National HIV Surveillance System (NHSS)

ICR 201807-0920-006

OMB: 0920-0573

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Supplementary Document
2018-07-16
Justification for No Material/Nonsubstantive Change
2018-07-16
Supplementary Document
2017-12-18
Justification for No Material/Nonsubstantive Change
2018-02-07
Justification for No Material/Nonsubstantive Change
2016-06-29
Supplementary Document
2016-06-24
Supporting Statement A
2016-02-19
Supplementary Document
2016-02-16
Supplementary Document
2016-02-16
Supplementary Document
2016-02-16
Supplementary Document
2016-02-16
Supplementary Document
2016-02-16
Supplementary Document
2016-02-16
Supplementary Document
2016-02-16
Supplementary Document
2016-02-16
Supplementary Document
2016-02-16
Supplementary Document
2016-02-16
Supplementary Document
2016-02-16
Supplementary Document
2016-02-16
Supplementary Document
2016-02-16
Supplementary Document
2016-02-16
Supporting Statement B
2016-02-16
ICR Details
0920-0573 201807-0920-006
Historical Active 201712-0920-002
HHS/CDC 0920-0573 (18ARK)
National HIV Surveillance System (NHSS)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/17/2018
Retrieve Notice of Action (NOA) 07/16/2018
Upon approval, the reduction in responses and burden associated with the removal of the annual performance report from this collection will be incorporated into 0910-1132 via a non-substantive change. Previous terms continue: 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
06/30/2019 06/30/2019 06/30/2019
639,254 0 639,313
48,026 0 50,504
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 639,254 639,313 0 -59 0 0
Annual Time Burden (Hours) 48,026 50,504 0 -2,478 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Changing Forms
Program is requesting a non-substantial change request to the annual performance report (APR) to align with our new period of funding under a new cooperative agreement. This new cooperative agreement integrates funding for HIV surveillance and prevention for health departments to implement a comprehensive HIV surveillance and prevention program to prevent new HIV infections and achieve viral suppression among persons living with HIV. PS 18 1802 requires the recipients to report annually on progress made during the reporting period (Annual Performance Report). For PS 18 1802 health departments will begin reporting their progress using the currently approved Performance Progress and Monitoring Report (PPMR) form OMB #0920-1132 expiration (08/31/2019) provided in Attachment 1 for this request. Using this form will simplify annual progress reporting for health departments and will be a familiar format for health departments who may be using this form for annual program reporting under other CDC cooperative agreements. We anticipate using the revised version of the form if revised in 2019. Removal of the line item for the APR in our burden table reduces the overall burden.

$72,116,505
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
Uncollected
Thelma Sims 4046394771

  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.
07/16/2018


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