Office of Child Care Tribal Child Care and Development Fund (CCDF) Plan Training

OMB Control Number: 0970-0617; Expiration date: ##/##/####

OCC Tribal CCDF Plan Training: Registration Questions

(* = required)

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

Tribal CCDF administrator

Tribal CCDF co-administrator

Tribal fiscal staff member

Grant writer

OCC federal staff member

Non-OCC federal staff member (please specify)

OCC National Center TA staff member (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)

• Tribal Child Care Capacity Building Center (TCBC)

• Tribal Child Care Program Support Center (TPSC)

Other (please specify)

First Name *
Last Name *

Title/Position*

Tribal Nation/Tribal Organization or Other Organization *

City *

State *

ZIP

Phone *

Email *

Select how long you have been in your role * (drop down list)

Less than 6 months

6 – 18 months

18 months – 3 years

3 years or longer

Select your Tribal CCDF allocation size * (drop down list)

Small

Medium

Large

Unsure

N/A

Select your OCC region * (drop down list)

• Region 1 (CT, MA, ME, NH, RI, VT)

• Region 2 (NJ, NY, PR, VI) 

• Region 3 (DC, DE, MD, PA, VA, WV)

• Region 4 (AL, FL, GA, KY, MS, NC, SC, TN) 

• Region 5 (IL, IN, MI, MN, OH, WI)

• Region 6 (AR, LA, OK, NM, TX)

• Region 7 (IA, KS, MO, NE)

• Region 8 (CO, MT, ND, SD, UT, WY)

• Region 9 (AS, AZ, CA, GU, HI, MP, NV)

• Region 10 (AK, ID, OR, WA)

• N/A

Are you a Public Law 102-477 grantee and receive your CCDF funds through the BIA?* (drop down list)

Yes

No

Unsure

N/A

Do you require any special accommodations? If so, please describe. ______ (drop down list)

Yes

No

Will you require over night accommodations? Note, you need to reserve your own hotel room using the information provided on the Travel page. (drop down list)

Yes

No

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to obtain feedback from participants in OCC’s Tribal CCDF Plan Training. Public reporting burden for this collection of information is estimated to average 5 minutes per respondent, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB number is 0970-0617 and the expiration date is ##/##/####. If you have any comments on this collection of information, please contact Stacy Cassell, [email protected].