83 FR 33244 - Agency Information Collection Activities: Case Assistance Form (Ombudsman Form DHS-7001, and Instructions)

DEPARTMENT OF HOMELAND SECURITY

Federal Register Volume 83, Issue 137 (July 17, 2018)

Page Range		33244-33246
FR Document		2018-15172

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.

Federal Register, Volume 83 Issue 137 (Tuesday, July 17, 2018)

[Federal Register Volume 83, Number 137 (Tuesday, July 17, 2018)]
[Notices]
[Pages 33244-33246]
From the Federal Register Online [www.thefederalregister.org]
[FR Doc No: 2018-15172]

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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.

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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
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
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 http://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 http://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

33244 Federal Register / Vol. 83, No. 137 / Tuesday, July 17, 2018 / Notices

Location and Chief executive officer of Online location of letter of Date of Community
State and county Community map repository
case No. community map revision modification No.

Teton .............. Unincorporated The Honorable Mark New- Teton County Public Works https://msc.fema.gov/portal/ Sep. 13, 2018 .... 560094
areas of Teton comb, Chairman, Teton Department, 320 South advanceSearch.
County (18–08– County Board of Com- King Street, Jackson,
0346P). missioners, P.O. Box WY 83001.
3594, Jackson, WY
83001.

[FR Doc. 2018–15213 Filed 7–16–18; 8:45 am] insights on perceptions and opinions, for the proper performance of the
BILLING CODE 9110–12–P but are not statistical surveys that yield functions of the agency, including
quantitative results that can be whether the information will have
generalized to the population of study. practical utility;
DEPARTMENT OF HOMELAND This feedback will provide insights into 2. Evaluate the accuracy of the
SECURITY customer or stakeholder perceptions, agency’s estimate of the burden of the
experiences and expectations, provide proposed collection of information,
Agency Information Collection an early warning of issues with service, including the validity of the
Activities: Generic Clearance for the or focus attention on areas where methodology and assumptions used;
Collection of Qualitative Feedback on communication, training or changes in 3. Enhance the quality, utility, and
Agency Service Delivery operations might improve delivery of clarity of the information to be
AGENCY: Department of Homeland products or services. These collections collected; and
Security (DHS). will allow for ongoing, collaborative and 4. Minimize the burden of the
actionable communications between the collection of information on those who
ACTION: 30-Day notice and request for
Agency and its customers and are to respond, including through the
comments; extension without change of stakeholders. It will also allow feedback
a currently approved collection, 1601– use of appropriate automated,
to contribute directly to the electronic, mechanical, or other
0014. improvement of program management. technological collection techniques or
SUMMARY: DHS will submit the Feedback collected under this generic other forms of information technology,
following Information Collection clearance will provide useful e.g., permitting electronic submissions
Request (ICR) to the Office of information, but it will not yield data of responses.
Management and Budget (OMB) for that can be generalized to the overall
review and clearance in accordance population. This type of generic Analysis
with the Paperwork Reduction Act of clearance for qualitative information Agency: The Department of Homeland
1995. The information collection will not be used for quantitative Security.
activity will garner qualitative customer information collections that are
Title: Generic Clearance for the
and stakeholder feedback in an efficient, designed to yield reliably actionable
Collection of Qualitative Feedback on
timely manner, in accordance with the results, such as monitoring trends over
Agency Service Delivery.
Administration’s commitment to time or documenting program
OMB Number: 1601–0014.
improving service delivery. DHS performance. Such data uses require
more rigorous designs that address: The Frequency: One per Request.
previously published this ICR in the Affected Public: Individuals and
Federal Register on Wednesday, April target population to which
generalizations will be made, the Households, Businesses and
4, 2018 for a 60-day public comment Organizations, State, Local or Tribal
period. No comments were received by sampling frame, the sample design
(including stratification and clustering), Government.
DHS. The purpose of this notice is to
the precision requirements or power Number of Respondents: 215,100.
allow an additional 30 days for public
calculations that justify the proposed Estimated Time per Respondent: 10
comments.
sample size, the expected response rate, minutes.
DATES: Comments are encouraged and
methods for assessing potential Total Burden Hours: 34,732 Hours.
will be accepted until August 16, 2018.
nonresponse bias, the protocols for data Dated: June 20, 2018.
This process is conducted in accordance
collection, and any testing procedures Melissa Bruce,
with 5 CFR 1320.1.
that were or will be undertaken prior Executive Director, Enterprise Business
ADDRESSES: Interested persons are fielding the study. Depending on the
invited to submit written comments on Management Office.
degree of influence the results are likely [FR Doc. 2018–15170 Filed 7–16–18; 8:45 am]
the proposed information collection to to have, such collections may still be
the Office of Information and Regulatory eligible for submission for other generic
BILLING CODE 9110–9B–P
Affairs, OMB. Comments should be mechanisms that are designed to yield
addressed to OMB Desk Officer, DHS quantitative results.
and sent via electronic mail to DEPARTMENT OF HOMELAND
This is an extension of a currently
dhsdeskofficer@omb.eop.gov. SECURITY
approved collection, 1601–0014. DHS
SUPPLEMENTARY INFORMATION: The previously published this ICR in the Agency Information Collection
information collection activity will Federal Register on Wednesday, April Activities: Case Assistance Form
daltland on DSKBBV9HB2PROD with NOTICES

