Application for Replacement Naturalization/Citizenship Document

Forms and Documents

Document Name	Status
Form N-565 Application for Replacement Naturalization/Citizenship Document - Paper Filing Form	Modified
N-565-011-Supporting Statement.docx Supporting Statement A	2021-07-29
N565-011-Online Filing Copy Deck.pdf Supplementary Document	2021-07-29
N565-011-INS-TOC-REV-30Day-07282021.docx Supplementary Document	2021-07-29
N565-011-FRM-TOC-REV-30Day-07282021.docx Supplementary Document	2021-07-29
SORN 018 DHS_USCIS IBBC 20180731.pdf Supplementary Document	2018-12-18
privacy-pia-056-uscis-eliseappendixaupdate-may17,2016.pdf Supplementary Document	2018-07-01
privacy-pia-016a-uscis-claims3-march25,2016.pdf Supplementary Document	2018-07-01
privacy-pia-071-uscis-myuscisaccountexperience-dec15,2017.pdf Supplementary Document	2018-12-18
SORN 007 Benefits Info Sys 2016 10 19.pdf Supplementary Document	2018-07-01
SORN 001 AFileIndexNFTS 2017 09 18.pdf Supplementary Document	2018-12-18
N-565 Reference Citation.docx Supplementary Document	2018-07-01

IC Document Collections

IC ID	Document Title	Status
239294	Application for Replacement Naturalization/Citizenship Document - Online Filing Other-N-565 Online Filing Screenshots	Modified
234544	Biometrics Submission	Modified
20426	Application for Replacement Naturalization/Citizenship Document - Paper Filing Form	Modified

ICR Details

OMB Control No: 1615-0091	ICR Reference No: 202107-1615-004
Status: Received in OIRA	Previous ICR Reference No: 202007-1615-049
Agency/Subagency: DHS/USCIS	Agency Tracking No: N-565
Title: Application for Replacement Naturalization/Citizenship Document
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/25/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	10/31/2021
Responses	52,880	55,380
Time Burden (Hours)	60,636	65,451
Cost Burden (Dollars)	3,417,026	3,392,025

---

Abstract: Section 343(a) of the Immigration and Nationality Act (INA) (8 U.S.C. 1454) provides that if any certificate of naturalization or citizenship issued to any citizen or any declaration of intention furnished to any declarant is lost, mutilated, or destroyed, the citizen or declarant may make application to the Secretary of Homeland Security for a new certificate or declaration. Additionally, INA 343(b) provides for the issuance of special certificates of naturalization for the purpose of obtaining recognition as a citizen of the United States by a foreign state, and INA 343(c) provides for the issuance of a new certificate of naturalization in cases where a naturalized citizen has changed his or her name after naturalization. Finally, 8 C.F.R. 338.5 provides for the issuance of a corrected Certificate of Naturalization where the certificate does not conform to the facts shown on the application for naturalization or a clerical error was made in preparing the certificate. The Form N-565 is used to apply for a replacement of a Declaration of Intention, Naturalization Certificate, Certificate of Citizenship or Repatriation Certificate, or to apply for a special certificate of naturalization as a U.S. citizen to be recognized by a foreign country.

---

Authorizing Statute(s): US Code: 8 USC 1454 Name of Law: U.S. Code
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 21340	04/22/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 40607	07/28/2021
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Application for Replacement Naturalization/Citizenship Document - Online Filing
Application for Replacement Naturalization/Citizenship Document - Paper Filing	N-565	Application for Replacement Naturalization/Citizenship Document
Biometrics Submission

---

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	52,880	55,380	0	0	-2,500	0
Annual Time Burden (Hours)	60,636	65,451	0	0	-4,815	0
Annual Cost Burden (Dollars)	3,417,026	3,392,025	0	0	25,001	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: USCIS has removed the $85 biometric services fee, the biographic data elements, and the requirement that all Form N-565 applicants submit biometrics. The full scope of the revisions is available in the Tables of Changes submitted with this information collection request. There is a decrease in the estimated annual hour burden to respondents for this collection of information due to the decrease in the estimated number of respondents. There is an increase in the estimated annual cost burden to respondents for this collection of information due to the adjustment in the estimated average out of pocket cost to respondents.

---

Annual Cost to Federal Government: $16,968,600

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/25/2021

---