Conflict of Interest Disclosure Forms

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.