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WTP Registration Form

Disaster Supplement Year 2 Meeting: Promoting Health, Safety, and Recovery Training Following Declared Disasters in 2022

Wednesday and Thursday, September 4-5, 2024

Meeting location:
Hotel Ballast
Merrick Room
301 N Water Street
Wilmington, NC 28401

Registration closes Friday, August 23, 2024 at 5:00 p.m. EDT

OMB No.: 0925-0740 Expiration Date: 09/30/2025
Public reporting burden for this collection of information is estimated to average 1 minute 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 0MBcontrol 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.

Privacy Act Statement
Name, organization, and email are primarily collected to provide meeting information. If you do not provide this information, you may not participate in the meeting. Providing city, state, and ADA needs are optional. Collection of this information is authorized under 42 U.S.C. 203, 241, 289l-1 and 44 U.S.C. 3101, and Section 301 and 493 of the Public Health Service Act. The Privacy Act System of Records Notices (SORNs) that cover collection of this information are 09-25-0156 Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD and 09-90-1901 HHS Correspondence, Comment, Customer Service, and Contact List Records.

Enter "Individual" OR "NA", if not submitting for an organization.
The Attendee will be participating in the following event(s): (Required)
ADA assistance: (Optional)
Please enter any comments that you have regarding this registration.
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