Change Request Memo

Change Request Memo 0920-0765_11082023.docx

[PHIC] Fellowship Management System

Change Request Memo

OMB: 0920-0765

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Change Request
OMB Control Number 0920-0765
Fellowship Management System

Date Submitted: November 8, 2023


Summary of Request

CDC requests OMB approval for non-substantive changes to the electronic Fellowship Management System (FMS). Changes are proposed to improve question clarity, improve relevance of response options, and streamline question logic. There are no changes to the currently approved estimates for the number of responses, burden per response, or total burden hours.


Purpose and Organization of the FMS

CDC uses FMS to collect, process, and manage data for 11 CDC fellowship programs (Table A). Information is collected from applicants who seek training or public health support services through CDC fellowships, individuals who provide references for applicants, sites that host fellows, and fellowship alumni. The FMS is comprised of 4 modules with specialized functionality: the Fellowship Application module, the Host Site Application module, the Activity Tracking module, and the Alumni Directory. Through Revisions and Change Requests, CDC adapts the FMS to changes in fellowship opportunities and content, to improve alignment and tailoring of questions for each fellowship program's eligibility criteria, and to clarify questions and instructions according to user feedback.


Table A: Current CDC Fellowships using FMS

Epidemic Intelligence Service (EIS)

Epidemiology Elective Program (EEP)

CDC Steven M. Teutsch Prevention Effectiveness (PE) Fellowship

CDC E-learning Institute (ELI)

Future Leaders in Infectious and Global health Threats (FLIGHT)

Laboratory Leadership Service (LLS)

Public Health Informatics Fellowship Program (PHIFP)

Public Health Associates Program (PHAP)

Presidential Management Fellowship (PMF)

Evaluation Fellowship Program (EFP)

Science Ambassador Fellowship (SAF)







Description of Changes Requested

In this Change Request, CDC describes minor changes for 2 FMS modules (the Fellowship Application module and the Host Site Application module) that update data entry for 6 fellowship programs. A summary overview is provided in Table B.


Table B: Summary of Changes for the Following Modules & Fellowships (green = yes included in this request):

Fellowship Program

Fellow Application Module

Host Site Application Module

EIS

n/a

-4 Questions

EEP

n/a

+6 questions

PE

n/a

n/a

ELI

+3 Questions

n/a

FLIGHT

n/a

n/a

LLS

+1 Question

-3 Questions

PHIFP

n/a

n/a

PHAP

+2 Questions

-1 Question

PMF

n/a

n/a

EFP

n/a

+1 question

SAF

-15 Questions

n/a

Total Change in # of Questions

-9 Questions

-1 Questions



The primary purpose of these changes is to increase alignment of collection materials with program goals that have changed over the course of the transition from the FMS 2.0 software to the 3.0 Microsoft Power Platform. There are a few key modifications to response options, especially the picklists for CDC Fellowships, educational degrees, and other appendix items.


Detailed changes to each module are listed and described in Table C (Fellowship Application module), Table D (Letters of Recommendation portion of Fellowship Application), and Table E (Host Site Application module). These tables are provided at the end of this narrative.


Rationale for Change

During the transition from FMS 2.0 to 3.0 software, programs were asked to review the content of Fellowship and Host Site application modules to ensure program goals and needs were being met, and that content was ported from 2.0 to 3.0 without errors. During this review process programs also identified potential improvements to the modules. This change request is intended to maximize practicality and functionality of both modules for fellowships as they enter a new cycle of applications in the 3.0 platform.

Description of Changes to Burden

The current burden table includes changes approved 8/24/2023 and is provided below (Table E). CDC determined that the additional changes proposed at this time do not alter the current burden estimates for the FMS information collections (ICs), given that most changes are simple revisions of existing content, and there is not a substantial change in the average length or complexity of either module.


