FMS 2.0 Alumni Tracking Module (2020)

Fellowship Management System

Attachment 4_FMS 2.0 Alumni Tracking Module

FMS Alumni Directory

OMB: 0920-0765

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2024-01-04 - No material or nonsubstantive change to a currently approved collection
2023-11-08 - No material or nonsubstantive change to a currently approved collection

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Attachment 4 – FMS Alumni Tracking Module

Fellowship Management System (FMS)
FMS Alumni Tracking Module

2020
Privacy Act and Public Burden Information
Privacy Act Information
The Privacy Act applies to this information collection. Information collected will be kept private as noted in the System of Records Notice is 09-20-0112,
Fellowship Program and Guest Researcher Records.
Public Burden Information
Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023
Public reporting burden of this collection of information is an estimated average of 25 minutes per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not
conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send
comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR
Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0765).

Form Approved
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Attachment 4 – FMS Alumni Tracking Module

Table of Contents
Table of Contents ........................................................................................................................................................................................................... 2
1.

Introduction ........................................................................................................................................................................................................... 4
1.1

Document Structure....................................................................................................................................................................................... 5

Sign-In & Sign-Up Pages ......................................................................................................................................................................................... 6
2.1

Sign-In Page .................................................................................................................................................................................................... 6

2.2

Sign-Up Page (For New Users) ....................................................................................................................................................................... 8

eFMS System Help Desk Ticket .............................................................................................................................................................................. 9

Alumni Tracking Welcome Page .......................................................................................................................................................................... 11

Alumni Tracking Profile ........................................................................................................................................................................................ 12
5.1

General Information .................................................................................................................................................................................... 12

5.2

Current Residence ........................................................................................................................................................................................ 14

5.3

Fellowship Information ................................................................................................................................................................................ 15

6. Post-Fellowship Education, Board Certifications, and Licenses............................................................................................................................... 17
7. Post-Fellowship Work Experience............................................................................................................................................................................ 19
7.1 Employer Information ........................................................................................................................................................................................ 19
7.2 Position Information .......................................................................................................................................................................................... 21
8. Surveys ..................................................................................................................................................................................................................... 22
8.1 Fellowship Alumni Survey .................................................................................................................................................................................. 22
8.1.1 Career Progression ...................................................................................................................................................................................... 22
8.1.2 Leadership Roles ......................................................................................................................................................................................... 24
8.1.3 Use of Fellowship Competencies/Skills in Post-Fellowship Positions ......................................................................................................... 28

Attachment 4 – FMS Alumni Tracking Module

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8.1.4 Extent to which fellowship training helped prepare alumni for post-fellowship jobs .............................................................................. 29
8.1.5 Alumni Engagement .................................................................................................................................................................................... 33
8.2 EEP Alumni Survey ............................................................................................................................................................................................. 36
8.3 ELI Alumni Survey............................................................................................................................................................................................... 42
8.4 LLS Alumni Survey .............................................................................................................................................................................................. 43
8.5 SAF Alumni Survey ............................................................................................................................................................................................. 69
8.6 Alumni Survey Email .......................................................................................................................................................................................... 71
Appendix ...................................................................................................................................................................................................................... 72
I. (PENDING) Field Value Tables ............................................................................................................................................................................... 72
II. (PENDING) Lookup Tables .................................................................................................................................................................................... 74

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Attachment 4 – FMS Alumni Tracking Module

1. Introduction
The purpose of this document is to list all the data elements collected online from alumni through the Fellowship Management System (FMS).
The FMS online alumni directory module is a self-service connection to allow alumni of the Centers for Disease Control and Prevention (CDC)
fellowships to update their personal information including current addresses, contact, and education information. The FMS is a robust, flexible
framework and is successfully tailored for various fellowships.
The following fellowships currently use the FMS Alumni Directory to collect information from fellowship alumni:
1. Epidemic Intelligence Service (EIS)
2. CDC E-learning Institute (ELI)
3. Epidemiology Elective Program (EEP)
4. Future Leaders in Infections and Global Health Threats (FLIGHT)
5. Laboratory Leadership Service (LLS)
6. CDC Steven M. Teutsch Prevention Effectiveness (PE) Fellowship
7. Presidential Management Fellowship (PMF)
8. Public Health Associate Program (PHAP)
9. Public Health Informatics Fellowship Program (PHIFP)
10. Science Ambassador Fellowship (SAF)
11. Preventive Medicine Residency and Fellowship (PMR/F)
12. Population Health Training in Place Program (PH-TIPP)

Attachment 4 – FMS Alumni Tracking Module

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1.1 Document Structure
This document is broken down by the major pages of the FMS Alumni Directory. In this document, each page of the FMS Alumni Directory has
sections and some sub-sections. In addition, instructions, login, and registration pages are included. Following the screenshots in each section is
a table that shows the status of the collection of data elements by each CDC fellowships. The following labels indicate the status of the
collection:
•

“Yes” indicates that the fellowship collects the information and that alumni are required to submit this information.

•

“No” indicates that the fellowship does not collect this information.

•

“-“ indicates open text field

In addition, the table shows the data values of each data element, and for ones that have a list of dropdown values, the data value category is
hyperlinked to its list located in the Appendix.

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Attachment 4 – FMS Alumni Tracking Module

2. Sign-In & Sign-Up Pages
2.1 Sign-In Page
Figure 2.1-a. Sign-In Page

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Attachment 4 – FMS Alumni Tracking Module

Figure 2.1-b. Privacy Act and Public Burden Information

Table 2.1-a. Sign-In Fields
Field
Email

Values
-

EIS
Yes

LLS
Yes

FLIGHT
Yes

EEP
Yes

SAF
Yes

PMR/F
Yes

PH-TIPP
Yes

PHIFP
Yes

PE
Yes

ELI
Yes

PHAP
Yes

Password

Yes

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

2.2 Sign-Up Page (For New Users)
Figure 2.2-a. Sign-Up Fields

Table 2.2-a. Sign-Up Fields
Field

Values
-

EIS
Yes

LLS
Yes

FLIGHT
Yes

EEP
Yes

SAF
Yes

PMR/F
Yes

PH-TIPP
Yes

PHIFP
Yes

PE
Yes

ELI
Yes

PHAP
Yes

Password

Yes

Confirm Password

Yes

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

3. eFMS System Help Desk Ticket
Figure 3-a. eFMS System Help Desk Ticket Fields

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Attachment 4 – FMS Alumni Tracking Module

Table 3-a. eFMS System Help Desk Ticket Fields
Field

Values
-

EIS
Yes

LLS
Yes

FLIGHT
Yes

EEP
Yes

SAF
Yes

PMR/F
Yes

PH-TIPP
Yes

PHIFP
Yes

PE
Yes

ELI
Yes

PHAP
Yes

Sign-In Email:

Yes

Contact Phone Number:

Yes

Your Name:

Fellowship:

Fellowship Lookup Table

Yes

What type of issue or need do you have?

1. System Error Message
2. Sign-In or Password
3. Smart Card Sign-In
4. Data Not Saving
5. Unable to Submit
6. Reset application back to "Draft"
7. Withdraw Fellowship Application
8. Other

Yes

URL where the issue is occurring:

Yes

Error code message:

Yes

Please describe your issue or need:

Yes

Screenshot of error or issue (optional):

Yes

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

4. Alumni Tracking Welcome Page
Figure 4-a. Application Welcome Page

Form Approved
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Attachment 4 – FMS Alumni Tracking Module

5. Alumni Tracking Profile
5.1 General Information
Figure 5.1-a. General Information Fields

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Attachment 4 – FMS Alumni Tracking Module

Table 5.1-a. General Information Fields
Field Name
First Name:
Middle Name:
Last Name:
Other Names Used:
Personal Email:
Personal Phone:
Employment Status:

Values
1. Employed (Full-time)
2. Employed (Part-time)
3. In a
training/residency/fellowship
program
4. Seeking employment
5. Not currently employed

EIS
Yes
Yes
Yes
Yes
Yes
Yes
Yes

LLS
Yes
Yes
Yes
Yes
Yes
Yes
Yes

FLIGHT
Yes
Yes
Yes
Yes
Yes
Yes
Yes

EEP
Yes
Yes
Yes
Yes
Yes
Yes
Yes

SAF
Yes
Yes
Yes
Yes
Yes
Yes
Yes

PMR/F
Yes
Yes
Yes
Yes
Yes
Yes
Yes

PH-TIPP
Yes
Yes
Yes
Yes
Yes
Yes
Yes

PHIFP
Yes
Yes
Yes
Yes
Yes
Yes
Yes

PE
Yes
Yes
Yes
Yes
Yes
Yes
Yes

ELI
Yes
Yes
Yes
Yes
Yes
Yes
Yes

PHAP
Yes
Yes
Yes
Yes
Yes
Yes
Yes

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

5.2 Current Residence
Figure 5.2-a. Current Residence Fields

Table 5.2-a. Current Residence Fields
Field Name
Country:
State:
State/Territory:
City:

Values
Country Lookup
State Lookup
-

EIS
Yes
Yes
Yes
Yes

LLS
Yes
Yes
Yes
Yes

FLIGHT
Yes
Yes
Yes
Yes

EEP
Yes
Yes
Yes
Yes

SAF
Yes
Yes
Yes
Yes

PMR/F
Yes
Yes
Yes
Yes

PH-TIPP
Yes
Yes
Yes
Yes

PHIFP
Yes
Yes
Yes
Yes

PE
Yes
Yes
Yes
Yes

ELI
Yes
Yes
Yes
Yes

PHAP
Yes
Yes
Yes
Yes

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

5.3 Fellowship Information
Figure 5.3-a. Fellowship Information Fields

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Attachment 4 – FMS Alumni Tracking Module

