Interest and Outside Activity Reporting Form

Released July 16, 2012

Overview• Interest and Outside Activity Reporting Form

• Routing

• Changes to Public Health Service conflict of interest regulation

• Sample Interest and Outside Activity Reporting Form

New form incorporates• Reporting of outside professional activities– Conflict of Commitment– Reviewed by respective Vice Chancellor’s office (see contact list in folders)

• Additional Public Health Service disclosure and training requirements

Who uses this form?• Sponsored research investigators

• Full time university employees and faculty engaged in outside employment or other professional activities (except office/service personnel)

When should the form be completed?• Before engaging in outside professional activities; OR

• Before receiving funding for sponsored research; OR

• Before submitting an application for research sponsored by the Public Health Service

How often do I need to update it?• Annually

• Within 30 days of any changes in financial interests

• Before engaging in a new outside professional activity

What financial interests should I disclose?

DO DISCLOSE• Interests related to your institutional responsibilities, including:– Income from outside UNL– Equity– Intellectual property rights and interests

• International payments• If PHS-funded: some sponsored or reimbursed travel

DO NOT DISCLOSE• Payments from UNL• Income from seminars, lectures, or teaching engagements sponsored by:– U.S. Fed, State, or local government

– U.S. institution of higher education or affiliated hospital, medical center, or research institute

Where does the form go?• Routed to:

– Your department chair/director– The appropriate dean

• Administrative Review:– Vice Chancellor reviewer (NEW)– Research Compliance Services

These individuals may request revisions or acknowledge the form.

And then?

APPROVAL• You will receive an approval notification email

• You’re done for one year or until your circumstances change!

FURTHER REVIEW• Conflict of Interest in Research Committee

• Board of Regents

PUBLIC HEALTH SERVICE GRANTS

Conflict of Interest Regulations Changes for

Investigator• Investigator definition

– The project director or principal Investigator and any other person, regardless of title or position, who is responsible for the design, conduct, or reporting of research funded by the PHS, or proposed for such funding, which may include, for example, collaborators or consultants

PHS Investigators

Timeframe• All investigators complete IOARF by the time of submitting proposals

PHS Investigators

Conflict of Interest Training• Online• Provided by National Institutes of Health

• Maximum one hour• Completion certificate when finished

• Upload that to your IOARF

Valid for four years

PHS Investigators

Sponsored or Reimbursed Travel• When to disclose

– No later than 30 days after the travel

– Encouraged to disclose any upcoming sponsored/reimbursed travel you know about during annual disclosure

PHS Investigators

What does the form look like?• Let’s take a look:

– nugrant.unl.edu

©2007 The Board of Regents of the University of Nebraska. All rights reserved.

Questions?

Maria FunkConflict of Interest CoordinatorOffice of Research Responsibility

209 Alexander WestUniversity of Nebraska – Lincoln

(402)472-1837mfunk2@unl.edu