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OCC Event Registration
This registration is administered by the project evaluators at the Office of Child Care (OCC). This data helps us plan for logistics and understand who is attending OCC sponsored webinars, meetings, events, and presentations. This data also offers insight into how we can better accommodate you for future events. The registration will take approximately three minutes to complete. Thank you for your time!
If you have questions about this survey, please contact OCC Communications at occ-comms@totemconsultingdc.com.
PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to learn about your experiences at event. Public reporting burden for this collection of information is estimated to average 3 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. The 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 # is 0970-0617 and the expiration date is 9/30/2026. If you have any comments on this collection of information, please contact the Office of Child Care Communications at occ-comms@totemconsultingdc.com.
First Name
Last Name
Telephone Number
Your State or Territory (drop down list)
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
U.S. Virgin Islands
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
I do not reside in the United States
Not applicable
Job Title
What organization/office are you from?
Are you representing a Stare or Territory Lead Agency?
☐ Yes
Please specify ______________
☐ No
Are you representing a Tribal Lead Agency?
☐ Yes
Please specify ______________
☐ No
Do you require any special accommodations?
☐ Yes
Please specify ______________
☐ No
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Margot Alpert |
File Modified | 0000-00-00 |
File Created | 2024-11-13 |