Form 0920-1290 NHSN and Secure Access Management Services (SAMS) Enroll

National Healthcare Safety Network (NHSN) Patient Impact Module for Coronavirus (COVID-19) Surveillance in Healthcare Facilities

NHSN registration form

NHSN and Secure Access Management Services (SAMS) Enrollment

OMB: 0920-1290

Document [docx]
Download: docx | pdf

Available at: https://nhsn.cdc.gov/RegistrationForm/controller?method=regAgree

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSamuel, Lee (CDC/DDPHSIS/CGH/DPDM)
File Modified0000-00-00
File Created2021-01-14

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