The Biden administration is asking middle and high school children whether they question their gender in the National Youth Tobacco Survey.

While a 2020 change to the survey included asking children if they identified as gay, lesbian, bisexual, or "something else," the 2023 version asks directly about identifying as "transgender."

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"Some people describe themselves as transgender and/or nonbinary when the way they think or feel about their gender is different from their sex assigned at birth," the question reads, according to an Office of Management and Budget document. "Do you identify as transgender and/or nonbinary?"

One possible answer to the question is, "I am not sure yet or questioning if I am transgender and/or nonbinary."

The survey is distributed every year by the Centers for Disease Control and Prevention's Office on Smoking and Health, which is designed to track tobacco usage, beliefs, and corporate influence on tobacco use among middle and high school students.

"This appears to be yet another case of science taking a back seat to an agenda driven by special interests, which has become far too common in recent years," Michael Chamberlain, the director of Protect the Public’s Trust, told the Washington Examiner. "While federal health officials decry the public's loss of trust in their actions and decisions, they don't seem very keen on looking in the mirror."

Another question in the survey defines "sexual orientation" as "a person’s emotional, romantic, and/or sexual attraction to another person. There are many ways a person can describe their sexual orientation and many labels a person can use."

The survey finally asks, "Which of these options best describes your sexual orientation?", for which possible answers include "straight or heterosexual," "gay or lesbian," "bisexual, pansexual, or queer," and "asexual."

The new lines of questioning come after the CDC asked OMB to make "non-substantive" changes to the survey, which were approved by the White House on Nov. 1, 2022. The CDC did not respond to a request for comment from the Washington Examiner. OMB referred the Washington Examiner to the CDC.

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The questions also come amid a larger effort from the Biden administration to gather such data, including the Census Bureau seeking permission to ask Americans 15 years old and above about sexual orientation and gender identity on the American Community Survey.

In its Federal Register notice, the census said it was interested in the data to track civil rights and equal employment enforcement.