Table 5.3-a. Fellowship Information Fields
Field Name
CDC ID:
Alumni Fellowship(s):

EIS Class Year:
LLS Class Year:
PMR/F Class Year:
FLIGHT Class Year:
PH-TIPP Class Year:
PHIFP Class Year:
PE Class Year:
EEP Class Year:
SAF Class Year:
ELI Class Year:
PHAP Class Year:
PMF Class Year:

Values
1. EIS
2. LLS
3. PMR/F
4. PH-TIPP
5. FLIGHT
6. PHIFP
7. PE
8. EEP
9. SAF
10. ELI
11. PHAP
12. PMF
-

EIS
Yes
Yes

LLS
Yes
Yes

FLIGHT
Yes
Yes

EEP
Yes
Yes

SAF
Yes
Yes

PMR/F
Yes
Yes

PH-TIPP
Yes
Yes

PHIFP
Yes
Yes

PE
Yes
Yes

ELI
No
Yes

PHAP
Yes
Yes

PMF
No
Yes

Yes
No
No
No
No
No
No
No
No
No
No
No

No
Yes
No
No
No
No
No
No
No
No
No
No

No
No
No
Yes
No
No
No
No
No
No
No
No

No
No
No
No
No
No
No
Yes
No
No
No
No

No
No
No
No
No
No
No
No
Yes
No
No
No

No
No
Yes
No
No
No
No
No
No
No
No
No

No
No
No
No
Yes
No
No
No
No
No
No
No

No
No
No
No
No
Yes
No
No
No
No
No
No

No
No
No
No
No
No
Yes
No
No
No
No
No

No
No
No
No
No
No
No
No
No
Yes
No
No

No
No
No
No
No
No
No
No
No
No
Yes
No

No
No
No
No
No
No
No
No
No
No
No
Yes

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

6. Post-Fellowship Education, Board Certifications, and Licenses
Figure 6.-a. Fellowship Information Fields

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Attachment 4 – FMS Alumni Tracking Module

Table 6.-a. Fellowship Information Fields
Field Name
Completed Undergraduate
Degrees:
Completed Graduate Degrees:
Please indicate the institution’s
accreditation status for the
graduate degrees listed above.
(Check all that apply)

Practicum:
Completed Residencies:

Values
Undergraduate Degree List

EIS
Yes

LLS
Yes

FLIGHT
Yes

EEP
Yes

SAF
Yes

PMR/F
Yes

PH-TIPP
Yes

PHIFP
Yes

PE
Yes

ELI
Yes

PHAP
Yes

Graduate Degree List
1. Accredited U.S. Medical School
2. Non-U.S. Medical School (e.g.
MBBS)
3. Accredited Nursing school
4. Accredited Veterinary School
5. Doctoral program (e.g., PhD,
EdD, PharmD, SD, etc)
6. Allied health program
-

Yes
Yes

No
Yes

Yes
Yes

Yes

Active Board Certifications:
Active Medical Licenses:
Physician eligible to practice within
the U.S.?

1. Yes

Attachment 4 – FMS Alumni Tracking Module

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OMB No. 0920-0765
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7. Post-Fellowship Work Experience
7.1 Employer Information
Figure 7.1-a. Employer Information Fields

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Attachment 4 – FMS Alumni Tracking Module

Table 7.1-a. Employer Information Fields
Field Name
Is this employer a Public
Health Agency?

1. Yes
2. No

Yes

PHTIPP
Yes

Public Health Agency Type:

1. CDC
2. Federal Government (Other)
3. State
4. Local
5. Territorial
6. Tribal
7. Community-based Organization
8. Indian Health Service area offices
9. University or other academia
10. Private public health
organization
11. Non-profit organization
12. Other
Center/Division/Branch Lookup
1. Government - domestic federal
2. Government – domestic state,
tribal, local, or territorial
3. Academic
4. Industry (private, non-clinical
business)
5. Clinical (hospital or other clinical
care)
6. Non-governmental, community,
or other organization
7. Other
State Lookup
-

Yes

Yes
Yes
Yes

No
No
No

Yes
Yes
Yes

Yes
Yes
Yes
Yes
Yes

No
No
No
No
No

Yes
Yes
Yes
Yes
Yes

Specify:
CDC Center/Division/Branch:
Employer Type:

Specify:
Organization Name:
Employer Country:
Employer State/Territory:
Employer State/Territory:

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PHIFP

ELI

PHAP

PMF

Yes

Form Approved
OMB No. 0920-0765
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Attachment 4 – FMS Alumni Tracking Module

7.2 Position Information
Figure 7.2-a. Position Information Fields

Table 7.2-a. Position Information Fields
Field Name
Title/Position:
Department:
Employment Start Date:
Are you currently employed with this organization?
Employment End Date:

Values
1. Yes
2. No

EIS
Yes
Yes
Yes
Yes

LLS
Yes
Yes
Yes
Yes

FLIGHT
Yes
Yes
Yes
Yes

EEP
Yes
Yes
Yes
Yes

SAF
Yes
Yes
Yes
Yes

PMR/F
Yes
Yes
Yes
Yes

PH-TIPP
Yes
Yes
Yes
Yes

PHIFP
Yes
Yes
Yes
Yes

PE
Yes
Yes
Yes
Yes

ELI
Yes
Yes
Yes
Yes

PHAP
Yes
Yes
Yes
Yes

PMF
Yes
Yes
Yes
Yes

Yes

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

8. Surveys
8.1 Fellowship Alumni Survey
8.1.1 Career Progression

Figure 8.1.1-a. Career Progression Fields

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Attachment 4 – FMS Alumni Tracking Module

Table 8.1.1-a. Career Progression Fields
Field Name
Thinking about your current
position, how much of your work is
related to any type of public health
(including scientific, programmatic,
or administrative activities)? This
includes traditional and nontraditional public health settings.
Have you received any of the
following within the past [insert
timeframe since last survey, i.e.,
year, two years, five years]? (Check
all that apply)

Values
1. None
2. Some
3. Most
4. All
5. Don’t Know

EIS
Yes

LLS
Yes

FLIGHT
Yes

EEP
Yes

SAF
No

PMR/F
Yes

PH-TIPP
Yes

PHIFP
Yes

PE
Yes

ELI
Yes

PHAP
Yes

PMF
Yes

1. Higher level of
responsibility in your
job (refers to content
of work, not workload)
2. Greater job
satisfaction
3. Promotion (e.g.,
higher position or
grade level)
4. None of the above

Yes

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

8.1.2 Leadership Roles

Figure 8.1.2-a. Leadership Roles Fields

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Attachment 4 – FMS Alumni Tracking Module

Table 8.1.2-a. Leadership Roles Fields
Field Name
Which of the
following best
describes the
supervisory status of
your position?

Influence on the
policy, operations, or
administration of my
work unit (e.g.,
program,
department, or
branch).
Formal decisionmaking authority for
my work unit.

Values
1. I do not supervise other
employees.
2. I provide one or more employees
with day-to-day guidance in work
projects, but do not have official
supervisory responsibility.
3. I supervise one or more employees.
4. I supervise one or more
supervisors.
5. I am a senior executive or
equivalent (e.g., Chief Executive
Officer, Chief Financial Officer, center
or agency director).
1. Strongly Disagree
2. Somewhat Disagree
3. Neither Agree nor Disagree
4. Somewhat Agree
5. Strongly Agree

EIS
Yes

LLS
Yes

FLIGHT
Yes

EEP
Yes

SAF
No

PMR/F
Yes

PH-TIPP
Yes

PHIFP
Yes

PE
Yes

ELI
Yes

PHAP
Yes

PMF
Yes

Yes

1. Strongly Disagree
2. Somewhat Disagree
3. Neither Agree nor Disagree
4. Somewhat Agree
5. Strongly Agree

Yes

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.1.2-b. Leadership Roles Fields
Field Name
Opportunities to represent my
organization in external
settings.

Cross-sector or
interdisciplinary collaboration.

Technical responsibility (e.g.,
subject matter expertise).

Fiscal responsibility (e.g.,
budget management).

Values
1. Strongly Disagree
2. Somewhat Disagree
3. Neither Agree nor
Disagree
4. Somewhat Agree
5. Strongly Agree
1. Strongly Disagree
2. Somewhat Disagree
3. Neither Agree nor
Disagree
4. Somewhat Agree
5. Strongly Agree
1. Strongly Disagree
2. Somewhat Disagree
3. Neither Agree nor
Disagree
4. Somewhat Agree
5. Strongly Agree
1. Strongly Disagree
2. Somewhat Disagree
3. Neither Agree nor
Disagree
4. Somewhat Agree
5. Strongly Agree

EIS
Yes

LLS
Yes

FLIGHT
Yes

EEP
Yes

SAF
Yes

PMR/F
Yes

PH-TIPP
Yes

PHIFP
Yes

PE
Yes

ELI
No

PHAP
Yes

PMF
Yes

Yes

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.1.2-c. Leadership Roles Fields
Field Name
Which of the
following
activities have
you conducted
during the past
12 months?
(check all that
apply)

Values
1. Led a program or intervention (i.e., an
organized, planned, and usually ongoing
effort designed to improve a social problem
or improve social conditions)
2. Led a policy development initiative
3. Led a research project (e.g., principal
investigator for an IRB-approved study)
4. Obtained new funding for your
organization (e.g., via contracts, grants, or
other mechanisms)
5. Conducted strategic planning for your
organization
6. Authored a publication (e.g., journal
article, book chapter)
7. Served on an expert panel or advisory
board
8. Served in an official leadership role in a
professional organization

EIS
Yes

LLS
Yes

FLIGHT
Yes

EEP
Yes

SAF
No

PMR/F
Yes

PH-TIPP
Yes

PHIFP
Yes

PE
Yes

ELI
No

PHAP
Yes

PMF
Yes

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

8.1.3 Use of Fellowship Competencies/Skills in Post-Fellowship Positions

Figure 8.1.3-a. Use of Fellowship Competencies Fields

Table 8.1.3-a. Use of Fellowship Competencies Fields
Field Name
How relevant to your current
position are the skills you learned in
your fellowship?