Table E: Estimated Annualized Burden Hours (approved 8/24/2023)

Type of respondents

(Information Collection “IC” title)

Form

Number of Respondents


Number of Responses per Respondent

Average Burden per Response

(in hours)

Total Burden (in hours)

Fellowship Applicants

(Fellowship Applications)

FMS Application Module

5286

1

87/60

7665

Reference Letter Writers

(Reference Letters for Fellowship Applicants)

FMS Application Module

7142

1

15/60

1786

Subset of FMS Fellowship Applicants**

(FMS Application Writing Samples (Subset Applicants))

FMS Application Module (13.6)

220

1

30/60

110

Public Health Agency or Organization Staff

(FMS Host Site Module)

FMS Host Site Module

970

1

75/60

1213

Public Health Agency or Organization Staff

(Activity Tracking)

FMS Activity Tracking Module

555

2

30/60

555

Fellowship alumni*

(FMS Alumni Directory)

FMS Alumni Directory

3484

1

37/60

2148

Total


18212



13477





Summary of Recent Changes Requested for this ICR


Submission

Approval Date

Content of Change

June 2022 Revision Request

3/13/2023

Moved to Microsoft Power Platform software, increase in number of respondents and total burden to reflect growth of fellowship programs.

August 2023 Change Request

8/24/2023

Added Evaluation Fellowship Program to FMS, removal of PMR/F and PH-TIPP from FMS, update to relevant SORN. Net increase in respondents and increase in burden due to EFP size.

November 2023 Change Request (current request)


Adjustments to Application and Host Site module content to improve question clarity, improve relevance of response options, and streamline question logic.




TABLE C: FELLOWSHIP APPLICATION MODULE

Program

Type of Change

Sec.

Current Question/Item

Requested Change

PHAP

Question Deactivation

5: Applicant Profile

Other Name:

Deactivate question for PHAP

LLS

11: Personal Statement

Describe the two most important skills you want to develop or improve during this fellowship/program.

Describe the two most important skills you want to develop or improve during this program.

LLS

11: Personal Statement

n/a

Add checkbox asking if respondent is a re-applicant for LLS, if they are, then questions pertaining to reapplicants will appear

LS

6.12: Eligibility

n/a

Check box response:

I have, or will have by March 31 of the year entering LLS, a doctoral-level degree in a laboratory-related discipline.

  1. Yes

  2. No

All

11.4: Personal Statement

Please select all CDC fellowships that you have participated in: (Pick list in Att 3 Appendix page 127)


Updated pick list (Pick list in Att 3 Appendix page 127) that included more known fellowships and excluded some that were selected infrequently or no longer offered.

All

Response Option Revision

7: Education

Undergraduate Degree: (select from drop down list)

Add “Other” option, with open text field to specify

All

Response Option Revision

7: Education

Graduate Degree: (select from drop down list)

Add “Other” option, with open text field to specify

All

7.2: Education

What do you want to add?

1. Undergraduate Education
2. Graduate Education (includes degrees in progress)
3. Additional Coursework
4. Active U.S. Clinical License

Separate pick lists for undergraduate and graduate degrees, update contents of pick lists

All

Response Option Revision

6: Eligibility

Country of Citizenship: (pick list in Att 3 Appendix page 124)

Pick list updated to include American territories: Guam, Mariana Islands, American Samoa

LLS

7.7: Education and Licenses

Description of Dissertation:

Description of Research:

All

11.4: Personal Statement

Please select all CDC fellowships that you have participated in: (pick list)

Add response option “Other” with open text box to ensure all CDC fellowship programs are accounted for

PHAP

6.8: Assignment Preference

Selection is broken down into 5 choices from the following subject list from Appendix p 124 of Att 3:


Adolescent & School Health (non-STI)

Community Health Improvement Planning (CHIP)/Community Health Assessments (CHA)

Chronic Disease

Emergency/Disaster Preparedness and Response

Environmental Health

Genomics

Health Equity/Access to Care

Health Department Improvement/Accreditation

Immunizations/Vaccine Preventable Disease Investigation

Sexually Transmitted Disease Prevention

Tuberculosis Prevention

HIV Prevention

Viral Hepatitis Prevention

Adolescent/school-based Sexually Transmitted Disease prevention

Other Infectious Disease

Injury Prevention

Maternal & Infant Health

Public Health Policy & Law

Public Health Surveillance

Oral Health

Updated Picklist:


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)

PHAP

Question Addition

7.2: Education and Licenses

What do you want to add? (Active US clinical license for clinical applicants only)

1. Undergraduate Education

2. Graduate Education (includes degrees in progress)

3. Additional Coursework

4. Active U.S. Clinical License


When respondent selects “4. Active US Clinical License” an open text prompt “Specify Clinical License” should appear

LLS, SAF

Question Deactivation

11: Personal Statement

What other opportunities are you considering?

