Agency Information Collection Activities: Case Assistance Form (Ombudsman Form DHS-7001, and Instructions), 17833-17835 [2018-08450]
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Federal Register / Vol. 83, No. 79 / Tuesday, April 24, 2018 / Notices
years after the end of the calendar year
in which the data is gathered.
2. Records related to the analysis of
relationship patterns among individuals
and organizations that are indicative of
violations of the customs and
immigration laws including possible
terrorist threats from non-obvious
relationships and specific leads and law
enforcement intelligence for active and
new investigations. These records must
be destroyed or deleted 15 years after
the end of calendar year of last use of
individual’s data.
The latent biometric retention
schedule is currently in development
with OBIM Headquarters and will be
submitted thereafter to NARA for
approval.
ADMINISTRATIVE, TECHNICAL, AND PHYSICAL
SAFEGUARDS:
DHS safeguards records in this system
according to applicable rules and
policies, including all applicable DHS
automated systems security and access
policies. DHS has imposed strict
controls to minimize the risk of
compromising the information that is
being stored. Access to the computer
system containing the records in this
system is limited to those individuals
who have a need to know the
information for the performance of their
official duties and who have appropriate
clearances or permissions.
daltland on DSKBBV9HB2PROD with NOTICES
RECORD ACCESS PROCEDURES:
The Secretary of Homeland Security
has exempted this system from the
notification, access, and amendment
procedures of the Privacy Act, and
consequently the Judicial Redress Act if
applicable, because it is a law
enforcement system. However, DHS will
consider individual requests to
determine whether or not information
may be released. Thus, individuals
seeking access to and notification of any
record contained in this system of
records, or seeking to contest its
content, may submit a request in writing
to the Chief Privacy Officer and FOIA
Officer, whose contact information can
be found at https://www.dhs.gov/foia
under ‘‘Contacts Information.’’ If an
individual believes more than one
Component maintains Privacy Act
records concerning him or herself, the
individual may submit the request to
the Chief Privacy Officer and Chief
Freedom of Information Act Officer,
Department of Homeland Security,
Washington, DC 20528–0655. Even if
neither the Privacy Act nor the Judicial
Redress Act provide a right of access,
certain records about the individual
may be available under the Freedom of
Information Act.
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17:03 Apr 23, 2018
Jkt 244001
When seeking records about one from
this system of records or any other
Departmental system of records, the
request must conform with the Privacy
Act regulations set forth in 6 CFR part
5. The individual must first verify his or
her identity, meaning that he or she
must provide his or her full name,
current address, and date and place of
birth. The individual must sign the
request, and the signature must either be
notarized or submitted under 28 U.S.C.
1746, a law that permits statements to
be made under penalty of perjury as a
substitute for notarization. While no
specific form is required, an individual
may obtain forms for this purpose from
the Chief Privacy Officer and Chief
Freedom of Information Act Officer,
https://www.dhs.gov/foia or 1–866–431–
0486. In addition, the individual
should:
• Explain why he or she believe the
Department would have information
being requested;
• Identify which Component(s) of the
Department he or she believes may have
the information;
• Specify when you believe the
records would have been created; and
• Provide any other information that
will help the FOIA staff determine
which DHS Component agency may
have responsive records;
If the request is seeking records
pertaining to another living individual,
the person seeking the records must
include a statement from the subject
individual certifying his/her agreement
for the requestor to access his or her
records.
Without the above information, the
Component(s) may not be able to
conduct an effective search, and the
request may be denied due to lack of
specificity or lack of compliance with
applicable regulations.
CONTESTING RECORD PROCEDURES:
For records covered by the Privacy
Act or covered JRA records, see ‘‘Record
Access Procedures’’ above, and 6 CFR
part 5.
NOTIFICATION PROCEDURES:
See ‘‘Record Access Procedures.’’
EXEMPTIONS PROMULGATED FOR THE SYSTEM:
The Secretary of Homeland Security,
pursuant to 5 U.S.C. 552a(j)(2), has
exempted this system from the
following provisions of the Privacy Act:
5 U.S.C. 552a(c)(3), (c)(4); (d); (e)(1),
(e)(2), (e)(3), (e)(4)(G), (e)(4)(H), (e)(5),
and (e)(8); (f); and (g)(1) through (5).
