This collection is approved for only two years due to non-compliance with the Government Paperwork Elimination Act.
Inventory as of this Action
Requested
Previously Approved
10/31/2021
36 Months From Approved
10/31/2019
55,380
0
27,954
69,225
0
25,606
3,392,025
0
3,424,365
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 estimated total annual hour burden for this information collection increased as a result of an increase in the estimated average time burden per response from .916 hours to 1.33 hours. USCIS revised this information collection to include additional data elements and additional instructions, which resulted in an increase in the estimated time to review instructions, complete the form, and gather necessary evidence. USCIS also made a programmatic change to require submission of biometrics by respondents to this information collection, which added an additional time burden per response.
The estimated total annual cost burden to respondents decreased as a result of a decrease in the estimated number of respondents for this information collection. USCIS previously reported an estimate of 27,954 respondents and is now reporting an estimate of 27,690 respondents. There is no additional cost burden as a result of the biometrics requirement.
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.
Form N-565 Application for Replacement Naturalization/Citizenship Document
SORN 018 DHS_USCIS IBBC 20180731.pdf
N-565 Reference Citation.docx
Biometrics Processing