Monthly Report on Naturalization Papers

Forms and Documents

Document Name	Status
Form N-4 Monthly Report on Naturalization Papers Form and Instruction	Modified
09 23 15 Supporting Statement A 1615-0051.doc Supporting Statement A	2015-09-23
DHS-USCIS-007 Benefits Information System SORN.docx Supplementary Document	2015-09-22
privacy-pia-update-uscis-claims4-november2013.pdf Supplementary Document	2015-09-22
PTA USCIS-Form N-4 20150911 PRIV Final.pdf Supplementary Document	2015-09-16
09 10 15 30-day FRN.pdf Supplementary Document	2015-09-16
06 24 15 60-day notice.pdf Supplementary Document	2015-09-16
PRA N-4 Reference Cite to INA 339 and 344 11-5-12.doc Supplementary Document	2015-09-16

IC Document Collections

IC ID	Document Title	Status
20345	Monthly Report on Naturalization Papers Form and Instruction	Modified

ICR Details

OMB Control No: 1615-0051	ICR Reference No: 201509-1615-004
Status: Historical Active	Previous ICR Reference No: 201211-1615-001
Agency/Subagency: DHS/USCIS	Agency Tracking No: N-4
Title: Monthly Report on Naturalization Papers
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/16/2015
	Date Received in OIRA: 09/28/2015
Terms of Clearance: Approved for two years only due to lack of GPEA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved	01/31/2016
Responses	1,920	0	1,920
Time Burden (Hours)	960	0	960
Cost Burden (Dollars)	4,800	0	0

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Abstract: This form is used by the clerk of courts that administer the oath of allegiance for naturalization to notify the USCIS of all persons to whom the oath was administered. The information is used by the USCIS to update its alien files and records to indicate that the aliens are now citizens; develop an audit trail on the certificates of naturalization; and determine the payments to be made to the courts for reimbursement of their expenses in connection with the naturalization process.

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Authorizing Statute(s): US Code: 8 USC 1450 and 1445 Name of Law: U.S. Code
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 36350	06/24/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 54575	09/10/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Monthly Report on Naturalization Papers	N-4	Monthly Report on Naturalization Papers

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ICR Summary of Burden

	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	1,920	1,920	0	0	0	0
Annual Time Burden (Hours)	960	960	0	0	0	0
Annual Cost Burden (Dollars)	4,800	0	0	0	4,800	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $76,800

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/28/2015

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