Assisted Reproductive Technology (ART) Program Reporting System

OMB 0920-0556

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.

The latest form for Assisted Reproductive Technology (ART) Program Reporting System expires 2021-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
National ART Surveillance System Form and Instruction
Feedback Survey Form and Instruction
Att G. Non_Disclosure_Contractors.docx Supplementary Document
Att F. Non_Disclosure_CDC_employees.docx Supplementary Document
Att E4. Assurance_of_Confid_approval.pdf Supplementary Document
privacy-narrative-form 6.17.2021 signed.pdf Supplementary Document
Att E3 NASS 509 PIA Reauth 2018v2.1.pdf Supplementary Document
Att E2. IRB_Approval_2020.docx Supplementary Document
Att E1 Non-Research-Public Health Surveillance Determination .pdf Supplementary Document
Att D. Publications.doc.docx Supplementary Document
Att C3. NASS 2.0 Users Guide.pdf Supplementary Document
Att C2. NASS Annual Submission Instructions v2.pdf Supplementary Document
Att B 60 Day FRN 2021-05115.pdf Supplementary Document
SS Part B 07-09-2021.docx Supporting Statement B
SS Part A 07-09-2021.docx Supporting Statement A
Att A2. Auth_Leg_Publ_Hlth_Svc_Act.doc Supplementary Document
Att A1. Autho_Leg_FCSRCA.doc Supplementary Document
National ART Surveillance System Form and Instruction
Data Validation Instruction
Feedback Survey Form and Instruction

All Historical Document Collections

202107-0920-004 Approved without change	Revision of a currently approved collection	2021-08-02
201905-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-05-15
201807-0920-008 Approved with change	Revision of a currently approved collection	2018-07-27
201705-0920-009 Approved with change	No material or nonsubstantive change to a currently approved collection	2017-05-17
201608-0920-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-08-12
201509-0920-010 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-10-08
201502-0920-007 Approved with change	Revision of a currently approved collection	2015-02-24
201207-0920-008 Approved with change	Revision of a currently approved collection	2012-07-18
200907-0920-003 Approved without change	Revision of a currently approved collection	2009-07-21
200604-0920-001 Approved with change	Revision of a currently approved collection	2006-04-14
200408-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2004-08-10
200211-0920-002 Approved without change	Extension without change of a currently approved collection	2002-11-26
200204-0920-004 Approved without change	Existing collection in use without an OMB Control Number	2002-04-25

OMB Details

National ART Surveillance System

Federal Enterprise Architecture: Health - Health Care Services

Form none

National ART Surveillance System

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.