Form 0920-0978 FluSurv NET Vaccination Phone Script

[NCEZID] Emerging Infections Program

Att12- FluSurvNet_PhoneScript_English

Influenza Hospitalization Surveillance Project Vaccination Telephone Script / Consent Form (English)

OMB: 0920-0978

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0978 can be found here:

2025-06-03 - No material or nonsubstantive change to a currently approved collection
2025-05-01 - No material or nonsubstantive change to a currently approved collection

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