Form 1 Attachment 1 Abstract Application

Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)

Attachment 1 Abstract Application

Annual Norman P. Salzman Memorial Award and Symposium in Virology

OMB: 0925-0740

Document [pdf]
Download: pdf | pdf
OMB No.: 0925-0740
Expiration Date: 05/31/2019
Collection of this information is authorized by The Public Health Service Act, Section 411 (42 USC 285a). Rights of participants are protected
by The Privacy Act of 1974. Participation is voluntary, and there are no penalties for not participating or withdrawing from registering at any
time. Refusal to participate will not affect your benefits in any way. The information collected in this registration will be kept private to the
extent provided by law. Names and other identifiers will not appear in any report of the meeting. Information provided will be combined
for all participants and reported as summaries. You are being contacted by email to complete this instrument so that we can adequately
plan for the meeting.
Public reporting burden for this collection of information is estimated to average 6 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it
displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda,
MD 20892-7974, ATTN: PRA (0925-0740). Do not return the completed form to this address.

2016 Application: Norman P. Salzman Memorial Award in Virology
Email application to Dr. Eric Freed ([email protected]) AND Janelle Lewis ([email protected])
Eligible candidates are Postdoctoral Fellows, Research Fellows, or Clinical Fellows in intramural
NIH, CBER, or Leidos laboratories who have received their first doctoral degree no more than 6
years before November 17, 2016. Individuals who have been promoted from one of these
positions after Aug. 14, 2016 to Staff Scientist, tenure-track investigator or Assistant Clinical
Investigator also are eligible to apply. The application abstract must cover research conducted
only during one of the indicated eligible positions, under the mentorship of a single scientist
in an intramural NIH, CBER, or Leidos laboratory. Award selection will be based on the quality
and significance of the applicant's research contribution to the field of virology, with special
emphasis on the creativity and the rigor with which the research has been performed. Applications
will be judged by a committee of scientists from NIH and other institutions. The work submitted
must have been published or accepted for publication in a peer-reviewed journal, with the
applicant being first or joint-first author on the publication. Applicants who have applied in
previous years are encouraged to update their applications and resubmit, if eligible.
The overall winner will receive a $2500 cash award and will be expected to present a 20 min
talk at the Symposium; in addition, the next three top abstracts will be selected for a poster
presentation for which they will receive awards of $200.
Applicant
Name:
Phone:

E-mail:

Affiliation:
Address:

Post-secondary degrees, dates awarded, and institutions:
(Date of first doctoral degree must be no more than 6 years before November 17, 2016)

Verification of the following two points is required (indicate Yes):
I agree to present a talk or poster if selected.
I confirm that the research was conducted only during one of the indicated eligible
positions, under the mentorship of a single scientist in an intramural NIH, CBER, or
Leidos laboratory.

2016 Application: Norman P. Salzman Memorial Award in Virology

Page 2

Mentor
As verification of mentor approval, the application email must be copied to the mentor; the
mentor may be contacted for information regarding in-press manuscripts.
Name:
Phone:

E-mail:

Affiliation:
Address:

Applicant’s publications related to the submitted abstract: Please list only publications
(published or in press) that are relevant to the work described in the abstract and were
conducted under the indicated mentor. Please provide PDFs of the relevant published articles
and manuscripts in press. Insert additional pages as needed, or use “additional notes” page at
end of document.

Applicant’s relevant meeting presentations: Please indicate oral or poster. List only
presentations under the indicated mentor that are relevant to the work in the abstract. Insert
additional pages as needed, or use “additional notes” page at end of document.

2016 Application: Norman P. Salzman Memorial Award in Virology

Page 3

Abstract title:

Abstract: 400 words maximum. Work must be published or in press. For work that is in press,
please attach official confirmation from the journal. Insert additional pages as needed, or use
“additional notes” page at end of document.

2016 Application: Norman P. Salzman Memorial Award in Virology

Page 4

Additional Notes:

2016 Application: Norman P. Salzman Memorial Award in Virology

Page 5


File Typeapplication/pdf
AuthorLewis, Janelle
File Modified2016-09-02
File Created2016-09-02

© 2024 OMB.report | Privacy Policy