OMB control number

Occupational Safety and Health Administration Conflict of Interest and Disclosure

OMB 1218-0255 · DOL/OSHA.

OMB 1218-0255

The Conflict of Interest and Disclosure form will be used to determine whether or not a conflict of interest exists for a potential peer review panel member.

The latest form for Occupational Safety and Health Administration Conflict of Interest and Disclosure expires 2026-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form OSHA 10-08.1 OSHA's Conflict of Interest (COI) and Disclosure Form Form
SSA _1218-0255 _ Conflict of Interest _ ROCIS _ OSHA OCIO2.docx Supporting Statement A
OSHA Act Section 2 USC 651.pdf Supplementary Document
60_Day_FR Notice _20230608.pdf Supplementary Document
OMB_peer_bulletin_final.docx Supplementary Document
OSHA's Conflict of Interest (COI) and Disclosure Form Form

All Historical Document Collections

202308-1218-002 Approved without change	Extension without change of a currently approved collection	2023-09-21
202003-1218-008 Approved without change	Extension without change of a currently approved collection	2020-04-15
201611-1218-009 Approved without change	Extension without change of a currently approved collection	2017-02-24
201311-1218-007 Approved without change	Extension without change of a currently approved collection	2013-12-27
201005-1218-002 Approved without change	Extension without change of a currently approved collection	2010-07-29
200611-1218-004 Approved with change	New collection (Request for a new OMB Control Number)	2006-12-21