Conflict of Interest Form

Collection of Conflict of Interest Information for Participation in Food and Drug Administration Non-Employee Fellowship and Traineeship Programs

OMB: 0910-0882

IC ID: 238003

Information Collection (IC) Details

View Information Collection (IC)

Conflict of Interest Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FDA Form 4083 Report of Financial Interests and Other Relationships for Non-Employee Scientists at FDA 0882_FDA Form 4083.pdf Yes Yes Fillable Fileable Signable

Health Consumer Health and Safety

 

1,050 0
   
Individuals or Households
 
   95 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,050 0 0 0 0 1,050
Annual IC Time Burden (Hours) 1,050 0 0 0 0 1,050
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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