Values
1. Not at all – Not
useful
2. A little – Slightly
enhances job
performance
3. Somewhat – Desired
qualification
4. Very much –
Required

EIS
Yes

LLS
Yes

FLIGHT
Yes

EEP
Yes

SAF
Yes

PMR/F
Yes

PH-TIPP
Yes

PHIFP
Yes

PE
Yes

ELI
Yes

PHAP
Yes

PMF
Yes

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

8.1.4 Extent to which fellowship training helped prepare alumni for post-fellowship jobs
Figure 8.1.4.-a. Preparing Alumni for Post-Fellowship Job Fields

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Table 8.1.4.-a. Preparing Alumni for Post-Fellowship Job Fields
Field Name
Required
learning
activities (e.g.,
Core Activities
for Learning,
Performance
Requirements)
Peer-to-peer
learning

Learning from
mentors

Values
1. Not at all – Not relevant or did not prepare
you
2. A little – Had a small role in preparing you
3. Somewhat – Had a moderate role in
preparing you
4. Very much – Had a large role in preparing
you
5. This was not part of my fellowship
1. Not at all – Not relevant or did not prepare
you
2. A little – Had a small role in preparing you
3. Somewhat – Had a moderate role in
preparing you
4. Very much – Had a large role in preparing
you
5. This was not part of my fellowship
1. Not at all – Not relevant or did not prepare
you
2. A little – Had a small role in preparing you
3. Somewhat – Had a moderate role in
preparing you
4. Very much – Had a large role in preparing
you
5. This was not part of my fellowship

EIS
Yes

LLS
Yes

FLIGHT
Yes

EEP
Yes

SAF
Yes

PMR/F
Yes

PH-TIPP
Yes

PHIFP
Yes

PE
Yes

ELI
Yes

PHAP
Yes

PMF
Yes

Yes

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.1.4.-b. Preparing Alumni for Post-Fellowship Job Fields
Field Name
Developing a
professional network

[Year 1 survey
only] Didactic or
classroom-based
training

[Year 1 survey only]
Overall, to what
extent did your
fellowship
experience prepare
you to perform your
first job after your
fellowship?

Values
1. Not at all – Not relevant or did
not prepare you
2. A little – Had a small role in
preparing you
3. Somewhat – Had a moderate
role in preparing you
4. Very much – Had a large role in
preparing you
5. This was not part of my
fellowship
1. Not at all – Not relevant or did
not prepare you
2. A little – Had a small role in
preparing you
3. Somewhat – Had a moderate
role in preparing you
4. Very much – Had a large role in
preparing you
5. This was not part of my
fellowship
1. Not at all – Not relevant or did
not prepare you
2. A little – Had a small role in
preparing you (e.g., introduced
relevant topics or skills)
3. Somewhat – Had a moderate
role in preparing you (e.g.,
developed skills, but you required
additional training)
4. Very much – Had a large role in
preparing you (e.g., little or no
additional training needed)

EIS
Yes

LLS
Yes

FLIGHT
Yes

EEP
Yes

SAF
Yes

PMR/F
Yes

PH-TIPP
Yes

PHIFP
Yes

PE
Yes

ELI
Yes

PHAP
Yes

PMF
Yes

Yes

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Field Name
[Year 1 survey only]
Overall, to what
extent did your
fellowship
experience prepare
or support your work
in your current job
after your
fellowship?

[Year 1 survey
only] To what extent
did didactic or
classroom-based
training in your
fellowship prepare
or support you in
your current
position?

[Year 3 and Year 5
survey] How did
your fellowship
experience impact
your overall career
progression?

EIS
No

LLS
No

FLIGHT
No

EEP
No

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
Yes

PHAP
No

PMF
No

Yes

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

8.1.5 Alumni Engagement

Figure 8.1.5.-a. Alumni Engagement Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.1.5.-a. Alumni Engagement Fields
Field Name
How frequently do you interact
with individuals or groups from
your fellowship network? This
could include (but is not limited
to) CDC fellowship staff,
fellowship alumni, former host
site supervisors or colleagues.
Have you promoted or
marketed the fellowship
program in the past year? If so,
how? (Check all that apply)

Based on your experience,
where should we be marketing
our fellowship opportunities?
(Select up to three)

Please provide specific
examples for your response(s)
(e.g., specific job sites or social
media platforms):
Can we contact you about
potential recruitment
opportunities (career fair, info
session, newsletter article, op
ed, video clip, etc.)?
If yes, please specify any
schools or professional
organizations in which you

Values
1. Never
2. Rarely – less than a few times/year
3. Sometimes – a few times a year
4. Often – monthly
5. Frequently – weekly or daily

EIS
Yes

LLS
Yes

FLIGHT
Yes

EEP
Yes

SAF
Yes

PMR/F
Yes

PH-TIPP
Yes

PHIFP
Yes

PE
Yes

ELI
Yes

PHAP
Yes

PMF
Yes

1. Word of mouth: friends, colleagues,
professional organizations, schools
2. Digital Media: social media, news
media, website, email or newsletter,
internet search
3. Recruiting event: conference or
national meeting, info session at school
or career fair, webinar
4. Other (please specify)
1. Job sites (Indeed, LinkedIn,
Glassdoor, etc.)
2. Social media platforms (Facebook,
Instagram, Twitter, etc.)
3. Social media pages (partners,
conferences, schools, workplaces, etc.)
4. School events
5. Conferences
6. Professional organizations
7. Newsletter email subscriptions
-

Yes

1. Yes
2. No

Yes

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Field Name
would be interested in
conducting a recruitment event
for the fellowship:

Values

EIS

LLS

FLIGHT

EEP

SAF

PMR/F

PH-TIPP

PHIFP

ELI

PHAP

PMF

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

8.2 EEP Alumni Survey
Figure 8.2.-a. EEP Alumni Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.2.-a. EEP Alumni Fields
Field Name
Which medical or veterinary degree program
did you complete?

Values

EIS
No

LLS
No

FLIGHT
No

EEP
Yes

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

Yes

1. MD
2. DO
3. VMD
4. DVM

What year did you graduate from medical or
veterinary school?
Have you pursued any formal public health
training since completing EEP (e.g., graduate
degree program in public health, public health
certificate program, preventive medicine
residency, public health training sessions or
courses, etc.)?
Did you submit an abstract regarding your EEP
project to a conference?
What year?
What conference?
Oral Presentation, Poster or Both?

1. Yes
2. No

Yes

1. Yes
2. No

Yes

1. Orall Presentation
2. Poster
3. Both

No
No
No

Yes
Yes
Yes

No
No
No

Was the abstract accepted?

1. Yes
2. No
1. Yes
2. No

Yes

1. Employed (Full-time)
2. Employed (Part-time)
3. In a
training/residency/fellowship
program
4. Seeking employment

No
No
No
No

Yes
Yes
Yes
Yes

No
No
No
No

Have you published any public health related
scientific work?
What year?
What journal?
Please provide citation:
What is your current employment status?

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Figure 8.2.-b. EEP Alumni Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.2.-b. EEP Alumni Fields
Field Name
Do you currently practice human or veterinary
medicine?

1. Yes
2. No

Values

EIS
No

LLS
No

FLIGHT
No

EEP
Yes

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

What is your specialty?
Are you currently completing a residency
program or clinical fellowship?

1. Yes
2. No

No
No

Yes
Yes

No
No

When do you plan to complete your program?
What is your specialty?
I found my Epidemiology Elective Program
experience to have positively influenced my
career.

1. Strongly Disagree
2. Disagree
3. Somewhat Disagree
4. Neither Agree nor Disagree
5. Somewhat Agree
6. Agree
7. Strongly Agree

No
No
No

Yes
Yes
Yes

No
No
No

My current work involves the practice of
public health.

1. Strongly Disagree
2. Disagree
3. Somewhat Disagree
4. Neither Agree nor Disagree
5. Somewhat Agree
6. Agree
7. Strongly Agree

Yes

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.2.-d. EEP Alumni Fields
Field Name
The activities of my work utilize public
health skills, such as those honed during
EEP.

Values
1. Strongly Disagree
2. Disagree
3. Somewhat Disagree
4. Neither Agree nor Disagree
5. Somewhat Agree
6. Agree
7. Strongly Agree

EIS
No

LLS
No

FLIGHT
No

EEP
Yes

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

I plan to devote a greater percent of my
time to public health activities within the
next 18-24 months.

1. Strongly Disagree
2. Disagree
3. Somewhat Disagree
4. Neither Agree nor Disagree
5. Somewhat Agree
6. Agree
7. Strongly Agree

Yes

Do you plan to apply to the Epidemic
Intelligence Service (EIS)?

1. Yes, I plan to apply to EIS.
2. I have applied and I plan to
reapply in the future.
3. I have applied and do not
plan to reapply.
4. No, I do not plan to apply to
EIS.

Yes

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Figure 8.2.-c. EEP Alumni Fields

Table 8.2.-d. EEP Alumni Fields
Field Name
In what year do you plan to apply?
In what year did you apply?
Were you invited for EIS interviews?
In what year do you plan to reapply?

Values
-

EIS
No
No
No
No

LLS
No
No
No
No

FLIGHT
No
No
No
No

EEP
Yes
Yes
Yes
Yes

SAF
No
No
No
No

PMR/F
No
No
No
No

PH-TIPP
No
No
No
No

PHIFP
No
No
No
No

PE
No
No
No
No

ELI
No
No
No
No

PHAP
No
No
No
No

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

8.3 ELI Alumni Survey
Figure 8.3-a. ELI Alumni Fields

Table 8.3-a. ELI Alumni Fields
Field Name
Have you continued to create and distribute
e-learning?
On average, how many products have you
created since the fellowship?

