New York University School of Medicine

 

Policy on Effort Reporting for Sponsored Research Projects

 

Contents:

 

I.          Background, Purpose and Scope

II.                   Policy Statement

III.                  Definitions

IV.                Effort Reporting Policy Guidance

V.                  Roles and Responsibilities

VI.                Procedures

 


 

I. Background, Purpose and Scope

 

New York University School of Medicine (NYUSOM) receives funding for research and other sponsored projects through grants and contracts provided by the federal government.    As a condition of accepting such federal funding, NYUSOM must comply with all applicable federal regulations including the Office of Management and Budget (OMB) Circular A-21, Principles for Determining Costs Applicable to Grants, Contracts, and Other Agreements with Educational Institutions.  This Circular establishes the principles for determining the costs that may be charged to federally sponsored research projects by a research institution.

 

OMB Circular A-21, Section J. 10 - Compensation for Personal Service, describes the principles that determine the allowable compensation costs that can be charged to federally sponsored projects.  Also, this section mandates implementation of an effort reporting system to distribute compensation across all of the relevant activities of research staff, and to apportion allowable compensation to and between sponsored projects.  It further describes the acceptable methods for effort reporting, including how to distribute, apportion, confirm and document the allocation of compensation to federally sponsored projects. 

 

The goals of this policy, policy guidance and procedures are to:

 

·         Comply with the requirements of OMB Circular A-21 regarding allowable personal service costs paid by federally sponsored programs

 

·         Provide clear guidance to research faculty and staff to properly determine, verify and document personal service costs allocated to federally sponsored programs.

 

·         Describe how to properly use the NYUSOM Time & Effort Management Tool to track, report and certify effort.

 

This policy applies to all faculty and staff for whom the NYUSOM derives all or a portion of their compensation from  sponsored programs, federal and non-federal.   

 

 

II. Policy Statement

 

NYUSOM complies with federal effort reporting requirements and has implemented a system to accumulate and document costs charged to sponsored agreements.

 

The Principal Investigator (PI) must ensure that all costs charged to their sponsored projects are appropriate based on the established policies of NYUSOM and conform to the requirements of the sponsor.  Furthermore, for personal service costs, the PI must ensure that their own reported effort and the effort reported by other personnel directly charged to their projects is accurate and reflects the work actually performed on the projects during each reporting period.

 

NYUSOM requires that all faculty and professional staff paid from sponsored research funds and/or who apply effort to sponsored research projects, report and certify, on a semi-annual basis, that the amount of effort charged by them to each project during the six-month reporting period reflects the effort actually performed on the project. 

 

The effort charged for other research personnel (not faculty or professional staff) working directly on a sponsored project may be certified by the PI or by a person (e.g. departmental administrator or key project staff member) designated by the PI, that has first-hand knowledge of such staff member’s daily activities related to the sponsored project.  Delegation does not reduce the PI’s responsibility to ensure that the effort charged to their projects is accurate and reflects no more than the work actually performed.    

 

The Department Chairperson is responsible for effort reporting and effort certification compliance for sponsored projects performed by personnel in their department. 

 

 

 

III. Definitions

 

Effort – work or portion of time spent, expressed as a percentage of total time, on all activities performed on behalf of the NYUSOM within the scope of an individual’s appointment or employment with the School, and paid through NYUSOM payroll. . 

 

Effort Reporting – effort reporting encompasses a number of processes including committing effort, tracking effort applied to the various activities performed, adjusting effort based upon actual time spent, and certifying that the effort is accurate and reflects the work actually performed on the projects during the reporting period.

  

Institutional Base Salary (IBS) – as defined by federal regulations, an individual's Institutional Base Salary, for time and effort reporting purposes, is the annual compensation that the NYUSOM pays for a researcher's appointment and/or employment, whether that individual's time is spent on research, teaching, patient care, or other activities.  The annual compensation relevant in determining IBS is the amount that is guaranteed and fixed in advance by the appointment letter or employment agreement and paid through the NYUSOM payroll system.  IBS excludes compensation that is not guaranteed and fixed in advance.  Compensation paid directly by other organizations through non-NYUSOM payroll systems is not considered NYUSOM IBS; effort related to these activities is not included as NYUSOM effort for sponsored program reporting purposes.  IBS is calculated by the NYUSOM for all individuals involved in sponsored programs.

