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Tennessee Secretary of State Tre Hargett
Records Management Division
RDA
RDA Management System
RDA Details
RDA
RDA: 2090
Database ID: 586
Record Series Title: Immunization Program Records
Record Series Abstract: These records include but are not limited to Vaccines for Children (VFC) provider agreement signature pages; VFC provider electronic documents; VFC Provider Temperature Excursions Reports; VFC Site Visit Documentation; Classroom/Daycare Immunization Audit Reports;STATUS RPT., NON-PUBLIC SCHOOL IMM. STATUS RPT., NON-PUBLIC ETC.
Record Series Active: Yes
Cut Off at End of: Calendar Year
If Other, Explain:
Total Retention: 5 Years 0 Months
Retention End Action: Destroy
Disposition Notes: Records are now generated electronically and may be received in multiple electronic formats (i.e. PDF, DOC, picture, email, electronic fax, etc.). Immunization Program records are retained for five (5) years and then destroyed by state approved methods.
View Signed Form: Form Not Received
Worksheet
Worksheet ID: 586
Record Location: Immunization Program File Cabinets - 3rd Floor, Andrew Johnson Tower, 710 James Robertson Pkwy, Nashville Central Office (\\AG03SDCWF00533\DC\Data)H:\VFC Provider eRecords ;Portable 500GB Hard Drive of VFC Operations Manager (State Tag # L61015) (It serves only as a on-site temporary reference during unanticipated network outage).
File Arrangement: Numeric by PIN # or Tracking #
Media Format Generated: Electronic
Media Format Stored: Electronic: Other
Date Range: 1993 - Current
Annual Accumulation: 2GB
Current Volume: 35.26GB
Record Value: Administrative
Audit Requirements: Both
Reference Frequency:
Current Year per Month: 1500
Past Year: 750
2 - 5 Years: 93
Over 5 Years: 10
Data Update Frequency: Daily
Information Shared Outside of State: Yes
If Shared, List Agencies: CENTER FOR DISEASE CONTROL UPON REQUEST
Essential Record: FALSE
Essential Record Stored:
Essential Record Media Type:
Confidential: No
Confidential Legal Citation:
Media Recommendation: Current Format
Media Recommendation Other:
Agency Retention:
Agency Retention - Years Active:
Agency Retention - Years Inactive:
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: Network H Drive: (AG03SDCWF00533)
IT-ABC Number: AG03SDCWF00533
Hardware Description: VMware Virtual Server
Software Description: Windows 2012 R2 Server
System Location: STS DATA CENTER SOUTH, SMYRNA, TN
Backup Procedures: Standard file level backup services are provided with "EMC Avamar Backup". Backup is run nightly on all STS managed servers. Nightly backup consist of incremental backup to disk storage and is replicated to the alternate STS site. The Portable Hard-drive is backed up quarterly by the VFC Operations Manager. It serves only as a on-site temporary reference during unanticipated network outage.
Disaster Recovery: In the event of data loss at a facility data will be recovered either from backup disk or the replicated storage at the alternate facility
Data Migration Description: Electronic records are located on the Network Shared Drive which is managed by the State IT Department (STS). If necessary, STS would oversee the transfer of electronic Program records from the Network Shared Drive to the new designated secure network location.
Metadata Description: Numeric by PIN # or Tracking # Each VFC Provider is issued a unique identifying pin number (PIN), which is specific to a location participating in the VFC Program. The filing system is organized by County using their alphanumeric designator and then individually by PIN of the provider.
Contact Information
Contact Name: Lois Holt-Cooper
Job Title: Department Record Officer
Address 1: 710 JAMES ROBERTSON PARKWAY
Address 2: 6TH Floor; Andrew Johnson Tower
City: NASHVILLE
Zip: 37243
Phone: 615/253-4084
Email: lois.holt-cooper@tn.gov
Agency: Dept. of Health
Agency Head: COMMISSIONER JOHN J. DREYZEHNER MD, MPH, FACOEM
Director: DR, KELLY MOORE MD, MPH
Allotment Code: 34349
Status
Action Requested: New RDA
Comments
  Date Comments
Records Management Division (RMD): 05-17-2018 No recommended changes.
Tennessee State Libary and Archives: 05-31-2018 No recommended changes.
Comptroller Audit Review: 2018-05-22 We have reviewed RDA 2090 from an audit standpoint. We concur with the recommended retention and disposition specifications.
Agency: 08-22-2018 Thank you
RMD Director Recomendations: 09-25-2018 RDA 2090 is a request to revise an RDA. The retention period will change from two years to five years and destroy. The format will change to Electronic. The Abstract, Disposition Notes, and Worksheet have been updated. Recommend approval of request to revise RDA 2090.
Signed Form Received: 2018-09-24
PRC Meeting Date: 10-30-2018
PRC Comments: PRC approves RDA 2090.
PRC Action: Approved
RDA History
ID RDA PRC Reviewed PRC Action
586 2090 2018-10-30 Approved