

Ai J J-(kL4vh tdli a -s bstantive pubficfation aescribing the

1 olijiies of maj9r Agency programs Ud4A _ -1klJ n1Jv middot v

1 Record Copy I Pm 4 lt5 liaGaWey when 20 years o d h or

Copies

J A f irsjj fr lJJ l) dJ Sc1-S-fb

1 neWsle4ters dealing

Copy

Copies

Copies

Speeches

Administratora- a c 181 ilia Iamp a bullaiiHi iRl

elticf staff gfficcrla 1 -middot

Copy IJ1+e lieBelef ollt1

Page_l_O __ -

Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

16

17

8 DESCRIPTION OF ITEM (WITH INCLUSIVE DATES OR RETENTION PERIODS)

Publication development records including clearances and copy of final publication Excludes records covered by the GRS

history overall administration and general

2 Other Destroy when 3 years old or when supershyseded or obsolete1 whichever occurs

b Agency with administrashytive or program functions

1 Record Destroy when 20 years old

2 Other Destroy when 3 months old

d All other cations including those relating to routine operational procedures brochures public information handouts and similar publications

All Destroy when 3 years old or when supershyseded or obsolete whichever occurs first

developed and prepared by own organishyzational staff Includes clearances and final copy Excludes records covered by the GRS

a Speeches containing policy statements made by the Administrator Associate Deputy Administrator

middot Record (f -h AArS when 20 years llJ -

Sl 2-- -fO

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Fo11r copiebull incl11ding original to be bullabmitted to the National Archives and R coru Sesvice

No -----

1 A Al1 _U __r rr fAM rt i-s-ri

Copy

Copies

Cooperation

government

Copy

Copies

Regulations

Copy

Copies

Copy

Copies

Standard Form No 115-A Revised November 1951 Job Page 11 Prescribed by General ServicM Administration GSA Reg 3-IV-106 of__ pages

115-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

2 Other CopiesD stroy when 3 months old

micro ot er speeches

1 Record Destroy when 2 years old

2 Other Destroy when 3 months old

18 records including cooperative agreements and memorandums of understanding reflecting cooperation with other Federal agencies state governments foreignand private companies

a Record Destroy 5 years after superseded or terminated

b Other Destroy when superseded or terminated

19 Laws and relating to the Agency

a Case files of hearings and material related to quasi-judicial proceedings involving testishymony and arguments concerned with proposed or existing legislation executive orders Agencyregulations rules and the like

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

b Case files of dockets for publication in the Federal Register and related material Includes clearances and supporting material

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

9 SAMPLE OR

JOB NO

FoW copiebull including original to be bullnllmittecl to the National Archives anti Rcor Service

10

ACTION TAKEN

____ _

Copy

Copy

Copy

Copies

Management Operations

services

Copy

Co y w

Standard Form No 115-A Revised November 1951 Prescribed by General Servic Administration Job No Page 12 GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

1

20

c Legal opinions and decisions on laws regulations and executive orders

1 Record Destroy 2 years after superseded or obsolete

2 Other CopiesDestroy when superseded or obsolete

d Material on external and internal legal constraints

1 Record Destroy when 15 years old

2 Other CopiesDestroy when 2 years old

e Copies of laws and regulations

1 Record Destroy 2 years after superseded or obsolete bull

2 Other Destroy when superseded or obsolete

and Reviews either by or for the Agency dealing with the review and analysis of progress made by or deficiencies of Agency administration or programs Includes statistical consultive and analytical Also includes final report and all supporting material such as documents reflecting actual performance progress accomplishmentsdeficiencies and problems in relation to administrative or program goals Except files involving Agency employees see GRS

a Reviews of program operations

Record Destroy when 20 years old

b Other reviews

Record Destroy en 10 years old

Fovr copies inclading original lo be aaltmilled lo the National Archives and R cor Service

____ _

Copies

first

Investigations

personneJ

Copy

Copies

Management Improvement

Copy

Copies

Copy

__ Job No

see GRS

13 Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration GSA Reg 3-IV-106

Pageof pages116-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

98 DESCRIPTION OF ITEM 107

SAMPLE OR (WITH INCLUSIVE DATES OR RETENTION PERIODS) ITEM NO JOB NO

c Other copies of reviews

All Destroy upon receipt of next review or when 5 years old whichever occurs

21 Audits and of Agency administrashytion or programs by GAO OGC OIG OPM and others Except files involving Agency

a Record Destroy 5 years after case closed or final action taken

b Other Destroy 2 years after case closed or final action taken

22 reviews or studies These reviews or studies may result in the ini tiation of changes in the manner or method of planning directing controlling or pershyforming work which results in increased effectiveness efficiency and economy

a Reviews or studies from which action is taken

1 Record Destroy 5 years after all action has been taken or upon receipt of second subsequent report whichever is sooner

2 Other Destroy upon receipt of next report or when 2 years old whichever is sooner

b Reviews or studies on which no action is taken

1 Record Destroy when 5 years old

2 Other Copies Destroy when 2 years old

ACTION TAKEN

Four copies inchacling original to be 1111bmitted to the National Archives and Rolcor Service

____ _

Copy

Copies

Copy

Copies

Copy

Copy

Copies

Standard Fonn No 115-A Revised November 1951

Job No Page 14Prescribed by General Service Administration GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

23 1 Work Simplification material

a Material dealing with work programming manpower utilization and work measurement Includes time and motion studies established workload and assignment computations and summary report

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b Work plans and accomplishments except work plans supporting budget submission

1 Record Destroy 4 years after work plan is completed or implemented or when 4 years old if no further action taken

2 Other Destroy when work plan is completed or implemented or when 2 years old if no further action taken

c Work standards and related material

1 Approved work standards

(a) Record Destroy 5 years after standard superseded or obsolete

(b) Other CopiesDestroy when standard superseded or obsolete

2 Proposed work standards

(a) Record Destroy when 4 years old if no further action is taken

(b) Other Destroy when 4 years old

10

ACTION TAKEN

Foar copies incl11ding original to be salgtmitted to the National Archives and R cor Service

_ _ _ _ _

Management

haoing preceaeneial BiBifieaAee

IncludesAfevisionsee ieerleEieAaJ er hiseerical maeerial relating tu clearancee iHeer reeaEieAs aae elaFif iea iea ef ineLrtteeieft8

Copy

old b f i- tJ JtJ rrl)_ sci44() b - fn ctional issuances ttaving s ort-term effect and value

Copy

Copy

Copies

Records

Exclude

Standard Form No 115-A Revised November 1951

Job No Pag e 15Prescribed by General Service Administration

GSA Reg 3-IV-106 116-202 of __pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO ACTION TAKEN

24 Directive material relating to the 1 development and control of Agency issuances

such as administrative and program directives notices bulletins and the like

a Issuances concerned with formal Agency policy formulation organization functions procedures and operations

Arranged numerically f

Record ci cubic feet on hand)Permanent Transfer to FARC when 10 years old Offer to NARS when 20 years

Record Destroy 5 years after superseded or obsolete

c Notices bulletins indexes announcements and similar material not part of a or b above

