Application for Replacement Naturalization/Citizenship Document

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form N-565 Application for Replacement Naturalization/Citizenship Document	Form	Modified	Available
Form N-565 Application for Replacement Naturalization/Citizenship Document - Paper Filing	Form	Modified	Repair queued
N-565-015-REV_FeeFR_SPTSTMT.docx	Supporting Statement A	Uploaded 2024-01-26	Repair queued
N-565-015 Final Fee Rule Copy Deck v1.1.1.pdf	Supplementary Document	Uploaded 2024-01-26	Repair queued
N565-015-INS-TOC-FeeRule-OPSReview-FR-12212023.docx	Supplementary Document	Uploaded 2024-01-26	Repair queued
SORN 018 DHS_USCIS IBBC 20180731.pdf	Supplementary Document	Uploaded 2018-12-18	Repair queued
privacy-pia-056-uscis-eliseappendixaupdate-may17,2016.pdf	Supplementary Document	Uploaded 2018-07-01	Repair queued
privacy-pia-016a-uscis-claims3-march25,2016.pdf	Supplementary Document	Uploaded 2018-07-01	Repair queued
privacy-pia-071-uscis-myuscisaccountexperience-dec15,2017.pdf	Supplementary Document	Uploaded 2018-12-18	Repair queued
SORN 007 Benefits Info Sys 2016 10 19.pdf	Supplementary Document	Uploaded 2018-07-01	Repair queued
SORN 001 AFileIndexNFTS 2017 09 18.pdf	Supplementary Document	Uploaded 2018-12-18	Repair queued
N-565 Reference Citation.docx	Supplementary Document	Uploaded 2018-07-01	Repair queued

IC Document Collections

Information collection document groups

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

ICR Details

OMB Control No: 1615-0091	ICR Reference No: 202401-1615-035
Status: Historical Active	Previous ICR Reference No: 202107-1615-004
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
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/20/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/09/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2027	36 Months From Approved	12/31/2024
Responses	52,880	0	52,880
Time Burden (Hours)	58,208	0	60,636
Cost Burden (Dollars)	3,417,025	0	3,417,026

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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.

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

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1615-AC68	Final or interim final rulemaking	89 FR 6194	01/31/2024

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

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

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	52,880	0	0	0	0
Annual Time Burden (Hours)	58,208	60,636	0	-2,428	0	0
Annual Cost Burden (Dollars)	3,417,025	3,417,026	0	-1	0	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: This information collection has been revised to reflect changes of the 1615-AC68 Final Rule. USCIS has consolidated filing fee information from individual form instructions into the Form G-1055, Fee Schedule. These changes include removing instructional information about: filing fees, biometric services fees, processing information, payment methods, electronic funds transfers, fee waivers, and premium processing. There is a decrease in the annual estimated hour burden to respondents, due to the removal of fee related content in instructions and consolidation and reformatting of fee related language in the Form G-1055, Fee Schedule. There is no change to the annual estimated cost burden to respondents for this information collection as a result of the rulemaking.

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Annual Cost to Federal Government: $14,729,700

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

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Common Form ICR:  No

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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: 02/09/2024

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