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

ICR 201909-0910-005

OMB: 0910-0882

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2020-01-16
IC Document Collections
ICR Details
0910-0882 201909-0910-005
Active
HHS/FDA OC
Collection of Conflict of Interest Information for Participation in Food and Drug Administration Non-Employee Fellowship and Traineeship Programs
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 01/16/2020
Retrieve Notice of Action (NOA) 12/05/2019
  Inventory as of this Action Requested Previously Approved
01/31/2023 36 Months From Approved
1,050 0 0
1,050 0 0
0 0 0

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.

US Code: 21 USC 746(b) Name of Law: Federal Food, Drug, and Cosmetic Act
  
None

Not associated with rulemaking

  83 FR 53257 10/22/2018
84 FR 53739 10/08/2019
No

1
IC Title Form No. Form Name
Conflict of Interest Form

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,050 0 0 0 1,050 0
Annual Time Burden (Hours) 1,050 0 0 0 1,050 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
New collection

$64,858
No
    Yes
    Yes
No
No
No
Uncollected
Amber Sanford 301 796-8867 amber.sanford@fda.hhs.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/05/2019


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