OMB control number
Collection of Conflict of Interest Information for Participation in Food and Drug Administration Non-Employee Fellowship and Traineeship Programs
OMB 0910-0882 · HHS/FDA.
OMB 0910-0882
FDA supports intramural training programs through non-employee fellowship and traineeship programs. Non-employee fellows and trainees will submit information about financial investments and current relationships. The purpose of this information allows FDA to determine if there is a conflict of interest between the fellow’s or trainee’s financial and relationship interests and their activities at FDA.
The latest form for Collection of Conflict of Interest Information for Participation in Food and Drug Administration Non-Employee Fellowship and Traineeship Programs expires 2023-01-31 and is listed under ICR 201909-0910-005.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form FDA Form 4083 Conflict of Interest Form | Form and Instruction |
| 0882_Supporting Statement_2023.docx | Supporting Statement A |
 Conflict of Interest Form |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202211-0910-002 | Extension without change of a currently approved collection | 2022-12-21 | Approved without change | |
| 201909-0910-005 | New collection (Request for a new OMB Control Number) | 2019-12-05 | Approved with change |