Form 1 Registration

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

Attachment Registration GISC (1)

GISC Neuroendocrine Tumor Clinical Trials Planning Meeting (NCI

OMB: 0925-0740

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2/20/2020

NCI Neuroendocrine Tumor Clinical Trials Planning Meeting - Registration Information | Online Registration by Cvent


NCI Neuroendocrine Tumor Clinical Trials Planning Meeting


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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.


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Please fill out the form below then click Next to proceed. Please contact Natalie Fielman 240 276-6846 or Michelle Watson 240 276-5256 if you require assistance.


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Personal Information

First Name:



Last Name:



Email Address:



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Degree(s):


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*Affiliation or Institute:


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*Job Title:


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CC Email Address:


Work Address:

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Address:




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City:


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State/Province:


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ZIP/Postal Code:


Country:


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Work Phone:




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Special accommodations requests (i.e. hearing, mobility, or transportation needs) for the meeting/hotel must be submitted to Natalie Fielman(Natalie.Fielman@nih.gov) no later than 10 days prior to the conference)

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https://www.cvent.com/Events/Register/InformationPage.aspx?rc=36d70d67-6c14-45f8-bb59-a690fad5d10d

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMitchell, Annette (NIH/NCI) [E]
File Modified0000-00-00
File Created2021-01-13

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