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57.111 Pneumonia (includes Any Patient Pneumonia flow Diagram and Infant and Children Pneumonia Flow Diagram)
[NCEZID] The National Healthcare Safety Network (NHSN)
OMB: 0920-0666
IC ID: 183549
OMB.report
HHS/CDC
OMB 0920-0666
ICR 202310-0920-013
IC 183549
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0666 can be found here:
2024-02-28 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 57.111
57.111 Pneumonia (includes Any Patient Pneumonia flow Diagram and Infant and Children Pneumonia Flow Diagram)
Form and Instruction
57.111 Pneumonia (PNEU)
57.111_PNEU_November_2022.docx
Form and Instruction
TOI COVID 19_57.111_PNEU Event (1).docx
TOI Instructions
IC Document
57.111_PNEU_November_2022.docx
57.111 PNEU with GISAB edits in tracked changes
IC Document
Information Collection (IC) Details
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