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Form Approved OMB No. 09200666 Exp. Date: 01/31/25 www.cdc.gov/nhsnUrinary Tract Infection (UTI) for LCF *Facility ID: *Resident ID:*Required for savingEvent #:Medicare number (or comparable railroad
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Form approved exp date refers to the expiration date of a form that has been approved by the relevant authority for use.
Any individual or organization that is using the approved form is required to file the form approved exp date.
To fill out the form approved exp date, simply enter the expiration date of the approved form in the designated field.
The purpose of form approved exp date is to ensure that users of the approved form are aware of when the form expires and should no longer be used.
The only information required on the form approved exp date is the expiration date of the approved form.
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