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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 can be found here.

Latest Forms, Documents, and Supporting Material
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All Historical Document Collections
 Revision of a currently approved collection 2024-12-20
Approved without change
 Revision of a currently approved collection 2021-08-02
Approved without change
 No material or nonsubstantive change to a currently approved collection 2019-05-15
Approved with change
 Revision of a currently approved collection 2018-07-27
Approved with change
 No material or nonsubstantive change to a currently approved collection 2017-05-17
Approved without change
 No material or nonsubstantive change to a currently approved collection 2016-08-12
Approved without change
 No material or nonsubstantive change to a currently approved collection 2015-10-08
Approved with change
 Revision of a currently approved collection 2015-02-24
Approved with change
 Revision of a currently approved collection 2012-07-18
Approved without change
 Revision of a currently approved collection 2009-07-21
Approved with change
 Revision of a currently approved collection 2006-04-14
Approved without change
 No material or nonsubstantive change to a currently approved collection 2004-08-10
Approved without change
 Extension without change of a currently approved collection 2002-11-26
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 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.