TABLE OF CHANGES – INSTRUCTIONS
Form N-565, Application for Replacement Naturalization/Citizenship Document
OMB Number: 1615-0091
08/19/2024
Reason for Revision: REV Project Phase: 30 Day
Legend for Proposed Text:
Expires 02/28/2027 Edition Date 04/01/2024 |
Current Page Number and Section |
Current Text |
Proposed Text |
Page 1, Who May File Form N-565? |
[Page 1]
…
4. You obtained a court order, a government-issued document, or a letter from a licensed health care professional recognizing that your gender is different from the gender listed on your current document, and you seek a document reflecting the recognized gender.
In addition, you may apply for a replacement of your Certificate of Citizenship if you obtained a court order or a document issued by the U.S. government or the government of any U.S. state that changes your date of birth, and you seek a document with the new date of birth.
…
NOTE: USCIS will not change your name without evidence such as a marriage certificate, divorce decree, or court order. We will not change the date of birth on a Certificate of Citizenship without documentation such as a U.S. court order or state-issued documents.
…
|
[Page 1]
…
4. You have a different gender than what is listed on your current document, and you seek a document reflecting the different gender.
In addition, you may apply for a replacement of your Certificate of Citizenship if you obtained a court order or a document issued by the U.S. Government or the government of any U.S. state that changes your date of birth, and you seek a document with the new date of birth.
…
NOTE: USCIS will not change your name without evidence such as a marriage certificate, divorce decree, or court order. We will not change the date of birth on a Certificate of Citizenship without documentation, such as a U.S. court order or state-issued documents.
…
|
Pages 2-5, General Instructions
|
[Page 2]
…
Evidence. When you file your application, you must submit all evidence and supporting documents listed in the Initial Evidence section of these Instructions. For additional information, see the USCIS Policy Manual, Volume 12, Part K, Certificates of Citizenship and Naturalization at www.uscis.gov/policymanual.
…
7. Part 9. Applicant’s Statement, Contact Information, Certification, and Signature. Select the appropriate box to indicate whether you read this application yourself or whether you had an interpreter assist you. If someone assisted you in completing the application, select the box indicating that you used a preparer. Further, you must sign and date your application and provide your daytime telephone number, mobile telephone number (if any), and email address (if any). Every application MUST contain the signature of the applicant (or parent or legal guardian, if applicable). A stamped or typewritten name in place of a signature is not acceptable.
8. Part 10. Interpreter’s Contact Information, Certification, and Signature. If you used anyone as an interpreter to read the Instructions and questions on this application to you in a language in which you are fluent, the interpreter must fill out this section; provide his or her name, the name and address of his or her business or organization (if any), his or her daytime telephone number, his or her mobile telephone number (if any), and his or her email address (if any). The interpreter must sign and date the application.
9. Part 11. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant. This section must contain the signature of the person who completed your application, if other than you, the applicant. If the same individual acted as your interpreter and your preparer, that person should complete both Part 11. and Part 12. If the person who completed this application is associated with a business or organization, that person should complete the business or organization name and address information. Anyone who helped you complete this application MUST sign and date the application. A stamped or typewritten name in place of a signature is not acceptable. If the person who helped you prepare your application is an attorney or accredited representative, he or she may also need to submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, along with your application.
We recommend that you review your copy of your completed application before you go to your biometric services appointment at a USCIS ASC. At your appointment, USCIS will allow you to complete the application process only if you are able to confirm, under penalty of perjury, that all of the information in your application is complete, true, and correct. If you are not able to make that attestation in good faith at that time, we will require you to return for another appointment.
