Form 0920-1317 VA - Staff and Personnel COVID-19 Event Form
[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities
Clean-10.1.4 COVID 19 event reporting_staff form_V_13_7.22
VA - Staff and Personnel COVID-19 Event Form - LTCF
OMB: 0920-1317
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-1317 can be found here:
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| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |