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Federal forms, ICRs, and supporting documents

OMB control number

Assisted Reproductive Technology (ART) Program Reporting System

OMB 0920-0556 · HHS/CDC.

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. CDC seeks OMB approval on a revision request to revise burden estimates, modify data elements to align with current clinical practice, and extend information collection for an additional three years. Compared to the burden previously approved, the total annualized burden requested is higher due to an increase in the average number of ART cycles performed per clinic, due to an overall increase in the utilization of ART in the United States.

The latest form for Assisted Reproductive Technology (ART) Program Reporting System expires 2028-03-31 and is listed under ICR 202412-0920-017.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-0556 National ART Surveillance System (NASS) [screen captures]Form and Instruction
Form 0920-0556 National ART Surveillance SystemForm and Instruction
Form 0920-0556 NASS Clinic Feedback SurveyForm and Instruction
Form 0920-0556 Feedback SurveyForm and Instruction
AttachmentsAtt B2 Response to 60d Comments.pdf (document unavailable)Public Comments
AttachmentsAtt B2 Response to 60d Comments.pdf (document unavailable)Public Comments
AttachmentsAtt G. Non_Disclosure_Contractors.docxSupplementary Document
AttachmentsAtt F. Non_Disclosure_CDC_employees.docxSupplementary Document
AttachmentsAtt E4. Assurance_of_Confid_approvalMemo.NC.Director ART 2024.docxSupplementary Document
privacy-narrative-form 6.17.2021 signed.pdfSupplementary Document
AttachmentsAtt E3. NASS_509_PIA_Signed.pdfSupplementary Document
AttachmentsAtt E2. IRB_Approval_2020.docxSupplementary Document
AttachmentsAtt E1. Non research Public Health Surveillance determination.pdfSupplementary Document
AttachmentsAtt D. ART Publications.docxSupplementary Document
AttachmentsAtt B2. Program Response to Comments to 60 Day FRN_clean.pdfSupplementary Document
0556_SS Part B NASS 2024_11-4-24.docxSupporting Statement B
0556_SS Part B NASS 2024_11-4-24.docxSupporting Statement B
0556_SS Part A NASS 2024_11-7-24_clean .docxSupporting Statement A
Att A2. AUTHO LEG Publ_Hlt SA.pdfSupplementary Document
Att A1. Autho_Leg_FCSRCA.pdfSupplementary Document
National ART Surveillance System Form and Instruction
National ART Surveillance System Form and Instruction
Data Validation Description Instruction
Feedback Survey Form and Instruction
Feedback Survey Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202412-0920-017 Revision of a currently approved collection 2024-12-20
202107-0920-004 Revision of a currently approved collection 2021-08-02 Approved without change
201905-0920-001 No material or nonsubstantive change to a currently approved collection 2019-05-15 Approved without change
201807-0920-008 Revision of a currently approved collection 2018-07-27 Approved with change
201705-0920-009 No material or nonsubstantive change to a currently approved collection 2017-05-17 Approved with change
201608-0920-007 No material or nonsubstantive change to a currently approved collection 2016-08-12 Approved without change
201509-0920-010 No material or nonsubstantive change to a currently approved collection 2015-10-08 Approved without change
201502-0920-007 Revision of a currently approved collection 2015-02-24 Approved with change
201207-0920-008 Revision of a currently approved collection 2012-07-18 Approved with change
200907-0920-003 Revision of a currently approved collection 2009-07-21 Approved without change
200604-0920-001 Revision of a currently approved collection 2006-04-14 Approved with change
200408-0920-004 No material or nonsubstantive change to a currently approved collection 2004-08-10 Approved without change
200211-0920-002 Extension without change of a currently approved collection 2002-11-26 Approved without change
200204-0920-004 Existing collection in use without an OMB Control Number 2002-04-25 Approved without change

OMB Details

National ART Surveillance System

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
FormNameElectronic accessType
Form 0920-0556National ART Surveillance System (NASS) [screen captures]Fillable FileableForm and instruction

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