Information Collection Request

National HIV Surveillance System (NHSS)

ICR 201602-0920-002 · OMB 0920-0573 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Adult HIV/AIDS Confidential Case Report Form and Instruction Modified Available
Perinatal HIV Exposure Reporting (PHER) Form and Instruction Modified Repair queued
HIV Incidence Surveillance (HIS) Form and Instruction Modified Repair queued
Case Report Updates Form and Instruction Modified Repair queued
Pediatric HIV/AIDS Confidential Case Report Form and Instruction Modified Available
Annual Reporting: Annual Performance Report (APR) Form and Instruction New Repair queued
Annual Reporting: Standards Evaluation Report (SER) Form and Instruction New Repair queued
Molecular HIV Surveillance (MHS) Form and Instruction Modified Repair queued
Laboratory Updates Form and Instruction Modified Repair queued
Case Report Evaluations Form and Instruction Modified Repair queued
SSA_17FEB16.docx Supporting Statement A Uploaded 2016-02-19 Available
Att 11_Summary of Changes 13Nov2015.pdf Supplementary Document Uploaded 2016-02-16 Repair queued
Att 10_NHSS Project Determination.pdf Supplementary Document Uploaded 2016-02-16 Repair queued
Att 9_Data Security and Confidentiality Guidelines.pdf Supplementary Document Uploaded 2016-02-16 Repair queued
Att 8b_HIV Surveillance Confidentiality Security Statement and Data Access Packet.pdf Supplementary Document Uploaded 2016-02-16 Repair queued
Att 8a_Assurance of Confidentiality for HIV Surveillance.pdf Supplementary Document Uploaded 2016-02-16 Repair queued
Att 7b. 2015 ATO.pdf Supplementary Document Uploaded 2016-02-16 Available
Att 7a. 2015 PIA.pdf Supplementary Document Uploaded 2016-02-16 Available
Att 6_HIV Surveillance Coordinators & Data Managers List.pdf Supplementary Document Uploaded 2016-02-16 Available
Att 5_HIVsurveillanceReport.pdf Supplementary Document Uploaded 2016-02-16 Available
Att 4c_Suppl Surv Act 1 HIV Incidence TG.pdf Supplementary Document Uploaded 2016-02-16 Available
Att 4b_Technical Guidance PCRF_PHER_20151030_v4_OMB.pdf Supplementary Document Uploaded 2016-02-16 Repair queued
Att 4a_Technical Guidance ACRF v11_OMB.pdf Supplementary Document Uploaded 2016-02-16 Repair queued
Att 1_ Authorizing Legislation.pdf Supplementary Document Uploaded 2016-02-16 Repair queued
Att 2_60 Day FRN.pdf Supplementary Document Uploaded 2016-02-16 Repair queued
Supporting Statement B.docx Supporting Statement B Uploaded 2016-02-16 Available
Att 3- 0920-0573_Proposed Changes_PHER_8Aug2014.docx Justification for No Material/Nonsubstantive Change Uploaded 2014-09-05 Available
IC Document Collections
IC IDCollectionTypeStatusForm
7028 Adult HIV/AIDS Confidential Case Report Form and Instruction Modified
46035 Perinatal HIV Exposure Reporting (PHER) Form and Instruction Modified
46034 HIV Incidence Surveillance (HIS) Form and Instruction Modified
46032 Case Report Updates Form and Instruction Modified
46030 Pediatric HIV/AIDS Confidential Case Report Form and Instruction Modified
220110 Annual Reporting: Annual Performance Report (APR) Form and Instruction New
220109 Annual Reporting: Standards Evaluation Report (SER) Form and Instruction New
205250 Molecular HIV Surveillance (MHS) Form and Instruction Modified
205249 Laboratory Updates Form and Instruction Modified
205248 Case Report Evaluations Form and Instruction Modified
ICR Details
0920-0573 201602-0920-002
Historical Active 201409-0920-005
HHS/CDC 0920-0573
National HIV Surveillance System (NHSS)
Revision of a currently approved collection   No
Regular
Approved without change 06/14/2016
Retrieve Notice of Action (NOA) 02/22/2016
  Inventory as of this Action Requested Previously Approved
06/30/2019 36 Months From Approved 06/30/2016
639,313 0 639,008
50,504 0 53,700
0 0 0

The Centers for Disease Control and Prevention (CDC) requests approval for revisions to the National HIV Surveillance System (NHSS) expiring on 02/29/2016. The HIV Incidence and Case Surveillance Branch, partners with health departments in the states, D.C., and U.S. dependent areas to report cases of human immunodeficiency virus (HIV) infection, inclusive of data across the spectrum of disease from diagnosis to death. Revisions to this ICR include the addition of annual reporting hours for completing a Standards Evaluation Report (SER) and an Annual Performance Report (APR). In addition, modifications to currently collected data elements and forms including the Adult Case Report Form (ACRF), Pediatric Case Report Form (PCRF) and the Perinatal HIV Exposure Reporting (PHER) Form are also requested.

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...
   US Code: 42 USC 242m Name of Law: General Provisions Respecting Effectiveness, Efficiency, and Quality of Health Services
  
None

Not associated with rulemaking

  80 FR 40067 07/13/2015
81 FR 7801 02/16/2016
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 639,313 639,008 0 305 0 0
Annual Time Burden (Hours) 50,504 53,700 0 -3,196 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Revision of the NHSS results in addition of two new information collections, but overall decrease in Total Burden Hours for the collection of information.

$72,116,505
Yes Part B of Supporting Statement
Yes
No
No
No
Uncollected
Jeffrey Zirger 404 639-7118 [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.
02/22/2016