Deactivate question for LLS and SAF

LLS

Question Addition

7: Education and Licenses

n/a

Dissertation Defense Date: Open Text Response

LLS

Question Deactivation

6: Eligibility

Do you currently live in the US?

Deactivate question for LLS

PHAP

Question Addition

6: Assignment Preferences

Would you accept an assignment in an urban area?

Add this question for PHAP

PHAP

Question Addition

6: Assignment Preferences

Would you accept an assignment in a U.S. territory?

Add this question for PHAP

PHAP

Question Addition

6: Assignment Preferences

When considering geographic preference and subject area preference, which is more important for matching if there is an option?

Add this question for PHAP

EEP

Response Option Revision

13: Location Preferences

1. CDC headquarters or Atlanta regional campuses (Atlanta, Georgia)
2. Other CDC Regional Campuses

3. Other Federal Agencies

4. State, local, or territorial health departments

5. CDC Country Office (Remote)

1. CDC headquarters or Atlanta regional campuses (Atlanta, Georgia)
2. Other CDC Regional Campuses

3. Other Federal Agencies

4. State, local, tribal, or territorial health departments

5. CDC Country Office (Remote)

SAF

Question Deletion

6.6: Eligibility

Grade levels ever taught:

Delete question

SAF

Question Deletion

13.4 SAF Public Health Interest

First, second, third choice area:

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)

Delete question

SAF

Question Deletion

13.4 SAF Public Health Interest

Other (Specify): Open Text Response

Delete question

SAF

Question Revision

6.6 Eligibility

Specify Grade Level Taught

Other (Specify):

SAF

Question Deactivation

11: Personal Statement

For re-applicants: What year did you previously apply to the SAF Fellowship and what has changed since your last application? If you are not a re-applicant please write N/A.

Deactivate question for SAF

SAF

Response Option Revision

6: Eligibility

In the past 5 years, in which ways have you interacted with the Science Ambassador program?

(Select all that apply)

  1. Attended a CDC Science Ambassador regional training workshop

  2. Previously applied to the CDC Science Ambassador Fellowship

  3. Used CDC NERD Academy curriculum in my classroom

  4. Used CDC Science Ambassador lesson plans in my classroom

  5. None of the above

  6. Other

In the past 5 years, in which ways have you interacted with the Science Ambassador program? (Select all that apply)

Attended a CDC Science Ambassador regional training workshop

Applied to the CDC Science Ambassador Fellowship

Participated in the CDC Science Ambassador Fellowship

Used CDC NERD Academy curriculum in my classroom

Used CDC Science Ambassador lesson plans in my classroom

Attended an in-person session hosted or co-hosted by CDC Science Ambassador staff (e.g., at a conference)

Attended a virtual session hosted or co-hosted by CDC Science Ambassador staff (e.g., a Department of Education webinar)

I have not interacted with the Science Ambassador program or its resources

- Other (please specify)`

SAF

Question Deactivation

9: Additional Training

Institution Name:

Deactivate question for SAF

SAF

Question Deactivation

9: Additional Training

Country:

Deactivate question for SAF

SAF

Question Deactivation

9: Additional Training

State/Territory:

Deactivate question for SAF

SAF

Question Deactivation

9: Additional Training

State/Province:

Deactivate question for SAF

SAF

Question Deactivation

9: Additional Training

City:

Deactivate question for SAF

SAF

Question Deactivation

13: Applicant survey

On what job search platform did you find out about the fellowships?

Deactivate question for SAF

SAF

Question Deactivation

13: Applicant survey

How did you connect with the person who told you about the fellowship by word of mouth?

Deactivate question for SAF

ELI

Question Revision

11: Personal Statement

What do you believe are barriers at your organization for developing e-learning?

What do you believe currently exists at your organization to facilitate e-learning development?

