Information Collection Request

[NCHHSTP] National HIV Surveillance System (NHSS)

ICR 202602-0920-009 · OMB 0920-0573 · Received in OIRA

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
7028	Adult HIV/AIDS Confidential Case Report Form	Modified
46032	Case Report Evaluations Form and Instruction	Modified
46030	Pediatric HIV Confidential Case Report Form (with Perinatal HIV Exposure information) Form	Modified
236513	Data De-duplication Activities Form	Modified
236512	Cluster Close-out Report Form	Modified
236511	Cluster Follow-up Report Form	Modified
236510	Initial Cluster Report Form	Modified
236509	Investigation Reporting and Evaluation [D2C] Form	Modified
220109	Annual Reporting: Standards Evaluation Report (SER) Form	Modified
205249	Laboratory Updates Form and Instruction	Modified
205248	Case Report Evaluations Form and Instruction	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-0573
Type of Information Collection	Extension without change of a currently approved collection
Previous ICR Reference No	202508-0920-010
Agency Tracking No	0920-0573
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31