CHANGE Request (June 2021) Application Module and Host Site Module

OMB Change Request - 0920-0765 - June 2021 R1.docx

Fellowship Management System

CHANGE Request (June 2021) Application Module and Host Site Module

OMB: 0920-0765

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

Application Module

Host Site Module


Date Submitted: June 2, 2021

Revised: June 8, 2021

This is a change request for the Centers for Disease Control and Prevention (CDC) Fellowship Management System (FMS). The web-based, flexible, and robust data management system allows CDC to electronically collect and process fellowship applications, host site assignment proposals, and fellowship alumni information from nonfederal persons. FMS also supports and monitors ongoing fellowship activities and compliance with fellowship requirements. Through Revisions and Change Requests, CDC has adapted the FMS to reflect changes in the demand for fellowship opportunities, to improve alignment and tailoring of questions for each fellowship program's eligibility criteria, and to clarify questions and instructions in response to user feedback. FMS consists of four modules. Each module has specialized functionality, and in the currently approved ICR for FMS (OMB No. 0920-0765), information collection occurs for multiple fellowships (see Table A).


In this Change Request, CDC seeks OMB approval to accommodate specific changes 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).


The proposed changes will contribute enhancements and provide the CDC with a more efficient and effective mechanism for collecting and monitoring fellowship information and ongoing fellowship activities, and compliance with fellowship requirements. These changes will also help us better assess applicants and host sites during the selection process.


The specific changes include the following:

  1. Modifications to sections of our data collections on which we have received feedback from program participants, staff, reviewers, and other partners that support fellowship and training programs' efficiency and effectiveness. The specific modifications are described in Tables C – D: Application Module and Host Site Module, and Attachment C – D: the accompanying screenshots. These changes will apply to the following fellowship programs: PMR/F, PH-TIPP, PHIFP, PEF, and FLIGHT. Many changes below relate to specific fellowships opting in to use questions already approved as part of eFMS.


All the requested changes will add no more than 10 minutes to the FMS modules' entire burden. The approved FMS ICR burden time per response for each module is illustrated in Table B. The proposed changes were tested by six (6) CDC staff and external partners, timed, and found that completion of the changes overall modules result in no more than 5 minutes additional time per respondent for each of the two modules included here. The proposed changes do not substantively impact the burden because the modifications to questions and instructional language will help to guide participants through the application process and enhance efficiency.



The details of these changes are described below and depicted in Attachments C-F with screenshots:

  1. Tables C (Application Module) and Attachment C Application Module Screenshots

  2. Table D (Host Site Module) Attachment D Host-Site Module Screenshots

Table A: CDC FMS Fellowships

CDC Fellowships in FMS

Epidemic Intelligence Service (EIS)

Epidemiology Elective Program (EEP)

CDC Steven M. Teutsch Prevention Effectiveness Fellowship (PEF)

CDC E-learning Institute (ELI)

Future Leaders in Infectious and Global health Threats (FLIGHT)

Laboratory Leadership Service (LLS)

Population Health Training in Place Program (PH-TIPP)

Preventive Medicine Residency and Fellowship (PMR/F)

Public Health Associate Program (PHAP)

Public Health Informatics Fellowship Program (PHIFP)

Science Ambassador Fellowship (SAF)

Table B: Estimated Annualized Burden Hours

Type of respondents

Form


Number of respondents


Frequency of Response

Average Burden per Response

(in hours)

Total Response Burden (in hours)

Fellowship applicants

FMS Application Module

Current Approval

2,216

1

66/60

2,438

Revision Request

2,216

1

71/60

2,622

Net Change

0

-

+5 minutes

+184



Type of respondents

Form


Number of respondents


Frequency of Response

Average Burden per Response

(in hours)

Total Response Burden (in hours)

Public Health Agency or Organization Staff

FMS Host Site Module

Current Approval

448

1

66/60

493

Revision Request

448

1

71/60

530

Net Change

0

-

+5 minutes

+37



New totals

Type of respondents

Form


Number of respondents

Frequency of Response

Average Burden per Response

Total Response Burden (in hours)

Across all modules (not just the 2 above)

Across all modules (not just the 2 above)

Current Approval

9708

-

-

5552

Revision Request

9708

-

-

5773

Net Change

0

-

-

+221





Table C: Proposed Changes to the FMS Application Module

Attachment 3 – Application Module


Program

Page/
Section

Current Question/Item

Requested Change

PMR/F

6.4.1 Eligibility

None

New Question: Select your primary degree that makes you eligible to apply for this training program:

-Options are various degree listings

PMR/F

6.4.1 Eligibility

None

New Question: Are you a physician with an active, unrestricted license in a U.S. jurisdiction; have applied for or are currently on active duty in the US Public Health Service; and have one or more years of U.S. ACGME-accredited training in a clinical specialty (outside of Pathology training)?

