[PHIC] Fellowship Management System

ICR 202503-0920-016

OMB: 0920-0765

Federal Form Document

Forms and Documents

Document Name	Status
Activity Tracking Form and Instruction	Modified
Form 0920-0765 Reference Letters for Fellowship Applicants Form and Instruction	Modified
FMS Application Writing Samples (Subset Applicants) Form and Instruction	Modified
Form 0920-0765 Host Site Module Form and Instruction	Modified
FMS Alumni Directory Form and Instruction	Modified
Form 0920-0765 Fellowship Applications Form and Instruction	Modified
Change Request EO 14168 14151_2025.docx Justification for No Material/Nonsubstantive Change	2025-04-10
Change Request_0920-0765 Dec24.docx Justification for No Material/Nonsubstantive Change	2024-12-18
0920-0765 Sept 2024 FMS Change Request.docx Justification for No Material/Nonsubstantive Change	2024-09-24
0920-0765 July 2024 FMS Change Request.docx Justification for No Material/Nonsubstantive Change	2024-08-05
Change Request Memo OMB No 0920-0765 December 2023.docx Justification for No Material/Nonsubstantive Change	2024-01-03
Change Request Memo 0920-0765_11082023.docx Justification for No Material/Nonsubstantive Change	2023-11-08
Change Request Memo OMB No 0920-0765 July 2023.docx Justification for No Material/Nonsubstantive Change	2023-08-01
Attachment 8_Privacy Impact Assessment (PIA).pdf Supplementary Document	2022-07-11
Attachment 7_IRB Determination Letter FMS 2022.docx Supplementary Document	2022-07-11
Attachment 2 Published 60-Day FRN.pdf Supplementary Document	2022-07-11
Attachment 1_Authorizing Legislation Public Health Service Act.docx Supplementary Document	2022-07-11
SUPPORTING STATEMENT B Revision #0920-0765.docx Supporting Statement B	2022-07-11
SUPPORTING STATEMENT A Revision_06242022.docx Supporting Statement A	2022-07-11

IC Document Collections

IC ID	Document Title	Status
239669	Activity Tracking Form and Instruction	Modified
239668	Reference Letters for Fellowship Applicants Form and Instruction	Modified
232804	FMS Application Writing Samples (Subset Applicants) Form and Instruction	Modified
214088	Host Site Module Form and Instruction	Modified
214087	FMS Alumni Directory Form and Instruction	Modified
214086	Fellowship Applications Form and Instruction	Modified