Form 1 Registration form

Registration

OMB No. 0925-0740
Expiration Date: 07/31/2022

Public reporting burden for this collection of information is estimated to average 5 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.

Please complete this form to register for the 21^st National Cancer Institute’s Innovative Molecular Analysis Technologies (IMAT) Principal Investigators Meeting. An asterisk (*) indicates required information.

Meeting Information

We encourage those wishing to participate to register by Friday, November 27, 2020. There is no fee to attend the 21^st National Cancer Institute’s Innovative Molecular Analysis Technologies (IMAT) Principal Investigators Meeting. Registrants will receive the meeting login information prior to the meeting.

* First Name

* Last Name

* Title

* Degree

* Email

* Institute/Organization

☐*Current IMAT Grantee ☐*Former IMAT Grantee