Completing the Schedule of Net Hours Available - (Rev. 1, 08-30-

200.1 - Completing the Schedule of Net Hours Available - (Rev. 1, 08-30- 02) A1-1223.1, B1-4223.1 This form is not a required attachment to the initial Budget Request unless specifically requested by the contractor's RO. It is provided here for illustration purposes since the net hours available figure must appear on the BR. It is calculated as described below. NOTE: The net hours available reported on each IER and the FACP will be based upon the net hours available shown on the contractor's initial BR. A. Contractor Name and Address Contractor enters the organization's official name and address. B Identification Number Contractor enters the five-digit Medicare-assigned contractor number. C. Fiscal Year Contractor enters the fiscal year that corresponds to the administrative budget and cost report D. Line 1 - Period Contractor indicates the months involved. E. Line 2 - Cumulative Days per Period Contractor indicates the calendar count of days involved F. Line 3 - Weekends Contractor indicates the calendar count of weekend days involved. G. Line 4 - Holidays Contractor indicates the calendar count of holidays involved. H. Line 5 - Average Vacation Contractor indicates the average vacation per employee based on personnel records. I Line 6 - Average Sick Days Contractor indicates the average sick days per employee based on personnel records. J. Line 7 - Other Leave Average Contractor indicates the average days used for other leave per employee based on personnel records. K. Line 8 - Total Days Off Sum of lines 3, 4, 5, 6, and 7. L. Line 9 - Days Available Line 2 minus Line 8 M. Line 10 - Working Hours Per Day Contractor enters the normal working hours per day. N. Line 11 - Authorized Break- time Contractor enters the amount of time employees are authorized to use for nonproductive purposes, e.g., coffee breaks. O. Line 12 - Net Cumulative Daily Hours Available Line 10 minus Line 11. P. Line 13 - Net Hours Available Per Employee Line 12 multiplied by Line 9.