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Tennessee Secretary of State Tre Hargett
Records Management Division
RDA
RDA Management System
RDA Details
RDA
RDA: 2827
Database ID: 1039
Record Series Title: LICENSURE FILES
Record Series Abstract: RECORDS INCLUDE BUT NOT LIMITED TO: APPLICATION FOR LICENSES FOR CONTRACT FACILITIES, FACILITY FACT SHEET MH-4386, INITIAL APPLICATION FOR LICENSE MH-4385, APPLICATION FOR LICENSE RENEWAL MH-4457, APPLICANT'S FINANCIAL STATEMENT MH-4466, LICENSE APPLICATION FEES INVOICE MH-4453, CHANGE OF STATUS FORM MH-4454, INITIAL LICENSE MH-4458.
Record Series Active: Yes
Cut Off at End of: Other
If Other, Explain: Upon expiration or renewal of license.
Total Retention: 5 Years 0 Months
Retention End Action: Destroy
Disposition Notes: Records are cut off upon expiration or renewal of license. Records are kept in agency for 5 years then destroyed by state approved methods.
View Signed Form: Form Not Received
Worksheet
Worksheet ID: 1039
Record Location: LICENSURE\'S OFFICE 500 DEADERICK ST,ANDREW JACKSON BLDG., 5th floor, NASH,TN 38243 EAST LICENSURE, KNOXVILLE WEST LICENSURE, MEMPHIS
File Arrangement: Alphabetical
Media Format Generated: Paper
Media Format Stored: Paper: Sheet
Date Range: 1983 to current
Annual Accumulation: 5 cu ft
Current Volume: 87 cu ft
Record Value: Administrative, Fiscal
Audit Requirements: State
Reference Frequency:
Current Year per Month: 100
Past Year: 1
2 - 5 Years: 1
Over 5 Years: 0
Data Update Frequency: Yearly
Information Shared Outside of State: No
If Shared, List Agencies: N/A
Essential Record: Yes - Original
Essential Record Stored: Originals stored as follows East Region - Knoxville, West Region - Memphis and Mid Region - Nashville
Essential Record Media Type: Paper
Confidential: Yes
Confidential Legal Citation: N/A
Media Recommendation: Current Format
Media Recommendation Other: N/A
Agency Retention: 5 years
Agency Retention - Years Active: 3
Agency Retention - Years Inactive: 2
Records Center Retention Period: 0
Final Disposition after Retention Expires: Destroy
Legal Citation: NO
Record Sample: No Sample
Legal Documentation: No Legal Documentation
Electronic Records Plan Inventory
System Name: N/A
IT-ABC Number: N/A
Hardware Description: N/A
Software Description: N/A
System Location: N/A
Backup Procedures: N/A
Disaster Recovery: N/A
Data Migration Description: N/A
Metadata Description: N/A
Contact Information
Contact Name: CATHY BENHAMED
Job Title: ADMINISTRATIVE SERVICES ASSISTANT 3
Address 1: 500 DEADERICK ST
Address 2: ANDREW JACKSOIN BLDG., 6th floor
City: NASHVILLE
Zip: 37243
Phone: 6155326623
Email: cathy.benhamed@tn.gov
Agency: Dept. of Mental Health
Agency Head: COMMISSIONER DOUG VARNEY
Director: JAY OZIMINSKI
Allotment Code: 33901
Status
Action Requested: New RDA
Comments
  Date Comments
Records Management Division (RMD): 08-04-2016 No recommended changes
Tennessee State Libary and Archives: 08-04-2016 No recommended changes.
Comptroller Audit Review: 2016-08-04 We have reviewed RDA 2827 from an audit standpoint. We concur with the recommended retention and disposition specifications.
Agency: 08-08-2016 Thank you.
RMD Director Recomendations: 08-15-2016 RDA 2827 is a request to revise an RDA. The retention period will change from three years to five years. The format will remain paper. The Abstract, Cut Off, Disposition Notes, and Worksheet have been updated. Recommend approval of request to revise RDA 2827.
Signed Form Received: 2016-08-12
PRC Meeting Date: 11-03-2016
PRC Comments: PRC approves RDA 2827.
PRC Action: Approved
RDA History
ID RDA PRC Reviewed PRC Action
1039 2827 2016-11-03 Approved