National HIV Surveillance System (NHSS)

OMB Control No: 0920-0573	ICR Reference No: 201712-0920-002
Status: Historical Active	Previous ICR Reference No: 201606-0920-017
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0573-8ID
Title: National HIV Surveillance System (NHSS)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/07/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/19/2017
Terms of Clearance: Approved consistent with the understanding that any adjustments (however minimal) to the NHSS data elements and collection instruments will be analyzed and reported in terms of incremental changes to the burden hours associated with this ICR.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2019	06/30/2019	06/30/2019
Responses	639,313	0	639,313
Time Burden (Hours)	50,504	0	50,504
Cost Burden (Dollars)	0	0	0

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Abstract: 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.

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Authorizing Statute(s): 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

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 40067	07/13/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 7801	02/16/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 10

IC Title Form No. Form Name Annual Reporting: Standards Evaluation Report (SER) NA NHSS Standards Evaluation Report Form HIV Incidence Surveillance (HIS) NA Adult HIV Confidential Case Report Form 2015 Adult HIV/AIDS Confidential Case Report NA Adult HIV Confidential Case Report Form 2015 Pediatric HIV/AIDS Confidential Case Report NA Pediatric HIV Confidential Case Report Form 2015 Case Report Updates NA, NA Adult HIV Confidential Case Report Form 2015 ,   Pediatric HIV Confidential Case Report Form 2015 Perinatal HIV Exposure Reporting (PHER) NA Perinatal HIV Exposure Reporting (PHER) Form Case Report Evaluations NA, NA Adult HIV Confidential Case Report Form 2015 ,   Pediatric HIV Confidential Case Report Form Laboratory Updates NA, NA Pediatric HIV Confidential Case Report Form ,   Adult HIV Confidential Case Report Form 2015 Molecular HIV Surveillance (MHS) NA, NA Adult HIV Confidential Case Report Form 2015 ,   Pediatric HIV Confidential Case Report Form 2015 Annual Reporting: Annual Performance Report (APR)

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ICR Summary of Burden

	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	639,313	0	0	0	0
Annual Time Burden (Hours)	50,504	50,504	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $72,116,505

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Thelma Sims 4046394771

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Common Form ICR:  No

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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:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(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;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
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.
Certification Date: 12/19/2017

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