Information Collection Request

[PHIC] Fellowship Management System

ICR 202601-0920-003 · OMB 0920-0765 · Active

Forms and Documents
DocumentTypeStatusAvailability
FMS Activity Tracking Module draft Form and Instruction Unchanged Repair queued
Form 0920-0765 Reference Letter Form and Instruction Unchanged Available
FMS Application Module Form and Instruction Unchanged Available
Form 0920-0765 FMS Host Site Module_09JAN2026 Form and Instruction Modified Available
Form 0920-0765 FMS Host Site Module Form and Instruction Modified Repair queued
FMS Alumni Tracking Module Draft Form and Instruction Unchanged Repair queued
Form 0920-0765 FMS Application Module_09JAN2026 Form and Instruction Modified Repair queued
Form 0920-0765 FMS Application Module - 11JUL2025 Form and Instruction Modified Available
Form 0920-0765 FMS Application Module Form and Instruction Modified Available
0920-0765 Change Request_Jan 2026_clean.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-01-09 Available
0920-0765 07092025 CR.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-07-11 Repair queued
Change Request EO 14168 14151_2025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-10 Available
Change Request_0920-0765 Dec24.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-18 Repair queued
0920-0765 Sept 2024 FMS Change Request.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-09-24 Available
0920-0765 July 2024 FMS Change Request.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-08-05 Repair queued
Change Request Memo OMB No 0920-0765 December 2023.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-01-03 Available
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 Available
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 Available
Attachment 1_Authorizing Legislation Public Health Service Act.docx Supplementary Document Uploaded 2022-07-11 Available
SUPPORTING STATEMENT B Revision #0920-0765.docx Supporting Statement B Uploaded 2022-07-11 Available
SUPPORTING STATEMENT A Revision_06242022.docx Supporting Statement A Uploaded 2022-07-11 Available
IC Document Collections
IC IDCollectionTypeStatusForm
239669 Activity Tracking Form and Instruction UnchangedFMS Activity Tracking Module draft
239668 Reference Letters for Fellowship Applicants Form and Instruction UnchangedReference Letter
232804 FMS Application Writing Samples (Subset Applicants) Form and Instruction UnchangedFMS Application Module
214088 Host Site Module Form and Instruction ModifiedFMS Host Site Module_09JAN2026
214088 Host Site Module Form and Instruction ModifiedFMS Host Site Module
214087 FMS Alumni Directory Form and Instruction UnchangedFMS Alumni Tracking Module Draft
214086 Fellowship Applications Form and Instruction ModifiedFMS Application Module_09JAN2026
214086 Fellowship Applications Form and Instruction ModifiedFMS Application Module - 11JUL2025
214086 Fellowship Applications Form and Instruction ModifiedFMS Application Module
ICR Details
0920-0765 202601-0920-003
Active 202507-0920-008
HHS/CDC 0920-26-0013
[PHIC] Fellowship Management System
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/14/2026
Retrieve Notice of Action (NOA) 01/14/2026
  Inventory as of this Action Requested Previously Approved
03/31/2026 03/31/2026 03/31/2026
18,212 0 18,212
13,477 0 13,477
1,531,249 0 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 Non-Substantive Change Request is submitted to modify the content of two modules of the electronic Fellowship Management System (FMS). There is no change anticipated to the currently approved burden.

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 Approved 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
Jeffrey Zirger 404 639-7118 [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.
01/14/2026