OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Replacement Naturalization/Citizenship Document

ICR 201705-1615-006 · OMB 1615-0091 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form N-565 Application for Replacement Naturalization/Citizenship Document Form Modified Repair queued
N-565 Supporting Statement (final draft2).docx Supporting Statement A Uploaded 2017-05-30 Repair queued
SORN 007 Benefits Info Sys 2016 10 19.pdf Supplementary Document Uploaded 2017-05-30 Repair queued
N-565 SS Appendix A Comment Summary.docx Supplementary Document Uploaded 2017-05-15 Repair queued
SORN 001 AFileIndexNFTS 2013 11 21.html Supplementary Document Uploaded 2017-05-15 Repair queued
privacy-pia-056-uscis-eliseappendixaupdate-may17,2016.pdf Supplementary Document Uploaded 2017-05-15 Available
privacy-pia-016a-uscis-claims3-march25,2016.pdf Supplementary Document Uploaded 2017-05-15 Available
privacy-pia-003b-uscis-iddmp-feb28,2017.pdf Supplementary Document Uploaded 2017-05-15 Available
PTA, USCIS - N-565, 20170502, PRIV Final.pdf Supplementary Document Uploaded 2017-05-15 Repair queued
N-565 Reference Citation.docx Supplementary Document Uploaded 2017-05-15 Available
N-565 60day FRN 20170223.pdf Supplementary Document Uploaded 2017-05-15 Available
N-565 30d FRN 20170511.pdf Supplementary Document Uploaded 2017-05-15 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
20426 Application for Replacement Naturalization/Citizenship Document Form Modified
ICR Details
1615-0091 201705-1615-006
Historical Active 201610-1615-036
DHS/USCIS N-565
Application for Replacement Naturalization/Citizenship Document
Extension without change of a currently approved collection   No
Regular
Approved without change 06/13/2017
Retrieve Notice of Action (NOA) 05/30/2017
Approved for two years only due to partial GPEA compliance.
  Inventory as of this Action Requested Previously Approved
06/30/2019 36 Months From Approved 06/30/2017
27,954 0 29,298
25,606 0 26,836
3,424,365 0 3,589,005
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
  82 FR 11477 02/23/2017
82 FR 22014 05/11/2017
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 27,954 29,298 0 0 -1,344 0
Annual Time Burden (Hours) 25,606 26,836 0 0 -1,230 0
Annual Cost Burden (Dollars) 3,424,365 3,589,005 0 0 -164,640 0
No
No
USCIS is reporting a reduction in the estimated number of respondents for this information collection due to a better agency estimate of the number of filers. A corresponding decrease in the hour and cost burdens is therefore also being reported. There is no change to the information being collected.
$15,514,470
No
No
No
No
No
Uncollected
Kerstin Jager 214 489-8022 [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.
05/30/2017