…
5. If you are applying for replacement of a mutilated document, you must attach the mutilated document.
…
8. If you are applying for a new Certificate of Citizenship because your date of birth has legally changed, you must submit the original USCIS document you are seeking to replace. You must also submit a copy of either the original or certified document establishing the date of birth change (for example, a court order or vital record document issued by the U.S. Government or the government of any U.S. state (“U.S. Government documents”)) and complete Part 7. of Form N-565. U.S. Government documents may include a birth certificate, a certificate recognizing foreign birth, a certificate of birth abroad, or other similar vital records issued by the U.S. state where you resided when the document was issued. Only applicants applying for a new Certificate of Citizenship may select this option.
9. If you are applying for a new document that reflects a different gender than is shown on your current document, you must submit the original USCIS document along with one of the forms of evidence listed below supporting the requested official change in gender designation and complete Part 8. of Form N-565.
Submit one of the following forms of evidence supporting your requested official change in gender designation:
A. A court order granting change of sex or gender;
B. A U.S. Government-issued document reflecting the requested gender designation. Acceptable U.S. Government-issued documents include an amended birth certificate, a passport, a driver’s license, or other official document showing identity issued by the U.S. Government, a state or local government in the United States, or a foreign government;
C. A letter from a licensed health care professional certifying the requested gender designation is consistent with your gender identity. Licensed health care professionals include licensed counselors, nurse practitioners, physicians (Medical Doctors or Doctors of Osteopathy), physician assistants, psychologists, social workers, and therapists. The health care certification must include the following information:
(1) The health care professional’s full name, address, and phone number;
(2) The health care professional’s license number and issuing state, country, or other jurisdiction of the professional license;
(3) Language stating the health care professional has treated or evaluated you in relation to your gender identity; and
(4) The health care professional’s assessment of your gender identity.
10. If you are applying for a special certificate of naturalization to obtain recognition as a citizen of the United States by a foreign country, you must attach a copy of your naturalization certificate.
…
|
[Page 2]
…
Evidence. When you file your application, you must submit all evidence and supporting documents listed in the Initial Evidence section of these Instructions.
…
7. Part 9. Applicant’s Contact Information, Certification, and Signature. You must sign and date your application and, if applicable, provide your daytime telephone number, mobile telephone number, and email address. The signature of a parent or legal guardian, if applicable, is acceptable. A stamped or typewritten name in place of a signature is not acceptable.
8. Part 10. Interpreter’s Contact Information, Certification, and Signature. If you used anyone as an interpreter to read the Instructions and questions on this application to you in a language in which you are fluent, the interpreter must fill out this section and sign and date the application.
9. Part 11. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant. The person who completed your application, if other than you, the applicant, must sign this section. If the same individual acted as your interpreter and your preparer, then that person should complete both Part 10. and Part 11. A stamped or typewritten name in place of a signature is not acceptable.
We recommend that you print or save a copy of your completed application for your records.
…
5. If you are applying for replacement of a mutilated document, you must attach/enclose the mutilated document.
…
8. If you are applying for a new Certificate of Citizenship because your date of birth has legally changed, you must submit the original USCIS document you are seeking to replace. You must also submit a copy of either the original or certified document establishing the date of birth change (for example, a court order or vital record document issued by the U.S. Government or the government of any U.S. state (“U.S. Government documents”)). U.S. Government documents may include a birth certificate, a certificate recognizing foreign birth, a certificate of birth abroad, or other similar vital records issued by the U.S. state where you resided when the document was issued. Only applicants applying for a new Certificate of Citizenship may select this option.
9. If you are applying for a new document reflecting a different gender, you must submit the original USCIS document you are seeking to replace and complete Part 7. of this Form N-565. Indicate how you identify. Based on your selection, a gender of “M” (male), “F” (female) or “X” (another gender identity) will be reflected on your secure documents if your application is approved.
[deleted]
10. If you are applying for a special certificate of naturalization to obtain recognition as a citizen of the United States by a foreign country, you must attach a copy of your naturalization certificate.
…
|
Page 6, Where to File? |
[Page 6]
Where to File?
Please see our website at www.uscis.gov/N-565 for the most current information about where to file this application.
|
[Page 6]
Where to File?
