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57.505 Dialysis Patient Influenza Vaccination
[NCEZID] The National Healthcare Safety Network (NHSN)
OMB: 0920-0666
IC ID: 208410
OMB.report
HHS/CDC
OMB 0920-0666
ICR 202310-0920-013
IC 208410
( )
⚠️ Notice: This information collection may be referencing outdated material.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 57.505
57.505 Dialysis Patient Influenza Vaccination
Form
CDC 57.505 Dialysis Patient Influenza Vaccination
57.505_DIAL Pt Flu Vacc_BLANK.docx
Form
Information Collection (IC) Details
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