Information Collection

Public Health Agency or Organization

IC 200730 under ICR 201412-0920-001 · OMB 0920-0765.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0765 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FMS_Attachment 3_FMS Host Site Assignment Prop Esample PHAP HSAP.docx	Instruction
ICR OMB PRA 0920-0765_Fellowship Management System_Screenshot doc_02-05-2013.docx	Other-Screenshots

IC Title:

Public Health Agency or Organization

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			FMS_Attachment 3_FMS Host Site Assignment Prop Esample PHAP HSAP.docx		Yes	Yes	Fillable Printable
Other-Screenshots			ICR OMB PRA 0920-0765_Fellowship Management System_Screenshot doc_02-05-2013.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 226

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-226	226
Annual IC Time Burden (Hours)	-396	396
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.