National ART Surveillance System

Assisted Reproductive Technology (ART) Program Reporting System

Documents and Forms

Document Name Document Type
National ART Surveillance System Form and Instruction
National ART Surveillance System (NASS) [screen captures Att C1. NASS Data collection 2.24.21.pdf Form and Instruction
National ART Surveillance System (NASS) [screen captures Att C1. NASS Data collection 2.24.21.pdf Form and Instruction

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 and Instruction	n/a	National ART Surveillance System (NASS) [screen captures]	Att C1. NASS Data collection 2.24.21.pdf		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: 456	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	305,520	143,120	162,400
Annual IC Time Burden (Hours)	218,956	105,276	113,680
Annual IC Cost Burden (Dollars)	10,072,078	10,072,078	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.