SUPPORTING STATEMENT
(Form N-565)
OMB No. 1615-0091
A. Justification.
1. Section 343(a) of the Immigration and Nationality Act (Act) provides that if any certificate of naturalization or citizenship issued to any citizen or any declaration of intention furnished to any declarant is lost, mutilated, or destroyed, the citizen or declarant may make application to the Secretary of Homeland Security for a new certificate or declaration. The Form N-565 is used to apply for a replacement of a Declaration of Intention, Naturalization Certificate, Certificate of Citizenship or Repatriation Certificate, or to apply for a special certificate of naturalization as a United States citizen to be recognized by a foreign country.
2. The form is provided by U.S. Citizenship and Immigration Services (USCIS) to determine the applicant’s eligibility for a replacement document. An applicant may file for a replacement if he or she was issued one of the documents described above that was lost, mutilated or destroyed, or if the applicant’s name was changed by a marriage or by court order after the document was issued and now seeks a document in the new name. If the applicant is a naturalized citizen who desires to obtain recognition as a citizen of the United States by a foreign country, he or she may apply for a special certificate for that purpose.
3. The use of this form currently provides the most efficient means for collecting and processing the required data. In this case U.S. Citizenship and Immigration Services (USCIS) does not employ the use of information technology in collecting and processing information. This form has been designated for e-filing as part of the Business Transformation Project.
4. A review of U.S. Citizenship and Immigration Services (USCIS) Forms Inventory Report revealed no duplication of efforts. There is no other similar information currently available that can be used for this purpose.
5. This collection of information does not have an impact on small businesses or other small entities.
6. Without the Form N-565, U.S. Citizenship and Immigration Services (USCIS) could not provide applicants with a replacement of a Declaration of Intention, Naturalization Certificate, Certificate of Citizenship or Repatriation Certificate, or provide a special certificate of naturalization as a U.S. citizen to be recognized by a foreign country. If an applicant cannot show he or she is a U.S. citizen, they could be denied employment, the ability to petition for other relatives to immigrate to the U.S., and could be denied benefits under Welfare Reform due to their inability to provide evidence of their citizenship. Additionally, a citizen would be denied a U.S. passport for lack of a certificate of citizenship or naturalization.
7. There are no special circumstances applicable to this information collection.
8. USCIS published a notice in the Federal Register on September 18, 2006 at 71 FR 54679. The notice
allowed 60 days for public review and comment. USCIS did not receive any public comments on this information collection.
USCIS does not provide payments or gifts to respondents in exchange for a benefit sought.
10. There is no assurance of confidentiality.
11. There are no questions of a sensitive nature.
12. Annual Reporting Burden:
a. Number of Respondents 22,567
b. Number of Responses per each request 1
c. Total Annual Responses 22,567
d. Hours per Response .916
e. Total Annual Reporting Burden 20,671
Annual Reporting Burden
Total annual reporting burden is 20,671. This figure was derived by multiplying the number of respondents (22,567) x frequency of response (1) x 55 minutes (.916) hours per response. The estimate is based on prior USCIS experience with the program.
13. There are no capital or start-up costs associated with this information collection. Any cost burdens to respondents as a result of this collection are identified in item 14. (There is a fee charge of $220 associated with the filing of this information collection.)
14. Annualized Cost Analysis:
Printing Cost $ 8,124
Collecting and Processing $ 4,956,616
Total Cost to Program $ 4,964,740
Fee Charge $ 4,964,740
Total Annual Cost to Government $ 0
Government Cost
The estimated cost of the program to the Government is calculated by using the estimated number of respondents (22,567) multiplied by the suggested $220 fee charge (which includes the suggested average hourly rate for clerical, officer, and managerial time with benefits). In addition, this figure includes the estimated overhead cost for printing, stocking, distributing and processing of this form).
Annual Public Cost
The estimated annual public cost is $ 5,171,450. This estimate is based on the number of respondents (22,567) x 55 minutes (.916) per response x $10 (average hourly rate), plus the number of respondents (22,567) x fee charge of $220.
15. There has been no increase or decrease in the estimated burden hours reported for this collection of information. However, there has been an increase of $1,466,740 in the costs associated with this collection of information. This increase is associated to an increase in the fee to $220.
16. USCIS does not intend to employ the use of statistics or the publication thereof for this information collection.
17. USCIS will display the expiration date of OMB approval of this information collection.
18. USCIS does not request an exception to the certification of this information collection.
B. Collection of Information Employing Statistical Methods.
Not Applicable.
C. Certification and Signature.
PAPERWORK CERTIFICATION
In submitting this request for OMB approval, I certify that the requirements of the Privacy Act and OMB directives have been complied with including paperwork regulations, statistical standards or directives, and any other information policy directives promulgated under 5 CFR 1320.
_________________________________________ ________________
Richard A. Sloan. Date
Director,
Regulatory Management Division,
U.S. Citizenship and Immigration Services,
Department of Homeland Security.
| File Type | application/msword |
| File Title | SUPPORTING STATEMENT |
| Author | Leslie and Andrea |
| Last Modified By | USCIS |
| File Modified | 2006-11-08 |
| File Created | 2006-11-08 |