Application for Replacement Naturalization/Citizenship Document

ICR 200707-1615-025

OMB: 1615-0091

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Justification for No Material/Nonsubstantive Change
2007-07-06
IC Document Collections
ICR Details
1615-0091 200707-1615-025
Historical Active 200611-1615-008
DHS/USCIS
Application for Replacement Naturalization/Citizenship Document
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/17/2007
Retrieve Notice of Action (NOA) 07/10/2007
  Inventory as of this Action Requested Previously Approved
04/30/2010 04/30/2010 04/30/2010
22,567 0 22,567
20,671 0 20,671
8,575,460 0 4,964,740

This form is used by USCIS to determine an applicant's eligibility for a replacement document that was lost, mutilated or destroyed, or if the applicant's name was changed by marriage or by court order after the original document was issued. Additionally, this form is used by a naturalized citizen applicant who desires to obtain a special certificate of recognition as a citizen of the United States by a foreign country.

US Code: 8 USC 1454 Name of Law: Immigration and Nationality Act
  
None

Not associated with rulemaking

  71 FR 54679 09/18/2006
71 FR 69139 11/29/2006
No

1
IC Title Form No. Form Name
Application for Replacement Naturalization/Citizenship Document N-565 Application for Replacement Naturalization/Citizenship Document

  Total Approved 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 22,567 22,567 0 0 0 0
Annual Time Burden (Hours) 20,671 20,671 0 0 0 0
Annual Cost Burden (Dollars) 8,575,460 4,964,740 0 0 3,610,720 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Stephen Tarragon 202-272-8358 [email protected]

  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.
07/10/2007


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