Agency Information Collection Activities: Case Assistance Form (Ombudsman Form DHS-7001 and Instructions), 62450-62452 [2014-24770]
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62450
Federal Register / Vol. 79, No. 201 / Friday, October 17, 2014 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Institute of Mental Health;
Notice of Closed Meetings
mstockstill on DSK4VPTVN1PROD with NOTICES
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of the following meetings.
The meetings will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Institute of
Mental Health Special Emphasis Panel;
Effectiveness of Treatment, Prevention, and
Services Interventions (R01/R01
Collaboratives).
Date: November 7, 2014.
Time: 9:00 a.m. to 5:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: Hyatt Regency Bethesda, One
Bethesda Metro Center, 7400 Wisconsin
Avenue, Bethesda, MD 20814.
Contact Person: Karen Gavin-Evans, Ph.D.,
Scientific Review Officer, Division of
Extramural Activities, National Institute of
Mental Health, NIH, Neuroscience Center,
6001 Executive Boulevard, Room 6153, MSC
9606, Bethesda, MD 20892, 301–451–2356,
gavinevanskm@mail.nih.gov.
Name of Committee: National Institute of
Mental Health Special Emphasis Panel;
Fellowships and Dissertation Grants.
Date: November 10, 2014.
Time: 11:30 a.m. to 5:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health,
Neuroscience Center, 6001 Executive
Boulevard, Rockville, MD 20852, (Telephone
Conference Call).
Contact Person: Marcy Ellen Burstein,
Ph.D., Scientific Review Officer, Division of
Extramural Activities, National Institute of
Mental Health, NIH, Neuroscience Center,
6001 Executive Blvd., Room 6143, MSC 9606,
Bethesda, MD 20892–9606, 301–443–9699,
bursteinme@mail.nih.gov.
Name of Committee: National Institute of
Mental Health Special Emphasis Panel; NIH
Pathway to Independence Awards (K99).
Date: November 10, 2014.
Time: 12:00 p.m. to 4:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health,
Neuroscience Center, 6001 Executive
Boulevard, Rockville, MD 20852, (Telephone
Conference Call).
VerDate Sep<11>2014
17:59 Oct 16, 2014
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Contact Person: Rebecca Steiner Garcia,
Ph.D., Scientific Review Officer, Division of
Extramural Activities, National Institute of
Mental Health, NIH, Neuroscience Center,
6001 Executive Blvd., Room 6149, MSC 9608,
Bethesda, MD 20892–9608, 301–443–4525,
steinerr@mail.nih.gov.
(Catalogue of Federal Domestic Assistance
Program No. 93.242, Mental Health Research
Grants, National Institutes of Health, HHS)
Dated: October 14, 2014.
Carolyn A. Baum,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2014–24791 Filed 10–16–14; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HOMELAND
SECURITY
[Docket No. DHS–2014–0060 ]
Agency Information Collection
Activities: Case Assistance Form
(Ombudsman Form DHS–7001 and
Instructions)
Office of the Citizenship and
Immigration Services Ombudsman,
DHS.
ACTION: 60-Day Notice and request for
comments; Extension without change of
a currently approved collection, 1601–
0004.
AGENCY:
The Department of Homeland
Security, Office of Inspector General,
Office of Audits, will submit the
following Information Collection
Request (ICR) to the Office of
Management and Budget (OMB) for
review and clearance in accordance
with the Paperwork Reduction Act of
1995 (Pub. L. 104–13, 44 U.S.C. Chapter
35).
DATES: Comments are encouraged and
will be accepted until December 16,
2014. This process is conducted in
accordance with 5 CFR 1320.1
ADDRESSES: You may submit comments,
identified by docket number DHS–
2014–0060, by one of the following
methods:
• Federal eRulemaking Portal: https://
www.regulations.gov. Please follow the
instructions for submitting comments.
• Email: dhs.pra@hq.dhs.gov. Please
include docket number DHS–2014–0060
in the subject line of the message .
