0915-0338_MCHB_OMB Nonsubstantive Change Request_03052025

DATE: May 19, 2025

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

FROM: Samantha Miller, HRSA Information Collection Clearance Officer

______________________________________________________________________________

Request: The Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau requests approval for changes to the Healthy Start Evaluation and Quality Improvement information collection (OMB No. 0915-0338, expiration date September 30, 2026).

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 Healthy Start Demographic and Parent/Child Forms and Implementation Guides to be in accordance with Executive Order 14168. This request involves the following:

• Revision of an existing questions

• Deletion of an existing questions

Changes are outlined in detail in the table below, and in track changes versions of the forms (see Attachments).

Time Sensitivity: HRSA requests approval within the standard 10-day period to avoid any delay to data collection under 0915-0338.

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
Healthy Start Demographic Form (Attachment A)	Remove question and response options; insert new text	Question 3 - Gender Identity	Remove gender question; replace with “(Removed).”
Healthy Start Demographic Form (Attachment A)	Revise question wording; leave response options as is	Question 4 - Sex listed on birth certificate	Replace “What sex were you assigned at birth, on your original birth certificate?” with “What is your sex?”
Healthy Start Parent/Child Form (Attachment B)	Revise question wording; leave response options as is	Question 2 - Sex listed on birth certificate	Replace “What sex is listed on your child’s birth certificate?” with “What is your child’s sex?”
Implementation Guide: Instructions and Demographic Form (Attachment C)	Delete language	Table of contents Element name: Gender…16	Remove “Element name: Gender…16."
Implementation Guide: Instructions and Demographic Form (Attachment C)	Add language	Summary of changes (March 3, 2025), page 2	Added new text detailing changes in the Healthy Start Monitoring and Evaluation Data System.
Implementation Guide: Instructions and Demographic Form (Attachment C)	Delete language	Page 17 - Element name: Gender	Remove “Element name: Gender” and the table associated with this element.
Implementation Guide: Parent/Child Form (Attachment D)	Revise language	Table of contents Element name: ChildGender…13	Replace “Element name: ChildGender…13" with “Element name: ChildSex…13."
Implementation Guide: Parent/Child Form (Attachment D)	Revise language	Page 13 - Element name: ChildGender	Replace four mentions of “gender” with “sex.”

Attachments:

1. 0915-0338_MCHB_HSMED_Demographic_Form_Redline_03052025

2. 0915-0338_MCHB_HSMED_Parent Child Form_Redline_03052025

3. 0915-0338_MCHB_HSMED_Implementation Guide Demographic Form_Redline_03052025

4. 0915-0338_MCHB_HSMED_Implementation Guide ParentChild Form_Redline_03052025