Information Collection Request

Assisted Reproductive Technology (ART) Program Reporting System

ICR 202107-0920-004 · OMB 0920-0556 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
National ART Surveillance System Form and Instruction Modified Repair queued
Feedback Survey Form and Instruction Modified Repair queued
Att G. Non_Disclosure_Contractors.docx Supplementary Document Uploaded 2021-07-16 Repair queued
Att F. Non_Disclosure_CDC_employees.docx Supplementary Document Uploaded 2021-07-16 Repair queued
Att E4. Assurance_of_Confid_approval.pdf Supplementary Document Uploaded 2021-07-16 Repair queued
privacy-narrative-form 6.17.2021 signed.pdf Supplementary Document Uploaded 2021-07-16 Repair queued
Att E3 NASS 509 PIA Reauth 2018v2.1.pdf Supplementary Document Uploaded 2021-07-16 Repair queued
Att E2. IRB_Approval_2020.docx Supplementary Document Uploaded 2021-07-16 Repair queued
Att E1 Non-Research-Public Health Surveillance Determination .pdf Supplementary Document Uploaded 2021-07-16 Repair queued
Att D. Publications.doc.docx Supplementary Document Uploaded 2021-07-16 Repair queued
Att C3. NASS 2.0 Users Guide.pdf Supplementary Document Uploaded 2021-07-16 Repair queued
Att C2. NASS Annual Submission Instructions v2.pdf Supplementary Document Uploaded 2021-07-16 Repair queued
Att B 60 Day FRN 2021-05115.pdf Supplementary Document Uploaded 2021-07-16 Repair queued
SS Part B 07-09-2021.docx Supporting Statement B Uploaded 2021-07-16 Missing upstream
SS Part A 07-09-2021.docx Supporting Statement A Uploaded 2021-07-16 Missing upstream
Att A2. Auth_Leg_Publ_Hlth_Svc_Act.doc Supplementary Document Uploaded 2018-07-24 Missing upstream
Att A1. Autho_Leg_FCSRCA.doc Supplementary Document Uploaded 2018-07-24 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43614 National ART Surveillance System Form and Instruction Modified
232351 Data Validation Instruction Modified
203355 Feedback Survey Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 08/31/2021
308,225 165,198
219,904 114,631
10,115,670 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Data Validation
Feedback Survey n/a NASS Clinic Feedback Survey
National ART Surveillance System n/a National ART Surveillance System (NASS) [screen captures]

table that charts list of burden
  Total Request 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 308,225 165,198 0 143,027 0 0
Annual Time Burden (Hours) 219,904 114,631 0 105,273 0 0
Annual Cost Burden (Dollars) 10,115,670 0 0 10,115,670 0 0


Reginfo record details
  No