Addressing Social Risks in Cancer Care Delivery Virtual Workshop (Registration)

Submitted by nusratyj on Thu, 08/19/2021 - 15:44

Registration

 

OMB No.: 0925-0740
Expiration Date: 7/31/2022

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.

 

Deadline for registration is October 8, 2021.

 

Your Information
Address
Hispanic
Are you Hispanic, Latino/a, or Spanish Origin?
Race
What is your race?
sex
What is your sex?
Organization
Please describe your organizational type/industry (select the one most relevant for this workshop).
role
Please describe your role (select the one most relevant for this conference).
risk
Please indicate your social risk or social needs topic area of interest (select all that apply)
social risks
Are you currently leading or participating in social risks and/or social needs research?