SUPPLEMENTARY INFORMATION: The
Citizenship and Immigration Services
(CIS) Ombudsman was created under
section 452 of the Homeland Security
Act of 2002 (Public Law 107–296) to: (1)
Assist individuals and employers in
resolving problems with the U.S.
Citizenship and Immigration Services
(USCIS); (2) to identify areas in which
SUMMARY:
PO 00000
Frm 00039
Fmt 4703
Sfmt 4703
individuals and employers have
problems in dealing with USCIS; and (3)
to the extent possible, propose changes
in the administrative practices of USCIS
to mitigate problems. This form is used
by an applicant who is experiencing
problems with USCIS during the
processing of an immigration benefit.
The information collected on this
form will allow the CIS Ombudsman to
identify the problem such as: (1) A case
problem which is a request for
information about a case that was filed
with USCIS (‘‘case problem’’); or (2) the
identification of a systemic issue that
may or may not pertain to an individual
case which the individual, attorney or
employer is seeking to bring to the
attention of the CIS Ombudsman
(‘‘trend’’).
For case problems, the CIS
Ombudsman will refer case specific
issues to the Customer Assistance Office
for USCIS for further research, and
review.
For trends received, the CIS
Ombudsman notes the systemic issue
identified in the correspondence which
may or may not be incorporated into
future recommendations submitted to
the Director of USCIS pursuant to
section 452(d)(4) of Public Law 107–
296.
The use of this form provides the
most efficient means for collecting and
processing the required data. The CIS
Ombudsman is now employing the use
of information technology in collecting
and processing information by offering
the option for electronic submission of
the DHS Form 7001 through the
Ombudsman Case Assistance Online
System. Per PRA requirements, a fillable
PDF version of the form is provided on
the Ombudsman’s Web site. The PDF
form can be completed online, printed
out and sent to the Ombudsman’s office
at the address indicated on the form. It
is noted on the form that using the
paper method can result in significant
processing delays for the Ombudsman’s
office to provide the requested case
assistance. After approval of the changes
to form detailed in this supporting
statement, the online form will be
updated and posted on the
Ombudsman’s Web site at https://
www.dhs.gov/case-assistance for
electronic online submission of the
form.
The assurance of confidentiality
provided to the respondents for this
information collection is provided by:
(a) The CIS Ombudsman statute and
mandate as established by Homeland
Security Act Section 452; (b) the Privacy
Impact Assessment for the Office of the
Citizenship & Immigration Services
Ombudsman (CISOMB) Virtual
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Federal Register / Vol. 79, No. 201 / Friday, October 17, 2014 / Notices
Ombudsman System (March 19, 2010)
and the (c) Systems of Records Notice:
9110–9B Department of Homeland
Security, Office of the Secretary [Docket
No. DHS–2009–0146] Privacy Act of
1974; Department of Homeland Security
Citizenship and Immigration Services
Ombudsman—001 Online Ombudsman
Form DHS–7001 System of Records. The
DHS Privacy Office will receive the
entire package of documents for this
information collection to assure
authorization for renewal of the
collection.
The CISOMB Form DHS–7001 and the
Online Ombudsman Form DHS–7001
system is constructed in compliance
with all applicable DHS Privacy Office,
DHS CIO, DHS Records Management,
and OMB regulations regarding data
collection, use, storage, and retrieval.
The proposed public use data collection
system is therefore intended to be
distributed for public use primarily by
electronic means with limited paper
distribution and processing of paper
forms.
The CISOMB Form DHS–7001 (PDF)
and the Online Ombudsman Form
DHS–7001 (Ombudsman Case
Assistance Online System) has been
constructed in compliance with
regulations and authorities under the
purview of the DHS Privacy Office, DHS
CIO, DHS Records Management, and
OMB regulations regarding data
collection, use, sharing, storage,
information security and retrieval of
information.
