OMB
.report
Search
Host Site Module
[PHIC] Fellowship Management System
OMB: 0920-0765
IC ID: 214088
OMB.report
HHS/CDC
OMB 0920-0765
ICR 202409-0920-019
IC 214088
( )
Documents and Forms
Document Name
Document Type
Form 0920-24HS
Host Site Module
Form
0920-24HS FMS Host Site Module
Att 4_FMS Host_07182024_clean.docx
Form
0920-24HS FMS Host Site Module
Att 4_FMS Host_07182024_clean.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Host Site Module
Agency IC Tracking Number:
0920-24HS
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
0920-24HS
FMS Host Site Module
Att 4_FMS Host_07182024_clean.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:
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
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
970
0
0
0
0
970
Annual IC Time Burden (Hours)
1,213
0
0
0
0
1,213
Annual IC Cost Burden (Dollars)
170,247
0
0
0
0
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.