What channels have you used to distribute
e-learning? (Select all that apply)

Values
1. Yes
2. No
1. 1-3 Products
2. 4-6 Products
3. 7-9 Products
4. 10+ Products
1. TRAIN Network or Affiliate
2. Organizational Learning
Management System (LMS)
3. Other

EIS
No

LLS
No

FLIGHT
No

EEP
No

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
Yes

PHAP
No

Yes

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

8.4 LLS Alumni Survey
Figure 8.4-a. LLS Alumni Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.4-a. LLS Alumni Fields
Field Name
Which of the following
activities describes what
you are doing after LLS?

Values
1. I do not currently have a job after LLS
2. Additional education or training (are a student
or resident)
3. In first position accepted since graduating from
LLS
4. Have switched or left roles/jobs at least once
since graduating from LLS
1. I do not supervise other employees.
2. I provide employees with day-to-day guidance
in work projects, but do not have official
supervisory responsibility.
3. I supervise other employees.
4. I supervise one or more supervisors.
5. I am a senior executive or equivalent (e.g., CEO,
CFO, center or agency director).
1. Strongly Disagree
2. Somewhat Disagree
3. Neither Agree Nor Disagree
4. Somewhat Agree
5. Strongly Agree

EIS
No

LLS
Yes

FLIGHT
No

EEP
No

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

Yes

Formal decision-making
authority for my work
unit.

1. Strongly Disagree
2. Somewhat Disagree
3. Neither Agree Nor Disagree
4. Somewhat Agree
5. Strongly Agree

Yes

Opportunities to
represent my
organization in external
settings.

1. Strongly Disagree
2. Somewhat Disagree
3. Neither Agree Nor Disagree
4. Somewhat Agree
5. Strongly Agree

Yes

Cross-sector or
interdisciplinary
collaboration.

1. Strongly Disagree
2. Somewhat Disagree
3. Neither Agree Nor Disagree
4. Somewhat Agree
5. Strongly Agree

Yes

What is your current
supervisory status?

Influence on the policy,
operations, or
administration of your
work unit (e.g., program,
department, or branch).

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Figure 8.4-b. LLS Alumni Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.4-b. LLS Alumni Fields
Field Name
Technical responsibility (e.g.,
subject matter expertise).

Values
1. Strongly Disagree
2. Somewhat Disagree
3. Neither Agree Nor Disagree
4. Somewhat Agree
5. Strongly Agree

EIS
No

LLS
Yes

FLIGHT
No

EEP
No

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

Fiscal responsibility (e.g.,
budget management).

1. Strongly Disagree
2. Somewhat Disagree
3. Neither Agree Nor Disagree
4. Somewhat Agree
5. Strongly Agree

Yes

Overall, to what extent did your
LLS experience prepare you to
perform your first job after your
fellowship?

1. Not at all – Not relevant or did not
prepare me
2. A little – Had a small role in preparing me
(e.g., introduced relevant topics or skills)
2. Somewhat – Had a moderate role in
preparing me (e.g., developed skills, but
you required additional training)
3. Very much – Had a large role in
preparing me (e.g., little or no additional
training needed)
1. Not at all – Not useful
2. A little – Slightly enhances job
performance
3. Somewhat – Desired qualification
4. Very much – Required

Yes

Leadership and Management
Skills

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Figure 8.4-c. LLS Alumni Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.4-c. LLS Alumni Fields
Field Name
Quality Management Systems

Laboratory Safety

Applied Laboratory Research,
Investigation, and Surveillance

Informatics and Bioinformatics

Communication (oral and
written)

Values
1. Not at all – Not useful
2. A little – Slightly enhances job
performance
3. Somewhat – Desired qualification
4. Very much – Required
1. Not at all – Not useful
2. A little – Slightly enhances job
performance
3. Somewhat – Desired qualification
4. Very much – Required
1. Not at all – Not useful
2. A little – Slightly enhances job
performance
3. Somewhat – Desired qualification
4. Very much – Required
1. Not at all – Not useful
2. A little – Slightly enhances job
performance
3. Somewhat – Desired qualification
4. Very much – Required
1. Not at all – Not useful
2. A little – Slightly enhances job
performance
3. Somewhat – Desired qualification
4. Very much – Required

EIS
No

LLS
Yes

FLIGHT
No

EEP
No

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

Yes

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Figure 8.4-d. LLS Alumni Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.4-d. LLS Alumni Fields
Field Name
Apply leadership and
management
principles in the
policies and
processes that
accomplish the
mission and vision of
public health
laboratories.
Support a secure
working
environment that
meets organizational
goals, regulatory
requirements, and
established
standards.
Apply ethics and
rules of conduct
when working in a
public health
laboratory.

Support a quality
management system
and the processes
for providing quality
laboratory services.

Values
1. Not at all – Not relevant or did not prepare you
2. A little – Had a small role in preparing you (e.g.,
introduced relevant topics or skills)
3. Somewhat – Had a moderate role in preparing you
(e.g., developed skills, but you required additional
training in this area)
4. Very much – Had a large role in preparing you (e.g.,
little or no additional training needed in this area)
5. Did not complete activity
1. Not at all – Not relevant or did not prepare you
2. A little – Had a small role in preparing you (e.g.,
introduced relevant topics or skills)
3. Somewhat – Had a moderate role in preparing you
(e.g., developed skills, but you required additional
training in this area)
4. Very much – Had a large role in preparing you (e.g.,
little or no additional training needed in this area)
5. Did not complete activity
1. Not at all – Not relevant or did not prepare you
2. A little – Had a small role in preparing you (e.g.,
introduced relevant topics or skills)
3. Somewhat – Had a moderate role in preparing you
(e.g., developed skills, but you required additional
training in this area)
4. Very much – Had a large role in preparing you (e.g.,
little or no additional training needed in this area)
5. Did not complete activity
1. Not at all – Not relevant or did not prepare you
2. A little – Had a small role in preparing you (e.g.,
introduced relevant topics or skills)
3. Somewhat – Had a moderate role in preparing you
(e.g., developed skills, but you required additional
training in this area)
4. Very much – Had a large role in preparing you (e.g.,
little or no additional training needed in this area)
5. Did not complete activity

EIS
No

LLS
Yes

FLIGHT
No

EEP
No

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

Yes

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Figure 8.4-e. LLS Alumni Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.4-e. LLS Alumni Fields
Field Name
Assess risks and
hazards within a
given laboratory
setting.

Support a health
and safety
management
system to control
workplace hazards.

Support the
administrative
controls in the
laboratory safety
program.

Demonstrate
capabilities needed
for the testing of
samples across a
spectrum of
technical activities
in public health
laboratories.

EIS
No

LLS
Yes

FLIGHT
No

EEP
No

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

Yes

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Figure 8.4-f. LLS Alumni Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.4-f. LLS Alumni Fields
Field Name
Conduct a laboratory
investigation that
includes applied
research
development, testing,
and evaluation
designed to advance
public health
knowledge, methods,
and/or practice.
Support the
continuous,
systematic collection,
analysis, and
interpretation of
health-related data.

Support the
emergency
management and
response process for
situations that have
an impact on
laboratory
operations.
Apply information
science, computer
science, and
information
technology to public
health practice,
research, and
learning.

EIS
No

LLS
Yes

FLIGHT
No

EEP
No

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

1. Not at all – Not relevant or did not prepare you
2. A little – Had a small role in preparing you (e.g.,
introduced relevant topics or skills)
3. Somewhat – Had a moderate role in preparing you
(e.g., developed skills, but you required additional
training in this area)
4. Very much – Had a large role in preparing you (e.g.,
little or no additional training needed in this area)
5. Did not complete activity
1. Not at all – Not relevant or did not prepare you
2. A little – Had a small role in preparing you (e.g.,
introduced relevant topics or skills)
3. Somewhat – Had a moderate role in preparing you
(e.g., developed skills, but you required additional
training in this area)
4. Very much – Had a large role in preparing you (e.g.,
little or no additional training needed in this area)
5. Did not complete activity
1. Not at all – Not relevant or did not prepare you
2. A little – Had a small role in preparing you (e.g.,
introduced relevant topics or skills)
3. Somewhat – Had a moderate role in preparing you
(e.g., developed skills, but you required additional
training in this area)
4. Very much – Had a large role in preparing you (e.g.,
little or no additional training needed in this area)
5. Did not complete activity

Yes

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Figure 8.4-g. LLS Alumni Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.4-g. LLS Alumni Fields
Field Name
Interpret biological
data using
computational
techniques, algorithms,
and bioinformatics
principles.

Develop clear and
concise information
about public health
laboratories
appropriate to the
audience.

Classroom-based
training

Peer-to-peer learning

EIS
No

LLS
Yes

FLIGHT
No

EEP
No

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

Yes

1. Not at all – Not relevant or did not prepare you
2. A little – Had a small role in preparing you
3. Somewhat – Had a moderate role in preparing you
4. Very much – Had a large role in preparing you

Yes

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Figure 8.4-h. LLS Alumni Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.4-h. LLS Alumni Fields
Field Name
Learning from
supervisors/mentors

EIS
No

LLS
Yes

FLIGHT
No

EEP
No

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

Developing a
professional network

Yes

How do you expect
your LLS experience
to impact your overall
career progression?

1. Negative impact
2. No impact
3. Minimal positive impact
4. Moderate positive impact
5. Substantial positive impact

Yes

Please explain your
answer to the
previous question.
How else did your LLS
experience help
prepare you for your
career?
What skills do you
wish LLS would have
provided more
training on?
What topics did you
receive training on in
LLS that are less
relevant to your
career goals?

