SCBC ITSN Registration - OCC OMB GC_2024.10.15_fnl

Registration for Infant/Toddler Webinar and Infant/Toddler Institute

Registration for Infant/Toddler Webinar and Infant/Toddler Institute

Registration Information:

The Office of Child Care is pleased to invite you to a [webinar or institute] for child care partners and leaders who implement infant/toddler policies and practices. This event will provide you with professional development opportunities focused on infant/toddler policies, practices, and the implementation of programs and services under the Child Care and Development Fund.

Infant/Toddler Specialist Network facilitators from the Office of Child Care’s Child Care State Capacity Building Center will orient leaders of infant/toddler initiatives to their own next right steps for changing practices and systems to meaningfully include infants and toddlers. Event participants will have the opportunity to learn from peers and ask the facilitators questions.

Question Number	Question/Prompt	Response Options
1	First Name	Open-ended response
2	Last Name	Open-ended response
3	Email	Open-ended response
4	Phone Number	Open-ended response
5	State, Territory, or Tribe (drop down list)	[List of recognized states, territories, and Tribes; approx. 300-400 entities]
6	Organization (where you work)	Open-ended response
7	Role (drop down list)	CCDF Administrator or Staff Child Care Workforce Federal Employee (non-OCC staff) Grantee Accountability or Program Integrity Licensing or Monitoring OCC Central Office Staff OCC Regional Office Specialist OCC Regional Program Manager OCC National Center TA Staff Outreach and Consumer Education Presenter or Invited Guest Program Staff Quality Improvement Subsidy/Financial Assistance Other Please specify ______________
8	Title (your actual title)	Open-ended response
9	Do you require any special accommodations?	Yes: Please specify:____________ No:
10	Do you require any translation services? [Requieres algún servicio de traducción?]	Yes [Sí]: Please specify. [Por favor, sea especifico.] ______________ No:
11	What information, strategies, and resources do you hope this event will provide?	Open-ended response
12	Please select topics you would be willing to share with peers (Drop down list)	Infant/toddler quality initiatives Infant/toddler access strategies Infant/toddler workforce supports Infant/toddler workforce professional development Infant and Early Childhood Mental Health strategies Infant/toddler care supply-building strategies Leadership on behalf of infants, toddlers, and their caregivers Infant/toddler collaborative partnerships Growing, Refining, or Beginning Infant/Toddler Specialist Networks Other Please specify ______________
13	Emergency Contact Name, Email and Phone (optional question)	Open-ended response

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to inform the planning of technical assistance events for child care leaders and practitioners who implement programs, policies, and services for infant/toddlers served through the Child Care and Development Fund (CCDF). Public reporting burden for this collection of information is estimated to average 1 minute 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 Patricia Haley at Patricia.Haley@acf.hhs.gov

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