
Get the free 57.404OPCDenomSSIBLANK (hs).docx. NHSN OMB Forms 2020
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OMB No. 09200666
Exp. Date: 12/31/22
www.cdc.gov/nhsnOutpatient Procedure Component
Denominator for Procedure
Instructions for this form are available at: https://www.cdc.gov/nhsn/forms/instr/57.404toi.pdf.
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