UTMDACC INSTITUTIONAL POLICY # ACA0016 EFFORT CERTIFICATION POLICY PURPOSE The purpose of this policy is to set forth the policy and process by which The University of Texas MD Anderson Cancer Center (MD Anderson) manages Effort commitment, charging, and certification. POLICY STATEMENT It is the policy of MD Anderson to comply with all federal and University of Texas System guidelines and regulations for management and Effort Certification on Sponsored Projects. Employees must certify the accuracy of Effort that is committed to a sponsor in funding proposals and allocated to Sponsored Projects. BACKGROUND CONTEXT Effort reporting and certification is required by the federal government as a condition of receiving federal funding, and is the system for reporting the amount of Effort (percentage of time) that employees devote to federally Sponsored Projects. It is also the means for reporting how much Effort has been expended on a project that was not paid for by the sponsor, but rather was paid for by the institution from institutional or other non-federal funds (cost-sharing). SCOPE Compliance with this policy is the responsibility of all faculty, trainees/students, and other members of MD Anderson’s workforce. TARGET AUDIENCE The target audience for this policy includes, but is not limited to, all faculty, trainees/students, and other members of MD Anderson’s workforce who have salaries paid from Sponsored Projects and/or Committed Effort allocated to Sponsored Projects. DEFINITIONS Committed Cost Sharing: The portion of the total project costs of a sponsored agreement that are not reimbursed by the sponsor of the project. These costs are borne by the institution or other non-federal third parties in direct support of the project, rather than by the sponsor. Committed Cost Sharing is promised by the institution in the project proposal itself. Page 1 of 9 UTMDACC INSTITUTIONAL POLICY # ACA0016 This policy only pertains to cost sharing as it relates to time commitments made by Individuals listed in a proposal or award. Committed Cost Sharing may be either Mandatory, required by the sponsor, or Voluntary, proposed by MD Anderson even though not required. When an award is received in which Committed Cost Sharing was proposed, the Committed Cost Sharing becomes a binding commitment that MD Anderson must provide as part of the performance of the Sponsored Project, and must document for audit purposes. Committed Effort: The amount of Effort proposed in a grant or other project application and accepted by a sponsor, regardless of whether salary support is requested for the Effort. Effort: The proportion of time spent on any activity expressed as a percentage of total institutional activities for which an Individual is compensated by MD Anderson. Total Effort for an employee must always equal 100%, regardless of part-time or full-time status, and regardless of number of hours worked. Effort is not calculated on a 40-hour workweek or any other standard workweek. For example, if an Individual averages 60 hours per week during the reporting period and spends an average of 15 hours on a Sponsored Program, that represents 25% Effort (15/60) and the other 45 hours, allocated to other institutional activities, represents 75% Effort (45/60). Effort Certification: A means of confirming the percentage of Effort spent in support of each Sponsored Project and all other institutional activities for a given period of time. Effort Certification requires that both Effort paid by the sponsor and Effort paid by the institution be confirmed. Each Individual's Effort Certification must account for total Effort (100%). Payroll distribution and Effort Certification are not the same thing. Payroll distribution describes the sources of an Individual's salary, while Effort Certification describes the allocation of an Individual's Effort. Effort Certification reflects a reasonable estimate of a person's activity for which he/she is compensated by MD Anderson, recognizing that in an academic setting, teaching, research, service, and administration are often intermingled. Individual: Anyone who has salary and/or Committed Effort on a Sponsored Program. Where appropriate in this policy the following subcategories, primary and supporting Individuals, will be utilized. Institutional Base Salary (IBS): The total guaranteed annual compensation an Individual receives from MD Anderson. The IBS is used to compute salaries charged to Sponsored Programs unless sponsor policies limit the maximum annual compensation rate. IBS includes compensation for instruction, public service, research, clinical, and/or other activities, as well as supplements for administrative assignments included in an Individual's annual appointment. Note: The IBS is the amount described as “Total Annual Salary” in the MD Anderson annual appointment form, and