THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
Effort Report By Employee

Month

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Dept #

Dept Name

Incumbent Supervisor

Employee

Employee ID

Pay Group

Activity Position PeopleSoft Acct Code TUFIMS Acct. No. Earn FTE/Pay% Effort%

Click on the underline column title above to receive the explanation of fields used on this report.

This report is used to comply with Office of Management and Budget circular A-21. FTE/PAY % is calculated using the salary that was actually reported and charged to each particular account code. Effort % represents the amount of effort that was worked on the project. These two amounts can be different, but the EFFORT % must be greater than or equal to FTE/PAY % and the EFFORT % must always equal 100%. Review the distribution of FTE/PAY % and EFFORT % for accuracy. Note any discrepancies and report them to your departmental administrator for corrections. Review the EOP FTE/PAY% and EOP EFFORT% for accuracy and report any changes that need to be made to your departmental administrator.

The employee or supervisor must CERTIFY the report below within 30 days after month end date.

Print and return to: FAS TEAM, 7000 FANNIN, UCT 900, HOUSTON, TEXAS 77030 713-500-4949

I confirm that I have first-hand knowledge of all the work performed by the above employee and that the above distribution of activities represents a reasonable estimate of work performed for the stated period.

OR

I confirm the above distribution of activities represents a reasonable estimate of all work performed by me during the stated period.

Supervisory Official Signature Date Employee Signature Date
x x x x

 

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