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
|
11. What is your Sex?
|
Att 3 ACEs Focus Group Participant Screener |
Question Revision |
3. Are you: Select all that apply
|
3. What is your Sex?
|
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. |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Zirger, Jeffrey (CDC/OD/OS) |
File Modified | 0000-00-00 |
File Created | 2025-05-19 |