garner qualitative customer and 4, 2018 at 83 FR 14484 for a 60-day (Ombudsman Form DHS–7001, and
stakeholder feedback in an efficient, public comment period, and is soliciting Instructions)
timely manner, in accordance with the public comment for another 30 days.
Administration’s commitment to OMB is particularly interested in AGENCY: Office of the Citizenship and
improving service delivery. By comments which: Immigration Services Ombudsman,
qualitative feedback we mean 1. Evaluate whether the proposed Department of Homeland Security
information that provides useful collection of information is necessary (DHS).

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Federal Register / Vol. 83, No. 137 / Tuesday, July 17, 2018 / Notices 33245

ACTION:30-Day notice and request for employer is seeking to bring to the collection, use, storage, and retrieval.
comments; extension of a currently attention of the CIS Ombudsman The proposed public use data collection
approved collection, 1601–0004. (‘‘trend’’). system is therefore intended to be
For case problems, the CIS distributed for public use primarily by
SUMMARY: The DHS Office of the Ombudsman will refer case specific electronic means with limited paper
Citizenship and Immigration Services issues to the Customer Assistance Office distribution and processing of paper
(CIS) Ombudsman will submit the for USCIS for further research, and forms.
following Information Collection review. The Ombudsman Form DHS–7001
Request (ICR) to the Office of For trends received, the CIS (PDF) and the Online Ombudsman Form
Management and Budget (OMB) for Ombudsman notes the systemic issue DHS–7001 (Ombudsman Case
review and clearance in accordance identified in the correspondence which Assistance Online System) have been
with the Paperwork Reduction Act of may or may not be incorporated into constructed in compliance with
1995. The information collected on this future recommendations submitted to regulations and authorities under the
form will allow the CIS Ombudsman to the Director of USCIS pursuant to purview of the DHS Privacy Office, DHS
identify the problem such as: (1) A case section 452(d)(4) of Public Law 107– CIO, DHS Records Management, and
problem which is a request for 296. OMB regulations regarding data
information about a case that was filed The use of this form provides the collection, use, sharing, storage,
with U.S. Citizenship and Immigration most efficient means for collecting and information security and retrieval of
Services (USCIS) (‘‘case problem’’); or processing the required data. The CIS information.
(2) the identification of a systemic issue Ombudsman also employs the use of There has been an increase of 3,200 in
that may or may not pertain to an information technology in collecting the estimated annual burden hours
individual case which the individual, and processing information by offering
previously reported for this information
attorney or employer is seeking to bring the option for electronic submission of
collection. The increase in burden hours
to the attention of the CIS Ombudsman the DHS Form 7001 through the
is a reflection of agency estimates.
(‘‘trend’’). DHS previously published Ombudsman Online Case Assistance
There is no change in the information
this information collection request (ICR) System. Per PRA requirements, a fillable
being collected, however there have
in the Federal Register on Tuesday, PDF version of the form is provided on
been cosmetic changes to the form
April 24, 2018 for a 60-day public the CIS Ombudsman’s website. The PDF
including punctuation, formatting, and
comment period. One comment was form can be completed online, printed
out and sent to the CIS Ombudsman’s text changes to make the form more
received by DHS. The purpose of this understandable and streamlined for use
notice is to allow an additional 30 days office at the address indicated on the
form. It is noted on the form that using by respondents. In 2015, the following
for public comments. changes were made:
DATES: Comments are encouraged and
the paper method can result in
significant processing delays for the CIS a. Number of response fields was
will be accepted until August 16, 2018. reduced from 13 to 12 and arranged in
This process is conducted in accordance Ombudsman’s office to provide the
requested case assistance. After a way that streamlines completion,
with 5 CFR 1320.1. submission and processing of the form.
approval of the changes to the form
ADDRESSES: Interested persons are b. The title of the form was changed
detailed in this supporting statement,
invited to submit written comments on both the online form and PDF will be from ‘‘Case Problem Submission
the proposed information collection to updated and posted on the Worksheet (CIS Ombudsman Form
the Office of Information and Regulatory Ombudsman’s website at http:// DHS–7001)’’ to ‘‘Case Assistance Form
Affairs, OMB. Comments should be www.dhs.gov/case-assistance for (Ombudsman Form DHS–7001)’’.
addressed to OMB Desk Officer, DHS submission of the form. c. The name of the system was
and sent via electronic mail to The assurance of confidentiality changed from ‘‘Virtual Ombudsman
dhsdeskofficer@omb.eop.gov. provided to the respondents for this System’’ to ‘‘Ombudsman Case
SUPPLEMENTARY INFORMATION: The CIS information collection is provided by: Assistance Online System’’.
Ombudsman was created under section (a) The CIS Ombudsman authorizing The following narrative explains the
452 of the Homeland Security Act of legislation and mandate as established changes made on the form in 2015 and
2002 (Pub. L. 107–296) to: (1) Assist by Homeland Security Act of 2002 at the corresponding instructions. The
individuals and employers in resolving Section 452; (b) the Privacy Impact ORIGINAL 7001 form had the sections
problems with the USCIS; (2) to identify Assessment and the (c) Systems of arranged in the following order:
areas in which individuals and Records Notice titled ‘‘Department of 1. Name: Please identify the
employers have problems in dealing Homeland Security Citizenship and individual or employer encountering
with USCIS; and (3) to the extent Immigration Services Ombudsman—001 difficulties with USCIS (applicant/
possible, propose changes in the Online Ombudsman Form DHS–7001 beneficiary/petitioner).
administrative practices of USCIS to and Ombudsman Case Assistance 2. Contact Information: Please provide
mitigate problems. This form is used by Online System of Records’’. The DHS information on the individual or
an applicant who is experiencing Privacy Office will receive the entire employer encountering difficulties with
problems with USCIS during the package of documents for this USCIS (applicant/beneficiary/
processing of an immigration benefit. information collection to assure petitioner).
The information collected on this authorization for renewal of the 3. Date of Birth.
form will allow the CIS Ombudsman to collection. 4. Country of Birth and Citizenship.
daltland on DSKBBV9HB2PROD with NOTICES

