Fellowship Management System (EIS - Subset)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PMR/F Fellowship Applicants	Form and Instruction	Unchanged	Available
FMS Host Site Module - PHAP Host Site Example	Form and Instruction	Unchanged	Repair queued
FMS Alumni Directory - EIS Alumni Directory Example	Form and Instruction	Unchanged	Available
FMS Application Module - EIS Application Example	Form and Instruction	Modified	Repair queued
Estimated Annualized Burden Costs.docx	Supplementary Document	Uploaded 2018-08-23	Available
OMB_Change_Request_EIS_08-2018_ih.docx	Supplementary Document	Uploaded 2018-08-23	Available
Attachment _1-OMB_Change_Request_EIS_Screen Shots_3-2018.docx	Supplementary Document	Uploaded 2018-03-15	Available
OMB_Change_Request_EIS_3-2018.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2018-03-15	Available
Supporting_Statement_A-FMS_Clean_version.docx	Supporting Statement A	Uploaded 2017-11-27	Available
Comment 2_1k1-8yof-13gk.pdf	Supplementary Document	Uploaded 2017-11-08	Available
Comment 1_1k1-8yik-1gek.pdf	Supplementary Document	Uploaded 2017-11-08	Repair queued
Supporting_Statement_B-FMS.DOCX	Supporting Statement B	Uploaded 2017-11-08	Available
Attachment_7_Research_Determination_Memo_FMS.pdf	Supplementary Document	Uploaded 2017-11-08	Available
Attachment_2_60day_FRN.docx	Supplementary Document	Uploaded 2017-11-08	Available
Attachment_1_Authorizing_Legislation-PH_Service_Act.docx	Supplementary Document	Uploaded 2017-11-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
232804	FMS Application (Subset Applicants)	Other-Screenshots	New
226159	PMR/F Fellowship Applicants	Form and Instruction	Unchanged
214088	FMS Host Site Module - PHAP Host Site Example	Form and Instruction	Unchanged
214087	FMS Alumni Directory - EIS Alumni Directory Example	Form and Instruction	Unchanged
214086	FMS Application Module - EIS Application Example	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0765	ICR Reference No: 201808-0920-017
Status: Historical Active	Previous ICR Reference No: 201803-0920-012
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0765-18AXE
Title: Fellowship Management System (EIS - Subset)
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 without change	Conclusion Date: 08/29/2018
	Date Received in OIRA: 08/28/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2021	01/31/2021	01/31/2021
Responses	4,131	0	3,931
Time Burden (Hours)	4,656	0	4,556
Cost Burden (Dollars)	0	0	0

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Abstract: This is a request for minor changes to the Fellowship Management System (FMS) application module.The purpose of this change request is for OMB approval of proposed modification to data elements to accommodate the changing need of Epidemic Intelligence Service (EIS) fellowship program. The proposed change request includes one additional question that will allow the program to assess the written communication skills of a subset of applicants (i.e., applicants invited to the in-person Interview Day). A maximum of 200 applicants are invited to participate in Interview Day each year. During Interview Day, these applicants will log into their FMS application module and respond to a single prompt during a timed, 30-minute session. Applicants will only view and be asked to respond to one of three prompts for the Timed Personal Statement (i.e., Prompt A, Prompt B, or Prompt C). The addition of this question to the subset of 200 applicant respondents represents an additional100 hours of burden and results in an increase from 3485 to 3585 hours.

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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:
	82 FR 41963	09/05/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 58605	12/13/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
FMS Application Module - EIS Application Example	none, none, 0920-0765	FMS Application Module - screenshots of changes ,   Fellowship Management System (FMS) FMS Application Module 2017 ,   FMS Application Module - EIS Application Example
FMS Host Site Module - PHAP Host Site Example	none	FMS Host Site Module - PHAP Host Site Example
PMR/F Fellowship Applicants	none	FMS Application Module for Science Ambassadors
FMS Application (Subset Applicants)
FMS Alumni Directory - EIS Alumni Directory Example	none	FMS Alumni Directory - EPI 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	4,131	3,931	0	200	0	0
Annual Time Burden (Hours)	4,656	4,556	0	100	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Program proposed change request to add one additional question to assess the written communication skills of a subset of applicants (i.e., applicants invited to the in-person Interview Day.

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Annual Cost to Federal Government: $850,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

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: 08/28/2018

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