Unaccompanied Children & Access to Healthcare in Chicagoland FINAL

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

Unaccompanied Children & Access to Healthcare in Chicagoland FINAL

OMB: 0970-0617

Document [pdf]
Download: pdf | pdf
3/21/24, 1:30 PM

Unaccompanied Children & Access to Healthcare in Chicagoland (Preview)

Unaccompanied Children & Access to
Healthcare in Chicagoland
If you plan to attend the in-person meeting on Friday, April 26 from 10-12 at the Ralph H. Metcalfe
Federal Building in Chicago, please provide your name, email, and affiliation so we can ensure
sufficient seating and update you if there are any changes to the event date, time, or venue.
Public reporting burden for this collection of information is estimated to average 2 minutes per
respondent, including the time for reviewing instructions, gathering and maintaining the data needed,
and reviewing the collection of information. This collection of information is voluntary. 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 # is 0970-0617 and the expiration date is 09/30/2026. If you have any
comments on this collection of information, please contact Ashley Aviles at Ashley.aviles@acf.hhs.gov
and UCPolicy@acf.hhs.gov.

* Required
1. Name *
Enter your answer

2. Email *
Enter your answer

https://forms.office.com/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=6t2K1VNQgEqEmbpNlEkQ31mNZTrRJexNngMlbM…

1/2

3/21/24, 1:30 PM

Unaccompanied Children & Access to Healthcare in Chicagoland (Preview)

3. Affiliation *
Enter your answer

This content is created by the owner of the form. The data you submit will be sent to the form owner. Microsoft is not
responsible for the privacy or security practices of its customers, including those of this form owner. Never give out your
password.
Microsoft Forms | AI-Powered surveys, quizzes and polls Create my own form
The owner of this form has not provided a privacy statement as to how they will use your response data. Do not provide
personal or sensitive information. | Terms of use

https://forms.office.com/Pages/DesignPageV2.aspx?origin=NeoPortalPage&subpage=design&id=6t2K1VNQgEqEmbpNlEkQ31mNZTrRJexNngMlbM…

2/2


File Typeapplication/pdf
File TitleUnaccompanied Children & Access to Healthcare in Chicagoland (Preview)
File Modified2024-03-21
File Created2024-03-21

© 2024 OMB.report | Privacy Policy