Agency Information Collection Activities: Case Assistance Form (Ombudsman Form DHS-7001, and Instructions), 33244-33246 [2018-15172]
Download as PDF
33244
Federal Register / Vol. 83, No. 137 / Tuesday, July 17, 2018 / Notices
Location and
case No.
Chief executive officer of
community
Community map repository
Online location of letter of
map revision
Unincorporated
areas of Teton
County (18–08–
0346P).
The Honorable Mark Newcomb, Chairman, Teton
County Board of Commissioners, P.O. Box
3594, Jackson, WY
83001.
Teton County Public Works
Department, 320 South
King Street, Jackson,
WY 83001.
https://msc.fema.gov/portal/
advanceSearch.
State and county
Teton ..............
[FR Doc. 2018–15213 Filed 7–16–18; 8:45 am]
BILLING CODE 9110–12–P
DEPARTMENT OF HOMELAND
SECURITY
Agency Information Collection
Activities: Generic Clearance for the
Collection of Qualitative Feedback on
Agency Service Delivery
Department of Homeland
Security (DHS).
ACTION: 30-Day notice and request for
comments; extension without change of
a currently approved collection, 1601–
0014.
AGENCY:
DHS 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 collection
activity will garner qualitative customer
and stakeholder feedback in an efficient,
timely manner, in accordance with the
Administration’s commitment to
improving service delivery. DHS
previously published this ICR in the
Federal Register on Wednesday, April
4, 2018 for a 60-day public comment
period. No comments were received by
DHS. The purpose of this notice is to
allow an additional 30 days for public
comments.
DATES: Comments are encouraged and
will be accepted until August 16, 2018.
This process is conducted in accordance
with 5 CFR 1320.1.
ADDRESSES: Interested persons are
invited to submit written comments on
the proposed information collection to
the Office of Information and Regulatory
Affairs, OMB. Comments should be
addressed to OMB Desk Officer, DHS
and sent via electronic mail to
dhsdeskofficer@omb.eop.gov.
SUPPLEMENTARY INFORMATION: The
information collection activity will
garner qualitative customer and
stakeholder feedback in an efficient,
timely manner, in accordance with the
Administration’s commitment to
improving service delivery. By
qualitative feedback we mean
information that provides useful
daltland on DSKBBV9HB2PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
17:07 Jul 16, 2018
Jkt 244001
insights on perceptions and opinions,
but are not statistical surveys that yield
quantitative results that can be
generalized to the population of study.
This feedback will provide insights into
customer or stakeholder perceptions,
experiences and expectations, provide
an early warning of issues with service,
or focus attention on areas where
communication, training or changes in
operations might improve delivery of
products or services. These collections
will allow for ongoing, collaborative and
actionable communications between the
Agency and its customers and
stakeholders. It will also allow feedback
to contribute directly to the
improvement of program management.
Feedback collected under this generic
clearance will provide useful
information, but it will not yield data
that can be generalized to the overall
population. This type of generic
clearance for qualitative information
will not be used for quantitative
information collections that are
designed to yield reliably actionable
results, such as monitoring trends over
time or documenting program
performance. Such data uses require
more rigorous designs that address: The
target population to which
generalizations will be made, the
sampling frame, the sample design
(including stratification and clustering),
the precision requirements or power
calculations that justify the proposed
sample size, the expected response rate,
methods for assessing potential
nonresponse bias, the protocols for data
collection, and any testing procedures
that were or will be undertaken prior
fielding the study. Depending on the
degree of influence the results are likely
to have, such collections may still be
eligible for submission for other generic
mechanisms that are designed to yield
quantitative results.
This is an extension of a currently
approved collection, 1601–0014. DHS
previously published this ICR in the
Federal Register on Wednesday, April
4, 2018 at 83 FR 14484 for a 60-day
public comment period, and is soliciting
public comment for another 30 days.
OMB is particularly interested in
comments which:
1. Evaluate whether the proposed
collection of information is necessary
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Sfmt 4703
Date of
modification
Community
No.
