Non-Substantive Change 0915-0298 (02242025)

DATE: May 23, 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 Performance Measures for Discretionary Grant Information System (OMB 0915-0298, expiration date December 31, 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 Discretionary Grant Information System Attachments A, B, and C 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 Attachments A, B, and C.

Time Sensitivity: HRSA requests approval within the standard 10-day period to avoid any delay to data collection under 0915-0298.

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
Discretionary Grant Information System; Central Forms (Attachment A)	Delete language	Table of Contents Health Equity….11	Remove “Health Equity….11”
Discretionary Grant Information System; Central Forms (Attachment A)	D elete language	Health Equity section (pages 11-12)	Remove entirety of section.
Discretionary Grant Information System; Central Forms (Attachment A)	Revise participant category option Update tables to align with revised options	Under Direct and Enabling Services, Table by Population Groups and Race, Ethnicity, and Insurance, “Pregnant/postpartum persons (all ages)”	Replace “persons” with “women.”
Discretionary Grant Information System; Central Forms (Attachment A)	Revise subject area option	Under Training and Workforce Development, “Equity, Diversity, or Cultural Responsiveness Related”	Remove “Equity, Diversity, or.”
Discretionary Grant Information System; Central Forms (Attachment A)	Revise question Revise participant category option Revise instructions	Under Engagement of Persons with Lived Experience, “iii. If able, enter the number engaged during the reporting period from other demographic groups that are underrepresented (for example, underrepresented factors include sexual orientation, income/socioeconomic status, health status/disability, age, language, geography). This item is optional and should only be completed if data are collected in a valid manner that recognizes the sensitive nature of these topics.” “iv. If able, enter the number engaged during the reporting period from other demographic groups that are underrepresented (for example, underrepresented factors include sexual orientation, income/socioeconomic status, health status/disability, age, language, geography). This item is optional and should only be completed if data are collected in a valid manner that recognizes the sensitive nature of these topics. “Examples of persons with lived experience include self-advocates or individuals with direct experience on a health issue (for example, youth self-advocates with special health care needs, pregnant or postpartum women, individual community members affected by a public health emergency, etc.).” “iii. Number engaged from other demographic groups that are underrepresented (for example, underrepresented factors include sexual orientation, gender identity, income/socioeconomic status, health status/disability, age, language, geography), in the reporting period (OPTIONAL)” “Pregnant/ postpartum persons”	Remove “gender identity” from question and instructions. Replace “persons” with “women” under Definitions and Other Persons with Lived Experience Engagement.
Discretionary Grant Information System; Central Forms (Attachment A)	Revise subject area option	Under Technical Assistance, “Equity, Diversity, or Cultural Responsiveness Related”	Remove “Equity, Diversity, or.”
Discretionary Grant Information System; Central Forms (Attachment A)	Revise subject area option	Under Outreach and Education, “Equity, Diversity, or Cultural Responsiveness Related”	Remove “Equity, Diversity, or.”
Discretionary Grant Information System; Central Forms (Attachment A)	Revise participant category option Update tables to align with revised options	Under Research, “Pregnant/postpartum persons (all ages)”	Change “persons” to “women.”
Discretionary Grant Information System; Central Forms (Attachment A)	Revise one response option	Under Data and Information Systems, “Facilitated the collection of disaggregated data based on race, ethnicity, sexual and gender minority, or other underrepresented demographics”	Remove “race, ethnicity, sexual and gender minority, or other underrepresented.”
Discretionary Grant Information System; Central Forms (Attachment A)	Revise one subject area response option Revise one participant category response option Revise text in instructions	Under Knowledge Change, “pregnant persons” “Pregnant/postpartum persons (all ages)” “Equity, Diversity, or Cultural Responsiveness Related”	Change “persons” to “women.” Remove “Equity, Diversity, or.”
Discretionary Grant Information System; Central Forms (Attachment A)	Revise one subject area response option Revise one participant category response option	Under Behavior Change, “Pregnant/ postpartum persons (all ages)” “Equity, Diversity, or Cultural Responsiveness Related”	Change “persons” to “women.” Remove “Equity, Diversity, or.”
Discretionary Grant Information System; Program Specific Forms (Attachment B)	Revise definition	Under Training Form 08, “Populations that are underserved or have been marginalized refers to groups of individuals at higher risk for health disparities by virtue of their race or ethnicity, socioeconomic status, geography, gender, age, disability status, or other risk factors including those associated with sex and gender.”	Remove “gender” and “including those associated with sex and gender.”
Discretionary Grant Information System; Program Specific Forms (Attachment B)	Revise one participant category response option Revise instructions to align with update	Under Training Form 15, “Pregnant and postpartum persons” “Pregnant or postpartum persons”	Replace “persons” with “women.”
Discretionary Grant Information System; Additional Data Elements (Attachment C)	Remove gender question Delete definitions	Under Faculty and Staff Information, “Gender (Cisgender Man, Cisgender Women, Transgender Man, Transgender Woman, A different term (specify), Choose not to disclose/Unrecorded)”	Remove gender definitions and question.
Discretionary Grant Information System; Additional Data Elements (Attachment C)	Remove gender question Delete definitions	Under Medium Term Trainees, “Gender: Cisgender Man, Cisgender Woman, Transgender Man, Transgender Woman, A different term(s) (specify), Choose not to disclose/ Unrecorded”_____	Remove gender definitions and question.
Discretionary Grant Information System; Additional Data Elements (Attachment C)	Remove gender question Delete definitions	Under Long Term Trainees, “Gender: Cisgender Man, Cisgender Woman, Transgender Man, Transgender Woman, A different term(s) (specify), Choose not to disclose/Unrecorded”	Remove gender definitions and question.
Discretionary Grant Information System; Additional Data Elements (Attachment C)	Remove gender question Delete definitions Remove one question option Revise one question option	Under Former Long Term Trainees, “Gender: Cisgender Man, Cisgender Woman, Transgender Man, Transgender Woman, A different term(s) (specify), Choose not to disclose/Unrecorded” “Women or people who have given birth” “LGBTQ+ populations”	Remove gender definitions and questions. Remove “or people.” Delete LGBTQ+ option.
Discretionary Grant Information System; Additional Data Elements (Attachment C)	Remove gender question Delete definitions	Under LEAP Trainee Information, “Gender: Cisgender Man, Cisgender Woman, Transgender Man, Transgender Woman, A different term(s) (specify), Choose not to disclose/Unrecorded”	Remove gender definitions and question.

Attachments:

1. 0915-0298_MCHB_Central Forms_Redline_02242025

2. 0915-0298_MCHB_Program Specific Forms_Redline_02242025

3. 0915-0298_MCHB_Additional Data Elements_Redline_02242025