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Form CDC 55.122 57.122 HAI Progress Report State Health Department Survey
The National Healthcare Safety Network (NHSN)
57.122 HAI Progress Report State Health Department Survey
OMB: 0920-0666
OMB.report
HHS/CDC
OMB 0920-0666
ICR 202102-0920-011
Form CDC 55.122 57.122 HAI Progress Report State Health Department Survey
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0666 can be found here:
2026-03-13 - Revision of a currently approved collection
2025-06-30 - Reinstatement with change of a previously approved collection
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