 

Cost Sharing – the terms “cost sharing”, “matching”, and “in-kind” refer to that portion of the total project cost not borne by the sponsor.  As necessary, cost sharing amounts are calculated by the NYUSOM based on award terms, IBS and reported effort for each person applying effort to sponsored research projects.

 

Sponsored Program – an externally funded project, governed by the specific terms and conditions of the grantor.  Sponsored Programs are separately budgeted and accounted for, and may include grants, contracts, cooperative agreements, and any other such externally funded projects.

           

Notice of Grant Award (NOGA) – a document from the awarding agency that describes the award terms and conditions.  The NOGA provides important guidance for managing the project and must be closely reviewed by the principal investigator, the department administrator, and personnel in Sponsored Program Administration.

 

NIH Salary Cap – a salary limitation established by NIH in its Annual Appropriations Act.  NIH will not reimburse grantees for salaries at a rate in excess of the level specified in the appropriation language.

 

 

IV. Effort Reporting Policy Guidance

 

Calculating Effort

 

The basis used to propose or commit effort should be the same as the basis used to calculate report and certify effort.

 

Total effort consists of all work-related activities performed on behalf of the NYUSOM.  There is no set number of hours that constitute total effort; rather total effort equals 100% of the activities performed for the NYUSOM.  The activities performed and the total amount of time to accomplish them will likely be different for each faculty member and may vary during the year.

 

For faculty, the components of total effort are determined by their NYUSOM appointment agreement. Teaching, research (including clinical trials), clinical services within the Faculty Group Practice and administrative activities are all services that may be performed on behalf of the NYUSOM.  In addition, services paid for through the NYUSOM payroll system and provided to the NYU Hospital’s Center for clinical, administrative, supervisory and teaching services, and to the Bellevue Hospital Center and the Veteran’s Administration New York Campus (VA) based on NYUSOM affiliation agreements, are components of NYUSOM total effort.   

 

The effort associated with appointments to other entities affiliated with the NYUSOM (e.g. Bellevue Hospital Center, the VA, Nathan Kline Institute, etc.) but not compensated through the NYUSOM payroll system, must be calculated and clearly disclosed in funding proposals. However, such effort is not included in total effort for NYUSOM effort reporting purposes.  Faculty members with such other appointments need to contact SPA, to see if a memorandum of understanding between entities is required.

 

For faculty participating in activities not directly related to work on active sponsored projects, (i.e. grant proposal preparation, pursuing funding approval or effort on NYSOM administrative or other non-research responsibilities) effort reporting on sponsored projects should rarely total more than 90% and should never total 100%.

 

The sum of the committed effort on active projects plus the anticipated committed effort on proposed projects may exceed 100% for a given period.  However, to the extent that proposed projects are ultimately awarded, the effort to one or more newly awarded or existing projects must be reduced to ensure that total effort does not exceed 100% for the period.  The sponsor of an affected project may require notification if the effort reduction is significant.

 

Unless permission is received from the funding agency, it is expected that the proposed effort committed in a grant application will be provided to the project even when the amount approved in the NOGA is less than the amount requested.  

 

With certain exceptions (including equipment & instrumentation grants, doctoral dissertation grants, student augmentation grants, faculty mentors on institutional training grants) faculty are expected to apply some level of effort to projects on which they are listed as the PI or as key personnel.

 

It is recognized that a precise apportionment of effort across the activities performed on behalf of an academic medical center is not always feasible.  Research, teaching, clinical services and administration are often inextricably intermingled.  Therefore, reliance is placed on estimates in which a degree of tolerance is expected. 

