Conflict of Interest Disclosure for Nonfederal Government Individuals Who Are Candidates to Conduct Peer Reviews Required by the OMB Peer Review Bulletin

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Conflict of Interest Disclosure Forms	Form and Instruction	New	Repair queued
Peer Review SS_051407corr.pdf	Supporting Statement A	Uploaded 2007-06-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
180179	Conflict of Interest Disclosure Forms	Form and Instruction	New

ICR Details

OMB Control No: 0648-0567	ICR Reference No: 200705-0648-008
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOC/NOAA	Agency Tracking No:
Title: Conflict of Interest Disclosure for Nonfederal Government Individuals Who Are Candidates to Conduct Peer Reviews Required by the OMB Peer Review Bulletin
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/01/2007
	Date Received in OIRA: 06/08/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2010	36 Months From Approved
Responses	300	0	0
Time Burden (Hours)	150	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Office of Management and Budget (OMB) has issued the Final Information Quality Bulletin for Peer Review (“Peer Review Bulletin” or PRB), directing federal agencies to adopt or adapt the National Academy of Sciences (NAS) policy for evaluating conflicts of interest when selecting peer reviewers who are not federal government employees. NOAA has adapted the NAS policy and developed two conflict disclosure forms which the agency will use to examine prospective reviewers’ potential financial conflicts and other interests that could impair objectivity or create an unfair advantage. One form is for peer reviewers of studies related to government regulation and the other form is for peer reviewers of any other influential scientific information subject to the Peer Review Bulletin. The forms include questions about employment as well as investment and property interests and research funding. The information collected in the conflict of interest disclosure is essential to NOAA’s compliance with the OMB PRB, and helps to ensure that government studies are reviewed by independent, impartial peer reviewers.

---

Authorizing Statute(s): PL: Pub.L. 106 - 554 515 Name of Law: Guidelines for Ensuring and Maximizing the Quality, Objectivity, Utility, and Integrity of Informati
  

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:
	71 FR 71135	12/08/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 31808	06/08/2007
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Conflict of Interest Disclosure Forms	NA, NA	Conflict of Interest Disclosure for Studies Related to Government Regulation ,   Conflict of Interest Disclosures for General Scientific and Technical Studies and Assistance

---

ICR Summary of Burden

table that charts list 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	300	0	0	300	0	0
Annual Time Burden (Hours)	150	0	0	150	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: No

Burden Reduction Due to:

Short Statement: This is a new collection, with 300 peer reviewers submitting a conflict of interest disclosure form, with a burden of 30 minutes each, and no reporting/recordkeeping costs.

---

Annual Cost to Federal Government: $6,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

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: 06/08/2007

---