Change Request Justification

Non-substantive Change Request

OMB Control Number 0920-1072 (exp 09/30/2026)

STI Surveillance Network (SSuN)

Date Submitted: 05/07/2025

Summary of request: CDC/NCHHSTP 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 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)

Description of Changes to Burden (if applicable):

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

Table A: Description of Changes

Form/Element List	Type of Change	Question/Item	Requested Change
Att 5: Strategy A Data Elements List	Revision	F1_Sex_Birth Response Options: 1= Male 2= Female 3= Intersex 4= Unknown 9= Not Captured	Change data element name to “F1_Sex” Change response options to: 1= Male 2= Female 3= Undetermined 9 = Missing Value [Null]
Att 5: Strategy A Data Elements List	Deletion	F1_Gender_Identity	Deleted
Att 5: Strategy A Data Elements List Guidance Language	Revision	For the following sexual behavior variables, sites must either collect F1_MENSEX, and F1_FEMSEX, and F1_TRANSEX OR F1_SEXOR, F1_SEXOR3TG and F1_NUMSEX. It is NOT necessary to collect all 6 variables.	Revise to read: For the following sexual behavior variables, sites must either collect F1_MENSEX, and F1_FEMSEX OR F1_SEXOR and F1_NUMSEX. It is NOT necessary to collect all 4 variables.
Att 5: Strategy A Data Elements List	Deletion	F1_TRANSEX	Deleted
Att 5: Strategy A Data Elements List	Deletion	F1_SEXOR3TG	Deleted
Att 5: Strategy B Data Elements Guidance	Revision	P1_PtxSex Current Sex of the patient as indicated on initial health department report? This data element should not be ‘null’ or contain missing values. For transgender individuals, please record the gender direction (e.g. 'male' for a female to male transgendered patient, if transgender but sex unknown, code as 9: "Unknown") 1= Male 2= Female 9= Unknown	Change question and response options to: Sex of the patient as indicated on initial health department report? 1= Male 2= Female 3= Undetermined 9 = Missing Value [Null]
Att 5: Strategy B Data Elements	Deletion	P1_PtxGendID	Deleted
Att 5: Strategy B Data Elements and Guidance	Revision	P2_ProvPTX_GenderSP “Provider documented genders of sex partners”	Change data element name to: P2_ProvPTX_SexSP Change guidance to read: Provider documented sex of sex partners
Att 5 Att 8B: Strategy B Data Elements	Revision	P3_PTX_Birthsex What was your sex at birth (recorded on your birth certificate)? 1= Male 2= Female 3= Intersex 4= Unknown 9= Refused	Change data element name to P3_Ptx_Sex. Change question and response options to read: What is your sex? 1= Male 2= Female Will allow null
Att 5 Att 8B: Strategy B Data Elements	Deletion	P3_PTX_GendID	Deleted
Att 5 Att 8B: Strategy B Data Elements	Revision	P3_PTX_GenderSP	Change data element name to: P3_Ptx_SexSP Note: Response options already in compliance 1= Males only 2= Females only 3= Both Males and Females 4= Unknown 9= Refused
Att 5 Att 8B: Strategy B Data Elements	Deletion	P3_PTX_TGSP	Deleted
Att 5, Att 8B: Strategy B Data Elements	Revision	P3_PTX_GenderMRSP Thinking back to the last time you had sex, was the person you had sex with…? 1= Male (not Transgender) 2= Female (not Transgender) 3= Male-to-Female Transgender 4= Female-to-Male TG Transgender 5= TG But Unknown or Unspecified 6= Queer, Gender Non-binary 7= Other 9= Refused or Not Captured	Change data element name to P3_Ptx_SexMSRP. Change question and response options to: Thinking back to the last time you had sex, was the person you had sex with…? 1= Male 2= Female Will allow null
Att 8b: Clinic Survey	Revision	Question 13 What sex were you assigned at birth on your original birth certificate? [ ] Male [ ] Female [ ] Refused [ ] Don’t know	Change questions and response options to: What is your sex? [ ] Male [ ] Female Will allow null
Att 8b: Clinic Survey	Deletion	Question 14 Do you currently describe yourself as male, female, or transgender?	Deleted

Attachment 10 - Explanation of Sensitive Questions: Note that the revision of some data elements made them non-sensitive; for example, changing “sex at birth” to “sex” makes that variable non-sensitive and therefore the revised sex variable was removed from the list of sensitive data elements.