Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary

[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1317 can be found here:

Documents and Forms

Document Name Document Type
Form CDC Form 57.219 Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary Form and Instruction
CDC Form 57.219 Healthcare Personnel COVID-19 Vaccination Cumulative Summary COVIDVax.HCP.FORM_September2021_FINAL.docx Form and Instruction

Information Collection (IC) Details