Application for Replacement Naturalization/Citizenship Document

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0091 can be found here:

Documents and Forms

Document Name Document Type
Form N-565 Application for Replacement Naturalization/Citizenship Document Form
N-565 Instructions with New-Revised Fee (7-5-07).pdf Instruction
N-565 Application for Replacement Naturalization/Citizenship D N-565 Form with New-Revised Fee (7-5-07).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Replacement Naturalization/Citizenship Document	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 343

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N-565	Application for Replacement Naturalization/Citizenship Document	N-565 Form with New-Revised Fee (7-5-07).pdf		Yes	No	Fillable Printable
Instruction			N-565 Instructions with New-Revised Fee (7-5-07).pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22,567	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	22,567	0	22,567
Annual IC Time Burden (Hours)	20,671	0	20,671
Annual IC Cost Burden (Dollars)	8,575,460	3,610,720	4,964,740

Documents for IC

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.