ELI

Question Deactivation

7: Degree

Undergraduate Degree

Deactivate question for ELI

ELI

Question Deactivation

7: Degree

Graduate Degree

Deactivate question for ELI

ELI

Question Deactivation

7: Degree

GPA:

Deactivate question for ELI



TABLE D: FELLOWSHIP APPLICATION Module: Letters of Recommendation (LOR)


Program

Type of Change

Sec.

Current Question/Item

Requested Change

SAF

Question Revision

LOR

Recommender’s Name

Recommender’s Full Name

SAF

Response Option Revision

LOR

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?



1. Below average (Below 50%)
2. Average (50% to 75%)
3. Above Average (Top 25%)
4. Excellent (Top 10%)
5. Superior (Top 2%)
6. Not able to judge

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?


1. Average (50% to 75%)
2. Above Average (Top 25%)
3. Excellent (Top 10%)
4. Superior (Top 2%)
5. Not able to judge

SAF

Question Revision

LOR

Compared with other similar individuals at similar points in their careers, how do you rank this candidate’s ability to take initiative?

1. Below average (Bottom 50%)

2. Average (50% to 75%)

3. Above Average (Top 25%)

4. Excellent (Top 10%)

5. Superior (Top 2%)

6. Not able to judge


Compared with other similar individuals at similar points in their careers, how do you rank this candidate’s ability to take initiative?

1. Average (50% to 75%)

2. Above Average (Top 25%)

3. Excellent (Top 10%)

4. Superior (Top 2%)

5. Not able to judge


SAF

Question Revision

LOR

Compared with other similar individuals at similar points in their careers, how well did this candidate respond to constructive feedback?



1. Below average (Bottom 50%)

2. Average (50% to 75%)

3. Above Average (Top 25%)

4. Excellent (Top 10%)

5. Superior (Top 2%)

6. Not able to judge

Compared with other similar individuals at similar points in their careers, how well did this candidate respond to constructive feedback?



1. Average (50% to 75%)

2. Above Average (Top 25%)

3. Excellent (Top 10%)

4. Superior (Top 2%)

5. Not able to judge

EEP

Question Deactivation

LOR

Dean of Medical School?

Deactivate this question for EEP









TABLE E: HOST SITE APPLICATION MODULE


Program

Type of Change

Page/
Section

Current Question/Item

Requested Change

LLS

Question Deactivation

5.3 Host Site Position Description

Public Health Agency Type:

Deactivate Question for LLS

LLS

Question Deactivation

5.3: Public Health Agency Details

State/Province

Deactivate question for LLS. Only State/Territory option should be included

LLS

Question Deactivation

5.3: Public Health Agency Details

Country:

Deactivate question for LLS, Host Sites for LLS must be in US

PHAP

Question Deactivation

5.3: Public Health Agency Details

CDC Campus:

Deactivate question for PHAP

EEP

Response Option Revision

6.8: Assignment Preference

Which type of work settings are you open to for your EEP student? (select all that apply):


  • In person (100%)

  • Telework/remote (100%)

  • Hybrid, mostly in person (>50%)

  • Hybrid, mostly telework/remote (<50%)

Which type of work settings are you open to for your EEP student? (select all that apply):


  • In person at least one day per week with telework option

  • Fully remote

  • Hybrid (at least 3 consecutive weeks in person with telework option, remaining time remote)

EEP

Question Deactivation

5.3: Public Health Agency Details

Agency Center:

Deactivate question for EEP

EEP

Question Revision

6: Position Assignment Details

How would you best describe the subject area covered in this position?

How would you best describe the subject area covered in this position? Please select all subject areas that are covered by your work.

EEP

Section Addition

n/a

n/a

EEP Host Site Network Participation: All EEP primary supervisors can participate in this opportunity by filling out the Host Site Network survey. Note: If you work within a STLT or other federal agency, you cannot be added to the MS Teams channel since it will be created through the CDC network. However, we will send routine emails to all host sites with resources and can share information on the behalf of non-CDC host sites. If any non-CDC host site is interested in participating in the Host Site Network, we encourage you to fill out this section.

EEP

Question Addition

Host Site Network Participation

n/a

Would the primary supervisor like to participate in the EEP Host Site Network?

