Federal Records Management

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Records Disposition Recommendation Template

RECORDS DISPOSITION RECOMMENDATION 1. ACTION RECOMMENDED
~ Addition   ~ Revision   ~ Deletion
2.   FROM: 3.   THROUGH: 4.   TO:
5.   OFFICE ACCUMULATING THE RECORDS 6.   SERIES OR SYSTEM TITLE
7.   PRESCRIBING DIRECTIVE(S) OR OTHER AUTHORITY CREATING THE RECORDS (Submit copies)
 
8.   TYPE(S) OF DOCUMENTATION/INFORMATION IN THE SERIES OR SYSTEM

 
9.   HOW FILED
~ Alphabetical   ~ Geographical   ~ Other (Specify)
~ Chronological   ~ Numerical 		10.  CURRENT OFFICE VOLUME (in cu. ft.)
11.   ANNUAL ACCUMULATION 12.   IF RECOMMENDED AS PERMANENT, INCLUDE CUBIC FEET AT
(1) Records Centers _________________   (2) Staging Areas _________________
13.   MEDIUM
~Paper   ~Electronic ~ Other (Specify)
~ Microform   ~ Magnetic Tape
    ~Hard Disk
    ~ Floppy Disk
    ~ OpticalDisk
14.   PURPOSE OF THE DOCUMENTS/INFORMATION AND FREQUENCY OF USE
 
15.   ORGANIZATIONAL LEVEL(S) MAINTAINING DUPLICATE RECORDS AND PURPOSE SERVED AT EACH

 
16.   RELATED DOCUMENTS 17.   SAMPLES ARE:
~ Attached
~ Not Available
18.   CURRENT/PROPOSED SCHEDULE AND ITEM NUMBER
19.   RECOMMENDED DISPOSITION INSTRUCTIONS AND JUSTIFICATION




 
20.   DATE 21.   NAME AND TITLE OF INITIATING OFFICIAL 22.   SIGNATURE

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