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
G1055-INS-(N565 014 REV-OMBReview)-10092024.pdf Supplementary Document	2024-10-09
N-565 30Day FRN.pdf Supplementary Document	2024-10-08
N-565 60 day FRN 89FR50620.pdf Supplementary Document	2024-10-17
N565-014-INS-TOC-REV-30Day-08192024.docx Supplementary Document	2024-10-08
N565-014-FRM-TOC-REV-30Day-08192024.docx Supplementary Document	2024-10-08
N-565-014-REV_SPTSTMT.docx Supporting Statement A	2024-10-08
N-565-014 REV-60-day FRN+FeeRuleEdits v1.1.2.pdf Supplementary Document	2024-10-17
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: 202410-1615-001
Status: Received in OIRA	Previous ICR Reference No: 202401-1615-035
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: 10/21/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2027
Responses	60,600	52,880
Time Burden (Hours)	61,267	58,208
Cost Burden (Dollars)	3,901,125	3,417,025

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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:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 50620	06/14/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 50620	08/26/2024
Did the Agency receive public comments on this ICR? Yes

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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

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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	60,600	52,880	0	7,720	0	0
Annual Time Burden (Hours)	61,267	58,208	0	3,059	0	0
Annual Cost Burden (Dollars)	3,901,125	3,417,025	0	0	484,100	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: For applicants requesting a document listing a different gender than their current document, USCIS has removed the questions, instructions and evidence requiring a court order, a government-issued document, or a letter from a licensed health care professional recognizing that the applicant’s gender is different from that listed on their current document. Applicant, preparer, and interpreter certification language was also reduced. The full scope of the revision is available in the Tables of Changes and only copy decks submitted with this information collection request. USCIS is reporting an estimated increase in the annual hour burden to respondents for this collection of information. This increase is due to new agency estimates for the number of respondents, USCIS increased the respondent estimate from 52,800 (March 2024) to 60,600, an increase of 7,800 respondents per year. The estimated time burden per response for paper filings was decreased for paper filing from 1.147 to 0.967 hours. The estimated time burden per response for electronic filing decreased from .0917 to 0.737 hours. It is important to note that with this update, if the respondent numbers were not adjusted, the net time burden decrease would have saved approximately 4,777 hours per year (Calculated: 26,340 applicants x -.18 hours = -4777 hours). The estimated increase in the annual hour burden to respondents for this collection of information is increased due to an increase in respondents. Additionally, if no new content had been added, the time burden decrease would have saved approximately 4,888 hours per year. However, due to the estimation methodology used to describe burden in this analysis, the time burden savings is otherwise not easily recognized. The offsetting increase in the estimated number of respondents overshadows the time burden savings. There is an increase in the estimated annual cost burden to respondents for this collection of information due to the adjustment in the estimated respondents.

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Annual Cost to Federal Government: $168,165,000

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: 10/21/2024

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