To: Daniel Holcomb
CDC Reports Clearance Officer
Roybal Campus M/S D74
1600 Clifton Rd., NE
Atlanta, GA 30333
From: Beth H. Stover
Health Communication Specialist
CDC/Scientific Education & Professional Development Program Office
(SEPDO) /Office of Surveillance, Epidemiology and
Laboratory Services (OSELS)
Cc: Patricia Drehobl (SEPDO/OSELS)
Elinor Greene (SEPDO/OSELS)
Date: December 14, 2011
Subject: ICR OMB No. 0920-0765 Request for Revision - Fellowship Management System (FMS)
Enclosed, please find the following documents for the revision request for
SEPDPO’s Fellowship Management System, listed in order:
Supporting Statement A: Fellowship Management System
Supporting Statement B: Fellowship Management System
Attachment
1 – FMS Application
(FMS Application Data Elements
Document – Example EIS Application Information / Data
Collection (Approved, no change requested)
Attachment
2 – FMS Directory
(FMS Directory Data Elements Document
– Example EIS Directory Information / Data Collection
(Approved, no change requested)
Attachment
3 – FMS Host Site Assignment Proposal
(FMS Host Site
Assignment Proposal Data Elements Document – Example PHAP Host
Site Assignment Proposal Information / Data Collection (New data
collection, request for revision)
Attachment 4 – Public Health Service Act
Attachment 5 – Research Determination Memorandum
Attachment 6 –60-Day Federal Register Notice
Draft 30-day Federal Register Notice
Paperwork Reduction Act Submission Worksheet, Part I
Paperwork Reduction Act Submission Worksheet, Part II (FMS Application)
Paperwork Reduction Act Submission Worksheet, Part II (FMS Directory)
Paperwork Reduction Act Submission Worksheet, Part II (FMS Host Site Assignment Proposal)
Privacy Act Narrative
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | skb2 |
| File Modified | 0000-00-00 |
| File Created | 2021-01-31 |