 

Researchers Providing Patient Care through the NYUSOM Faculty Group Practice

 

In addition to research activities, certain faculty members provide patient care services through the NYUSOM Faculty Group Practice (FGP).  The FPG agreement identifies the components of compensation paid to each clinician in the plan in the following categories:

 

1.      Committed - determined in advance by agreement with the FGP

2.      Variable - based on actual practice revenue net of practice expense during the period

3.      Incentive – paid only upon achieving an established goal or outcome

 

All activities paid by the NYUSOM are included for effort reporting,.including all FGP related activities.  Therefore, all compensation is included in the NYUSOM Time & Effort Management Tool to reflect total effort.

 

However, only Committed compensation is included in the calculation of IBS.  Because Variable and Incentive compensation are not guaranteed and are not fixed in advance, they are not included as components of IBS.   The exclusion of these compensation categories from IBS does not mean that the effort corresponding to this compensation is excluded from the reported effort.

 

The Costing Group of Sponsored Programs Financial Services in coordination with FGP Administration calculates IBS for each reporting period and will provide the amount calculated to each researcher/FGP physician applying effort to a sponsored program.  The effort associated with this compensation should be closely reviewed by the researcher/FGP physician each reporting period.

 

It is often difficult to distinguish research activities, including clinical trial activities, from the effort involved in providing patient care.  Sponsors should only be charged for effort that is related to the research that they sponsor.  Sponsors should not be charged for patient care activities that are paid for by patients, insurers or government healthcare programs.

 

Cost Sharing

 

Based on IBS, the reported effort charged to sponsored projects and the NIH Salary Cap, Sponsored Projects Administration (SPA) personnel identify those projects subject to cost sharing.  The amounts identified for cost sharing are reviewed with the responsible PI, department leadership and, as necessary, with senior school administration and processed according to the NYUSOM Institutional Cost Sharing Policy.

 

Effort applied to a research project that is not compensated by the sponsor should also be reported.  This is considered cost sharing and is governed by the NYUSOM Cost Sharing Policy. 

 

Documenting Effort 

 

The PI is responsible for implementing a system to substantiate the effort expended by each person charged to the research projects for which they have responsibility   Such system may include the use of activity logs or other suitable means necessary to document the actual effort expended on each project.

 

Reporting Effort

 

Effort is confirmed, reported and certified based on an after-the-fact reporting system.  For faculty and professional staff, effort reports are prepared for two six-month periods (Period 1 - September through February; Period 2 - March through August) each NYUSOM fiscal school year.  For other research personnel and administrative staff members working directly on research activities, effort reporting is performed quarterly.

 

Actual effort is reported using the NYUSOM Time & Effort Management Tool.

 

Temporary changes of less than five percent of assigned effort during a period are generally considered immaterial.  Because such small temporary shifts are considered not significant, it is not necessary to report them on personnel documents.  However, changes from assigned effort that are expected to regularly continue should be reported to finance so that the payroll distribution is corrected for future periods.

 

 

Effort reports must be completed and certified no more than 75 days following the end of each reporting period.  

 

Procedures for accessing and using the effort reporting system are described in Section VI.

 

Certifying Effort

 

PIs are required to certify their own effort reports and ensure that the effort reported by other personnel directly charged to their projects is accurate and reflects the work actually performed during the reporting period.  In addition the PI must support through personal knowledge or through other verification that the effort reported by others on their projects is fair and reasonable.

 

Faculty and professional staff paid from sponsored research funds and/or who apply effort to sponsored research projects, must report and certify their own effort. 

 

 

 

Certification of effort for non-professional staff must be made by the PI or another person designated in writing by the PI, who has first hand knowledge of their activities, and based upon appropriate documentation.

 

Changes in Status and / or Effort

 

It is the PI’s responsibility to comply with federal and other sponsoring agency prior notification requirements related to changes in status and/or effort for all key personnel on their projects.  Federal agencies require prior notification of significant changes in personnel status and/or effort on the projects that they sponsor. 

 

Federal agencies define changes in status as withdrawal from a project, absence from the project for any continuous period of three (3) months or more, or twenty-five percent (25%) or greater reduction in the time devoted to the project (over the budget year) from the level approved at the time of award.  Other sponsoring agencies may have their own status and/or effort change notification requirements.  

