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OMB Control No: 1090-0009	ICR Reference No: 202505-1090-001
Status: Received in OIRA	Previous ICR Reference No: 202111-1090-001
Agency/Subagency: DOI/ASPMB	Agency Tracking No:
Title: Donor Certification Form
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 07/29/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2025
Responses	250	250
Time Burden (Hours)	83	83
Cost Burden (Dollars)	0	0

Abstract: The Department of the Interior and its bureaus (Department or DOI) has various authorities that permit the acceptance of donations or gifts in furtherance of resource conservation projects and other programs. Before accepting a donation, DOI must first evaluate whether or not the circumstances of the donation maintain the integrity of the Department's programs and operations, the impartiality of the Department, and public confidence in the Department. Prior to enacting the Donations Policy, DOI conducted a risk analysis in which $25,000 was determined to be the threshold above which there was a greater risk of possible legal or ethical questions associated with donations. Therefore, for donations valued at $25,000 or more, donors are requested to complete a DI-3680 Donor Certification form (DI-3680 form) to provide information clarifying business and legal interactions with the Department and consistency with the Donations Policy prior to acceptance.

Authorizing Statute(s): US Code: 54 USC 307107 Name of Law: Donations and Bequests of Money, Personal Property and Less than Fee Interests in Historic Property
   US Code: 30 USC 1231b3 Name of Law: Abandoned Mine Reclamation Fund
   US Code: 16 USC 3192 Name of Law: ANILCA - Land acquisition authority
   US Code: 16 USC 3196 Name of Law: ANILCA - Administrative sites and visitor facilities
   US Code: 54 USC 200103(i) Name of Law: Authority of the Secretary to Carry out Certain Functions and Activities
   Statute at Large: 9 Stat. 395 Name of Statute: An Act to Establish the Home Department
   US Code: 18 USC 201 Name of Law: Bribery, Graft, and Conflicts of Interest
   US Code: 16 USC 460/-1h Name of Law: Outdoor Recreation Authority - Donations
   US Code: 16 USC 4601-4608 Name of Law: Take Pride in America Program
   US Code: 25 USC 5341 Name of Law: Donations for Indians; use of gifts
   US Code: 25 USC 2006 Name of Law: BIE Accepting Gifts
   US Code: 43 USC 1701 and 1737c Name of Law: Federal Land Policy and Management Act of 1976 (FLPMA)
   US Code: 43 USC 395 Name of Law: BOT - Acceptance of Non-Federal Funds
   US Code: 16 USC 661 Name of Law: Partnerships for Fish and Wildlife
   US Code: 16 USC 3741 Name of Law: Partnerships for Wildlife Program
   US Code: 16 USC 3701 Name of Law: Cooperation with the National Fish and Wildlife Foundation
   US Code: 43 USC 36a-c Name of Law: USGS - Gift and General Cooperation Authority
   US Code: 43 USC 1473 Name of Law: BOEM - Gift Authority
   US Code: 54 USC 101101 Name of Law: General Authority for NPS to Accept Donations
   US Code: 54 USC 102503(b) Name of Law: Donations for Museum Purposes
   US Code: 54 USC 101111 Name of Law: Donations to the National Park Foundation (NPF) for the Benefit of NPS

Citations for New Statutory Requirements: None

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

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 19306	05/07/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 35711	07/29/2025
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Businesses and Organizations	DI-3680	Donor Certification Form
Individuals and Households	DI-3680	Donor Certification Form
State, Local or Tribal Government	DI-3680	Donor Certification Form

ICR Summary of Burden

	Total Request	Previously Approved
Annual Number of Responses	250	250
Annual Time Burden (Hours)	83	83
Annual Cost Burden (Dollars)	0	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:

Annual Cost to Federal Government: $31,340

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

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? No

Agency Contact: Jeffrey Parrillo 202 208-7072 jeffrey_parrillo@ios.doi.gov

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