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Figure 8.4-i. LLS Alumni Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.4-i. LLS Alumni Fields
Field Name
Other LLS alumni

Current LLS fellows

Epidemiologists

Your former LLS
supervisors/mentors

Values
1. Never/We only interact on issues
unrelated to public health
2. Once a year or less
3. About once a quarter
4. About once a month
5. Every week
6. Every day
1. Never/We only interact on issues
unrelated to public health
2. Once a year or less
3. About once a quarter
4. About once a month
5. Every week
6. Every day
1. Never/We only interact on issues
unrelated to public health
2. Once a year or less
3. About once a quarter
4. About once a month
5. Every week
6. Every day
1. Never/We only interact on issues
unrelated to public health
2. Once a year or less
3. About once a quarter
4. About once a month
5. Every week
6. Every day

EIS
No

LLS
Yes

FLIGHT
No

EEP
No

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

Yes

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Figure 8.4-j. LLS Alumni Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.4-j. LLS Alumni Fields
Field Name
LLS Program Staff

Values
1. Never/We only interact on issues
unrelated to public health
2. Once a year or less
3. About once a quarter
4. About once a month
5. Every week
6. Every day
-

EIS
No

LLS
Yes

FLIGHT
No

EEP
No

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

Yes

1. Networking
2. Sharing resources / information
3. Collaboration on a project
4. Professional working relationship
5. Other
6. Not Applicable

Yes

Current LLS fellows

1. Networking
2. Sharing resources / information
3. Collaboration on a project
4. Professional working relationship
5. Other
6. Not Applicable

Yes

Epidemiologists

1. Networking
2. Sharing resources / information
3. Collaboration on a project
4. Professional working relationship
5. Other
6. Not Applicable

Yes

Please describe any barriers to
collaboration that you’ve come
across with any of the groups in
the previous question.
Other LLS alumni

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Figure 8.4-k. LLS Alumni Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.4-k. LLS Alumni Fields
Field Name
Your former LLS
supervisors/mentors

Values
1. Networking
2. Sharing resources / information
3. Collaboration on a project
4. Professional working relationship
5. Other
6. Not Applicable

EIS
No

LLS
Yes

FLIGHT
No

EEP
No

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

LLS Program Staff

1. Networking
2. Sharing resources / information
3. Collaboration on a project
4. Professional working relationship
5. Other
6. Not Applicable

Yes

Other LLS alumni

1. Not at all valuable
2. Somewhat valuable
3. Valuable
4. Extremely valuable
5. Not applicable

Yes

Current LLS fellows

1. Not at all valuable
2. Somewhat valuable
3. Valuable
4. Extremely valuable
5. Not applicable

Yes

Epidemiologists

1. Not at all valuable
2. Somewhat valuable
3. Valuable
4. Extremely valuable
5. Not applicable

Yes

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Figure 8.4-l. LLS Alumni Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.4-l. LLS Alumni Fields
Field Name
Your former LLS supervisors/mentors

Values
1. Not at all valuable
2. Somewhat valuable
3. Valuable
4. Extremely valuable
5. Not applicable

EIS
No

LLS
Yes

FLIGHT
No

EEP
No

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

LLS Program Staff

1. Not at all valuable
2. Somewhat valuable
3. Valuable
4. Extremely valuable
5. Not applicable

Yes

Other LLS alumni

1. Not at all interested
2. Somewhat interested
3. Interested
4. Extremely interested

Yes

Current LLS fellows

1. Not at all interested
2. Somewhat interested
3. Interested
4. Extremely interested

Yes

Epidemiologists

1. Not at all interested
2. Somewhat interested
3. Interested
4. Extremely interested

Yes

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Figure 8.4-m. LLS Alumni Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.4-m. LLS Alumni Fields
Field Name
Your former LLS supervisors/mentors

Values
1. Not at all interested
2. Somewhat interested
3. Interested
4. Extremely interested

EIS
No

LLS
Yes

FLIGHT
No

EEP
No

SAF
No

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

LLS Program Staff

1. Not at all interested
2. Somewhat interested
3. Interested
4. Extremely interested

Yes

Do you have any suggestions to improve the LLS
program based on your needs upon graduation
and in your new position?
How can the LLS Program better support LLS
alumni engagement?

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

8.5 SAF Alumni Survey
Table 8.5-a SAF Alumni Fields

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Table 8.5-a SAF Alumni Fields
Field Name
Have you continued to teach public health content
in your classroom or through extracurricular clubs
or programs at your school related to public health
(e.g., Science Olympiad Disease Detectives coach;
HOSA supervisor for Public Health or Epidemiology
event)?
Estimate how many students you have taught
public health content to as part of your curriculum
or elective course since completing the fellowship.

Values
1. Yes
2. No

EIS
No

LLS
No

FLIGHT
No

EEP
No

SAF
Yes

PMR/F
No

PH-TIPP
No

PHIFP
No

PE
No

ELI
No

PHAP
No

Yes

Estimate how many students you coached through
extracurricular clubs or programs at your school
related to public health since completing the
fellowship.
Have you continued to promote the use of public
health in a STEM curriculum within your network?

Yes

1. Yes
2. No

Yes

Estimate how many teachers/colleagues you have
trained/introduced to teaching public health
content as part of their STEM curriculum since
completing the fellowship.
Estimate how many teachers/colleagues you have
recommended the CDC Science Ambassador
Fellowship to since completing the fellowship.

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

8.6 Alumni Survey Email
Figure 8.6-a. Alumni Survey Email

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Appendix
I. (PENDING) Field Value Tables
Appendix of Field Value Tables

Field Name
Undergraduate
Degree List

Application
Locations
6. PostFellowship
Education, Board
Certifications,
and Licenses

Values
1

Values
2

Values
3

Values
4

AB
AM
BA
BS
BS/BA
BSc
DHS
DHSc
DNSc
DPH
DPhil
DrPH
DrS
DrSc
EdD
MA
Med
MHS
MHSc
MHSE
MN
MPH
MPhil
MPHTM
MPVM
MS
MSVPH
MSc
MScPH
MSPH
MTM&H
PhD
SB
ScB
ScD
ScM
SM
Other

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Graduate Degree
List

6. PostFellowship
Education, Board
Certifications,
and Licenses

AB
AM
BA
BS
BS/BA
BSc
DHS
DHSc
DNSc
DPH
DPhil
DrPH
DrS
DrSc
EdD
MA
Med
MHS
MHSc
MHSE
MN
MPH
MPhil
MPHTM
MPVM
MS
MSVPH
MSc
MScPH
MSPH
MTM&H
PhD
SB
ScB
ScD
ScM
SM
Other

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

II. (PENDING) Lookup Tables
Appendix of Lookup Tables

Lookup Table Name
Fellowship Lookup

Country Lookup

Application
Locations
3. eFMS System
Help Desk Ticket

5.2 Current
Residence

Values
1

Values
2

CDC E-learning Institute
Fellowship Program (ELI)
CDC Steven M. Teutsch
Prevention Effectiveness (PE)
Fellowship
Epidemic Intelligence Service (EIS)
Epidemiology Elective Program
(EEP)
Future Leaders in Infections and
Global Health Threats (FLIGHT)
Laboratory Leadership Service
(LLS)
Population Health Training in
Place Program (PH-TIPP)
Population Health Workforce
Initiative (PHWI)
Preventive Medicine Residency
and Fellowship (PMR/F)
Public Health Associate Program
(PHAP)
Public Health Informatics
Fellowship Program (PHIFP)
Science Ambassador Fellowship
(SAF)
United States
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla (U.K.)
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Azores
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda (U.K.)
Bhutan

Canary Islands (Spain)
Cape Verde
Cayman Islands (U.K.)
Central African Republic
China
Chad
Christmas Island (Australia)
Chile
Cocos (Keeling) Islands
(Australia)
Colombia
Comoros
Congo, Democratic Republic
of the
Congo, Republic of the
Cook Islands (New Zealand)
Costa Rica
Cote d'Ivoire
Djibouti
Croatia
Cuba
Dominica
Cyprus
Dominican Republic
Czech Republic

Values
3

French Guiana (France)
French Polynesia (France)
Gabon
Gambia, The
Georgia
Germany
Ghana
Gibraltar (U.K.)
Greece
Guinea
Greenland (Denmark)
Grenada
Guinea-Bissau
Guadeloupe
Guyana
Guatemala
Haiti
Honduras
Hong Kong SAR (China)
Hungary
Iceland
India
Indonesia
Iran
Jamaica

Values
4

Liberia
Latvia
Libya
Lebanon
Liechtenstein
Lesotho
Lithuania
Luxembourg
Macau SAR (China)
Macedonia
Madagascar
Madeira Islands (Portugal)
Malawi
Malaysia
Martinique (France)
Maldives
Mauritania
Mali
Mauritius
Malta
Mayotte (France)
Marshall Islands
Mexico
Moldova
Monaco

Values
5

Paraguay
Other
Peru
Pakistan
Philippines
Palau
Pitcairn Islands (U.K.)
Poland
Portugal
Qatar
Reunion (France)
Romania
Russia
Rwanda
Saint Lucia
Saint Helena (U.K.)
Saint Pierre and Miquelon
(France)
Saint Kitts and Nevis
Saint Vincent and the
Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

State/Territory Lookup

5.2 Current
Residence
7.1 Employer
Information

Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Indian Ocean Territory
(U.K.)
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma (Myanmar)
Burundi
Cambodia
Cameroon
Canada

Easter Island (Chile)
Denmark
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Finland
Falkland Islands (U.K.)
Faroe Islands (Denmark)
France
Fiji

Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Washington, DC
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas

Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah

Iraq
Japan
Ireland
Jordan
Israel
Kazakhstan
Italy
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos

