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Long Term Care Facility Resident Impact and Facility Capacity Pathway
[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities
OMB: 0920-1317
IC ID: 243702
OMB.report
HHS/CDC
OMB 0920-1317
ICR 202403-0920-007
IC 243702
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1317 can be found here:
2024-08-22 - No material or nonsubstantive change to a currently approved collection
2024-08-06 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form CDC 57.144
Long Term Care Facility Resident Impact and Facility Capacity Pathway
Form and Instruction
Form CDC 57.144
Long Term Care Facility Resident Impact and Facility Capacity Pathway
Form and Instruction
CDC 57.144 Resident Impact and Facility Capacity
57.144 RIFC form v13 final 5.3.23_CLEAN.docx
Form and Instruction
57.144 COVID-19 and Respiratory Infections Module Long Term Care Facility Resident Impact and Facility Capacity Pathway Form (57.144) 07SEP2023
Form-COVID-19_Respiratory Infections Module LTCF_RIFC 57.144-Clean.docx
Form and Instruction
TOI 57.144.docx
TOI - Form 57.144
IC Document
Information Collection (IC) Details
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