Host Site Module Screenshots

OMB Control Number 0920-0765 Fellowship Management System Change Request
Attachment 2 – Host Site Module Screenshots

Program	Page/ Section	Requested Change	Screenshot
SAF	2.1-a	Change type: question deletion Remove for SAF	N/A – this will be hidden for the SAF Host Site Application.
SAF	2.1-a	Change type: question deletion Remove for SAF	N/A – this will be hidden for the SAF Host Site Application.
EEP	6.3-1	Change type: question addition Add new question for EEP in this section to read: Which type of work settings are you open to for your EEP student? (select all that apply): - Remote/Full Telework - Hybrid/Partial Telework - In-person
EEP	6.9.1-a	Change type: Response option revision How would you best describe the subject area covered in this position? Select all that apply. Note: added options are 13, 18, 27, 29, 33 Change options to: 1. Obesity, nutrition, and physical activity 2. Cancer prevention and control 3. Diabetes 4. Heart disease and stroke prevention 5. Tobacco prevention and cessation 6. Other chronic disease 7. Emergency preparedness and response 8. Asthma and air pollution 9. Environmental health 10. Immunizations/vaccine preventable disease 11. Influenza 12. HIV/AIDS, or Tuberculosis 13. STD prevention 14. Viral hepatitis 15. Foodborne diseases 16. Waterborne diseases 17. Vectorborne diseases 18. Fungal Diseases 19. One Health and zoonotic disease 20. Arctic Investigations (Alaska) 21. Healthcare-associated infections 22. Quarantine and border health services 23. Unintentional injury 24. Opioid/prescription drug overdose prevention 25. Occupational health and safety 26. Violence Prevention 27. Reproductive Health 28. Maternal and infant health 29. Blood Disorders 30. Health statistics 31. State, local, and territorial health 32. Global health 33. COVID-19 34. Other (specify)
EEP	6.9.1-b	Change type: Question addition For EEP, after the Specify [project type] field, please add the following question to this section (6.9.1-b): Do you prefer a language skill? [select one] - Yes - No If select Yes, please select language [drop-down]: French Spanish Other: [open-ended] What level of proficiency do you prefer? At least Good At least Excellent
EEP	6.9.1-b	Change type: Question addition For EEP, please add the following question to this section 6.9.1-b: Does the host site prefer a student who has statistical software experience? [select one] - Yes - No If yes, please select the statistical software package(s) [select all that apply]: Statistical Software Skills SAS STATA Epi-Info R Excel Other: [open-ended] [If select other, open-ended]
EEP	5.3-a and 5.3 Public Health Agency Details	Change type: response option revision Add: NIOSH/Pittsburgh, PA (CDC Campus Lookup)
EEP	7.2-a	Change type: Question deletion Remove for EEP.	N/A – this will be hidden for the EEP Host Site Application.
SAF	11.2	Change type: Question deletion Remove for SAF.	N/A – this will be hidden for the SAF Host Site Application.
All	Field Value Tables	Change type: Response option revision Add American Samoa

1