is the same as the “Compensation Rate” that is stored in the HR system files. It is different from the “Base Salary” defined in MD Anderson’s “Faculty Compensation Program Policy,” which includes only the “Professional Component” compensation in the annual appointment form. IBS excludes fringe benefit payments, reimbursed expenses, temporary supplemental compensation for incidental work, income earned outside of duties to the institution, incentives, and any portion of compensation deemed to be at risk. At MD Anderson excluded payments include incentive compensation plans, supplementary annuity program payments, and Team Anderson awards. Mandatory Cost Sharing: Cost sharing which is required by the sponsor as a condition of obtaining an award. Primary Individual: A person listed as a Principal Investigator, project director, co-investigator, coproject director, or someone with comparable responsibilities on a Sponsored Project. A Primary Individual is usually a faculty member. Page 2 of 9 UTMDACC INSTITUTIONAL POLICY # ACA0016 Principal Investigator (PI): The Individual(s) who is the responsible leader of an investigative team and responsible for the design, conduct, or reporting of a research project or program. Salary Cap Cost Sharing: A special case of Mandatory Cost Sharing relates to sponsor limitations on IBS. Salary Cap Cost Sharing is required when an Individual’s Institutional Base Salary exceeds the maximum annual compensation rate the sponsor is willing to reimburse (the “salary cap”). If a person’s IBS exceeds the sponsor’s maximum allowed reimbursable salary (the salary cap), then the salary cap is substituted for the IBS in allocating salary to the award. In such a case, for example, if a person is committed for 60% Effort, then 60% of the salary cap would be charged to the project. The prorated excess is a form of Mandatory Cost Sharing that must be funded by an appropriate and allowable source. NIH has a capped salary, which is tied to a federal compensation rate, and is adjusted from time to time. Other sponsors may also occasionally apply a maximum salary rate in their awards. Salary Cost Transfers: Transfer of salary expenses to one account, after they have already been recorded on another account. A cost transfer is necessary to effect retroactive adjustments to salary charges. Salary Cost Transfers need to be managed within the existing policies and procedures in place to safeguard appropriateness of the transactions, timing of transactions, and other controls. Salary Cost Transfers must be initiated within 90 days of the original transaction, and may not be initiated after Effort Certification, except to transfer salaries off of sponsored agreements. Sponsored Programs (or Sponsored Projects): Externally-funded activities in which a formal written agreement (i.e., a grant, contract, or a cooperative agreement) is entered into by MD Anderson and by the sponsor. A Sponsored Project may be thought of as a transaction in which there is a specified statement of work with a related, reciprocal transfer of something of value. The University of Texas System also includes in this category internally-funded activities which are separately budgeted and accounted for, as a result of a formal application and approval process. At MD Anderson, qualifying internally-funded activities include Institutional Research Grants, Bridge Funding, and University Cancer Foundation Research Projects. Supporting Individual: An employee other than a Primary Individual who has allocated Effort to a Sponsored Program, whether or not paid by the program. The Supporting Individual may or may not have been identified on a Sponsored Project application. Voluntary Committed Cost Sharing: If cost sharing is proposed in a Sponsored Program application when it is not required by the sponsor, it becomes a commitment of institutional resources when the program is awarded. Voluntary Committed Cost Sharing is not allowed on Sponsored Projects except by special exception. PROCEDURE 1.0 Effort Management 1.1 Effort Commitment and Cost Sharing at Time of Proposal: A. Prior to proposal submission, each Primary Individual shall signify awareness and approval of his/her Effort proposed in the activity. Page 3 of 9 UTMDACC INSTITUTIONAL POLICY # ACA0016 1.2 B. Effort proposed for all primary and Supporting Individuals is included in Sponsored Project proposals (see: Request for Salary & Fringe Cost Sharing). C. A Principal Investigator who wishes to propose Voluntary Committed Cost Sharing to a sponsor must first submit a Cost-Sharing Waiver Request, which must include identification of each person whose Effort is proposed to be supported in whole or in part by the institution through cost-sharing, the amount of cost-sharing proposed for each person for the duration of the Sponsored Program, and the