Document
change memo
ICR 202608-0906-005 · OMB 0906-0084 · Object 171748400.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | change memo |
| Author | Windows User |
| Last Modified By | Writer |
| File Modified | 2025-03-12 |
| File Created | 2026-08-28 |
| Conversion State | complete |
Extracted Text
DATE: August 28, 2026
TO: Dan Cline, Office of Management and Budget Desk Officer
FROM: Samantha Miller, Health Resources and Services Administration Information Collection Clearance Officer
______________________________________________________________________________
Request: The Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau requests approval for changes to the National Maternal Mental Health Hotline Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration (Partner Surveys) (OMB 0906-0084, expiration date February 28, 2027).
Purpose: HRSA is requesting a change request to revise questions to align with Executive Order 14168 Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government. This memorandum explains the changes and supporting rationale.
Changes: This request updates questions used in the Data Dictionary (Attachment A) and the Phone Script (Attachment B) to be in accordance with Executive Order 14168. This request involves the following:
• Revision of an existing question(s)
• Deletion of an existing question(s)
Changes are outlined in detail in the table below and in track changes versions of Attachments A and B.
Time Sensitivity: HRSA requests approval within the standard 10-day period to avoid any delay to data collection under 0906-0084.
Burden: The proposed changes are not expected to have any impact on burden.
PROPOSED CLARIFICATIONS AND NON-SUBSTANTIVE CHANGES:
Form (File Location)
Type of Change
Question/Item
Requested Change
Data Dictionary (Attachment A)
Delete Question
The reported gender identity of the help-seeker:
• Female
• Male
• Transgender Woman/Transgender Female/Transfeminine
• Transgender Man/Transgender Male/Transmasculine
• Uses a different term
• Declined to Answer/Respond
• Not Applicable (Abandoned/System Error)
Delete Question.
Data Dictionary (Attachment A)
Delete Question
What gender do you identify with?:
•Female
•Male
•Transgender Woman/Transgender Female/Transfeminine
•Transgender Man/Transgender Male/Transmasculine
•I use a different term
•I prefer not to disclose
Delete Question.
Phone Script
(Attachment B)
Revise Question
Hi, thank you for reaching out to the National Maternal Mental Health Hotline. My name is [X], and my pronouns are she/hers. If, for some reason, this call gets dropped, I encourage you to please call us back.
Remove “and my pronouns are she/hers.”
Phone Script
(Attachment B)
Delete Question
What gender do you identify with?
Delete Question.
Phone Script
(Attachment B)
Delete Question
What gender do you identify with? The respondent is provided with a dropdown box (Label: Pick One)
Delete Question.
Phone Script
(Attachment B)
Delete Question
What gender do you identify with?
The respondent is provided with the following response options English / Spanish:
• Female / Mujer
• Male / Hombre
• Transgender Woman/Transgender Female/Transfeminine / Mujer Transgénero
• Transgender Man/Transgender Male/Transmasculine / Hombre Transgénero
• I use a different term / Utilizo un término diferente
• I prefer not to disclose / Prefiero no mencionarlo
Delete Question.
Attachments:
A. 0906-0084_MCHB_Hotline_Data Dictionary_Redline 03052025
B. 0906-0084_MCHB_Hotline_Script_Redline 03052025