Emerging Infections Program Tracking of SARS-CoV-2 Infections among Healthcare Personnel

OMB 0920-1296

OMB 0920-1296

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.

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OMB Details

Assessment of Healthcare Personnel Exposed to or Infected with SARS-CoV-2

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 0920-20MZAssessment of Healthcare PersonnelFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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