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

ICR 202508-1601-001

OMB: 1601-0004

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Supplementary Document
2025-09-26
Supplementary Document
2025-09-17
Supplementary Document
2022-03-28
Supplementary Document
2022-02-07
Supplementary Document
2021-12-16
Supporting Statement A
2025-09-29
Supplementary Document
2011-09-19
Supplementary Document
2010-07-22
Supplementary Document
2007-11-08
IC Document Collections
IC ID
Document
Title
Status
44790 Unchanged
ICR Details
1601-0004 202508-1601-001
Received in OIRA 202109-1601-002
DHS/OS 7001
Citizenship and Immigration Services Ombudsman Request for Case Assistance Form (DHS Form 7001)
Revision of a currently approved collection   No
Regular 09/30/2025
  Requested Previously Approved
36 Months From Approved 09/30/2025
18,000 18,000
18,000 18,000
0 0

This information collection will be used by the Citizenship and Immigration (CIS) Ombudsman to identify problem areas, propose changes, and assist individuals experiencing problems during the processing of an immigration benefit with U.S. Citizenship and Immigration Services (USCIS)

PL: Pub.L. 107 - 296 452 Name of Law: The Homeland Security Act of 2002
  
None

Not associated with rulemaking

  90 FR 12171 03/14/2025
90 FR 46231 09/25/2025
No

1
IC Title Form No. Form Name
CIS Ombudsman Case Assistance Form DHS-7001 Case Assistance Form

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 18,000 18,000 0 0 0 0
Annual Time Burden (Hours) 18,000 18,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,231,200
No
    Yes
    Yes
No
No
No
No
Raymond Mills 202 357-8100

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/30/2025


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