[NCHHSTP] National HIV Surveillance System (NHSS)

OMB 0920-0573

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.

The latest form for [NCHHSTP] National HIV Surveillance System (NHSS) expires 2022-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Adult HIV/AIDS Confidential Case Report Form and Instruction
Adult HIV/AIDS Confidential Case Report Form and Instruction
Case Report Updates Form and Instruction
Case Report Updates Form and Instruction
Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information) Form and Instruction
Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information) Form and Instruction
Cluster Close-out Report Form and Instruction
Cluster Close-out Report Form and Instruction
Cluster Follow-up Report Form and Instruction
Cluster Follow-up Report Form and Instruction
Initial Cluster Report Form and Instruction
Initial Cluster Report Form and Instruction
Form 0920-0573 Annual Reporting: Standards Evaluation Report (SER) Form and Instruction
Form 0920-0573 Annual Reporting: Standards Evaluation Report (SER) Form and Instruction
Laboratory Updates Form and Instruction
Laboratory Updates Form and Instruction
Case Report Evaluations Form and Instruction
Case Report Evaluations Form and Instruction
Justification Memo for Nonsubstantive Change Request_0920-0573_NHSS.docx Justification for No Material/Nonsubstantive Change
Justification Memo for Nonsubstantive Change Request_0920-0573_NHSS.docx Justification for No Material/Nonsubstantive Change
Att 1_ Table 1_Summary of Proposed Changes.docx Supplementary Document
Att 1_ Table 1_Summary of Proposed Changes.docx Supplementary Document
Justification for Nonmaterial.docx Justification for No Material/Nonsubstantive Change
Justification for Nonmaterial.docx Justification for No Material/Nonsubstantive Change
Att_10 Summary of Changes FINAL_08Feb22_SERv3_PWID _update_clean.pdf Supplementary Document
Att_10 Summary of Changes FINAL_08Feb22_SERv3_PWID _update_clean.pdf Supplementary Document
Att_9_Project Determination.pdf Supplementary Document
Att_9_Project Determination.pdf Supplementary Document
Att_8_Data Security and Confidentiality Guidelines.pdf Supplementary Document
Att_8_Data Security and Confidentiality Guidelines.pdf Supplementary Document
Att_7(b) NHSS_ Complete AoC_Final updated 102621 per amendment_CSpacket.pdf Supplementary Document
Att_7(b) NHSS_ Complete AoC_Final updated 102621 per amendment_CSpacket.pdf Supplementary Document
Att_7(a) NHSS_ AoC Statement_FinalOct2019.pdf Supplementary Document
Att_7(a) NHSS_ AoC Statement_FinalOct2019.pdf Supplementary Document
Att_6(b) ATO.pdf Supplementary Document
Att_6(b) ATO.pdf Supplementary Document
Att_6(a) PIA.pdf Supplementary Document
Att_6(a) PIA.pdf Supplementary Document
Att_5 cdc-hiv-surveillance-report-2020-updated-vol-33.pdf Supplementary Document
Att_5 cdc-hiv-surveillance-report-2020-updated-vol-33.pdf Supplementary Document
Att_4(f) Cluster Report Form Instructions updated 11052021_share.pdf Supplementary Document
Att_4(f) Cluster Report Form Instructions updated 11052021_share.pdf Supplementary Document
Att_4(e) DETECTING HIV TRANSMISSION CLUSTERS 2022 v1 (1).pdf Supplementary Document
Att_4(e) DETECTING HIV TRANSMISSION CLUSTERS 2022 v1 (1).pdf Supplementary Document
Att_4(d) D2C-Monitoring-and-Evaluation-Guidance _Jun21fin_508C_8.30.pdf Supplementary Document
Att_4(d) D2C-Monitoring-and-Evaluation-Guidance _Jun21fin_508C_8.30.pdf Supplementary Document
Att_4(c) DUPLICATE REVIEW 2022 v1.pdf Supplementary Document
Att_4(c) DUPLICATE REVIEW 2022 v1.pdf Supplementary Document
Att_4(b) PEDIATRIC HIV CASE REPORT FORM 2023 v2_PWID edit_clean.pdf Supplementary Document
Att_4(b) PEDIATRIC HIV CASE REPORT FORM 2023 v2_PWID edit_clean.pdf Supplementary Document
Att_4(a) ADULT HIV CONFIDENTIAL CASE REPORT FORM 2023 v2.pdf Supplementary Document
Att_4(a) ADULT HIV CONFIDENTIAL CASE REPORT FORM 2023 v2.pdf Supplementary Document
Att_3(c) NHSS_dataelements_OMB_BG_KB_Clean_PWID edit_clean.pdf Supplementary Document
Att_3(c) NHSS_dataelements_OMB_BG_KB_Clean_PWID edit_clean.pdf Supplementary Document
Att_2(a) 60 Day FRN pub 4 -1-2022.pdf Supplementary Document
Att_2(a) 60 Day FRN pub 4 -1-2022.pdf Supplementary Document
Att_1_ Authorizing Legislation.pdf Supplementary Document
Att_1_ Authorizing Legislation.pdf Supplementary Document
SSB_08Aug22_clean.docx Supporting Statement B
SSB_08Aug22_clean.docx Supporting Statement B
SSA_NHSS_31AUG22_clean.docx Supporting Statement A
SSA_NHSS_31AUG22_clean.docx Supporting Statement A
Adult HIV/AIDS Confidential Case Report Form and Instruction
Adult HIV/AIDS Confidential Case Report Form and Instruction
Case Report Updates Form and Instruction
Case Report Updates Form and Instruction
Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information) Form and Instruction
Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information) Form and Instruction
Data De-duplication Activities Other-Technical Guidance for HIV Surveillance Programs: Duplicat
Cluster Close-out Report Form and Instruction
Cluster Close-out Report Form and Instruction
Cluster Follow-up Report Form and Instruction
Cluster Follow-up Report Form and Instruction
Initial Cluster Report Form and Instruction
Initial Cluster Report Form and Instruction
Investigation Reporting and Evaluation Other-Data to Care Reporting Guidance for PS18-1802 and PS20-201
Annual Reporting: Standards Evaluation Report (SER) Form and Instruction
Annual Reporting: Standards Evaluation Report (SER) Form and Instruction
Laboratory Updates Form and Instruction
Laboratory Updates Form and Instruction
Case Report Evaluations Form and Instruction
Case Report Evaluations Form and Instruction

