[CSELS] Fellowship Management System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
FMS Activity Tracking Module draft	Form and Instruction	Unchanged	Available
Activity Tracking	Form and Instruction	Unchanged	Repair queued
Form 0920-0765 Reference Letters for Fellowship Applicants	Form and Instruction	Modified	Repair queued
FMS Application Module draft (section 13.6.1, pages 132-133)	Form and Instruction	Unchanged	Available
FMS Application Writing Samples (Subset Applicants)	Form and Instruction	Unchanged	Repair queued
Form 0920-0765 [CSELS] FMS Host Site Module	Form and Instruction	Modified	Repair queued
FMS Alumni Tracking Module Draft	Form and Instruction	Unchanged	Available
FMS Alumni Directory	Form and Instruction	Unchanged	Repair queued
Form 0920-0765 [CSELS] Fellowship Applications	Form and Instruction	Modified	Repair queued
Change Request Memo OMB No 0920-0765 July 2023.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-08-01	Repair queued
Attachment 8_Privacy Impact Assessment (PIA).pdf	Supplementary Document	Uploaded 2022-07-11	Repair queued
Attachment 7_IRB Determination Letter FMS 2022.docx	Supplementary Document	Uploaded 2022-07-11	Repair queued
Attachment 2 Published 60-Day FRN.pdf	Supplementary Document	Uploaded 2022-07-11	Repair queued
Attachment 1_Authorizing Legislation Public Health Service Act.docx	Supplementary Document	Uploaded 2022-07-11	Repair queued
SUPPORTING STATEMENT B Revision #0920-0765.docx	Supporting Statement B	Uploaded 2022-07-11	Repair queued
SUPPORTING STATEMENT A Revision_06242022.docx	Supporting Statement A	Uploaded 2022-07-11	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
239669	Activity Tracking	Form and Instruction	Unchanged	FMS Activity Tracking Module draft
239669	Activity Tracking	Form and Instruction	Unchanged
239668	Reference Letters for Fellowship Applicants	Form and Instruction	Modified
239668	Reference Letters for Fellowship Applicants		Modified
232804	FMS Application Writing Samples (Subset Applicants)	Form and Instruction	Unchanged	FMS Application Module draft (section 13.6.1, pages 132-133)
232804	FMS Application Writing Samples (Subset Applicants)	Form and Instruction	Unchanged
214088	[CSELS] FMS Host Site Module	Form and Instruction	Modified
214088	[CSELS] FMS Host Site Module		Modified
214087	FMS Alumni Directory	Form and Instruction	Unchanged	FMS Alumni Tracking Module Draft
214087	FMS Alumni Directory	Form and Instruction	Unchanged
214086	[CSELS] Fellowship Applications	Form and Instruction	Modified
214086	[CSELS] Fellowship Applications		Modified

ICR Details

OMB Control No: 0920-0765	ICR Reference No: 202308-0920-001
Status: Historical Active	Previous ICR Reference No: 202206-0920-010
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0765-23HE
Title: [CSELS] Fellowship Management System
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/24/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/01/2023
Terms of Clearance: Previous terms continue: CDC will provide OMB a report in advance of any future approvals that addresses how race and ethnicity data is being implemented and used; such a report should include an analysis of demographic statistics and a discussion of how the data is feeding back into program evaluation and implementation including, but not limited to, recruitment and retention efforts.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2026	03/31/2026	03/31/2026
Responses	18,212	0	17,762
Time Burden (Hours)	13,477	0	13,186
Cost Burden (Dollars)	1,531,249	0	1,499,849

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Abstract: The Centers for Disease Control and Prevention (CDC) uses Fellowship Management System (FMS) to collect, process, and manage data from nonfederal applicants seeking training or public health support services through CDC fellowships. FMS is used to electronically submit fellowship applications, submit fellowship host site proposals, track fellows’ activities during their fellowships, and maintain fellowship alumni directories online. FMS is a key tool in CDC’s efforts to maintain and develop a robust public health workforce. This change request removes PMR/F and PH-TIPP from the Fellowship and Host Site Application modules and describes the addition of a new fellowship program (the CDC Evaluation Fellowship) to the Fellowship Management System’s Fellowship Application and Host Site Application modules.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 14271	03/14/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 41320	07/12/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Activity Tracking	None	FMS Activity Tracking Module draft
FMS Alumni Directory	None	FMS Alumni Tracking Module Draft
FMS Application Writing Samples (Subset Applicants)	None	FMS Application Module draft (section 13.6.1, pages 132-133)
Reference Letters for Fellowship Applicants	0920-0765
[CSELS] FMS Host Site Module	0920-0765
[CSELS] Fellowship Applications	0920-0765

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	18,212	17,762	0	450	0	0
Annual Time Burden (Hours)	13,477	13,186	0	291	0	0
Annual Cost Burden (Dollars)	1,531,249	1,499,849	0	31,400	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: CDC transitioned the Evaluation Fellowship from one organizational unit to another, and this change facilitated the addition of the fellowship to FMS. The removal of PMR/F and PH-TIPP from the Fellowship and Host Site Application modules will reduce the burden on the public. An estimated 40 fewer respondents will be included in the Fellowship Application module’s annual burden estimate along with 60 fewer letter of recommendation writers. From PMR/F’s exclusion 20 fewer respondents will be counted toward the annual burden of the Host Site Application module. The Evaluation Fellowship’s fellow and host site applications are moderate in length, compared to those for other fellowship programs using FMS for these functions. Therefore, the average burden to complete each type of form is not affected by this addition. Adding the Evaluation Fellowship to FMS does increase the expected number of respondents per form, however, based on past trends, the maximum annual number of fellow applicants per year to this fellowship is estimated to be 180 people, and as part of the application, each applicant requests a letter of recommendation from two individuals (for a potential of up to 360 people submitting letters of recommendation per year). The vast majority of fellow applicants and recommenders are members of the public (e.g., students graduating from masters’ programs, employees of non-federal organizations). Currently only CDC programs are eligible to be host sites, and all respondents to the Host Site Application are federal staff operating within their professional duties. Based on past experience, for this change request, maximum number of host site applications per year is estimated to be 30.

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Annual Cost to Federal Government: $1,269,105

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/01/2023

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