FMS Application Writing Samples (Subset Applicants)

[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⚠️ Notice: This information collection may be referencing outdated material.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
FMS Application Writing Samples (Subset Applicants) Form and Instruction
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

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

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	Previously Approved
Annual Number of Responses for this IC	220	220
Annual IC Time Burden (Hours)	110	110
Annual IC Cost Burden (Dollars)	7,544	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.