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U.S. Department of Health and Human Services Commissioned Corps of the U.S. Public Health Service CB USE ONLY DATE REC. DENTAL SPECIAL PAY (DSP) CONTRACT REQUEST (Privacy Act Notice on Page 2) 1 a.

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What is phs 6289 form?

PHS 6289 form is a document that must be filed for reporting certain financial interests and potential conflicts of interest for individuals involved in Public Health Service (PHS) funded research.

Who is required to file phs 6289 form?

Individuals who are involved in PHS funded research and have financial interests or potential conflicts of interest are required to file PHS 6289 form.

How to fill out phs 6289 form?

To fill out PHS 6289 form, individuals need to provide information about their financial interests, including outside employment, equity interests, intellectual property rights, and reimbursed or sponsored travel.

What is the purpose of phs 6289 form?

The purpose of PHS 6289 form is to ensure transparency and manage potential conflicts of interest in PHS funded research by disclosing financial interests that could influence research outcomes.

What information must be reported on phs 6289 form?

On PHS 6289 form, individuals must report their outside employment, equity interests, intellectual property rights, and reimbursed or sponsored travel related to their involvement in PHS funded research.

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