OMB control number

[NCHHSTP] National HIV Surveillance System (NHSS)

OMB 0920-0573 ยท HHS/CDC.

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. 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.

The latest form for [NCHHSTP] National HIV Surveillance System (NHSS) expires 2026-07-31 and is listed under ICR 202508-0920-010.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-0573 Adult Case Report FormForm
Form 0920-0573 Data ElementsForm
Form 0920-0573 Pediatric HIV Confidential Case Report Form (document unavailable)Form and Instruction
Form 0920-0573 Adult HIV Confidential Case Report FormForm and Instruction
Form 0920-0573 Pediatric Case Report FormForm
Form 0920-0573 Deduplication ActivitiesForm
Form 0920-0573 Annual-Closeout Cluster Report FormForm
Form 0920-0573 Follow-up Cluster Report FormForm
Form 0920-0573 Initial Cluster Report FormForm
Form 0920-0573 D2C GuidanceForm
Form 0920-0573 Standards Evaluation ReportForm
Form 0920-0573 Pediatric HIV Confidential Case Report FormForm and Instruction
Form 0920-0573 Adult HIV Confidential Case Report FormForm and Instruction
Form 0920-0573 Data Elements (document unavailable)Form
Form 0920-0573 Pediatric HIV Confidential Case Report FormForm and Instruction
Form 0920-0573 Adult HIV Confidential Case Report FormForm and Instruction
Att_7a NHSS AoC Statement_July 2025.pdfSupplementary Document
Att_7b Security Statement and Data Access Packet.pdfSupplementary Document
30-Day FRN_NHSS.docxSupplementary Document
Att_8 Data Security and Confidentiality Guidelines.pdfSupplementary Document
Att_9 Project Determination NHSS.pdfSupplementary Document
Att_6 Privacy Impact Assessment.pdfSupplementary Document
Att_2c Responses consolidated_Jan2026.pdfPublic Comments
Att_2b Comments_Jan2026.pdfPublic Comments
Justification for Nonsubstantive Change Request Memo.docxJustification for No Material/Nonsubstantive Change
Att_4b Technical Guidance_ PCRF_clean.pdfSupplementary Document
Att_4a Technical Guidance_ ACRF_clean.pdfSupplementary Document
Att_3c NHSS_dataelements_cleanv2.docx (document unavailable)Supplementary Document
Justification Memo 2.docxJustification for No Material/Nonsubstantive Change
Summary of Proposed Changes Table.docxSupplementary Document
NHSS Justification Memo.docxJustification for No Material/Nonsubstantive Change
Justification Memo for Nonsubstantive Change Request_0920-0573_NHSS.docxJustification for No Material/Nonsubstantive Change
Att 1_ Table 1_Summary of Proposed Changes.docx (document unavailable)Supplementary Document
Justification for Nonmaterial.docxJustification for No Material/Nonsubstantive Change
SSB_NHSS.docxSupporting Statement B
SSA_NHSS.docxSupporting Statement A
Adult HIV/AIDS Confidential Case Report Form
Adult HIV/AIDS Confidential Case Report Form
Case Report Evaluations Form
Case Report Evaluations Form and Instruction
Case Report Evaluations Form and Instruction
Case Report Evaluations Form and Instruction
Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information) Form
Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information) Form
Data De-duplication Activities Form
Data De-duplication Activities Form
Cluster Close-out Report Form
Cluster Close-out Report Form
Cluster Follow-up Report Form
Cluster Follow-up Report Form
Initial Cluster Report Form
Initial Cluster Report Form
Investigation Reporting and Evaluation [D2C] Form
Investigation Reporting and Evaluation [D2C] Form
Annual Reporting: Standards Evaluation Report (SER) Form
Annual Reporting: Standards Evaluation Report (SER) Form
Laboratory Updates Form and Instruction
Laboratory Updates Form and Instruction
Laboratory Updates Form and Instruction
Case Report Evaluations Form
Case Report Evaluations Form and Instruction
Case Report Evaluations Form and Instruction
Case Report Evaluations Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202602-0920-009 Extension without change of a currently approved collection 2026-02-23
202508-0920-010 No material or nonsubstantive change to a currently approved collection 2025-09-02 Approved without change
202412-0920-021 No material or nonsubstantive change to a currently approved collection 2025-01-06
202412-0920-012 No material or nonsubstantive change to a currently approved collection 2024-12-19 Approved without change
202408-0920-003 No material or nonsubstantive change to a currently approved collection 2024-08-06 Approved without change
202310-0920-007 No material or nonsubstantive change to a currently approved collection 2023-10-17 Approved without change
202208-0920-013 Revision of a currently approved collection 2022-09-13 Approved without change
202110-0920-004 No material or nonsubstantive change to a currently approved collection 2021-10-07 Approved without change
202012-0920-004 No material or nonsubstantive change to a currently approved collection 2020-12-11 Approved without change
202008-0920-010 No material or nonsubstantive change to a currently approved collection 2020-08-28 Approved with change
201906-0920-004 Revision of a currently approved collection 2019-06-26 Approved without change
201811-0920-006 No material or nonsubstantive change to a currently approved collection 2018-11-19 Approved without change
201807-0920-006 No material or nonsubstantive change to a currently approved collection 2018-07-16 Approved without change
201712-0920-002 No material or nonsubstantive change to a currently approved collection 2017-12-19 Approved with change
201606-0920-017 No material or nonsubstantive change to a currently approved collection 2016-06-30 Approved without change
201602-0920-002 Revision of a currently approved collection 2016-02-22 Approved without change
201409-0920-005 No material or nonsubstantive change to a currently approved collection 2014-09-12 Approved without change
201301-0920-001 Revision of a currently approved collection 2013-01-02 Approved with change
201106-0920-003 No material or nonsubstantive change to a currently approved collection 2011-06-02 Approved without change
200912-0920-003 Revision of a currently approved collection 2009-12-10 Approved without change
200611-0920-001 Revision of a currently approved collection 2006-11-15 Approved with change
200210-0920-004 New collection (Request for a new OMB Control Number) 2002-10-21 Approved without change

OMB Details

Adult HIV/AIDS Confidential Case Report

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form NoneAdult HIV Confidential Case Report FormFillable FileableForm and instruction
Form 0920-0573NHSS - Adult HIV Confidential Case Report Form (ACRF) 29AUG2025N/AForm and instruction

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