Information Collection

Conflict of Interest Disclosure Forms

IC 180179 under ICR 200705-0648-008 · OMB 0648-0567.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0567 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Conflict of Interest Disclosure Forms	Form and Instruction
Conflict of Interest Disclosure for Studies Related to G Peer Review COI Form 1_050807.pdf	Form and Instruction
Conflict of Interest Disclosures for General Scientific Peer review COI Form 2_050807.pdf	Form and Instruction

IC Title:

Conflict of Interest Disclosure Forms

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Conflict of Interest Disclosure for Studies Related to Government Regulation	Peer Review COI Form 1_050807.pdf		Yes	Yes	Fillable Fileable Signable
Form and Instruction	NA	Conflict of Interest Disclosures for General Scientific and Technical Studies and Assistance	Peer review COI Form 2_050807.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.