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⚠️ Notice: This information collection may be referencing outdated material.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-REV-30Day-11052018.pdf Instruction
N-565 Application for Replacement Naturalization/Citizenship D N565-FRM-WIP-REV-30Day-11052018.pdf Form
N-565 Application for Replacement Naturalization/Citizenship D N565 Form Revision 012819 edits.xlsx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Replacement Naturalization/Citizenship Document	Agency IC Tracking Number:	N-565

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N-565	Application for Replacement Naturalization/Citizenship Document	N565-FRM-WIP-REV-30Day-11052018.pdf	Yes	No	Fillable Printable
Instruction			N565-INS-WIP-REV-30Day-11052018.pdf	Yes	No	Printable Only
Form and Instruction	N-565	Application for Replacement Naturalization/Citizenship Document (E-file)	N565 Form Revision 012819 edits.xlsx	Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS Benefits Information System	FR Citation: 81 FR 72069

Number of Respondents: 27,690	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	27,690	-264	27,954
Annual IC Time Burden (Hours)	36,828	11,222	25,606
Annual IC Cost Burden (Dollars)	3,392,025	-32,340	3,424,365

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.