Information Collection Request

[PHIC] Fellowship Management System

ICR 202311-0920-007 · OMB 0920-0765 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Activity Tracking Form and Instruction Unchanged Repair queued
Form 0920-0765 Reference Letters for Fellowship Applicants Form and Instruction Modified Repair queued
FMS Application Writing Samples (Subset Applicants) Form and Instruction Unchanged Repair queued
Form 0920-0765 Host Site Module Form and Instruction Modified Repair queued
FMS Alumni Directory Form and Instruction Unchanged Repair queued
Form 0920-0765 Fellowship Applications Form and Instruction Modified Repair queued
Change Request Memo 0920-0765_11082023.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-11-08 Repair queued
Change Request Memo OMB No 0920-0765 July 2023.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-08-01 Repair queued
Attachment 8_Privacy Impact Assessment (PIA).pdf Supplementary Document Uploaded 2022-07-11 Missing upstream
Attachment 7_IRB Determination Letter FMS 2022.docx Supplementary Document Uploaded 2022-07-11 Repair queued
Attachment 2 Published 60-Day FRN.pdf Supplementary Document Uploaded 2022-07-11 Repair queued
Attachment 1_Authorizing Legislation Public Health Service Act.docx Supplementary Document Uploaded 2022-07-11 Repair queued
SUPPORTING STATEMENT B Revision #0920-0765.docx Supporting Statement B Uploaded 2022-07-11 Repair queued
SUPPORTING STATEMENT A Revision_06242022.docx Supporting Statement A Uploaded 2022-07-11 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
239669 Activity Tracking Form and Instruction Unchanged
239668 Reference Letters for Fellowship Applicants Form and Instruction Modified
232804 FMS Application Writing Samples (Subset Applicants) Form and Instruction Unchanged
214088 Host Site Module Form and Instruction Modified
214087 FMS Alumni Directory Form and Instruction Unchanged
214086 Fellowship Applications Form and Instruction Modified
ICR Details
0920-0765 202311-0920-007
Received in OIRA 202308-0920-001
HHS/CDC 0920-0765
[PHIC] Fellowship Management System
No material or nonsubstantive change to a currently approved collection   No
Regular 11/08/2023
  Requested Previously Approved
03/31/2026 03/31/2026
18,212 18,212
13,477 13,477
1,531,249 1,531,249

The Centers for Disease Control and Prevention (CDC) uses Fellowship Management System (FMS) to collect, process, and manage data from nonfederal applicants seeking training or public health support services through CDC fellowships. FMS is used to electronically submit fellowship applications, submit fellowship host site proposals, track fellows’ activities during their fellowships, and maintain fellowship alumni directories online. FMS is a key tool in CDC’s efforts to maintain and develop a robust public health workforce. This change request removes PMR/F and PH-TIPP from the Fellowship and Host Site Application modules and describes the addition of a new fellowship program (the CDC Evaluation Fellowship) to the Fellowship Management System’s Fellowship Application and Host Site Application modules.

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

Not associated with rulemaking

  87 FR 14271 03/14/2022
87 FR 41320 07/12/2022
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 18,212 18,212 0 0 0 0
Annual Time Burden (Hours) 13,477 13,477 0 0 0 0
Annual Cost Burden (Dollars) 1,531,249 1,531,249 0 0 0 0
No
No

$1,269,105
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.
11/08/2023