 

Unless otherwise communicated to the sponsor, the effort commitment percentage during a no-cost extension period is assumed to be consistent with the commitment for the immediately preceding budget period.  The sponsor must be notified at the time of a no-cost extension request if the effort to be expended is 25% or less than the level approved at the time of the award.

 

 

 

 

Retroactive Adjustments

 

Accurate salary distribution begins on sponsored projects and/or cost sharing accounts from the point that a project is awarded.  In the event that an award is anticipated but the award documents have not been received, salary and other amounts of incurred expenses must be charged to departmental funds until the award is confirmed.  A different sponsored project should never be charged for work that is underway while awaiting approval for a new award.

 

To identify potential errors and make adjustments on a timely basis, PIs and their department administrators should regularly analyze new and ongoing sponsored project budgets along with salary and other expense distribution reports.  In addition, in preparation for each semi-annual effort reporting certification period, an additional, comprehensive project review should take place for each project to identify potential adjustments.  Once effort has been certified on a sponsored project, retroactive adjustments are not only more difficult to accomplish, but also may raise questions as to the reliability of the certification process.

 

Despite attempts to prevent errors, it is recognized that occasionally errors to previously reported amounts may be identified.  The timely reporting of retroactive adjustments to correct such errors is the responsibility of the principal investigator. 

 

Training

 

Prior to the end of their first reporting period at NYUSOM, new faculty and staff reporting or certifying effort on sponsored programs are required to complete the effort reporting training program provided by Sponsored Programs Financial Services,(SPFS).  In addition, training updates will be provided periodically for all other staff working on or administering sponsored projects.  

 

 

V. Roles & Responsibilities

 

Principal Investigator The PI ensures that all costs charged to their sponsored projects are appropriate based on the established policies of NYUSOM and conform to the requirements of the sponsor.  Furthermore, for personal service costs, the PI must ensure that their reported effort and the effort reported by other personnel directly charged to their projects is accurate and reflects the work actually performed on the projects during the reporting period. 

 

Department Administrator - The Department Administrator facilitates the effort reporting process by coordinating the activities of department leadership, PIs, investigators and the Sponsored Projects Financial Services Group. 

 

Sponsored Programs Administration (SPA) - SPA documents and confirms committed cost sharing based on the NOGA during award set-up and ensures that all cost sharing amounts are appropriately identified in compliance with the NYUSOM cost sharing policy. 

 

Department Chairperson - The Department Chairperson ensures that the principal investigators in their department comply with this Policy by accurately reporting and certifying effort on a timely basis.

 

Costing Group of Sponsored Programs Financial Services – Develops and implements effort reporting policies and procedures; trains faculty and staff on the use of the effort reporting system; monitors compliance with effort reporting based on qualitative and quantitative measures and provides guidance and feedback to PIs and department leadership.  The Costing Group identifies and resolves matters of potential non-compliance with this Policy and escalates matters within NYUSOM leadership as appropriate.

 

Vice Dean of Administration – The Vice Dean of Administration is responsible for the oversight and administration of the effort reporting policy.  This includes working closely with the Department Chairs and other department leadership, PIs and the NYUSOM SPA and Financial Services groups to ensure that this policy is effectively implemented.  In addition, in the event of non-compliance with this policy, the Vice Dean of Administration reviews and approves adjustments in cases of delinquent effort reports and for enforcing other discipline as deemed appropriate.

 

VI. Procedures

 

Applications are submitted:

As a sponsored program application is developed, the principal investigator estimates the effort he/she plans to apply to the project; effort for those considered key personnel on the grant must also be included.  It is assumed that if the grant is awarded, this commitment of effort will be met.

 

A Notice of Grant Award is received:

When the Notice of Grant Award (NOGA) is received, variances between the requested and awarded amount needs to be adjusted; SPA will work with the PI to finalize this.  If the differences are material, the awarding agency needs to be contacted for possible remediation.  If okay, and within the levels required to do the work, then a)the budget is fixed, b)the award is established in the official SOM records, and c)the effort to the grant should begin.  This includes the processing of all required paperwork through Human resources, such as Confidential Personnel Profiles, to assign salary allocations to the proper accounts.

