Form 0920-1317 / CDC Fo 0920-1317 / CDC Fo Weekly COVID-19 Vaccination Cumulative Summary for Dialy

[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities

COVIDVax.Dialysis.FORM_September2021_ARB.EK

Weekly Patient COVID-19 Vaccination Cumulative Summary for Dialysis Facilities

OMB: 0920-1317

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-1317 can be found here:

2025-03-28 - No material or nonsubstantive change to a currently approved collection
2025-01-10 - No material or nonsubstantive change to a currently approved collection

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