Notice2026-06668
Proposed Data Collection Submitted for Public Comment and Recommendations
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
April 7, 2026
Issuing agencies
Health and Human Services DepartmentCenters for Disease Control and Prevention
Abstract
The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other federal agencies the opportunity to comment on a continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled National Notifiable Diseases Surveillance System (NNDSS). This data collection provides the official source of statistics in the United States for nationally notifiable conditions.
Full Text
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<title>Federal Register, Volume 91 Issue 66 (Tuesday, April 7, 2026)</title>
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[Federal Register Volume 91, Number 66 (Tuesday, April 7, 2026)]
[Notices]
[Pages 17654-17656]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-06668]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-26-0728; Docket No. CDC-2026-0562]
Proposed Data Collection Submitted for Public Comment and
Recommendations
AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).
ACTION: Notice with comment period.
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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
of its continuing effort to reduce public burden and maximize the
utility of government information, invites the general public and other
federal agencies the opportunity to comment on a continuing information
collection, as required by the Paperwork Reduction Act of 1995. This
notice invites comment on a proposed information collection project
titled National Notifiable Diseases Surveillance System (NNDSS). This
data collection provides the official source of statistics in the
United States for nationally notifiable conditions.
DATES: CDC must receive written comments on or before June 8, 2026.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2026-
0562 by either of the following methods:
<bullet> Federal eRulemaking Portal: <a href="http://www.regulations.gov">www.regulations.gov</a>. Follow
the instructions for submitting comments.
<bullet> Mail: Jeffrey M. Zirger, Information Collection Review
Office, Centers for Disease Control and Prevention, 1600 Clifton Road
NE, MS H21-8, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. CDC will post, without change, all relevant comments
to <a href="http://www.regulations.gov">www.regulations.gov</a>.
Please note: Submit all comments through the Federal eRulemaking
portal (<a href="http://www.regulations.gov">www.regulations.gov</a>) or by U.S. mail to the address listed
above.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the information collection plan
and instruments, contact Jeffrey M. Zirger, Information Collection
Review Office, Centers for Disease Control and Prevention, 1600 Clifton
Road NE, MS H21-8, Atlanta, Georgia 30329; Telephone: 404-639-7570;
Email: <a href="/cdn-cgi/l/email-protection#630c0e01230007004d040c15"><span class="__cf_email__" data-cfemail="bdd2d0dffdded9de93dad2cb">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. In addition, the PRA also requires
federal agencies to provide a 60-day notice in the Federal Register
concerning each proposed collection of information, including each new
proposed collection, each proposed extension of existing collection of
information, and each reinstatement of previously approved information
collection before submitting the collection to the OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below.
The OMB is particularly interested in comments that will help:
1. Evaluate whether the proposed collection of information is
necessary for the proper performance of the functions of the agency,
including whether the information will have practical utility;
2. Evaluate the accuracy of the agency's estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to
be collected;
4. Minimize the burden of the collection of information on those
who are to respond, including through the use of appropriate automated,
electronic, mechanical, or other technological collection techniques or
other forms of information technology, e.g., permitting electronic
submissions of responses; and
5. Assess information collection costs.
Proposed Project
National Notifiable Diseases Surveillance System (NNDSS) (OMB
Control No. 0920-0728, Exp. 11/30/2028)--Revision--Office of Public
Health Data, Surveillance, and
[[Page 17655]]
Technology (OPHDST), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
The Public Health Services Act (42 U.S.C. 241) authorizes CDC to
disseminate nationally notifiable condition information. The National
Notifiable Diseases Surveillance System (NNDSS) is based on data
collected at the state, territorial and local levels because of
legislation and regulations in those jurisdictions that require health
care providers, medical laboratories, and other entities to submit
health-related data on reportable conditions to public health
departments. These reportable conditions, which include infectious and
non-infectious diseases, vary by jurisdiction depending upon each
jurisdiction's health priorities and needs. Each year, the Council of
State and Territorial Epidemiologists (CSTE), supported by CDC,
determines which reportable conditions should be designated nationally
notifiable or under standardized surveillance.
CDC requests a three-year approval for a Revision for the NNDSS
(OMB Control No. 0920-0728, Expiration Date 11/30/2028). This Revision
includes requests for approval to: (1) receive case notification data
for two new conditions under standardized surveillance (CSS): flea-
borne typhus and soil-transmitted helminth infections; (2) receive new
disease-specific data elements for leprosy (Hansen's disease); and (3)
receive additional data elements for all conditions.
