[OPHDST] National Notifiable Diseases Surveillance System (NNDSS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Att 12 Case-based Surveillance Capabilities and Technology Recommendations.pdf	Supplementary Document	Uploaded 2026-10-19	Available
Att 13 Paperwork Reduction Act Burden and Privacy Act Statement Screenshot.pdf	Supplementary Document	Uploaded 2026-10-19	Available
Att 14b Message Validation, Processing, and Provisioning System Privacy Threshold Assessment.pdf	Supplementary Document	Uploaded 2026-10-19	Available
Att 14a Message Validation, Processing, and Provisioning System Privacy Impact Assessment.pdf	Supplementary Document	Uploaded 2026-10-19	Available
Att 15 National Notifiable Diseases Surveillance System Research Determination.pdf	Supplementary Document	Uploaded 2026-10-19	Available
Att 10 Justification for the Addition of Core and Disease-Specific Data Elements.docx	Supplementary Document	Uploaded 2026-10-19	Available
Att 1 Authorizing Legislation 42 USC 241.pdf	Supplementary Document	Uploaded 2026-10-19	Available
Att 2 60-day Federal Register Notice.pdf	Supplementary Document	Uploaded 2026-10-16	Available
Att 3 Public Comment.pdf	Supplementary Document	Uploaded 2026-10-16	Available
Att 4 List of Nationally Notifiable Conditions.xlsx	Supplementary Document	Uploaded 2026-10-16	Available
Att 5 List of Conditions Under Standardized Surveillance.xlsx	Supplementary Document	Uploaded 2026-10-16	Available
Att 17 Explanation for Program Changes or Adjustments.docx	Supplementary Document	Uploaded 2026-10-16	Available
Att 16 Burden Table Calculations.xlsx	Supplementary Document	Uploaded 2026-10-16	Available
Att 14 - NNDSS Research Determination.pdf	Supplementary Document	Uploaded 2025-04-09	Available
Att 13 - MVPS PIA.pdf	Supplementary Document	Uploaded 2025-04-09	Available
Att 12 - CBS Capabilities and Technology Recommendations.pdf	Supplementary Document	Uploaded 2025-04-09	Available
Att 10 - Justification for Disease-specific Data.docx	Supplementary Document	Uploaded 2025-04-09	Available
Att 5 - List of CSS.xlsx	Supplementary Document	Uploaded 2025-04-09	Available
Att 4 - List of NNCs.xlsx	Supplementary Document	Uploaded 2025-04-09	Available
Att 3 - Requests to Align with EO 14168.docx	Supplementary Document	Uploaded 2025-04-09	Available
Att 2a - 60 day FRN.pdf	Supplementary Document	Uploaded 2025-04-09	Available
0920-0728_NNDSS_Supporting_Statement_B.docx	Supporting Statement B	Uploaded 2026-10-16	Available
0920-0728_NNDSS_Supporting_Statement_A 24SEP2026.docx	Supporting Statement A	Uploaded 2026-10-16	Available
Att 15 - PRA Burden Statement Screenshot.pdf	Supplementary Document	Uploaded 2024-02-01	Available
Att 14 - Burden Table Calculations.xlsx	Supplementary Document	Uploaded 2024-02-01	Available
Att 13 - NNDSS Research Determination.pdf	Supplementary Document	Uploaded 2024-02-01	Available
Att 12 - MVPS PIA.pdf	Supplementary Document	Uploaded 2024-02-01	Available
Att 11 - CBS Capabilities and Technology Recommendations.pdf	Supplementary Document	Uploaded 2024-02-01	Available
Att 9 - Justification for Disease-specific Data_012262024.pdf	Supplementary Document	Uploaded 2024-02-01	Available
Att 4 - List of CSS_01222024.xlsx	Supplementary Document	Uploaded 2024-02-01	Available
Att 3 - List of NNCs_01222024.xlsx	Supplementary Document	Uploaded 2024-02-01	Available
Att 1 - Authorizing Legislation 42 USC 241.pdf	Supplementary Document	Uploaded 2024-02-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
283137	Tribal Nations - One-time addition of Diseases and Data Elements	Instruction	New
283136	Tribal Nations - Annual	Other-Data Elements	New
283135	Tribal Nations - Weekly DMI Implementation	Other-Data Elements	New
283134	Tribal Nations - Weekly Automated	Other-Data Elements	New
235861	Freely Associated States - One-time Addition of Diseases and Data Elements	Instruction	Modified
235860	Freely Associated States - Weekly (automated)	Other-Data elements	Modified
228451	Cities - One time Addition of Diseases and Data Elements	Instruction	Modified
228450	Cities - Annual	Other-Data elements	Modified
228449	Cities - Weekly - DMI Implementation	Other-Data elements	Modified
228448	Cities - Weekly - non-automated	Other-Data elements	Modified
228447	Freely Associated States - Annual	Other-Data elements	Modified
228446	Freely Associated States - Weekly, quarterly - non-automated	Other-Data elements	Modified
228445	Territories - One time addition of diseases and data elements	Instruction	Modified
228444	Territories - Annual	Other-Data elements	Modified
228443	Territories - Weekly, DMI Implementation	Other-Data elements	Modified
228442	Territories - Weekly, quarterly - non-automated	Other-Data elements	Modified
228441	States - One time addition of diseases and data elements	Instruction	Modified
228440	States - Annual	Other-Data elements	Modified
228439	States - Weekly DMI Implementation	Other-Data elements	Modified
228438	States - Weekly non-automated	Other-Data elements	Modified
209484	Cities - Weekly - automated	Other-Data elements	Modified
209483	Territories - Weekly automated	Other-Data elements	Modified
209482	States - Weekly automated	Other-Data elements	Modified

