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⚠️ Notice: This information collection may be referencing outdated material.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
N565-INS-WIP-2016 FeeRule-83C-10012016.pdf Instruction
N-565 Application for Replacement Naturalization/Citizenship D N565-FRM-WIP-04132016.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	N565-FRM-WIP-04132016.pdf		Yes	No	Fillable Printable
Instruction			N565-INS-WIP-2016 FeeRule-83C-10012016.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: United States Citizenship and Immigration Services Benefits Information System	FR Citation: 73 FR 56596

Number of Respondents: 29,298	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	29,298	29,298
Annual IC Time Burden (Hours)	26,836	26,836
Annual IC Cost Burden (Dollars)	3,589,005	3,589,005

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.