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Form 57.102 Hospital Respiratory Data Daily Reporting Form 14AUG2024
[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities
57.102 Hospital Respiratory Data Form - Daily Reporting - Clean Version
57.102 - Hospital Respiratory Data Form (Daily - user entry)
OMB: 0920-1317
OMB.report
HHS/CDC
OMB 0920-1317
ICR 202408-0920-011
IC 269866
Form 57.102 Hospital Respiratory Data Daily Reporting Form 14AUG2024
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-1317 can be found here:
2024-10-30 - Revision of a currently approved collection
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