Fellowship Applications

[PHIC] Fellowship Management System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0765 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0765 Fellowship Applications Form and Instruction
0920-0765 Fellowship Application Module Att 3_FMS Applic_10242023.docx Form and Instruction
0920-0765 Fellowship Application Module Att 3_FMS Applic_10242023.docx Form and Instruction
Att 3_FMS Applic_07282023_tracked.docx FMS Application Module Draft (track change) IC Document
Att 3_FMS Applic_07282023_tracked.docx FMS Application Module Draft (track change) IC Document

Information Collection (IC) Details

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	0920-0765	Fellowship Application Module	Att 3_FMS Applic_10242023.docx		Yes	Yes	Fillable Fileable

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: 5,286	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5,286	5,286
Annual IC Time Burden (Hours)	7,665	7,665
Annual IC Cost Burden (Dollars)	525,645	525,645

Documents for IC

Title	Document	Date Uploaded
FMS Application Module Draft (track change)	Att 3_FMS Applic_07282023_tracked.docx	08/01/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.