Form 57.408 Monthly Survey Patient Days & Nurse Staffing

[NCEZID] The National Healthcare Safety Network (NHSN)

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0666 can be found here:

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File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title	Monthly Survey Form Final
Subject	NHSN Patient Safety Component
Author	CDC/NCZEID/DHQP
File Modified	0000-00-00
File Created	2024-12-21