FORHP 0915-0384 OMB NonSubstantive Change Request (NP) 6.4.25

5600 Fishers Lane

Rockville, MD 20857

DATE: June 4, 2025

TO: Dan Cline, Office of Management and Budget Desk Officer

FROM: Samantha Miller, Health Resources and Services Administration Information Collection Clearance Officer, Office of Planning, Analysis and Evaluation

______________________________________________________________________________

Request: The Health Resources and Services Administration (HRSA), Federal Office of Rural Health Policy (FORHP) requests approval for changes to the Black Lung Clinics Program Performance Measures (OMB 0915-0292 expiration date 12/31/2027).

Purpose: HRSA is requesting a change to revise response options to align with this Administration’s priorities and comply with Executive Order (E.O. 14168).

This memo explains the changes and supporting rationale.

Changes: This request involves revision and deletion of response/selection options for one question within the form.

Changes are outlined in Table A (see below) and in the track changes version of the OMB approved measures (see Attachment).

FORHP would like to replace “Other” with “Unreported.” It is necessary to keep a third option for the reporting of sex in this case, to maintain the measure structure for the clinics reporting due to how data is pulled from respondent’s systems. 

Time Sensitivity: HRSA requests approval within the standard 10-day period (no later than June 18, 2025) to avoid any delay to data collection under 0915-0292.

Burden: The proposed changes are not expected to have any impact on burden.

PROPOSED CLARIFICATIONS AND NON-SUBSTANTIVE CHANGES:

Table A

Instrument	Type of Change	Question/Item	Change implemented	Rationale
Black Lung Clinics Program Performance Measures	Remove response option	Section I – 7 (Demographics – Sex Assign at Birth)	Change “Sex Assigned at Birth” to “Sex” Take out options for “Intersex” and “Chose not to Disclose” Replace “0=Other” with “Unreported”	Align with this Administration’s priorities, comply with E.O. 14168.

Attachments:

1. Black Lung Clinics Program Performance Measures instrument (See deletions in track-changes in the attached document).

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