Mongolia
Montenegro
Montserrat (U.K.)
Morocco
Mozambique
Netherlands Antilles
Namibia
Nauru
Netherlands, The
Nepal
New Caledonia (France)
New Zealand
Nicaragua
Niger
Nigeria
Niue (New Zealand)
Northfolk Island (Australia)
Northern Mariana Islands
(U.S.)
Panama
Norway
Papua New Guinea
Oman

Senegal
Serbia
Seychelles
Somalia
Sierra Leone
Singapore
South Africa
Slovakia
Spain
Slovenia
Sri Lanka
Solomon Islands
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Togo
Thailand
Timor-Leste (East Timor)
Tokelau (New Zealand)
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
(U.K.)
Tuvalu
Vanuatu
Uganda
Venezuela
Ukraine
Vietnam
United Arab Emirates
Western Sahara
United Kingdom
Yemen
Uruguay
Zambia
Uzbekistan
Zimbabwe

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module

Center/Division/Branch 7.1 Employer
Lookup
Information

Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska

Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Pacific Islands
U.S. Virgin Islands
Guam
Northern Mariana Islands

NIOSH / Office of the Director /
Administrative Svcs Branch
(Cincinnati)
NIOSH / Office of the Director /
Administrative Svcs Branch
(Morgantown)
NIOSH / Office of the Director /
Administrative Svcs Branch
(Spokane)
NIOSH / Office of the Director /
Administrative Svrcs Branch
(Pittsburgh)
NCHS / Office of Analysis &
Epidemiology / Aging & Chronic
Disease Statistics Branch
NIOSH / Health Effects Laboratory
Division / Allergy & Clinical
Immunology Branch
NCHS / Division of Health Care
Statistics / Ambulatory and
Hospital Care Statistics Branch
NIOSH / Division of Safety
Research / Analysis & Field
Branch
NCHS / Division of Health &
Nutrition Examination Surveys /
Analysis Branch
NCHS / Office of Analysis &
Epidemiology / Analytic Studies
Branch
NCEZID / Division of Scientific
Resources / Animal Resources
Branch
NCCDPHP / Division for Heart
Disease and Stroke Prevention /
Applied Research and Evaluation
Branch
NCCDPHP / Division of Population
Health / Applied Research and
Translation Branch
CPR / Division of State and Local
Readiness / Applied Science and
Evaluation Branch
NCCDPHP / Division of
Reproductive Health / Applied
Sciences Branch
NCEZID / Division of Vector-Borne
Diseases / Arboviral Diseases
Branch
NCEZID / Division of
Preparedness and Emerging

NCHS / Division of Health
Interview Statistics / Data
Analysis & Quality Assurance
Branch
CSELS / Division of Scientific
Education and Professional
Development / Education
and Training Se...
NCHHSTP / Division of
Tuberculosis Elimination /
Data Management and
Statistics Branch
NIOSH / Pittsburgh Mining
Research Division / Electrical
& Mechanical Systems Safety
Branch
NCHS / Division of Health
Interview Statistics / Data
Production & Systems
Branch
CPR / Division of Emergency
Operations / Emergency and
Risk Communications Branch
NCEZID / Division of VectorBorne Diseases / Dengue
Branch
NCEH / Division of
Environmental Health
Science and Practice /
Emergency Management,
Radiation, a...
NCBDDD / Division of
Congenital and
Developmental Disorders /
Developmental Disabilities
Branch
NCEZID / Division of
Preparedness and Emerging
Infections / Emergency
Preparedness and Response
B...
NCBDDD / Division of Human
Development and Disability /
Disability and Health Branch
CGH / Division of Global
Health Protection /
Emergency Response and
Recovery Branch
NIOSH / Division of
Compensation Analysis &
Support / Division of

NIOSH / Pittsburgh Mining
Research Division / Fires and
Explosions Branch
NCEZID / Division of
Foodborne, Waterborne and
Environmental Diseases /
Food Safety Office
NCEZID / Division of Global
Migration and Quarantine /
Geographic Medicine and
Health Promotion B...
NCHS / Office of Analysis &
Epidemiology / Health
Promotion Statistics Branch
ATSDR / Division of
Toxicology and Human
Health Sciences / Geospatial
Research, Analysis, and Ser...
CGH / Division of Global
Health Protection / Global
Non-communicable Disease
Branch
NCCDPHP / Office on
Smoking and Health / Global
Tobacco Control Branch
NCHHSTP / Division of
Sexually Transmitted Disease
Prevention / Health Services
Research and Eval...
CGH / Division of Global HIV
and TB / Global Tuberculosis
Branch
NCIPC / Division of
Unintentional Injury
Prevention / Health Systems
and Trauma Systems Branch
NIOSH / Pittsburgh Mining
Research Division / Ground
Control Branch
NCEH / Division of Emergency
and Environmental Health
Services / Healthy
Community Design Initiative
NIOSH / Division of
Surveillance, Hazard
Evaluations & Field Studies /
Hazard Evaluations & Techn...
NCEH / Division of Emergency
and Environmental Health
Services / Healthy Homes and
Lead Poisoning...

Research and Evaluation
Branch
NCEH / Division of Laboratory
Science / Inorganic and
radiation analytical
toxicology branch
CSELS / Division of Laboratory
Systems / Laboratory Training
and Services Branch
NCEH / Division of
Environmental Health
Science and Practice / Lead
Poisoning Prevention and
Envi...
CSELS / Division of Public
Health Information and
Dissemination / Library
Science Branch
CPR / Division of Strategic
National Stockpile / Logistics
Branch
CPR / Division of Emergency
Operations / Logistics
Support Branch
NCHS / Division of Health
Care Statistics / Long-Term
Care Statistics Branch
CGH / Division of Parasitic
Diseases and Malaria /
Malaria Branch
CGH / Division of Global HIV
and TB / Management and
Operations Branch
NIOSH / Office of the Director
/ Management Systems
Branch
CGH / Division of Global HIV
and TB / Maternal and Child
Health Branch
NCCDPHP / Division of
Reproductive Health /
Maternal and Infant Health
Branch
NCIRD / Division of Bacterial
Branch / Meningitis and
Vaccine Preventable Diseases
Branch
CGH / Division of Global HIV
and TB / Monitoring,
Evaluation, and Data Analysis
Branch

CPR / Division of Select
Agents and Toxins /
Operations Branch
NCEZID / Office of the
Director / Office of the
Director
NCEH / Division of Laboratory
Science / Organic analytical
toxicology branch
NCHS / Office of the Director
/ Office of the Director
NIOSH / Division of Applied
Research & Technology /
Organizational Science &
Human Factors Branch
NCEZID / Division of
Foodborne, Waterborne and
Environmental Diseases /
Outbreak Response and Pre...
CGH / Division of Global
Health Protection / Overseas
Business Operations Branch
CGH / Division of Global HIV
and TB / Overseas Strategy
and Management Branch
CGH / Division of Parasitic
Diseases and Malaria /
Parasitic Diseases Branch
CSELS / Division of Health
Informatics and Surveillance
Systems / Partnerships and
Evaluation Branch
NIOSH / Health Effects
Laboratory Division /
Pathology & Physiological
Research Branch
NCCDPHP / Division of
Nutrition, Physical Activity, &
Obesity / Physical Activity
and Health Branch
CPR / Division of Strategic
National Stockpile / Planning
and Analysis Branch
NCHS / Division of Health &
Nutrition Examination
Surveys / Planning Branch
CPR / Division of Emergency
Operations / Plans, Training,
Exercise and Evaluation
Branch

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module
Infections / Arctic Investigations
Program
NCCDPHP / Division of Population
Health / Arthritis, Epilepsy and
Well-Being Branch
NCIRD / Immunization Services
Division / Assessment Branch
NCEH / Division of Environmental
Health Science and Practice /
Asthma and Community Health
Branch
NCEZID / Division of Vector-Borne
Diseases / Bacterial Diseases
Branch
NCEZID / Division of High
Consequence Pathogens &
Pathology / Bacterial Special
Pathogens Branch
NCHHSTP / Division of HIV/AIDS
Prevention Surveillance &
Epidemiology / Behavioral And
Clinical S...
NIOSH / Division of Applied
Research & Technology /
Biomonitoring & Health
Assessment Branch
NIOSH / Health Effects Laboratory
Division / Biostatistics &
Epidemiology Branch
NCEZID / Division of Foodborne,
Waterborne and Environmental
Diseases / Biostatistics and
Informa...
NCEZID / Division of Scientific
Resources / Biotechnology Core
Facility Branch
NCBDDD / Division of Congenital
and Developmental Disorders /
Birth Defects Branch
NCHS / Office of Management &
Operations / Building Operations
& Services Staff
NCHS / Office of Management &
Operations / Business Logistics
Staff
NCCDPHP / Division of Cancer
Prevention and Control / Cancer
Surveillance Branch
NCHHSTP / Division of HIV/AIDS
Prevention-Intervention &
Support / Capacity Building
Branch
CPR / Division of State and Local
Readiness / Capacity Building
Branch
ATSDR / Division of Community
Health Investigations / Central
Branch
NIOSH / Division of Applied
Research & Technology /
Chemical Exposure & Monitoring
NCBDDD / Division of Human
Development and Disability /