Record Destroy 2 years after terminated superseded or obsolete

d Other copies of issuances

All Destroy when terminated superseded or obsolete

25 Maintenance material covering standards and systems for creating organizing and maintaining records Includes related correspondence and Agency file systems and disposal schedules when they are incorporated and approved as part of a file systemmaterial covered by the GRS except disposalschedules made part of a file system Those schedules must be maintained with the file system since the case file records and the file

lour copies including original to be inahmittetl to the Notional Archives anti Raco Service

____ _

Copy

Copies

Micrographics Systems

Copy terminated

Copies

Security

Copy

Copies

Correspondence Management preparaticn

correspondencE

the

Copy

Copies

Standard Form No 115-A Revised November 1951

Job No Page 16Prescribed by General Service Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

system and schedule itself are inseparable

a Record Destroy 5 years after superseded or obsolete

b Other Destroy when superseded or obsolete

26 including studies applishycations for systems requisitions certifishycations and approvals

a Record Destroy 5 years after system

b Other Destroy when system terminated

27 Records material dealing with systems and procedures for protecting and controlling documents and information except records covered by the GRS

a Record Destroy 1 year after superseded or obsolete

b Other Destroy when superseded or obsolete

28 standards handbooks and related material dealing with the of correspondence format clearances and signature requirements Includes instructions for preparing formal and informal telegrams envelopes forms of address and similar matters Except material covered byGRS

a Record Destroy 2 years after superseded or obsolete

b Other Destroy when superseded or obsolete

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original to be llUltmitted to the National Archives and Rcaru Service

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 9: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

_ ____ _

Copy

countrief

Copy

Copies

by Vv- kfifJM k1sc

ti 1 Appf

Copy

Copies

issuancef

Copy

Copies

Copies obsoletE

Pa e_9 __ Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

Record Destroy when 5 years old

c Material relating to foreign and domestic visitors Includes material relating to technical assistance foreign training programs and other visitors from and to foreign

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

9 SAMPLE OR

JOB NO

d Use of mass media of the press radio and television in supporting Agency programs Includes press releases radio and television scripts prepared or issued and clearances for same Excludes material covered the GRS

oved Agency issuances t s ampo

(a) Record Destroy when 20 years old

(b) Other Destroy when 2 years old or when superseded or obsolete whichever is sooner

2 Unapproved and unissued Agency

(a) Record Destroy when 5 years old

(b) Other Destroy when 2 years old

3 Copies of Departmental issuances

All Destroy when superseded or bull

10 ACTION TAKEN

Four copies inclbullcling original to be sumitted to the National Archives and R11cosu Sesvice

____ _

I

Ai J J-(kL4vh tdli a -s bstantive pubficfation aescribing the

1 olijiies of maj9r Agency programs Ud4A _ -1klJ n1Jv middot v

1 Record Copy I Pm 4 lt5 liaGaWey when 20 years o d h or

Copies

J A f irsjj fr lJJ l) dJ Sc1-S-fb

1 neWsle4ters dealing

Copy

Copies

Copies

Speeches

Administratora- a c 181 ilia Iamp a bullaiiHi iRl

elticf staff gfficcrla 1 -middot

Copy IJ1+e lieBelef ollt1

Page_l_O __ -

Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

16

17

8 DESCRIPTION OF ITEM (WITH INCLUSIVE DATES OR RETENTION PERIODS)

Publication development records including clearances and copy of final publication Excludes records covered by the GRS

history overall administration and general

2 Other Destroy when 3 years old or when supershyseded or obsolete1 whichever occurs

b Agency with administrashytive or program functions

1 Record Destroy when 20 years old

2 Other Destroy when 3 months old

d All other cations including those relating to routine operational procedures brochures public information handouts and similar publications

All Destroy when 3 years old or when supershyseded or obsolete whichever occurs first

developed and prepared by own organishyzational staff Includes clearances and final copy Excludes records covered by the GRS

a Speeches containing policy statements made by the Administrator Associate Deputy Administrator

middot Record (f -h AArS when 20 years llJ -

Sl 2-- -fO

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Fo11r copiebull incl11ding original to be bullabmitted to the National Archives and R coru Sesvice

No -----

1 A Al1 _U __r rr fAM rt i-s-ri

Copy

Copies

Cooperation

government

Copy

Copies

Regulations

Copy

Copies

Copy

Copies

Standard Form No 115-A Revised November 1951 Job Page 11 Prescribed by General ServicM Administration GSA Reg 3-IV-106 of__ pages

115-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

2 Other CopiesD stroy when 3 months old

micro ot er speeches

1 Record Destroy when 2 years old

2 Other Destroy when 3 months old

18 records including cooperative agreements and memorandums of understanding reflecting cooperation with other Federal agencies state governments foreignand private companies

a Record Destroy 5 years after superseded or terminated

b Other Destroy when superseded or terminated

19 Laws and relating to the Agency

a Case files of hearings and material related to quasi-judicial proceedings involving testishymony and arguments concerned with proposed or existing legislation executive orders Agencyregulations rules and the like

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

b Case files of dockets for publication in the Federal Register and related material Includes clearances and supporting material

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

9 SAMPLE OR

JOB NO

FoW copiebull including original to be bullnllmittecl to the National Archives anti Rcor Service

10

ACTION TAKEN

____ _

Copy

Copy

Copy

Copies

Management Operations

services

Copy

Co y w

Standard Form No 115-A Revised November 1951 Prescribed by General Servic Administration Job No Page 12 GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

1

20

c Legal opinions and decisions on laws regulations and executive orders

1 Record Destroy 2 years after superseded or obsolete

2 Other CopiesDestroy when superseded or obsolete

d Material on external and internal legal constraints

1 Record Destroy when 15 years old

2 Other CopiesDestroy when 2 years old

e Copies of laws and regulations

1 Record Destroy 2 years after superseded or obsolete bull

2 Other Destroy when superseded or obsolete

and Reviews either by or for the Agency dealing with the review and analysis of progress made by or deficiencies of Agency administration or programs Includes statistical consultive and analytical Also includes final report and all supporting material such as documents reflecting actual performance progress accomplishmentsdeficiencies and problems in relation to administrative or program goals Except files involving Agency employees see GRS

a Reviews of program operations

Record Destroy when 20 years old

b Other reviews

Record Destroy en 10 years old

Fovr copies inclading original lo be aaltmilled lo the National Archives and R cor Service

____ _

Copies

first

Investigations

personneJ

Copy

Copies

Management Improvement

Copy

Copies

Copy

__ Job No

see GRS

13 Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration GSA Reg 3-IV-106

Pageof pages116-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

98 DESCRIPTION OF ITEM 107

SAMPLE OR (WITH INCLUSIVE DATES OR RETENTION PERIODS) ITEM NO JOB NO

c Other copies of reviews

All Destroy upon receipt of next review or when 5 years old whichever occurs

21 Audits and of Agency administrashytion or programs by GAO OGC OIG OPM and others Except files involving Agency

a Record Destroy 5 years after case closed or final action taken

b Other Destroy 2 years after case closed or final action taken

22 reviews or studies These reviews or studies may result in the ini tiation of changes in the manner or method of planning directing controlling or pershyforming work which results in increased effectiveness efficiency and economy

a Reviews or studies from which action is taken

1 Record Destroy 5 years after all action has been taken or upon receipt of second subsequent report whichever is sooner

2 Other Destroy upon receipt of next report or when 2 years old whichever is sooner

b Reviews or studies on which no action is taken

1 Record Destroy when 5 years old

2 Other Copies Destroy when 2 years old

ACTION TAKEN

Four copies inchacling original to be 1111bmitted to the National Archives and Rolcor Service

