1. Interest and Outside Activity Reporting Form Released July 16, 2012

2. Overview Interest and Outside Activity Reporting Form Routing Changes to Public Health Service conflict of interest regulation Sample Interest and Outside Activity Reporting Form

3. 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

4. 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)

5. 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

6. 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

7. 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

8. 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.

9. 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

10. PUBLIC HEALTH SERVICE GRANTS Conflict of Interest Regulations Changes for

11. 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

12. Timeframe All investigators complete IOARF by the time of submitting proposals PHS Investigators

13. 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

14. 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

15. What does the form look like? Let’s take a look: –nugrant.unl.edunugrant.unl.edu

16. ©2007 The Board of Regents of the University of Nebraska. All rights reserved. Questions? Maria Funk Conflict of Interest Coordinator Office of Research Responsibility 209 Alexander West University of Nebraska – Lincoln (402)472-1837 mfunk2@unl.edu