NHSN COVID-19 Hospital Module
[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities
Hospital COVID Data Form - webform_FINAL
NHSN COVID-19 Hospital Module - Hospitals (excluding Psychiatric and Rehabilitation Facilities)
OMB: 0920-1317
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-1317 can be found here:
Document [docx]
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pdf| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Smith, Henrietta (CDC/DDID/NCEZID/DHQP) |
| File Modified | 0000-00-00 |
| File Created | 2023-09-08 |