OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Replacement Naturalization/Citizenship Document

ICR 201206-1615-007 · OMB 1615-0091 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form N-565 Application for Replacement Naturalization/Citizenship Document Form Modified Available
N-565 Supp Statement 7-17-2012.doc Supporting Statement A Uploaded 2012-07-19 Available
PIA.pdf Supplementary Document Uploaded 2012-07-05 Repair queued
SORN.mht Supplementary Document Uploaded 2012-07-05 Repair queued
Published 30-day notice - 2012-6-11.docx Supplementary Document Uploaded 2012-07-05 Repair queued
Published 60-Day Notice 3-27-12.docx Supplementary Document Uploaded 2012-07-05 Repair queued
Reference Cite.doc Supplementary Document Uploaded 2012-07-05 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
20426 Application for Replacement Naturalization/Citizenship Document Form Modified
ICR Details
1615-0091 201206-1615-007
Historical Active 201103-1615-008
DHS/USCIS N-565
Application for Replacement Naturalization/Citizenship Document
Extension without change of a currently approved collection   No
Regular
Approved without change 02/28/2013
Retrieve Notice of Action (NOA) 07/19/2012
  Inventory as of this Action Requested Previously Approved
02/28/2015 36 Months From Approved 02/28/2013
29,298 0 29,298
26,836 0 26,836
0 0 10,107,810
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.
US Code: 8 USC 1454 Name of Law: U.S. Code
  
None
Not associated with rulemaking
  77 FR 18255 03/27/2012
77 FR 34398 06/11/2012
Yes
  Total Approved 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 29,298 29,298 0 0 0 0
Annual Time Burden (Hours) 26,836 26,836 0 0 0 0
Annual Cost Burden (Dollars) 0 10,107,810 0 0 -10,107,810 0
No
No
$10,107,810
No
No
No
No
No
Uncollected
Angela Lyons 202 272-1585 [email protected]
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/19/2012