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Application for Replacement Naturalization/Citizenship Document - Paper Filing
Application for Replacement Naturalization/Citizenship Document
OMB: 1615-0091
IC ID: 20426
OMB.report
DHS/USCIS
OMB 1615-0091
ICR 202212-1615-023
IC 20426
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0091 can be found here:
2024-10-21 - Revision of a currently approved collection
2024-02-09 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form N-565
Application for Replacement Naturalization/Citizenship Document - Paper Filing
Form
Form N-565
Application for Replacement Naturalization/Citizenship Document - Paper Filing
Form
N565-012-INS-OMBReview-NPRM-07112022.pdf
Instruction
N565-012-INS-OMBReview-NPRM-07112022.pdf
Instruction
N-565 Application for Replacement Naturalization/Citizenship D
N565-012-FRM-OMBReview-NPRM-07112022.pdf
Form
N-565 Application for Replacement Naturalization/Citizenship D
N565-012-FRM-OMBReview-NPRM-07112022.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Replacement Naturalization/Citizenship Document - Paper Filing
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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
N-565
Application for Replacement Naturalization/Citizenship Document
N565-012-FRM-OMBReview-NPRM-07112022.pdf
Yes
No
Fillable Printable
Instruction
N565-012-INS-OMBReview-NPRM-07112022.pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
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:
13,270
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
13,270
0
0
0
0
13,270
Annual IC Time Burden (Hours)
15,221
0
-2,428
0
0
17,649
Annual IC Cost Burden (Dollars)
1,708,513
0
0
0
0
1,708,513
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.