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Tennessee Secretary of State Tre Hargett
Records Management Division
RDA
RDA Management System
RDA Details
RDA
RDA: 11126
Database ID: 2027
Record Series Title: State Workers' Compensation Reports
Record Series Abstract: Records consist of reports from third-party companies contracted by the state of Tennessee to administer the workers' compensation claims on behalf of the state. In addition, these records have documentation and approvals of workers compensation claims for approvals of state employees, but do not contain any medical records.
Record Series Active: Yes
Cut Off at End of: Calendar Year
If Other, Explain:
Total Retention: 15 Years 0 Months
Retention End Action: Destroy
Disposition Notes: Maintain in agency for fifteen (15) years; then destroy by state-approved methods.
View Signed Form: Form Not Received
Worksheet
Worksheet ID: 2029
Record Location: 312 Rosa L. Parks Blvd., TN Tower-16th Floor; Protected Leave (PL) office, Nashville, TN 37243
File Arrangement: Chronological
Media Format Generated: Paper
Media Format Stored: Paper: Sheet
Date Range: 2000 to present
Annual Accumulation: Less than 1 cubic foot
Current Volume: 8 cubic feet
Record Value: Administrative
Audit Requirements: State
Reference Frequency:
Current Year per Month: 10
Past Year: 5
2 - 5 Years: 3
Over 5 Years: 1
Data Update Frequency: Monthly
Information Shared Outside of State: No
If Shared, List Agencies:
Essential Record: No
Essential Record Stored:
Essential Record Media Type: Paper
Confidential: No
Confidential Legal Citation:
Media Recommendation:
Media Recommendation Other:
Agency Retention: 15 years
Agency Retention - Years Active: 15 years
Agency Retention - Years Inactive: n/a
Records Center Retention Period: n/a
Final Disposition after Retention Expires: Destroy
Legal Citation:
Record Sample: No Sample
Legal Documentation: No Legal Documentation
Electronic Records Plan Inventory
System Name:
IT-ABC Number:
Hardware Description:
Software Description:
System Location:
Backup Procedures:
Disaster Recovery:
Data Migration Description:
Metadata Description:
Contact Information
Contact Name: Sheila Marchman
Job Title: Director of Agency Resource CenterDivision, TN Dept of Human Resources
Address 1: 505 Deaderick Street James K. Polk Building
Address 2:
City: Nashville
Zip: 37243-0635
Phone: 615-741-2087
Email: sheila.marchman@tn.gov
Agency: Dept. of Human Resources
Agency Head: Rebecca Hunter
Director: Steve Brown
Allotment Code: 31901
Status
Action Requested: New RDA
Comments
  Date Comments
Records Management Division (RMD): 01-14-2016 No recommended changes.
Tennessee State Libary and Archives: 01-14-2016 No recommended changes.
Comptroller Audit Review: 2016-01-14 We have reviewed RDA 11126 from an audit standpoint. We concur with the recommended retention and disposition specifications.
Agency: 08-26-2015 RDA Updated to fifteen years along with more detail about what records are contained and the fact there are no medical records included. The 15 years should be sufficient to meet the publics need since this retention period is in line with the U.S. Department of Labor- Office of Workers Compensation Programs (NARA) Job Number N1-271-00-1 Received 2-29-00.
RMD Director Recomendations: 02-03-2016 RDA 11126 is a request for a new RDA. The abstract, disposition, and retention period were updated to match federal regulations. The retention period will be fifteen years and the format paper. Recommend approval to create RDA 11126.
Signed Form Received: 2016-02-02
PRC Meeting Date: 02-25-2016
PRC Comments: PRC approves RDA 11126.
PRC Action: Approved
RDA History
ID RDA PRC Reviewed PRC Action
2027 11126 2016-02-25 Approved