____ _

Copy

Copies

Copy

Copies

Copy

Copy

Copies

Standard Fonn No 115-A Revised November 1951

Job No Page 14Prescribed by General Service Administration GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

23 1 Work Simplification material

a Material dealing with work programming manpower utilization and work measurement Includes time and motion studies established workload and assignment computations and summary report

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b Work plans and accomplishments except work plans supporting budget submission

1 Record Destroy 4 years after work plan is completed or implemented or when 4 years old if no further action taken

2 Other Destroy when work plan is completed or implemented or when 2 years old if no further action taken

c Work standards and related material

1 Approved work standards

(a) Record Destroy 5 years after standard superseded or obsolete

(b) Other CopiesDestroy when standard superseded or obsolete

2 Proposed work standards

(a) Record Destroy when 4 years old if no further action is taken

(b) Other Destroy when 4 years old

10

ACTION TAKEN

Foar copies incl11ding original to be salgtmitted to the National Archives and R cor Service

_ _ _ _ _

Management

haoing preceaeneial BiBifieaAee

IncludesAfevisionsee ieerleEieAaJ er hiseerical maeerial relating tu clearancee iHeer reeaEieAs aae elaFif iea iea ef ineLrtteeieft8

Copy

old b f i- tJ JtJ rrl)_ sci44() b - fn ctional issuances ttaving s ort-term effect and value

Copy

Copy

Copies

Records

Exclude

Standard Form No 115-A Revised November 1951

Job No Pag e 15Prescribed by General Service Administration

GSA Reg 3-IV-106 116-202 of __pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO ACTION TAKEN

24 Directive material relating to the 1 development and control of Agency issuances

such as administrative and program directives notices bulletins and the like

a Issuances concerned with formal Agency policy formulation organization functions procedures and operations

Arranged numerically f

Record ci cubic feet on hand)Permanent Transfer to FARC when 10 years old Offer to NARS when 20 years

Record Destroy 5 years after superseded or obsolete

c Notices bulletins indexes announcements and similar material not part of a or b above

Record Destroy 2 years after terminated superseded or obsolete

d Other copies of issuances

All Destroy when terminated superseded or obsolete

25 Maintenance material covering standards and systems for creating organizing and maintaining records Includes related correspondence and Agency file systems and disposal schedules when they are incorporated and approved as part of a file systemmaterial covered by the GRS except disposalschedules made part of a file system Those schedules must be maintained with the file system since the case file records and the file

lour copies including original to be inahmittetl to the Notional Archives anti Raco Service

____ _

Copy

Copies

Micrographics Systems

Copy terminated

Copies

Security

Copy

Copies

Correspondence Management preparaticn

correspondencE

the

Copy

Copies

Standard Form No 115-A Revised November 1951

Job No Page 16Prescribed by General Service Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

system and schedule itself are inseparable

a Record Destroy 5 years after superseded or obsolete

b Other Destroy when superseded or obsolete

26 including studies applishycations for systems requisitions certifishycations and approvals

a Record Destroy 5 years after system

b Other Destroy when system terminated

27 Records material dealing with systems and procedures for protecting and controlling documents and information except records covered by the GRS

a Record Destroy 1 year after superseded or obsolete

b Other Destroy when superseded or obsolete

28 standards handbooks and related material dealing with the of correspondence format clearances and signature requirements Includes instructions for preparing formal and informal telegrams envelopes forms of address and similar matters Except material covered byGRS

a Record Destroy 2 years after superseded or obsolete

b Other Destroy when superseded or obsolete

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original to be llUltmitted to the National Archives and Rcaru Service

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 10: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

____ _

I

Ai J J-(kL4vh tdli a -s bstantive pubficfation aescribing the

1 olijiies of maj9r Agency programs Ud4A _ -1klJ n1Jv middot v

1 Record Copy I Pm 4 lt5 liaGaWey when 20 years o d h or

Copies

J A f irsjj fr lJJ l) dJ Sc1-S-fb

1 neWsle4ters dealing

Copy

Copies

Copies

Speeches

Administratora- a c 181 ilia Iamp a bullaiiHi iRl

elticf staff gfficcrla 1 -middot

Copy IJ1+e lieBelef ollt1

Page_l_O __ -

Standard Form No 115-A Revised November 1951

Job No Prescribed by General Services Administration GSA Reg 3-IV-106

116-202 of __ pages REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

16

17

8 DESCRIPTION OF ITEM (WITH INCLUSIVE DATES OR RETENTION PERIODS)

Publication development records including clearances and copy of final publication Excludes records covered by the GRS

history overall administration and general

2 Other Destroy when 3 years old or when supershyseded or obsolete1 whichever occurs

b Agency with administrashytive or program functions

1 Record Destroy when 20 years old

2 Other Destroy when 3 months old

d All other cations including those relating to routine operational procedures brochures public information handouts and similar publications

All Destroy when 3 years old or when supershyseded or obsolete whichever occurs first

developed and prepared by own organishyzational staff Includes clearances and final copy Excludes records covered by the GRS

a Speeches containing policy statements made by the Administrator Associate Deputy Administrator

middot Record (f -h AArS when 20 years llJ -

Sl 2-- -fO

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Fo11r copiebull incl11ding original to be bullabmitted to the National Archives and R coru Sesvice

No -----

1 A Al1 _U __r rr fAM rt i-s-ri

Copy

Copies

Cooperation

government

Copy

Copies

Regulations

Copy

Copies

Copy

Copies

Standard Form No 115-A Revised November 1951 Job Page 11 Prescribed by General ServicM Administration GSA Reg 3-IV-106 of__ pages

115-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

2 Other CopiesD stroy when 3 months old

micro ot er speeches

1 Record Destroy when 2 years old

2 Other Destroy when 3 months old

18 records including cooperative agreements and memorandums of understanding reflecting cooperation with other Federal agencies state governments foreignand private companies

a Record Destroy 5 years after superseded or terminated

b Other Destroy when superseded or terminated

19 Laws and relating to the Agency

a Case files of hearings and material related to quasi-judicial proceedings involving testishymony and arguments concerned with proposed or existing legislation executive orders Agencyregulations rules and the like

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

b Case files of dockets for publication in the Federal Register and related material Includes clearances and supporting material

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

9 SAMPLE OR

JOB NO

FoW copiebull including original to be bullnllmittecl to the National Archives anti Rcor Service

10

ACTION TAKEN

____ _

Copy

Copy

Copy

Copies

Management Operations

services

Copy

Co y w

Standard Form No 115-A Revised November 1951 Prescribed by General Servic Administration Job No Page 12 GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

