National ART Surveillance System

Assisted Reproductive Technology (ART) Program Reporting System

⚠️ Notice: This information collection may be referencing outdated material.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
National ART Surveillance System Form
National ART Surveillance System Att C1a. (Current thru 2015) NASS Screens.pdf Form
NASS 2016 Att C1b. (Proposed) Future NASS screens for 2016.docx Form
Att C6. Detailed List of NASS Changes_TC.docx Detailed List of NASS Changes IC Document
Att C2. (Current) NASS Annual Submission Instructions.doc NASS Instructions IC Document
Att C3. (Current) NASS Users Manual.pdf NASS User manual IC Document
Att C5 Overview of Changes to NASS Data Elements_rev_06 24 2015.clean.docx Overview of Changes for NASS IC Document
Att C6. Detailed List of NASS Changes_07 08 2015.docx Details of Changes to NASS IC Document

Information Collection (IC) Details

IC Title:	National ART Surveillance 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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	National ART Surveillance System	Att C1a. (Current thru 2015) NASS Screens.pdf		Yes	Yes	Fillable Fileable
Form	none	NASS 2016	Att C1b. (Proposed) Future NASS screens for 2016.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: 09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 447	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	157,791	8,631	149,160
Annual IC Time Burden (Hours)	110,454	13,500	96,954
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Detailed List of NASS Changes	Att C6. Detailed List of NASS Changes_TC.docx	02/12/2015
NASS Instructions	Att C2. (Current) NASS Annual Submission Instructions.doc	02/12/2015
NASS User manual	Att C3. (Current) NASS Users Manual.pdf	02/12/2015
Overview of Changes for NASS	Att C5 Overview of Changes to NASS Data Elements_rev_06 24 2015.clean.docx	07/23/2015
Details of Changes to NASS	Att C6. Detailed List of NASS Changes_07 08 2015.docx	07/23/2015

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