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Weekly Resident COVID-19 Vaccination Cumulative Summary for Long-Term Care Facilities
[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities
OMB: 0920-1317
IC ID: 249435
OMB.report
HHS/CDC
OMB 0920-1317
ICR 202404-0920-010
IC 249435
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1317 can be found here:
2024-08-06 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-1317 / CDC Fo
Weekly Resident COVID-19 Vaccination Cumulative Summary for Long-Term Care Facilities
Form and Instruction
0920-1317 / CDC Form 57.218 Weekly COVID-19 Vaccination Cumulative Summary for Residents of Long-Term Care Facilities
COVIDVax.LTC.Resident.FORM_September2021_FINAL.docx
Form and Instruction
57.218 Weekly Vaccination Cumulative Summary for Residents of Long-Term Care Facilities (57.218)
Form-Weekly Vaccination Culmulative Summary_LTCF_57.218-Clean.docx
Form and Instruction
0920-1317 Weekly Respiratory Pathogen and Vaccination Summary for Residents of LTCF-CDC 57.218_26APR2024
57.218 Weekly Resident COVID-19 Vaccination Cumulative Summary LTCF CSV_Clean.docx
Form and Instruction
Information Collection (IC) Details
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