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Form CDC 57.137 CDC 57.137 Long-Term Care Facility Component -- Annual Facility Sur
[NCEZID] The National Healthcare Safety Network (NHSN)
57.137 LTCF Annual Survey-Clean Version
57.137 Long Term care Facility Component--Annual Facility Survey
OMB: 0920-0666
OMB.report
HHS/CDC
OMB 0920-0666
ICR 202502-0920-016
IC 197541
Form CDC 57.137 CDC 57.137 Long-Term Care Facility Component -- Annual Facility Sur
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0666 can be found here:
2025-06-30 - Reinstatement with change of a previously approved collection
2025-05-20 - No material or nonsubstantive change to a currently approved collection
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