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Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel (manual)
[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities
OMB: 0920-1317
IC ID: 270312
OMB.report
HHS/CDC
OMB 0920-1317
ICR 202502-0920-015
IC 270312
( )
Documents and Forms
Document Name
Document Type
Form 57.217
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel (manual)
Form and Instruction
57.217 Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel
57.217 Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel - Clean.docx
Form and Instruction
Information Collection (IC) Details
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