Change Request Memo

Non-substantive Change Request

OMB Control Number 0920-0572

CDC SCREEN FOR LIFE MESSAGE TESTING

Date Submitted: 03/27/2025

Summary of request: CDC/NCCDPHP is submitting a change request to revise questions to align with Executive Order (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 CDC and ATSDR Health Message Testing System (HMTS), CDC Screen for Life Message Testing to be in accordance with EO 14168.

This request includes:

 Revision of an existing question(s)

 Deletion of an existing question(s)

Description of Changes	Type of Change	Question/Item	Requested Change
Attachment D. Screener_English_paper version	Question revision	5A. What sex were you assigned at birth, on your original birth certificate? Female Male Prefer not to answer	5A. What is your Sex? Male Female
Attachment D. Screener_English_paper version	Question deletion	5B. How do you currently describe yourself? Please select all that apply. Male Female Transgender I use a different term Prefer not to answer	Delete question
Attachment F Screener_Spanish_paper version	Question revision	5. ¿Cuál es su género? Hombre Mujer Género no binario Género no binario o género fluido Agénero Dos espíritus Otra identidad Prefiero no contestar	¿Cuál es su sexo? Hombre Mujer

Description of Changes to Burden:

Form	Approved Burden	Requested Burden
Attachment D. Screener_English_paper version / Attachment F Screener_Spanish_paper version	35 Hours 3 minutes per response 700 respondents	32 Hours 2.7 minutes per response 700 respondents
Total	93 Hours	90 Hours

Attachments:

1. Attachment A. Background Information_v3_3.13.25_tracked

2. Attachment A. Background Information_v3_3.13.25_clean

3. Attachment D. Screener_English_paper version_3.21.25_tracked

4. Attachment D. Screener_English_paper version_3.21.25_clean

5. Attachment E. Screener_English_online version_3.21.25_tracked

6. Attachment E. Screener_English_online version_3.21.25_clean

7. Attachment E. Screener_English_online version_3.21.25_clean

8. Attachment F Screener_Spanish_paper version_3.21.25_tracked

9. Attachment F Screener_Spanish_paper version_3.21.25_clean

10. HMTS Expedited Review Form_v4 (PDF)