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Form Approved Through 08/31/2015 OMB No. 09250002 Department of Health and Human Services, Public Health Service Official Statement Relinquishing Interests and Rights in a Public Health Service Research

How to fill out phs 3734 form

How to fill out PHS 3734:

1. Begin by gathering all the necessary information and documents. This may include personal identification, contact information, employment history, educational background, and any relevant certifications or licenses.
2. Review the form thoroughly to understand each section and the information required. Ensure that you have a clear understanding of what is being asked for to provide accurate and complete information.
3. Start filling out the form by entering your personal information, such as your full name, date of birth, and social security number. Be cautious and double-check for any spelling errors.
4. Proceed to the employment history section, where you will need to provide details about your previous work experience. Include the dates of employment, job titles, responsibilities, and the contact information of your previous employers.
5. If applicable, fill in the educational background section, including the names of the schools attended, degrees or certifications obtained, dates of attendance, and any honors or awards received.
6. Some PHS 3734 forms may require information related to licenses or certifications. If relevant, provide the necessary details, such as license numbers, dates of issuance, and expiration.
7. Complete any additional sections or questions on the form that pertain to your specific situation. This may include questions about criminal history, previous government employment, or any conflicts of interest.
8. Review the completed form thoroughly before submitting it. Check for any omissions, errors, or inconsistencies. Ensure that all the required fields are filled out properly.
9. Once you are confident that the form is accurate and complete, sign and date it as instructed. Some forms may require additional signatures from supervisors or witnesses, so verify these requirements before submission.

Who needs PHS 3734:

1. Individuals applying for certain government positions or appointments may need to complete PHS 3734. This form is commonly used for employment within the federal government, particularly positions that require a background check or security clearance.
2. Government contractors may also be required to fill out PHS 3734 if it is a prerequisite for their contract or project.
3. Additionally, individuals seeking employment in certain sensitive sectors, such as law enforcement, defense, or intelligence agencies, may be required to complete this form as part of the application or hiring process.

For pdfFiller’s FAQs

What is phs 3734?

PHS 3734 is a form required by the Public Health Service (PHS) for reporting financial interests and arrangements related to Public Health Service-funded research.

Who is required to file phs 3734?

Investigators who receive PHS funding for research are required to file PHS 3734.

How to fill out phs 3734?

PHS 3734 can be filled out electronically through the eRA Commons system.

What is the purpose of phs 3734?

The purpose of PHS 3734 is to promote transparency and identify any potential financial conflicts of interest in PHS-funded research.

What information must be reported on phs 3734?

Information such as financial interests, sponsored travel, and related entities must be reported on PHS 3734.

When is the deadline to file phs 3734 in 2024?

The deadline to file PHS 3734 in 2024 is typically within 60 days of identifying a financial conflict of interest or at the time of research proposal submission.

What is the penalty for the late filing of phs 3734?

The penalty for the late filing of PHS 3734 can result in funding restrictions or sanctions imposed by the PHS.

Where do I find phs 3734?

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