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57.300 Hemovigilance Module Annual Survey -- Acute Care Facility
[NCEZID] The National Healthcare Safety Network (NHSN)
OMB: 0920-0666
IC ID: 190360
OMB.report
HHS/CDC
OMB 0920-0666
ICR 202310-0920-013
IC 190360
( )
⚠️ Notice: This information collection may be referencing outdated material.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 CDC 57.300
57.300 Hemovigilance Module Annual Survey -- Acute Care Facility
Form
CDC 57.300 Hemovigilance Module - Annual Survey
57.300_HV Annual Facility Survey - Non-Acute_BLANK.docx
Form
57.300 Hemovigilance Module Annual Survey (with revised GISAB questions)
57.300_hv-annual-facility-survey_OMB.docx
Form
3. Biovigilance Component.pdf
Att G3_Biovigilance Component
IC Document
57.300_hv-annual-facility-survey_OMB.docx
Hemovigilance Module Annual Survey (with revised GISAB questions in tracked changes)
IC Document
Information Collection (IC) Details
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