Investigator Financial and Other Personal Interest Form

Investigator Financial and Other Personal Interest Form

Investigator Financial and Other Personal Interest Form

When completing the form below, please make sure that you provide an explanation of the significant financial interest at the bottom of Part 2 of the form or attach a brief explanation of any financial interest reported as it relates to the project and the investigator's institutional responsibilities.

The Investigator Financial and Other Personal Interest form must be completed for any grant or sponsored project whose funding agency (sponsor) is NSF or PHS/DHHS agency.

Investigator Financial and Other Personal Interest Form

SFI Pocket Guide

PHS/PHS Operational Agency Financial Conflict of Interest

Public Health Services revised the existing Financial Conflict of Interest Regulation, Promoting Objectivity in Research, which took effect on August 24, 2012. Any institution receiving Public Health Service (PHS) funds from the National Institutes of Health (NIH) and other PHS operational agencies must be able to demonstrate greater transparency and accountability regarding financial conflict of interest management and reporting. The revised regulations focus solely on PHS and PHS Operational Agencies, and when the purpose of the funding is research.

The revised regulations require that all investigators submitting proposals to PHS and its operational agencies receive training in Financial Conflicts of Interest, which will be administered using the CITI website training program, and submit Significant Financial Interests to the Office of Sponsored Programs prior to spending any amount of awarded funds. Rowan University, through its Conflict of Interest Committee (COIC), formerly known as Disclosure Review Committee, must review all Significant Financial Interests submitted by investigators to determine whether a Financial Conflict of Interest exists prior to expenditure of awarded funds. If a Financial Conflict of Interest does exist, a Management Plan may be put into place, and the conflict is subject to be made available to the public upon request.