Time and Effort Reporting Form
Adopted: 8/9/2023
Revised 5/14/25
In order to comply with the (Federal Program) Grant requirements for “time and effort reporting,” This form must be completed semi-annually by each salaried faculty member paid entirely by Federal Funds
Employee Name _____________________________________________________________ School ___________________________________________________________
Report Date. ________________________________________________________________________________
Percentage of Contract Paid by Federal Funds Program. ______________________________________________________________________
In compliance with the requirements of 2 CFR 200.430 and USBE Board Rule R277-113(5)(6), I hereby certify that this report is an after-the-fact determination of actual effort expended for the period indicated, and I have full knowledge of 100% of these activities.
Employee Signature ___________________________________________________Date _______________________________________________
Supervising Administrator Signature ____________________________________________ Date_______________________________________
Please return this completed form no later than 10 days after the close of the reporting period to the supervising administrator.
If you have questions, you may contact Arlene Anderson, Aaron Peterson, or Jake Hill at the District Office at 435-835-2261.
