Information Collection

Application for Replacement Naturalization/Citizenship Document - Online Filing

IC 239294 under ICR 202502-1615-015 · OMB 1615-0091.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0091 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
N-565-017_83C_Copy Deckv1.1.1_OMBReview.pdf	Other-N-565 Online Filing Screenshot
N-565-017_83C_Copy Deckv1.1.1_OMBReview.pdf	Other-N-565 Online Filing Screenshot

IC Title:

Application for Replacement Naturalization/Citizenship Document - Online Filing

Agency IC Tracking Number:

1615-0091

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 1454

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-N-565 Online Filing Screenshots					Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: DHS/USCIS-001 Alien File, Index, and National File Tracking System of Records

FR Citation: 82 FR 43556

Number of Respondents: 15,150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	15,150	15,150
Annual IC Time Burden (Hours)	11,166	11,166
Annual IC Cost Burden (Dollars)	1,950,562	1,950,562

Documents for IC

table that charts IC Documents
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.

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