OMB control number
Occupational Safety and Health Administration Conflict of Interest and Disclosure
OMB 1218-0255 · DOL/OSHA.
OMB 1218-0255
The Conflict of Interest and Disclosure form will be used to determine whether or not a conflict of interest exists for a potential peer review panel member.
The latest form for Occupational Safety and Health Administration Conflict of Interest and Disclosure expires 2026-10-31 and is listed under ICR 202308-1218-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form OSHA 10-08.1 OSHA's Conflict of Interest (COI) and Disclosure Form | Form |
 SSA _1218-0255 _ Conflict of Interest _ ROCIS _ OSHA OCIO2.docx | Supporting Statement A |
| OSHA Act Section 2 USC 651.pdf | Supplementary Document |
| 60_Day_FR Notice _20230608.pdf | Supplementary Document |
| OMB_peer_bulletin_final.docx | Supplementary Document |
 OSHA's Conflict of Interest (COI) and Disclosure Form |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202308-1218-002 | Extension without change of a currently approved collection | 2023-09-21 | Approved without change | |
| 202003-1218-008 | Extension without change of a currently approved collection | 2020-04-15 | Approved without change | |
| 201611-1218-009 | Extension without change of a currently approved collection | 2017-02-24 | Approved without change | |
| 201311-1218-007 | Extension without change of a currently approved collection | 2013-12-27 | Approved without change | |
| 201005-1218-002 | Extension without change of a currently approved collection | 2010-07-29 | Approved without change | |
| 200611-1218-004 | New collection (Request for a new OMB Control Number) | 2006-12-21 | Approved with change |