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Reference Letters for Fellowship Applicants
[PHIC] Fellowship Management System
OMB: 0920-0765
IC ID: 239668
OMB.report
HHS/CDC
OMB 0920-0765
ICR 202409-0920-019
IC 239668
( )
Documents and Forms
Document Name
Document Type
Form 0920-0765
Reference Letters for Fellowship Applicants
Form and Instruction
0920-0765 Reference Letter
Att 3_FMS Applic_09182024_Clean.docx
Form and Instruction
0920-0765 Reference Letter
Att 3_FMS Applic_09182024_Clean.docx
Form and Instruction
Att 3_FMS Applic_07282023_tracked.docx
FMS Application Module Draft (track change)
IC Document
Att 3_FMS Applic_07282023_tracked.docx
FMS Application Module Draft (track change)
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Reference Letters for Fellowship Applicants
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
0920-0765
Reference Letter
Att 3_FMS Applic_09182024_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:
SORN 09-20-0112, Fellowship Program and Guest Researcher Records
FR Citation:
51 FR 42465
Number of Respondents:
7,142
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
7,142
0
0
0
0
7,142
Annual IC Time Burden (Hours)
1,786
0
0
0
0
1,786
Annual IC Cost Burden (Dollars)
374,312
0
0
0
0
374,312
Documents for IC
Title
Document
Date Uploaded
FMS Application Module Draft (track change)
Att 3_FMS Applic_07282023_tracked.docx
08/01/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.