Data Validation Description

Assisted Reproductive Technology (ART) Program Reporting System

Documents and Forms

Document Name Document Type
AttachmentsAtt H. Validation Description.docx Instruction

Information Collection (IC) Details

IC Title:	Data Validation Description	Agency IC Tracking Number:	0920-0556

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
Instruction			AttachmentsAtt H. Validation Description.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 82612

Number of Respondents: 35	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	2,450	2,450
Annual IC Time Burden (Hours)	939	939
Annual IC Cost Burden (Dollars)	43,201	43,201

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.