1

20

c Legal opinions and decisions on laws regulations and executive orders

1 Record Destroy 2 years after superseded or obsolete

2 Other CopiesDestroy when superseded or obsolete

d Material on external and internal legal constraints

1 Record Destroy when 15 years old

2 Other CopiesDestroy when 2 years old

e Copies of laws and regulations

1 Record Destroy 2 years after superseded or obsolete bull

2 Other Destroy when superseded or obsolete

and Reviews either by or for the Agency dealing with the review and analysis of progress made by or deficiencies of Agency administration or programs Includes statistical consultive and analytical Also includes final report and all supporting material such as documents reflecting actual performance progress accomplishmentsdeficiencies and problems in relation to administrative or program goals Except files involving Agency employees see GRS

a Reviews of program operations

Record Destroy when 20 years old

b Other reviews

Record Destroy en 10 years old

Fovr copies inclading original lo be aaltmilled lo the National Archives and R cor Service

____ _

Copies

first

Investigations

personneJ

Copy

Copies

Management Improvement

Copy

Copies

Copy

__ Job No

see GRS

13 Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration GSA Reg 3-IV-106

Pageof pages116-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

98 DESCRIPTION OF ITEM 107

SAMPLE OR (WITH INCLUSIVE DATES OR RETENTION PERIODS) ITEM NO JOB NO

c Other copies of reviews

All Destroy upon receipt of next review or when 5 years old whichever occurs

21 Audits and of Agency administrashytion or programs by GAO OGC OIG OPM and others Except files involving Agency

a Record Destroy 5 years after case closed or final action taken

b Other Destroy 2 years after case closed or final action taken

22 reviews or studies These reviews or studies may result in the ini tiation of changes in the manner or method of planning directing controlling or pershyforming work which results in increased effectiveness efficiency and economy

a Reviews or studies from which action is taken

1 Record Destroy 5 years after all action has been taken or upon receipt of second subsequent report whichever is sooner

2 Other Destroy upon receipt of next report or when 2 years old whichever is sooner

b Reviews or studies on which no action is taken

1 Record Destroy when 5 years old

2 Other Copies Destroy when 2 years old

ACTION TAKEN

Four copies inchacling original to be 1111bmitted to the National Archives and Rolcor Service

____ _

Copy

Copies

Copy

Copies

Copy

Copy

Copies

Standard Fonn No 115-A Revised November 1951

Job No Page 14Prescribed by General Service Administration GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

23 1 Work Simplification material

a Material dealing with work programming manpower utilization and work measurement Includes time and motion studies established workload and assignment computations and summary report

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b Work plans and accomplishments except work plans supporting budget submission

1 Record Destroy 4 years after work plan is completed or implemented or when 4 years old if no further action taken

2 Other Destroy when work plan is completed or implemented or when 2 years old if no further action taken

c Work standards and related material

1 Approved work standards

(a) Record Destroy 5 years after standard superseded or obsolete

(b) Other CopiesDestroy when standard superseded or obsolete

2 Proposed work standards

(a) Record Destroy when 4 years old if no further action is taken

(b) Other Destroy when 4 years old

10

ACTION TAKEN

Foar copies incl11ding original to be salgtmitted to the National Archives and R cor Service

_ _ _ _ _

Management

haoing preceaeneial BiBifieaAee

IncludesAfevisionsee ieerleEieAaJ er hiseerical maeerial relating tu clearancee iHeer reeaEieAs aae elaFif iea iea ef ineLrtteeieft8

Copy

old b f i- tJ JtJ rrl)_ sci44() b - fn ctional issuances ttaving s ort-term effect and value

Copy

Copy

Copies

Records

Exclude

Standard Form No 115-A Revised November 1951

Job No Pag e 15Prescribed by General Service Administration

GSA Reg 3-IV-106 116-202 of __pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO ACTION TAKEN

24 Directive material relating to the 1 development and control of Agency issuances

such as administrative and program directives notices bulletins and the like

a Issuances concerned with formal Agency policy formulation organization functions procedures and operations

Arranged numerically f

Record ci cubic feet on hand)Permanent Transfer to FARC when 10 years old Offer to NARS when 20 years

Record Destroy 5 years after superseded or obsolete

c Notices bulletins indexes announcements and similar material not part of a or b above

Record Destroy 2 years after terminated superseded or obsolete

d Other copies of issuances

All Destroy when terminated superseded or obsolete

25 Maintenance material covering standards and systems for creating organizing and maintaining records Includes related correspondence and Agency file systems and disposal schedules when they are incorporated and approved as part of a file systemmaterial covered by the GRS except disposalschedules made part of a file system Those schedules must be maintained with the file system since the case file records and the file

lour copies including original to be inahmittetl to the Notional Archives anti Raco Service

____ _

Copy

Copies

Micrographics Systems

Copy terminated

Copies

Security

Copy

Copies

Correspondence Management preparaticn

correspondencE

the

Copy

Copies

Standard Form No 115-A Revised November 1951

Job No Page 16Prescribed by General Service Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

system and schedule itself are inseparable

a Record Destroy 5 years after superseded or obsolete

b Other Destroy when superseded or obsolete

26 including studies applishycations for systems requisitions certifishycations and approvals

a Record Destroy 5 years after system

b Other Destroy when system terminated

27 Records material dealing with systems and procedures for protecting and controlling documents and information except records covered by the GRS

a Record Destroy 1 year after superseded or obsolete

b Other Destroy when superseded or obsolete

28 standards handbooks and related material dealing with the of correspondence format clearances and signature requirements Includes instructions for preparing formal and informal telegrams envelopes forms of address and similar matters Except material covered byGRS

a Record Destroy 2 years after superseded or obsolete

b Other Destroy when superseded or obsolete

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original to be llUltmitted to the National Archives and Rcaru Service

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 11: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

No -----

1 A Al1 _U __r rr fAM rt i-s-ri

Copy

Copies

Cooperation

government

Copy

Copies

Regulations

Copy

Copies

Copy

Copies

Standard Form No 115-A Revised November 1951 Job Page 11 Prescribed by General ServicM Administration GSA Reg 3-IV-106 of__ pages

115-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

2 Other CopiesD stroy when 3 months old

micro ot er speeches

1 Record Destroy when 2 years old

2 Other Destroy when 3 months old

18 records including cooperative agreements and memorandums of understanding reflecting cooperation with other Federal agencies state governments foreignand private companies

a Record Destroy 5 years after superseded or terminated

b Other Destroy when superseded or terminated

19 Laws and relating to the Agency

a Case files of hearings and material related to quasi-judicial proceedings involving testishymony and arguments concerned with proposed or existing legislation executive orders Agencyregulations rules and the like

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

b Case files of dockets for publication in the Federal Register and related material Includes clearances and supporting material

1 Record Destroy when 20 years old

2 Other Destroy when 3 years old

9 SAMPLE OR

JOB NO

FoW copiebull including original to be bullnllmittecl to the National Archives anti Rcor Service

10

ACTION TAKEN

____ _

Copy

Copy

Copy

Copies

Management Operations

services

Copy

Co y w

Standard Form No 115-A Revised November 1951 Prescribed by General Servic Administration Job No Page 12 GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

