Congresswoman Rosa L. DeLauro - FY2022 HHS Appropriations Request Form
Please provide all requested information.

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Email *
Requesting Organization *
Requesting Organization Staff Contact Email *
Requesting Staff Contact Phone *
Agency *
Account (e.g. NIH - NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE, HRSA - Bureau of Health Workforce) *
Federal Program Name/Title (if Applicable) (e.g. HRSA - Bureau of Health Workforce - Behavioral Health Workforce Education and Training). *
FY2021 Funding Level (if you are not requesting funding, please write N/A) *
FY2022 Funding Level (if you are not requesting funding, please write N/A) *
Bill Language Request (if you are not requesting bill language, please write N/A) *
Report Language Request (if you are not requesting report language, please write N/A) *
Connecticut Connection (if there is none, please write N/A) *
Request Description *
A copy of your responses will be emailed to the address you provided.
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