rationale for requesting a waiver. The waiver request must be submitted, and must be approved by the Executive Vice President and Provost or his/her designee, prior to a proposal being submitted to a sponsoring agency. D. A waiver request for salary and fringe is not required in advance of a grant submission to a Sponsor providing both of the following terms have been met: There is no voluntary cost-sharing proposed in the application, and The grant application has received institutional review and approval at the time of submission. Minimum Level of Effort Commitment: Primary Individuals' Effort shall be commensurate with their responsibilities. Faculty must commit at least 1% Effort to each Sponsored Project for which they serve as a Primary Individual or as Key Personnel. Exceptions to the minimum level of Effort are for equipment and instrumentation grants, doctoral dissertation grants, and augmentation grants. 1.3 1.4 1.5 Maximum Level of Effort: A. Tenured and tenure-track faculty may not commit more than 90% Effort to Sponsored Projects, so as to allow reasonable Effort for other responsibilities, such as committee service, administrative duties, teaching and mentoring, proposal preparation, clinical duties, and departmental research. B. Individuals other than tenure track faculty may allocate up to 100% of Effort to Sponsored Programs, provided that this is an accurate representation of their full scope of Effort, and that they do not have other institutional responsibilities. Effort Commitment at Time of Award: A. At the time of award, it is the responsibility of the Principal Investigator and each Primary Individual to ensure that total Effort commitments meet the requirements of this policy, and to make necessary adjustments in Effort and salary distribution to reflect changes in sponsored program portfolio (e.g., addition of new projects, closeout of existing projects, change in responsibilities for other institutional activities). B. If approval of a sponsor is necessary prior to Effort reduction, the Principal Investigator is responsible for securing this approval in accordance with sponsor requirements. Effort Commitment Management: Planning for Effort commitment should be part of the annual planning process between Primary Individuals and their department chair or head. Page 4 of 9 UTMDACC INSTITUTIONAL POLICY # ACA0016 2.0 Effort Certification 2.1 2.2 2.3 2.4 Frequency of Certification: A. Effort Certification is required of all faculty and exempt staff on a quarterly basis. B. Effort Certification is required of all non exempt staff on a quarterly basis. Effort Certification Process: A. Effort reports are prepared reflecting information in MD Anderson systems about anticipated distribution of Effort and salary. If the information is correct, the Effort is certified by the appropriate person. If the information in the system needs to be revised, revisions must be made on the certification form, and initiated in the systems within the allowed time period for the certification process. B. Certifications must be completed within thirty days of notification that the Effort reports are ready for review. Who Signs Certifications: A. All faculty certify their own Effort, regardless of whether their role is primary or secondary on any project. B. An appropriate Primary Individual on each Sponsored Project or other activity will certify the Effort of non-faculty Supporting Individuals with Effort on the projects for which he/she is responsible. In a simple grant, the Principal Investigator will be the appropriate person to certify Effort of Supporting Individuals. In a complex grant, with multiple subprojects and cores, other Primary Individuals, such as a Leader or a Co-Leader may be the appropriate certifier. The department chair will probably be the appropriate person to certify department research Effort. Effort Changes After Certification: Effort changes after certification are permitted only if they remove incorrect Effort and/or salary from a Sponsored Project. No changes are permitted after certification which would increase Effort or salary on a Sponsored Project. 