OMB control number

Donor Certification Form

OMB 1090-0009 · DOI/ASPMB.

OMB 1090-0009

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.

The latest form for Donor Certification Form expires 2029-07-31 and is listed under ICR 202505-1090-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form DI-3680 Donor Certification Form	Form
Form DI-3680 Donor Certification Form	Form
Form DI-3680 Donor Certification Form	Form
2025 DI-3680 Supporting Statement fin 06-23-25.docx	Supporting Statement A
1090-0009 Published 30 Day Notice - 90 FR 35711 - 07292025.pdf	Supplementary Document
1090-0009 Published 60 Day Notice - 90 FR 19306 - 05072025.pdf	Supplementary Document
2021 DI 3680 Supporting Stmt Authorities Table final 9-24-21.docx	Supplementary Document
54 U.S.C. § 101101.pdf	Supplementary Document
54 U.S.C. 200103(i).pdf	Supplementary Document
54 U.S.C. § 307107.pdf	Supplementary Document
54 U.S.C. § 102503(b).pdf	Supplementary Document
54 U.S.C. § 101111.pdf	Supplementary Document
43 U.S.C. § 1473.pdf	Supplementary Document
25 U.S.C. § 2006(f)(1).pdf	Supplementary Document
16 U.S.C. § 3192(i).pdf	Supplementary Document
USCODE-2013-title25 458ddd.pdf	Supplementary Document
USCODE-2013-title16 3196.pdf	Supplementary Document
USCODE-2013-title16 3192.pdf	Supplementary Document
USCODE-2013-title30-chap25 1231.pdf	Supplementary Document
USCODE-2013-title43 1473.pdf	Supplementary Document
USCODE-2013-title43 36a-c.pdf	Supplementary Document
USCODE-2013-title16 3701.pdf	Supplementary Document
USCODE-2013-title16 3741.pdf	Supplementary Document
USCODE-2013-title16 661.pdf	Supplementary Document
USCODE-2013-title43 395.pdf	Supplementary Document
USCODE-2013-title43 1701.pdf	Supplementary Document
USCODE-2013-title25 500c.pdf	Supplementary Document
USCODE-2013-title16 4601-4608.pdf	Supplementary Document
374 DM 6.htm	Supplementary Document
18 USC 201.pdf	Supplementary Document
9 Stat. at L. 395-7.pdf	Supplementary Document
State, Local or Tribal Government	Form
Businesses and Organizations	Form
Individuals and Households	Form

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202505-1090-001	Extension without change of a currently approved collection	2025-07-29
202111-1090-001	Extension without change of a currently approved collection	2021-11-29	Approved with change
201809-1090-001	Extension without change of a currently approved collection	2018-10-23	Approved without change
201509-1090-001	Extension without change of a currently approved collection	2015-09-30	Approved without change
201205-1090-001	Extension without change of a currently approved collection	2012-07-17	Approved without change
200812-1090-001	New collection (Request for a new OMB Control Number)	2009-04-24	Approved without change

OMB Details

Individuals and Households

Federal Enterprise Architecture: General Government - Central Property Management

Information collection instruments
Form	Name	Electronic access	Type
Form DI-3680	Donor Certification Form	Fillable Printable	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.