National ART Surveillance System

Assisted Reproductive Technology (ART) Program Reporting System

Documents and Forms

Document Name Document Type
Form 0920-0556 National ART Surveillance System Form and Instruction
0920-0556 National ART Surveillance System (NASS) [screen captures AttachmentsAtt C1. NASS Data Collection Screens.pdf Form and Instruction
AttachmentsAtt C2. NASS Annual Submission Instructions.pdf C2. Annual Submission Instructions IC Document
AttachmentsAtt C3. NASS-User-Guide-vSept222022.pdf C3. NASS User's Guide IC Document

Information Collection (IC) Details

IC Title:	National ART Surveillance System	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
Form and Instruction	0920-0556	National ART Surveillance System (NASS) [screen captures]	AttachmentsAtt C1. NASS Data Collection Screens.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: 453	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	413,589	108,069	305,520
Annual IC Time Burden (Hours)	296,406	77,450	218,956
Annual IC Cost Burden (Dollars)	0	-10,072,078	10,072,078

Documents for IC

Title	Document	Date Uploaded
C2. Annual Submission Instructions	AttachmentsAtt C2. NASS Annual Submission Instructions.pdf	12/20/2024
C3. NASS User's Guide	AttachmentsAtt C3. NASS-User-Guide-vSept222022.pdf	12/20/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.