Information Collection Request

[NCHHSTP] National HIV Surveillance System (NHSS)

ICR 202508-0920-010 · OMB 0920-0573 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-0573 NHSS - Adult HIV Confidential Case Report Form (ACRF) 29AUG2025 Form and Instruction Modified Available
Adult HIV/AIDS Confidential Case Report Form and Instruction Modified Missing upstream
Adult HIV/AIDS Confidential Case Report Form and Instruction Modified Repair queued
Pediatric HIV Confidential Case Report Form Form and Instruction Unchanged Available
Adult HIV Confidential Case Report Form Form and Instruction Unchanged Available
Case Report Updates Form and Instruction Unchanged Repair queued
Form 0920-0573 NHSS - Pediatric HIV Confidential Case Report Form (PCRF) 29AUG2025 Form and Instruction Modified Available
Form 0920-0573 Pediatric HIV Confidential Case Report Form Form and Instruction Modified Available
Form 0920-0573 Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information) Form and Instruction Modified Repair queued
Cluster Close-out Form Form and Instruction Unchanged Available
Cluster Close-out Report Form and Instruction Unchanged Missing upstream
Cluster Follow-up Form Form and Instruction Unchanged Repair queued
Cluster Follow-up Report Form and Instruction Unchanged Repair queued
Initial Cluster Report Form Form and Instruction Unchanged Repair queued
Initial Cluster Report Form and Instruction Unchanged Repair queued
Form 0920-0573 NHSS - Standards Evaluation Report (SER) Form 29AUG2025 Form and Instruction Modified Available
Form 0920-0573-24HX Standards Evaluation Report (SER) " Surveillance Program Performance" Form Modified Available
Form 0920-0573 2024 Standards Evaluation Report (SER) Surveillance Program Performance Form and Instruction Modified Available
Form 0920-0573 Annual Reporting: Standards Evaluation Report (SER) Form and Instruction Modified Repair queued
Pediatric HIV Confidential Case Report Form Form and Instruction Unchanged Available
Adult HIV Confidential Case Report Form Form and Instruction Unchanged Available
Laboratory Updates Form and Instruction Unchanged Repair queued
Pediatric HIV Confidential Case Report Form Form and Instruction Unchanged Available
Adult HIV Confidential Case Report Form Form and Instruction Unchanged Available
Case Report Evaluations Form and Instruction Unchanged Repair queued
Justification for Nonsubstantive Change Request Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-08-29 Available
Justification for Nonsubstantive Change Request Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-08-29 Repair queued
Att_4b Technical Guidance_ PCRF_clean.pdf Supplementary Document Uploaded 2025-08-29 Available
Att_4b Technical Guidance_ PCRF_clean.pdf Supplementary Document Uploaded 2025-08-29 Repair queued
Att_4a Technical Guidance_ ACRF_clean.pdf Supplementary Document Uploaded 2025-08-29 Available
Att_4a Technical Guidance_ ACRF_clean.pdf Supplementary Document Uploaded 2025-08-29 Repair queued
Att_3c NHSS_dataelements_cleanv2.docx Supplementary Document Uploaded 2025-08-29 Available
Att_3c NHSS_dataelements_cleanv2.docx Supplementary Document Uploaded 2025-08-29 Repair queued
Justification Memo 2.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-30 Available
Justification Memo 2.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-30 Repair queued
Summary of Proposed Changes Table.docx Supplementary Document Uploaded 2024-12-30 Available
Summary of Proposed Changes Table.docx Supplementary Document Uploaded 2024-12-30 Repair queued
NHSS Justification Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-17 Available
NHSS Justification Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-17 Repair queued
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 Available
Att 1_ Table 1_Summary of Proposed Changes.docx Supplementary Document Uploaded 2023-10-17 Missing upstream
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 Repair queued
Att_9_Project Determination.pdf Supplementary Document Uploaded 2022-09-08 Repair queued
Att_9_Project Determination.pdf Supplementary Document Uploaded 2022-09-08 Repair queued
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 Repair queued
Att_6(b) ATO.pdf Supplementary Document Uploaded 2022-09-08 Missing upstream
Att_6(a) PIA.pdf Supplementary Document Uploaded 2022-09-08 Available
Att_6(a) PIA.pdf Supplementary Document Uploaded 2022-09-08 Repair queued
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 Repair queued
Att_4(c) DUPLICATE REVIEW 2022 v1.pdf Supplementary Document Uploaded 2022-09-08 Missing upstream
Att_4(b) PEDIATRIC HIV CASE REPORT FORM 2023 v2_PWID edit_clean.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 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 Repair queued
Att_1_ Authorizing Legislation.pdf Supplementary Document Uploaded 2022-09-07 Repair queued
SSB_NHSS_clean.docx Supporting Statement B Uploaded 2025-08-29 Repair queued
SSB_NHSS_clean.docx Supporting Statement B Uploaded 2025-08-29 Repair queued
SSA_NHSS_clean.docx Supporting Statement A Uploaded 2025-08-29 Available
SSA_NHSS_clean.docx Supporting Statement A Uploaded 2025-08-29 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
7028 Adult HIV/AIDS Confidential Case Report Form and Instruction ModifiedNHSS - Adult HIV Confidential Case Report Form (ACRF) 29AUG2025
7028 Adult HIV/AIDS Confidential Case Report Form and Instruction Modified
7028 Adult HIV/AIDS Confidential Case Report Form and Instruction Modified
46032 Case Report Updates Form and Instruction UnchangedPediatric HIV Confidential Case Report Form
46032 Case Report Updates Form and Instruction UnchangedAdult HIV Confidential Case Report Form
46032 Case Report Updates Form and Instruction Unchanged
46030 Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information) Form and Instruction ModifiedNHSS - Pediatric HIV Confidential Case Report Form (PCRF) 29AUG2025
46030 Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information) Form and Instruction ModifiedPediatric HIV Confidential Case Report Form
46030 Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information) Form and Instruction Modified
236513 Data De-duplication Activities Other-Technical Guidance for HIV Surveillance Programs: Duplicat Unchanged
236512 Cluster Close-out Report Form and Instruction UnchangedCluster Close-out Form
236512 Cluster Close-out Report Form and Instruction Unchanged
236511 Cluster Follow-up Report Form and Instruction UnchangedCluster Follow-up Form
236511 Cluster Follow-up Report Form and Instruction Unchanged
236510 Initial Cluster Report Form and Instruction UnchangedInitial Cluster Report Form
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 ModifiedNHSS - Standards Evaluation Report (SER) Form 29AUG2025
220109 Annual Reporting: Standards Evaluation Report (SER) Form ModifiedStandards Evaluation Report (SER) " Surveillance Program Performance"
220109 Annual Reporting: Standards Evaluation Report (SER) Form and Instruction Modified2024 Standards Evaluation Report (SER) Surveillance Program Performance
220109 Annual Reporting: Standards Evaluation Report (SER) Form and Instruction Modified
205249 Laboratory Updates Form and Instruction UnchangedPediatric HIV Confidential Case Report Form
205249 Laboratory Updates Form and Instruction UnchangedAdult HIV Confidential Case Report Form
205249 Laboratory Updates Form and Instruction Unchanged
205248 Case Report Evaluations Form and Instruction UnchangedPediatric HIV Confidential Case Report Form
205248 Case Report Evaluations Form and Instruction UnchangedAdult HIV Confidential Case Report Form
205248 Case Report Evaluations Form and Instruction Unchanged
ICR Details
0920-0573 202508-0920-010
Active 202412-0920-021
HHS/CDC 0920-25-0166
[NCHHSTP] National HIV Surveillance System (NHSS)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/03/2025
Retrieve Notice of Action (NOA) 09/02/2025
  Inventory as of this Action Requested Previously Approved
02/28/2026 02/28/2026 02/28/2026
1,035,569 0 1,035,569
60,731 0 60,731
0 0 0