  1. Yes

  2. No

PMR/F

6.4.1 Eligibility

None

New Question: Do you have experience in applied epidemiology?

  1. Yes

  2. No


PMR/F

6.4.1 Eligibility

None

New Instructional Text:

You do not meet eligibility criteria to apply for the Residency, please review the eligibility criteria.


PMR/F

6.4.1 Eligibility

None

New Instructional Text:

You do not meet eligibility criteria to apply for the PMR/F without previous applied epidemiology experience.


PMR/F

6.4.1 Eligibility

None

New Question:

Do you have experience in applied epidemiology, and 2 or more years of experience in Program Administration, Population Health Improvement, and Grants Management?

  1. Yes

  2. No


PMR/F

6.4.1 Eligibility

Provide epidemiologic support to a public health agency

Change Question:

Provide epidemiologic support

PMR/F

6.4.1 Eligibility

Do you intend to seek certification by the American Board of Preventive Medicine?

Change Question: Are you seeking certification by the American Board of Preventive Medicine?

PMR/F

6.4.1 Eligibility

Do you have any Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOCA) - accredited post-graduate clinical training?”

Change Question:

How many years of completed post-graduate clinical training do you have in an Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA) – accredited program? (note that Pathology training is not currently accepted as clinical training for this specialty by ACGME or the American Board of Preventive Medicine)

PMR/F

6.4.1 Eligibility

Do you have an MPH or an equivalent degree?

Change Question: Do you have an MPH or equivalent coursework from a CEPH-accredited school?


PMR/F

6.4.1 Eligibility

None

New Question: How many years of completed post-graduate clinical training do you have in an accredited Canadian post-graduate clinical training program?

PMR/F

6.4.1 Eligibility

None

New Question: Please describe the type and duration of any completed post-graduate clinical training.

PMR/F

6.4.1 Eligibility

None

New Question: Policy Analysis and Development

PMR/F

6.4.1 Eligibility

None

New Question: Program Evaluation

PMR/F

6.4.1 Eligibility

None

New Question: Program Administration

PMR/F

6.4.1 Eligibility

None

New Question: Population Health Improvement

PMR/F

6.4.1 Eligibility

None

New Question: Grant Proposal Evaluation and Development

PMR/F

6.4.1 Eligibility

None

New Question: You are likely eligible for the 24-month Internal Preventive Medicine Residency Track that requires obtaining an MPH. Do you want to continue and apply for this Track?”

  1. Yes

  2. No


PMR/F

6.4.1 Eligibility

None

New Question: You are likely eligible to apply for the 24-month Internal Residency Track. Do you wish to continue and apply for this Track?

  1. Yes

  2. No

PMR/F

6.4.1 Eligibility

None

New Question: You are likely eligible to apply for the 12-month Internal Residency Track. Do you wish to continue and apply for this Track?

  1. Yes

  2. No

PMR/F

6.4.1 Eligibility

None

New Question: You are likely eligible to apply for the 12-month External Residency Track. Do you wish to continue and apply for this Track?

  1. Yes

  2. No


PMR/F

6.4.1 Eligibility

None

New Question: You are likely eligible to apply for the 12-month Fellowship Track. Do you wish to continue and apply for this Track?

  1. Yes

  2. No


PHIFP

6.5.1 Eligibility

None

New Instructional Text: Instructions: Please review the PHIFP website (https://www.cdc.gov/phifp/application/eligibility.html) for eligibility criteria for master-level vs. doctoral-level applications. PHIFP requires 3 years of experience in Public Health Informatics and Public Health for Master-level (e.g., MPH, MSc) applicants; however, that is not required for doctoral-level applicants (e.g., PhD, MD). All applicants need to demonstrate research/evaluation experience, and your academic degree has to be from an accredited academic institution.

PHIFP

6.5.1 Eligibility

None

New Question: How many years of experience do you have in public health or related field?


PHIFP

6.5.1 Eligibility

None

New Question: How many years of experience do you have in informatics and/or data science?

PHIFP

6.5.1 Eligibility

Do you have documented experience in performing research or evaluation during or after academic training? This includes publications, thesis, poster presentations, or a research or evaluation proposal.

