Information Collection Request
[PHIC] Fellowship Management System
ICR 202408-0920-002 · OMB 0920-0765 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-0765 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Activity Tracking |
Form and Instruction | Unchanged | Available |
| Activity Tracking |
Form and Instruction | Unchanged | Repair queued |
| Form 0920-0765 Reference Letters for Fellowship Applicants |
Form and Instruction | Unchanged | Available |
| Form 0920-0765 Reference Letters for Fellowship Applicants |
Form and Instruction | Unchanged | Missing upstream |
| FMS Application Writing Samples (Subset Applicants) |
Form and Instruction | Unchanged | Available |
| FMS Application Writing Samples (Subset Applicants) |
Form and Instruction | Unchanged | Repair queued |
| Form 0920-24HS Host Site Module |
Form | Modified | Available |
| Form 0920-24HS Host Site Module |
Form | Modified | Repair queued |
| FMS Alumni Directory |
Form and Instruction | Unchanged | Available |
| FMS Alumni Directory |
Form and Instruction | Unchanged | Repair queued |
| Form 0920-24HS Fellowship Applications |
Form | Modified | Available |
| Form 0920-24HS Fellowship Applications |
Form | Modified | Missing upstream |
 0920-0765 July 2024 FMS Change Request.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-08-05 | Available |
| 0920-0765 July 2024 FMS Change Request.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-08-05 | Repair queued |
| Change Request Memo OMB No 0920-0765 December 2023.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-01-03 | Available |
| Change Request Memo OMB No 0920-0765 December 2023.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-01-03 | Repair queued |
| Change Request Memo 0920-0765_11082023.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-11-08 | Available |
| Change Request Memo 0920-0765_11082023.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-11-08 | Repair queued |
| Change Request Memo OMB No 0920-0765 July 2023.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-08-01 | Available |
| 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 | Available |
| 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 | Available |
| 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 | Available |
| 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 | Available |
| 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 | Available |
| 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 | Available |
| SUPPORTING STATEMENT A Revision_06242022.docx |
Supporting Statement A | Uploaded 2022-07-11 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 239669 |  Activity Tracking |
Form and Instruction | Unchanged | |
| 239669 | Activity Tracking |
Form and Instruction | Unchanged | |
| 239668 | Reference Letters for Fellowship Applicants |
Form and Instruction | Unchanged | |
| 239668 | Reference Letters for Fellowship Applicants |
Form and Instruction | Unchanged | |
| 232804 | FMS Application Writing Samples (Subset Applicants) |
Form and Instruction | Unchanged | |
| 232804 | FMS Application Writing Samples (Subset Applicants) |
Form and Instruction | Unchanged | |
| 214088 | Host Site Module |
Form | Modified | |
| 214088 | Host Site Module |
Form | Modified | |
| 214087 | FMS Alumni Directory |
Form and Instruction | Unchanged | |
| 214087 | FMS Alumni Directory |
Form and Instruction | Unchanged | |
| 214086 | Fellowship Applications |
Form | Modified | |
| 214086 | Fellowship Applications |
Form | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-0765 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202401-0920-003 |
| Agency Tracking No | 0920-0765-24HS |
| Date Submitted to OIRA | 2024-08-05 |
| Requested Expiration Date | 1969-12-31 |