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.
USCIS is now accounting for a separate time burden estimate for paper filed Form N-565s versus e-filed Form N-565s. This change is reflected in Question 12 above, as well as in the table at Question 15. The estimated average time burden per response for e-filing is .917 hours, as compared to 1.33 hours for a paper filing, which results in a lower annual hour burden for e-filing than for paper filing. The estimated total annual hour burden for this information collection decreased from 69,225 to 65,451 as a result of a decrease in the estimated annual hour burden for e-filers.
There is no change to the estimated cost burden to respondents for this collection of information.
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
N-565-83C-Supporting Statement-Fee Rule.docx
N-565 83C.pdf
Application for Replacement Naturalization/Citizenship Document