Assisted Reproductive Technology (ART) Program Reporting System

ICR 200604-0920-001

OMB: 0920-0556

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0920-0556 200604-0920-001
Historical Active 200408-0920-004
HHS/CDC
Assisted Reproductive Technology (ART) Program Reporting System
Revision of a currently approved collection   No
Regular
Approved with change 09/26/2006
Retrieve Notice of Action (NOA) 04/14/2006
Approved consistent with CDC memos submitted to OMB. OMB approves CDC's request to add additional information fields to the survey with the exception of proposed information concerning the reason that IVF was sought as the specific utility of such information to CDC is unclear at this time and it is not apparent that the collection of such information would be consistent with the statutory mandate that supports the survey.
  Inventory as of this Action Requested Previously Approved
09/30/2009 36 Months From Approved 09/30/2006
400 0 400
72,313 0 63,400
0 0 0

The Assisted Reproductive Technology (ART) Program Reporting System has been designed to comply with the requirements of Section 2(a) of Pub. L. 102-493 (known as the Fertility Clinic Success Rate and Certification Act of 1992 (FCSRCA), 42 U.S.C. 263a-1(a). This Act requires that each ART program shall annually report to the Secretary through CDC - (1) pregnancy success rates achieved by such ART program, and (2) the identify of each embryo laboratory used by such ART program whether the laboratory is certified or has applied for such certification under this Act.

None
None


No

1
IC Title Form No. Form Name
Assisted Reproductive Technology (ART) Program Reporting System

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 400 400 0 0 0 0
Annual Time Burden (Hours) 72,313 63,400 0 8,913 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/14/2006


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