Att E1_NHSN forms used for CMS QRPs and State Mandated Reporting
1. NHSN Forms used for CMS QRPs State Mandated Reporting FINAL V3.docx
The National Healthcare Safety Network (NHSN)
Att E1_NHSN forms used for CMS QRPs and State Mandated Reporting
OMB: 0920-0666
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0666 can be found here:
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