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Staff and Personnel Impact - LTCF Personnel
[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities
OMB: 0920-1317
IC ID: 243706
OMB.report
HHS/CDC
OMB 0920-1317
ICR 202305-0920-005
IC 243706
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1317 can be found here:
2024-03-14 - No material or nonsubstantive change to a currently approved collection
2023-09-07 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form CDC 57.145
Staff and Personnel Impact - LTCF Personnel
Form and Instruction
CDC 57.145 Staff and Personnel Impact
57.145 Staff and Personnel Form v5_CLEAN.docx
Form and Instruction
57.145- staff toi V8_CLEAN.docx
Form Instructions
IC Document
Information Collection (IC) Details
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