Fellowship Management System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supp State Part B.doc	Supporting Statement B	Uploaded 2012-01-06	Available
FMS_Memo_12-13-2011.docx	Supplementary Document	Uploaded 2012-01-06	Available
Attachment 6_60-Day FRN.pdf	Supplementary Document	Uploaded 2012-01-06	Available
FMS_Attachment 5 Research Determination Memo.pdf	Supplementary Document	Uploaded 2012-01-06	Available
Attachment 4_PH Service Act.doc	Supplementary Document	Uploaded 2012-01-06	Available
Attachment 4 FMS Screen Shots 1009 2007.doc	Supplementary Document	Uploaded 2007-10-29	Available
Supp State_PART A.docx	Supporting Statement A	Uploaded 2012-01-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
200730	Public Health Agency or Organization	Instruction	New
182729	Fellowship alumni - Fellowship Management System	Instruction	Modified
182728	Fellowship Management System - applicants	Instruction	Modified

ICR Details

OMB Control No: 0920-0765	ICR Reference No: 201201-0920-003
Status: Historical Active	Previous ICR Reference No: 201101-0920-005
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Fellowship Management System
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/15/2012
	Date Received in OIRA: 01/10/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2015	36 Months From Approved	03/31/2014
Responses	1,802	0	1,576
Time Burden (Hours)	1,201	0	862
Cost Burden (Dollars)	0	0	0

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Abstract: Data is collected electronically through the Fellowship Management System (FMS) for CDC fellowships. FMS allows applicants to apply to fellowships and alumni to update their information online, and tracks fellowship applicants and alumni in one integrated database -- eliminating the need for duplicate data collection.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 55391	09/07/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 507	01/05/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Fellowship Management System - applicants
Fellowship alumni - Fellowship Management System
Public Health Agency or Organization

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ICR Summary of Burden

table that charts list of burden

	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	1,802	1,576	0	226	0	0
Annual Time Burden (Hours)	1,201	862	0	339	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This revision will allow employees of nonfederal public health agencies or organizations to submit fellowship assignment proposals electronically, through FMS. This revision is estimated to increase the currently approved burden by 339 hours annually.

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Annual Cost to Federal Government: $955,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/10/2012

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