-Yes

-No (if no, section ends)

EEP

Question Addition

Host Site Network Participation

n/a

Can EEP share the primary supervisor's contact information (as provided on your host site application) with other primary host site supervisors participating in the Host Site Network? Note: All contact information will be shared through a spreadsheet.*

- Yes

- No

EEP

Question Addition

Host Site Network Participation

n/a

What contact information would the primary supervisor like to be included in the spreadsheet? [Select all that apply]?*


- Work phone (please confirm work phone number is entered in the supervisor list)

- Email

- Other (please specify)

EEP

Question Addition

Host Site Network Participation

n/a

What is the primary supervisor's preferred contact method(s) for networking-related meetings (e.g., phone call, Teams/Zoom meeting, email, etc.)? The following information is optional and can be included in the spreadsheet to provide more information to primary supervisors. [Select all that apply]

- Email

- Video conference (e.g., MS Teams, Zoom)

- Phone

- Other (please specify)

EEP

Question Addition

Host Site Network Participation

n/a

What is the primary supervisor's regular work schedule (Please include time zones, e.g., “M-F 8am – 4:30pm ET”)? The following information is optional and can be included in the spreadsheet to provide more information to primary supervisors.

[Open-text response]

EEP

Question Addition

Host Site Network Participation

n/a

Are you part of a CDC, STLT, or other federal agency host site?

- CDC host site

- STLT or other federal agency host site

EEP

Question Addition

Host Site Network Participation

n/a

Would you like the primary supervisor to be added to the MS Teams channel (a part of the Host Site Network) to connect with other EEP host sites?


- Yes

- No

EEP

Response Option Revision

6: Position Assignment details

What level of proficiency do you prefer?

-At least good

-At least excellent

What level of proficiency do you prefer?


Read:

At least Poor

At least Fair

At least Good

At least Excellent


Write:

At least Poor

At least Fair

At least Good

At least Excellent


Speak

At least Poor

At least Fair

At least Good

At least Excellent

EIS

Response Option Revision

6: Position Assignment Details

What is the anticipated work status for this position?

  • In person (100%)

  • Telework/remote (100%)

  • Hybrid, mostly in person (>50%)

  • Hybrid, mostly telework/remote (<50%)

What is the anticipated work status for this position?

  • In person (100%)

  • Hybrid, mostly in person (>50%)

  • Hybrid, mostly telework/remote (<50%)

EIS

Question Deactivation

6: Position Assignment Environment

Describe the program area, department, or organizational unit within the public health agency where the position assignment will be based. Include information on the number of employees/departments/divisions/branches/teams:

Deactivate this question for EIS

EIS

Question Deactivation

6: Position Assignment Environment

Describe in detail the workplace support that will be provided (e.g., office setting, computer equipment, clerical and administrative support, peer support, dedicated resources):

Deactivate this question for EIS

EIS

Question Deactivation

6: Position Assignment Environment

What recent changes or upcoming reorganizations may impact the assignment(s) or supervisor assigned to the candidate?

Deactivate this question for EIS

EIS

Question Deactivation

6: Position Assignment Environment

Please attach a PDF of the current organizational chart for the public health agency:

Deactivate this question for EIS

EFP

Question Deactivation

7: Supervisors

CDC Employee?

Deactivate question for EFP

EFP

Response option revision

6: Position Assignment

Fellow stipends vary based on education and experience. Please let us know the highest level of funding your program is budgeting for:

  • GS-9 (Master’s degree only, no relevant work experience)

  • GS-11 (Master’s degree with at least 1 year of relevant work experience)

  • GS-12 (Doctoral degree)

  • We’re applying for EFP-sponsored Evaluation Fellow. EFP funding will only cover salary & benefits. Host programs must be able to provide $5000/fellowship year for the Fellow’s professional development funds.

Fellow stipends vary based on education and experience. Please let us know the highest level of funding your program is budgeting for:

  • GS-9 (Master’s degree only, no relevant work experience)

  • GS-11 (Master’s degree with at least 1 year of relevant work experience)

  • GS-12 (Doctoral degree)


EFP

Response option revision

6: Position Assignment

The CDC Evaluation Fellowship is intended to be two years. Which describes your program’s funding ability to host the Evaluation Fellow?

