Information Collection Request
Collection of Conflict of Interest Information for Participation in Food and Drug Administration Non-Employee Fellowship and Traineeship Programs
ICR 202211-0910-002 · OMB 0910-0882 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form FDA Form 4083 Conflict of Interest Form |
Form and Instruction | Modified | Repair queued |
 0882_Supporting Statement_2023.docx |
Supporting Statement A | Uploaded 2022-12-20 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 238003 |  Conflict of Interest Form |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/FDA |
| OMB Control No | 0910-0882 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 201909-0910-005 |
| Agency Tracking No | OC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |