ࡱ> 8:7  bjbjT~T~ 466r~~  8#7fK:0suuuuuu6Vuu4###js#s###Z@#_0#. .#.#<#uu#.~ : On-Term Time and Effort Reporting Form All funding agencies require effort certifications for all University employees whose salaries are charged to sponsored programs. In order for the University to comply with this time and effort reporting requirement, each faculty member or professional staff employee working on a grant or contract needs to complete this form after each semester. Additionally, whenever any salary is charged or committed to a sponsor, the University needs to keep accurate records of this obligation, so the employee needs to complete this form. Please send the completed form to the Office of Sponsored Programs and Research Activities (OSPRA). If you have any questions, please contact Cate Caldwell at 993-1544 or  HYPERLINK "mailto:caldwecr@udmercy.edu" caldwecr@udmercy.edu. Name: __________________________ Department: _________________________  FORMCHECKBOX  TERM I: Fall 20__  FORMCHECKBOX  TERM II: Winter 20__  FORMCHECKBOX  TERM III: Summer 20__ Provide a breakdown of your responsibilities for this semester. The total must equal 100% of your regular workload. ɫ applies a standard workload for faculty that consists of three courses (75%, or 25% each), plus administrative/service/unsponsored research (25%), per on-term semester. Please use additional sheets as necessary. Actual Effort: % Teaching and teaching-related activities ____________ Administrative/Clinical/Unsponsored Research (Unrestricted) ____________ Grant [Account # ______________________ ] ____________ Grant [Account # ______________________ ] ____________ ɫ Cost Share [Restricted Fund # _______________ ] ____________ ɫ Cost Share [Restricted Fund # _______________ ] ____________ Other (please specify) ______________________ ____________ TOTAL 100%______ I certify that the information provided is correct. Employee Signature ____________________________________ Date ___________ Confirming Signature ___________________________________ Date ___________  Cost share refers to a portion of a sponsored project that is contributed by the university but not reimbursed by the sponsor.      '(l b   * + 趩藶腶sb!jh*ih'g0JOJQJU#jh*ih'gOJQJU#jth*ih'gOJQJU#jh*ih'gOJQJUh*ih'g0JOJQJjh*ih'gOJQJUh*ih'gOJQJ\h'gOJQJh*ih'gB*OJQJphh*ih'gOJQJh*ih'g5OJQJ&'(- . 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