Form 1 new Grantee Wkshop Registration/Abstract

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

DCCPS DCP New Grantee Wkshp Reg_ abstract

Division of Cancer Control and Population Sciences and Division of Cancer Prevention 2019 New Grantee Workshop, November 21-22,2019 (NCI)

OMB: 0925-0740

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NCI DCCPS & DCP 2019 New Grantee Workshop (insert logo)


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Please note that all attendees without valid NIH/HHS identification arriving on the NIH campus must enter through the NIH Gateway Center and go through a

OMB No. 0925-0740



Expiration Date: 05/31/2019

Public reporting burden for this collection of information is estimated to average 3 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.


Registration (*Required Fields)

Registration deadline November 11, 2019

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First Name *: Last Name*:
Badge Name*:
Email*:
Organization/Institution*: Department*:
Title*:
NIH Employee (Y/N) *:
Degree*:
Address 1*:
Address 2:
City*: State*:
Zip code*: Country*:
Phone*:
If you have a disability and require any assistive device, service, or other reasonable accommodations to participate in this event, please contact  at least 10 days before the meeting to discuss your needs. Attendees are expected to present a poster of their current research

Please indicate if you would also like to make an oral presentation (Y/N).


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Registration Page

Home

Meeting Information

Logistics

Agenda

Abstract Information





OMB No. 0925-0740

Expiration Date: 05/31/2019

Public reporting burden for this collection of information is estimated to average 3 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.

Poster Abstracts (*Required Fields) Note: Combined length of abstract title and body (background, methods, results, conclusions) should not exceed 4,000 characters (including spaces). Please identify the corresponding affiliation and location for each author.

****Please REGISTER before Abstract submission *** Presenting authors must also register for the meeting as the submission of an abstract does NOT register for the meeting.

Shape32 Deadline for submission: November 11, 2019

Shape33 Contact First & Last Name*

Shape34 Email*:

Shape35 Speaker Name*:

Speaker Center*:

Shape36 Presentation Title*:

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Authors*:

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