1

20

c Legal opinions and decisions on laws regulations and executive orders

1 Record Destroy 2 years after superseded or obsolete

2 Other CopiesDestroy when superseded or obsolete

d Material on external and internal legal constraints

1 Record Destroy when 15 years old

2 Other CopiesDestroy when 2 years old

e Copies of laws and regulations

1 Record Destroy 2 years after superseded or obsolete bull

2 Other Destroy when superseded or obsolete

and Reviews either by or for the Agency dealing with the review and analysis of progress made by or deficiencies of Agency administration or programs Includes statistical consultive and analytical Also includes final report and all supporting material such as documents reflecting actual performance progress accomplishmentsdeficiencies and problems in relation to administrative or program goals Except files involving Agency employees see GRS

a Reviews of program operations

Record Destroy when 20 years old

b Other reviews

Record Destroy en 10 years old

Fovr copies inclading original lo be aaltmilled lo the National Archives and R cor Service

____ _

Copies

first

Investigations

personneJ

Copy

Copies

Management Improvement

Copy

Copies

Copy

__ Job No

see GRS

13 Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration GSA Reg 3-IV-106

Pageof pages116-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

98 DESCRIPTION OF ITEM 107

SAMPLE OR (WITH INCLUSIVE DATES OR RETENTION PERIODS) ITEM NO JOB NO

c Other copies of reviews

All Destroy upon receipt of next review or when 5 years old whichever occurs

21 Audits and of Agency administrashytion or programs by GAO OGC OIG OPM and others Except files involving Agency

a Record Destroy 5 years after case closed or final action taken

b Other Destroy 2 years after case closed or final action taken

22 reviews or studies These reviews or studies may result in the ini tiation of changes in the manner or method of planning directing controlling or pershyforming work which results in increased effectiveness efficiency and economy

a Reviews or studies from which action is taken

1 Record Destroy 5 years after all action has been taken or upon receipt of second subsequent report whichever is sooner

2 Other Destroy upon receipt of next report or when 2 years old whichever is sooner

b Reviews or studies on which no action is taken

1 Record Destroy when 5 years old

2 Other Copies Destroy when 2 years old

ACTION TAKEN

Four copies inchacling original to be 1111bmitted to the National Archives and Rolcor Service

____ _

Copy

Copies

Copy

Copies

Copy

Copy

Copies

Standard Fonn No 115-A Revised November 1951

Job No Page 14Prescribed by General Service Administration GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

23 1 Work Simplification material

a Material dealing with work programming manpower utilization and work measurement Includes time and motion studies established workload and assignment computations and summary report

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b Work plans and accomplishments except work plans supporting budget submission

1 Record Destroy 4 years after work plan is completed or implemented or when 4 years old if no further action taken

2 Other Destroy when work plan is completed or implemented or when 2 years old if no further action taken

c Work standards and related material

1 Approved work standards

(a) Record Destroy 5 years after standard superseded or obsolete

(b) Other CopiesDestroy when standard superseded or obsolete

2 Proposed work standards

(a) Record Destroy when 4 years old if no further action is taken

(b) Other Destroy when 4 years old

10

ACTION TAKEN

Foar copies incl11ding original to be salgtmitted to the National Archives and R cor Service

_ _ _ _ _

Management

haoing preceaeneial BiBifieaAee

IncludesAfevisionsee ieerleEieAaJ er hiseerical maeerial relating tu clearancee iHeer reeaEieAs aae elaFif iea iea ef ineLrtteeieft8

Copy

old b f i- tJ JtJ rrl)_ sci44() b - fn ctional issuances ttaving s ort-term effect and value

Copy

Copy

Copies

Records

Exclude

Standard Form No 115-A Revised November 1951

Job No Pag e 15Prescribed by General Service Administration

GSA Reg 3-IV-106 116-202 of __pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO ACTION TAKEN

24 Directive material relating to the 1 development and control of Agency issuances

such as administrative and program directives notices bulletins and the like

a Issuances concerned with formal Agency policy formulation organization functions procedures and operations

Arranged numerically f

Record ci cubic feet on hand)Permanent Transfer to FARC when 10 years old Offer to NARS when 20 years

Record Destroy 5 years after superseded or obsolete

c Notices bulletins indexes announcements and similar material not part of a or b above

Record Destroy 2 years after terminated superseded or obsolete

d Other copies of issuances

All Destroy when terminated superseded or obsolete

25 Maintenance material covering standards and systems for creating organizing and maintaining records Includes related correspondence and Agency file systems and disposal schedules when they are incorporated and approved as part of a file systemmaterial covered by the GRS except disposalschedules made part of a file system Those schedules must be maintained with the file system since the case file records and the file

lour copies including original to be inahmittetl to the Notional Archives anti Raco Service

____ _

Copy

Copies

Micrographics Systems

Copy terminated

Copies

Security

Copy

Copies

Correspondence Management preparaticn

correspondencE

the

Copy

Copies

Standard Form No 115-A Revised November 1951

Job No Page 16Prescribed by General Service Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

system and schedule itself are inseparable

a Record Destroy 5 years after superseded or obsolete

b Other Destroy when superseded or obsolete

26 including studies applishycations for systems requisitions certifishycations and approvals

a Record Destroy 5 years after system

b Other Destroy when system terminated

27 Records material dealing with systems and procedures for protecting and controlling documents and information except records covered by the GRS

a Record Destroy 1 year after superseded or obsolete

b Other Destroy when superseded or obsolete

28 standards handbooks and related material dealing with the of correspondence format clearances and signature requirements Includes instructions for preparing formal and informal telegrams envelopes forms of address and similar matters Except material covered byGRS

a Record Destroy 2 years after superseded or obsolete

b Other Destroy when superseded or obsolete

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original to be llUltmitted to the National Archives and Rcaru Service

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 12: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

____ _

Copy

Copy

Copy

Copies

Management Operations

services

Copy

Co y w

Standard Form No 115-A Revised November 1951 Prescribed by General Servic Administration Job No Page 12 GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

1

20

c Legal opinions and decisions on laws regulations and executive orders

1 Record Destroy 2 years after superseded or obsolete

2 Other CopiesDestroy when superseded or obsolete

d Material on external and internal legal constraints

1 Record Destroy when 15 years old

2 Other CopiesDestroy when 2 years old

e Copies of laws and regulations

1 Record Destroy 2 years after superseded or obsolete bull

2 Other Destroy when superseded or obsolete

and Reviews either by or for the Agency dealing with the review and analysis of progress made by or deficiencies of Agency administration or programs Includes statistical consultive and analytical Also includes final report and all supporting material such as documents reflecting actual performance progress accomplishmentsdeficiencies and problems in relation to administrative or program goals Except files involving Agency employees see GRS

a Reviews of program operations

Record Destroy when 20 years old

b Other reviews

Record Destroy en 10 years old

Fovr copies inclading original lo be aaltmilled lo the National Archives and R cor Service

