EPA SCIENCE ADVISORY BOARD Member and Consultant Homework Time Sheet Under the provisions of the Federal Advisory Committee Act, Special Government Employees (SGE) serving on the EPA Science Advisory Board (SAB) as Members or Consultants (M/C) may receive compensation for time spent on SAB activities. Members and Consultants (who are SGEs) should use this form to report “homework time” -- time spent reading documents, reviewing draft reports, or preparing written materials either prior to or following SAB public meetings and public teleconferences. Please use a separate Time Sheet for each Committee or Review Panel that you serve on. Your Name Rudolf Husar Committee/Panel NOX / SOX Secondary Standard Comm. Review Topic Integrated Science Assessment, Risk Exposure Assessment Please list your “Homework” time below Hours Brief Description of Activity (such as reading report, preparing response to charge, editing drafts) work was done (in quarter [0.25] hours) Aug 23, 2008 1 Integrates Science Assessment (ISA) reading Sep 3, 2008 5 ISA reading Sep 8, 2008 2 Risk & Exposure Assessment (REA) reading Sep 9, 2008 6 REA reading, analysis Sep 10, 2008 4 Review, ISA, REA comparison analysis Sep 23, 2008 0.75 Conflict of interest form Sep 27, 2008 2 REA Chapters 7, 8 reading Sep 28, 2008 6 Charge Question response ISA Question 5, REA Additional Effects Oct 14, 2008 5 Final Comment, report, response on ISA, REA Date The SAB can not compensate SGE’s for homework time unless it is completely documented on this Homework Sheet. Please submit your homework sheet by the requested deadline so that you are payed in the same pay period for which the work was done. Please fill-out this form electronically and return it via E-Mail ONLY to: SAB@EPA.GOV. Include the words "Homework Sheet" and the topic of the review (e.g., Hypoxia, TCE, PM, STAA, MARLAP, etc.) in the Subject line (e.g., "HOMEWORK SHEET - Metals"). Please do not mail or fax this form as it will delay payment. In your email to the SAB transmitting this form, please include the following statement: “I certify that I have worked (fill-in the total number of hours) hours on SAB business, as documented in the attached Homework Sheet.” Please call us at (202) 343-9999 if you have any questions. For SAB use only: Date Received DATE/ INITIALS This form was revised September 8, 2006 DFO Approval Project Number Mgmt. Approval SAB Payroll