Change Request

Change Request Memo - EO14168 Template_20251201 (1).docx

[NCIRD] National Disease Surveillance Program - II. Disease Summaries

Change Request

OMB: 0920-0004

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Non-substantive Change Request

OMB Control Number 0920-0004

TITLE

Date Submitted: 12/1/2025


Summary of request: CDC/NCIRD 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 The National Adenovirus Tye Reporting System (NATRS) to be in accordance with EO 14168. Please check the boxes below if your request includes:


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): There is no change in Burden Hours associated with the modifications made to comply with EO 14168


Description of Changes to Burden (if applicable): Form

Approved Burden

Requested Burden

Form 1

TOTAL TIME

TIME per response # respondents

TOTAL TIME

TIME per response # respondents

Form 2

TOTAL TIME

TIME per response # respondents

TOTAL TIME

TIME per response # respondents

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” **

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

Form 1

Modification made to comply with EO 14168.

Gender variable name and value options.

Form on variable changed from Gender to Sex. Option under Sex changed from Unknown to Undetermined.

Form 2

Question Deletion















File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorZirger, Jeffrey (CDC/OD/OS)
File Modified0000-00-00
File Created2025-12-09

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