Fellowship Management System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
2014 FMS Host Site Module - PHAP Host Site Example	Form and Instruction	Modified	Repair queued
2014 FMS Application Module - EIS Application Example	Form and Instruction	Modified	Repair queued
Final OMB Control Number 0920-0765 Fellowship Management System Change Request.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-10-01	Available
Attachment_7-Public_Comment_Response_to_60dayFRN.docx	Supplementary Document	Uploaded 2014-12-01	Repair queued
Attachment_8-Research_Determination_Memo_Final.pdf	Supplementary Document	Uploaded 2014-12-01	Available
Attachment_6-Requested_Changes.docx	Supplementary Document	Uploaded 2014-12-01	Available
Attachment_1_Authorizing_Legislation-PH_Service_Act.docx	Supplementary Document	Uploaded 2014-12-01	Available
Attachment_2_60-Day-FRN-Vol79-No186-25Sep2014_Labeled.pdf	Supplementary Document	Uploaded 2014-12-01	Available
Supporting_Statement_B-FMS_no0920-0765_rev-2014_Subm_11-25-2014.docx	Supporting Statement B	Uploaded 2014-12-01	Available
Supporting_Statement_A-FMS_no0920-0765_rev-2014_Subm_04-03-2015.docx	Supporting Statement A	Uploaded 2015-04-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
214088	2014 FMS Host Site Module - PHAP Host Site Example	Form and Instruction	Modified
214087	2014 FMS Alumni Directory - EIS Alumni Directory Example	Instruction	Unchanged
214086	2014 FMS Application Module - EIS Application Example	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0765	ICR Reference No: 201509-0920-009
Status: Historical Active	Previous ICR Reference No: 201412-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 18896
Title: Fellowship Management System
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/01/2015
	Date Received in OIRA: 09/21/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2018	04/30/2018	04/30/2018
Responses	3,751	0	3,751
Time Burden (Hours)	4,390	0	4,390
Cost Burden (Dollars)	0	0	0

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Abstract: The Fellowship Management System (FMS) provides an efficient and effective electronic mechanism for collecting and processing fellowship application data and fellowship host site assignment proposals; selecting qualified candidates; matching selected fellowship host site assignments with applicants; maintaining a current alumni database; generating reports; and documenting the impact of fellowships on alumni careers. FMS optimizes CDC's ability to provide continuous fellowship service delivery that builds and sustains public health capacity and helps to save lives and protect people from health threats. FMS was established to support making revisions to questions and instructions to accurately reflect evolving fellowship eligibility requirements, provide clarification of existing questions, and accommodate changing needs of the fellowship programs. The requested revisions to the currently approved FMS include features added that support the electronic submission (via file upload features) of transcripts and letters of recommendation in lieu of postal delivery; selected questions refined to align with current fellowship eligibility requirements; and wordings of questions and instructions clarified in response to user feedback from current fellows, host sites, and alumni. This ICR reflects a change in burden due to evolving fellowship requirements, increases in nonfederal respondents, and increases in information voluntarily submitted. This ICR also reflects the elimination of the all data collections for two discontinued fellowships: the Public Health Prevention Service Program and The CDC Experience Applied Epidemiology Fellowship. Decreased burden associated with discontinuation of information collection from these fellowships is offset by increases in the number of respondents across all data collections, and increases in information submitted voluntarily by applicants in the past year when compared to amount of information submitted in previous years. The increase in volume for applications and data verifies that continued use of FMS by CDC is necessary to streamline electronic collection and fellowship processes, such as reviewing applications, selecting candidates and host sites, and monitoring the impact on alumni and the public health workforce.

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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:
	79 FR 57557	09/25/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 71103	12/01/2014
Did the Agency receive public comments on this ICR? Yes

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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
2014 FMS Application Module - EIS Application Example	NA	FMS Application Module
2014 FMS Host Site Module - PHAP Host Site Example	NA	FMS Host Site Module
2014 FMS Alumni Directory - EIS Alumni Directory Example

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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	3,751	3,751	0	0	0	0
Annual Time Burden (Hours)	4,390	4,390	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,056,000

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: 09/21/2015

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