Compensation Analysis &
Support
NCEH / Division of
Laboratory Science /
Emergency response branch
NCCDPHP / Division of Oral
Health / Division of Oral
Health
ATSDR / Division of
Toxicology and Human
Health Sciences / Emergency
Response Program
NIOSH / Health Effects
Laboratory Division /
Engineering & Control
Branch
NIOSH / Division of Applied
Research & Technology /
Engineering & Physical
Hazards Branch
NCEZID / Division of
Foodborne, Waterborne and
Environmental Diseases /
Enteric Diseases Epidemio...
NCEZID / Division of
Foodborne, Waterborne and
Environmental Diseases /
Enteric Diseases Laborato...
CGH / Division of Parasitic
Diseases and Malaria /
Entomology Branch
ATSDR / Division of
Toxicology and Human
Health Sciences /
Environmental Epidemiology
Branch
NCCDPHP / Division of
Population Health /
Epidemiology and
Surveillance Branch
NCEH / Division of
Emergency and
Environmental Health
Services / Environmental
Health Services Br...
ATSDR / Division of
Toxicology and Human
Health Sciences /
Environmental Health
Surveillance Branch
NCHHSTP / Division of Viral
Hepatitis / Epidemiology and
Surveillance Branch
ATSDR / Division of
Toxicology and Human
Health Sciences /
Environmental Medicine
Branch
NCHHSTP / Division of
HIV/AIDS Prevention
Surveillance & Epidemiology
/ Epidemiology Branch

NIOSH / Health Effects
Laboratory Division / Health
Communication Research
Branch
NCBDDD / Division of Blood
Disorders / Hemostasis
Laboratory Branch
NCCDPHP / Office of the
Director / Health
Communication Science
Office
NCHHSTP / Office of the
Director / Health
Communication Science
Office
CGH / Division of Global HIV
and TB / HIV Care and
Treatment Branch
NCBDDD / Office of the
Director / Health
Communication Science
Office
NCHHSTP / Division of
HIV/AIDS Prevention
Surveillance & Epidemiology
/ HIV Incidence and Case Su...
NIOSH / Pittsburgh Mining
Research Division / Health
Communication, Surveillance,
Research Suppor...
CGH / Division of Global HIV
and TB / HIV Prevention
Branch
NCCDPHP / Office on
Smoking and Health / Health
Communications Branch
NCIPC / Division of
Unintentional Injury
Prevention / Home,
Recreation, and
Transportation Branch
CGH / Division of Global HIV
and TB / Health Informatics,
Data Management, and
Statistics Branch
NIOSH / Pittsburgh Mining
Research Division / Human
Factors Branch
NCEZID / Division of Global
Migration and Quarantine /
Immigrant, Refugee, and
Migrant Health Branch
NCIRD / Immunization
Services Division /
Immunization Information
System Support Branch
NCEZID / Division of
Healthcare Quality
Promotion / Immunization
Safety Office
CGH / Global Immunization
Division / Immunization
System Branch

NIOSH / Office of the Director
/ Office of Extramural
Coordination & Special
Projects
NCHS / Division of Vital
Statistics / Mortality Statistics
Branch
NCEZID / Division of
Foodborne, Waterborne and
Environmental Diseases /
Mycotic Diseases Branch
NCEH / Office of the Director
/ Office of Financial,
Administrative, and
Information Services
NCEH / Division of Laboratory
Science / Newborn screening
and molecular biology branch
NCIRD / Office of the Director
/ Office of Health
Communication Science
NCCDPHP / Division of
Nutrition, Physical Activity, &
Obesity / Nutrition Branch
NCHHSTP / Office of the
Director / Office of Health
Equity
NCEH / Division of Laboratory
Science / Nutritional
biomarkers branch
NCIRD / Office of the Director
/ Office of Informatics
NCCDPHP / Division of
Nutrition, Physical Activity, &
Obesity / Obesity Prevention
and Control Br...
NCIRD / Office of the Director
/ Office of Laboratory Science
NIOSH / Office of the Director
/ Office of Administrative &
Management Svcs
NCIRD / Office of the Director
/ Office of Management and
Operations
NCEH / Office of the Director
/ Office of Communication
NCHHSTP / Office of the
Director / Office of
Management and Program
Support
NCIPC / Office of the Director
/ Office of Communication
NCHS / Office of Planning
Budget and Legislation /
Office of Planning Budget and
Legislation
NCIRD / Office of the Director
/ Office of Policy
NCIPC / Office of the Director
/ Office of Policy and
Partnerships

NCIPC / Division of Violence
Prevention / Prevention
Practice and Translation
Branch
NCBDDD / Office of the
Director / Policy, Planning,
and Evaluation Team
NCHHSTP / Division of
HIV/AIDS PreventionIntervention & Support /
Prevention Program Branch
NCIRD / Division of Viral
Diseases / Polio and
Picornavirus Laboratory
Branch
NCBDDD / Division of
Congenital and
Developmental Disorders /
Prevention Research and
Translation...
CGH / Global Immunization
Division / Polio Eradication
NCCDPHP / Division of
Population Health /
Population Health
Surveillance Branch
NCHHSTP / Division of
HIV/AIDS PreventionIntervention & Support /
Prevention Research Branch
CSELS / Division of Scientific
Education and Professional
Development / Population
Health Workfor...
NCEZID / Division of High
Consequence Pathogens &
Pathology / Prion & Public
Health Office
NCEZID / Division of High
Consequence Pathogens &
Pathology / Poxvirus and
Rabies Branch
NCHHSTP / Office of the
Director / Program and
Performance Improvement
Office
NCIPC / Division of Analysis,
Research, and Practice
Integration / Practice
Integration and Evalu...
CGH / Division of Global HIV
and TB / Program Budget and
Extramural Management
Branch
NCEZID / Division of
Healthcare Quality
Promotion / Prevention &
Response Branch
NCCDPHP / Division of
Nutrition, Physical Activity, &
Obesity / Program
Development and Evaluatio...

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module
Child Development and Disability
Branch
NCEZID / Division of High
Consequence Pathogens &
Pathology / Chronic Viral Diseases
Branch
NCHS / Classification & Public
Health Data Standards Staff /
Classification & Public Health
Data ...
NCEZID / Division of Healthcare
Quality Promotion / Clinical &
Environmental Microbiology
Branch
NCEH / Division of Laboratory
Science / Clinical chemistry
branch
NCHHSTP / Division of
Tuberculosis Elimination / Clinical
Research Branch
NCHS / Division of Research &
Methodology / Collaborating
Center for Questionnaire Design
& Evalu...
NCHS / Division of Research &
Methodology / Collaborating
Center for Statistical Research &
Surve...
NCIRD / Immunization Services
Division / Communication and
Education Branch
NCHHSTP / Division of
Tuberculosis Elimination /
Communications, Education, and
Behavioral Studie...
CSELS / Division of Public Health
Information and Dissemination /
Community Guide Branch
NCCDPHP / Division of Cancer
Prevention and Control /
Comprehensive Cancer Control
Branch
ATSDR / Division of Toxicology
and Human Health Sciences /
Computational Toxicology and
Methods D...
NIOSH / Education & Information
Division / Document
Development Branch
NIOSH / National Personal
Protective Technology Laboratory
/ Conformity Verification &
Standards ...
NCCDPHP / Division of Population
Health / Coordinated State
Support Branch
NIOSH / Pittsburgh Mining
Research Division / Dust,
Ventilation & Toxic Substances
Branch
CGH / Division of Global Health
Protection / Country Strategy and
Implementation Branch

NCEH / Division of
Emergency and
Environmental Health
Services / Environmental
Public Health Read...
NCCDPHP / Office on
Smoking and Health /
Epidemiology Branch
ATSDR / Division of
Toxicology and Human
Health Sciences /
Environmental Toxicology
Branch
NCEZID / Division of
Healthcare Quality
Promotion / Epidemiology
Research and Innovations
Branch
NCCDPHP / Division of
Cancer Prevention and
Control / Epidemiology and
Applied Research Branch
CSELS / Division of Scientific
Education and Professional
Development / Epidemiology
Workforce Br...
NCIRD / Influenza Division /
Epidemiology and
Prevention Branch
CGH / Division of Global
Health Protection /
Epidemiology, Informatics,
Surveillance and Lab Branch
NCCDPHP / Division of
Diabetes Translation /
Epidemiology and Statistics
Branch
NIOSH / National Personal
Protective Technology
Laboratory / Evaluation &
Testing Branch
NCHHSTP / Division of
Sexually Transmitted Disease
Prevention / Epidemiology
and Statistics Branch
NIOSH / Health Effects
Laboratory Division /
Exposure Assessment Branch
NCCDPHP / Division for
Heart Disease and Stroke
Prevention / Epidemiology
and Surveillance Branch
NCHHSTP / Division of
Sexually Transmitted Disease
Prevention / Field Services
Branch
NCBDDD / Division of Blood
Disorders / Epidemiology
and Surveillance Branch
CPR / Division of State and
Local Readiness / Field
Services Branch

NCIRD / Influenza Division /
Immunology and
Pathogenesis Branch
NIOSH / Division of
Surveillance, Hazard
Evaluations & Field Studies /
Industrywide Studies Branch
NCHS / Office of Analysis &
Epidemiology / Infant, Child,
& Women?s Health Statistics
Branch
NCEZID / Division of High
Consequence Pathogens &
Pathology / Infectious
Diseases Pathology Branch
NCIRD / Office of the Director
/ Influenza Coordination Unit
CGH / Division of Global HIV
and TB / International
Laboratory Branch
NCHS / Division of Health &
Nutrition Examination
Surveys / Informatics Branch
CSELS / Division of Public
Health Information and
Dissemination / Informatics
Innovation Unit
NCHHSTP / Division of
HIV/AIDS Prevention
Surveillance & Epidemiology
/ Laboratory Branch
NCHHSTP / Office of the
Director / Informatics Office
NCHHSTP / Division of
Tuberculosis Elimination /
Laboratory Branch
NCHS / Office of Information
Services / Information Design
& Publishing Staff
NCHHSTP / Division of Viral
Hepatitis / Laboratory Branch
NCHS / Office of Information
Services / Information
Dissemination Staff
NIOSH / Education &
Information Division /
Information Resources and
Dissemination Branch
CSELS / Division of Laboratory
Systems / Laboratory Practice
Standards Branch
NCEZID / Division of
Preparedness and Emerging
Infections / Laboratory
Preparedness and Response
...
CSELS / Division of Health
Informatics and Surveillance
Systems / Information
Systems Branch
NCHHSTP / Division of
Sexually Transmitted Disease

