View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-0765
ICR Reference No:
201911-0920-007
Status:
Historical Active
Previous ICR Reference No:
201905-0920-002
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0765-19ASE
Title:
Fellowship Management System
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
03/31/2020
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/31/2020
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2023
36 Months From Approved
01/31/2021
Responses
9,708
0
4,131
Time Burden (Hours)
4,881
0
4,656
Cost Burden (Dollars)
550,826
0
0
Abstract:
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.
Authorizing Statute(s):
US Code:
42 USC 301
Name of Law: Public Health Service Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
84 FR 44313
08/23/2019
30-day Notice:
Federal Register Citation:
Citation Date:
85 FR 5664
01/31/2020
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
Activity Tracking
n/a
FMS 2.0 Activity Tracking Module (2020)
FMS Alumni Directory
n/a
FMS 2.0 Alumni Tracking Module (2020)
FMS Application Writing Samples (Subset Applicants)
n/a
FMS 2.0 Application Module - 13.6 with Prompt Options for EIS Writing Samples
FMS Host Site Module
n/a
FMS 2.0 Host Site Module (2020)
Fellowship Applications
n/a
FMS 2.0 Application Module (2020)
PMR/F Fellowship Applicants
none
FMS Application Module for Science Ambassadors
Reference Letters for Fellowship Applicants
n/a
FMS Application Module 2020 (sections 12.2 - 12.3.3)
ICR Summary of Burden
Total Approved
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
9,708
4,131
0
5,727
-150
0
Annual Time Burden (Hours)
4,881
4,656
0
338
-113
0
Annual Cost Burden (Dollars)
550,826
0
0
550,826
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Using Information Technology
Short Statement:
CDC estimates a net increase of 225 annualized burden hours. The number of fellowship applicants is expected to increase, but burden per response for most applications will decrease due to use of a new, more efficient web-based system. The number of fellowship alumni who participate in the alumni directory is expected to increase. In addition, the new platform includes 2 new functions that will increase the total number of respondents and burden hours. The new system will electronically collect 1. references for fellowship applicants, and 2. data on fellows' activities during the period of the fellowship..
Annual Cost to Federal Government:
$465,133
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Renita Macaluso 770 488-6458 arp5@cdc.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
01/31/2020
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