  • Full cost of hosting the Fellow for the two years

  • We’re only able to fund the professional development funds ($5000/fellowship year) for both years if we receive a PPEO-sponsored Evaluation Fellow.

  • Other, specify

The CDC Evaluation Fellowship is intended to be two years. Which describes your program’s funding ability to host the Evaluation Fellow?

  • Full cost of hosting the Fellow for the two years

  • Other, specify


EFP

Question Activation

7.4: Mentoring Experience

Mentorship Experience (select all that apply):

  1. I have mentored staff within my organization. 

  2. I have mentored fellows/associates in this fellowship/program. 

  3. I have mentored fellows/associates in other fellowships/programs. 

Activate this question for EFP

Also edit response options to match related supervisor questions:

  1. Supervisor has mentored staff within the organization. 

  2. Supervisor has mentored fellows/associates in this fellowship/program. 

  3. Supervisor has mentored fellows/associates in other fellowships/programs. 

PHIFP

7.2-a Supervisor Information

Is the supervisor a full-time employee at the organization where the fellow/associate will spend most of their time?

Is the supervisor/mentor a full-time employee at the organization where the fellow/associate will spend most of their time?

PHIFP

7.3-a Supervisor Experience

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.

Please provide the following information for this supervisor/mentor. In describing their public health experiences, please include information about their public health knowledge and technical skill sets (e.g. informatics, data science, etc) that may be applicable to supporting the PHIFP fellow.


PHIFP

7.2-a Supervisor Information

Is the supervisor a full-time employee at the organization where the fellow/associate will spend most of their time?

Is the supervisor/mentor a full-time employee at the organization where the fellow/associate will spend most of their time?

PHIFP

7.2-a Supervisor Information

How much time per week (hours) can the supervisor devote to supervise?

How much time per week (hours) can the supervisor/mentor devote to supervising/mentoring?

PHIFP

7.2-a Supervisor Information

Is the supervisor an alumnus of any CDC fellowship or training program?

Is the supervisor/mentor an alumnus of any CDC fellowship or training program?


PHIFP

7.2-a Supervisor Information

Which of the following CDC fellowship(s)/program(s) is the Supervisor an alumnus of:

Which of the following CDC fellowship(s)/program(s) is the supervisor/mentor an alumnus of:

PHIFP

7.3-a Supervisor Experience

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

Describe the public health experience of the supervisor/mentor relevant to the associate’s assignment:


PHIFP

7.4-a Mentoring Experience

Describe why the Supervisor would be a good mentor/coach for a fellow/associate and how the primary supervisor will foster growth and development:

Describe why the supervisor/mentor would be a good mentor/coach for a fellow and how the supervisor/mentor will foster growth and development:


PHIFP

7.3-a Supervisor Experience

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.

Please provide the following information for this supervisor/mentor. In describing their public health experiences, please include information about their public health knowledge and technical skill sets (e.g. informatics, data science, etc) that may be applicable to supporting the PHIFP fellow.


PHIFP

Question Revision

7.2-a Supervisor Information

List the class year for each alumnus fellowship/program:

In what years did the supervisor/mentor participate in the fellowship/program?

PHIFP

Question Revision

7.3-c Supervisor Experience

Supervisory Plan

Supervisory/mentorship plan

PHIFP

Question Revision

7.3-c Supervisor Experience

Describe the Supervisor's supervisory experience and style:


Describe this individual's supervisory/mentorship experience and style:

PHIFP

Question Revision

7.3-c Supervisor Experience


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

Describe how this individual will provide guidance, foster growth, and facilitate on-the-job training:

PHIFP

Question Revision

6: Position Assignment Details

Background:

Background information about your site:

PHIFP

Question Revision

8.1-b Activity/Project Details

Level of Responsibility / Role:


Fellow's Level of Responsibility / Role:

PHIFP

Question Revision

6: Position Assignment details

Will any of these positions be prematched?

Will any of these positions be prematched? A prematched position is when an applicant is already known to your host site and you request them by name.

All

Response Option Revision

5.3 Public Health Agency Details

Center/Division/Branch: See pick list in Appendix of Att 4 page 78

Picklist updated to reflect CDC reorganization and new CIO titles.





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