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FMS Application Writing Samples (Subset Applicants)
[PHIC] Fellowship Management System
OMB: 0920-0765
IC ID: 232804
OMB.report
HHS/CDC
OMB 0920-0765
ICR 202311-0920-007
IC 232804
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0765 can be found here:
2024-08-05 - No material or nonsubstantive change to a currently approved collection
2024-01-04 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
FMS Application Writing Samples (Subset Applicants)
Form and Instruction
FMS Application Module draft (section 13.6.1, pages 132-
Att 3_FMS Fellowship Application.docx
Form and Instruction
FMS Application Module draft (section 13.6.1, pages 132-
Att 3_FMS Fellowship Application.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
FMS Application Writing Samples (Subset Applicants)
Agency IC Tracking Number:
0920-0765
Is this a Common Form?
No
IC Status:
Unchanged
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
None
FMS Application Module draft (section 13.6.1, pages 132-133)
Att 3_FMS Fellowship Application.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
09-20-0112 Fellowship Program and Guest Researcher Records
FR Citation:
51 FR 42465
Number of Respondents:
220
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
220
0
0
0
0
220
Annual IC Time Burden (Hours)
110
0
0
0
0
110
Annual IC Cost Burden (Dollars)
7,544
0
0
0
0
7,544
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.