Reference Letters for Fellowship Applicants

[PHIC] Fellowship Management System

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	Reference Letters for Fellowship Applicants	Agency IC Tracking Number:	0920-26-0102

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				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: 09-90-2301 entitled “Personnel (Employee and Non-Employee) Recruitment Program Records Not Covered by Other Notices	FR Citation: 88 FR 19961

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,000	-2,142	7,142
Annual IC Time Burden (Hours)	1,250	-536	1,786
Annual IC Cost Burden (Dollars)	0	-374,312	374,312

Documents for IC

Title	Document	Date Uploaded
No associated records found

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

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