Information Collection Request
[NCHHSTP] National HIV Surveillance System (NHSS)
ICR 202408-0920-003 · OMB 0920-0573 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-0573 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Adult HIV/AIDS Confidential Case Report |
Form and Instruction | Unchanged | Repair queued |
| Adult HIV/AIDS Confidential Case Report |
Form and Instruction | Unchanged | Missing upstream |
| Case Report Updates |
Form and Instruction | Unchanged | Repair queued |
| Case Report Updates |
Form and Instruction | Unchanged | Missing upstream |
| Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information) |
Form and Instruction | Unchanged | Available |
| Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information) |
Form and Instruction | Unchanged | Repair queued |
| Cluster Close-out Report |
Form and Instruction | Unchanged | Available |
| Cluster Close-out Report |
Form and Instruction | Unchanged | Repair queued |
| Cluster Follow-up Report |
Form and Instruction | Unchanged | Available |
| Cluster Follow-up Report |
Form and Instruction | Unchanged | Missing upstream |
| Initial Cluster Report |
Form and Instruction | Unchanged | Available |
| Initial Cluster Report |
Form and Instruction | Unchanged | Repair queued |
| Form 0920-0573 Annual Reporting: Standards Evaluation Report (SER) |
Form and Instruction | Modified | Available |
| Form 0920-0573 Annual Reporting: Standards Evaluation Report (SER) |
Form and Instruction | Modified | Missing upstream |
| Laboratory Updates |
Form and Instruction | Unchanged | Repair queued |
| Laboratory Updates |
Form and Instruction | Unchanged | Missing upstream |
| Case Report Evaluations |
Form and Instruction | Unchanged | Available |
| Case Report Evaluations |
Form and Instruction | Unchanged | Missing upstream |
 Justification Memo for Nonsubstantive Change Request_0920-0573_NHSS.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-08-05 | Available |
| Justification Memo for Nonsubstantive Change Request_0920-0573_NHSS.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-08-05 | Repair queued |
| Att 1_ Table 1_Summary of Proposed Changes.docx |
Supplementary Document | Uploaded 2023-10-17 | Repair queued |
| Att 1_ Table 1_Summary of Proposed Changes.docx |
Supplementary Document | Uploaded 2023-10-17 | Repair queued |
| Justification for Nonmaterial.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-10-17 | Available |
| Justification for Nonmaterial.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-10-17 | Repair queued |
 Att_10 Summary of Changes FINAL_08Feb22_SERv3_PWID _update_clean.pdf |
Supplementary Document | Uploaded 2022-09-08 | Available |
| Att_10 Summary of Changes FINAL_08Feb22_SERv3_PWID _update_clean.pdf |
Supplementary Document | Uploaded 2022-09-08 | Available |
| Att_9_Project Determination.pdf |
Supplementary Document | Uploaded 2022-09-08 | Available |
| Att_9_Project Determination.pdf |
Supplementary Document | Uploaded 2022-09-08 | Missing upstream |
| Att_8_Data Security and Confidentiality Guidelines.pdf |
Supplementary Document | Uploaded 2022-09-08 | Available |
| Att_8_Data Security and Confidentiality Guidelines.pdf |
Supplementary Document | Uploaded 2022-09-08 | Repair queued |
| Att_7(b) NHSS_ Complete AoC_Final updated 102621 per amendment_CSpacket.pdf |
Supplementary Document | Uploaded 2022-09-08 | Available |
| Att_7(b) NHSS_ Complete AoC_Final updated 102621 per amendment_CSpacket.pdf |
Supplementary Document | Uploaded 2022-09-08 | Repair queued |
| Att_7(a) NHSS_ AoC Statement_FinalOct2019.pdf |
Supplementary Document | Uploaded 2022-09-08 | Available |
| Att_7(a) NHSS_ AoC Statement_FinalOct2019.pdf |
Supplementary Document | Uploaded 2022-09-08 | Repair queued |
| Att_6(b) ATO.pdf |
Supplementary Document | Uploaded 2022-09-08 | Available |
| Att_6(b) ATO.pdf |
Supplementary Document | Uploaded 2022-09-08 | Repair queued |
| Att_6(a) PIA.pdf |
Supplementary Document | Uploaded 2022-09-08 | Available |
| Att_6(a) PIA.pdf |
Supplementary Document | Uploaded 2022-09-08 | Missing upstream |
| Att_5 cdc-hiv-surveillance-report-2020-updated-vol-33.pdf |
Supplementary Document | Uploaded 2022-09-08 | Available |
| Att_5 cdc-hiv-surveillance-report-2020-updated-vol-33.pdf |
Supplementary Document | Uploaded 2022-09-08 | Repair queued |
| Att_4(f) Cluster Report Form Instructions updated 11052021_share.pdf |
Supplementary Document | Uploaded 2022-09-08 | Available |
