[PHIC] Fellowship Management System

OMB 0920-0765

This is a request for revision of the Fellowship Management System (FMS) information collection to continue to collect data under the approved OMB No. 0920-0765. CDC uses FMS to collect, process, and manage data from non-federal applicants seeking training or public health support services through CDC fellowships. FMS is used to electronically submit fellowship applications and fellowship host site proposals, and to maintain fellowship alumni directories on-line.

The latest form for [PHIC] Fellowship Management System expires 2023-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Activity Tracking Form and Instruction
Activity Tracking Form and Instruction
Form 0920-0765 Reference Letters for Fellowship Applicants Form and Instruction
Form 0920-0765 Reference Letters for Fellowship Applicants Form and Instruction
FMS Application Writing Samples (Subset Applicants) Form and Instruction
FMS Application Writing Samples (Subset Applicants) Form and Instruction
Host Site Module Form and Instruction
Host Site Module Form and Instruction
FMS Alumni Directory Form and Instruction
FMS Alumni Directory Form and Instruction
Fellowship Applications Form and Instruction
Fellowship Applications Form and Instruction
Change Request Memo OMB No 0920-0765 December 2023.docx Justification for No Material/Nonsubstantive Change
Change Request Memo OMB No 0920-0765 December 2023.docx Justification for No Material/Nonsubstantive Change
Change Request Memo 0920-0765_11082023.docx Justification for No Material/Nonsubstantive Change
Change Request Memo 0920-0765_11082023.docx Justification for No Material/Nonsubstantive Change
Change Request Memo OMB No 0920-0765 July 2023.docx Justification for No Material/Nonsubstantive Change
Change Request Memo OMB No 0920-0765 July 2023.docx Justification for No Material/Nonsubstantive Change
Attachment 8_Privacy Impact Assessment (PIA).pdf Supplementary Document
Attachment 8_Privacy Impact Assessment (PIA).pdf Supplementary Document
Attachment 7_IRB Determination Letter FMS 2022.docx Supplementary Document
Attachment 7_IRB Determination Letter FMS 2022.docx Supplementary Document
Attachment 2 Published 60-Day FRN.pdf Supplementary Document
Attachment 2 Published 60-Day FRN.pdf Supplementary Document
Attachment 1_Authorizing Legislation Public Health Service Act.docx Supplementary Document
Attachment 1_Authorizing Legislation Public Health Service Act.docx Supplementary Document
SUPPORTING STATEMENT B Revision #0920-0765.docx Supporting Statement B
SUPPORTING STATEMENT B Revision #0920-0765.docx Supporting Statement B
SUPPORTING STATEMENT A Revision_06242022.docx Supporting Statement A
SUPPORTING STATEMENT A Revision_06242022.docx Supporting Statement A
Activity Tracking Form and Instruction
Activity Tracking Form and Instruction
Reference Letters for Fellowship Applicants Form and Instruction
Reference Letters for Fellowship Applicants Form and Instruction
FMS Application Writing Samples (Subset Applicants) Form and Instruction
FMS Application Writing Samples (Subset Applicants) Form and Instruction
Host Site Module Form and Instruction
Host Site Module Form and Instruction
FMS Alumni Directory Form and Instruction
FMS Alumni Directory Form and Instruction
Fellowship Applications Form and Instruction
Fellowship Applications Form and Instruction

All Historical Document Collections

202401-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2024-01-04
202311-0920-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-11-08
202308-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-08-01
202206-0920-010 Approved without change	Revision of a currently approved collection	2022-07-12
202202-0920-012 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-03-07
202201-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-01-10
202111-0920-015 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-11-16
202106-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-06-09
202103-0920-006 Approved with change	No material or nonsubstantive change to a currently approved collection	2021-03-16
202102-0920-014 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2021-03-01
201911-0920-007 Approved with change	Revision of a currently approved collection	2020-01-31
201905-0920-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-05-02
201903-0920-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-03-22
201808-0920-017 Approved without change	No material or nonsubstantive change to a currently approved collection	2018-08-28
201808-0920-009 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2018-08-15
201803-0920-012 Approved without change	No material or nonsubstantive change to a currently approved collection	2018-03-16
201711-0920-007 Approved without change	Extension without change of a currently approved collection	2017-12-14
201705-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-05-04
201703-0920-011 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-03-23
201509-0920-009 Approved with change	No material or nonsubstantive change to a currently approved collection	2015-09-21
201412-0920-001 Approved with change	Revision of a currently approved collection	2014-12-04
201302-0920-017 Approved with change	No material or nonsubstantive change to a currently approved collection	2013-02-27
201302-0920-010 Withdrawn and continue	No material or nonsubstantive change to a currently approved collection	2013-02-14
201201-0920-003 Approved without change	Revision of a currently approved collection	2012-01-10
201101-0920-005 Approved with change	Revision of a currently approved collection	2011-01-25
200803-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-03-20
200711-0920-005 Approved without change	New collection (Request for a new OMB Control Number)	2007-11-15

OMB Details

Fellowship Applications

Federal Enterprise Architecture: Workforce Management - Training and Employment

Form n/a

FMS 2.0 Application Module (2020)

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.