Assisted Reproductive Technology (ART) Program Reporting System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0556 SS Part B.docx	Supporting Statement B	Uploaded 2012-06-29	Available
Att A2_Autho Leg FCSRCA.doc	Supplementary Document	Uploaded 2012-06-29	Available
Att H. ART Validation Description.docx	Supplementary Document	Uploaded 2012-06-29	Available
Att G. Non Disclosure Contractors.doc	Supplementary Document	Uploaded 2012-06-29	Available
Att F. Non Disclosure CDC employees.doc	Supplementary Document	Uploaded 2012-06-29	Available
Att E2. Assurance of Confid approval.docx	Supplementary Document	Uploaded 2012-06-29	Available
Att E1. IRB Approval 2011.doc	Supplementary Document	Uploaded 2012-06-29	Available
Att D. Publications.doc	Supplementary Document	Uploaded 2012-06-29	Available
Att A1_Auth Leg Publ Hlth Svc Act.doc	Supplementary Document	Uploaded 2012-06-29	Available
0556 SS Part A_061412.docx	Supporting Statement A	Uploaded 2012-06-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43614	Assisted Reproductive Technology (ART) Program Reporting System	Other-WORD	Modified
203355	Feedback Survey	Other-WORD	New

ICR Details

OMB Control No: 0920-0556	ICR Reference No: 201207-0920-008
Status: Historical Active	Previous ICR Reference No: 200907-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Assisted Reproductive Technology (ART) Program Reporting System
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/31/2012
	Date Received in OIRA: 07/18/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2015	36 Months From Approved	09/30/2012
Responses	149,336	0	138,030
Time Burden (Hours)	96,960	0	89,720
Cost Burden (Dollars)	0	0	0

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Abstract: CDC currently collects and reports informaton from all clinics that offer assisted reproductive technology (ART) services, as required by the Fertility Clinic Success Rate and Certification Act (FCSRCA). CDC seeks to renew OMB approval for an additional three years.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
   PL: Pub.L. 102 - 493 2 (a) Name of Law: Fertility Clinic Success Rate and Certification Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 20401	04/04/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 40888	07/11/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

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

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ICR Summary of Burden

table that charts list of burden

	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	149,336	138,030	0	176	11,130	0
Annual Time Burden (Hours)	96,960	89,720	0	6	7,234	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This revision request includes an increase in the total estimated burden hours due to an increase in the estimated number of responses, an increase in the estimated number of responses per respondent (clinic), and addition of a brief, one-time clinic survey for a portion of respondents.

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Annual Cost to Federal Government: $1,141,579

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/18/2012

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