OCC Regional Meeting Registration Questions

Administration for Children and Families Generic for Information Collections related to Gatherings

OCC Regional Meeting Registration Questions

OMB: 0970-0617

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OMB Control Number: 0970-0617

Expiration date: 09/30/2026

OCC Regional Meeting: Registration Questions


Meeting Registration


All fields followed by * are required.

Please select your role at this event. * (drop down list)

  • Federal Employee

  • State CCDF Administrator

  • Territory CCDF Administrator

  • State CCDF Staff Member

  • Territory CCDF Staff Member

  • OCC National Center TA Staff (drop down list)

    • Child Care Automated Reporting System (CARS)

    • Child Care Meeting Management Center (CMC)

    • Child Care State Capacity Building Center (SCBC)

    • Data and Information Systems Consultation Center (DISCC)

    • National Center on Afterschool and Summer Enrichment (NCASE)

    • National Center on Early Childhood Quality Assurance (NCECQA)

    • National Center on Subsidy Innovation and Accountability (NCSIA)

    • National Early Care and Education Workforce Center (ECE Workforce Center)

    • National TA Center for Preschool Development Grants Birth through Five (PDG B-5 Center)

    • Tribal Child Care Capacity Building Center (TCBC)

    • Other

      • Please specify ______________

  • National Organization

  • Invited Presenter or Guest

  • Other

    • Please specify ______________


Contact Information

First Name *

Last Name *

Title/Position *

Division/Department*

Organization *

City *

State *

ZIP Code *

Phone Number *

Email *

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Email

OCC Region * (drop down list)

  • Region I (CT, MA, ME, NH, RI, VT)

  • Region II (NJ, NY, PR, VI)

  • Region III (DC, DE, MD, PA, VA, WV)

  • Region IV (AL, FL, GA, KY, MS, NC, SC, TN)

  • Region V (IL, IN, MI, MN, OH, WI)

  • Region VI (AR, LA, OK, NM, TX)

  • Region VII (IA, KS, MO, NE)

  • Region VIII (CO, MT, ND, SD, UT, WY)

  • Region IX (AS, AZ, CA, GU, HI, MP, NV)

  • Region X (AK, ID, OR, WA)

  • N/A


Do you require any special accommodations?

☐ Yes

Please Specify ______________

☐ No


Will you be attending the session on the Disaster Recovery Grants that were awarded due to Hurricanes Fiona and Ian on Monday, June 3rd at 1:30 p.m. (applies only to Florida, North Carolina, Puerto Rico, and South Carolina)?

Yes

No



Will you be attending the session for territories on Thursday, June 6th, and Friday, June 7th (applies only to the five territories)?

Yes

No



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMaria Hrabak
File Modified0000-00-00
File Created2024-11-15

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