SUBRECIPIENT FINANCIAL CONFLICT OF INTEREST CERTIFICATION Edward Via College / SUBRECIPIENT FINANCIAL CONFLICT OF INTEREST CERTIFICATION Edward Via College of Osteopathic Medicine Information Subrecipient Legal Name / /
Organization
United States Public Health Service / office of Global Affairs / National Institute of Health / office of Research Administration Form Revised / PHS FCOI / Food and Drug Administration / Substance Abuse and Mental Health Services Administration / Agency for Toxic Substances and Disease Registry / SUBRECIPIENT FINANCIAL CONFLICT OF INTEREST CERTIFICATION Edward Via College / PHS Agency / VCOM office of Research Administration / Agency for Healthcare Research and Quality / Centers for Disease Control and Prevention / /
Position
Investigator / project director / term Investigator / Authorized Official / subrecipient Authorized Official / principal Investigator / Secretary / Assistant / Assistant Secretary / /