Information Collection

FMS Host Site Module

IC 214088 under ICR 202202-0920-012 · OMB 0920-0765.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0765 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0765 FMS Host Site Module Form and Instruction
0920-0765 FMS Host Site Module (revised Jan 2022) Attachment 5_FMS 2.0 Host Site Module-June 2021.pdf Form and Instruction
0920-0765 FMS Host Site Module (revised Jan 2022) Attachment 5_FMS 2.0 Host Site Module-June 2021.pdf Form and Instruction
Attachment 2. Host Site Module Screenshots.docx Host Site Module Screenshots IC Document
Attachment 2. Host Site Module Screenshots.docx Host Site Module Screenshots IC Document
Attachment 3. Host Site Module Screenshots.docx Host Site Module (screenshots) IC Document
Attachment 3. Host Site Module Screenshots.docx Host Site Module (screenshots) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FMS Host Site Module	Agency IC Tracking Number:	0920-0765

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0765	FMS Host Site Module (revised Jan 2022)	Attachment 5_FMS 2.0 Host Site Module-June 2021.pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: Fellowship Program and Guest Researcher Records	FR Citation: 51 FR 42465

Number of Respondents: 448	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	448	448
Annual IC Time Burden (Hours)	545	545
Annual IC Cost Burden (Dollars)	67,072	67,072

Documents for IC

Title	Document	Date Uploaded
Host Site Module Screenshots	Attachment 2. Host Site Module Screenshots.docx	01/10/2022
Host Site Module (screenshots)	Attachment 3. Host Site Module Screenshots.docx	03/07/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.