FluSurv-Net Influenza Hospitalization Surveillance Network Case Report Form

[NCEZID] Emerging Infections Program

OMB: 0920-0978

IC ID: 207651

Documents and Forms

Document Name Document Type
Form FSN.300.1 FluSurv-Net Influenza Hospitalization Surveillance Network Case Report Form Form and Instruction
FSN.300.1 Influenza Hospitalizatin Surveillance Network (FluSurv-NET) Case Report Form FSN.300.1 FluSurv-NET CRF.pdf Form and Instruction
FSN 300.1 2024-25 Influenza Hospitalization Surveillance Network (FluSurv-NET) Case Report Form FSN300.1 2024-25 FluSurv-NET CRF_OMB.pdf Form and Instruction
Att16_COVID-19 Vaccination Status on FluSurv-NET Cases.pdf COVID Vaccination Status on FluSurv-NET cases (optional) IC Document