Attachment L-Weekly Timesheets.pdf
PDF 84 KB Posted
- Attached to
- Breastfeeding Peer Counseling Services
- Solicitation number
- 25RFP-25-0904004-005
- Issued by
- Kingsbury County, South Dakota
About this file
This is a Weekly Activity Report template for the Breastfeeding Peer Counseling Program under the South Dakota Department of Health WIC Program, specifically labeled as Attachment L. The timesheet allows for tracking various activities including Zendesk/Textline communications, group/class participation, virtual help desk support, face-to-face meetings, Zoom sessions, other contacts, training/inservice activities, peer counseling promotion, consultations with IBCLCs and state staff, clerical/administrative work, and research. The form covers a weekly period (shown as 10/1/22 to 10/7/22) and uses 15-minute increments for time tracking (0.25 for 15 minutes, 0.50 for 30 minutes, 0.75 for 45 minutes, and 1.0 for one hour).
The document includes specific formatting instructions, noting that shaded cells are for data entry while white areas are locked to protect formulas. It requires an electronic signature under SDCL-53-12 with a perjury declaration statement, and the form has been revised as of 3/30/2024. The template includes space for comments and automatically calculates daily and weekly totals for all activities performed by the peer counselor.
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Text version
to NAME County 0
15 min. = .25 30 min. = .50 45 min. = .75 1 hour = 1
Breastfeeding Peer Counseling Program Weekly Activity Report
Week Dates: 10/1/22 10/7/22 Local Agency: Total Hours
Date Ze nd es k/
Te xt lin e
G ro up /C la ss
Vi rtu al H el p
D es k Fa ce to
F ac e
Zo om
O th er C on ta ct Tr ai ni ng /In se rv ic e
PC
P ro m ot io n Ac tiv ity
C on su lta tio ns
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BC
LC
St at e St af f, et c.
C le ric al /A dm in
R es ea rc h
To ta l N um be r o f H ou rs
Comments
The shaded cells are where you can add data.
The white areas are locked so you will be unable to delete the formulas.
10/01/2022 0
10/02/2022 0
Dates", enter the 1st date of the new pay period and all the dates throughout the rest of the workbook will prefill.
10/03/2022 0
10/04/2022 0 the weeks' combined data. If there is no data for week 5 due to a 4 week pay period, it will not affect totals.
10/05/2022 0
10/06/2022 0 The print area and margins are properly set up for printing.
10/07/2022 0 Totals 0 0 0 0 0 0 0 0 0 0 0 0 Add the last date of the month in the shaded cell o Signature revised 3/30/2024 I declare and affirm under the penalties of perjury that this weekly activity report has been prepared and reviewed by me, and to the best of my knowledge and belief, is in a things true and correct for electronic signature authorized by SDCL-53-12.
Attachment L
File details come from the government source that posted it. Updated .