1 NIH OAR NIMH Virtual Workshop Registration form

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

NIH OAR NIMH Virtual Workshop Registration Form

OMB: 0925-0740

Document [docx]
Download: docx | pdf

OMB #0925-0740

Exp date 7/31/2022


NIH OAR & NIMH Virtual Workshop

Registration Form


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.



NIH OAR & NIMH Report Out Session for the HIV-Related Intersectional Stigma Research Advances and Opportunities Virtual Workshop

September 18, 2020 11:30 am – 2:30 pm ET

Virtual

Sponsored by the National Institute of Mental Health (NIMH)


Registration

To register for the workshop on September 18, 2020, please provide the information requested below. You will receive a confirmation e-mail from the Bizzell Group (info@thebizzellgroup.com) following your submission of this completed online form.

There is no registration fee and no on-site registration.


Contact Information

denotes required information

First Name :

Last Name :

Street Address:

Suite I Apt I Box City:

State/Province/Region:

Zip/Postal Code:

Country:

Email address :

Organization :

Role : (dropdown options are community, research, private sector, CBO/NGO, government, and other [with a text box])

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorAgarwal, Rajni (NIH/NIMH) [E]
File Modified0000-00-00
File Created2022-02-14

© 2024 OMB.report | Privacy Policy