Information Collection Request

Assisted Reproductive Technology (ART) Program Reporting System

ICR 202412-0920-017 · OMB 0920-0556 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-0556 National ART Surveillance System (NASS) [screen captures] Form and Instruction Modified Available
Form 0920-0556 National ART Surveillance System Form and Instruction Modified Repair queued
Form 0920-0556 NASS Clinic Feedback Survey Form and Instruction Modified Repair queued
Form 0920-0556 Feedback Survey Form and Instruction Modified Available
AttachmentsAtt B2 Response to 60d Comments.pdf Public Comments Uploaded 2024-06-04 Repair queued
AttachmentsAtt B2 Response to 60d Comments.pdf Public Comments Uploaded 2024-04-06 Repair queued
AttachmentsAtt G. Non_Disclosure_Contractors.docx Supplementary Document Uploaded 2024-12-20 Repair queued
AttachmentsAtt G. Non_Disclosure_Contractors.docx Supplementary Document Uploaded 2024-12-20 Available
AttachmentsAtt F. Non_Disclosure_CDC_employees.docx Supplementary Document Uploaded 2024-12-20 Repair queued
AttachmentsAtt F. Non_Disclosure_CDC_employees.docx Supplementary Document Uploaded 2024-12-20 Missing upstream
AttachmentsAtt E4. Assurance_of_Confid_approvalMemo.NC.Director ART 2024.docx Supplementary Document Uploaded 2024-12-20 Repair queued
AttachmentsAtt E4. Assurance_of_Confid_approvalMemo.NC.Director ART 2024.docx Supplementary Document Uploaded 2024-12-20 Missing upstream
privacy-narrative-form 6.17.2021 signed.pdf Supplementary Document Uploaded 2024-12-20 Repair queued
privacy-narrative-form 6.17.2021 signed.pdf Supplementary Document Uploaded 2024-12-20 Repair queued
AttachmentsAtt E3. NASS_509_PIA_Signed.pdf Supplementary Document Uploaded 2024-12-20 Repair queued
AttachmentsAtt E3. NASS_509_PIA_Signed.pdf Supplementary Document Uploaded 2024-12-20 Missing upstream
AttachmentsAtt E2. IRB_Approval_2020.docx Supplementary Document Uploaded 2024-12-20 Repair queued
AttachmentsAtt E2. IRB_Approval_2020.docx Supplementary Document Uploaded 2024-12-20 Missing upstream
AttachmentsAtt E1. Non research Public Health Surveillance determination.pdf Supplementary Document Uploaded 2024-12-20 Repair queued
AttachmentsAtt E1. Non research Public Health Surveillance determination.pdf Supplementary Document Uploaded 2024-12-20 Repair queued
AttachmentsAtt D. ART Publications.docx Supplementary Document Uploaded 2024-12-20 Repair queued
AttachmentsAtt D. ART Publications.docx Supplementary Document Uploaded 2024-12-20 Missing upstream
AttachmentsAtt B2. Program Response to Comments to 60 Day FRN_clean.pdf Supplementary Document Uploaded 2025-03-03 Repair queued
AttachmentsAtt B2. Program Response to Comments to 60 Day FRN.pdf Supplementary Document Uploaded 2024-12-20 Repair queued
0556_SS Part B NASS 2024_11-4-24.docx Supporting Statement B Uploaded 2024-12-20 Available
0556_SS Part B NASS 2024_11-4-24.docx Supporting Statement B Uploaded 2024-12-20 Repair queued
0556_SS Part A NASS 2024_11-7-24_clean .docx Supporting Statement A Uploaded 2025-03-03 Repair queued
0556_SS Part A NASS 2024_11-7-24.docx Supporting Statement A Uploaded 2024-12-20 Missing upstream
Att A2. AUTHO LEG Publ_Hlt SA.pdf Supplementary Document Uploaded 2024-12-20 Repair queued
Att A2. AUTHO LEG Publ_Hlt SA.pdf Supplementary Document Uploaded 2024-12-20 Missing upstream
Att A1. Autho_Leg_FCSRCA.pdf Supplementary Document Uploaded 2024-12-20 Repair queued
Att A1. Autho_Leg_FCSRCA.pdf Supplementary Document Uploaded 2024-12-20 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43614 National ART Surveillance System Form and Instruction ModifiedNational ART Surveillance System (NASS) [screen captures]
43614 National ART Surveillance System Form and Instruction Modified
232351 Data Validation Description Instruction Modified
203355 Feedback Survey Form and Instruction ModifiedNASS Clinic Feedback Survey
203355 Feedback Survey Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2028 36 Months From Approved 03/31/2025
416,242 0 308,225
297,352 0 219,904
43,512 0 10,115,670





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Data Validation Description
Feedback Survey 0920-0556
National ART Surveillance System 0920-0556

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 416,242 308,225 0 108,017 0 0
Annual Time Burden (Hours) 297,352 219,904 0 77,448 0 0
Annual Cost Burden (Dollars) 43,512 10,115,670 0 -10,072,158 0 0


Reginfo record details
  No