Over its more than 30-year history, the Advanced Technologies and Instrumentation (ATI) program has provided grants to support technology development and instrumentation for ground-based astronomy. Through a combination of automated literature assessment and indepth literature review, we present a survey of ATI-funded research and its impact on astronomy and society. Award acknowledgment and literature citation statistics for ATI are comparable to a comparison astronomy grant program that does not support technology development. Citation statistics for both NSF-funded programs exceed those of the general astronomical literature. Numerous examples demonstrate the significant, long-term impact of ATI-supported research in astronomy. As part of this impact, ATI grants have provided many early career researchers the opportunity to gain critical professional experience. However, technology development unfolds over a time period that is longer than an individual grant. A longitudinal perspective shows that investments in technology and instrumentation have led to extraordinary scientific progress. © The Authors. Published by SPIE under a Creative Commons Attribution 4.0 Unported License. Distribution or reproduction of this work in whole or in part requires full attribution of the original publication, including its DOI.