Get Hhs Form Fda 3455 2022-2025

Filling out HHS Form FDA 3455, which pertains to the disclosure of financial interests and arrangements of clinical investigators, can seem daunting. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently.

Follow the steps to complete the form with ease.

1. Press the ‘Get Form’ button to access the form and open it in the online editing platform.
2. Identify the first section of the form, which requests the name of the clinical investigator. Enter the full name of the individual who participated in the submitted study.
3. In the next section, specify the name of the clinical study. Ensure that the name corresponds to the study in which the investigator was involved.
4. Proceed to mark the applicable checkboxes related to financial arrangements and interests. These include: any financial arrangement that could influence the outcome of the study, significant payments made post-February 2, 1999, proprietary interests, and equity interests in the sponsoring organization.
5. Provide detailed information about the individual’s disclosable financial arrangements and interests in the section provided. Attach additional documentation if necessary.
6. Complete the title, name, and firm/organization fields to identify yourself as the applicant submitting the form.
7. Sign and date the form using the specified date format (mm/dd/yyyy) to certify the disclosures made in this document.
8. Once all fields are accurately filled, review the information for completeness and correctness. You can then save changes, download the form for personal records, print it, or share it as needed.

Submit your completed HHS Form FDA 3455 online to ensure compliance and transparency in clinical studies.