OMB control number

[NCHHSTP] National HIV Behavioral Surveillance System

OMB 0920-0770 ยท HHS/CDC.

OMB 0920-0770

The National HIV Behavioral Surveillance system (NHBS) is a supplemental surveillance project designed to describe the HIV prevalence and behaviors related to HIV acquisition and prevention among the three populations at highest risk for HIV in the United States: men who have sex with men, persons who inject drugs, and heterosexually active persons at increased risk for HIV infection. For this Revision, Data collection instruments were revised and the number of health departments participating in the NHBS System will decrease, in addition to other minor changes. The NHBS interview data collection instruments were revised to reduce respondent burden and enhance data quality, resulting in a decrease in annualized burden hours from 6,600 to 3,398 and an increase in participating health departments to 21. Key changes included removing or modifying questions related to HIV prevention and substance use and eliminating repetitive or low-priority items. These adjustments improve the clarity, efficiency, and relevance of the assessments without altering the overall scope or time required for participants.

The latest form for [NCHHSTP] National HIV Behavioral Surveillance System expires 2029-05-31 and is listed under ICR 202605-0920-010.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-0770 Behavioral Assessment for HET (Spanish) MAY2026Form and Instruction
Form 0920-0770 Behavioral Assessment for HET (Spanish) MAY2026Form and Instruction
Form 0920-0770 Behavioral Assessment for HET (English) MAY2026Form and Instruction
Form 0920-0770 Behavioral Assessment for HET (English) MAY2026Form and Instruction
Form 0920-0770 Behavioral Assessment for PWID (Spanish) MAY2026Form and Instruction
Form 0920-0770 Behavioral Assessment for PWID (Spanish) MAY2026Form and Instruction
Form 0920-0770 Behavioral Assessment for PWID (English) MAY2026Form and Instruction
Form 0920-0770 Behavioral Assessment for PWID (English) MAY2026Form and Instruction
Form 0920-0770 Recruiter Debriefing (Spanish) MAY2026Form and Instruction
Form 0920-0770 Recruiter Debriefing (Spanish) MAY2026Form and Instruction
Form 0920-0770 Recruiter Debriefing (English) MAY2026Form and Instruction
Form 0920-0770 Recruiter Debriefing (English) MAY2026Form and Instruction
Form 0920-0770 Behavioral Assessment for MSM (Spanish)Form and Instruction
Form 0920-0770 Behavioral Assessment for MSM (Spanish)Form and Instruction
Form 0920-0770 Behavioral Assessment for MSM (English) MAY2026Form and Instruction
Form 0920-0770 Behavioral Assessment for MSM (English) MAY2026Form and Instruction
Form 0920-0770 Eligibility Screener (Spanish) MAY2026Form and Instruction
Form 0920-0770 Eligibility Screener (Spanish) MAY2026Form and Instruction
Form 0920-0770 Eligibility Screener (English) MAY2026Form and Instruction
Form 0920-0770 Eligibility Screener (English) MAY2026Form and Instruction
Supporting Statement B_FINAL.docxSupporting Statement B
Supporting Statement B_FINAL.docxSupporting Statement B
SSA_FINAL- 29May2026_CLEAN ROCIS.docxSupporting Statement A
Supporting Statement A_FINAL.docxSupporting Statement A
Att 2b_Response to Public Comments.docxPublic Comments
Att 2a Public Comments.pdfPublic Comments
Justification Memo.docxJustification for No Material/Nonsubstantive Change
Justification Memo.docxJustification for No Material/Nonsubstantive Change
Att 15_Recruiter Training Script.pdfSupplementary Document
Att 15_Recruiter Training Script.pdfSupplementary Document
Att 18_Auth to Operate for DCC.pdfSupplementary Document
Att 18_Auth to Operate for DCC.pdfSupplementary Document
Att 17_References.pdfSupplementary Document
Att 17_References.pdfSupplementary Document
Att 16_Response Rate Calculations.pdfSupplementary Document
Att 16_Response Rate Calculations.pdfSupplementary Document
Att 14_Model Recruitment Coupon.pdfSupplementary Document
Att 14_Model Recruitment Coupon.pdfSupplementary Document
Att 13_Summary of Changes to Data Collection.docxSupplementary Document
Att 13_Summary of Changes to Data Collection.docxSupplementary Document
Att 12_Sample analysis tables.pdfSupplementary Document
Att 12_Sample analysis tables.pdfSupplementary Document
Att 11_CDC Project Determination.pdfSupplementary Document
Att 11_CDC Project Determination.pdfSupplementary Document
Att 10_Model Consent Form.pdfSupplementary Document
Att 10_Model Consent Form.pdfSupplementary Document
Att 9_List of Consultants_2025.pdfSupplementary Document
Att 9_List of Consultants_2025.pdfSupplementary Document
Att 8_NHBS Cycle Overview.pdfSupplementary Document
Att 8_NHBS Cycle Overview.pdfSupplementary Document
Att 7_Agreement to Abide by Restrictions.pdfSupplementary Document
Att 7_Agreement to Abide by Restrictions.pdfSupplementary Document
Att 6b_Privacy Impact Assessment.pdfSupplementary Document
Att 6b_Privacy Impact Assessment.pdfSupplementary Document
Att 6a_Assurance of Confidentiality.pdfSupplementary Document
Att 6a_Assurance of Confidentiality.pdfSupplementary Document
Att 5_NHBS Publications.pdfSupplementary Document
Att 5_NHBS Publications.pdfSupplementary Document
Att 2_Published 60-Day FRN.pdfSupplementary Document
Att 2_Published 60-Day FRN.pdfSupplementary Document
Att 1_Sect 301 PHSA.PDFSupplementary Document
Att 1_Sect 301 PHSA.PDFSupplementary Document
NHBS Behavioral Assessment Survey (HET) Form and Instruction
NHBS Behavioral Assessment Survey (HET) Form and Instruction
NHBS Behavioral Assessment Survey (HET) Form and Instruction
NHBS Behavioral Assessment Survey (HET) Form and Instruction
NHBS Behavioral Assessment (PWID) Form and Instruction
NHBS Behavioral Assessment (PWID) Form and Instruction
NHBS Behavioral Assessment (PWID) Form and Instruction
NHBS Behavioral Assessment (PWID) Form and Instruction
NHBS Recruiter Debriefing Form and Instruction
NHBS Recruiter Debriefing Form and Instruction
NHBS Recruiter Debriefing Form and Instruction
NHBS Recruiter Debriefing Form and Instruction
NHBS Behavioral Assessment (MSM) Form and Instruction
NHBS Behavioral Assessment (MSM) Form and Instruction
NHBS Behavioral Assessment (MSM) Form and Instruction
NHBS Behavioral Assessment (MSM) Form and Instruction
NHBS Screening (All Respondent Groups) Form and Instruction
NHBS Screening (All Respondent Groups) Form and Instruction
NHBS Screening (All Respondent Groups) Form and Instruction
NHBS Screening (All Respondent Groups) Form and Instruction

OMB Details

NHBS Screening (All Respondent Groups)

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form 0920-0770Eligibility Screener (English) MAY2026N/AForm and instruction
Form 0920-0770Eligibility Screener (Spanish) MAY2026N/AForm and instruction

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