Information Collection

CIS OMBudsman Case Assistance Form

IC 44790 under ICR 201112-1601-001 · OMB 1601-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1601-0004 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CISOMB_Form_DHS-7001 Instructions.pdf	Instruction
7001 Citizenship and Immigration Services Ombudsman CISOMB_DHS_Form7001_Electronic_042911.pdf	Form and Instruction
DHS Form 7001 Citizenship and Immigration Services Ombudsman CISOMB_Form_DHS-7001.pdf	Form

IC Title:

CIS Ombudsman Case Assistance Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			CISOMB_Form_DHS-7001 Instructions.pdf	Yes	No	Fillable Printable
Form and Instruction	7001	Citizenship and Immigration Services Ombudsman	CISOMB_DHS_Form7001_Electronic_042911.pdf	Yes	Yes	Fillable Fileable Signable
Form	DHS Form 7001	Citizenship and Immigration Services Ombudsman	CISOMB_Form_DHS-7001.pdf	Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,600	2,600
Annual IC Time Burden (Hours)	2,600	2,600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.