Form 0920-1317 Hospital Respiratory Data Weekly Reporting Form
[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities
57.101 Hospital Respiratory Data Form - Weekly Reporting - Clean Version
57.101 Hospital Respiratory Data Form (Weekly - User Entry)
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⚠️ Notice: This form may be outdated.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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