Fellowship Management System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Activity Tracking	Form and Instruction	New	Available
Reference Letters for Fellowship Applicants	Form and Instruction	New	Available
FMS Application Writing Samples (Subset Applicants)	Form and Instruction	Modified	Available
PMR/F Fellowship Applicants	Form and Instruction	Removed	Available
FMS Host Site Module	Form and Instruction	Modified	Available
FMS Alumni Directory	Form and Instruction	Modified	Repair queued
Fellowship Applications	Form and Instruction	Modified	Repair queued
SSB_01312020.docx	Supporting Statement B	Uploaded 2020-01-31	Available
0920-0765 Supporting Statement A_revised 3-31-2020.docx	Supporting Statement A	Uploaded 2020-03-31	Available
Attachment_8_PIA.pdf	Supplementary Document	Uploaded 2020-01-28	Available
Attachment_7_Research_Determination_Memo_FMS.pdf	Supplementary Document	Uploaded 2020-01-28	Available
Attachment_2_60 Day FRN.pdf	Supplementary Document	Uploaded 2020-01-28	Available
Attachment 1_Public Health Service Act.docx	Supplementary Document	Uploaded 2020-01-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
239669	Activity Tracking	Form and Instruction	New
239668	Reference Letters for Fellowship Applicants	Form and Instruction	New
232804	FMS Application Writing Samples (Subset Applicants)	Form and Instruction	Modified
226159	PMR/F Fellowship Applicants	Form and Instruction	Removed
214088	FMS Host Site Module	Form and Instruction	Modified
214087	FMS Alumni Directory	Form and Instruction	Modified
214086	Fellowship Applications	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0765	ICR Reference No: 201911-0920-007
Status: Active	Previous ICR Reference No: 201905-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0765-19ASE
Title: Fellowship Management System
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/31/2020
	Date Received in OIRA: 01/31/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2023	36 Months From Approved	01/31/2021
Responses	9,708	0	4,131
Time Burden (Hours)	4,881	0	4,656
Cost Burden (Dollars)	550,826	0	0

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Abstract: This is a request for revision of the Fellowship Management System (FMS) information collection to continue to collect data under the approved OMB No. 0920-0765. CDC uses FMS to collect, process, and manage data from non-federal applicants seeking training or public health support services through CDC fellowships. FMS is used to electronically submit fellowship applications and fellowship host site proposals, and to maintain fellowship alumni directories on-line.

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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:
	84 FR 44313	08/23/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 5664	01/31/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
FMS Application Writing Samples (Subset Applicants)	n/a	FMS 2.0 Application Module - 13.6 with Prompt Options for EIS Writing Samples
Fellowship Applications	n/a	FMS 2.0 Application Module (2020)
FMS Host Site Module	n/a	FMS 2.0 Host Site Module (2020)
FMS Alumni Directory	n/a	FMS 2.0 Alumni Tracking Module (2020)
Reference Letters for Fellowship Applicants	n/a	FMS Application Module 2020 (sections 12.2 - 12.3.3)
Activity Tracking	n/a	FMS 2.0 Activity Tracking Module (2020)
PMR/F Fellowship Applicants	none	FMS Application Module for Science Ambassadors

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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	9,708	4,131	0	5,727	-150	0
Annual Time Burden (Hours)	4,881	4,656	0	338	-113	0
Annual Cost Burden (Dollars)	550,826	0	0	550,826	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: Yes

Burden Reduction Due to: Using Information Technology

Short Statement: CDC estimates a net increase of 225 annualized burden hours. The number of fellowship applicants is expected to increase, but burden per response for most applications will decrease due to use of a new, more efficient web-based system. The number of fellowship alumni who participate in the alumni directory is expected to increase. In addition, the new platform includes 2 new functions that will increase the total number of respondents and burden hours. The new system will electronically collect 1. references for fellowship applicants, and 2. data on fellows' activities during the period of the fellowship..

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Annual Cost to Federal Government: $465,133

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.     Yes

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: 01/31/2020

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