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FMS Host Site Module
Fellowship Management System
OMB: 0920-0765
IC ID: 214088
OMB.report
HHS/CDC
OMB 0920-0765
ICR 202201-0920-004
IC 214088
( )
⚠️ Notice: This information collection may be referencing outdated material.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
FMS Host Site Module
Form and Instruction
FMS Host Site Module (revised Jan 2022)
Attachment 5_FMS 2.0 Host Site Module-June 2021.pdf
Form and Instruction
FMS Host Site Module (revised Jan 2022)
Attachment 5_FMS 2.0 Host Site Module-June 2021.pdf
Form and Instruction
Attachment 2. Host Site Module Screenshots.docx
Host Site Module Screenshots
IC Document
Attachment 2. Host Site Module Screenshots.docx
Host Site Module Screenshots
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
FMS Host Site Module
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 Host Site Module (revised Jan 2022)
Attachment 5_FMS 2.0 Host Site Module-June 2021.pdf
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:
448
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
448
0
0
0
0
448
Annual IC Time Burden (Hours)
545
0
15
0
0
530
Annual IC Cost Burden (Dollars)
67,072
0
0
0
0
67,072
Documents for IC
Title
Document
Date Uploaded
Host Site Module Screenshots
Attachment 2. Host Site Module Screenshots.docx
01/10/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.