In accordance with the Privacy Act of
1974, the Department of Homeland
Security is giving notice that it proposes
to renew the Department of Homeland
Security system of records notice titled,
‘‘Department of Homeland Security
Citizenship and Immigration Services
Ombudsman—001 Online Ombudsman
Form DHS–7001 and Ombudsman Case
Assistance Online System of Records.’’
This system of records will continue to
ensure the efficient and secure
processing of information to aid the
Citizenship and Immigration Services
Ombudsman in providing assistance to
individuals, employers, and their
representatives in resolving problems
with U.S. Citizenship and Immigration
Services; identify areas in which
individuals, employers, and their
representatives have problems working
with U.S. Citizenship and Immigration
Services; and to the extent possible,
propose changes to mitigate problems
pursuant to 6 U.S.C. 272. This system
will continue to be included in the
Department of Homeland Security’s
inventory of record systems.
There has been an increase of 6,200 in
the estimated annual burden hours
VerDate Sep<11>2014
17:59 Oct 16, 2014
Jkt 235001
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. The
number of response fields has been
reduced from 13 to 12 and arranged in
a way that streamlines completion,
submission and processing of the form.
The title of the form has changed from
‘‘Case Problem Submission Worksheet
(CIS Ombudsman Form DHS–7001)’’ to
‘‘Case Assistance Form (Ombudsman
Form DHS–7001)’’. The name of the
system has changed from ‘‘Virtual
Ombudsman System’’ to ‘‘Ombudsman
Case Assistance Online’’. The following
narrative explains the changes made on
the form and the corresponding
instructions:
The ORIGINAL 7001 form had the
sections arranged in the following order:
1—Name: Please identify the
individual or employer encountering
difficulties with USCIS (applicant/
beneficiary/petitioner).
2—Contact Information: Please
provide information on the individual
or employer encountering difficulties
with USCIS (applicant/beneficiary/
petitioner).
3—Date of Birth.
4—Country of Birth and Citizenship.
5—Alien Registration Number (ANumber); The A-number appears in the
following format: A123–456–789.
6—Person Preparing This Form:
Please indicate who is completing this
form.
7—Applications/Petitions Filed: List
all applications and/or petitions
pending with USCIS related to your case
inquiry.
8—Type of Immigration Benefit:
Please provide the type of immigration
benefit sought from USCIS.
9—Reason for Inquiry: Please indicate
if any of the options apply. Provide a
description in section 10;
10—Description: Describe the
difficulties experienced with USCIS.
Attach additional pages if needed.
11—Prior Actions Taken: Check all
that apply: Please describe the response
USCIS provided and attach any relevant
correspondence.
12—Consent: If you are the
beneficiary of an immigration petition,
consent of the individual who
submitted the petition on your behalf is
required. The petitioner must sign.
13—Attorney or Accredited
Representative: Please complete this
section if you are an attorney, a
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62451
representative of an organization, an
accredited representative, or anyone
else preparing this form on behalf of the
individual or employer encountering
difficulties with USCIS.
The AMENDED 7001 has the sections
arranged in the following order:
1. Name: Please identify the name of
the individual or employer (applicant/
beneficiary/petitioner) encountering or
difficulties with USCIS. Do not enter the
attorney/law firm’s name here.
2. Date of Birth: Country of Birth:
Country of Citizenship:
3. Alien Registration Number (ANumber); The A-number appears in the
following format: A123–456–789.
4. Contact Information: Please provide
the contact information of the
individual or employer (applicant/
beneficiary/petitioner) encountering
difficulties with USCIS. Please include
the primary E-Mail address for the
Ombudsman to provide updates.
5. Applications/Petitions Filed: List
all applications and/or petitions
pending with USCIS related to your case
inquiry.
6. Type of Immigration Benefit
Sought: Please provide the type of
immigration benefit sought from USCIS.
7. Reason for Inquiry/Case Assistance
Request: Check all that apply. Provide a
description in section 8 and add
documentation related to your inquiry.
