Fellowship Management System

ICR 202106-0920-003

OMB: 0920-0765

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Modified
Form and Instruction
Unchanged
Form and Instruction
Modified
Supplementary Document
2021-06-08
Supplementary Document
2021-06-08
Justification for No Material/Nonsubstantive Change
2021-06-08
Justification for No Material/Nonsubstantive Change
2021-03-16
Supporting Statement B
2020-01-31
Supporting Statement A
2020-03-31
Supplementary Document
2020-01-28
Supplementary Document
2020-01-28
Supplementary Document
2020-01-28
Supplementary Document
2020-01-28
ICR Details
0920-0765 202106-0920-003
Received in OIRA 202103-0920-006
HHS/CDC 0920-21FQ
Fellowship Management System
No material or nonsubstantive change to a currently approved collection   No
Regular 06/09/2021
  Requested Previously Approved
03/31/2023 03/31/2023
9,708 9,708
5,773 5,552
586,324 550,826

This is a change request for the Fellowship Management System (FMS). It describes minor changes to the FMS Application Module and the FMS Host Site Module, proposed in June 2021. Changes apply to the following fellowship programs: Preventive Medicine Residency and Fellowship (PMR/F), Population Health Training in Place Program (PH-TIPP), Public Health Informatics Fellowship Program (PHIFP), CDC Steven M. Teutsch Prevention Effectiveness Fellowship (PEF), and the Future Leaders in Infections and Global Health Threats (FLIGHT).

US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  84 FR 44313 08/23/2019
85 FR 5664 01/31/2020
No

  Total Request 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 9,708 0 0 0 0
Annual Time Burden (Hours) 5,773 5,552 0 221 0 0
Annual Cost Burden (Dollars) 586,324 550,826 0 35,498 0 0
Yes
Miscellaneous Actions
No
Minor changes are requested which will increase the estimated burden per response approximately 5 minutes for the Applicant Module and 5 minutes for the Host Site Module for applicants to selected fellowship programs.

$465,133
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
No
Renita Macaluso 770 488-6458 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/09/2021


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