AGENCY: Department of Health. Bureau of Chronic Disease Control

SERIES: 7564
TITLE: Claim for payment
DATES: c. 1981-2009.
ARRANGEMENT: Chronological

DESCRIPTION: These are claims for reimbursement submitted by outside consultants to the various bureau programs. The varying title represents an obsolete version of the form. The claim forms include the claimant's name and address, the date that the claim arose, a description of the expense being claimed, the amount of the claim, the signatures of the approving official and the claimant, and the account to which the charge was applied. The obsolete form gives a breakdown of the expenses for services, transportation, and subsistence. It also specifies if the work was for heart clinic, maternal & child health conference, TB clinic, or medicare.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 10/1986

FORMAT MANAGEMENT

Paper: Retain in Office for 3 years and then destroy.

APPRAISAL

Administrative Fiscal

Part of these expenses were paid by federal funds and are subject to federal audit. As a result, the retention should be for the audit period (OMB Circular No. A-102, dated January 1981). An office retention is recommended due to the small volume of the records.

PRIMARY DESIGNATION

Public

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