8. Description of your Case Problem:
Describe the difficulties experienced
with USCIS including all responses
USCIS provided. Attach relevant
correspondence concerning actions
taken to resolve the issue before
submitting with the Ombudsman’s
Office including: Receipt notices;
requests for evidence; decisions; notices
and any other correspondence from
USCIS about your case. Attach
additional pages if needed.
9. Prior Actions Taken to Remedy the
Problem: Check all that apply and
provide the additional information
requested for each selection in the space
provided. Note that if selecting Option
a ‘‘Visited USCIS My Case Status at
www.uscis.gov’’, you must indicate what
additional actions (b through g) were
taken to remedy the problem before
submitting the form to the Ombudsman.
a. Visited USCIS My Case Status at
www.uscis.gov and
b. Contacted the National Customer
Service Center (NCSC) for information
and/or assistance regarding this case at
their toll-free number 1–800–375–5283.
Provide SRMT Number:
c. Attended an InfoPass Appointment
with USCIS. Provide InfoPass Number:
d. Sent an Email to USCIS. Provide
date Email sent: Provide USCIS Email
address:
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62452
Federal Register / Vol. 79, No. 201 / Friday, October 17, 2014 / Notices
e. Contacted a U.S. Government
Department or Agency for assistance.
Provide name and contact information:
f. Contacted a U.S. Congressional
Representative for assistance. Provide
name and contact information:
g. Other. Please describe.
10. Person Preparing This Form:
Please indicate who is completing this
form.
11. Attorney or Accredited
Representative: Please complete this
section if you are an attorney, a
representative of an organization, an
accredited representative, or anyone
else preparing this form on behalf of the
individual or employer encountering
difficulties with USCIS. Please attach
copy of your Form G–28.
12. Consent: Please note that if you
are the beneficiary of an immigration
petition, consent of the individual or
employer that submitted the petition on
your behalf is required. The petitioner
must sign.
The instructions have been updated to
reflect the electronic submission options
as detailed in the previous paragraphs.
Instructions for electronic submission
will be posted on the CIS Ombudsman
Web site at www.dhs.gov/
cisombudsman. The electronic version
of the form will be developed by DHS
OCIO (Office of the Chief Information
Officer) based upon the approved
version of the amended 7001 as
described herein.
There is no change in the terms of
clearance from the previously approved
collection have been addressed by
updates to the: (a) Privacy Impact
Assessment for the Office of the
Citizenship & Immigration Services
Ombudsman (CISOMB) Virtual
Ombudsman System (March 19, 2010);
and the (b) Systems of Records Notice:
9110–9B Department of Homeland
Security, Office of the Secretary [Docket
No. DHS–2009–0146] Privacy Act of
1974; Department of Homeland Security
Citizenship and Immigration Services
Ombudsman—001 Virtual Ombudsman
System (March 2010) to reflect the name
change to Online Ombudsman Form
DHS–7001 System of Records.
The Office of Management and Budget
is particularly interested in comments
which:
1. Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
2. Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
VerDate Sep<11>2014
17:59 Oct 16, 2014
Jkt 235001
3. Enhance the quality, utility, and
clarity of the information to be
collected; and
4. Minimize the burden of the
collection of information on those who
are to respond, including through the
use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submissions
of responses.
Analysis
Agency: Office of the Citizenship and
Immigration Services Ombudsman,
DHS.
Title: Case Assistance Form
(Ombudsman Form DHS–7001 and
Instructions).
OMB Number: 1601–0004.
Frequency: Annually.
Affected Public: Individuals or
household.
Number of Respondents: 8,800.
Estimated Time Per Respondent: 1
hour.
Total Burden Hours: 8,800.
Dated: October 6, 2014.
Carlene C. Ileto,
Executive Director, Enterprise Business
Management Office.
