CIS OMBudsman Case Assistance Form

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

OMB: 1601-0004

IC ID: 44790

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Information Collection (IC) Details

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CIS Ombudsman Case Assistance Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DHS-7001 Case Assistance Form cisomb_dhsform7001_instructions_AUG_2014_V24.pdf No   Fillable Fileable

Homeland Security Border and Transportation Security

DHS/CISOMB-001 Case Assistance Analytics and Data Integration System of Records Notice  86 FR 59408

18,000 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 18,000 0 0 6,000 0 12,000
Annual IC Time Burden (Hours) 18,000 0 0 6,000 0 12,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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