2025-20582Notice

CDC Continues Collecting HIV Risk Data from 21 Major U.S. Cities

Published Date: 11/21/2025

Notice

Summary

The CDC wants to keep collecting important info about behaviors linked to HIV from people in 21 big U.S. cities to help fight the virus better. They’re asking the public to share thoughts on this plan by January 20, 2026. This update won’t cost extra but helps make sure the data stays useful and easy to gather.

Analyzed Economic Effects

4 provisions identified: 2 benefits, 1 costs, 1 mixed.

NHBS Continues Three-Year Surveillance

The CDC is requesting approval to continue the National HIV Behavioral Surveillance (NHBS) for a three-year period, collecting standardized HIV-related behavioral data from persons at risk in 21 Metropolitan Statistical Areas (MSAs). The data are meant to identify met and unmet prevention needs and to inform local, state, and national HIV prevention programs.

Participants Offered Free HIV Testing

All persons interviewed as part of NHBS will be offered an HIV test and will participate in a pre-test counseling session at no cost. This testing offer applies to respondents interviewed in the 21 selected MSAs during the survey periods.

Time Burden: 3,398 Annual Hours

CDC estimates the NHBS will require a total of 3,398 annual burden hours and states there is no cost to respondents other than their time. Screening is estimated at 3/60 hour for 13,125 persons, and behavioral assessments are estimated at 13/60, 17/60, and 15/60 hour for the three respondent groups respectively.

Sampling Rotates by Risk Group Yearly

CDC will rotate data collection so that in Year 1 it interviews men who have sex with men (MSM), in Year 2 persons who inject drugs (PWID), and in Year 3 heterosexually active persons at increased risk (HET). That means only one of those risk groups is surveyed in any given year across the 21 MSAs.

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Key Dates

Published Date
Comments Due
11/21/2025
1/20/2026

Department and Agencies

Department
Independent Agency
Agency
Health and Human Services Department
Centers for Disease Control and Prevention
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