The goal of this information collection is to inform guidance for healthcare facilities to protect the healthcare workforce from the effects of COVID-19, the disease caused by the novel coronavirus SARS-CoV-2. The healthcare workforce is a critical asset during this pandemic. Protecting healthcare personnel (HCP) is an essential component of protecting patients.The data collected from this project will be used to inform guidance for healthcare facilities to protect HCP.
The latest form for Emerging Infections Program Tracking of SARS-CoV-2 Infections among Healthcare Personnel expires 2020-10-31 and can be found here.
Document Name |
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Form and Instruction |
Form and Instruction |
Form |
Form and Instruction |
Supplementary Document |
Justification for No Material/Nonsubstantive Change |
Justification for No Material/Nonsubstantive Change |
Supplementary Document |
Justification for No Material/Nonsubstantive Change |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement B |
Supporting Statement A |
Approved with change |
No material or nonsubstantive change to a currently approved collection | 2020-10-06 | |
Approved with change |
No material or nonsubstantive change to a currently approved collection | 2020-08-25 | |
Approved with change |
No material or nonsubstantive change to a currently approved collection | 2020-07-24 | |
Approved with change |
New collection (Request for a new OMB Control Number) | 2020-04-28 |
Federal Enterprise Architecture: Health - Public Health Monitoring
Form 0920-20MZ | Assessment of Healthcare Personnel | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.