Fellowship Management System

ICR 201302-0920-017

OMB: 0920-0765

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2013-02-22
Supplementary Document
2007-10-29
ICR Details
0920-0765 201302-0920-017
Historical Active 201201-0920-003
HHS/CDC 18896
Fellowship Management System
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 03/07/2013
Retrieve Notice of Action (NOA) 02/27/2013
  Inventory as of this Action Requested Previously Approved
02/28/2015 02/28/2015 02/28/2015
1,802 0 1,802
1,258 0 1,201
0 0 0

The Fellowship Management System (FMS)is a robust flexible framework that has been tailored for variouos CDC fellowships, including the Public Health Prevention Service (PHPS). CDC requests modifications to the(PHPS) host site.

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

Not associated with rulemaking

No

3
IC Title Form No. Form Name
Fellowship Management System - applicants
Fellowship alumni - Fellowship Management System
Public Health Agency or Organization

  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 1,802 0 0 0 0
Annual Time Burden (Hours) 1,258 1,201 0 57 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The purpose of this change request is for OMB approval of proposed modifications to the PHPS fellowship host site assignment proposal (or application) data elements. These revisions and additions are requested to continue support of CDC's PHPS training program's efficiency and effectiveness, to provide clarity for STLT host site agencies as they complete the host site application, and to enhance CDC's review and approval process for PHPS host site applications.

$955,000
Yes Part B of Supporting Statement
Yes
No
No
No
Uncollected
Carol Walker 4046394773

  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.
02/27/2013


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