[NCHHSTP] National HIV Surveillance System (NHSS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0573 Adult Case Report Form	Form	Modified	Available
Form 0920-0573 Data Elements	Form	Modified	Available
Form 0920-0573 Pediatric HIV Confidential Case Report Form	Form and Instruction	Modified	Available
Form 0920-0573 Adult HIV Confidential Case Report Form	Form and Instruction	Modified	Available
Form 0920-0573 Pediatric Case Report Form	Form	Modified	Available
Form 0920-0573 Deduplication Activities	Form	Modified	Available
Form 0920-0573 Annual-Closeout Cluster Report Form	Form	Modified	Available
Form 0920-0573 Follow-up Cluster Report Form	Form	Modified	Available
Form 0920-0573 Initial Cluster Report Form	Form	Modified	Available
Form 0920-0573 D2C Guidance	Form	Modified	Available
Form 0920-0573 Standards Evaluation Report	Form	Modified	Available
Form 0920-0573 Pediatric HIV Confidential Case Report Form	Form and Instruction	Modified	Available
Form 0920-0573 Adult HIV Confidential Case Report Form	Form and Instruction	Modified	Available
Form 0920-0573 Data Elements	Form	Modified	Available
Form 0920-0573 Pediatric HIV Confidential Case Report Form	Form and Instruction	Modified	Available
Form 0920-0573 Adult HIV Confidential Case Report Form	Form and Instruction	Modified	Available
Att_7a NHSS AoC Statement_July 2025.pdf	Supplementary Document	Uploaded 2026-02-23	Available
Att_7b Security Statement and Data Access Packet.pdf	Supplementary Document	Uploaded 2026-02-23	Available
30-Day FRN_NHSS.docx	Supplementary Document	Uploaded 2026-02-23	Available
Att_8 Data Security and Confidentiality Guidelines.pdf	Supplementary Document	Uploaded 2026-02-23	Available
Att_9 Project Determination NHSS.pdf	Supplementary Document	Uploaded 2026-02-23	Available
Att_6 Privacy Impact Assessment.pdf	Supplementary Document	Uploaded 2026-02-23	Available
Att_2c Responses consolidated_Jan2026.pdf	Public Comments	Uploaded 2026-02-23	Available
Att_2b Comments_Jan2026.pdf	Public Comments	Uploaded 2026-02-23	Available
Justification for Nonsubstantive Change Request Memo.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-08-29	Available
Att_4b Technical Guidance_ PCRF_clean.pdf	Supplementary Document	Uploaded 2025-08-29	Available
Att_4a Technical Guidance_ ACRF_clean.pdf	Supplementary Document	Uploaded 2025-08-29	Available
Att_3c NHSS_dataelements_cleanv2.docx	Supplementary Document	Uploaded 2025-08-29	Available
Justification Memo 2.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-12-30	Available
Summary of Proposed Changes Table.docx	Supplementary Document	Uploaded 2024-12-30	Available
NHSS Justification Memo.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-12-17	Available
Justification Memo for Nonsubstantive Change Request_0920-0573_NHSS.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-08-05	Available
Att 1_ Table 1_Summary of Proposed Changes.docx	Supplementary Document	Uploaded 2023-10-17	Available
Justification for Nonmaterial.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-10-17	Available
SSB_NHSS.docx	Supporting Statement B	Uploaded 2026-02-23	Available
SSA_NHSS.docx	Supporting Statement A	Uploaded 2026-02-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7028	Adult HIV/AIDS Confidential Case Report	Form	Modified	Adult Case Report Form
7028	Adult HIV/AIDS Confidential Case Report	Form	Modified
46032	Case Report Evaluations	Form	Modified	Data Elements
46032	Case Report Evaluations	Form and Instruction	Modified	Pediatric HIV Confidential Case Report Form
46032	Case Report Evaluations	Form and Instruction	Modified	Adult HIV Confidential Case Report Form
46032	Case Report Evaluations	Form and Instruction	Modified
46030	Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information)	Form	Modified	Pediatric Case Report Form
46030	Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information)	Form	Modified
236513	Data De-duplication Activities	Form	Modified	Deduplication Activities
236513	Data De-duplication Activities	Form	Modified
236512	Cluster Close-out Report	Form	Modified	Annual-Closeout Cluster Report Form
236512	Cluster Close-out Report	Form	Modified
236511	Cluster Follow-up Report	Form	Modified	Follow-up Cluster Report Form
236511	Cluster Follow-up Report	Form	Modified
236510	Initial Cluster Report	Form	Modified	Initial Cluster Report Form
236510	Initial Cluster Report	Form	Modified
236509	Investigation Reporting and Evaluation [D2C]	Form	Modified	D2C Guidance
236509	Investigation Reporting and Evaluation [D2C]	Form	Modified
220109	Annual Reporting: Standards Evaluation Report (SER)	Form	Modified	Standards Evaluation Report
220109	Annual Reporting: Standards Evaluation Report (SER)	Form	Modified
205249	Laboratory Updates	Form and Instruction	Modified	Pediatric HIV Confidential Case Report Form
205249	Laboratory Updates	Form and Instruction	Modified	Adult HIV Confidential Case Report Form
205249	Laboratory Updates	Form and Instruction	Modified
205248	Case Report Evaluations	Form	Modified	Data Elements
205248	Case Report Evaluations	Form and Instruction	Modified	Pediatric HIV Confidential Case Report Form
205248	Case Report Evaluations	Form and Instruction	Modified	Adult HIV Confidential Case Report Form
205248	Case Report Evaluations	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0573	ICR Reference No: 202602-0920-009
Status: Received in OIRA	Previous ICR Reference No: 202508-0920-010
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0573
Title: [NCHHSTP] National HIV Surveillance System (NHSS)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 02/23/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2026
Responses	1,035,569	1,035,569
Time Burden (Hours)	60,731	60,731
Cost Burden (Dollars)	0	0

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Abstract: 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. Extension of current collection set to expire 02/2026.

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Authorizing Statute(s): 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
   US Code: 42 USC 247c Name of Law: Sexually Transmitted Diseases; Prevention and Control Projects and Programs
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 46891	09/30/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 7488	02/18/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 11

table that charts list of burden

IC Title	Form No.	Form Name
Adult HIV/AIDS Confidential Case Report	0920-0573	Adult Case Report Form
Annual Reporting: Standards Evaluation Report (SER)	0920-0573	Standards Evaluation Report
Case Report Evaluations	0920-0573, 0920-0573, 0920-0573	Adult HIV Confidential Case Report Form ,   Pediatric HIV Confidential Case Report Form ,   Data Elements
Case Report Evaluations	0920-0573, 0920-0573, 0920-0573	Adult HIV Confidential Case Report Form ,   Pediatric HIV Confidential Case Report Form ,   Data Elements
Cluster Close-out Report	0920-0573	Annual-Closeout Cluster Report Form
Cluster Follow-up Report	0920-0573	Follow-up Cluster Report Form
Data De-duplication Activities	0920-0573	Deduplication Activities
Initial Cluster Report	0920-0573	Initial Cluster Report Form
Investigation Reporting and Evaluation [D2C]	0920-0573	D2C Guidance
Laboratory Updates	0920-0573, 0920-0573	Adult HIV Confidential Case Report Form ,   Pediatric HIV Confidential Case Report Form
Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information)	0920-0573	Pediatric Case Report Form

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ICR Summary of Burden

table that charts list of burden

	Total Request	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

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $83,267,871

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/23/2026

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