CDC in collaboration with state and local health departments in the 50 states, the District of Columbia, and U.S. dependent areas, conducts national surveillance for cases of HIV infection that provides critical data across the spectrum of HIV disease from HIV diagnosis, to AIDS, the end-stage disease caused by infection with HIV, and death. HIV surveillance data are used to monitor the extent and characteristics of the HIV burden in the United States. In addition, this national system provides essential data to estimate HIV incidence and monitor patterns in HIV drug resistance and genetic diversity, detect HIV clusters, and perinatal exposures. This Non-Substantive Change Request is submitted to revise questions in the National HIV Surveillance System (NHSS) OMB No. 0920-0573 to align with EO 14168. Changes are only made to the Gender/Sex questions in this data collection. Modifications of other demographic questions will be done in a future Revision. There are no anticipated changes to the approved burden associated with this data collection in this Change Request.

US Code: 42 USC 247c Name of Law: Sexually Transmitted Diseases; Prevention and Control Projects and Programs
   US Code: 42 USC 242b Name of Law: General Authority Respecting Research...
   US Code: 42 USC 247b Name of Law: Project Grants for Preventive Health Services
  
None

Not associated with rulemaking

  87 FR 19097 04/01/2022
87 FR 55812 09/12/2022
Yes

  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 1,035,569 1,035,569 0 0 0 0
Annual Time Burden (Hours) 60,731 60,731 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$66,043,503
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
No
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.
09/02/2025