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.
There is a decrease of 3,774 hours in the estimated annual hour burden for this collection of information. This is the result of the decrease from 1.33 hours to 0.917 hours in the estimated hour burden per response for the version of the form that can be electronically filed.
There is no change in the estimated annual cost burden 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 - Electronic
N-565-009-83C signed.pdf
N-565 Reference Citation.docx
Application for Replacement Naturalization/Citizenship Document - Electronic