Additionally, the Secretary of Homeland
Security, pursuant to 5 U.S.C. 552a(k)(2)
and (k)(5), has exempted this system
from the following provisions of the
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17833
Privacy Act, 5 U.S.C. 552a(c)(3); (d);
(e)(1), (e)(4)(G), (e)(4)(H); and (f).
Exemptions from these particular
subsections are justified on a case-bycase basis determined at the time a
request is made. When this system
receives a record from another system
exempted in that source system under 5
U.S.C. 552a(j)(2), DHS will claim the
same exemptions for those records that
are claimed for the original primary
systems of records from which they
originated and claim any additional
exemptions set forth here.
HISTORY:
Records in this System of Records
were previously covered under DHS/
US–VISIT–001 DHS Automated
Biometric Identification System
(IDENT), 72 FR 31080 (June 5, 2007).
Philip S. Kaplan,
Chief Privacy Officer, Department of
Homeland Security.
[FR Doc. 2018–08453 Filed 4–23–18; 8:45 am]
BILLING CODE 9110–9B–P
DEPARTMENT OF HOMELAND
SECURITY
[DHS–2018–0021]
Agency Information Collection
Activities: Case Assistance Form
(Ombudsman Form DHS–7001, and
Instructions)
Office of the Citizenship and
Immigration Services Ombudsman,
Department of Homeland Security
(DHS).
ACTION: 60-Day notice and request for
comments; Extension of a currently
approved collection, 1601–0004.
AGENCY:
The DHS Office of the
Citizenship and Immigration Services
(CIS) Ombudsman, 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. The information collected on this
form will allow the CIS Ombudsman to
identify the problem as either a case
problem, which is a request for
information about a case that was filed
with U.S. Citizenship and Immigration
Services (USCIS) (‘‘case problem’’); or 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’’).
DATES: Comments are encouraged and
will be accepted until June 25, 2018.
This process is conducted in accordance
with 5 CFR 1320.1.
SUMMARY:
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24APN1
17834
Federal Register / Vol. 83, No. 79 / Tuesday, April 24, 2018 / Notices
You may submit comments,
identified by DHS–2018–0021, at:
• Federal eRulemaking Portal: https://
www.regulations.gov. Please follow the
instructions for submitting comments.
Instructions: All submissions received
must include the agency name and
docket number DHS–2018–0021. All
comments received will be posted
without change to https://
www.regulations.gov, including any
personal information provided.
Docket: For access to the docket to
read background documents or
comments received, go to https://
www.regulations.gov.
FOR FURTHER INFORMATION CONTACT:
Raymond Mills, (202) 357–8100,
Raymond.g.Mills@hq.dhs.gov.
SUPPLEMENTARY INFORMATION: The CIS
Ombudsman was created under section
452 of the Homeland Security Act of
2002 (Pub. L. 107–296) to: (1) Assist
individuals and employers in resolving
problems with the 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 as either: (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 also employs 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 Online Case Assistance
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ADDRESSES:
VerDate Sep<11>2014
17:03 Apr 23, 2018
Jkt 244001
System. Per PRA requirements, a fillable
PDF version of the form is provided on
the CIS Ombudsman’s website. The PDF
form can be completed online, printed
out and sent to the CIS 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 CIS
Ombudsman’s office to provide the
requested case assistance. After
approval of the changes to the form
detailed in this supporting statement,
both the online form and PDF will be
updated and posted on the
Ombudsman’s website at https://
www.dhs.gov/case-assistance for
submission of the form.
The assurance of confidentiality
provided to the respondents for this
information collection is provided by:
(a) The CIS Ombudsman authorizing
legislation and mandate as established
by Homeland Security Act of 2002 at
Section 452; (b) the Privacy Impact
Assessment and the (c) Systems 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’’. The DHS
Privacy Office will receive the entire
package of documents for this
information collection to assure
authorization for renewal of the
collection.
