Information Collection Request

National HIV Surveillance System (NHSS)

ICR 201409-0920-005 · OMB 0920-0573 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-0573 Adult HIV/AIDS Confidential Case Report Form and Instruction Unchanged Repair queued
Perinatal HIV Exposure Reporting (PHER) Form Modified Available
Form 0920-0573 HIV Incidence Surveillance (HIS) Form and Instruction Unchanged Repair queued
Case Report Updates Form Unchanged Repair queued
Form 0920-0573 Pediatric HIV/AIDS Confidential Case Report Form Unchanged Repair queued
Form 0920-0573 Molecular HIV Surveillance (MHS) Form and Instruction Unchanged Available
Form 0920-0573 Laboratory Updates Form and Instruction Unchanged Available
Att 3- 0920-0573_Proposed Changes_PHER_8Aug2014.docx Justification for No Material/Nonsubstantive Change Uploaded 2014-09-05 Repair queued
Final SS-B.doc Supporting Statement B Uploaded 2012-12-19 Repair queued
Final Att-8a Assurance of Conf.pdf Supplementary Document Uploaded 2012-12-19 Available
Final Att 10b_ Statistical Consult Part List.pdf Supplementary Document Uploaded 2012-12-19 Repair queued
Final Att 10a_Statistical Consult Agenda.pdf Supplementary Document Uploaded 2012-12-19 Available
Final Att 9_ 2011 HIV Sec Conf Guidlines.pdf Supplementary Document Uploaded 2012-12-19 Available
Final Att 8b_ Security Statement.pdf Supplementary Document Uploaded 2012-12-19 Available
Final Att 7c_2012 CSTE Pre Conf Mtg Agenda.pdf Supplementary Document Uploaded 2012-12-19 Available
Final Att 7b_2011 HIV Workshop Agenda.pdf Supplementary Document Uploaded 2012-12-19 Repair queued
Final Att 3c_eHARS Variables (2).pdf Supplementary Document Uploaded 2012-12-19 Available
Final Att 3f_CRF Changes.docx Supplementary Document Uploaded 2012-12-19 Available
Final Att-4d MHS Tech Guidance (2).pdf Supplementary Document Uploaded 2012-12-19 Available
Final Att 6_ 2010 HIV Surv Report.pdf Supplementary Document Uploaded 2012-12-19 Repair queued
0920-0573_att 4(b)Technical_Guidance_HIV Incidence Surveillance.pdf Supplementary Document Uploaded 2009-11-30 Repair queued
Final Att-4b Peds Tech Guidance Vol 2 (2).pdf Supplementary Document Uploaded 2012-12-19 Available
Final Att-4a Adult Tech Guidance Vol 2 (2).pdf Supplementary Document Uploaded 2012-12-19 Repair queued
Final Att 3c_eHARS Variables (2).pdf Supplementary Document Uploaded 2012-12-19 Repair queued
Final Rev corr SS A.docx Supporting Statement A Uploaded 2013-02-11 Available
IC Document Collections
IC IDCollectionTypeStatusForm
7028 Adult HIV/AIDS Confidential Case Report Form and Instruction Unchanged
46035 Perinatal HIV Exposure Reporting (PHER) Form Modified
46034 HIV Incidence Surveillance (HIS) Form and Instruction Unchanged
46032 Case Report Updates Form Unchanged
46030 Pediatric HIV/AIDS Confidential Case Report Form Unchanged
205250 Molecular HIV Surveillance (MHS) Form and Instruction Unchanged
205249 Laboratory Updates Form and Instruction Unchanged
205248 Case Report Evaluation Instruction Unchanged
ICR Details
0920-0573 201409-0920-005
Historical Active 201301-0920-001
HHS/CDC 14AYH
National HIV Surveillance System (NHSS)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/23/2014
Retrieve Notice of Action (NOA) 09/12/2014
  Inventory as of this Action Requested Previously Approved
02/29/2016 02/29/2016 02/29/2016
639,008 0 639,008
53,700 0 53,700
0 0 0

After receiving input from state and local HIV surveillance coordinators that modifications would be useful to both ease data collection and allow for better collection of antiretroviral treatment variables, we are requesting minor changes to the Perinatal HIV Exposure Report (PHER) form.

US Code: 42 USC 242m Name of Law: General Provisions Respecting Effectiveness, Efficiency, and Quality of Health Services
   US Code: 42 USC 242k Name of Law: National Center for Health Statistics
   US Code: 42 USC 242b Name of Law: General Authority Respecting Research...
  
None

Not associated with rulemaking

  77 FR 47848 08/10/2012
77 FR 76045 12/26/2012
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 639,008 639,008 0 0 0 0
Annual Time Burden (Hours) 53,700 53,700 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$68,792,000
Yes Part B of Supporting Statement
Yes
No
No
No
Uncollected
Carol Marsh 404 639-4773 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/12/2014