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United States Department of Agriculture

Agricultural Research Service

OMB 0518-0032 (12/2015)
Instructions
Privacy and Paperwork Reduction Act Statements

Register for the John A. Milner Memorial Symposium
Our Food and Our Health:
Today’s Discoveries Driving Tomorrow’s Opportunities

June 12, 2014, 8:30 am – 4:00 pm
US Department of Agriculture’s Jefferson Auditorium
14th Street and Independence Avenue SW
Washington, DC 20001

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*First Name:
*Last Name:
*Email address:
*Affliation:
   

Your first and last name and affiliation will be used to create a name badge.

 


 

Instructions:

  • Type the requested information into the box.
  • Click the "Register" button when finished.
  • You will receive an email notification acknowledging your registration.

 


 

Privacy and Paperwork Reduction Act Statements

 

Privacy Act Information: This information is provided pursuant to Public Law 93-579 (Privacy Act of 1974) for individuals completing Federal records and forms that solicit personal information. The authority is Title 5 of the U.S. Code, sections 1302, 3301, 3304, and 7201.
Purpose and Routine Uses: The information from this form is used solely to respond to you regarding the service you have requested. No other uses will be made of this information.
Effects of Non-Disclosure: Providing this information is voluntary, however, without it we may not be able to respond to you regarding the service you have requested.
Paperwork Reduction Act Statement: A Federal agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a current valid OMB control number.
Public Burden Statement: Public reporting burden for this collection of information is estimated to vary from two to four minutes with an average to three minutes per response, including time for reviewing instructions, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Agriculture, Clearance Officer, OIRM, Room 404-W, Washington, D.C. 20250, and to the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, D.C. 20503

 

 


Last Modified: 4/24/2014
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