Change Request Justification

Change Request Memo_0920-1294_Maternal Mortatlity Review Information Application_final.docx

[NCCDPHP] Maternal Mortality Review Information Application (MMRIA)

Change Request Justification

OMB: 0920-1294

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Non-substantive Change Request

OMB Control Number 0920-1294

Maternal Mortality Review Information Application (MMRIA)

Date Submitted:03/14/2025


Summary of request: CDC/NCCDPHP is requesting a non-substantive change request to revise data collection to align with EO 14168.


Description of Changes Requested: This request updates questions used in Maternal Mortality Review Information Application (MMRIA) 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)


Two revisions and one deletion are included in this request. The first revision changes “Gender” to “Sex” on the Birth/Fetal Death Certificate Infant/Fetal Section Form, in section Newborn (Fetus) Biometrics and Demographics. The second revision changes “Gender” to “Sex” on the Social and Environmental Profile Form, in section Members of Household. The deletion removes the Gender Identity section from the Social and Environmental Profile Form.

Table A: Description of Changes


Form

Type of Change

Question/Item

Requested Change

Attachment 3a 

Revision

Birth/Fetal Death Certificate – Infant/Fetal Form, in section Newborn (Fetus) Biometrics and Demographics

Change “Gender” to “Sex”


Attachment 3a 

Revision

Social and Environmental Profile Form, in section Members of Household

Change “Gender” to “Sex”


Attachment 3a 

Deletion

Social and Environmental Profile Form

Removing the Gender Identity section





Description of Changes to Burden:

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

At this point, the only changes made were to comply with the executive order.  We aware of Statistical Policy Directive No. 15: Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity (SPD 15). We request additional time to implement this change and will include in our next OMB application.   The data for this field matches what is collected by NCHS in vital records, so we are awaiting the updated forms from NCHS before implementing the change.



Attachments:

  1. Attachment 3a. MMRIA_abstraction_forms, Redline

  2. Attachment 3a. MMRIA_abstraction_forms Clean



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorZirger, Jeffrey (CDC/OD/OS)
File Modified0000-00-00
File Created2025-08-08

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