Information Collection Request

[PHIC] Fellowship Management System

ICR 202602-0920-012 · OMB 0920-0765 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
FMS Activity Tracking Module Form and Instruction Modified Available
Reference Letter Form and Instruction Modified Available
FMS Application Module Form and Instruction Modified Available
FMS Host Site Module Form and Instruction Modified Available
FMS Alumni Tracking Module Draft Form and Instruction Removed Available
FMS Application Module Form and Instruction Modified Available
Att2d_Public cmt_CDC resp.docx Public Comments Uploaded 2026-02-05 Repair queued
Att2c_Public cmt_CDC resp.docx Public Comments Uploaded 2026-02-04 Available
Att2b_Public cmt_CDC resp.docx Public Comments Uploaded 2025-12-06 Available
Att2a_Public cmt_CDC resp.docx Public Comments Uploaded 2025-12-06 Available
Att8_FMS_Privacy Stmt.pdf Supplementary Document Uploaded 2026-03-02 Available
Att7_FMS_IRB_letter.docx Supplementary Document Uploaded 2026-03-02 Available
Att6_FMS_change.summary.docx Supplementary Document Uploaded 2026-03-02 Available
Att2_60-Day FRN 0920-0765.pdf Supplementary Document Uploaded 2026-03-02 Available
Att1_Auth_Legislation.pdf Supplementary Document Uploaded 2026-03-02 Available
SSB_0920-0765 Rev.2026.docx Supporting Statement B Uploaded 2026-03-02 Available
SSA_0920-0765 Rev.2026_final.docx Supporting Statement A Uploaded 2026-03-02 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
239669 Activity Tracking Form and Instruction ModifiedFMS Activity Tracking Module
239669 Activity Tracking Form and Instruction Modified
239668 Reference Letters for Fellowship Applicants Form and Instruction ModifiedReference Letter
239668 Reference Letters for Fellowship Applicants Form and Instruction Modified
232804 FMS Application Writing Samples (Subset Applicants) Form and Instruction ModifiedFMS Application Module
232804 FMS Application Writing Samples (Subset Applicants) Form and Instruction Modified
214088 Host Site Module Form and Instruction ModifiedFMS Host Site Module
214088 Host Site Module Form and Instruction Modified
214087 FMS Alumni Directory Form and Instruction RemovedFMS Alumni Tracking Module Draft
214087 FMS Alumni Directory Form and Instruction Removed
214086 Fellowship Applicants Form and Instruction ModifiedFMS Application Module
214086 Fellowship Applicants Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 04/30/2026
8,480 18,212
12,555 13,477
0 1,531,249





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Activity Tracking n/a
FMS Alumni Directory None
FMS Application Writing Samples (Subset Applicants) n/a
Fellowship Applicants n/a
Host Site Module n/a
Reference Letters for Fellowship Applicants n/a

table that charts list of burden
  Total Request 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 8,480 18,212 0 -9,732 0 0
Annual Time Burden (Hours) 12,555 13,477 0 -922 0 0
Annual Cost Burden (Dollars) 0 1,531,249 0 -1,531,249 0 0


Reginfo record details
  No