Information Collection

Assisted Reproductive Technology (ART) Program Reporting System

IC 43614 under ICR 200907-0920-003 · OMB 0920-0556.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0556 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att C. NASS 2009 Screens V.2-3-09.pdf	Instruction
Att C3. NASS PGD Screens.doc Att C3. NASS previous questionnaire screen shot	IC Document
Att C1. NASS Annual Submission Instructions.pdf Att. C1 Annual submission instructions	IC Document
Att C2 NASS Users Manual.pdf Att. C2 NASS Users Manual	IC Document

IC Title:

Assisted Reproductive Technology (ART) Program Reporting System

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Att C. NASS 2009 Screens V.2-3-09.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems

FR Citation: 57 FR 62812

Number of Respondents: 430

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	138,030	137,630	400
Annual IC Time Burden (Hours)	89,720	17,407	72,313
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att C3. NASS previous questionnaire screen shot	Att C3. NASS PGD Screens.doc	07/01/2009
Att. C1 Annual submission instructions	Att C1. NASS Annual Submission Instructions.pdf	07/01/2009
Att. C2 NASS Users Manual	Att C2 NASS Users Manual.pdf	07/01/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.