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DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH SERVICE COMMISSIONED CORPS APPOINTMENT AFFIDAVIT RESERVE CORPS I, do solemnly swear (or affirm) that (Name in full) A. OATH OF OFFICE I will support
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PHS 5141 1 is a form used to report financial conflicts of interest related to research activities funded by the Public Health Service (PHS).
Individuals who are involved in PHS-funded research activities and have financial interests that may present a conflict of interest are required to file PHS 5141 1.
PHS 5141 1 can be filled out electronically or on paper, and requires disclosing financial interests, discussing how these interests relate to the research, and providing assurances that steps will be taken to manage or eliminate any conflicts of interest.
The purpose of PHS 5141 1 is to ensure transparency and integrity in research funded by the Public Health Service by identifying and managing financial conflicts of interest.
Information that must be reported on PHS 5141 1 includes details of financial interests that could present a conflict of interest, how these interests relate to the research, and steps taken to manage or eliminate any conflicts.
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