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Form Approved Through 02/28/2023OMB No. 09250001 LEAVE BLANKER PHS USE ONLY. Type Activity Number Review Group FormerlyDepartment of Health and Human Services Public Health Services Grant ApplicationCouncil/Board
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The PHS 416-1FP1 Rev 812 is a form used for reporting financial conflict of interest disclosures by researchers.
Researchers who receive funding from the Public Health Service (PHS) are required to file the PHS 416-1FP1 Rev 812 form.
To fill out the PHS 416-1FP1 Rev 812 form, researchers must provide information about any financial conflicts of interest related to their research projects.
The purpose of the PHS 416-1FP1 Rev 812 form is to ensure transparency and integrity in research by disclosing any potential financial conflicts of interest.
Researchers must report any financial interests or relationships that could create a conflict of interest with their research funded by the Public Health Service.
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