Having challenges merging shape file from iowa counties to my data

Here's how to get the county geometry

library(tidycensus)
iowa_co <- get_acs(geography = "county", variables = "B19013_001",
                state = "IA", geometry = TRUE, year = 2020)
#> Getting data from the 2016-2020 5-year ACS
#> Warning: • You have not set a Census API key. Users without a key are limited to 500
#> queries per day and may experience performance limitations.
#> ℹ For best results, get a Census API key at
#> http://api.census.gov/data/key_signup.html and then supply the key to the
#> `census_api_key()` function to use it throughout your tidycensus session.
#> This warning is displayed once per session.
#> Downloading feature geometry from the Census website.  To cache shapefiles for use in future sessions, set `options(tigris_use_cache = TRUE)`.
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head(iowa_co)
#> Simple feature collection with 6 features and 5 fields
#> Geometry type: MULTIPOLYGON
#> Dimension:     XY
#> Bounding box:  xmin: -96.63862 ymin: 41.7277 xmax: -90.14006 ymax: 43.50047
#> Geodetic CRS:  NAD83
#>   GEOID                  NAME   variable estimate  moe
#> 1 19143  Osceola County, Iowa B19013_001    61167 5550
#> 2 19075   Grundy County, Iowa B19013_001    71760 2530
#> 3 19041     Clay County, Iowa B19013_001    51259 4208
#> 4 19081  Hancock County, Iowa B19013_001    61957 2562
#> 5 19045  Clinton County, Iowa B19013_001    52221 1825
#> 6 19149 Plymouth County, Iowa B19013_001    71147 3210
#>                         geometry
#> 1 MULTIPOLYGON (((-95.86127 4...
#> 2 MULTIPOLYGON (((-93.02679 4...
#> 3 MULTIPOLYGON (((-95.38863 4...
#> 4 MULTIPOLYGON (((-93.97129 4...
#> 5 MULTIPOLYGON (((-90.89894 4...
#> 6 MULTIPOLYGON (((-96.63836 4...

Created on 2023-03-15 with reprex v2.0.2

I don't know what is meant by "subregion" or understand the objective of combining with counties. Are sub-regions groups of counties or sections of counties? Is each county in only one sub-region or each sub-region in only one county? Consider a reprex. See the FAQ.