Project/Performance Site Primary Location
I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization.
Street Address:
Project/Performance Site Other Location(s)

I am submitting an application as an individual, and not on behalf of a company, state, local or tribal government, academia, or other type of organization.
Street Address:

Additional Project/Performance Site Location(s)
Burden Statement

SF-424 Project / Performance Site Location(s) Form (4040-0010)


According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 4040-0010. The time required to complete this information collection is estimated to average 14 minutes per response, including the time to review instructions, search existing data resources, gather the data needed and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 537-H, Washington D.C. 20201, Attention: PRA Reports Clearance Officer.



Agency Total Responses Average Burden per response in Hours Total Burden Hours
NSF 34,000 10/60 5,667
VA 750 20/60 250
USAID 300 5/60 25
IMLS 420 5/60 35
DOD 12,210 4/60 814
HHS 122,339 11/60 22,429
DOI 76,132 19/60 24,108
SSA 2,000 2/60 67
NEA 5,345 5/60 445
DOJ 34,471 15/60 8,618
USDA 7,150 10/60 1,192
EPA 15,264 5/60 1,272
HUD 9,100 30/60 4,550
NASA 9,435 15/60 2,359
NARA 150 10/60 25
NEH 3,750 15/60 938
DOT 3,400 53/60 3,003
ED 14,191 10/60 2,365
DOE 7,150 20/60 2,383
DHS 23 30/60 12
Total 357,580   80,557

80,557 total hours x 60 minutes = 4,833,420 total minutes
4,833,420 / 357,580 total responses = 14 minutes per response.