identify the problem such as: (1) A case The Ombudsman Form DHS–7001 5. Alien Registration Number (A-
problem which is a request for (PDF) and the Ombudsman Case Number); The A-number appears in the
information about a case that was filed Assistance Online System are following format: A123–456–789.
with USCIS (‘‘case problem’’); or (2) the constructed in compliance with all 6. Person Preparing This Form: Please
identification of a systemic issue that applicable DHS Privacy Office, DHS indicate who is completing this form.
may or may not pertain to an individual CIO, DHS Records Management, and 7. Applications/Petitions Filed: List
case which the individual, attorney or OMB regulations regarding data all applications and/or petitions

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33246 Federal Register / Vol. 83, No. 137 / Tuesday, July 17, 2018 / Notices

pending with USCIS related to your case and any other correspondence from collection as addressed by the: (a)
inquiry. USCIS about your case. Attach Privacy Impact Assessment and (b)
8. Type of Immigration Benefit: Please additional pages if needed. Systems of Records Notice titled
provide the type of immigration benefit 9. Prior Actions Taken to Remedy the ‘‘Department of Homeland Security
sought from USCIS. Problem: Citizenship and Immigration Services
9. Reason for Inquiry: Please indicate Check all that apply and provide the Ombudsman—001 Online Ombudsman
if any of the options apply. Provide a additional information requested for Form DHS–7001 and Ombudsman Case
description in section 10. each selection in the space provided. Assistance Online System of Records’’.
10. Description: Describe the Note that if selecting Option a ‘‘Visited This is an extension of a currently
difficulties experienced with USCIS. USCIS My Case Status at approved collection, 1601–0004. DHS
Attach additional pages if needed. www.uscis.gov’’, you must indicate what previously published this ICR in the
11. Prior Actions Taken: Check all additional actions (b through g) were Federal Register on Tuesday, April 24,
that apply: Please describe the response taken to remedy the problem before 2018 at 83 FR 17833 for a 60-day public
USCIS provided and attach any relevant submitting the form to the Ombudsman. comment period, and is soliciting public
correspondence. a. Visited USCIS My Case Status at comment for another 30 days. OMB is
12. Consent: If you are the beneficiary http://www.uscis.gov/. particularly interested in comments
of an immigration petition, consent of b. Contacted the National Customer which:
the individual who submitted the Service Center (NCSC) for information
petition on your behalf is required. The and/or assistance regarding this case at 1. Evaluate whether the proposed
petitioner must sign. their toll-free number 1–800–375–5283. collection of information is necessary
13. Attorney or Accredited Provide SRMT Number: for the proper performance of the
Representative: Please complete this c. Attended an InfoPass Appointment functions of the agency, including
section if you are an attorney, a with USCIS. Provide InfoPass Number: whether the information will have
representative of an organization, an d. Sent an Email to USCIS. Provide practical utility;
accredited representative, or anyone date E-Mail sent: Provide USCIS Email 2. Evaluate the accuracy of the
else preparing this form on behalf of the address: agency’s estimate of the burden of the
individual or employer encountering e. Contacted a U.S. Government proposed collection of information,
difficulties with USCIS. Department or Agency for assistance. including the validity of the
The AMENDED 7001 form has the Provide name and contact information: methodology and assumptions used;
sections arranged in the following order: f. Contacted a U.S. Congressional 3. Enhance the quality, utility, and
