OMB control number

[NCIRD] National Disease Surveillance Program - II. Disease Summaries

OMB 0920-0004 · HHS/CDC.

OMB 0920-0004

These data are essential on the local, state, and federal levels for measuring trends in diseases, evaluating the effectiveness of current preventive strategies, and determining the need to modify current preventive measures. The following diseases/conditions are included in this program: Influenza Virus, Caliciviruses, Respiratory and Enteric Viruses, Parechoviruses, Arthropod-Borne Diseases and Enteroviruses. This Revision makes minor edits including changes to forms and a small burden increase.

The latest form for [NCIRD] National Disease Surveillance Program - II. Disease Summaries expires 2029-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
US Collaborating Laboratories Influenza Testing Methods Assessment Form and Instruction
Arthropod (Vector)-Borne Diseases (Non-Human Data) Form and Instruction
Pediatric Hepatitis of Unknown Etiology Medical Record Abstraction Form (CRF) Form and Instruction
Pediatric Hepatitis of Unknown Etiology Medical Record Abstraction Short Form Form and Instruction
Aggregate case counts of person exposed to Highly Pathogenic Avian Influenza (HPAI) Form and Instruction
Suspect Respiratory Virus Patient Form Form and Instruction
Form CDC 55.20E U.S. Outpatient Influenza-Like Illness Surveillance Network (ILINet) Form and Instruction
Middle East Respiratory Syndrome (MERS) Patient Under Investigation (PUI) Short Form Form and Instruction
National Adenovirus Type Reporting System (NATRS) Form Form and Instruction
Antiviral-Resistant Influenza Infection Case Report Form and Instruction
Human Infection with Novel Influenza A Virus Severe Outcomes Form and Instruction
Influenza-Associated Pediatric Mortality Case Report Form and Instruction
US Collaborating Center for Influenza Virus Surveillance Form and Instruction
Human Infection with Novel Influenza A Virus Case Report Form Form and Instruction
Novel Influenza A Virus Case Screening Form Form and Instruction
Viral Gastroenteritis Outbreak Submission Form Form and Instruction
Form CDC 55.83B NREVSS Virus Isolation (culture) Worksheet Form and Instruction
Form CDC 55.83D NREVSS Polymerase Chain Reaction (PCR) Worksheet Form and Instruction
Form CDC 55.83A NREVSS Antigen Detection Worksheet Form and Instruction
Form CDC 55.90 Enterovirus Surveillance System Report Form Form and Instruction
Public Comment.docx Public Comments
Attachment DD Human Subjects Determination.pdf Supplementary Document
Attachment C_Disease Summaries 0920-0004 _2026 Final_final.docx Supplementary Document
Attachment B, 60 Day Federal Register Notice.pdf Supplementary Document
Attachment A, Authorizing Legislation.pdf Supplementary Document
SSB 0920-0004 Extension 2026 Final_final.docx Supporting Statement B
SSA 0920-0004 Extension 2026 Final_final.docx Supporting Statement A
US Collaborating Laboratories Influenza Testing Methods Assessment Form and Instruction
Arthropod (Vector)-Borne Diseases (Non-Human Data) Form and Instruction
Pediatric Hepatitis of Unknown Etiology Medical Record Abstraction Form (CRF) Form and Instruction
Pediatric Hepatitis of Unknown Etiology Medical Record Abstraction Short Form Form and Instruction
Aggregate counts of persons exposed to Highly Pathogenic Avian Influenza (HPAI Form and Instruction
Suspect Respiratory Virus Patient Form Form and Instruction
U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) Workfolder_CDC 55.20E Form and Instruction
Middle East Respiratory Syndrome Coronavirus (MERS) Patient Under Investigation (PUI) Form Form and Instruction
Adenovirus Typing Report Form Form and Instruction
Antiviral Resistant Influenza Infection Case Report Form Form and Instruction
Human Infections with Novel Influenza A Virus Severe Outcomes Form and Instruction
Influenza Virus Electronic year round PHIN-MS Other-Variables for Reporting
Influenza Virus Electronic year round - PHLIP_HL7 Messaging Data Elements Other-Variables for Electronic Reporting
Influenza Associated Pediatric Mortality Case Report Form Form and Instruction
US Collaborating Center for Influenza Virus Surveillance Form and Instruction
Human Infection with Novel Influenza A Virus Case Report Form Form and Instruction
Novel Influenza A Virus Case Screening Form Form and Instruction
Viral Gastroenteritis Outbreak Submission Form Form and Instruction
National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment Form and Instruction
National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment Form and Instruction
National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment Form and Instruction
National Enterovirus Surveillance Report 55.9 Form and Instruction

All Historical Document Collections

202603-0920-014	Revision of a currently approved collection	2026-04-13
202512-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2025-12-08
202405-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2024-05-07
202301-0920-009 Approved without change	Reinstatement with change of a previously approved collection	2023-01-27
201707-0920-010 Approved without change	Revision of a currently approved collection	2017-08-31
201612-0920-014 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-12-23
201412-0920-014 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-12-23
201407-0920-012 Approved without change	Revision of a currently approved collection	2014-08-25
201402-0920-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-02-11
201401-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-01-06
201304-0920-017 Approved without change	No material or nonsubstantive change to a currently approved collection	2013-04-25
201304-0920-008 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2013-04-17
201304-0920-006 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2013-04-09
201108-0920-011 Approved with change	Revision of a currently approved collection	2011-08-29
201108-0920-007 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2011-08-19
201011-0920-006 Improperly submitted and continue	Revision of a currently approved collection	2010-11-24
201005-0920-006 Approved without change	Extension without change of a currently approved collection	2010-05-26
200901-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2009-01-07
200809-0920-003 Approved with change	No material or nonsubstantive change to a currently approved collection	2008-09-29
200805-0920-009 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-05-15
200710-0920-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2007-10-17
200701-0920-004 Approved without change	Revision of a currently approved collection	2007-01-19
200510-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2005-10-28
200507-0920-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2005-07-25
200311-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2003-11-19
200303-0920-007 Approved without change	Revision of a currently approved collection	2003-03-28
200205-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2002-05-15
199912-0920-002 Approved without change	Reinstatement with change of a previously approved collection	1999-12-29
199308-0920-004 Approved without change	Reinstatement with change of a previously approved collection	1993-08-11
199011-0920-001 Approved without change	Revision of a currently approved collection	1990-11-07
198708-0920-004 Approved without change	Revision of a currently approved collection	1987-08-26
198408-0920-005 Approved without change	Revision of a currently approved collection	1984-08-21
198107-0920-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-07-17
198012-0920-001 Approved without change	Revision of a currently approved collection	1980-12-16
197703-0920-002 Approved without change	Revision of a currently approved collection	1977-03-31
197412-0920-003 Approved with change	No material or nonsubstantive change to a currently approved collection	1974-12-23
197411-0920-001 Approved without change	Revision of a currently approved collection	1974-11-01

OMB Details

US Collaborating Laboratories Influenza Testing Methods Assessment

Federal Enterprise Architecture: Health - Public Health Monitoring

Form NA

US Collaborating Laboratories Influenza Testing Methods Assessment

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.