| Att_4(f) Cluster Report Form Instructions updated 11052021_share.pdf |
Supplementary Document | Uploaded 2022-09-08 | Repair queued |
| Att_4(e) DETECTING HIV TRANSMISSION CLUSTERS 2022 v1 (1).pdf |
Supplementary Document | Uploaded 2022-09-08 | Available |
| Att_4(e) DETECTING HIV TRANSMISSION CLUSTERS 2022 v1 (1).pdf |
Supplementary Document | Uploaded 2022-09-08 | Missing upstream |
| Att_4(d) D2C-Monitoring-and-Evaluation-Guidance _Jun21fin_508C_8.30.pdf |
Supplementary Document | Uploaded 2022-09-08 | Available |
| Att_4(d) D2C-Monitoring-and-Evaluation-Guidance _Jun21fin_508C_8.30.pdf |
Supplementary Document | Uploaded 2022-09-08 | Repair queued |
| Att_4(c) DUPLICATE REVIEW 2022 v1.pdf |
Supplementary Document | Uploaded 2022-09-08 | Available |
| Att_4(c) DUPLICATE REVIEW 2022 v1.pdf |
Supplementary Document | Uploaded 2022-09-08 | Repair queued |
| Att_4(b) PEDIATRIC HIV CASE REPORT FORM 2023 v2_PWID edit_clean.pdf |
Supplementary Document | Uploaded 2022-09-08 | Available |
| Att_4(b) PEDIATRIC HIV CASE REPORT FORM 2023 v2_PWID edit_clean.pdf |
Supplementary Document | Uploaded 2022-09-08 | Missing upstream |
| Att_4(a) ADULT HIV CONFIDENTIAL CASE REPORT FORM 2023 v2.pdf |
Supplementary Document | Uploaded 2022-09-08 | Available |
| Att_4(a) ADULT HIV CONFIDENTIAL CASE REPORT FORM 2023 v2.pdf |
Supplementary Document | Uploaded 2022-09-08 | Repair queued |
| Att_3(c) NHSS_dataelements_OMB_BG_KB_Clean_PWID edit_clean.pdf |
Supplementary Document | Uploaded 2022-09-08 | Available |
| Att_3(c) NHSS_dataelements_OMB_BG_KB_Clean_PWID edit_clean.pdf |
Supplementary Document | Uploaded 2022-09-08 | Repair queued |
| Att_2(a) 60 Day FRN pub 4 -1-2022.pdf |
Supplementary Document | Uploaded 2022-09-07 | Repair queued |
| Att_2(a) 60 Day FRN pub 4 -1-2022.pdf |
Supplementary Document | Uploaded 2022-09-07 | Repair queued |
| Att_1_ Authorizing Legislation.pdf |
Supplementary Document | Uploaded 2022-09-07 | Available |
| Att_1_ Authorizing Legislation.pdf |
Supplementary Document | Uploaded 2022-09-07 | Repair queued |
| SSB_08Aug22_clean.docx |
Supporting Statement B | Uploaded 2022-09-07 | Available |
| SSB_08Aug22_clean.docx |
Supporting Statement B | Uploaded 2022-09-07 | Repair queued |
| SSA_NHSS_31AUG22_clean.docx |
Supporting Statement A | Uploaded 2022-09-07 | Available |
| SSA_NHSS_31AUG22_clean.docx |
Supporting Statement A | Uploaded 2022-09-07 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 7028 |  Adult HIV/AIDS Confidential Case Report |
Form and Instruction | Unchanged | |
| 7028 | Adult HIV/AIDS Confidential Case Report |
Form and Instruction | Unchanged | |
| 46032 | Case Report Updates |
Form and Instruction | Unchanged | |
| 46032 | Case Report Updates |
Form and Instruction | Unchanged | |
| 46030 | Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information) |
Form and Instruction | Unchanged | |
| 46030 | Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information) |
Form and Instruction | Unchanged | |
| 236513 | Data De-duplication Activities |
Other-Technical Guidance for HIV Surveillance Programs: Duplicat | Unchanged | |
| 236512 | Cluster Close-out Report |
Form and Instruction | Unchanged | |
| 236512 | Cluster Close-out Report |
Form and Instruction | Unchanged | |
| 236511 | Cluster Follow-up Report |
Form and Instruction | Unchanged | |
| 236511 | Cluster Follow-up Report |
Form and Instruction | Unchanged | |
| 236510 | Initial Cluster Report |
Form and Instruction | Unchanged | |
| 236510 | Initial Cluster Report |
Form and Instruction | Unchanged | |
| 236509 | Investigation Reporting and Evaluation |
Other-Data to Care Reporting Guidance for PS18-1802 and PS20-201 | Unchanged | |
| 220109 | Annual Reporting: Standards Evaluation Report (SER) |
Form and Instruction | Modified | |
| 220109 | Annual Reporting: Standards Evaluation Report (SER) |
Form and Instruction | Modified | |
| 205249 | Laboratory Updates |
Form and Instruction | Unchanged | |
| 205249 | Laboratory Updates |
Form and Instruction | Unchanged | |
| 205248 | Case Report Evaluations |
Form and Instruction | Unchanged | |
| 205248 | Case Report Evaluations |
Form and Instruction | Unchanged |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-0573 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202310-0920-007 |
| Agency Tracking No | 0920-0573-24HX |
| Date Submitted to OIRA | 2024-08-06 |
| Requested Expiration Date | 1969-12-31 |