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N565-017-FRM-TOC-83C-OMBReview-03142025.docx

Application for Replacement Naturalization/Citizenship Document

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OMB: 1615-0091

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TABLE OF CHANGES – FORM

Form N-565, Application for Replacement Naturalization/Citizenship Document

OMB Number: 1615-0091

03/14/2025


Reason for Revision: 83C

Project Phase: OMB Review


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes


Expires 12/31/2027

Edition Date 02/28/2025



Current Page Number and Section

Current Text

Proposed Text

Pages 2-3,


Part 3. Type of Application


[Page 2]


Part 3. Type of Application



NOTE: If you selected Item Number 2.e., go to Part 6. and attach the original certificate and evidence of the date of birth change.


2.f. I am seeking to change the sex listed on my document.



NOTE: If you selected Item Number 2.f., go to Part 7. and attach the original certificate or declaration.


2.g. My reason for applying for a new document is not listed above.



[Page 2]


Part 3. Type of Application



NOTE: If you selected Item Number 2.e., go to Part 6. and attach the original certificate and evidence of the date of birth change.


2.f. My certificate or declaration is incorrect because my sex listed on the document does not reflect my biological sex at birth.


NOTE: If you selected Item Number 2.f., go to Part 7. and attach the original certificate or declaration and your birth certificate.


2.g. My reason for applying for a new document is not listed above.



Page 4,


Part 7. Complete If Applying for a New Document Listing a Different Sex


[Page 4]


Part 7. Complete If Applying for a New Document Listing a Different Sex


NOTE: After completing this section, go to Part 9. If you are applying to correct your document due to a USCIS error, use Part 4.


1. The sex designation that I want listed on my new document is:

Male

Female



[Page 4]


Part 7. Complete If Applying for a New Document Listing Your Sex at Birth


NOTE: After completing this section, go to Part 9. If you are applying to correct your document due to a USCIS error, use Part 4.


1. My biological sex at birth:


Male

Female




1

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorValentine, Brian R
File Modified0000-00-00
File Created2025-03-15

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