Information Collection Request

Fellowship Management System

ICR 202102-0920-014 · OMB 0920-0765 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-0675 Activity Tracking Form and Instruction Modified Repair queued
Form 0920-0765 Reference Letters for Fellowship Applicants Form and Instruction Modified Repair queued
Form 0920-0765 FMS Application Writing Samples (Subset Applicants) Form and Instruction Modified Repair queued
Form 0920-0765 FMS Host Site Module Form and Instruction Modified Repair queued
Form 0920-0765 FMS Alumni Directory Form and Instruction Modified Repair queued
Form 0920-0675 Fellowship Applications Form and Instruction Modified Repair queued
OMB Change Request - 0920-0765 - Spring 2021_2.18.docx Justification for No Material/Nonsubstantive Change Uploaded 2021-03-01 Repair queued
SSB_01312020.docx Supporting Statement B Uploaded 2020-01-31 Repair queued
0920-0765 Supporting Statement A_revised 3-31-2020.docx Supporting Statement A Uploaded 2020-03-31 Missing upstream
Attachment_8_PIA.pdf Supplementary Document Uploaded 2020-01-28 Repair queued
Attachment_7_Research_Determination_Memo_FMS.pdf Supplementary Document Uploaded 2020-01-28 Repair queued
Attachment_2_60 Day FRN.pdf Supplementary Document Uploaded 2020-01-28 Repair queued
Attachment 1_Public Health Service Act.docx Supplementary Document Uploaded 2020-01-28 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
239669 Activity Tracking Form and Instruction Modified
239668 Reference Letters for Fellowship Applicants Form and Instruction Modified
232804 FMS Application Writing Samples (Subset Applicants) Form and Instruction Modified
214088 FMS Host Site Module Form and Instruction Modified
214087 FMS Alumni Directory Form and Instruction Modified
214086 Fellowship Applications Form and Instruction Modified
ICR Details
0920-0765 202102-0920-014
Received in OIRA 201911-0920-007
HHS/CDC 0920-0765
Fellowship Management System
No material or nonsubstantive change to a currently approved collection   No
Regular 03/01/2021
  Requested Previously Approved
03/31/2023 03/31/2023
9,708 9,708
4,881 4,881
550,826 550,826

This is a request for revision of the Fellowship Management System (FMS) information collection to continue to collect data under the approved OMB No. 0920-0765. CDC uses FMS to collect, process, and manage data from non-federal applicants seeking training or public health support services through CDC fellowships. FMS is used to electronically submit fellowship applications and fellowship host site proposals, and to maintain fellowship alumni directories on-line.

US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  84 FR 44313 08/23/2019
85 FR 5664 01/31/2020
No

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 9,708 9,708 0 0 0 0
Annual Time Burden (Hours) 4,881 4,881 0 0 0 0
Annual Cost Burden (Dollars) 550,826 550,826 0 0 0 0
No
No

$465,133
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
No
Odion Clunis 770 488-0045 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/01/2021