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Annual Disclosure of Significant Financial Interests and Significant Obligations

UB’s Investigator Disclosure Policy requires each investigator to submit an annual disclosure form by Nov. 14, 2011.

Who Must Submit the Form

If you have currently funded grants, you must submit the annual disclosure form.

Why the Form is Required for Grant Funding

Grant application submissions to sponsors cannot be approved unless you have filed your annual disclosure.

Sponsored Programs Administration cannot release awarded grant or contract funds until the Office of Research and Graduate Education has determined whether the award would create a conflict or the appearance of a conflict.

Also Satisfies Federal Funding Agencies

Submitting the annual disclosure form, and updates needed for it to be current and complete, satisfy UB’s requirements for investigator disclosure and those of the Department of Health and Human Services, the National Science Foundation (NSF) and the Food and Drug Administration.

These agencies require that, by the time an application is submitted, each investigator has disclosed his/her known significant financial interests and those of his/her spouse and dependent children (42CFR Part 50 Subpart F and 45 CFR Part 94 and Section 510 of the NSF Grant Policy Manual).

Submitting the annual disclosure form also documents compliance with the university’s policy on disclosure of all funds generated through use of university faculty or staff time and/or use of university facilities.

Learn More

You can access the form here:

Note: This PDF will open directly in your browser window. You can also right-click on the link and select Save Link As... (Firefox) or Save Target As... (Internet Explorer) to save it to your computer.

After printing and completing the form, return it to the address below.

Submit Your Form

Your completed annual disclosure form, as well as any subsequent updates, should be placed in a sealed envelope marked “CONFIDENTIAL” and mailed or delivered to:

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Mulchand Patel, PhD

Associate Dean, Research and Graduate Education

Office of Research and Graduate Education

128 Biomedical Education Building, 3435 Main Street Buffalo, NY 14214

Phone: (716) 829-3074

Email: mspatel@buffalo.edu