[FR Doc. 2014–24770 Filed 10–16–14; 8:45 am]
BILLING CODE 9110–9B–P
DEPARTMENT OF HOUSING AND
URBAN DEVELOPMENT
[Docket No. FR–5750–N–42]
Federal Property Suitable as Facilities
to Assist the Homeless
Office of the Assistant
Secretary for Community Planning and
Development, HUD.
ACTION: Notice.
AGENCY:
This Notice identifies
unutilized, underutilized, excess, and
surplus Federal property reviewed by
HUD for suitability for use to assist the
homeless.
FOR FURTHER INFORMATION CONTACT:
Juanita Perry, Department of Housing
and Urban Development, 451 Seventh
Street SW., Room 7266, Washington, DC
20410; telephone (202) 402–3970; TTY
number for the hearing- and speechimpaired (202) 708–2565 (these
telephone numbers are not toll-free), or
call the toll-free Title V information line
at 800–927–7588.
SUPPLEMENTARY INFORMATION: In
accordance with 24 CFR part 581 and
section 501 of the Stewart B. McKinney
Homeless Assistance Act (42 U.S.C.
11411), as amended, HUD is publishing
SUMMARY:
PO 00000
Frm 00041
Fmt 4703
Sfmt 4703
this Notice to identify Federal buildings
and other real property that HUD has
reviewed for suitability for use to assist
the homeless. The properties were
reviewed using information provided to
HUD by Federal landholding agencies
regarding unutilized and underutilized
buildings and real property controlled
by such agencies or by GSA regarding
its inventory of excess or surplus
Federal property. This Notice is also
published in order to comply with the
December 12, 1988 Court Order in
National Coalition for the Homeless v.
Veterans Administration, No. 88–2503–
OG (D.D.C.).
Properties reviewed are listed in this
Notice according to the following
categories: Suitable/available, suitable/
unavailable, and suitable/to be excess,
and unsuitable. The properties listed in
the three suitable categories have been
reviewed by the landholding agencies,
and each agency has transmitted to
HUD: (1) Its intention to make the
property available for use to assist the
homeless, (2) its intention to declare the
property excess to the agency’s needs, or
(3) a statement of the reasons that the
property cannot be declared excess or
made available for use as facilities to
assist the homeless.
Properties listed as suitable/available
will be available exclusively for
homeless use for a period of 60 days
from the date of this Notice. Where
property is described as for ‘‘off-site use
only’’ recipients of the property will be
required to relocate the building to their
own site at their own expense.
Homeless assistance providers
interested in any such property should
send a written expression of interest to
HHS, addressed to Theresa Ritta, Ms.
Theresa M. Ritta, Chief Real Property
Branch, the Department of Health and
Human Services, Room 5B–17,
Parklawn Building, 5600 Fishers Lane,
Rockville, MD 20857, (301) 443–6672
(This is not a toll-free number.) HHS
will mail to the interested provider an
application packet, which will include
instructions for completing the
application. In order to maximize the
opportunity to utilize a suitable
property, providers should submit their
written expressions of interest as soon
as possible. For complete details
concerning the processing of
applications, the reader is encouraged to
refer to the interim rule governing this
program, 24 CFR part 581.
For properties listed as suitable/to be
excess, that property may, if
subsequently accepted as excess by
GSA, be made available for use by the
homeless in accordance with applicable
law, subject to screening for other
Federal use. At the appropriate time,
E:\FR\FM\17OCN1.SGM
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]]>Agencies
[Federal Register Volume 79, Number 201 (Friday, October 17, 2014)]
[Notices]
[Pages 62450-62452]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-24770]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HOMELAND SECURITY
[Docket No. DHS-2014-0060 ]
Agency Information Collection Activities: Case Assistance Form
(Ombudsman Form DHS-7001 and Instructions)
AGENCY: Office of the Citizenship and Immigration Services Ombudsman,
DHS.
ACTION: 60-Day Notice and request for comments; Extension without
change of a currently approved collection, 1601-0004.