Modify Question To: Add a “Please Specify” text box if applicant answers “YES”










PHIFP

6.2 Citizenship Status

Do you have a completed degree from the approved TOEFL exempt countries list?

Change Option for PHIFP To:

Yes




PHIFP

6.2 Citizenship Status

Which degree is your country from?

Change Option for PHIFP To:

Yes

PHIFP

6.2 Citizenship Status

None

New Instructional Text: Test of English as a Foreign Language (TOEFL) for Non-U.S. Citizens and Non-U.S. Permanent Residents:

• Non-U.S Citizens and Non-U.S. Permanent Residents must demonstrate their English Proficiency either by:

o Indicating they were born in a country in which English is the native Language and that English is their native language, or


o Providing TOEFL scores equal to 100 or higher on the internet-based TOEFL, 250 on the computer-based TOEFL, or 600 on the paper-based TOEFL


• For more information about the TOEFL Requirements please click here

• Please contact the PHIFP program via email at [email protected] if you have any additional questions.

PHIFP

6.5.1 Eligibility

Do you have doctoral (PhD, MD, PharmD) or masters level experience from an accredited academic institute in one of the following” to include:

  • Public health, medicine, healthcare, health services research,

  • Computer science, information science, information systems

  • Statistics

  • Epidemiology

  • Public Health Informatics or related discipline

Change Text:Do you have doctoral (PhD, MD, PharmD) or masters level experience from an accredited academic institute in one of the following” to include:

  • Public Health Informatics

  • General Informatics or related Field

  • Data Science and Computer Science

  • Information Technology

  • Statistics and Epidemiology

  • Medicine

  • Health Care Research and Practice


.

FLIGHT

6.9 FLIGHT

None

New Question:

Please Upload CV


PEF

6.2 Citizenship Status

None

New Question:

Please Upload CV

PEF

6.2 Citizenship Status

None

New Question: Do you have or are you in the process of completing a PhD degree?


  1. Yes

  2. No


PH-TIPP

6.10 PH-TIPP

None


New Question: Select your primary degree that makes you eligible to apply for this training program:


-Options are various degree listings

PH-TIPP

6.10 PH-TIPP

None


New Question: Will you be able to attend Orientation in either August or September in Atlanta, Georgia?


  1. Yes

  2. No

PH-TIPP

6.10 PH-TIPP


None

New Question: Will you be able to attend all monthly Preventive Medicine Grand Rounds Webinars?


  1. Yes

  2. No



PH-TIPP

6.10 PH-TIPP

None

Change Text: Will you be able to attend all Monthly Group Check-in Webinars?



  1. Yes

  2. No


PH-TIPP

6.4 PMR/F


Do you intend to seek certification by the American Board of Preventive Medicine?

Change Option for PH-TIPP To:

Yes


PH-TIPP

6.4 PMR/F


Are you either an EIS Officer or Alumnus?

Change Option for PH-TIPP To:

Yes


PH-TIPP

6.4 PMR/F


Has your EIS experience been within the past two years?

Change Option for PH-TIPP To:

Yes


PH-TIPP

6.4 PMR/F


EIS Activity Report Upload:

Change Option for PH-TIPP To:

Yes

PH-TIPP

6.4 PMR/F


Conduct or participate in a field investigation of a potentially serious public health problem that requires a timely response:

Change Option for PH-TIPP To:

Yes


PH-TIPP

6.4 PMR/F


Design, conduct, and interpret an epidemiologic analysis:

Change Option for PH-TIPP To:

Yes


PH-TIPP

6.4 PMR/F


Evaluate a public health surveillance system:

Change Option for PH-TIPP To:

Yes

PH-TIPP

6.4 PMR/F


Give an in-depth public health talk on your original work or in your field of study:

Change Option for PH-TIPP To:

Yes


PH-TIPP

6.4 PMR/F


Write a scientific manuscript for a peer-reviewed journal:

Change Option for PH-TIPP To:

Yes


PH-TIPP

6.4 PMR/F


Communicate complex scientific concepts to a lay audience:

Change Option for PH-TIPP To:

Yes


PH-TIPP

6.4 PMR/F


Provide epidemiologic support:

Change Option for PH-TIPP To:

Yes

PH-TIPP

6.4 PMR/F


What personnel system are you currently in?

Change Option for PH-TIPP To:

Yes

PH-TIPP

6.4 PMR/F


Have you applied or do you plan on applying to be a Commissioned Officer in the U.S. Public Health Service within the next 6 months?

