Change Request Memo

Change Request Memo.docx

[NCHHSTP] National Network of Sexually Transmitted Disease Clinical Prevention Training Centers (NNPTC)

Change Request Memo

OMB: 0920-0995

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Non-substantive Change Request

OMB Control Number 0920-0995 (exp. 3/31/2026)

National Network of STD Clinical Prevention Training Centers

Date Submitted: 04/29/2025


Summary of request: CDC/NCHHSTP 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 National Network of STD Clinical Prevention Training Centers (NNPTC) Health Professional Application for Training (HPAT) in compliance with EO 14168.


Please check the boxes below if your request includes:


Revision of an existing question(s)

Deletion of an existing question(s)



CDC is the secondary collector of these data. There is no change in Burden Hours associated with the modifications made to comply with EO 14168.


Table A: Description of Changes (optional, helpful if multiple changes to multiple forms):

Type of Change

Question/Item

Requested Change

Attachment 3: HPAT

Question Revision

6. If applicable, please select up to THREE of the following special population predominantly served by your program:


Not applicable

Ages 15 to 19

Ages 20 to 24

Homeless individuals

Incarcerated individuals/parolees

Men who have sex with men

Men who have sex with men and women

Older adults

People with disability

Pregnant people

Sex workers

Substance users

Transgender and gender diverse persons

Don’t know

6. If applicable, please select up to THREE of the following special population predominantly served by your program:


Not applicable

Ages 15 to 19

Ages 20 to 24

Homeless individuals

Incarcerated individuals/parolees

Men who have sex with men

Men who have sex with men and women

Older adults

People with disability

Pregnant women

Sex workers

Substance users

Don’t know

Attachment 3: HPAT

Question Revision

9. Please select the gender that best describes your identity:

Female

Male

Transgender man

Transgender woman

Non binary

Other

Prefer not to answer

9. What is your sex?

Female

Male


Attachment 3: HPAT

Question Deletion

10. Please select the sexual orientation that best describes your identity:

Lesbian

Gay

Bisexual

Transgender

Queer

Asexual

Heterosexual

Intersex

Prefer not to answer

Delete

Attachment 3: HPAT

Question Revision

12. Do you provide direct services to patients / clients who are … (select ALL that apply):

Ages 15-19

  • No

  • Yes

  • Not now, but expect to in the future

Ages 20-24

  • No

  • Yes

  • Not now, but expect to in the future

Pregnant People

  • No

  • Yes

  • Not now, but expect to in the future

Men who have sex with men

  • No

  • Yes

  • Not now, but expect to in the future

11. Do you provide direct services to patients / clients who are … (select ALL that apply):

Ages 15-19

  • No

  • Yes

  • Not now, but expect to in the future

Ages 20-24

  • No

  • Yes

  • Not now, but expect to in the future

Pregnant Women

  • No

  • Yes

  • Not now, but expect to in the future

Men who have sex with men

  • No

  • Yes

Not now, but expect to in the future





File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorZirger, Jeffrey (CDC/OD/OS)
File Modified0000-00-00
File Created2025-05-19

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