Please see our website at www.uscis.gov/N-565 for the most current information about where to file this application.
|
New |
[new] |
[Page X]
Address Change
If you are not a U.S. citizen, you must notify USCIS of your new address within 10 days of moving from your previous residence. For information on changing your address, go to our website at www.uscis.gov/addresschange, or call the USCIS Contact Center.
NOTE: Do not submit a change of address request to the USCIS Lockbox.
|
Page 6, Processing Information
|
[Page 6]
Processing Information
…
Requests for More Information. USCIS may request that you provide more information or evidence to support your application. We may also request that you provide the originals of any copies you submit. If we request an original document from you, we will return it to you after USCIS determines it is no longer needed.
[new]
Decision. The decision on Form N-565 involves a determination of whether you have established eligibility for the document you are requesting. If you establish eligibility for the document, USCIS will approve your application and issue the document. Where appropriate, USCIS will forward a special Certificate of Naturalization to the U.S. Department of State for delivery to a foreign government official. If your application is denied, USCIS will notify you of the decision in writing.
|
[Page 6]
Processing Information
…
Requests for More Information. USCIS may request that you provide more information or evidence to support your application. We may also request that you provide the originals of any copies you submit. If we request an original document from you, we will return it to you after USCIS determines it is no longer needed.
Requests for Interview. We may request that you appear at a USCIS office for an interview based on your application. During your interview, USCIS may require you to provide your biometrics to verify your identity and/or update background and security checks.
Decision. The decision on Form N-565 involves a determination of whether you have established eligibility for the document you are requesting. If you establish eligibility for the document, USCIS will approve your application and issue the document. Where appropriate, USCIS will forward a special Certificate of Naturalization to the U.S. Department of State for delivery to a foreign government official. If your application is denied, USCIS will notify you of our decision in writing.
|
Pages 7-8, DHS Privacy Notice
|
[Page 7]
DHS Privacy Notice
AUTHORITIES: The information requested on this application, and the associated evidence, is collected pursuant to Immigration and Nationality Act Section 343(a).
…
|
[Page 7]
DHS Privacy Notice
AUTHORITIES: The information requested on this application, and the associated evidence, is collected pursuant to Immigration and Nationality Act Sections 338 and 343, and 8 CFR sections 338.5 and 343a.1.
…
|
New |
[new] |
[Page X] |
Page 8, Paperwork Reduction Act
|
[Page 8]
Paperwork Reduction Act
USCIS may not conduct or sponsor an information collection, and you are not required to respond to a collection of information, unless it displays a currently valid Office of Management and Budget (OMB) control number. The public reporting burden for this collection of information is estimated at 1.147 hours per response, including the time for reviewing instructions, gathering the required documentation and information, completing the application, preparing statements, attaching necessary documentation, and submitting the application. The collection of biometrics is estimated to require 1 hour and 10 minutes. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Office of Policy and Strategy, Regulatory Coordination Division, 5900 Capital Gateway Drive, Mail Stop #2140, Camp Springs, MD 20588-0009; OMB No. 1615-0091. Do not mail your completed Form N-565 to this address.
|
[Page 8]
Paperwork Reduction Act
USCIS may not conduct or sponsor an information collection, and you are not required to respond to a collection of information, unless it displays a currently valid Office of Management and Budget (OMB) control number. The public reporting burden for this collection of information is estimated at .967 hours per response, including the time for reviewing instructions, gathering the required documentation and information, completing the application, preparing statements, attaching necessary documentation, and submitting the application. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Office of Policy and Strategy, Regulatory Coordination Division, 5900 Capital Gateway Drive, Mail Stop #2140, Camp Springs, MD 20588-0009; OMB No. 1615-0091. Do not mail your completed Form N-565 to this address.
|
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Valentine, Brian R |
| File Modified | 0000-00-00 |
| File Created | 2024-10-27 |