-----------------------------------------------------------------------
SUMMARY: The Department of Homeland Security, Office of Inspector
General, Office of Audits, will submit the following Information
Collection Request (ICR) to the Office of Management and Budget (OMB)
for review and clearance in accordance with the Paperwork Reduction Act
of 1995 (Pub. L. 104-13, 44 U.S.C. Chapter 35).
DATES: Comments are encouraged and will be accepted until December 16,
2014. This process is conducted in accordance with 5 CFR 1320.1
ADDRESSES: You may submit comments, identified by docket number DHS-
2014-0060, by one of the following methods:
Federal eRulemaking Portal: https://www.regulations.gov.
Please follow the instructions for submitting comments.
Email: dhs.pra@hq.dhs.gov. Please include docket number
DHS-2014-0060 in the subject line of the message .
SUPPLEMENTARY INFORMATION: The Citizenship and Immigration Services
(CIS) Ombudsman was created under section 452 of the Homeland Security
Act of 2002 (Public Law 107-296) to: (1) Assist individuals and
employers in resolving problems with the U.S. Citizenship and
Immigration Services (USCIS); (2) to identify areas in which
individuals and employers have problems in dealing with USCIS; and (3)
to the extent possible, propose changes in the administrative practices
of USCIS to mitigate problems. This form is used by an applicant who is
experiencing problems with USCIS during the processing of an
immigration benefit.
The information collected on this form will allow the CIS Ombudsman
to identify the problem such as: (1) A case problem which is a request
for information about a case that was filed with USCIS (``case
problem''); or (2) the identification of a systemic issue that may or
may not pertain to an individual case which the individual, attorney or
employer is seeking to bring to the attention of the CIS Ombudsman
(``trend'').
For case problems, the CIS Ombudsman will refer case specific
issues to the Customer Assistance Office for USCIS for further
research, and review.
For trends received, the CIS Ombudsman notes the systemic issue
identified in the correspondence which may or may not be incorporated
into future recommendations submitted to the Director of USCIS pursuant
to section 452(d)(4) of Public Law 107-296.
The use of this form provides the most efficient means for
collecting and processing the required data. The CIS Ombudsman is now
employing the use of information technology in collecting and
processing information by offering the option for electronic submission
of the DHS Form 7001 through the Ombudsman Case Assistance Online
System. Per PRA requirements, a fillable PDF version of the form is
provided on the Ombudsman's Web site. The PDF form can be completed
online, printed out and sent to the Ombudsman's office at the address
indicated on the form. It is noted on the form that using the paper
method can result in significant processing delays for the Ombudsman's
office to provide the requested case assistance. After approval of the
changes to form detailed in this supporting statement, the online form
will be updated and posted on the Ombudsman's Web site at https://www.dhs.gov/case-assistance for electronic online submission of the
form.
The assurance of confidentiality provided to the respondents for
this information collection is provided by: (a) The CIS Ombudsman
statute and mandate as established by Homeland Security Act Section
452; (b) the Privacy Impact Assessment for the Office of the
Citizenship & Immigration Services Ombudsman (CISOMB) Virtual
[[Page 62451]]
Ombudsman System (March 19, 2010) and the (c) Systems of Records
Notice: 9110-9B Department of Homeland Security, Office of the
Secretary [Docket No. DHS-2009-0146] Privacy Act of 1974; Department of
Homeland Security Citizenship and Immigration Services Ombudsman--001
Online Ombudsman Form DHS-7001 System of Records. The DHS Privacy
Office will receive the entire package of documents for this
information collection to assure authorization for renewal of the
collection.
The CISOMB Form DHS-7001 and the Online Ombudsman Form DHS-7001
system is constructed in compliance with all applicable DHS Privacy
Office, DHS CIO, DHS Records Management, and OMB regulations regarding
data collection, use, storage, and retrieval. The proposed public use
data collection system is therefore intended to be distributed for
public use primarily by electronic means with limited paper
distribution and processing of paper forms.
