OK, I'm not a big expert here, but I seem to be here, so I'll help as best I can. ATA and IDE are different but kinda the same. I don't know the technical details. I know there are a couple of four or more modes that drives run under PIO this and that. Then there is ATA 33 66 100 and now 133. When you say ATA card and then say you need all your IDE slots, I think you may be confusing IDE with ISA or PCI. The ISA and PCI slots are long black ones and shorter white ones respectively and a card goes into them and sticks out the back of your computer to attach something to. Your hard drive goes in a little socket on the motherboard usually next to where the floppy attaches and a ribbon from the hard drive goes in there. Those hard drive sockets can be up to ATA 66 or on newer machines can be 100 or 133 as well as anything below. It sounds like you want to add a drive to an existing old machine. To use USB2 you will also have to buy a USB2 card which will need to go into a PCI slot. Do you have any of those with no card in them?