Table of Changes

Form N-565,

Application for Replacement Naturalization/Citizenship Document

Instruction TOC

June 9, 2011

OMB RIN 1615-0091

Location	Current Version	Proposed Version
P. 1, What Is the Purpose of This Form?	Form N-565, Application for Replacement Naturalization/Citizenship Document, is used to apply to U.S. Citizen ship and Immigration Services (USCIS) for a replacement of: ….. 5. To apply for a special certificate of naturalization as a U.S. citizen to be recognized by a foreign country.	Form N-565, Application for Replacement Naturalization/Citizenship Document, is used to apply to U.S. Citizen ship and Immigration Services (USCIS) for a replacement of a: ….. 5. To apply for a special certificate of naturalization as a U.S. citizen to be recognized by a foreign country. NOTE: USCIS has no legal basis to change a name absent a legal document such as a marriage certificate, divorce decree, or a court ordered name change. In addition, USCIS is prohibited from making any changes to an incorrect date of birth if one has completed the naturalization/citizenship process and sworn to the facts, including the wrong date of birth.
P. 2, Para 2, Photographs	….Your head must be bare unless you are wearing a headdress as required by a religious order of which you are a member. Using pencil or felt pen……	….Your head must be bare unless you are wearing a headdress as required by a religious denomination of which you are a member. However, your face must be visible. Using pencil or felt pen……
P. 2, What Is the Filing Fee?	The filing fee… You may submit one check or money order for both the application and other documents you are applying for.	The filing fee…You may submit one check or money order for the application and other documents for which you are applying.
P. 2, What Is the Filing Fee?	2. Make the check or money order payable to U.S. Department of Homeland Security. If you live in Guam, and are filing your application there, make it payable to Treasurer, Guam. If you live in the U.S. Virgin Islands and are filing your application there, make it payable to Commissioner of Finance of the Virgin Islands. If you live outside of the United States, Guam, or the U.S. Virgin Islands, contact the nearest U.S. consulate or embassy for instructions on the method of payment...	2. Make the check or money order payable to U.S. Department of Homeland Security. 3. If you live outside of the United States, Guam, or the U.S. Virgin Islands, contact the nearest U.S. consulate or embassy for instructions on the method of payment...
P. 3, USCIS Forms and Information	To order USCIS forms, call our toll-free number at 1-800-870-3676. You can also get USCIS forms and information on immigration laws, regulations and procedures by telephoning our National Customer Service Center at 1-800-375-5283 or visiting our internet Web site at www.uscis.gov. As an alternative to waiting in line for assistance at your local USCIS office, you can now schedule an appointment through our Internet-based system, InfoPass. To access the system, visit our Web site. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. InfoPass generates an electronic appointment notice that appears on the screen.	“You can get USCIS forms and immigration-related information on the USCIS Web site at www.uscis.gov.  You may order USCIS forms by calling the USCIS toll-free number at 1-800-870-3676.  You may also obtain forms and information by telephoning the USCIS National Customer Service Center at 1-800-375-5283. As an alternative to waiting in line for assistance at your local USCIS office, you can now schedule an appointment through the USCIS Internet-based system, InfoPass. To access the system, visit the USCIS Web site. Use the InfoPass appointment scheduler and follow the screen prompts to set up your appointment. InfoPass generates an electronic appointment notice that appears on the screen.
P. 3, Privacy Act Notice	Privacy Act Notice We ask for the information on Form N-565, and associated evidence, to determine if you have established eligibility for the immigration benefit for which you are filing. Our legal right to ask for this information can be found in the Immigration and Nationality Act, as amended. We may provide this information to other government agencies. Failure to provide this information, and any requested evidence, may delay a final decision or result in denial or your Form N-565.	USCIS Privacy Act Statement AUTHORITIES: The information requested on this form, and the associated evidence, is collected under the Immigration and Nationality Act, section 101, et seq. PURPOSE: The primary purpose for providing the requested information on this form is to determine if you have established eligibility for the immigration benefit for which you are filing. The information you provide will be used to grant or deny the benefit sought. DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, and any requested evidence, may delay a final decision or result in denial of your form. ROUTINE USES: The information you provide on this form may be shared with other Federal, State, local, and foreign government agencies and authorized organizations following approved routine uses described in the associated published system of records notices [DHS-USCIS-007 – Benefits Information System and DHS-USCIS-001 – Alien File (A-File) and Central Index System (CIS), which can be found at www.dhs.gov/privacy]. The information may also be made available, as appropriate, for law enforcement purposes or in the interest of national security.

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