Investigation Reporting and Evaluation

National HIV Surveillance System (NHSS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0573 can be found here:

Documents and Forms

Document Name Document Type
Att_4(d) D2C-Monitoring-and-Evaluation-Guidance _Jun21fin_508C_8.30.pdf Other-Data to Care Reporting Guidanc
Att_4(d) D2C-Monitoring-and-Evaluation-Guidance _Jun21fin_508C_8.30.pdf Other-Data to Care Reporting Guidanc
Att_4(e) DETECTING HIV TRANSMISSION CLUSTERS 2022 v1 (1).pdf Technical Guidance for HIV Surveillance Programs: Detecting HIV Transmission Clusters IC Document
Att_4(e) DETECTING HIV TRANSMISSION CLUSTERS 2022 v1 (1).pdf Technical Guidance for HIV Surveillance Programs: Detecting HIV Transmission Clusters IC Document

Information Collection (IC) Details

IC Title:	Investigation Reporting and Evaluation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Data to Care Reporting Guidance for PS18-1802 and PS20-2010 Recipients			Att_4(d) D2C-Monitoring-and-Evaluation-Guidance _Jun21fin_508C_8.30.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: SORN 09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems HHS/CDC	FR Citation: 57 FR 62812

Number of Respondents: 59	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	54,811	1,652	53,159
Annual IC Time Burden (Hours)	914	28	886
Annual IC Cost Burden (Dollars)	0	-23,922	23,922

Documents for IC

Title	Document	Date Uploaded
Technical Guidance for HIV Surveillance Programs: Detecting HIV Transmission Clusters	Att_4(e) DETECTING HIV TRANSMISSION CLUSTERS 2022 v1 (1).pdf	09/08/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.