Application for Replacement Naturalization/Citizenship Document

OMB 1615-0091

OMB 1615-0091

This form is used by USCIS to determine an applicant's eligibility for a replacement document that was lost, mutilated or destroyed, or if the applicant's name was changed by marriage or by court order after the original document was issued. Additionally, this form is used by a naturalized citizen applicant who desires to obtain a special certificate of recognition as a citizen of the United States by a foreign country.

The latest form for Application for Replacement Naturalization/Citizenship Document expires 2021-10-31 and can be found here.


⏳ Form N-565 Processing Time / Approval Rate - Application for Replacement Naturalization/Citizenship Document
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 No material or nonsubstantive change to a currently approved collection 2019-11-27
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 Revision of a currently approved collection 2019-06-28
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 No material or nonsubstantive change to a currently approved collection 2018-05-04
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 Extension without change of a currently approved collection 2017-05-30
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 No material or nonsubstantive change to a currently approved collection 2016-10-28
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 No material or nonsubstantive change to a currently approved collection 2016-06-03
Approved with change
 Revision of a currently approved collection 2015-02-27
Approved without change
 Extension without change of a currently approved collection 2012-07-19
Approved with change
 Extension without change of a currently approved collection 2011-03-16
Approved without change
 No material or nonsubstantive change to a currently approved collection 2010-09-02
Approved without change
 Revision of a currently approved collection 2010-03-17
Approved without change
 No material or nonsubstantive change to a currently approved collection 2007-07-10
Approved without change
 Extension without change of a currently approved collection 2007-01-09
Approved without change
 No material or nonsubstantive change to a currently approved collection 2006-09-22
Approved without change
 Extension without change of a currently approved collection 2004-09-02
OMB Details

Application for Replacement Naturalization/Citizenship Document - Paper

Federal Enterprise Architecture: Homeland Security - Border and Transportation Security

Form N-565Application for Replacement Naturalization/Citizenship DocumentFillable PrintableForm

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