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FCI ASSURANCE FORM The United States Public Health Service (PHS) Financial Conflict of Interest (FCI) regulations (effective August 24, 2012) mandate that Nova determine PHS compliance. Institutions
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How to fill out the FCOI assurance B form?

01
Start by reading the instructions: Before filling out the FCOI assurance B form, it is crucial to carefully read and understand the instructions provided. This will ensure that you provide accurate and complete information.
02
Provide your personal information: Begin the form by entering your full name, contact details, and any other required personal information. This will help in identifying the individual responsible for the form.
03
Specify the project details: Provide the project title, funding source, and any other relevant details. This information will help in determining the scope and purpose of the project.
04
Disclose financial interests: The FCOI assurance B form requires you to disclose any financial interests that you, your spouse, or dependents may have. This includes relationships with organizations that may have a financial interest in the project.
05
Determine the significance of the financial interests: Assess the significance of the disclosed financial interests. Consider if they could reasonably be expected to directly and significantly affect the design, conduct, or reporting of the research.
06
Determine if a conflict of interest exists: Based on the significance of the financial interests, evaluate if a potential conflict of interest exists. Consider whether it could compromise the objectivity, integrity, or professional judgment in the execution of the research.
07
Take necessary steps to manage or eliminate the conflict: If a conflict of interest is identified, describe the steps you will take to manage or eliminate it. This may involve disclosing the conflict to relevant parties, implementing safeguards, or even abstaining from certain activities.

Who needs FCOI assurance B form?

01
Principal investigators/researchers: Those leading research projects funded by organizations that require disclosure of financial conflicts of interest.
02
Institutions/organizations: These entities may require researchers to complete the FCOI assurance B form as part of their commitment to transparency, accountability, and ethical conduct in research.
03
Project sponsors/funding agencies: Funding agencies or sponsors may request the completion of the FCOI assurance B form to ensure that conflicts of interest are appropriately managed to maintain research integrity.
Remember, it is essential to consult the specific guidelines and requirements of the organization or institution you are affiliated with to ensure accurate completion of the FCOI assurance B form.
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FCOI assurance form B is a document used to disclose any financial conflicts of interest that may exist for researchers or individuals involved in a funded research project.
All researchers or individuals involved in a funded research project are required to file the FCOI assurance form B.
To fill out the FCOI assurance form B, individuals must provide detailed information about any financial interests that could potentially create a conflict of interest.
The purpose of the FCOI assurance form B is to ensure transparency and integrity in research by identifying and managing any potential financial conflicts of interest.
Information that must be reported on the FCOI assurance form B includes details of any financial interests, relationships, or activities that could be perceived as conflicting with the research.
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