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FMS Application Writing Samples (Subset Applicants)
[PHIC] Fellowship Management System
OMB: 0920-0765
IC ID: 232804
OMB.report
HHS/CDC
OMB 0920-0765
ICR 202602-0920-012
IC 232804
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
FMS Application Writing Samples (Subset Applicants)
Agency IC Tracking Number:
0920-26-0102
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
n/a
FMS Application Module
Att3_FMS Applic_02192026_final.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:
09-90-2301 entitled “Personnel (Employee and Non-Employee) Recruitment Program Records Not Covered by Other Notices
FR Citation:
88 FR 19961
Number of Respondents:
220
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
220
0
0
0
0
220
Annual IC Time Burden (Hours)
110
0
0
0
0
110
Annual IC Cost Burden (Dollars)
0
0
-7,544
0
0
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.
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