OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

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

OMB 0920-0004 ยท 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 is listed under ICR 202603-0920-014.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
US Collaborating Laboratories Influenza Testing Methods AssessmentForm 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 FormForm and Instruction
Aggregate case counts of person exposed to Highly Pathogenic Avian Influenza (HPAI)Form and Instruction
Suspect Respiratory Virus Patient FormForm 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 FormForm and Instruction
National Adenovirus Type Reporting System (NATRS) FormForm and Instruction
Antiviral-Resistant Influenza Infection Case ReportForm and Instruction
Human Infection with Novel Influenza A Virus Severe OutcomesForm and Instruction
Influenza-Associated Pediatric Mortality Case ReportForm and Instruction
US Collaborating Center for Influenza Virus SurveillanceForm and Instruction
Human Infection with Novel Influenza A Virus Case Report FormForm and Instruction
Novel Influenza A Virus Case Screening FormForm and Instruction
Viral Gastroenteritis Outbreak Submission FormForm and Instruction
Form CDC 55.83B NREVSS Virus Isolation (culture) WorksheetForm and Instruction
Form CDC 55.83D NREVSS Polymerase Chain Reaction (PCR) WorksheetForm and Instruction
Form CDC 55.83A NREVSS Antigen Detection WorksheetForm and Instruction
Form CDC 55.90 Enterovirus Surveillance System Report FormForm and Instruction
Public Comment.docxPublic Comments
Attachment DD Human Subjects Determination.pdfSupplementary Document
Attachment C_Disease Summaries 0920-0004 _2026 Final_final.docxSupplementary Document
Attachment B, 60 Day Federal Register Notice.pdfSupplementary Document
Attachment A, Authorizing Legislation.pdfSupplementary Document
SSB 0920-0004 Extension 2026 Final_final.docxSupporting Statement B
SSA 0920-0004 Extension 2026 Final_final.docxSupporting 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

Historical document collections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

OMB Details

US Collaborating Laboratories Influenza Testing Methods Assessment

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form NAUS Collaborating Laboratories Influenza Testing Methods AssessmentNAForm and instruction

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