The Ombudsman Form DHS–7001
(PDF) and the Ombudsman Case
Assistance Online System are
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 Ombudsman Form DHS–7001
(PDF) and the Online Ombudsman Form
DHS–7001 (Ombudsman Case
Assistance Online System) have 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.
There has been an increase of 3,200 in
the estimated annual burden hours
previously reported for this information
collection. The increase in burden hours
is a reflection of agency estimates.
PO 00000
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Fmt 4703
Sfmt 4703
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. In 2015, the following
changes were made:
a. Number of response fields was
reduced from 13 to 12 and arranged in
a way that streamlines completion,
submission and processing of the form.
b. The title of the form was changed
from ‘‘Case Problem Submission
Worksheet (CIS Ombudsman Form
DHS–7001)’’ to ‘‘Case Assistance Form
(Ombudsman Form DHS–7001)’’.
c. The name of the system was
changed from ‘‘Virtual Ombudsman
System’’ to ‘‘Ombudsman Case
Assistance Online System’’.
The following narrative explains the
changes made on the form in 2015 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
representative of an organization, an
accredited representative, or anyone
E:\FR\FM\24APN1.SGM
24APN1
daltland on DSKBBV9HB2PROD with NOTICES
Federal Register / Vol. 83, No. 79 / Tuesday, April 24, 2018 / Notices
else preparing this form on behalf of the
individual or employer encountering
difficulties with USCIS.
The AMENDED 7001 form 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 CIS
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
https://www.uscis.gov/.
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 E-Mail sent: Provide USCIS Email
address.
VerDate Sep<11>2014
17:03 Apr 23, 2018
Jkt 244001
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
website at www.dhs.gov/cisombudsman.
The electronic version of the form was
developed by DHS OCIO (Office of the
Chief Information Officer) based upon
the approved version of the amended
7001 form as described herein. Sample
screenshots were provided with the
2015 submission.
There is no change in the terms of
clearance from the previously approved
collection as addressed by the: (a)
Privacy Impact Assessment and (b)
Systems 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 is an extension of a currently
approved collection, 1601–0004. OMB
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
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17835
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
Households.
Number of Respondents: 12,000.
Estimated Time per Respondent: 1
hour.
Total Burden Hours: 12,000.
Dated: April 13, 2018. .
Melissa Bruce,
Executive Director, Enterprise Business
Management Office.
[FR Doc. 2018–08450 Filed 4–23–18; 8:45 am]
BILLING CODE 9110–9B–P
DEPARTMENT OF HOUSING AND
URBAN DEVELOPMENT
[Docket No. FR–6098–N–01]
Notice of Final Determination for the
MOWA Band of Choctaw Indian Tribe’s
Request for Expansion of Their
Formula Area
Office of the Assistant
Secretary for Public and Indian
Housing, HUD.
ACTION: Notice.
AGENCY:
This notice advises the public
that the MOWA Band of Choctaw Indian
Tribe has requested an expansion of
their Formula Area that will overlap
with the Poarch Creek Tribe’s Formula
Area. HUD made a preliminary
determination that the MOWA Band of
Choctaw Indian Tribe met the
requirements for expanding its Formula
Area to include the balance of Mobile
County, Alabama. Poarch Creek, an
affected tribe was notified and had
opportunity to comment. HUD received
no comments from the affected tribe.
Consistent with HUD regulations, HUD
is announcing its final determination to
grant the request of MOWA Band of
Choctaw Indian Tribe.
DATES: Applicability Date: April 24,
2018.
SUMMARY:
FOR FURTHER INFORMATION CONTACT:
Frederick Griefer, Director, Office of
Grants Management, Office of Native
E:\FR\FM\24APN1.SGM
24APN1
]]>Agencies
[Federal Register Volume 83, Number 79 (Tuesday, April 24, 2018)]
[Notices]
[Pages 17833-17835]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-08450]
-----------------------------------------------------------------------
DEPARTMENT OF HOMELAND SECURITY
[DHS-2018-0021]
Agency Information Collection Activities: Case Assistance Form
(Ombudsman Form DHS-7001, and Instructions)
AGENCY: Office of the Citizenship and Immigration Services Ombudsman,
Department of Homeland Security (DHS).
