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Fellowship Applications
Fellowship Management System
OMB: 0920-0765
IC ID: 214086
OMB.report
HHS/CDC
OMB 0920-0765
ICR 202201-0920-004
IC 214086
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0765 can be found here:
2024-12-18 - No material or nonsubstantive change to a currently approved collection
2024-09-26 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Fellowship Applications
Form and Instruction
FMS Application Module (revised Jan 2022)
Attachment 4. FMS 2.0 Application Module_FINAL_FINAL_final.docx
Form and Instruction
FMS Application Module (revised Jan 2022)
Attachment 4. FMS 2.0 Application Module_FINAL_FINAL_final.docx
Form and Instruction
Attachment 1. Application Module Screenshots.docx
Application Module Screenshots
IC Document
Attachment 1. Application Module Screenshots.docx
Application Module Screenshots
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Fellowship Applications
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
n/a
FMS Application Module (revised Jan 2022)
Attachment 4. FMS 2.0 Application Module_FINAL_FINAL_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:
Fellowship Program and Guest Researcher Records
FR Citation:
51 FR 42465
Number of Respondents:
2,216
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
2,216
0
0
0
0
2,216
Annual IC Time Burden (Hours)
2,770
0
148
0
0
2,622
Annual IC Cost Burden (Dollars)
162,056
0
0
0
0
162,056
Documents for IC
Title
Document
Date Uploaded
Application Module Screenshots
Attachment 1. Application Module Screenshots.docx
01/10/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.