 

Documentation of Effort

The PI is responsible for implementing a system to substantiate the effort expended by each person charged to the research projects for which they have responsibility   Such system may include the use of activity logs or other suitable means necessary to document the actual effort expended on each project.

 

Accessing the Time and Effort tool:

Time and effort reporting becomes necessary at the prescribed times; semi-annually for professional staff, and quarterly for non-professional staff.  Professional staff, including PI’s, are required to certify their own effort reports. Certification of effort for non-professional staff must be made by the PI or another person designated in writing by the PI, who has first hand knowledge of their activities, and based upon appropriate documentation. Access to the time and effort tool is acquired through http://tools.med.nyu.edu/TimeAndEffort/.

 

Administrative review:

After approximately thirty days from the close of a reporting period, finance reconciles payroll records and populates the time and effort tool with payroll data.  This is the application which will be accessed by the Administrator to review, and by the PI to later certify the time and effort reports.  Once the payroll data is available via the web-based Time and effort tool, http://tools.med.nyu.edu/TimeAndEffort/, department administrators are given one month to review, ensuring accuracy and understanding of what will be presented to the faculty members for certification.  The administrator has the opportunity to modify and/or comment on any aspect of the report; either by adjusting the effort % to actual or by commenting in the available comment boxes.  To assist in this review process, a “Time and Effort Admin Tool” report is provided to each administrator, for their department’s payroll activity.  This report illustrates the base salary recorded for the period, along with payroll adjustments.  By utilizing this report, there is added clarity to the current year reportable activity.

 

PI review and certification:

Approximately sixty days after the end of the reporting period, faculty members are granted access to the reporting tool at the above referenced address.  Once granted access, Faculty members have fifteen days to complete the survey. Any effort report that has not been certified and submitted by a faculty member required to do so by the end of this 15-day period is “late.” Any effort report that has not been certified and submitted by a faculty member required to do so by the 31st day after access has been granted is “delinquent.”

 

As faculty review the data, they need to consider what effort they actually applied during that time frame versus what the report is showing in the “Payroll Allocation %” column.  Any necessary changes should be reported in the “Actual Effort %” column.  Additional comments may be added to either the comment fields next to each line, or in the general comment area below.

 

Reviewing committed effort:

As effort activity is reviewed for certification, it is important that consideration be given to what was committed to the grant in the proposal, and subsequent award.  Major deviations from the original commitment, greater than twenty-five percent needs to be addressed, and may require agency notification.  E-mail communication to finance and Sponsored Programs Administration should take place any time material deviations are expected from effort commitments. 

 

Reporting timeline:

The total effort reporting exercise should take no more than the seventy-five days.  This encompasses the finance review and reconciliation, the administrative review, and finally, the certification by the investigator.  The NYUSOM is committed to this timeline as part of its time and effort policy, and needs meet this timeline.  Going beyond this timeline puts NYUSOM in a non-compliant condition with federal guidelines and exposes us to unfavorable audit comments, and/or fines and penalties.

 

VII.       Compliance:

 

Faculty and employees who have not complied with this policy are subject to disciplinary procedures:

 

1.                  No new application will be submitted through SPA on behalf of a faculty member during the period that the faculty member’s effort report (or that of any member of a research project for which the faculty member is the PI) is delinquent;

 

2.                  If  a faculty member’s effort report (or that of any member of a research project for which the faculty member is the PI) remains delinguent for 30 days or more, an internal audit of all of the research activities of the PI will be initiated and appropriate action taken.

 

3.                  A faculty member who is determined to be non-compliant with this policy will be subject to discipline in accordance with the policies and procedures set forth in the Faculty Handbook as applicable to faculty of the School of Medicine. A non-faculty employee who is determined to be non-compliant with this policy will be subject to discipline in accordance with the applicable employee disciplinary policies and procedures.

