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COVID-19 Hospital Data Form (Psychiatric and Rehabilitation Facilities)
[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities
OMB: 0920-1317
IC ID: 262062
OMB.report
HHS/CDC
OMB 0920-1317
ICR 202403-0920-007
IC 262062
( )
⚠️ Notice: This information collection may be referencing outdated material.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 0920-1317
COVID-19 Hospital Data Form (Psychiatric and Rehabilitation Facilities)
Form and Instruction
Form 0920-1317
COVID-19 Hospital Data Form (Psychiatric and Rehabilitation Facilities)
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
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