ICR Documents

Document Date Uploaded
SSA_NHSS_clean.docx 08/29/2025

Document Date Uploaded
SSB_NHSS_clean.docx 08/29/2025

Title Document Document Type Date Uploaded
Authorizing Legislation Att_1_ Authorizing Legislation.pdf Supplementary Document 09/07/2022
60-day Federal Register Notice Att_2(a) 60 Day FRN pub 4 -1-2022.pdf Supplementary Document 09/07/2022
Guidance: NHSS Data Elements Att_3(c) NHSS_dataelements_OMB_BG_KB_Clean_PWID edit_clean.pdf Supplementary Document 09/08/2022
Guidance: Adult HIV Confidential Case Report Form Att_4(a) ADULT HIV CONFIDENTIAL CASE REPORT FORM 2023 v2.pdf Supplementary Document 09/08/2022
Guidance: Pediatric HIV Confidential Case Report Form Att_4(b) PEDIATRIC HIV CASE REPORT FORM 2023 v2_PWID edit_clean.pdf Supplementary Document 09/08/2022
Guidance: Duplicate Review Att_4(c) DUPLICATE REVIEW 2022 v1.pdf Supplementary Document 09/08/2022
Guidance: Data-to-Care Reporting Att_4(d) D2C-Monitoring-and-Evaluation-Guidance _Jun21fin_508C_8.30.pdf Supplementary Document 09/08/2022
Guidance: Detecting HIV Transmission Clusters Att_4(e) DETECTING HIV TRANSMISSION CLUSTERS 2022 v1 (1).pdf Supplementary Document 09/08/2022
Guidance: Cluster Report Form Att_4(f) Cluster Report Form Instructions updated 11052021_share.pdf Supplementary Document 09/08/2022
HIV Surveillance Report (example) Att_5 cdc-hiv-surveillance-report-2020-updated-vol-33.pdf Supplementary Document 09/08/2022
Privacy Impact Assessment Att_6(a) PIA.pdf Supplementary Document 09/08/2022
Authority to Operate (IT Security) Att_6(b) ATO.pdf Supplementary Document 09/08/2022
Assurance of Confidentiality Att_7(a) NHSS_ AoC Statement_FinalOct2019.pdf Supplementary Document 09/08/2022
Confidentiality Security Statement Att_7(b) NHSS_ Complete AoC_Final updated 102621 per amendment_CSpacket.pdf Supplementary Document 09/08/2022
NCHHSTP Data Security and Confidentiality Guidelines Att_8_Data Security and Confidentiality Guidelines.pdf Supplementary Document 09/08/2022
NCHHSTP Project Determination Att_9_Project Determination.pdf Supplementary Document 09/08/2022
Summary of Proposed Changes to Data Collection [for implementation in 2023] Att_10 Summary of Changes FINAL_08Feb22_SERv3_PWID _update_clean.pdf Supplementary Document 09/08/2022
Att 1 (Change Request) Table 1_Summary of Proposed Changes Att 1_ Table 1_Summary of Proposed Changes.docx Supplementary Document 10/17/2023
Summary of Proposed Changes Summary of Proposed Changes Table.docx Supplementary Document 12/30/2024
ATT 3c - NHSS Data Elements 29AUG2025 Att_3c NHSS_dataelements_cleanv2.docx Supplementary Document 08/29/2025
ATT 4a - Technical Guidance ACRF 29AUG2025 Att_4a Technical Guidance_ ACRF_clean.pdf Supplementary Document 08/29/2025
ATT 4b - Technical Guidance PCRF 29AUG2025 Att_4b Technical Guidance_ PCRF_clean.pdf Supplementary Document 08/29/2025
Justification for Nonmaterial/Non-Substantial Change Request Description Justification for Nonmaterial.docx Justification for No Material/Nonsubstantive Change 10/17/2023
Summary of Proposed Changes in Data Collection Instruments (NHSS) Memo (24HX) Justification Memo for Nonsubstantive Change Request_0920-0573_NHSS.docx Justification for No Material/Nonsubstantive Change 08/05/2024
Summary of Proposed Changes (25CG) NHSS Justification Memo.docx Justification for No Material/Nonsubstantive Change 12/17/2024
Change Request Justification Justification Memo 2.docx Justification for No Material/Nonsubstantive Change 12/30/2024
NHSS - Change Request Memo 29AUG2025 Justification for Nonsubstantive Change Request Memo.docx Justification for No Material/Nonsubstantive Change 08/29/2025

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