 

4.                  NYUSOM will report to the sponsoring agency any finding of non-compliance, as required by applicable law, regulations and contractual provisions.

 

           

VIII.      Applicable Regulations

 

Office of Management and Budget, Circular A-21

http://www.whitehouse.gov/omb/circulars/a021/a21_2004.html

 

NIH Grant Policy Statement

http://grants.nih.gov/grants/policy/nihgps_2003/index.htm

 

NYUSOM Policy – Institutional Cost Sharing

http://www.med.nyu.edu/spa/policies/nyusom/costsharing.html

 

 

IX.        Attachments

 

A – VA Memorandum

 

B – NIH Salary Cap Illustration

 

 

 

 

 

 

                       

 

                   New York University School of Medicine                    (Attachment “A”)

                       Sponsored Programs Administration

        (212) 263-8822 phone    (212) 263-8201 fax    Greenberg Hall SC1-81

                                homepage:  www.med.nyu.edu/spa

 

This form describes the total professional responsibilities mutually arranged by the New York University School of Medicine and the New York VA Medical Center.  The combination of teaching, research, consulting, administration and clinical activities as of   (date) at both the University and VA medical center comprise 100 percent of the total professional responsibilities as follows:

 

NAME OF INVESTIGATOR:                                 J. D. Doe                                               

 

UNIVERSITY

 

Title of Appointment        Type of Responsibility                     Portion of each type to total responsibilities

                                                                                                            Hours                          % of total

 

Professor, Medicine             Research -- NIH Grant I........................ 5................................. 8.33%

                                             Research -- NIH Grant II....................... 5................................. 8.33%

                                             Clinical.................................................. 5................................. 8.33%

                                             Teaching................................................ 5................................. 8.33%

 

                                          TOTAL Univ. Responsibilities                20                                33.33%

 

VA MEDICAL CENTER

 

Title of Appointment        Type of Responsibility                     Portion of each type to total responsibilities

                                                                                                            Hours                          % of Total

 

Chief of Medicine                 Research--NIH Grant II......................... 5................................. 8.33%

                                             Research excluding NIH:

                                                      Teaching, Clinical, Administration

                                                      Total............................................. 35............................... 58.33%

 

                                          TOTAL VA responsibilities                     40                                66.67%

 

                                          TOTAL combined responsibilities          60                                100.00%

                                               

                                                           

Investigator’s Signature

Text Box: S A M P L E

                                                                                                                                                                       

University Department Chair Signature                                                   VA Service Chief Signature

 

                                                                                                                                                                       

University Institutional Signature                                                 VA Institutional Signature (designee)

 

 

This memorandum responds to NIH Application guidelines as stated in the NIH Guide, Volume 10, No. 27, August 11,

1989.

 

 

 

NIH Salary Cap (Attachment “B”)

 

Anyone being compensated at a rate greater than the published NIH cap, can only charge an NIH account up to the level of the cap.  At the time of this policy, $183,500.

 

Illustration:

 

Dr. Jones’s salary is $200,000, and he applies 10% effort to an NIH grant.  If the

salary cap at the time is $183,500, then the most he can charge the grant is 10% of

$183,500, or $18,350, and not 10% of the $200,000 which is $20,000.  The

difference of $1,650 is cost sharing, and must be charged to a non-federal

account. (preferably a discretionary account, or other institutional source)

 

Effort required will be 10% with Institutional Base Salary (IBS) of $200,000

 

(Note: In this example, the effort report, based on salary will indicate only 9%, $18,350/$200,000.  If you had correctly applied the 10%, indicate in the space provided.)

 

Salary funded from grant will be up to the Cap: 10% of $183,500 = $18,350

 

The Cap limitation creates cost sharing: difference between 10% of $200,000 and 10% of

$183,500, or $1,650

 

Salary paid from the grant plus cost sharing = 10% of IBS: $18,350 plus $1,650 = $20k)

 

(Note: Departments should ensure that adequate non-sponsored funding is available to cover any cost sharing when a faculty’s institutional base salary is greater than the salary cap)