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Form 57.103 Patient Safety Component-Annual Hospital Survey
[NCEZID] The National Healthcare Safety Network (NHSN)
57.103_ACH Annual Facility Survey-Clean Version
57.103 Patient Safety Component - Annual Hospital Survey
OMB: 0920-0666
OMB.report
HHS/CDC
OMB 0920-0666
ICR 202402-0920-011
IC 183572
Form 57.103 Patient Safety Component-Annual Hospital Survey
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0666 can be found here:
2024-11-15 - Revision of a currently approved collection
2024-08-26 - No material or nonsubstantive change to a currently approved collection
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