Information Collection Request

[PHIC] Fellowship Management System

ICR 202507-0920-008 · OMB 0920-0765 · Active

Forms and Documents
DocumentTypeStatusAvailability
Activity Tracking Form and Instruction Unchanged Available
Activity Tracking Form and Instruction Unchanged Missing upstream
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 0920-0765 Host Site Module Form and Instruction Modified Available
Form 0920-0765 Host Site Module Form and Instruction Modified Repair queued
FMS Alumni Directory Form and Instruction Unchanged Repair queued
FMS Alumni Directory Form and Instruction Unchanged Repair queued
Form 0920-0765 Fellowship Applications Form and Instruction Modified Repair queued
Form 0920-0765 Fellowship Applications Form and Instruction Modified Repair queued
0920-0765 07092025 CR.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-07-11 Available
0920-0765 07092025 CR.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-07-11 Repair queued
Change Request EO 14168 14151_2025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-10 Available
Change Request EO 14168 14151_2025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-10 Missing upstream
Change Request_0920-0765 Dec24.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-18 Available
Change Request_0920-0765 Dec24.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-18 Repair queued
0920-0765 Sept 2024 FMS Change Request.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-09-24 Available
0920-0765 Sept 2024 FMS Change Request.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-09-24 Missing upstream
0920-0765 July 2024 FMS Change Request.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-08-05 Repair queued
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 Missing upstream
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 Missing upstream
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 Missing upstream
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 Repair queued
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 Repair queued
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 Repair queued
SUPPORTING STATEMENT B Revision #0920-0765.docx Supporting Statement B Uploaded 2022-07-11 Missing upstream
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 IDCollectionTypeStatusForm
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 and Instruction Modified
214088 Host Site Module Form and Instruction Modified
214087 FMS Alumni Directory Form and Instruction Unchanged
214087 FMS Alumni Directory Form and Instruction Unchanged
214086 Fellowship Applications Form and Instruction Modified
214086 Fellowship Applications Form and Instruction Modified
ICR Details
0920-0765 202507-0920-008
Active 202503-0920-016
HHS/CDC 0920-25-0137
[PHIC] Fellowship Management System
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/14/2025
Retrieve Notice of Action (NOA) 07/11/2025
  Inventory as of this Action Requested Previously Approved
03/31/2026 03/31/2026 03/31/2026
18,212 0 18,212
13,477 0 13,477
1,531,249 0 1,531,249

The Centers for Disease Control and Prevention (CDC) uses Fellowship Management System (FMS) to collect, process, and manage data from nonfederal applicants seeking training or public health support services through CDC fellowships. FMS is used to electronically submit fellowship applications, submit fellowship host site proposals, track fellows’ activities during their fellowships, and maintain fellowship alumni directories online. FMS is a key tool in CDC’s efforts to maintain and develop a robust public health workforce. This Non-Substantive Change Request is submitted to modify two forms to improve question clarity, improve relevance of response options, and streamline question logic. There is no change anticipated to the currently approved burden.

US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  87 FR 14271 03/14/2022
87 FR 41320 07/12/2022
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 18,212 18,212 0 0 0 0
Annual Time Burden (Hours) 13,477 13,477 0 0 0 0
Annual Cost Burden (Dollars) 1,531,249 1,531,249 0 0 0 0
No
No

$1,269,105
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
No
Jeffrey Zirger 404 639-7118 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/11/2025