Information Collection

Application for Replacement Naturalization/Citizenship Document

IC 238510 under ICR 201911-1615-022 · OMB 1615-0091.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form N-565 Application for Replacement Naturalization/Citizenship Document	Form and Instruction
N-565 Application for Replacement Naturalization/Citizenship D N565_e-File_CopyDeck_FeeRule-NPRM_11052019.xlsx	Form and Instruction

IC Title:

Application for Replacement Naturalization/Citizenship Document

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 343

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N-565	Application for Replacement Naturalization/Citizenship Document (e-File)	N565_e-File_CopyDeck_FeeRule-NPRM_11052019.xlsx		Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: Benefits Information System

FR Citation: 81 FR 72069

Number of Respondents: 9,138

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,138	9,138
Annual IC Time Burden (Hours)	8,380	8,380
Annual IC Cost Burden (Dollars)	1,119,405	1,119,405

Documents for IC

table that charts IC Documents
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.