Form 57.602 Long-Term Care Facility Component – Respiratory Tract In
[NCEZID] The National Healthcare Safety Network (NHSN)
57.602 LOS_MEN Event Form-Clean Version
Long Term Care Facility Component - Respiratory Tract Infection
OMB: 0920-0666
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0666 can be found here:
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pdf| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Late Onset Sepsis/ Meningitis Event Form: Data Table for Monthly Electronic Upload |
| Subject | NHSN OMB Forms |
| Author | CDC/NCEZID/DHQP |
| File Modified | 0000-00-00 |
| File Created | 2024-12-24 |