Assisted Reproductive Technology (ART) Program Reporting System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
National ART Surveillance System	Form and Instruction	Modified	Available
Form 0920-0556 Feedback Survey	Form and Instruction	Unchanged	Available
0920-0556 Change Request-April2019.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2019-05-15	Available
Att G. Non_Disclosure_Contractors.doc	Supplementary Document	Uploaded 2018-07-24	Available
Att F. Non_Disclosure_CDC_employees.doc	Supplementary Document	Uploaded 2018-07-24	Available
Att E4. Assurance_of_Confid_approval.pdf	Supplementary Document	Uploaded 2018-07-24	Available
NASS PIA_24JUL2018.pdf	Supplementary Document	Uploaded 2018-07-24	Available
Att E2 IRB_Approval_2017.doc.docx	Supplementary Document	Uploaded 2018-07-24	Available
Att E1 Non-Research-Public Health Surveillance Determination .pdf	Supplementary Document	Uploaded 2018-07-24	Available
Att C3. NASS 2.0 Users Guide.pdf	Supplementary Document	Uploaded 2018-07-24	Available
Att C2. NASS Annual Submission Instructions.pdf	Supplementary Document	Uploaded 2018-07-24	Available
Att B. 0920-0556 60 day FRN.pdf	Supplementary Document	Uploaded 2018-07-24	Available
Att A2. Auth_Leg_Publ_Hlth_Svc_Act.doc	Supplementary Document	Uploaded 2018-07-24	Available
Att A1. Autho_Leg_FCSRCA.doc	Supplementary Document	Uploaded 2018-07-24	Available
OMB 0920-0556_change request 05.4.17.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2017-05-17	Available
OMB 0920-0556_change request 05.4.17.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2017-05-16	Available
0920-0556 Change Request Justification_09-16-2015.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-10-07	Available
SS Part B_NASS_07-10-2018.docx	Supporting Statement B	Uploaded 2018-07-24	Available
SS Part A_NASS_07-10-2018.docx	Supporting Statement A	Uploaded 2018-07-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43614	National ART Surveillance System	Form and Instruction	Modified
232351	Data Validation	Instruction	Unchanged
203355	Feedback Survey	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0920-0556	ICR Reference No: 201905-0920-001
Status: Active	Previous ICR Reference No: 201807-0920-008
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0556-19ASU
Title: Assisted Reproductive Technology (ART) Program Reporting System
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/31/2019
	Date Received in OIRA: 05/15/2019
Terms of Clearance: OMB is approving this information collection request; the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2021	08/31/2021	08/31/2021
Responses	165,198	0	165,198
Time Burden (Hours)	114,631	0	114,631
Cost Burden (Dollars)	0	0	0

---

Abstract: The Centers for Disease Control and Prevention (CDC) is currently approved to collect information needed to determine the annual pregnancy success rate of each clinic that provides assisted reproductive technology (ART) services (“Assisted Reproductive Technology Program Reporting System,” OMB No. 0920-0556, exp. 7/31/2018). This data collection is required by The Fertility Clinic Success Rate and Certification Act (FCSRCA), Section 2(a) of P.L. 102-493(42 USC 263 (a)-1) which mandates ART clinics to submit information to CDC and requires CDC to publish pregnancy success rates. This request for a change to add an additional response option to one question.

---

Authorizing Statute(s): US Code: 42 USC 301 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

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 21779	05/10/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 35645	07/27/2018
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
National ART Surveillance System	none	National ART Surveillance System
Feedback Survey	0920-0556	NASS Clinic Feedback Survey
Data Validation

---

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	165,198	165,198	0	0	0	0
Annual Time Burden (Hours)	114,631	114,631	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $1,207,632

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

---

Common Form ICR:  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:

(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: 05/15/2019

---