1. Name: Please identify the name of Representative for assistance. Provide clarity of the information to be
the individual or employer (applicant/ name and contact information: collected; and
beneficiary/petitioner) encountering or g. Other. Please describe.
difficulties with USCIS. Do not enter the 10. Person Preparing This Form: 4. Minimize the burden of the
attorney/law firm’s name here. Please indicate who is completing this collection of information on those who
2. Date of Birth: Country of Birth: form. are to respond, including through the
Country of Citizenship. 11. Attorney or Accredited use of appropriate automated,
3. Alien Registration Number (A- Representative: electronic, mechanical, or other
Number); The A-number appears in the technological collection techniques or
Please complete this section if you are
following format: A123–456–789. other forms of information technology,
an attorney, a representative of an
e.g., permitting electronic submissions
4. Contact Information: Please provide organization, an accredited
of responses.
the contact information of the representative, or anyone else preparing
individual or employer (applicant/ this form on behalf of the individual or Analysis
beneficiary/petitioner) encountering employer encountering difficulties with
difficulties with USCIS. Please include USCIS. Please attach copy of your Form Agency: Office of the Citizenship and
the primary E-Mail address for the CIS G–28. Immigration Services Ombudsman,
Ombudsman to provide updates. 12. Consent: Please note that if you DHS.
5. Applications/Petitions Filed: List are the beneficiary of an immigration Title: Case Assistance Form
all applications and/or petitions petition, consent of the individual or (Ombudsman Form DHS–7001, and
pending with USCIS related to your case employer that submitted the petition on Instructions).
inquiry. your behalf is required. The petitioner
must sign. OMB Number: 1601–0004.
6. Type of Immigration Benefit
Sought: Please provide the type of The instructions have been updated to Frequency: Annually.
immigration benefit sought from USCIS. reflect the electronic submission options Affected Public: Individuals or
7. Reason for Inquiry/Case Assistance as detailed in the previous paragraphs. Households.
Request: Check all that apply. Provide a Instructions for electronic submission
description in section 8 and add will be posted on the CIS Ombudsman Number of Respondents: 12,000.
documentation related to your inquiry. website at www.dhs.gov/cisombudsman. Estimated Time per Respondent: 1
8. Description of your Case Problem: The electronic version of the form was hour.
Describe the difficulties experienced developed by DHS OCIO (Office of the Total Burden Hours: 12,000.
daltland on DSKBBV9HB2PROD with NOTICES

with USCIS including all responses Chief Information Officer) based upon
USCIS provided. Attach relevant the approved version of the amended Dated: June 20, 2018.
correspondence concerning actions 7001 form as described herein. Sample Melissa Bruce,
taken to resolve the issue before screenshots were provided with the Executive Director, Enterprise Business
submitting with the Ombudsman’s 2015 submission. Management Office.
Office including: Receipt notices; There is no change in the terms of [FR Doc. 2018–15172 Filed 7–16–18; 8:45 am]
requests for evidence; decisions; notices clearance from the previously approved BILLING CODE 9110–9B–P

VerDate Sep<11>2014 17:07 Jul 16, 2018 Jkt 244001 PO 00000 Frm 00055 Fmt 4703 Sfmt 4703 E:\FR\FM\17JYN1.SGM 17JYN1

Document Created: 2018-07-17 01:38:56
Document Modified: 2018-07-17 01:38:56

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		30-Day notice and request for comments; extension of a currently approved collection, 1601-0004.
Dates		Comments are encouraged and will be accepted until August 16, 2018. This process is conducted in accordance with 5 CFR 1320.1.
FR Citation		83 FR 33244