Host Site Module

[PHIC] Fellowship Management System

⚠️ Notice: This information collection may be referencing outdated material.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
Host Site Module Form and Instruction
Host Site Module Form and Instruction
Host Site Module Att 4_FMS Host_11xx2023_clean.docx Form and Instruction
Host Site Module Att 4_FMS Host_11xx2023_clean.docx Form and Instruction

Information Collection (IC) Details

IC Title:	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	n/a	Host Site Module	Att 4_FMS Host_11xx2023_clean.docx		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: 970	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	970	970
Annual IC Time Burden (Hours)	1,213	1,213
Annual IC Cost Burden (Dollars)	170,247	170,247

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.