The CISOMB Form DHS-7001 (PDF) and the Online Ombudsman Form DHS-
7001 (Ombudsman Case Assistance Online System) has been constructed in
compliance with regulations and authorities under the purview of the
DHS Privacy Office, DHS CIO, DHS Records Management, and OMB
regulations regarding data collection, use, sharing, storage,
information security and retrieval of information.
In accordance with the Privacy Act of 1974, the Department of
Homeland Security is giving notice that it proposes to renew the
Department of Homeland Security system of records notice titled,
``Department of Homeland Security Citizenship and Immigration Services
Ombudsman--001 Online Ombudsman Form DHS-7001 and Ombudsman Case
Assistance Online System of Records.'' This system of records will
continue to ensure the efficient and secure processing of information
to aid the Citizenship and Immigration Services Ombudsman in providing
assistance to individuals, employers, and their representatives in
resolving problems with U.S. Citizenship and Immigration Services;
identify areas in which individuals, employers, and their
representatives have problems working with U.S. Citizenship and
Immigration Services; and to the extent possible, propose changes to
mitigate problems pursuant to 6 U.S.C. 272. This system will continue
to be included in the Department of Homeland Security's inventory of
record systems.
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. The number of response fields has
been reduced from 13 to 12 and arranged in a way that streamlines
completion, submission and processing of the form.
The title of the form has changed from ``Case Problem Submission
Worksheet (CIS Ombudsman Form DHS-7001)'' to ``Case Assistance Form
(Ombudsman Form DHS-7001)''. The name of the system has changed from
``Virtual Ombudsman System'' to ``Ombudsman Case Assistance Online''.
The following narrative explains the changes made on the form and the
corresponding instructions:
The ORIGINAL 7001 form had the sections arranged in the following
order:
1--Name: Please identify the individual or employer encountering
difficulties with USCIS (applicant/beneficiary/petitioner).
2--Contact Information: Please provide information on the
individual or employer encountering difficulties with USCIS (applicant/
beneficiary/petitioner).
3--Date of Birth.
4--Country of Birth and Citizenship.
5--Alien Registration Number (A-Number); The A-number appears in
the following format: A123-456-789.
6--Person Preparing This Form: Please indicate who is completing
this form.
7--Applications/Petitions Filed: List all applications and/or
petitions pending with USCIS related to your case inquiry.
8--Type of Immigration Benefit: Please provide the type of
immigration benefit sought from USCIS.
9--Reason for Inquiry: Please indicate if any of the options apply.
Provide a description in section 10;
10--Description: Describe the difficulties experienced with USCIS.
Attach additional pages if needed.
11--Prior Actions Taken: Check all that apply: Please describe the
response USCIS provided and attach any relevant correspondence.
12--Consent: If you are the beneficiary of an immigration petition,
consent of the individual who submitted the petition on your behalf is
required. The petitioner must sign.
13--Attorney or Accredited Representative: Please complete this
section if you are an attorney, a representative of an organization, an
accredited representative, or anyone else preparing this form on behalf
of the individual or employer encountering difficulties with USCIS.
The AMENDED 7001 has the sections arranged in the following order:
1. Name: Please identify the name of the individual or employer
(applicant/beneficiary/petitioner) encountering or difficulties with
USCIS. Do not enter the attorney/law firm's name here.
2. Date of Birth: Country of Birth: Country of Citizenship:
3. Alien Registration Number (A-Number); The A-number appears in
the following format: A123-456-789.
4. Contact Information: Please provide the contact information of
the individual or employer (applicant/beneficiary/petitioner)
encountering difficulties with USCIS. Please include the primary E-Mail
address for the Ombudsman to provide updates.
5. Applications/Petitions Filed: List all applications and/or
petitions pending with USCIS related to your case inquiry.
6. Type of Immigration Benefit Sought: Please provide the type of
immigration benefit sought from USCIS.
