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 and Technical Studies and Assistance - OAR Laboratory Review	Form	Modified	Available
Conflict of Interest for General Scientifical and Technical Studies and Assistance	Form	Modified	Available
Conflict of Interest Disclosure for Studies Related to Government Regulation	Form	Modified	Available
0567 SS 092310 rev.pdf	Supporting Statement A	Uploaded 2010-10-13	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	Modified	Conflict of Interest Disclosure for General Scientific and Technical Studies and Assistance - OAR Laboratory Review
180179	Conflict of Interest Disclosure Forms	Form	Modified	Conflict of Interest for General Scientifical and Technical Studies and Assistance
180179	Conflict of Interest Disclosure Forms	Form	Modified	Conflict of Interest Disclosure for Studies Related to Government Regulation

ICR Details

OMB Control No: 0648-0567	ICR Reference No: 201009-0648-006
Status: Historical Active	Previous ICR Reference No: 200804-0648-012
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: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/07/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/15/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2014	36 Months From Approved	01/31/2011
Responses	312	0	312
Time Burden (Hours)	156	0	156
Cost Burden (Dollars)	0	0	0

---

Abstract: The Office of Management and Budget (OMB) issued government-wide guidance to enhance the practice of peer review of government science documents: OMB’s Final Information Quality Bulletin for Peer Review (“Peer Review Bulletin” or PRB) which establishes minimum peer review standards for influential scientific information that federal agencies intend to disseminate. The PRB also directs 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 (federal employees are subject to federal ethics requirements which address conflict of interest). For peer review purposes, the term “conflict of interest” means any financial or other interest which conflicts with the service of the individual because it could: (1) significantly impair the individual’s objectivity; or (2) create an unfair competitive advantage for any person or organization. NOAA has adapted the NAS policy and developed three confidential conflict of interest 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, the second form is for peer reviewers of any other influential scientific information subject to the Peer Review Bulletin, and the third form is a variation of the second form as adapted by NOAA’s Office of Oceanic and Atmospheric Research for potential reviewers of scientific laboratories. The forms include questions about employment as well as investment and property interests and research funding. All three forms also require the submission of a curriculum vitae (CV).

---

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:
	75 FR 33915	07/13/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 63438	10/15/2010
Did the Agency receive public comments on this ICR? No

---

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

---

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	312	0	0	0	0
Annual Time Burden (Hours)	156	156	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $6,400

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 10/15/2010

---