0920-1360 Change Request Memo_03APR2025

Non-substantive Change Request

OMB Control Number 0920-1360

CryptoNet Case Report Form

Date Submitted: 03/27/2025

Summary of request: CDC/DFWED 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 [CryptoNet Case Report Form] 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]

If removing an existing question, the question to be removed can be included here.

Description of these actions could also be included in the Table at the bottom of this document.

Description of Changes to Burden (if applicable):

Description of Changes to Burden (if applicable): Form	Approved Burden	Requested Burden
N/A	N/A	N/A
N/A	N/A	NA
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” **

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
CryptoNet Case Report Form	Question Revision	Sex	Removed “Unknown” response option