NonSubstantive Change Request Justification

Non-substantive Change Request

OMB Control Number 0920-1175

Environmental Public Health Tracking Network

Date Submitted: 02/28/2025

Summary of request: CDC/NCEH 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 Environmental Public Health Tracking Network to be in accordance with EO 14168. Please check the boxes below if your request includes:

X Revision of an existing question(s)

 Deletion of an existing question(s)

CDC will be changing the current Gender/Sex question to:

What is your Sex?

- Male

- Female

There is no change in Burden Hours associated with the modifications made to comply with EO 14168

Table A: Description of Changes (optional, helpful if multiple changes to multiple forms):	Type of Change	Question/Item	Requested Change
Att4A Birth Defects Prevalence Form	Question Revision	Page 3, Field Name “InfantSex”	Remove option “U= Unknown” from “Code Scheme” column and “U” from “Legal Values”
Att4D Emergency Department Visits Form	Question Revision	Page 4, Field Name “Sex”	Remove option “U= Unknown” from “Code Scheme” column and “U” from “Allowed Values”
Att4E Hospitalization Form	Question Revision	Page 3, Field Name “Sex”	Remove option “U” from “Allowed Values” column
Att4G Biomonitoring Form	Question Revision	Page 2, Demographic Categories	“Gender” changed to “Sex” under “Code Scheme” Column (De Minimis change)