____ _

Copies

first

Investigations

personneJ

Copy

Copies

Management Improvement

Copy

Copies

Copy

__ Job No

see GRS

13 Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration GSA Reg 3-IV-106

Pageof pages116-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

98 DESCRIPTION OF ITEM 107

SAMPLE OR (WITH INCLUSIVE DATES OR RETENTION PERIODS) ITEM NO JOB NO

c Other copies of reviews

All Destroy upon receipt of next review or when 5 years old whichever occurs

21 Audits and of Agency administrashytion or programs by GAO OGC OIG OPM and others Except files involving Agency

a Record Destroy 5 years after case closed or final action taken

b Other Destroy 2 years after case closed or final action taken

22 reviews or studies These reviews or studies may result in the ini tiation of changes in the manner or method of planning directing controlling or pershyforming work which results in increased effectiveness efficiency and economy

a Reviews or studies from which action is taken

1 Record Destroy 5 years after all action has been taken or upon receipt of second subsequent report whichever is sooner

2 Other Destroy upon receipt of next report or when 2 years old whichever is sooner

b Reviews or studies on which no action is taken

1 Record Destroy when 5 years old

2 Other Copies Destroy when 2 years old

ACTION TAKEN

Four copies inchacling original to be 1111bmitted to the National Archives and Rolcor Service

____ _

Copy

Copies

Copy

Copies

Copy

Copy

Copies

Standard Fonn No 115-A Revised November 1951

Job No Page 14Prescribed by General Service Administration GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

23 1 Work Simplification material

a Material dealing with work programming manpower utilization and work measurement Includes time and motion studies established workload and assignment computations and summary report

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b Work plans and accomplishments except work plans supporting budget submission

1 Record Destroy 4 years after work plan is completed or implemented or when 4 years old if no further action taken

2 Other Destroy when work plan is completed or implemented or when 2 years old if no further action taken

c Work standards and related material

1 Approved work standards

(a) Record Destroy 5 years after standard superseded or obsolete

(b) Other CopiesDestroy when standard superseded or obsolete

2 Proposed work standards

(a) Record Destroy when 4 years old if no further action is taken

(b) Other Destroy when 4 years old

10

ACTION TAKEN

Foar copies incl11ding original to be salgtmitted to the National Archives and R cor Service

_ _ _ _ _

Management

haoing preceaeneial BiBifieaAee

IncludesAfevisionsee ieerleEieAaJ er hiseerical maeerial relating tu clearancee iHeer reeaEieAs aae elaFif iea iea ef ineLrtteeieft8

Copy

old b f i- tJ JtJ rrl)_ sci44() b - fn ctional issuances ttaving s ort-term effect and value

Copy

Copy

Copies

Records

Exclude

Standard Form No 115-A Revised November 1951

Job No Pag e 15Prescribed by General Service Administration

GSA Reg 3-IV-106 116-202 of __pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO ACTION TAKEN

24 Directive material relating to the 1 development and control of Agency issuances

such as administrative and program directives notices bulletins and the like

a Issuances concerned with formal Agency policy formulation organization functions procedures and operations

Arranged numerically f

Record ci cubic feet on hand)Permanent Transfer to FARC when 10 years old Offer to NARS when 20 years

Record Destroy 5 years after superseded or obsolete

c Notices bulletins indexes announcements and similar material not part of a or b above

Record Destroy 2 years after terminated superseded or obsolete

d Other copies of issuances

All Destroy when terminated superseded or obsolete

25 Maintenance material covering standards and systems for creating organizing and maintaining records Includes related correspondence and Agency file systems and disposal schedules when they are incorporated and approved as part of a file systemmaterial covered by the GRS except disposalschedules made part of a file system Those schedules must be maintained with the file system since the case file records and the file

lour copies including original to be inahmittetl to the Notional Archives anti Raco Service

____ _

Copy

Copies

Micrographics Systems

Copy terminated

Copies

Security

Copy

Copies

Correspondence Management preparaticn

correspondencE

the

Copy

Copies

Standard Form No 115-A Revised November 1951

Job No Page 16Prescribed by General Service Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

system and schedule itself are inseparable

a Record Destroy 5 years after superseded or obsolete

b Other Destroy when superseded or obsolete

26 including studies applishycations for systems requisitions certifishycations and approvals

a Record Destroy 5 years after system

b Other Destroy when system terminated

27 Records material dealing with systems and procedures for protecting and controlling documents and information except records covered by the GRS

a Record Destroy 1 year after superseded or obsolete

b Other Destroy when superseded or obsolete

28 standards handbooks and related material dealing with the of correspondence format clearances and signature requirements Includes instructions for preparing formal and informal telegrams envelopes forms of address and similar matters Except material covered byGRS

a Record Destroy 2 years after superseded or obsolete

b Other Destroy when superseded or obsolete

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original to be llUltmitted to the National Archives and Rcaru Service

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 13: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

____ _

Copies

first

Investigations

personneJ

Copy

Copies

Management Improvement

Copy

Copies

Copy

__ Job No

see GRS

13 Standard Form No 115-A Revised November 1951 Prescribed by General ServicM Administration GSA Reg 3-IV-106

Pageof pages116-202

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

98 DESCRIPTION OF ITEM 107

SAMPLE OR (WITH INCLUSIVE DATES OR RETENTION PERIODS) ITEM NO JOB NO

c Other copies of reviews

All Destroy upon receipt of next review or when 5 years old whichever occurs

21 Audits and of Agency administrashytion or programs by GAO OGC OIG OPM and others Except files involving Agency

a Record Destroy 5 years after case closed or final action taken

b Other Destroy 2 years after case closed or final action taken

22 reviews or studies These reviews or studies may result in the ini tiation of changes in the manner or method of planning directing controlling or pershyforming work which results in increased effectiveness efficiency and economy

a Reviews or studies from which action is taken

1 Record Destroy 5 years after all action has been taken or upon receipt of second subsequent report whichever is sooner

2 Other Destroy upon receipt of next report or when 2 years old whichever is sooner

b Reviews or studies on which no action is taken

1 Record Destroy when 5 years old

2 Other Copies Destroy when 2 years old

ACTION TAKEN

Four copies inchacling original to be 1111bmitted to the National Archives and Rolcor Service

____ _

Copy

Copies

Copy

Copies

Copy

Copy

Copies

Standard Fonn No 115-A Revised November 1951

Job No Page 14Prescribed by General Service Administration GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

23 1 Work Simplification material

a Material dealing with work programming manpower utilization and work measurement Includes time and motion studies established workload and assignment computations and summary report

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b Work plans and accomplishments except work plans supporting budget submission

1 Record Destroy 4 years after work plan is completed or implemented or when 4 years old if no further action taken

2 Other Destroy when work plan is completed or implemented or when 2 years old if no further action taken

c Work standards and related material

1 Approved work standards

(a) Record Destroy 5 years after standard superseded or obsolete

(b) Other CopiesDestroy when standard superseded or obsolete

2 Proposed work standards

(a) Record Destroy when 4 years old if no further action is taken

(b) Other Destroy when 4 years old

10

ACTION TAKEN

Foar copies incl11ding original to be salgtmitted to the National Archives and R cor Service

_ _ _ _ _

Management

haoing preceaeneial BiBifieaAee

IncludesAfevisionsee ieerleEieAaJ er hiseerical maeerial relating tu clearancee iHeer reeaEieAs aae elaFif iea iea ef ineLrtteeieft8

Copy

old b f i- tJ JtJ rrl)_ sci44() b - fn ctional issuances ttaving s ort-term effect and value

Copy

Copy

Copies

Records

Exclude

Standard Form No 115-A Revised November 1951

Job No Pag e 15Prescribed by General Service Administration

GSA Reg 3-IV-106 116-202 of __pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO ACTION TAKEN

