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Form CDC 57.214 CDC 57.214 Annual Healthcare Personnel Influenza Vaccination Summar
[NCEZID] The National Healthcare Safety Network (NHSN)
57.214 Healthcare Personnel Influenza Vaccination Summary
Annual Healthcare Personnel Influenza Vaccination Summary (manual)
OMB: 0920-0666
OMB.report
HHS/CDC
OMB 0920-0666
ICR 202502-0920-016
IC 246758
Form CDC 57.214 CDC 57.214 Annual Healthcare Personnel Influenza Vaccination Summar
( )
⚠️ Notice: This form may be outdated.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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