ICR Details

OMB Control No: 0920-0728	ICR Reference No: 202609-0920-007
Status: Received in OIRA	Previous ICR Reference No: 202504-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0728
Title: [OPHDST] National Notifiable Diseases Surveillance System (NNDSS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/19/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2028
Responses	12,576	7,276
Time Burden (Hours)	33,471	18,354
Cost Burden (Dollars)	0	0

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Abstract: The National Notifiable Diseases Surveillance System (NNDSS) is the nation’s public health surveillance system used to monitor the occurrence and spread of nationally notifiable conditions. Respondents are 60 jurisdictions: public health departments in every U.S. state, New York City, Washington DC, 5 U.S. territories (American Samoa, the Commonwealth of Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands), and 3 freely associated states (the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau). NNDSS provides the official source of statistics in the United States for nationally notifiable conditions and CDC is the sole repository for these national, population-based data. Recently the NNDSS platform was modernized and expanded as a low-cost, common portal for collecting information on other conditions. Among the thousands of diseases that affect the health of the population, CDC and the Council of State and Territorial Epidemiologists (CSTE) have prioritized the approximately 120 Nationally Notifiable Conditions as those most important for public health monitoring and response. Changes to NNDSS in this Revision include: 1) receipt of case notification data for soil-transmitted helminth infections and flea-borne typhus since they are under standardized surveillance; 2) receipt of two new disease-specific data elements for leprosy (Hansen’s disease); 3) 45 new core data elements for all conditions; and 4) the addition of up to 50 Tribal Nations to the respondent population. The estimated annual burden hours increased due to the inclusion of up to 50 Tribal Nations.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: PHSA
  

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:
	91 FR 17654	04/07/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 63287	10/05/2026
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 23

table that charts list of burden

IC Title	Form No.	Form Name
Cities - Annual
Cities - One time Addition of Diseases and Data Elements
Cities - Weekly - DMI Implementation
Cities - Weekly - automated
Cities - Weekly - non-automated
Freely Associated States - Annual
Freely Associated States - One-time Addition of Diseases and Data Elements
Freely Associated States - Weekly (automated)
Freely Associated States - Weekly, quarterly - non-automated
States - Annual
States - One time addition of diseases and data elements
States - Weekly DMI Implementation
States - Weekly automated
States - Weekly non-automated
Territories - Annual
Territories - One time addition of diseases and data elements
Territories - Weekly automated
Territories - Weekly, DMI Implementation
Territories - Weekly, quarterly - non-automated
Tribal Nations - Annual
Tribal Nations - One-time addition of Diseases and Data Elements
Tribal Nations - Weekly Automated
Tribal Nations - Weekly DMI Implementation

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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	12,576	7,276	0	5,300	0	0
Annual Time Burden (Hours)	33,471	18,354	0	15,117	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Revision of 0920-0728 results in an increase to 33,471 estimated annual burden hours due to the inclusion of up to 50 Tribal Nations.

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Annual Cost to Federal Government: $98,573,020

Does this IC contain surveys, censuses, or employ statistical methods? No

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.     Yes

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? Yes

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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: 10/19/2026

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