The Centers for Disease Control and
Prevention (CDC) requests approval for revisions to a previously
approved project 0920-0573 expiration 01/31/2013 called "National
HIV Surveillance System (NHSS)" for a period of 3 years. The
Division of HIV/AIDS Prevention (DHAP), National Center for
HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), CDC in
collaboration with health departments in the states, the D.C., and
U.S. dependent areas, conducts national surveillance for cases of
human immunodeficiency virus (HIV) infection that includes critical
data across the spectrum of HIV disease from HIV diagnosis, to
acquired immunodeficiency syndrome (AIDS), the end-stage disease
caused by infection with HIV, and death. The revisions requested in
this extension include modifications to currently collected data
elements and forms to align with anticipated changes in the case
definitions for HIV surveillance to be published in 2012 and
continuation of HIV surveillance activities funded under the new
funding opportunity announcement CDC-RFA-PS13-1302 NATIONAL HIV
SURVEILLANCE SYSTEM (NHSS). These include minor modifications of
testing categories to accommodate new testing algorithms and
modifications to staging criteria and non-substantial editorial
changes aimed at improving the format and usability of the forms
such as improved wording of terms and changes in the format of some
response options. In addition, elements from the former enhanced
perinatal surveillance (EPS) were reduced and the form is modified
for continuation in 2013 as Perinatal HIV Exposure Reporting
(PHER). Surveillance data collection on variant and atypical
strains (formerly variant, atypical and resistant HIV surveillance
(VARHS)) will also be continued as Molecular HIV Surveillance (MHS)
with a reduced number of data elements previously approved under
VARHS.
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USC 242b Name of Law: General Authority Respecting
Research...
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USC 242m Name of Law: General Provisions Respecting
Effectiveness, Efficiency, and Quality of Health Services
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USC 242k Name of Law: National Center for Health Statistics
The requested burden for this
project is 53,700 hours. The previous burden associated with this
information collection was 51,311 hours. The requested total burden
represents an approximate 5% increase. This small increase reflects
reductions in some activities and increases in others and
refinements in some of our calculations. Our estimate now reflects
the stabilization of case reporting due to having mature reporting
systems in all areas. Burden calculations in this revision were
based on reported cases without any additional adjustments for
areas without mature reporting systems. This resulted in a decrease
in burden for adult and pediatric case reports and evaluations
based on those reports. We anticipate increased reporting
activities related to laboratory and other updates to cases
reports. We refined our estimates for these updates to more
accurately reflect the number of updates and considered the burden
required for each method of update separately (primarily electronic
or other methods). Burden estimates for incidence data collection
increased due to a small refinement in our estimate. Additionally,
burden associated with MHS activities (formerly VARHS) increased
primarily due to expansion in the number of sites participating
(from 11 to 53). There was an overall decrease in burden attributed
to perinatal exposure reporting (PHER) (formerly EPS) which is
primarily due to the reduction in data elements and burden time per
response from 60 minutes to 30 minutes.
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.