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57.125 Central Line Insertion Practices Adherence Monitoring Form
[NCEZID] The National Healthcare Safety Network (NHSN)
OMB: 0920-0666
IC ID: 183555
OMB.report
HHS/CDC
OMB 0920-0666
ICR 202402-0920-011
IC 183555
( )
Documents and Forms
Document Name
Document Type
Form CDC 57.125
57.125 Central Line Insertion Practices Adherence Monitoring Form
Form
Form CDC 57.125
57.125 Central Line Insertion Practices Adherence Monitoring Form
Form
CDC 57.125 Central Line Insertion Practices Adherence Monitoring
57.125_CLIP_BLANK.docx
Form
CDC 57.115 Central Line Insertion Practices Adherence Monitoring (revised GISAB questions)
57.125_CLIP_November_2022.docx
Form
57.125_CLIP_November_2022.docx
57.125 Central Line Insertion Practices Adherence Monitoring (with GISAB edits in tracked changes)
IC Document
Information Collection (IC) Details
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