Investigation Reporting and Evaluation

[NCHHSTP] 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⚠️ Notice: This information collection may be referencing outdated material.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: Unchanged

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	Previously Approved
Annual Number of Responses for this IC	54,811	54,811
Annual IC Time Burden (Hours)	914	914
Annual IC Cost Burden (Dollars)	0	0

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.