The purpose of this change request is
for OMB approval of proposed modifications to accommodate changing
needs of the fellowship program that reflect evolving fellowship
eligibility requirements. Specifically, this change request will
support collection of previously identified data elements from an
estimated 30 new respondents who are nonfederal applicants to PMR/F
in the FMS application module. It will also collect limited new
data elements from those 30 applicants, if they elect to
participate in a PMR/F program designed for fellows who retain
their existing employment in a state, tribal, local, and
territorial (STLT) agency and conduct training-in-place.
US Code:
42
USC 301 Name of Law: Public Health Service Act
The purpose of this change
request is for OMB approval of proposed modifications to
accommodate changing needs of the fellowship program that reflect
evolving fellowship eligibility requirements. Specifically, this
change request will support collection of previously identified
data elements from an estimated 30 new respondents who are
nonfederal applicants to PMR/F in the FMS application module. It
will also collect limited new data elements from those 30
applicants
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.