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Office of Child Care Regional Meeting Registration Questions
ICR 202606-0970-009 · OMB 0970-0617 · Object 169937300.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Office of Child Care Regional Meeting Registration Questions |
| Author | Maria Hrabak |
| Last Modified By | Writer |
| File Modified | 2024-02-22 |
| File Created | 2026-06-17 |
| Conversion State | complete |
Extracted Text
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