WISEWOMAN OMB Revision Summary

Attachment 9
WISEWOMAN Summary Exhibits Displaying Minor Changes
March 12, 2025

Background and Rationale
•

The current dataset consists of 71minimum data elements (MDE) that address CVD risk
factors such as elevated blood cholesterol, high blood pressure, obesity, diabetes,
smoking, sedentary lifestyle, client demographics and behaviors, and social services and
support, which are incorporated into the client’s health department electronic health
record. Information is collected by providers at the time of enrollment and at follow-up
assessment and reassessment (a minimum of 11 months post-enrollment). The
information reported to CDC is used to evaluate the effectiveness and outcomes of
WISEWOMAN services and programs. By deleting two data elements and adding two
data elements, adding a response option, and adopting the 2024 OMB Statistical Policy
Directive 15 to replace the existing race questions. These changes align with the current
purpose and scope of existing WISEWOMAN data elements and the number of data
elements remain at 71. Overall, these changes to MDEs will improve data quality by
provide companion data to existing data elements to provide a more complete picture for
underserved women in the WISEWOMAN Program and Program fidelity by mitigating
barriers that are preventing active participation in the WISEWOMAN program. The
overall change in burden is non-substantive. In addition to these minor changes to MDEs,
CDC is also seeking a three approval for this data collection making this a revision ICR.

•

Exhibits
1. Overview of minor changes to MDEs
2. Revision of a current MDE Question
3. Deletion of two current MDE Question
4. Adding a response options to current MDE
5. Adding two new MDE Questions

Page 1

Exhibit 1. Overview of Minor Changes to MDEs

Minimum Data
Elements

Type
Revision of an existing MDE
Question

Race1

Deletion of existing MDEs

Race2 and Ethnicity

Number of Elements

1

2
Adding a response options to
current MDE

Social Service ID

Additions to Minimum Data
Elements Question or
Response Options

Participant Safety

1

2

Exhibit 2. Proposed Revision of an existing Minimum Data Elements Question

We propose to revise existing race question based on OMB Statistical Policy Directive 15 MDE
question. Capturing this will enhance program enhance the analysis of social services data elements.

No
.

1

MDE Field
Name and
File
Position
Location
Item
Current
item 3F.
Current
Location:
Starting at
59
Proposed
Location:
Starting at
59

Reference
Document
Current
Information
Collection

Race: First Race
This variable indicates a
race with which the
participant identifies.
1.
2.
3.
4.
5.
7.
9.

Changes Document
Proposed Changes

Race: What is your race and/or
ethnicity? Select all that apply.

White
Black or African
American
Asian
Native Hawaiian
or Other Pacific
Islander
American Indian
or Alaska Native
Unknown
No Answer
Recorded

Page 2

Rationale
Brief description of
intent of change

This change is based
on OMB Statistical
Policy Direct 15
2024. It replaces the
old OMB Statistical
Policy Directive
from 1997 of asking
Race and Ethnicity
separately. This is an
even exchange of 7
response options for
7 response options
in Exhibit 2. Data
file structure intact.

Exhibit 3. Deletion of Two Current Minimum Data Element Questions

We propose to delete Ethnicity and Race2 by adopting OMB Statistical Policy Directive 15 for race and
ethnicity. Deletion is necessary as the new race and ethnicity questions is comprehensive and two
Minimum Data Elements that are being deleted would be redundant.

No
.

1

2

MDE
Field
Name
and File
Position
Location
Item
Current
Item: 3E
Current
Location:
Starting
at 58
Item
Current
Item: 3G
Current
Location:
Starting
at 60

Reference Document
Current Information
Collection

Ethnicity: Hispanic or Latino
Origin
This variable indicates the ethnicity
which the participant identifies.
1.
2.
3.

4.
5.

Rationale
Brief description of intent
of change

Delete

This change is based on
OMB Statistical Policy
Direct 15 2024. Ethnicity is
no longer needed.

Delete

This change is based on
OMB Statistical Policy
Direct 15 2024. Race2 is
no longer needed.

Yes
No
Unknown

Race: Second Race
This variable indicates a race with
which the participant identifies.
1.
2.
3.

Changes Document
Proposed Changes

White
Black or African American
Native Hawaiian or Other
Pacific Islander
American Indian or Alaska
Native
Unknown

Exhibit 4. Adding a Response Option to a Current MDE

We propose to add one response option to the existing Social Service ID question. Capturing “other” will
enhance the analysis of social services data elements.

No
.

1

MDE Field
Name and
File
Position
Location
Item
Current
MDE 22A
Current
Location:
Starting at
561
Proposed
Location:
Starting at
561

Reference Document
Current Information
Collection

Changes Document
Proposed Changes

Social Service ID:

Social Service ID:

Social Service ID consists of two
letters representing recipient’s
state, tribal organization, or
territory, last two digits from the
current calendar year, the four
letters “SSID” denoting it is a
social service, and a two-digit
numeric code indicating type of
social service referral. Two-digit
numeric codes for referrals
should be assigned as: 01 for
Computer Use, 02 for Internet
Access, 03 for Food Insecurity,
04 for Transportation, 05 for
Childcare, 06 for Housing, 07 for
Intimate Partner Violence, 08 for
Medication Adherence, 09 for

Social Service ID consists of two letters
representing recipient’s state, tribal
organization, or territory, last two digits from
the current calendar year, the four letters
“SSID” denoting it is a social service, and a
two-digit numeric code indicating type of
social service referral. Two-digit numeric
codes for referrals should be assigned as:
01 for Computer Use, 02 for Internet
Access, 03 for Food Insecurity, 04 for
Transportation, 05 for Childcare, 06 for
Housing, 07 for Intimate Partner Violence,
08 for Medication Adherence, 09 for Mental
Health, 10 for Language Translation, 11 for
Substance Abuse, 12 for Other

Page 3

Rationale
Brief
description
of intent of
change
This change
is based on
feedback
from
awardees to
add an
“other”
category for
Social
Service ID.
So “other” s
being added
as option
12.

Mental Health, 10 for Language
Translation, 11 for Substance
Abuse

Exhibit 5. Adding 2 Minimums Data Element Questions

We propose to add two questions related to assess participant physical and emotional safety. These two
companion questions have been taken from the well-known PRAPARE Screening Tool and will
complement the analysis of current social services minimum data elements and increase opportunities
to participate in healthy behavior support services which the hallmark of the WISEWOMAN Program.

No
.

1

MDE Field
Name and File
Position
Location
Item
No Current
Item:
Current
Location:
No

Reference Document
Current Information
Collection

None

Changes Document
Proposed Changes

Do you feel physically and
emotionally safe where you currently
live?
1.
2.
3.
4.

Proposed
Location:
TBD
2

Item
No Current
Item:
Current
Location:
No

None

Yes
No
Unsure
I choose not to answer this
question

In the past year, have you been afraid
of your partner or ex-partner?
1.
2.
3.
4.

Yes
No
Unsure
I have not had a partner in
the past year
5. I choose not to answer this
question

Proposed
Location:
TBD

Page 4

Rationale
Brief
description
of intent of
change
This is the
first of two
questions
from the
PRAPARE
Screening
Tool
assessing
participant
physical
and
emotional
safety.
This is the
second of
two
questions
from the
PRAPARE
Screening
Tool
assessing
participant
physical
and
emotional
safety.