Host Site Module- screenshots of changes

Fellowship Management System (EIS - Subset)

Attachment 4_CR_HS_ScreenShots

FMS Host Site Module - PHAP Host Site Example

OMB: 0920-0765

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Attachment 4 – Screen Shots for Modifications and Additions to the Existing FMS Host Site Application Module

OMB CONTROL NUMBER 0920-0765

FELLOWSHIP MANAGEMENT SYSTEM

NON-SUBSTANTIVE CHANGE REQUEST



PROPOSED MODIFICATIONS FOR CDC PREVENTIVE MEDICINE RESIDENCY & FELLOWSHIP (PMR/F)

FMS APPLICATION MODULE

DATE SUBMITTED: APRIL 18, 2019

8.1 Public Health Agency Statement Section

Figure 8.1 a.1 Public Health Agency Statement Page

Figure 8.1 a.2 Public Health Agency Statement Page

Figure 8.1 a.3 Public Health Agency Statement Page

Figure 8.1 a.4 Public Health Agency Statement Page











Figure 8.1 a.5 Public Health Agency Statement Page

    1. Program Information Section

Figure 9.2-D. Program Information*

*Note: Only collected by Preventive Medicine Residency & Fellowship (PMR/F) program

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