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Financial Disclosure Forms

  • Confidential Report of Financial Interests in Substantially Affected Organizations for Employees of the NIH (HHS-717-1) (5/07)
    Note: You must submit the HHS-717-1 as a hard copy only there is no electronically through NEES. Required of all public and confidential filers, and all clinical investigators. Use this form to submit the initial report of your financial interests in Substantially Affected Organizations (SAO) and when you acquire a financial interest in an SAO (i.e., purchase, gift).
  • Data and Safety Monitoring Board Form
    All members of the DSMB are required to be completely independent of the studies being reviewed and all members are required to sign a DSMB Conflict of Interest and Confidentiality statement.
  • NIH Enterprise Ethics System (NEES) (electronic submission)
    For either Public Financial Disclosure Reports 278 or Confidential Financial Disclosure Reports 450.
  • OGE Form 278 Public Financial Disclosure Reports
    You must submit the 278 electronically through NEES. The link permits viewing and printing the form as a guide to assist in submitting the form electronically. Form 278, Public Financial Disclosure Reports, is to assist employees and their agencies in avoiding conflicts between official duties and private financial interests or affiliations. For senior level (SES, ST, SL, O-7 and above, and others in identified positions).
  • OGE Form 278-T Public Financial Disclosure Periodic Transaction Report
    Use this form as needed on a monthly basis to report transactions, e.g., stock purchase, sale, or exchange in excess of $1,000.
  • OGE Form 450 Confidential Financial Disclosure Reports
    You must submit the 450 electronically through NEES. The link permits viewing and printing the form as a guide to assist in submitting the form electronically. Form 450, Confidential Financial Disclosure Reports, is to assist employees and their agencies in avoiding conflicts between official duties and private financial interests or affiliations. For employees in designated positions with relevant responsibilities.
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