Change Request Memo 25MAR2025

Non-substantive Change Request

OMB Control Number 0920-1154

Adverse Childhood Experiences Prevention Message Development

Date Submitted: 03/20/2025

Summary of request: CDC/NCIPC 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 Adverse Childhood Experiences Prevention Message Development 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)

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]

Description of Changes to Burden (if applicable):

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

Description of Changes to Burden (if applicable): Form	Approved Burden	Requested Burden
Form 1	TOTAL TIME TIME per response # respondents	TOTAL TIME TIME per response # respondents
Form 2	TOTAL TIME TIME per response # respondents	TOTAL TIME TIME per response # respondents
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): CDC can include other aspects associated with the submission of this Non-Substantive Change Request here (e.g., timing sensitivities, implementation requirements, etc.,).

Table A: Description of Changes (optional, helpful if multiple changes to multiple forms):	Type of Change	Question/Item	Requested Change
Att 1 ACEs Survey and Constent	Question Revision	11. Are you: Select all that apply Female Male Transgender, non binary, or another gender Prefer not to answer/Decline	11. What is your Sex? Male Female Undetermined
Att 3 ACEs Focus Group Participant Screener	Question Revision	3. Are you: Select all that apply Female Male Transgender, non binary, or another gender Prefer not to answer/Decline	3. What is your Sex? Male Female Undetermined
SSB Formative Research for ACEs Prevention Message Development	Changed wording on pg 3 1st paragraph 3rd sentence	These participants will be recruited through the SurveyMonkey Audience recruitment feature, to ensure that the demographics of the sample generally align with the U.S. adult population in terms of gender, age, and household income.	These participants will be recruited through the SurveyMonkey Audience recruitment feature, to ensure that the demographics of the sample generally align with the U.S. adult population in terms of sex, age, and household income.