Form FSN.300.1 Influenza Hospitalizatin Surveillance Network (FluSurv-N

[NCEZID] Emerging Infections Program

FSN.300.1 FluSurv-NET CRF

FluSurv-Net Influenza Hospitalization Surveillance Network Case Report Form

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⚠️ Notice: This form may be outdated.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

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