Non-Substantive Change Request 22MAR2019

Non-substantive Change Request
OMB Control Number 0920-0765
Fellowship Management System

Application Module
Public Health Associate Program

Date Submitted: January 7, 2019

This is a change request for the Centers for Disease Control and Prevention (CDC) Fellowship Management System (FMS). The web-based FMS collects information electronically, from nonfederal candidates applying to fellowship programs at CDC, public health agencies seeking to host fellows, and alumni of the fellowship programs. FMS is an efficient and effective electronic system for collecting information from potential candidates, processing fellowship training program applications, and collecting assignment proposals from public health agencies and organizations interested in hosting fellows (or associates) from programs. FMS has a robust, flexible framework, effectively tailored for various CDC training programs, including the Public Health Associate Program (PHAP). In the currently approved ICR for FMS (OMB No. 0920-0765), information collection occurs for multiple fellowships; fellowships collect information through all or a subset of modules (see Table A).

The FMS application module is a streamlined application for CDC training programs where interested applicants can submit an application online.

The purpose of this change request is for OMB approval of proposed modifications to data elements to accommodate the changing needs of the PHAP fellowship program. Specifically, this change request is to address feedback received on the FMS application module from applicants and agency wide application reviewers. Changes support the efficiency and effectiveness of CDC’s PHAP training program. The details of these changes are described below, and depicted in Table B and Attachment 1 (Screen Shots for Modifications) and Attachment 2 (FMS Application Module).

Changes include four questions that will increase efficiency in screening applicant eligibility. These changes are necessary to ensure that only eligible, qualified applicants move forward in the application process. We are revising three questions and adding a new question in the Personal Statement Section. We are also clarifying the language in the Interest Areas and Preferences Section about the work that the associate will be performing at the host site. The previous question did not provide the information intended. In addition, we have included list (see Attachment 3) of possible responses, to further eliminate confusion.

The proposed changes have been reviewed by PHAP, Division, and Center leadership, and found that completion of the application module with the changes results in no additional time per respondent. The proposed changes do not impact burden. Modifications will support a streamlined, standard application and selection process.

Table A: Fellowship Use of FMS Modules

FMS Application Module	FMS Host Site Module	FMS Alumni Directory Module
EIS	EIS	EIS
LLS	PHAP	Hubert
PEF	PMR/F
PHIF	LLS
Epi-Elect, Fall and Spring Rotations
Hubert
PHAP (proposed in this request)
PMR/F
Science Ambassador

Table B: Proposed Changes to the FMS Application Module for PHAP

PHAP Application Page Name	Current Question	Requested Change
11.1 Personal Statement	Please write a narrative of 750 words or less that addresses the following: What are your goals after completing PHAP? How would PHAP help you fulfill these goals? How does PHAP compliment your previous public health training, work, and experiences?	Removed previous questions. New Questions: What makes you a good candidate for PHAP?  Describe how PHAP will help you achieve your goals. What influenced you to consider a career in public service?
11.1 Personal Statement	None	New Question: How do the CDC values of integrity, respect and accountability align with your values?
12.3 a. Interest Areas and Preferences Section Pg. 55 and the list is on Pg. 92	Program Name	Previous Question and Title removed. New Question and Title: Assignment name (Subject area) Clarifying instructions: Select the subject area that the associate will be working in for the majority of their assignment. See list below
12.4a – Regional Location Pg. 55 and the list is on Pg. 93	Geographic preference	Previously listed by HHS Regions: New: List revised by state versus region Now listed by state for better matching based on geographic preference. See list below

ASSIGNMENT INFORMATION SUBJECT AREA(S)

ASSIGNMENT INFORMATION SUBJECT AREA(S)

Accreditation

Adolescent and school health

Asthma and allergies

Cancer Prevention and Control

Chronic Diseases

Community/Population Health

Nutrition/Obesity

Emergency Response/Disaster Preparedness

Emerging Infectious Disease

Environmental Health

Food safety

Genomics

Health Equity

Healthcare Associated Infections

Healthy Homes

Heart Disease and Stroke Prevention

HIV

Immunizations

Infectious Diseases (General)

Injury Prevention

Maternal and Infant Health

Non-communicable Diseases

Opioid Response

Oral Health

Pest, Vector, and Animal Control

Public Health Law

Public Health Surveillance (General)

Quality Improvement

Reproductive Health

STD Prevention

TB Prevention

Tobacco Prevention and Cessation

Tribal Health

Vector-borne diseases

Youth Violence Prevention

Water safety (drownings, boating)

Waterborne disease

Viral hepatitis

Automobile safety (car restraints, crashes, etc.)

Diabetes

Community Health Improvement

Geographic Preference

Regional Location (Geographic Preference)

No Preference

Alabama - Region 4

Alaska - Region 10

American Samoa - Region 9

Arizona - Region 9

Arkansas - Region 6

California - Region 9

Colorado - Region 8

Commonwealth of the Northern Mariana Islands - Region 9

Connecticut - Region 1

Delaware - Region 3

District of Columbia - Region 3

Federated States of Micronesia - Region 9

Florida - Region 4

Georgia - Region 4

Guam - Region 9

Hawaii - Region 9

Idaho - Region 10

Illinois - Region 5

Indiana - Region 5

Iowa - Region 7

Kansas - Region 7

Kentucky - Region 4

Louisiana - Region 6

Maine - Region 1

Maryland - Region 3

Massachusetts - Region 1

Michigan - Region 5

Minnesota - Region 5

Mississippi - Region 4

Missouri - Region 7

Montana - Region 8

Nebraska - Region 7

Nevada - Region 9

New Hampshire - Region 1

New Jersey - Region 2

New Mexico - Region 6

New York - Region 2

North Carolina - Region 4

North Dakota - Region 8

Ohio - Region 5

Oklahoma - Region 6

Oregon - Region 10

Pennsylvania - Region 3

Puerto Rico - Region 2

Republic of Palau - Region 9

Republic of the Marshall Islands - Region 9

Rhode Island - Region 1

South Carolina - Region 4

South Dakota - Region 8

Tennessee - Region 4

Texas - Region 6

U.S. Virgin Islands - Region 2

Utah - Region 8

Vermont - Region 1

Virginia - Region 3

Washington - Region 10

West Virginia - Region 3

Wisconsin - Region 5

Wyoming - Region 8

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