Change Option for PH-TIPP To:

Yes


PH-TIPP

6.4 PMR/F


What is the status of your application?

Change Option for PH-TIPP To:

Yes

PH-TIPP

6.4 PMR/F


What is the date of your Commission?

Change Option for PH-TIPP To:

Yes

PH-TIPP

6.4 PMR/F


What is your current temporary rank?

Change Option for PH-TIPP To:

Yes

PH-TIPP

6.4 PMR/F


Do you intend to seek certification by the American Board of Preventive Medicine?

Change Option for PH-TIPP To:

Yes


PH-TIPP

6.10 PH-TIPP

Do you have an MPH or an equivalent degree?

Modify Question To: Do you have an MPH or equivalent coursework from a CEPH-accredited school?



PH-TIPP

6.10 PH-TIPP

None

New Instructional Text: All physicians seeking ABPM certification must apply through the CDC Preventive Medicine Residency Application.


All Programs

7.7 Degree

Transcript Upload

Change Option for All Programs To:

Yes


PHIFP

7.1 Adding Education or Licenses

None

New Instructional Text: Applicants who have received a foreign academic degree will be required to submit their transcripts for a foreign credential evaluation. This evaluation helps ensure that foreign degree requirements are equivalent to that in the United States.

PEF

7.7 Degree

None


New Question: Is this a master’s thesis or dissertation?


  1. Yes

  2. No


PEF

7.7 Degree

Major 1 Classification:

Change Option for PEF To:

Yes


PEF

7.7 Degree

Is this degree a double major?

Change Option for PEF To:

Yes


PEF

7.7 Degree

Major 2 Classification:

Change Option for PEF To:

Yes


PHIFP

7.3 Coursework Type

Which type of coursework do you need to add?

Change Option for PHIFP To:

Yes




PHIFP

7.6 Status

Course Status:

Change Option for PHIFP To:

Yes

PHIFP

7.8 Additional Coursework

Number of Credits:

Change Option for PHIFP To:

Yes

PHIFP

7.8 Additional Coursework

Course Name:

Change Option for PHIFP To:

Yes

PMR/F

9.3 Clinical Training

None

New Question: Certification of completion of clinical training upload:

PMR/F

9.4 U.S. Board Certifications and Specialty


None

New Question: Certificate of Completion Upload:

FLIGHT

9.8 Language Skills

Language:

Change Option for FLIGHT To:

Yes

FLIGHT

9.8 Language Skills

Other Language:

Change Option for FLIGHT To:

Yes

FLIGHT

9.8 Language Skills

Read:

Change Option for FLIGHT To:

Yes

FLIGHT

9.8 Language Skills

Write:

Change Option for FLIGHT To:

Yes

FLIGHT

9.8 Language Skills

Speak:

Change Option for FLIGHT To:

Yes


PMR/F, PH-TIPP

11.1 All Fellowships except FLIGHT

What makes you a good candidate for this fellowship/program?

Change Option for PMR/F, PH-TIPP To:

Yes

PMR/F, PH-TIPP

11.1 All Fellowships except FLIGHT

Understanding that there are different topical and geographical assignments, in which do you prefer to work and why?

Change Option for PMR/F, PH-TIPP To:

Yes

PMR/F, PH-TIPP

11.1 All Fellowships except FLIGHT

For re-applicants: When did you apply and what has changed since your last application?

Change Option for PMR/F, PH-TIPP To:

Yes

PEF

11.1 All Fellowships except FLIGHT

None

New Question: Describe your greatest professional challenge so far and how you overcame it.

PEF

11.1 All Fellowships except FLIGHT

None

New Question: Describe your use of economic or decision-analytic methods. What methods would you like to learn more about?

PEF

11.1 All Fellowships except FLIGHT

What influenced you to consider a career in public health service?

Change Option for PEF To:

Yes

PEF

11.1 All Fellowships except FLIGHT

Compared with other similar individuals you have supervised or advised, how do you rank this candidate at developing effective working relationships with a variety of different people?

Change Option for PEF To:

Yes

PEF

11.1 All Fellowships except FLIGHT

Please provide an example(s) about this candidate’s experience developing effective working relationships, e.g., with internal or external partners, team members, or state/local health professionals.

Change Option for PEF To:

Yes

PEF

11.1 All Fellowships except FLIGHT

Compared with other similar individuals you have supervised or advised, how do you rank this candidate at managing tasks or projects?

Change Option for PEF To:

Yes

PEF

11.1 All Fellowships except FLIGHT

Please provide an example that describes the effectiveness of task or project management, e.g., was management of tasks and projects timely, complete, and responsive.