The NNDSS currently facilitates the submission and aggregation of
case notification data voluntarily submitted to CDC from 60
jurisdictions: public health departments in every U.S. state, New York
City, Washington DC, five U.S. territories (American Samoa, the
Commonwealth of Northern Mariana Islands, Guam, Puerto Rico, and the
U.S. Virgin Islands), and three freely associated states (Federated
States of Micronesia, the Republic of the Marshall Islands, and the
Republic of Palau). This information is shared across jurisdictional
boundaries and both surveillance and prevention and control activities
are coordinated at regional and national levels. Approximately 90% of
case notifications are encrypted and submitted to NNDSS electronically
from already existing databases by automated electronic messages. When
automated transmission is not possible, case notifications are faxed,
emailed, uploaded to a secure network or entered into a secure website.
All case notifications that are faxed or emailed are done so in the
form of an aggregate weekly or annual report, not individual cases.
These different mechanisms used to send case notifications to CDC vary
by the jurisdiction and the disease or condition. Jurisdictions remove
most personally identifiable information (PII) before data are
submitted to CDC, but some data elements (e.g., date of birth, date of
diagnosis, county of residence) could potentially be combined with
other information to identify individuals. Private information is not
disclosed unless otherwise compelled by law. All data are treated in a
secure manner consistent with the technical, administrative, and
operational controls required by the Federal Information Security
Management Act of 2002 (FISMA) and the 2010 National Institute of
Standards and Technology (NIST) Recommended Security Controls for
Federal Information Systems and Organizations. Weekly tables of
nationally notifiable diseases are available through CDC WONDER and
<a href="http://data.cdc.gov">data.cdc.gov</a>. Annual summaries of finalized nationally notifiable
disease data are published on CDC WONDER and <a href="http://data.cdc.gov">data.cdc.gov</a> and disease-
specific data are published by individual CDC programs.
The burden estimates include the number of hours that the public
health department uses to process and send case notification data from
their jurisdiction to CDC. Specifically, the burden estimates include
separate burden hours incurred for automated and non-automated
transmissions, separate weekly burden hours incurred for modernizing
surveillance systems as part of CDC's Data Modernization Initiative
(DMI) implementation, separate burden hours incurred for annual data
reconciliation and submission, and separate one-time burden hours
incurred for the addition of new diseases and data elements. The burden
estimates for the one-time burden for reporting jurisdictions are for
the addition of case notification data for flea-borne typhus and soil-
transmitted helminth infections, new conditions under standardized
surveillance; the addition of new disease-specific data elements for
leprosy (Hansen's disease); and new data elements for all conditions.
The estimated annual burden for the 257 respondents is 18,354
hours. The estimated annual burden hours remain unchanged from the
previous approval because the number of new data elements and
conditions added in this revision is comparable to those that were
previously approved.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondent Form name Number of responses per per response Total burden
respondents respondent (in hours) (in hours)
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States......................................... Weekly (Automated)..................... 50 52 20/60 867
States......................................... Weekly (Non-automated)................. 10 52 2 1,040
States......................................... Weekly (DMI Implementation)............ 50 52 4 10,400
States......................................... Annual................................. 50 1 75 3,750
States......................................... One-time Addition of Diseases and Data 50 1 2 100
Elements.
Territories.................................... Weekly (Automated)..................... 5 52 20/60 87
Territories.................................... Weekly, Quarterly (Non-automated)...... 5 56 20/60 93
Territories.................................... Weekly (DMI Implementation)............ 5 52 4 1,040
Territories.................................... Annual................................. 5 1 5 25
Territories.................................... One-time Addition of Diseases and Data 5 1 2 10
Elements.
Freely Associated States....................... Weekly (Automated)..................... 3 52 20/60 52
Freely Associated States....................... Weekly, Quarterly (Non-automated)...... 3 56 20/60 56
Freely Associated States....................... Annual................................. 3 1 5 15
Freely Associated States....................... One-time Addition of Diseases and Data 3 1 2 6
Elements.
Cities......................................... Weekly (Automated)..................... 2 52 20/60 35
[[Page 17656]]
Cities......................................... Weekly (Non-automated)................. 2 52 2 208
Cities......................................... Weekly (DMI Implementation)............ 2 52 4 416
Cities......................................... Annual................................. 2 1 75 150
Cities......................................... One-time Addition of Diseases and Data 2 1 2 4
Elements.
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Total...................................... ....................................... .............. .............. .............. 18,354
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Public Health
Ethics and Regulations, Office of Science, Centers for Disease Control
and Prevention.
[FR Doc. 2026-06668 Filed 4-6-26; 8:45 am]
BILLING CODE 4163-18-P
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