NCEH / Office of the Director
/ Office of Policy, Planning,
and Evaluation
NCIPC / Office of the Director
/ Office of Program
Management and Operations
NCHHSTP / Office of the
Director / Office of Program
Planning & Policy
Coordination
CSELS / Division of Public
Health Information and
Dissemination / Office of
Public Health Genomics
NCCDPHP / Office of the
Director / Office of Public
Health Practice
NCIRD / Office of the Director
/ Office of Science and
Integrated Programs
NCHHSTP / Office of the
Director / Office of the
Associate Director for
Laboratory Science
NCHHSTP / Office of the
Director / Office of the
Associate Director for Science
NCIPC / Office of the Director
/ Office of the Associate
Director for Science
NCHS / Office of the Director
/ Office of the Director
NCHS / Division of Health &
Nutrition Examination
Surveys / Office of the
Director
NCHS / Division of Health
Care Statistics / Office of the
Director
CPR / Office of the Director /
Office of the Director
NCHS / Division of Health
Interview Statistics / Office of
the Director
NCEZID / Division of
Healthcare Quality
Promotion / Office of the
Director/International
Infectio...
NCCDPHP / Division of
Reproductive Health / Office
of the Director
NCCDPHP / Division of Cancer
Prevention and Control /
Office of the Director/Office
of Internatio...
NCHS / Division of Vital
Statistics / Office of the
Director
NCEZID / Office of the
Director / One Health Office

NCHHSTP / Division of Viral
Hepatitis / Prevention Branch
NCCDPHP / Division for Heart
Disease and Stroke
Prevention / Program
Development and Services
Branch
NCHHSTP / Division of
HIV/AIDS PreventionIntervention & Support /
Prevention Communications
Branch
NCHHSTP / Division of
Adolescent and School
Health / Program
Development and Services
Branch
NCHHSTP / Division of
HIV/AIDS PreventionIntervention & Support /
Program Evaluation Branch
NCCDPHP / Division of
Diabetes Translation /
Program Implementation
Branch
CPR / Division of Select
Agents and Toxins / Program
Management and Operations
Branch
NCIRD / Immunization
Services Division / Program
Operations Branch
NCCDPHP / Division of
Cancer Prevention and
Control / Program Services
Branch
CPR / Division of Select
Agents and Toxins / Program
Services Branch
CPR / Division of State and
Local Readiness / Program
Services Branch
NCCDPHP / Office of the
Director / Program Services
Branch
NCCDPHP / Office on
Smoking and Health /
Program Services Branch
NCHHSTP / Division of
Sexually Transmitted Disease
Prevention / Programs
Development and Quality ...
NIOSH / Division of Safety
Research / Protective
Technology Branch
NCIRD / Division of Viral
Diseases / Respiratory
Viruses Branch
NCHHSTP / Division of
HIV/AIDS Prevention
Surveillance & Epidemiology
/ Quantitative Sciences and...

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023

Attachment 4 – FMS Alumni Tracking Module
ATSDR / Division of Community
Health Investigations / Eastern
Branch
NCHS / Division of Vital Statistics
/ Data Acquisition, Classification
& Evaluation Branch
CGH / Division of Global HIV and
TB / Economics and Health
Services Research Branch

CGH / Division of Global HIV
and TB / Epidemiology and
Surveillance Branch
NCHHSTP / Division of
Tuberculosis Elimination /
Field Services Branch
NIOSH / Respiratory Health
Division / Field Studies
Branch
NCCDPHP / Division of
Reproductive Health / Field
Support Branch

Prevention / Laboratory
Reference and Research...
NCHS / Division of Vital
Statistics / Information
Technology Branch
NCHS / Office of Information
Technology / Information
Technology Solutions &
Services Staff
CSELS / Division of Laboratory
Systems / Laboratory

NCHS / Office of Analysis &
Epidemiology / Office of the
Director
CPR / Division of Emergency
Operations / Operations
Branch
CGH / Office of the Director /
Office of the Director
NCHS / Division of Health &
Nutrition Examination
Surveys / Operations Branch
CSELS / Office of the Director
/ Office of the Director

NCEZID / Division of Global
Migration and Quarantine /
Quarantine and Border
Health Services Branch
CPR / Division of Strategic
National Stockpile /
Response Branch
NCHS / Division of Vital
Statistics / Reproductive
Statistics Branch
NCEZID / Division of VectorBorne Diseases / Rickettsial
Zoonoses Branch
NCIPC / Division of Violence
Prevention / Research and
Evaluation Branch
NIOSH / Education &
Information Division / Risk
Evaluation Branch
NCHHSTP / Division of
Adolescent and School
Health / Research Application
and Evaluation Branch
NCCDPHP / Division of
Population Health / School
Health Branch
NIOSH / National Personal
Protective Technology
Laboratory / Research Branch
NCHS / Division of Research
& Methodology / Research
Data Center
NCHHSTP / Division of
Adolescent and School
Health / School-Based
Surveillance Branch
NCBDDD / Office of the
Director / Resource
Management Office
NCBDDD / Office of the
Director / Science and Public
Health Team
NCIRD / Division of Bacterial
Branch / Respiratory
Diseases Branch
CGH / Division of Global HIV
and TB / Science Integrity
Branch
ATSDR / Division of
Community Health
Investigations / Science
Support Branch
NCEZID / Division of
Preparedness and Emerging
Infections / Scientific and
Program Services Branch
NCEZID / Division of Scientific
Resources / Scientific
Products and Support Branch
CSELS / Division of Public
Health Information and
Dissemination / Scientific
Publications Branch

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023
NCHHSTP / Division of
Sexually Transmitted Disease
Prevention / Social and
Behavioral Research an...
CGH / Division of Global HIV
and TB / Special Initiatives
Branch
NCHS / Office of Analysis &
Epidemiology / Special
Projects Branch
NCIPC / Division of Violence
Prevention / Special Surveys
& Prevention Initiatives
Branch (proposed)
NCEZID / Division of Scientific
Resources / Specimen
Management Branch
NIOSH / Spokane Mining
Research Division / Spokane
Mining Research Division
NIOSH / Division of
Surveillance, Hazard
Evaluations & Field Studies /
Statistical Support Most E...
NCIPC / Division of Analysis,
Research, and Practice
Integration / Statistics,
Programming, and E...
CGH / Global Immunization
Division / Strategic
Information and Workforce
Development Branch
NCHS / Division of Health
Interview Statistics / Survey
Planning & Special Surveys
Branch
CGH / Division of Global HIV
and TB / Strategy, Policy, and
Communication Branch
CSELS / Division of Health
Informatics and Surveillance
Systems / Surveillance and
Data Branch
NCHS / Division of Health
Care Statistics / Technical
Services Branch
NCHHSTP / Division of
Sexually Transmitted Disease
Prevention / Surveillance and
Data Management ...
NCEH / Division of Laboratory
Science / Tobacco and
volatiles branch
NIOSH / Health Effects
Laboratory Division /
Toxicology & Molecular
Biology Branch
NIOSH / Division of Safety
Research / Surveillance and
Field Investigations Branch
NIOSH / Education &
Information Division /

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023
Training Research &
Evaluation Branch
NCEZID / Division of
Healthcare Quality
Promotion / Surveillance
Branch
NCCDPHP / Division of
Diabetes Translation /
Translation, Health Education
and Evaluation Branch
NIOSH / Division of
Surveillance, Hazard
Evaluations & Field Studies /
Surveillance Branch
NCEZID / Division of Global
Migration and Quarantine /
U.S. - Mexico Unit
NCIPC / Division of Violence
Prevention / Surveillance
Branch
NCIRD / Immunization
Services Division / Vaccine
Supply and Assurance Branch
NIOSH / Respiratory Health
Division / Surveillance Branch
NCIRD / Division of Viral
Diseases / Viral
Gastroenteritis Branch
NCHHSTP / Division of
Tuberculosis Elimination /
Surveillance, Epidemiology, &
Outbreak Investiga...
NCEZID / Division of High
Consequence Pathogens &
Pathology / Viral Special
Pathogens Branch
NCIRD / Division of Viral
Diseases / Viral Vaccine
Preventable Diseases Branch
NCIRD / Influenza Division /
Virology, Surveillance and
Diagnosis Branch
NCEH / Division of
Environmental Health
Science and Practice / Water,
Food, and Environmental
Hea...
NCEZID / Division of
Foodborne, Waterborne and
Environmental Diseases /
Waterborne Diseases Preve...
ATSDR / Division of
Community Health
Investigations / Western
Branch
NIOSH / Western States
Division / Western States
Division
NCCDPHP / Division of
Reproductive Health /
Women?s Health and
Fertility Branch

Attachment 4 – FMS Alumni Tracking Module

Form Approved
OMB No. 0920-0765
Exp. Date 03/31/2023
NCHS / Office of
Management & Operations /
Workforce & Career
Development Staff
CGH / Division of Global
Health Protection /
Workforce and Institute
Development Branch
NIOSH / Pittsburgh Mining
Research Division /
Workplace Health Branch
NIOSH / World Trade Center
Health Program / World
Trade Center Health Program
NCBDDD / Division of
Congenital and
Developmental Disorders /
Zika Transition Unit
CGH / Global Immunization
Division / Accelerated
Disease Control and Vaccine
Preventable Diseases...
NCCDPHP / Office on
Smoking and Health / Office
of the Director

File Type	application/pdf
Author	CDC User
File Modified	2020-04-29
File Created	2020-04-29