INSTRUCTIONS
A-21 Effort Reports - ________ Semester, 20___
Policy
In order to comply with audit requirements and federal regulations,
certain employees are required to certify the percentage of time (i.e., effort)
that they devote to sponsored projects, departmental administration, and
instruction/departmental research. Each University school or college
has the primary responsibility to ensure compliance with this policy.
If effort is not properly certified, salary charges cannot be made
against the fund.*
Activities in support of the department
Please read the category definitions below
carefully in order to account properly for your effort
during the semester being reported on. Activities in support of
the department should be divided among columns 1, 2, 3 as appropriate.
Note that personal research, advising, and committee work associated with
curriculum or faculty development should be reported on column 1. Effort
on most other committees and effort expended on preparation of proposals
is considered other and should be reported on column 2. Persons with some
activity in support of an externally sponsored project to which salary is
not charged should report effort devoted to this project as cost sharing
on column 3 for the relevant account. For these types of activities,
column 4 should be blank.
Activities in support of sponsored projects
Salary charges for the effort of those faculty and
staff with full or partial salary paid directly by sponsored projects
are listed in column 4. Columns 1, 2, 3 of these lines require
no further entries.
The A-21 Effort Report form is designed to allow employees with salary
charged to multiple funds, either departmental or restricted, to report
all effort on a single form. If more than one form is generated for a
given person, both forms should be signed. You may also find that the
percentage shown may total either 99% or 101% due to rounding. The
dollars shown in the “Earnings” column are the exact amounts charged
to each fund.
Instructions for completion of the A-21 Effort Report forms
Each form must be signed by either the employee
or a supervisor/chairperson who has first-hand knowledge of the
work performed by the employee.
"Per" signatures and signature stamps are not acceptable.
No corrections are to be made on the form. If corrections
are necessary, a salary reallocation and a new A-21 form must
be completed.
To download a blank A-21 form, click on following (sometimes
holding the Shift key [Option key on the Mac] while clicking on the link helps
the browser get into download mode):
Download Excel file
Contact the Office of the Controller
(ext. 2137) if you would like any additional
information about A-21 reporting.
*NOTE: Because constantly shifting salary dollars and budget dollars to mirror
actual effort on a semester basis would be an administrative burden on departments
and central administration, it is permissible, pursuant to section
C.4.d.(3) of OMB Circular,A-21, to make the required certification on an
average basis pro-rated by semester. In other words, if the average effort
devoted to a given funding source is expected to be x% over the course of a year, then
it is permissible to certify x% in all semesters of that year even if the actual
effort in a particular semester is less than or greater than x%. Adjustments may
need to be made in the last semester of that year if the actual average effort turns
out to have been significantly different from what was expected.
Definitions:
1. INSTRUCTION AND DEPARTMENTAL RESEARCH
All forms of instruction and training (except where supported by training grant or contract); supervision of student
research or study; preparation of course material; grading; student conferences; development and revision of instructional
material; improvements of teaching methods; advising; counseling; service on committees such as curriculum, promotion
and tenure; professional development related to teaching (e.g. attendance at MLA or APA meetings); as well as
research not separately budgeted and accounted for.
2. OTHER
Activities related to the formulation of policy and decision making, including: service on committees that are administrative
in nature, escorting visitors, preparation of budgets, proposal preparation, professional development related to administration
(e.g. attendance at NASULGC meetings), interviewing candidates for faculty, staff and administrative positions. Examples of
committee assignments which should be included are budget, research, human subjects, safety, and library. Also, any other
activities that are not related to instruction, or sponsored activities.
3. COST SHARING
Do you spend any time supporting a funded contract or grant from which you do not receive a portion of your salary from that
contract/grant? If YES, cost share FOAPALs that have been entered in Banner payroll will be pre-populated on the form. If
you have cost share to report that is not yet in Banner, please use a salary reallocation and submit a new A-21 form reflecting
the changes. If NO, please leave blank.
4. SPONSORED PROJECTS
Do you spend any time supporting a funded contract or grant from which you receive a portion of your salary? If YES, sponsored
project FOAPALs that have been entered in Banner payroll will be pre-populated on the form. If you have sponsored project charges
to report that are not yet in Banner, please use a salary reallocation and submit a new A-21 form reflecting the changes. If NO,
please leave blank.
(Revised October 2012)
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