Web Templates Questionnaire Requirements

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OMB #: 0970-0617
Expiration Date: 09/30/2026
STAR TA Regional Meeting Registration Form
May 2024




Notes for Administration of Registration form: The below questions will be included in an online registration form for participants of OFA’s regional technical assistance meetings. Meeting organizers will use the information to prepare meeting logistics and content. 

1.	Prefix
Select one only (drop down menu)
	Mr.	1
	Mrs.	2
	Ms.	3
	Miss.	4
	Dr.	5
	Prof.	6
	Rev.	7
	Mx.	8

2.	First name*
		(STRING (NUM))

3.	Last name*
		(STRING (NUM))

4.	Email address*
		(STRING (NUM))

5.	Job Title*
		(STRING (NUM))

6.	Organization*
		(STRING (NUM))

7.	State*
		(STRING (NUM))

8.	Are you staying at the [hotel name] hotel during the meeting?*
Select one only (drop down menu)
	Yes	1
	No.	0

Meeting participants will have the opportunity to engage in an open conversation with OFA leadership. To help OFA leadership prepare, please share the following:
9.	What questions do you have related to TANF provisions in the Fiscal Responsibility Act of 2023 (FRA)? Please note, OFA may not have new information available to answer all questions at the time of the meeting.
		(STRING (NUM))

10.	What other questions do you have for OFA leadership? Use this space to share questions on any topic other than the FRA.
		(STRING (NUM))

OFA leadership will answer as many questions as possible at the meeting. They will prioritize the most frequently asked questions.