All Historical Document Collections

202408-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2024-08-06
202310-0920-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-10-17
202208-0920-013 Approved without change	Revision of a currently approved collection	2022-09-13
202110-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-10-07
202012-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-12-11
202008-0920-010 Approved with change	No material or nonsubstantive change to a currently approved collection	2020-08-28
201906-0920-004 Approved without change	Revision of a currently approved collection	2019-06-26
201811-0920-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2018-11-19
201807-0920-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2018-07-16
201712-0920-002 Approved with change	No material or nonsubstantive change to a currently approved collection	2017-12-19
201606-0920-017 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-06-30
201602-0920-002 Approved without change	Revision of a currently approved collection	2016-02-22
201409-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-09-12
201301-0920-001 Approved with change	Revision of a currently approved collection	2013-01-02
201106-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-06-02
200912-0920-003 Approved without change	Revision of a currently approved collection	2009-12-10
200611-0920-001 Approved with change	Revision of a currently approved collection	2006-11-15
200210-0920-004 Approved without change	New collection (Request for a new OMB Control Number)	2002-10-21

OMB Details

Adult HIV/AIDS Confidential Case Report

Federal Enterprise Architecture: Health - Public Health Monitoring

Form n/a

Adult Case Report Form

Fillable Fileable

Form and instruction

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