CDC Secure Access Management Services Registration Form
The SAMS registration form provides secure access to CDC's non-public applications for authorized personnel. It ensures immediate access to the NHSN application for healthcare facilities and partners. Follow the steps to complete the registration process.
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How do I fill this out?
To fill out this form, start by logging into SAMS using the credentials provided in the invite email. Complete the registration form and verify your identity. Finally, install the required authenticator application and follow the remaining steps in the instructions.
How to fill out the CDC Secure Access Management Services Registration Form?
1
Log in to SAMS using the provided username and temporary password.
2
Read and accept the SAMS rules of behavior.
3
Complete the registration form online.
4
Verify your identity using Experian or the secured document submission process.
5
Receive welcome emails and install the Entrust Authenticator application.
Who needs the CDC Secure Access Management Services Registration Form?
1
Healthcare facilities need this form to access the NHSN application securely.
2
State health departments require this form for secure access to CDC applications.
3
Quality Improvement Organizations (QIOs) use this form to obtain secure access to CDC's resources.
4
Authorized personnel who need access to non-public CDC applications must complete this form.
5
Partners collaborating with the NHSN program require this form for secure and immediate access.
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What are the instructions for submitting this form?
To submit this form, complete the online registration and identity verification through the SAMS portal. If using the document submission process, send your secured documents to the SAMS help desk via email at samshelp@cdc.gov. Follow any additional instructions provided in your invite email or welcome messages.
What are the important dates for this form in 2024 and 2025?
Important dates for this form include annual registration renewal deadlines in December 2024 and December 2025. Additional updates or changes may be communicated via email.
What is the purpose of this form?
The purpose of the SAMS registration form is to provide secure access to the CDC's non-public applications for authorized personnel. By completing this form, healthcare facilities, state health departments, QIOs, and other partners can gain immediate and secure access to the NHSN application. This ensures proper collaboration and data sharing in support of health safety and quality initiatives.
Tell me about this form and its components and fields line-by-line.
- 1. Username: Enter the unique username provided in the invite email.
- 2. Temporary Password: Use the temporary password provided to log in initially.
- 3. SAMS Rules of Behavior: Read and accept the terms outlined in the SAMS rules of behavior.
- 4. Registration Form: Provide all required personal and professional information.
- 5. Identity Verification: Follow the steps to verify your identity using the preferred method.
- 6. Entrust Authenticator: Install the Entrust Authenticator application or use the physical token provided.
What happens if I fail to submit this form?
Failing to submit this form can result in delayed or denied access to the necessary CDC applications.
- Access Denied: You will be unable to access the NHSN application and other CDC resources.
- Collaboration Impact: Delays in submission may hinder collaboration efforts with healthcare partners.
How do I know when to use this form?
- 1. Healthcare Facilities: When accessing the NHSN application for monitoring health safety metrics.
- 2. State Health Departments: To collaborate with the CDC on public health initiatives.
- 3. Quality Improvement Organizations: For accessing CDC data and resources for quality improvement projects.
- 4. Authorized Personnel: When authorized personnel need access to specific CDC applications.
- 5. NHSN Program Partners: For partners working with the NHSN program to gain secure access.
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Can I verify my identity through PrintFriendly?
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