Form 57.217 Optional Person Level Reporting of Weekly COVID-19 Vacci
[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities
57.217 Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel - Clean
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel (manual)
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⚠️ Notice: This form may be outdated.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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