Pre-Hire Conflict of Interest Screening Form

OMB 7100-0379

OMB 7100-0379

The FR 28c form collects information from external applicants applying to the Board regarding certain financial interests or business relationships held by the applicant and by their immediate family members, as well as the external applicant’s involvement with certain outside organizations to determine whether a conflict of interest may exist, which could impact the applicant’s ability to fulfill the responsibilities associated with the position for which they have applied.

The latest form for Pre-Hire Conflict of Interest Screening Form expires 2023-08-31 and can be found here.

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