Number Received Date PDF Form Total Accounts Name of Agency to Which this Form Applies Record Group Number Superseding a Previous Submission Previous Tracking Number GRS 6.1 Item(s) Proposed for Use Implementation Scope for this Submission Additional Scope Comments Cutoff Instructions Transfer Instructions Legacy Email Scope Classified Accounts URL to Agency Organization Chart Contact Information for Agency Records Officer Whom should NARA contact if there any questions Category 1 Position Title/Role and Number of Accounts Category 1 Total Accounts Category 2 Position Title/Role and Number of Accounts Category 2 Total Accounts Category 3 Position Title/Role and Number of Accounts Category 3 Total Accounts Category 4 Position Title/Role and Number of Accounts Category 4 Total Accounts Category 5 Position Title/Role and Number of Accounts Category 5 Total Accounts Category 6 Position Title/Role and Number of Accounts Category 6 Total Accounts Category 7 Position Title/Role and Number of Accounts Category 7 Total Accounts Category 8 Position Title/Role and Number of Accounts Category 8 Total Accounts Category 9 Position Title/Role and Number of Accounts Category 9 Total Accounts Category 10 Position Title/Role and Number of Accounts Category 10 Total Accounts Agency Records Officer Agency Records Officer Approval Agency Records Officer Approval Date Senior Agency Official Senior Agency Official Approval Senior Agency Official Approval Date Chief Records Officer for the U.S. Chief Records Officer for the U.S. Approval Date