OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Case Assistance Form (Ombudsman Form DHS-7001) and Instructions (Form DHS-7001)

ICR 201410-1601-001 · OMB 1601-0004 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
PTA CISOMB - Form 7001 - Ombudsman Case Assistance Online System 20150309 PRIV FINAL.pdf Supplementary Document Uploaded 2015-07-22 Repair queued
Supporting_Statement_A_1601_0004.docx Supporting Statement A Uploaded 2015-07-22 Available
1601-0004_30 Day FRN Published.pdf Supplementary Document Uploaded 2015-06-02 Available
CISOMB Virtual Ombudsman PIA 20100319 - final signed.doc Supplementary Document Uploaded 2011-09-19 Available
1601-0004_60 day FRN Published.pdf Supplementary Document Uploaded 2015-06-02 Available
SORN (Published).pdf Supplementary Document Uploaded 2010-07-22 Available
PRA DHS 7001 Citations.doc Supplementary Document Uploaded 2007-11-08 Available
IC Document Collections
IC IDCollectionTypeStatusForm
44790 CIS Ombudsman Case Assistance Form Instruction Modified
ICR Details
1601-0004 201410-1601-001
Historical Active 201112-1601-001
DHS/OS
Case Assistance Form (Ombudsman Form DHS-7001) and Instructions (Form DHS-7001)
Extension without change of a currently approved collection   No
Regular
Approved without change 07/22/2015
Retrieve Notice of Action (NOA) 12/30/2014
  Inventory as of this Action Requested Previously Approved
07/31/2018 36 Months From Approved 07/31/2015
8,800 0 2,600
8,800 0 2,600
0 0 0
This information collection will be used by the Citizenship and Immigration (CIS) Ombudsman to identify problem areas, propose changes, and assist individuals experiencing problems during the processing of an immigration benefit with U.S. Citizenship and Immigration Services (USCIS)
PL: Pub.L. 107 - 296 452 Name of Law: The Homeland Security Act of 2002
  
None
Not associated with rulemaking
  79 FR 62450 10/17/2014
80 FR 1928 01/14/2015
No
1
IC Title Form No. Form Name
CIS Ombudsman Case Assistance Form DHS Form 7001 , DHS Form 7001 Citizenship and Immigration Services Ombudsman ,   Citizenship and Immigration Services Ombudsman
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,800 2,600 0 0 6,200 0
Annual Time Burden (Hours) 8,800 2,600 0 0 6,200 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There has been an increase of 6,200 in the estimated annual burden hours previously reported for this information collection. The increase in burden hours is a reflection of agency estimates. There is no change in the information being collected, however there have been cosmetic changes to the form including punctuation, formatting, sequencing of information, and text changes to make the form more understandable and streamlined for use by respondents.
$362,000
No
No
No
No
No
Uncollected
Raymond Mills 202 357-8100
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/30/2014