**SMALL BUSINESS INNOVATION RESEARCH PROGRAM**

LEVEL OF EFFORT WORKSHEET

(To assure that at least 50% of the research or analytical effort is
performed by the small business)

+-----------------------+-------------+--------------+----------------+
|                       | Portion     | Portion      | TOTAL          |
|                       | allocated   | allocated to |                |
|                       | to          | Consultants, |                |
|                       |             |              |                |
|                       | Small       | Sub          |                |
|                       | Business    | contractors, |                |
|                       |             | or others    |                |
+-----------------------+-------------+--------------+----------------+
| \(1\) Cost of Project |             |              | (Must equal    |
|                       |             |              | Line I + J     |
|                       |             |              | from budget    |
|                       |             |              | page)          |
+-----------------------+-------------+--------------+----------------+
| \(2\) Value of        | *(lines     | *            | (\*)           |
| leased, and/or        | C+D+F1 from | *(Applicable |                |
|                       | budget      | portion of   | (See note      |
| purchased equipment,  | page*)      | consultant   | below)         |
| and                   |             | su           |                |
|                       |             | bcontracts** |                |
| material & supplies   |             |              |                |
|                       |             | **or         |                |
|                       |             | others)**    |                |
+-----------------------+-------------+--------------+----------------+
| \(3\) = (1) - (2)     |             |              |                |
|                       |             |              |                |
| Research and          |             |              |                |
| analytical effort     |             |              |                |
| (before applying cost |             |              |                |
| sharing)              |             |              |                |
+-----------------------+-------------+--------------+----------------+
| \(4\) Percentages     |             |              | 100%           |
| before applying cost  |             |              |                |
| sharing - Divide      |             |              |                |
| entries on line (3)   |             |              |                |
| by total for line     |             |              |                |
| (3).                  |             |              |                |
+-----------------------+-------------+--------------+----------------+
| \(5\) Cost Sharing,   |             |              | *(Line K from  |
| if any (Distribute in |             |              | budget page)*  |
| most favorable manner |             |              |                |
| regardless of source, |             |              |                |
| to comply with 50%    |             |              |                |
| requirement.)         |             |              |                |
+-----------------------+-------------+--------------+----------------+
| \(6\) = (3) - (5)     |             |              | (\*)           |
|                       |             |              |                |
| Research or           |             |              | (See note      |
| analytical effort     |             |              | below)         |
| (after applying cost  |             |              |                |
| sharing)              |             |              |                |
+-----------------------+-------------+--------------+----------------+
| \(7\) Percentages -   | (Minimum    | (Maximum     | 100%           |
| Divide entries on     | 50%)        | 50%)         |                |
| line (6) by total for |             |              |                |
| line (6).             |             |              |                |
+-----------------------+-------------+--------------+----------------+

> Note: The total of these two boxes marked \* is the amount requested
> from DOE, Line L from the budget page.

**SAMPLE**

**SMALL BUSINESS INNOVATION RESEARCH PROGRAM**

LEVEL OF EFFORT WORKSHEET

(To assure that at least 50% of the research or analytical effort is
performed by the small business)

+-----------------------+--------------+----------------+-------------+
|                       | Portion      | Portion        | TOTAL       |
|                       | allocated    | allocated to   |             |
|                       |              |                |             |
|                       | to           | Consultants,   |             |
|                       |              |                |             |
|                       | Small        | S              |             |
|                       | Business     | ubcontractors, |             |
|                       |              | or             |             |
|                       |              |                |             |
|                       |              | others         |             |
+-----------------------+--------------+----------------+-------------+
| \(1\) Cost of Project | 449,870      | (50,000        | *(Must      |
|                       |              | +400,000)      | equal line* |
|                       |              |                |             |
|                       |              | 450,000        | *I* + J     |
|                       |              |                | from        |
|                       |              |                |             |
|                       |              |                | budget      |
|                       |              |                | page)       |
|                       |              |                |             |
|                       |              |                | 899,870     |
+-----------------------+--------------+----------------+-------------+
| \(2\) Value of        | *(lines      | (Applicable    | (\*)        |
| leased, and/or        | C+D+F1 from  | portion of     |             |
|                       | budget       | consultant     | (See note   |
| purchased equipment,  | page*)       |                | below)      |
| and                   |              | subcontracts,  |             |
|                       | 68,000       |                | 93,000      |
| materials & supplies  |              | or others)     |             |
|                       |              |                |             |
|                       |              | 25,000         |             |
+-----------------------+--------------+----------------+-------------+
| \(3\) =(1) - (2)      | 381,870      | 425,000        | 806,870     |
|                       |              |                |             |
| Research or           |              |                |             |
| analytical effort     |              |                |             |
| (before applying cost |              |                |             |
| sharing.)             |              |                |             |
+-----------------------+--------------+----------------+-------------+
| \(4\) Percentages     | 47%          | 53%            | 100%        |
| before applying cost  |              |                |             |
| sharing - Divide      |              |                |             |
| entries on line (3)   |              |                |             |
| by total for line     |              |                |             |
| (3).                  |              |                |             |
+-----------------------+--------------+----------------+-------------+
| \(5\) Cost Sharing ,  | 0            | 150,000        | *(Line K    |
| if any (Distribute in |              |                | from budget |
| most favorable manner |              |                | page)*      |
| to comply with 50%    |              |                |             |
| requirements)         |              |                | 150,000     |
+-----------------------+--------------+----------------+-------------+
| \(6\) =(3) - (5)      | 381,870      | 275,000        | (\*)        |
|                       |              |                |             |
| Research or           |              |                | (See note   |
| analytical effort     |              |                | below)      |
| (after applying cost  |              |                |             |
| sharing.)             |              |                | 656,870     |
+-----------------------+--------------+----------------+-------------+
| \(7\) Percentages -   | Minimum 50%  | Maximum 50%    | 100%        |
| Divide entries on     |              |                |             |
| line(6) by total for  | 58%          | 42%            |             |
| line (6).             |              |                |             |
+-----------------------+--------------+----------------+-------------+

NOTE: The total of these boxes marked \* is the amount requested from
DOE, Line L from the budget page.