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 for General Scientific Studies and Assistance, modified for OAR laboratory review	Form and Instruction	New	Available
Conflict of Interest Disclosure Forms	Form and Instruction	Unchanged	Available
0567 ch just.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2008-04-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
184631	Conflict of Interest Disclosure for General Scientific Studies and Assistance, modified for OAR laboratory review	Form and Instruction	New
180179	Conflict of Interest Disclosure Forms	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0648-0567	ICR Reference No: 200804-0648-012
Status: Historical Active	Previous ICR Reference No: 200705-0648-008
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: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/18/2008
	Date Received in OIRA: 04/30/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2010	10/31/2010	10/31/2010
Responses	312	0	300
Time Burden (Hours)	156	0	150
Cost Burden (Dollars)	0	0	0

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Abstract: NOAA’s Oceanic and Atmospheric Research has seven laboratories and is planning to conduct approximately two Laboratory science peer reviews per year for the purpose of ensuring that high quality science research is performed. These reviews fall under the PART Section IV, Program Results/Accountability, most specifically under Section 4.5. “Do independent evaluations of sufficient scope and quality indicate that the program is effective and achieving results?” NOAA will ask peer reviewers to sign a Conflict of Interest Disclosure, and OAR proposes to use the approved form: Conflict of Interest Disclosure For General Scientific and Technical Studies and Assistance (OMB Control No.: 0648-0567, expires: 10/31/2010). This form has been slightly modified to emphasize the intended purpose. Each Laboratory will involve five to six reviewers for a total per year of 10 to 12 reviewers and responses. The added burden for this Conflict of Interest Disclosure will be, at 30 minutes per disclosure, 5 to 6 hours per year. There will be no additional recordkeeping/reporting costs.

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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

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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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

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Number of Information Collection (IC) in this ICR: 2

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
Conflict of Interest Disclosure for General Scientific Studies and Assistance, modified for OAR laboratory review	NA	NOAA Conflict of Interest Disclosure for OAR Laboratory Review

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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	312	300	0	12	0	0
Annual Time Burden (Hours)	156	150	0	6	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 adaptation of a conflict of interest disclosure form for OAR laboratory reviewers adds 12 responses and 6 hours per year.

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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

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Common Form ICR:  No

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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: 04/30/2008

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