7. Reason for Inquiry/Case Assistance Request: Check all that
apply. Provide a description in section 8 and add documentation related
to your inquiry.
8. Description of your Case Problem: Describe the difficulties
experienced with USCIS including all responses USCIS provided. Attach
relevant correspondence concerning actions taken to resolve the issue
before submitting with the Ombudsman's Office including: Receipt
notices; requests for evidence; decisions; notices and any other
correspondence from USCIS about your case. Attach additional pages if
needed.
9. Prior Actions Taken to Remedy the Problem: Check all that apply
and provide the additional information requested for each selection in
the space provided. Note that if selecting Option a ``Visited USCIS My
Case Status at www.uscis.gov'', you must indicate what additional
actions (b through g) were taken to remedy the problem before
submitting the form to the Ombudsman.
a. Visited USCIS My Case Status at www.uscis.gov and
b. Contacted the National Customer Service Center (NCSC) for
information and/or assistance regarding this case at their toll-free
number 1-800-375-5283. Provide SRMT Number:
c. Attended an InfoPass Appointment with USCIS. Provide InfoPass
Number:
d. Sent an Email to USCIS. Provide date Email sent: Provide USCIS
Email address:
[[Page 62452]]
e. Contacted a U.S. Government Department or Agency for assistance.
Provide name and contact information:
f. Contacted a U.S. Congressional Representative for assistance.
Provide name and contact information:
g. Other. Please describe.
10. Person Preparing This Form: Please indicate who is completing
this form.
11. Attorney or Accredited Representative: Please complete this
section if you are an attorney, a representative of an organization, an
accredited representative, or anyone else preparing this form on behalf
of the individual or employer encountering difficulties with USCIS.
Please attach copy of your Form G-28.
12. Consent: Please note that if you are the beneficiary of an
immigration petition, consent of the individual or employer that
submitted the petition on your behalf is required. The petitioner must
sign.
The instructions have been updated to reflect the electronic
submission options as detailed in the previous paragraphs.
Instructions for electronic submission will be posted on the CIS
Ombudsman Web site at www.dhs.gov/cisombudsman. The electronic version
of the form will be developed by DHS OCIO (Office of the Chief
Information Officer) based upon the approved version of the amended
7001 as described herein.
There is no change in the terms of clearance from the previously
approved collection have been addressed by updates to the: (a) Privacy
Impact Assessment for the Office of the Citizenship & Immigration
Services Ombudsman (CISOMB) Virtual Ombudsman System (March 19, 2010);
and the (b) Systems of Records Notice: 9110-9B Department of Homeland
Security, Office of the Secretary [Docket No. DHS-2009-0146] Privacy
Act of 1974; Department of Homeland Security Citizenship and
Immigration Services Ombudsman--001 Virtual Ombudsman System (March
2010) to reflect the name change to Online Ombudsman Form DHS-7001
System of Records.
The Office of Management and Budget is particularly interested in
comments which:
1. Evaluate whether the proposed collection of information is
necessary for the proper performance of the functions of the agency,
including whether the information will have practical utility;
2. Evaluate the accuracy of the agency's estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to
be collected; and
4. Minimize the burden of the collection of information on those
who are to respond, including through the use of appropriate automated,
electronic, mechanical, or other technological collection techniques or
other forms of information technology, e.g., permitting electronic
submissions of responses.
Analysis
Agency: Office of the Citizenship and Immigration Services
Ombudsman, DHS.
Title: Case Assistance Form (Ombudsman Form DHS-7001 and
Instructions).
OMB Number: 1601-0004.
Frequency: Annually.
Affected Public: Individuals or household.
Number of Respondents: 8,800.
Estimated Time Per Respondent: 1 hour.
Total Burden Hours: 8,800.
Dated: October 6, 2014.
Carlene C. Ileto,
Executive Director, Enterprise Business Management Office.
[FR Doc. 2014-24770 Filed 10-16-14; 8:45 am]
BILLING CODE 9110-9B-P
