Form 0920-1317 NHSN Registration Form
[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities
NHSN registration form
NHSN and Secure Access Management Services (SAMS) enrollment
OMB: 0920-1317
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-1317 can be found here:
Document [docx]
Download: docx | pdf
Available at: https://nhsn.cdc.gov/RegistrationForm/controller?method=regAgree
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Samuel, Lee (CDC/DDPHSIS/CGH/DPDM) |
| File Modified | 0000-00-00 |
| File Created | 2024-09-05 |
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