ACTION: 60-Day notice and request for comments; Extension of a
currently approved collection, 1601-0004.
-----------------------------------------------------------------------
SUMMARY: The DHS Office of the Citizenship and Immigration Services
(CIS) Ombudsman, 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.
The information collected on this form will allow the CIS Ombudsman to
identify the problem as either a case problem, which is a request for
information about a case that was filed with U.S. Citizenship and
Immigration Services (USCIS) (``case problem''); or 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'').
DATES: Comments are encouraged and will be accepted until June 25,
2018. This process is conducted in accordance with 5 CFR 1320.1.
[[Page 17834]]
ADDRESSES: You may submit comments, identified by DHS-2018-0021, at:
Federal eRulemaking Portal: https://www.regulations.gov.
Please follow the instructions for submitting comments.
Instructions: All submissions received must include the agency name
and docket number DHS-2018-0021. All comments received will be posted
without change to https://www.regulations.gov, including any personal
information provided.
Docket: For access to the docket to read background documents or
comments received, go to https://www.regulations.gov.
FOR FURTHER INFORMATION CONTACT: Raymond Mills, (202) 357-8100,
[email protected].
SUPPLEMENTARY INFORMATION: The CIS Ombudsman was created under section
452 of the Homeland Security Act of 2002 (Pub. L. 107-296) to: (1)
Assist individuals and employers in resolving problems with the 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 as either: (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 also
employs 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 Online Case Assistance System. Per PRA
requirements, a fillable PDF version of the form is provided on the CIS
Ombudsman's website. The PDF form can be completed online, printed out
and sent to the CIS 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 CIS Ombudsman's office to provide
the requested case assistance. After approval of the changes to the
form detailed in this supporting statement, both the online form and
PDF will be updated and posted on the Ombudsman's website at https://www.dhs.gov/case-assistance for submission of the form.
The assurance of confidentiality provided to the respondents for
this information collection is provided by: (a) The CIS Ombudsman
authorizing legislation and mandate as established by Homeland Security
Act of 2002 at Section 452; (b) the Privacy Impact Assessment and the
(c) Systems 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''.
The DHS Privacy Office will receive the entire package of documents for
this information collection to assure authorization for renewal of the
collection.
The Ombudsman Form DHS-7001 (PDF) and the Ombudsman Case Assistance
Online System are 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 Ombudsman Form DHS-7001 (PDF) and the Online Ombudsman Form
DHS-7001 (Ombudsman Case Assistance Online System) have 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.
There has been an increase of 3,200 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, and text changes to make the form more understandable and
streamlined for use by respondents. In 2015, the following changes were
made:
a. Number of response fields was reduced from 13 to 12 and arranged
in a way that streamlines completion, submission and processing of the
form.
b. The title of the form was changed from ``Case Problem Submission
Worksheet (CIS Ombudsman Form DHS-7001)'' to ``Case Assistance Form
(Ombudsman Form DHS-7001)''.
c. The name of the system was changed from ``Virtual Ombudsman
System'' to ``Ombudsman Case Assistance Online System''.
The following narrative explains the changes made on the form in
2015 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
[[Page 17835]]
else preparing this form on behalf of the individual or employer
encountering difficulties with USCIS.
The AMENDED 7001 form 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 CIS 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 https://www.uscis.gov/.
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 E-Mail sent: Provide USCIS
Email address.
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 website at www.dhs.gov/cisombudsman. The electronic version
of the form was developed by DHS OCIO (Office of the Chief Information
Officer) based upon the approved version of the amended 7001 form as
described herein. Sample screenshots were provided with the 2015
submission.
There is no change in the terms of clearance from the previously
approved collection as addressed by the: (a) Privacy Impact Assessment
and (b) Systems 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 is an extension of a currently approved collection, 1601-0004.
OMB 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 Households.
Number of Respondents: 12,000.
Estimated Time per Respondent: 1 hour.
Total Burden Hours: 12,000.
Dated: April 13, 2018. .
Melissa Bruce,
Executive Director, Enterprise Business Management Office.
[FR Doc. 2018-08450 Filed 4-23-18; 8:45 am]
BILLING CODE 9110-9B-P
