OMB No.: 0925-0740
Expiration Date: 09/30/2025

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

Registration deadline Tuesday, June 04, 2024

* First Name

* Last Name

* Email

Title

Institution

If you have a disability and require any assistive device, service, or other reasonable accommodations to participate in this event, please contact Mark Dennis at (301) 670-4990 or Mark Dennis during business hours at least 10 days before the meeting to discuss your needs.

* Attendance

In person

Virtual

Box lunches are available for convenience and are not required. No other dining option is currently available in the building.
Boxes shall consist of choice of sandwich and beverage plus chips, fruit and cookie.

* Sandwich Selection

Uptown Turkey Avocado: oven-roasted turkey, bacon, avocado, lettuce, tomato, mayonnaise

Chicken Pesto: grilled chicken, tomato, arugula, pesto* aioli, house vinaigrette

Carved Ham & Swiss: pecan wood smoked ham, Swiss cheese, tomato, red onion, stoneground mustard

Tomato Mozzarella: fresh mozzarella, tomato, roasted red pepper, arugula, basil, balsamic vinaigrette

None

Beverage

Coke

Diet Coke

Sprite

Bottled Water

I understand that meeting materials such as name badges, tent cards, and participant lists may be prepared using the exact contact information as entered on this form.

Please review and correct any capitalizations, typographical errors, etc. before submitting this form.