OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Citizenship and Immigration Services Ombudsman Request for Case Assistance Form (DHS Form 7001)

ICR 202109-1601-002 · OMB 1601-0004 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form DHS-7001 Case Assistance Form Form and Instruction Modified Available
Form DHS-7001 CIS Ombudsman Case Assistance Form Form and Instruction Modified Missing upstream
DHS Request for Case Assistance Form 7001.pdf Supplementary Document Uploaded 2022-03-28 Available
1601-0004 30 Day FRN.pdf Supplementary Document Uploaded 2022-03-16 Available
PIA CISOMB - CAADI 20210217.pdf Supplementary Document Uploaded 2022-02-07 Available
PIA CISOMB - CAADI 20210217.pdf Supplementary Document Uploaded 2022-02-07 Missing upstream
2021-23342.pdf Supplementary Document Uploaded 2021-12-16 Available
2021-23342.pdf Supplementary Document Uploaded 2021-12-16 Missing upstream
2021-27250.pdf Supplementary Document Uploaded 2021-12-16 Available
2021-27250.pdf Supplementary Document Uploaded 2021-12-16 Repair queued
Supporting_Statement_A_1601_0004_ revised 09062022.docx Supporting Statement A Uploaded 2022-09-08 Available
Supporting_Statement_A_1601_0004_ revised 120721.docx Supporting Statement A Uploaded 2021-12-10 Repair queued
CISOMB Virtual Ombudsman PIA 20100319 - final signed.doc Supplementary Document Uploaded 2011-09-19 Available
CISOMB Virtual Ombudsman PIA 20100319 - final signed.doc Supplementary Document Uploaded 2011-09-19 Repair queued
SORN (Published).pdf Supplementary Document Uploaded 2010-07-22 Available
SORN (Published).pdf Supplementary Document Uploaded 2010-07-22 Repair queued
PRA DHS 7001 Citations.doc Supplementary Document Uploaded 2007-11-08 Available
PRA DHS 7001 Citations.doc Supplementary Document Uploaded 2007-11-08 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
44790 CIS Ombudsman Case Assistance Form Form and Instruction ModifiedCase Assistance Form
44790 CIS Ombudsman Case Assistance Form Form and Instruction Modified
ICR Details
1601-0004 202109-1601-002
Active 201807-1601-001
DHS/OS
Citizenship and Immigration Services Ombudsman Request for Case Assistance Form (DHS Form 7001)
Extension without change of a currently approved collection   No
Regular
Approved with change 09/15/2022
Retrieve Notice of Action (NOA) 02/28/2022
  Inventory as of this Action Requested Previously Approved
09/30/2025 36 Months From Approved 09/30/2022
18,000 0 12,000
18,000 0 12,000
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
  86 FR 71517 12/16/2021
87 FR 12480 03/04/2022
No
1
IC Title Form No. Form Name
CIS Ombudsman Case Assistance Form DHS-7001 Case Assistance Form
  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 18,000 12,000 0 0 6,000 0
Annual Time Burden (Hours) 18,000 12,000 0 0 6,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There has been an increase of 3,324 in the estimated annual burden hours previously reported for this information collection. The increase in burden hours reflects agency estimates. There is no change in the information being collected, however there have been cosmetic changes to the form including punctuation, formatting, and text changes to make the form more understandable and streamlined for use by respondents.
$1,231,200
No
    Yes
    Yes
No
No
No
No
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.
02/28/2022