NHSN COVID-19 Hospital Module - Hospitals (excluding Psychiatric and Rehabilitation Facilities)

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1317 can be found here:

Documents and Forms

Document Name Document Type
NHSN COVID-19 Hospital Module - Hospitals (excluding Psychiatric and Rehabilitation Facilities) Form and Instruction
NHSN COVID-19 Hospital Module - Hospitals (excluding Psychiatric and Rehabilitation Facilities) Form and Instruction
NHSN COVID-19 Hospital Module Hospital COVID Data Form - webform_FINAL.docx Form and Instruction
0920-1317 COVID-19 Hospital Data Form Form-COVID-19 Hospital Data Form-Clean Version.docx Form and Instruction
TOI-for Completion of the COVID-19 Hospital Data Reporting Form.docx TOI COVID-19 Hospital Module Form IC Document

Information Collection (IC) Details