Information Collection

Assisted Reproductive Technology (ART) Program Reporting System

IC 43614 under ICR 201207-0920-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Att C1_ NASS 2012 Screens.pdf Other-WORD
Att C2_NASS Annual Subm Inst.docx Instruction
Att C3. NASS Users Manual.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

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: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD	Att C1_ NASS 2012 Screens.pdf	Yes	Yes	Fillable Printable
Instruction	Att C2_NASS Annual Subm Inst.docx	Yes	Yes	Printable Only
Instruction	Att C3. NASS Users Manual.pdf	Yes	Yes	Printable Only

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: 440	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	149,160	11,130	138,030
Annual IC Time Burden (Hours)	96,954	7,234	89,720
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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