Information Collection

Individuals and Households

IC 187609 under ICR 202505-1090-001 · OMB 1090-0009.

Documents and Forms

Document Name Document Type
Form DI-3680 Individuals and Households Form
DI-3680 Donor Certification Form DOI Donor Certification Form DI-3680 10-22-18.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Individuals and Households	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DI-3680	Donor Certification Form	DOI Donor Certification Form DI-3680 10-22-18.docx		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Property Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 33 %

	Requested	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.