24 Directive material relating to the 1 development and control of Agency issuances

such as administrative and program directives notices bulletins and the like

a Issuances concerned with formal Agency policy formulation organization functions procedures and operations

Arranged numerically f

Record ci cubic feet on hand)Permanent Transfer to FARC when 10 years old Offer to NARS when 20 years

Record Destroy 5 years after superseded or obsolete

c Notices bulletins indexes announcements and similar material not part of a or b above

Record Destroy 2 years after terminated superseded or obsolete

d Other copies of issuances

All Destroy when terminated superseded or obsolete

25 Maintenance material covering standards and systems for creating organizing and maintaining records Includes related correspondence and Agency file systems and disposal schedules when they are incorporated and approved as part of a file systemmaterial covered by the GRS except disposalschedules made part of a file system Those schedules must be maintained with the file system since the case file records and the file

lour copies including original to be inahmittetl to the Notional Archives anti Raco Service

____ _

Copy

Copies

Micrographics Systems

Copy terminated

Copies

Security

Copy

Copies

Correspondence Management preparaticn

correspondencE

the

Copy

Copies

Standard Form No 115-A Revised November 1951

Job No Page 16Prescribed by General Service Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

system and schedule itself are inseparable

a Record Destroy 5 years after superseded or obsolete

b Other Destroy when superseded or obsolete

26 including studies applishycations for systems requisitions certifishycations and approvals

a Record Destroy 5 years after system

b Other Destroy when system terminated

27 Records material dealing with systems and procedures for protecting and controlling documents and information except records covered by the GRS

a Record Destroy 1 year after superseded or obsolete

b Other Destroy when superseded or obsolete

28 standards handbooks and related material dealing with the of correspondence format clearances and signature requirements Includes instructions for preparing formal and informal telegrams envelopes forms of address and similar matters Except material covered byGRS

a Record Destroy 2 years after superseded or obsolete

b Other Destroy when superseded or obsolete

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original to be llUltmitted to the National Archives and Rcaru Service

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 14: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

____ _

Copy

Copies

Copy

Copies

Copy

Copy

Copies

Standard Fonn No 115-A Revised November 1951

Job No Page 14Prescribed by General Service Administration GSA Reg 3-IV-106

11 202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

23 1 Work Simplification material

a Material dealing with work programming manpower utilization and work measurement Includes time and motion studies established workload and assignment computations and summary report

1 Record Destroy when 4 years old

2 Other Destroy when 2 years old

b Work plans and accomplishments except work plans supporting budget submission

1 Record Destroy 4 years after work plan is completed or implemented or when 4 years old if no further action taken

2 Other Destroy when work plan is completed or implemented or when 2 years old if no further action taken

c Work standards and related material

1 Approved work standards

(a) Record Destroy 5 years after standard superseded or obsolete

(b) Other CopiesDestroy when standard superseded or obsolete

2 Proposed work standards

(a) Record Destroy when 4 years old if no further action is taken

(b) Other Destroy when 4 years old

10

ACTION TAKEN

Foar copies incl11ding original to be salgtmitted to the National Archives and R cor Service

_ _ _ _ _

Management

haoing preceaeneial BiBifieaAee

IncludesAfevisionsee ieerleEieAaJ er hiseerical maeerial relating tu clearancee iHeer reeaEieAs aae elaFif iea iea ef ineLrtteeieft8

Copy

old b f i- tJ JtJ rrl)_ sci44() b - fn ctional issuances ttaving s ort-term effect and value

Copy

Copy

Copies

Records

Exclude

Standard Form No 115-A Revised November 1951

Job No Pag e 15Prescribed by General Service Administration

GSA Reg 3-IV-106 116-202 of __pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO ACTION TAKEN

24 Directive material relating to the 1 development and control of Agency issuances

such as administrative and program directives notices bulletins and the like

a Issuances concerned with formal Agency policy formulation organization functions procedures and operations

Arranged numerically f

Record ci cubic feet on hand)Permanent Transfer to FARC when 10 years old Offer to NARS when 20 years

Record Destroy 5 years after superseded or obsolete

c Notices bulletins indexes announcements and similar material not part of a or b above

Record Destroy 2 years after terminated superseded or obsolete

d Other copies of issuances

All Destroy when terminated superseded or obsolete

25 Maintenance material covering standards and systems for creating organizing and maintaining records Includes related correspondence and Agency file systems and disposal schedules when they are incorporated and approved as part of a file systemmaterial covered by the GRS except disposalschedules made part of a file system Those schedules must be maintained with the file system since the case file records and the file

lour copies including original to be inahmittetl to the Notional Archives anti Raco Service

____ _

Copy

Copies

Micrographics Systems

Copy terminated

Copies

Security

Copy

Copies

Correspondence Management preparaticn

correspondencE

the

Copy

Copies

Standard Form No 115-A Revised November 1951

Job No Page 16Prescribed by General Service Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

system and schedule itself are inseparable

a Record Destroy 5 years after superseded or obsolete

b Other Destroy when superseded or obsolete

26 including studies applishycations for systems requisitions certifishycations and approvals

a Record Destroy 5 years after system

b Other Destroy when system terminated

27 Records material dealing with systems and procedures for protecting and controlling documents and information except records covered by the GRS

a Record Destroy 1 year after superseded or obsolete

b Other Destroy when superseded or obsolete

28 standards handbooks and related material dealing with the of correspondence format clearances and signature requirements Includes instructions for preparing formal and informal telegrams envelopes forms of address and similar matters Except material covered byGRS

a Record Destroy 2 years after superseded or obsolete

b Other Destroy when superseded or obsolete

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original to be llUltmitted to the National Archives and Rcaru Service

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 15: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

_ _ _ _ _

Management

haoing preceaeneial BiBifieaAee

IncludesAfevisionsee ieerleEieAaJ er hiseerical maeerial relating tu clearancee iHeer reeaEieAs aae elaFif iea iea ef ineLrtteeieft8

Copy

old b f i- tJ JtJ rrl)_ sci44() b - fn ctional issuances ttaving s ort-term effect and value

Copy

Copy

Copies

Records

Exclude

Standard Form No 115-A Revised November 1951

Job No Pag e 15Prescribed by General Service Administration

GSA Reg 3-IV-106 116-202 of __pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCRIPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO ACTION TAKEN

24 Directive material relating to the 1 development and control of Agency issuances

such as administrative and program directives notices bulletins and the like

a Issuances concerned with formal Agency policy formulation organization functions procedures and operations

Arranged numerically f

Record ci cubic feet on hand)Permanent Transfer to FARC when 10 years old Offer to NARS when 20 years

Record Destroy 5 years after superseded or obsolete

c Notices bulletins indexes announcements and similar material not part of a or b above

Record Destroy 2 years after terminated superseded or obsolete

d Other copies of issuances

All Destroy when terminated superseded or obsolete

25 Maintenance material covering standards and systems for creating organizing and maintaining records Includes related correspondence and Agency file systems and disposal schedules when they are incorporated and approved as part of a file systemmaterial covered by the GRS except disposalschedules made part of a file system Those schedules must be maintained with the file system since the case file records and the file

lour copies including original to be inahmittetl to the Notional Archives anti Raco Service

