Form 57.102 Hospital Respiratory Data Daily Reporting Form 14AUG2024
[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities
57.102 Hospital Respiratory Data Form - Daily Reporting - Clean Version
57.102 - Hospital Respiratory Data Form (Daily - 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⚠️ Notice: This form may be outdated.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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