Change Option for PEF To:

Yes

PEF

11.1 All Fellowships except FLIGHT

Compared with other similar individuals you have supervised or advised, how do you rank this candidate at effectively prioritizing efforts?

Change Option for PEF To:

Yes

PEF

11.1 All Fellowships except FLIGHT

Please provide an example that describes the effective prioritization of efforts, e.g., could this candidate identify and act on the most important tasks first?

Change Option for PEF To:

Yes

PEF

11.1 All Fellowships except FLIGHT

Compared with other similar individuals you have supervised or advised, how do you rank this candidate’s ability to take initiative?

Change Option for PEF To:

Yes

PEF

11.1 All Fellowships except FLIGHT

Please provide an example that describes the candidate’s ability to take initiative, e.g., did this person actively seek to identify issues and address them without being told?

Change Option for PEF To:

Yes

PEF

11.1 All Fellowships except FLIGHT

Compared with other similar individuals you have supervised or advised, how well did this candidate respond to constructive feedback?

Change Option for PEF To:

Yes

PEF

11.1 All Fellowships except FLIGHT

Please provide an example(s) of how the candidate responded to constructive feedback. This could include feedback on e.g., their performance, behavior, or scientific work.

Change Option for PEF To:

Yes

PEF

11.1 All Fellowships except FLIGHT

Do you have any concerns about this applicant and their potential performance in this fellowship/program?

Change Option for PEF To:

Yes

PHIFP, PEF

11.1 All Fellowships except FLIGHT

Describe how this fellowship/program will help you achieve your goals.

Change Option for PHIFP, PEF To:

Yes

PHIFP

11.1 All Fellowships except FLIGHT

What Influenced you to consider a career in public health service?

Change Option for PHIFP To:

Yes

PMR/F, PH-TIPP

12.3 Letters of Recommendation

Compared with other similar individuals you have supervised or advised, how do you rank the candidate’s flexibility and resilience?

Change Option for PMR/F, PH-TIPP To:

Yes

PMR/F, PH-TIPP

12.3 Letters of Recommendation

Please provide an example(s) of the candidate’s flexibility and resilience.

Change Option for PMR/F, PH-TIPP To:

Yes

PHIFP, PEF

12.3 Letters of Recommendation

Please provide an example(s) about this candidate’s experience developing effective working relationships, e.g., with internal or external partners, team members, or state/local health professionals.

Change Option for PHIFP, PEF To:

Yes

PHIFP, PEF

12.3 Letters of Recommendation

Please provide an example that describes the effectiveness of task or project management, e.g., was management of tasks and projects timely, complete, and responsive.

Change Option for PHIFP, PEF To:

Yes

PEF

12.3 Letters of Recommendation

Please provide an example that describes the candidate’s ability to take initiative, e.g., did this person actively seek to identify issues and address them without being told?

Change Option for PEF To:

Yes

PEF

12.3 Letters of Recommendation

Please provide an example(s) of how the candidate responded to constructive feedback. This could include feedback on e.g., their performance, behavior, or scientific work.

Change Option for PEF To:

Yes

PHIFP

13.1 Self-Assessment of Skills

None

New Instructional Text: Instructions: If desired, list up to three additional software applications (i.e., DataViz, GIS, etc.) that you routinely use in health research and indicate your level of experience with each software.

PHIFP

13.1 Self-Assessment of Skills

STATA:

Change Option for PHIFP To:

Yes

PHIFP

13.1 Self-Assessment of Skills

SAS:

Change Option for PHIFP To:

Yes

PHIFP

13.1 Self-Assessment of Skills

R:

Change Option for PHIFP To:

Yes

PHIFP

13.1 Self-Assessment of Skills

MATLAB:

Change Option for PHIFP To:

Yes

PHIFP

13.1 Self-Assessment of Skills

Excel:

Change Option for PHIFP To:

Yes

PHIFP

13.1 Self-Assessment of Skills

Other Software #1:

Change Option for PHIFP To:

Yes

PHIFP

13.1 Self-Assessment of Skills

Other Software #1 Skill Level:

Change Option for PHIFP To:

Yes

PHIFP

13.1 Self-Assessment of Skills

Other Software #2:

Change Option for PHIFP To:

Yes

PHIFP

13.1 Self-Assessment of Skills

Other Software #2 Skill Level:

Change Option for PHIFP To:

Yes

PHIFP

13.1 Self-Assessment of Skills

Other Software #3:

Change Option for PHIFP To:

Yes

PHIFP

13.1 Self-Assessment of Skills

Other Software #3 Skill Level:

Change Option for PHIFP To:

Yes

PEF

13.1 Self-Assessment of Skills

1. Data Sciences (Wrangling, Cleansing, Modeling, Analytics):

Change Option for PEF To:

Yes

PEF

13.1 Self-Assessment of Skills

Data Sciences Experience:

Change Option for PEF To:

Yes

PEF

13.1 Self-Assessment of Skills

2. Data Science Methods (e.g. machine learning, NLP, deep learning):

Change Option for PEF To:

Yes

PEF

13.1 Self-Assessment of Skills

Data Science Methods Experience:

Change Option for PEF To:

Yes

PEF

13.1 Self-Assessment of Skills

4. Database Design and Development (Big Data, data modeling, information retrieval):

Change Option for PEF To:

Yes

PEF

13.1 Self-Assessment of Skills

Database Design and Development Experience:

Change Option for PEF To:

Yes

PEF

13.1 Self-Assessment of Skills

5. Programming Languages and Scripting (Python, R, C, C++, Java, Scala, C#, JavaScript, PHP):

Change Option for PEF To:

Yes

PEF

13.1 Self-Assessment of Skills

Programming Languages and Scripting Experience:

Change Option for PEF To:

Yes




Table D: Proposed Changes to the FMS Host Site Module

Attachment 5 – Host Site Module 



Program

Page/
Section

Current Question/Item

Requested Change

PMR/F

6.11.1 Long-Term Trainee Support & Projects

Project Management

Change Question to: Program Administration

PMR/F

6.11.1 Long-Term Trainee Support & Projects

None

New Question: Applied Epidemiology:


PMR/F

6.11.1 Long-Term Trainee Support & Projects

None

New Question: Workstation, Supervisors, and Host Site Building pictures upload:

PMR/F

6.11.1 Long-Term Trainee Support & Projects

None

New Question: I approve the use of any uploaded photos for recruiting PMR/F candidates

PMR/F, PHIFP

7.3 Supervisor Experience

Describe the public health experience of the supervisor (or additional staff) relevant to the associate’s assignment:

Change Option for PMR/F, PHIFP To:

Yes

PMR/F

7.3 Supervisor Experience

Has the Supervisor had formal supervisor training?

Change Option for PMR/F To:

Yes

PMR/F

7.3 Supervisor Experience

Describe the Supervisor's supervisory experience and style:

Change Option for PMR/F To:

Yes





PMR/F

7.3 Supervisor Experience

Describe how the primary supervisor will provide direct supervision, foster growth, and on-the-job training:

Change Option for PMR/F To:

Yes


PMR/F

7.3 Supervisor Experience

Describe how you would handle staff issues with poor performance or conduct:

Change Option for PMR/F To:

Yes


PMR/F

7.3 Supervisor Experience

Describe how the primary supervisor will provide direct supervision, foster growth, and on-the-job training

Change Option for PMR/F To:

Yes


PMR/F

7.3 Supervisor Experience

Describe your experience with managing and supervising staff from cultures different than yours:

Change Option for PMR/F To:

Yes


PHIFP

7.3 Supervisor Experience

None

New Instructional Text: Instructions: Please provide the following information for each Supervisor (e.g., Primary and Secondary) and mentor that will support the PHIFP fellow. Additionally, in describing their public health experiences, please include information about their public health knowledge and technical skill sets that may be applicable to supporting the PHIFP fellow.

PHIFP

6.2 Position Assignment Details

Background:

Change Option for PHIFP To:

Yes


PHIFP

6.2 Position Assignment Details

Proposed Initial Project(s):

Change Option for PHIFP To:

Yes

PHIFP

6.2 Position Assignment Details

Describe the breadth of work that the candidate will experience:

Change Option for PHIFP To:

Yes


PHIFP

6.5 Position Assignment Location

Is the Position Assignment Location the same as the Public Health Agency Location?

Change Option for PHIFP To:

Yes


PHIFP

6.7.1 Proposed Projects

Briefly describe the host site proposed projects:


Change Option for PHIFP To:

Yes

PHIFP

6.7.1 Proposed Projects

Opportunities to collaborate with public health partners:

Change Option for PHIFP To:

Yes

PHIFP

8.1 Activity/Project Details

Describe the required skills the fellow must have/contribute:

Change Option for PHIFP To:

Yes


OMB Change Request 0920-0765 9


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