2.5 2.6 Consistency with Other Time Reports: A. Faculty who report hours spent on categories of institutional activity on the Physician Time Allocation Survey (PTAS) are responsible for making sure that this certified survey is consistent with the certified Effort report. B. The two surveys report on different time periods (two weeks versus three months) and on different bases (hours versus percent Effort). While the results will often not be the same in the two surveys, they need to be consistent overall. Education: All faculty members who have Effort allocated to Sponsored Projects, and non-faculty members who fall within the definition of Primary Individual, all Effort coordinators, and department and division administrators, are required to meet mandatory Effort reporting and Effort commitment training requirements. These training requirements include the following: Page 5 of 9 UTMDACC INSTITUTIONAL POLICY # ACA0016 A. In-person training on Effort reporting and commitment must be completed by the following (see Effort Reporting Compliance Education Web page): New hires: Within forty five (45) days of hire date, or Prior to the next Effort Certification period, whichever comes first. Individuals with a change of status/responsibility: Individuals who subsequently obtain the status or responsibilities of one of the listed Individuals in Section 2.6 must complete the in-person training on Effort reporting and commitment: 2.7 Within forty five (45) days of the date the Individual obtained the new status or responsibilities, or Prior to the next Effort Certification period, whichever comes first. B. Self-administered training module for access to the Effort Certification and Reporting system (ECRT). C. Refresher training as included in the mandatory self-administered Employee Education Event (see Institutional Mandatory Training Policy (UTMDACC Institutional Policy # ADM1168)). D. Refresher training required to address instances of non-compliance with this policy and federal Effort reporting and commitment requirements. Penalties for Noncompliance: A. 3.0 Compliance with this policy is mandatory. Non-compliance with this policy may result in the following progressive penalties: Merit raise ineligibility for non-compliant Primary Individual(s). Disallowance of salary costs on each affected Sponsored Project. If disallowed, salary costs will be moved to a departmental account. B. In addition, failure to comply with requirements of the Effort Certification Policy and its accompanying procedures may result in an Individual being subject to disciplinary sanctions up to and including termination, and may result in civil and criminal penalties. C. Disciplinary action for instances of breach of policy including, but not limited to, failure to file a certified Effort Report or knowingly filing an erroneous Effort Report, will be administered according to MD Anderson’s institutional Handbook of Operating Procedures and MD Anderson's Standard of Conduct. Responsibilities 3.1 Designated Responsible Party: The Executive Director of Grants and Contracts is the designated person responsible for Effort reporting and certification. He or she is responsible for carrying out the education program, administering the certification process, monitoring compliance, and preparing required reports and assessments. Page 6 of 9 UTMDACC INSTITUTIONAL POLICY # ACA0016 3.2 Departmental Effort Coordinator: Department Effort Coordinators are responsible for coordination between Grants and Contracts and faculty and research staff in their departments to facilitate administration of the Effort commitment, charging, and certification process. 3.3 Faculty: All faculty certify their own Effort on all activities. 3.4 Primary Individuals: Primary Individuals certify Effort commitment, salary charges, and cost-sharing allocations for all non-faculty employees with Effort on a Sponsored Project for which the Primary Individual is responsible. 3.5 Supporting Individuals: Allocate Effort in accordance with commitments. 3.6 Grants and Contracts: Administers the Effort reporting and certification process, including training. Is the control point for quality and regulatory compliance. Conducts monitoring program to evaluate and report on operating controls. Page 7 of 9 UTMDACC INSTITUTIONAL POLICY # ACA0016 ATTACHMENTS / LINKS Cost-Sharing Waiver Request. Effort Reporting Compliance Education Web page. Handbook of Operating Procedures. MD Anderson's Standard of Conduct. Request for Salary & Fringe Cost Sharing. RELATED POLICIES Faculty Compensation Program Policy (UTMDACC Institutional Policy # ACA0044). Institutional Mandatory Training Policy (UTMDACC Institutional Policy # ADM1168). JOINT COMMISSION STANDARDS / NATIONAL PATIENT SAFETY GOALS None. OTHER RELATED ACCREDITATION / REGULATORY STANDARDS OMB Circular A-110 - Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals, and Other Non-Profit Organizations. OMB Circular A-21 - Cost Principles for Educational Institutions. University of Texas System Policy # UTS163, Guidance on Effort Reporting Policies. REFERENCES None. Page 8 of 9 UTMDACC INSTITUTIONAL POLICY # ACA0016 ___________________________________________________________________________________ POLICY APPROVAL Approved With Revisions Date: 08/20/2015 Approved Without Revisions Date: Implementation Date: 08/20/2015 Version: 51.0 ___________________________________________________________________________________ RESPONSIBLE DEPARTMENT(S) Grants and Contracts Page 9 of 9
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