Non Substantive Change Memo

DATE: May 20, 2025

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 Maternal and Child Health Bureau Pediatric Mental Health Care Access Program National Impact Study (OMB 0906-0097, expiration date July 31, 2027).

Purpose: HRSA is requesting a change request to revise questions to align with Executive Order (E.O.) 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 Family/Caregiver Focus Group Discussion (FGD) Background/Demographic Questions to be in accordance with EO 14168. This request involves the following:

• Revision of an existing question(s)

Changes are outlined in detail in the table below and in a track changes version of the Family-Caregiver Demographic Questionnaire.

Time Sensitivity: HRSA requests approval within the standard 10-day period to avoid any delay to data collection under 0906-0097.

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

PROPOSED CLARIFICATIONS AND NON-SUBSTANTIVE CHANGES:

Form	Type of Change	Question/Item	Requested Change
Family/Caregiver FGD Background/Demographic Questions	Update the sex question and response options in accordance with E.O. 14168	Question 9: What gender does your child/adolescent identify as? *If more than one child/adolescent is identified, this question will be asked for each. Male Female Transgender Nonbinary/nonconforming Other, please specify:_______ Prefer not to disclose	Question 9: What is your child’s/adolescent’s sex? *If more than one child/adolescent is identified, this question will be asked for each. Female Male

Attachment:

1. 0906-0097_MCHB_Family-Caregiver Demographic Questionnaire_Redline_02252025