Sep. 13, 2018 ....
560094
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: The Department of Homeland
Security.
Title: Generic Clearance for the
Collection of Qualitative Feedback on
Agency Service Delivery.
OMB Number: 1601–0014.
Frequency: One per Request.
Affected Public: Individuals and
Households, Businesses and
Organizations, State, Local or Tribal
Government.
Number of Respondents: 215,100.
Estimated Time per Respondent: 10
minutes.
Total Burden Hours: 34,732 Hours.
Dated: June 20, 2018.
Melissa Bruce,
Executive Director, Enterprise Business
Management Office.
[FR Doc. 2018–15170 Filed 7–16–18; 8:45 am]
BILLING CODE 9110–9B–P
DEPARTMENT OF HOMELAND
SECURITY
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).
AGENCY:
E:\FR\FM\17JYN1.SGM
17JYN1
Federal Register / Vol. 83, No. 137 / Tuesday, July 17, 2018 / Notices
30-Day notice and request for
comments; extension of a currently
approved collection, 1601–0004.
ACTION:
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 such as: (1) 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
(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’’). DHS previously published
this information collection request (ICR)
in the Federal Register on Tuesday,
April 24, 2018 for a 60-day public
comment period. One comment was
received by DHS. The purpose of this
notice is to allow an additional 30 days
for public comments.
DATES: Comments are encouraged and
will be accepted until August 16, 2018.
This process is conducted in accordance
with 5 CFR 1320.1.
ADDRESSES: Interested persons are
invited to submit written comments on
the proposed information collection to
the Office of Information and Regulatory
Affairs, OMB. Comments should be
addressed to OMB Desk Officer, DHS
and sent via electronic mail to
dhsdeskofficer@omb.eop.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 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
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SUMMARY:
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17:07 Jul 16, 2018
Jkt 244001
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
PO 00000
Frm 00054
Fmt 4703
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33245
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 (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
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17JYN1
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33246
Federal Register / Vol. 83, No. 137 / Tuesday, July 17, 2018 / Notices
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 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
VerDate Sep<11>2014
17:07 Jul 16, 2018
Jkt 244001
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
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Frm 00055
Fmt 4703
Sfmt 4703
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. DHS
previously published this ICR in the
Federal Register on Tuesday, April 24,
2018 at 83 FR 17833 for a 60-day public
comment period, and is soliciting public
comment for another 30 days. 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: June 20, 2018.
Melissa Bruce,
Executive Director, Enterprise Business
Management Office.
[FR Doc. 2018–15172 Filed 7–16–18; 8:45 am]
BILLING CODE 9110–9B–P
E:\FR\FM\17JYN1.SGM
17JYN1
Agencies
[Federal Register Volume 83, Number 137 (Tuesday, July 17, 2018)]
[Notices]
[Pages 33244-33246]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-15172]
-----------------------------------------------------------------------
DEPARTMENT OF HOMELAND SECURITY
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).
[[Page 33245]]
ACTION: 30-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 such as: (1) 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 (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''). DHS
previously published this information collection request (ICR) in the
Federal Register on Tuesday, April 24, 2018 for a 60-day public comment
period. One comment was received by DHS. The purpose of this notice is
to allow an additional 30 days for public comments.
DATES: Comments are encouraged and will be accepted until August 16,
2018. This process is conducted in accordance with 5 CFR 1320.1.
ADDRESSES: Interested persons are invited to submit written comments on
the proposed information collection to the Office of Information and
Regulatory Affairs, OMB. Comments should be addressed to OMB Desk
Officer, DHS and sent via electronic mail to
[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 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 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
[[Page 33246]]
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 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.
DHS previously published this ICR in the Federal Register on Tuesday,
April 24, 2018 at 83 FR 17833 for a 60-day public comment period, and
is soliciting public comment for another 30 days. 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: June 20, 2018.
Melissa Bruce,
Executive Director, Enterprise Business Management Office.
[FR Doc. 2018-15172 Filed 7-16-18; 8:45 am]
BILLING CODE 9110-9B-P