Application for Replacement Naturalization/Citizenship Document - Paper Filing

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⚠️ Notice: This information collection may be referencing outdated material.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 - Paper Filing Form
N565-015-INS-FeeRule-OPSReview-FR-12212023.pdf Instruction
N565-015-INS-FeeRule-OPSReview-FR-12212023.pdf Instruction
N-565 Application for Replacement Naturalization/Citizenship D N565-015-FRM-FeeRule-OPSReview-FR-12212023.pdf Form
N-565 Application for Replacement Naturalization/Citizenship D N565-015-FRM-FeeRule-OPSReview-FR-12212023.pdf Form

Information Collection (IC) Details

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	N565-015-FRM-FeeRule-OPSReview-FR-12212023.pdf		Yes	No	Fillable Printable
Instruction			N565-015-INS-FeeRule-OPSReview-FR-12212023.pdf		Yes	No	Printable Only

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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	13,270	0	13,270
Annual IC Time Burden (Hours)	15,221	-2,428	17,649
Annual IC Cost Burden (Dollars)	1,708,513	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.