Att 1_OMB Change Request Elements

Attachment 1 – Screen Shots for Modifications and Additions to the Existing FMS Application Module

OMB CONTROL NUMBER 0920-0765

FELLOWSHIP MANAGEMENT SYSTEM

NON-SUBSTANTIVE CHANGE REQUEST

PROPOSED MODIFICATIONS FOR CDC EPIDEMIC INTELLIGENCE SERVICE (EIS) FELLOWSHIP

FMS APPLICATION MODULE

DATE SUBMITTED: August 8, 2018

No Changes will be made to sections 1.1–11.1 or 12.1-17

Change is reflected in section 11.1b-d

11. Personal Statement Section

Figure 11.1-b Timed Personal Statement – Prompt A Page

Figure 11.1-c Timed Personal Statement – Prompt B Page

Figure 11.1-d Timed Personal Statement – Prompt C Page

Table 11.1‑a. Personal Statement Page Data Elements

Data Elements	Data Values	EIS	PHIF	Hubert	Epi-Elect	PEF	PMR/F	PHAP	SA
Personal Statement	Text	Yes 750 words limit	Yes 750 words limit	Yes 750 words limit	Yes 300 words limit	Yes 1000 words limit	Yes 1000 words limit	Yes 750 words limit	Yes 500 words limit
Timed Personal Statement	Text	Yes 500 words limit	No	No	No	No	No	No	No
Section Complete	Yes/No Choice	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes

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