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30th NCNR/CHRNS School on Methods and Applications of Neutron Scattering Application
OMB Control #: 0693-0081
Expiration Date: 12/31/2024
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995 unless the information collection has a currently valid OMB Control Number. The approved OMB Control Number for this information collection is 0693-0081. Without this approval, we could not conduct this survey/information collection. Public reporting for this information collection is estimated to be approximately 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information collection. All responses to this information collection are voluntary/mandatory/required to obtain benefits. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden to the NIST Center for Neutron Research at: 100 Bureau Drive, Mail Stop: 6102, Gaithersburg, MD 20899-1070, Attn: Przemek Klosowski at
przemek.klosowski@nist.gov
.
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Privacy Act Statement
Authority:
The collection of this information is authorized under Public Law 107-347 E-Government Act of 2002 (FISMA included), Public Law 200-253 Computer Security Action of 1987, OMB Circular No. A-130, Appendix III, Security of Automated Information Resources Department of Commerce IT Security Program Policy, Department of Commerce Administrative Orders, NIST Administrative Manual Chapter 11.02, NIST IT Security Management Handbook, and Privacy Act 1974
Purpose:
The National Institute for Standards and Technology (NIST) Center for Neutron Research (NCNR) is a National User Facility for neutron scattering research. Its primary function is scientific research and development of methods for measuring physical and chemical properties of matter, in collaboration with external users of the facility. Information is collected in support of soliciting and reviewing proposals for scientific experiments at NCNR, allocating instrument time, managing the resulting site visits and resulting scientific data and publications.
Routine Uses:
NIST will use this information to conduct necessary government business for the processing of applicants to gain entry into the NISTNCNR Facility. Disclosure of this information is permitted under the Privacy Act of 1974 (5 U.S.C. Section 522a) to be shared among NIST staff for work-related purposes. Disclosure of this information is also subject to all the published routine uses as identified in the Privacy Act System of Records Notices: NIST 5: Nuclear Reactor Operator Licensees File; NIST 1: NIST Associates (this has a special section for Facility User Records for NCNR); DEPT. 25: Access Control and Identity Management System.
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Furnishing this information is voluntary, however this information is required in order to obtain authorization to the NIST NCNR Facility. The failure to provide accurate information may delay or prevent you from receiving this access. Submitting voluntary information constitutes your consent to the use of the information for the stated purpose. When you submit the form, you are indicating your voluntary consent for NIST to use of the information you submit for the purpose stated. This information may also be retained indefinitely as deemed necessary for the purpose of distributing updates and information.
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Instructions
This application form is for those who are planning to attend the 30th CHRNS School on "Methods and Applications of Neutron Scattering" which will be held at NIST from Monday, July 22 to Friday July 26, 2024. Please fill in the information requested below. Mandatory fields are indicated by
*
.
Application Deadline: 23:59:59 PM EDT, March 13, 2024
Personal Information
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*
Daytime Telephone
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Evening Telephone
Demographic Information (Responses to these questions are voluntary.)
What is your gender? You may skip this question if you prefer.
Male
Female
Are you Hispanic or Latino?
Yes
No
What is your race? (Select one or more) You may skip this question if you prefer.
American Indian or Alaskan Native
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Professional Information
*
Institution
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Department
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Professional Status
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Jr. Faculty
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If Other, please specify
If Student or Post-Doc or Other, please give the name of your Principal Advisor
If your Principal advisor is willing to review Student Instructional Beam Time proposals, please provide their email address
*
Area of Research
Hard Condensed Matter Physics
Magnetic Materials
Materials Science
Polymer Science
Complex Fluids
Earth Science
Physical Chemistry and Chemical Physics
Materials Chemistry
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Residual Stress/Engineering
Other
If Other, please specify
Have previous neutron experience?
*
Yes
No
Please select the technique you are primarily interested in:
Small Angle Neutron Scattering
Neutron Reflectometry
Both Equally
*
Briefly describe your research, and how neutron scattering is applicable to your project. Briefly describe why you want to attend the course, including what you want to learn from it. Include a summary statement that succinctly answers the question "Why should you be selected for the school?" (2000 characters max).
*
Would like to be considered for financial assistance?
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Last modified 07/31/2024