Document
COVID-19 Form Resident Impact and Facility Capacity
ICR 202102-0920-015 · OMB 0920-1317 · Object 109546801.
This document may belong to an older filing. More recent activity for OMB 0920-1317:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 70 · next 2026-06-17 04:00:38)
Missing: html
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | COVID-19 Form Resident Impact and Facility Capacity |
| Subject | NHSN OMB Forms |
| Author | CDC/NCEZID/DHQP |
| File Created | 2021-03-02 |
| Conversion State | partial |