Notice2026-20346
Agency Forms Undergoing Paperwork Reduction Act Review
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
October 5, 2026
Issuing agencies
Health and Human Services DepartmentCenters for Disease Control and Prevention
Full Text
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<title>Federal Register, Volume 91 Issue 191 (Monday, October 5, 2026)</title>
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[Federal Register Volume 91, Number 191 (Monday, October 5, 2026)]
[Notices]
[Pages 63287-63289]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-20346]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-26-0728]
Agency Forms Undergoing Paperwork Reduction Act Review
In accordance with the Paperwork Reduction Act of 1995, the Centers
for Disease Control and Prevention (CDC) has submitted the information
collection request titled ``National Notifiable Diseases Surveillance
System'' to the Office of Management and Budget (OMB) for review and
approval. CDC previously published a ``Proposed Data Collection
Submitted for Public Comment and Recommendations'' notice on April 7,
2026 to obtain comments from the public and affected agencies. CDC
received five comments related to the previous notice. This notice
serves to allow an additional 30 days for public and affected agency
comments.
CDC will accept all comments for this proposed information
collection project. The Office of Management and Budget is particularly
interested in comments that:
(a) 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;
(b) Evaluate the accuracy of the agencies estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
(c) Enhance the quality, utility, and clarity of the information to
be collected;
(d) 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 submission of responses; and
(e) Assess information collection costs.
To request additional information on the proposed project or to
obtain a copy of the information collection plan and instruments, call
(404) 639-7570. Comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
[[Page 63288]]
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Direct
written comments and/or suggestions regarding the items contained in
this notice to the Attention: CDC Desk Officer, Office of Management
and Budget, 725 17th Street NW, Washington, DC 20503 or by fax to (202)
395-5806. Provide written comments within 30 days of notice
publication.
Proposed Project
National Notifiable Diseases Surveillance System (OMB Control No.
0920-0728, Exp. 11/30/2028)--Revision--Office of Public Health Data,
Surveillance, and 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, Exp. 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); (3) receive
additional data elements for all conditions; and (4) expand the
respondent population to include up to 50 Tribal Nations that will
voluntarily submit case notification data directly to CDC.
The NNDSS currently facilitates the submission and aggregation of
case notification data voluntarily submitted to CDC from up to 110
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), and up to 50 tribal nations. 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. The 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 provisional reports of nationally
notifiable diseases are available through <a href="https://stacks.cdc.gov">https://stacks.cdc.gov</a> and
<a href="https://data.cdc.gov">https://data.cdc.gov</a>. Annual summaries of finalized nationally
notifiable disease data are published on CDC WONDER and <a href="https://stacks.cdc.gov">https://stacks.cdc.gov</a>. 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 Soil-Transmitted Helminth
Infections and Flea-borne Typhus; new conditions under standardized
surveillance; and the addition of new disease-specific data elements
for Leprosy (Hansen's disease).
CDC requests OMB approval for an estimated annual burden of 33,471
hours for the 457 respondents is 33,471 hours. The increase reflects
the addition of up to 50 Tribal Nations to the respondent population.
There is no cost to respondents other than their time to participate.
Estimated Annualized Burden Hours
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Average
Number of Number of burden per
Type of respondent Form name respondents responses per response (in
respondent hours)
----------------------------------------------------------------------------------------------------------------
States................................ Weekly (Automated)...... 50 52 20/60
States................................ Weekly (Non-automated).. 10 52 2
States................................ Weekly (DMI 50 52 4
Implementation).
States................................ Annual.................. 50 1 75
States................................ One-time Addition of 50 1 2
Diseases and Data
Elements.
Territories........................... Weekly (Automated)...... 5 52 20/60
Territories........................... Weekly, Quarterly (Non- 5 56 20/60
automated).
Territories........................... Weekly (DMI 5 52 4
Implementation).
Territories........................... Annual.................. 5 1 5
[[Page 63289]]
Territories........................... One-time Addition of 5 1 2
Diseases and Data
Elements.
Freely Associated States.............. Weekly (Automated)...... 3 52 20/60
Freely Associated States.............. Weekly, Quarterly (Non- 3 56 20/60
automated).
Freely Associated States.............. Annual.................. 3 1 5
Freely Associated States.............. One-time Addition of 3 1 2
Diseases and Data
Elements.
Cities................................ Weekly (Automated)...... 2 52 20/60
Cities................................ Weekly (Non-automated).. 2 52 2
Cities................................ Weekly (DMI 2 52 4
Implementation).
Cities................................ Annual.................. 2 1 75
Cities................................ One-time Addition of 2 1 2
Diseases and Data
Elements.
Tribal Nations........................ Weekly (Automated)...... 50 52 20/60
Tribal Nations........................ Weekly (DMI 50 52 4
Implementation).
Tribal Nations........................ Annual.................. 50 1 75
Tribal Nations........................ One-time Addition of 50 1 2
Diseases and Data
Elements.
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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. 2026-20346 Filed 10-2-26; 8:45 am]
BILLING CODE 4163-18-P
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