____ _

Copy

Copies

Micrographics Systems

Copy terminated

Copies

Security

Copy

Copies

Correspondence Management preparaticn

correspondencE

the

Copy

Copies

Standard Form No 115-A Revised November 1951

Job No Page 16Prescribed by General Service Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

system and schedule itself are inseparable

a Record Destroy 5 years after superseded or obsolete

b Other Destroy when superseded or obsolete

26 including studies applishycations for systems requisitions certifishycations and approvals

a Record Destroy 5 years after system

b Other Destroy when system terminated

27 Records material dealing with systems and procedures for protecting and controlling documents and information except records covered by the GRS

a Record Destroy 1 year after superseded or obsolete

b Other Destroy when superseded or obsolete

28 standards handbooks and related material dealing with the of correspondence format clearances and signature requirements Includes instructions for preparing formal and informal telegrams envelopes forms of address and similar matters Except material covered byGRS

a Record Destroy 2 years after superseded or obsolete

b Other Destroy when superseded or obsolete

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original to be llUltmitted to the National Archives and Rcaru Service

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 16: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

____ _

Copy

Copies

Micrographics Systems

Copy terminated

Copies

Security

Copy

Copies

Correspondence Management preparaticn

correspondencE

the

Copy

Copies

Standard Form No 115-A Revised November 1951

Job No Page 16Prescribed by General Service Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

system and schedule itself are inseparable

a Record Destroy 5 years after superseded or obsolete

b Other Destroy when superseded or obsolete

26 including studies applishycations for systems requisitions certifishycations and approvals

a Record Destroy 5 years after system

b Other Destroy when system terminated

27 Records material dealing with systems and procedures for protecting and controlling documents and information except records covered by the GRS

a Record Destroy 1 year after superseded or obsolete

b Other Destroy when superseded or obsolete

28 standards handbooks and related material dealing with the of correspondence format clearances and signature requirements Includes instructions for preparing formal and informal telegrams envelopes forms of address and similar matters Except material covered byGRS

a Record Destroy 2 years after superseded or obsolete

b Other Destroy when superseded or obsolete

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

Four copies including original to be llUltmitted to the National Archives and Rcaru Service

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 17: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

____ _

related inceptio11

Copy

Copies

Copies

Report

Copy

Reprimand

Copies

Vacancy

Copy

Colies

Copy -tlJ11A n Yampi i9 lezet

uiliehase date listeti

Standard Form No 115-A Revised November 1951

Job No Page 17Prescribed by General Services Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

IO

ACTION TAKEN

29 Forms Files and related records Includes one copy of each form created by Agency with instructions and documentation showing scope and purpose Except material covered bythe GRS

a Record Destroy 5 years after form declared obsolete

b Other Destroy when 2 years old

30 Time and Attendance administration material not included in the MODE time and attendance procedures handbook Excludes material covered by the GRS

All Destroy when superseded or obsolete

31 Time and Attendance transmittal forms

Record Destroy after 6 pay periods

32 Letters of

All Destroy when 3 years old unless shorter retention is agreed between parties Minimum retention is destroy when 1 yea old

33

34

Personnel Announcements and related material

a Record Destroy 1 year after closing date

b Other Destroy month after closing date

Local Purchase voucher book covers

Record fLfUurwJ Destroy 3 years after

rRS f

Four copies inclucling original to be rabmitted to the National Archives and R-cor Service

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 18: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

____ _

Property Accountability

Copies

Copies

Copy n 3 y af LEplusmn yeaplusmn of Ia L

QSa Q aa Q lis ea eft eeerd

Copies

Copies

Property Management

Standard Fonn No 115-A Revised November 1951

Job No Page 18Prescribed by General ServicM Administration OBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 8 DESCR IPTION OF ITEM ITEM NO (WITH INCLUSIVE DATES OR RETENTION PERIODS)

35 1 records and related material not covered by the GRS

a Surplus real and related personal property disposal case files

All Destroy 2 years after disposal of property

b Accountability records used to maintain control of such items as certificates accountshyable forms and unused bills of lading

All Destroy 3 years after cleared andor completed

9 SAMPLE OR

JOB NO

c Accountable forms such as travel requests q RS3-qe purchase orders and the like

Record middot Destroy

d Warranties and instructions covering equipment Includes maintenance manuals

1 Warranties

All Destroy upon expiration

2 Instructions

All Forward when equipment is transferred or destroy when equipment is disposed

36 Real records except those covered in the GRS and item 35a above

a Case files of Agency-owned buildings and facilities acquired before 1921

10 ACTION TAKEN

Four copies including original to be inalamitted to the National Archives and R cor Service

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 19: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

____ _

Copy

Copies

Copies

Copies

Copy

Copy 1 1ear apound eF ea eFeeses eF

eJaeeleEe bQ

Training

19

All

Standard Form No 115-A Revised November 1951

Job No PagePrescribed by General Servic Administration GSA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

1 Record Destroy 10 years after disposition of property

2 Other Destroy upon disposition of property

b Inventories of federally-owned and leased real property

All Destroy upon receipt of superseding inventory

Motor Vehicle related records not covered in the GRS

a Parking facility related material includingparking assignments and restrictions

Destroy when 1 year old

b Agency operated or leased shuttles

1 Passenger logs

Record Destroy when 1 year old

2 Operating schedules and work assignshyments

Record Destroy

3

material including plans programsfacilities and trainee administration not covered in the GRS

a Plans and estimates and related material dealing with Agency or program long- and shortshyrange group training plans and estimates

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

37

38

Fo copies inchading original to be aabmilled to the National Archives and Rcor Service

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service

Page 20: Rv SH 1 - National Archives1. Record Destroy 10 years after delegation cancelled. 2. Other Destroy 1 year after delegation cancelled. b. Temporary delegations for one to act for another

No -----

Copy

Copy

Copies

Copy

Copies

Copy

Correspondence administrative

Copy

Copies

20

Standard Form No 115-A Revised November 1951 Prescribed by General Services Administration Job PageOBA Reg 3-IV-106

116-202 of __ pages

REQUEST FOR AUTHORITY TO DISPOSE OF RECORDS-Continuation Sheet

7 ITEM NO

8 DESCRIPTION OF ITEM

(WITH INCLUSIVE DATES OR RETENTION PERIODS)

9 SAMPLE OR

JOB NO

10 ACTION TAKEN

39

1 Record Destroy 3 years after plans are supershyseded or obsolete

2 Other CopiesDestroy when plans are superseded or obsolete

b In-house training courses or program master file developed by Agency offices Includes material and description of courses and teachshying aids used

1 Record Destroy when 20 years old

2 Other Destroy when course or program supershyseded or obsolete

c Material relating to training facilities including equipment used for training purposes

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

d Employee training history listing

1 Record Destroy 2 years after employee leaves program or division

2 Other CopiesDestroy when 3 years old

General Administrative relating to all functions of the Agency and not described in the GRS or in items 1-38 above

1 Record Destroy when 3 years old

2 Other Destroy when 2 years old

Foar copies inchading original lo be amilled to the National Archives and Rcoru Service