NonSubstantive Change Request Justification

Non-substantive Change Request

OMB Control Number 0920-1317

National Healthcare Safety Network (NHSN)

Coronavirus (COVID-19) Surveillance in Healthcare Facilities

Date Submitted: 2/24/2025

Summary of request: CDC/ National Center for Emerging and Zoonotic Infectious Diseases is requesting a change request to revise questions to align with EO 14168 Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government.

Description of Changes Requested: This request updates sex questions used in National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities to be in accordance with EO 14168. Please check the boxes below if your request includes:

 Revision of an existing question(s)

 Deletion of an existing question(s)

Based on the recent executive order, NHSN is being updated to reflect the following:

• Change all labels across the entire application from “Gender” to “Sex”

• Change options for Sex to Male or Female

• Remove option Other for Sex

• Remove all references: “Sex at Birth” and “Gender Identity”

The data collections for which approval for changes are being sought include:

1. 57.155 Point of Care Testing Results-Manual

2. 57.216 Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents

3. 57.217 Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel

Burden: There is no update to the burden based on these changes.

If revising an existing question, CDC is advised to use one of the two versions below and can state that CDC will be changing the current Gender/Sex question to:

What is your Sex?

- Male

- Female

OR

What is your Sex?

- Male

- Female

- Undetermined

- Missing Value [Null]

If removing an existing question, the question to be removed can be included here.

Description of these actions could also be included in the Table at the bottom of this document.

Description of Changes to Burden (if applicable):

Description of Changes to Burden (if applicable): Form	Approved Burden	Requested Burden
N/A	N/A	N/A
N/A	N/A	N/A
Total	TOTAL TIME	TOTAL TIME

** If changes are only made to Gender/Sex question these are expected to result in no change in Burden Hours. Program can state: “There is no change in Burden Hours associated with the modifications made to comply with EO 14168” **

Other Considerations (optional):

Forms 57.220 and 57.221 were included in the 2024 revision package by error. These forms are supplemental documents for forms 57.216 and 57.217. They should not have been submitted as individual forms and are being removed from the package.

Table A: Description of Changes (optional, helpful if multiple changes to multiple forms):	Type of Change	Question/Item	Requested Change
Form 1	N/A	N/A	N/A
Form 2	N/A	N/A	N/A

Burden Estimates – 0920-1317

Due to the removal of forms 57.220 and 57.221, the package burden decreased by 146,454 hours from 1,731,823 to 1,585,369.