Information Collection

Application for Replacement Naturalization/Citizenship Document

IC 20426 under ICR 201502-1615-015 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form N-565 Application for Replacement Naturalization/Citizenship Document Form
N565-INS-30Day-04062015.pdf Instruction
N-565 Application for Replacement Naturalization/Citizenship D N565-FRM-30Day-04062015.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Replacement Naturalization/Citizenship Document	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 343

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N-565	Application for Replacement Naturalization/Citizenship Document	N565-FRM-30Day-04062015.pdf		Yes	No	Fillable Printable
Instruction			N565-INS-30Day-04062015.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: United States Citizenship and Immigration Services Benefits Information System	FR Citation: 73 FR 56596

Number of Respondents: 29,298	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	29,298	0	29,298
Annual IC Time Burden (Hours)	26,836	0	26,836
Annual IC Cost Burden (Dollars)	3,589,005	3,589,005	0

Documents for IC

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.