 Level of effort defines particular goals or objectives the recipient must achieve with the assistance received , and includes recipient requirements for a specified level of service , specified level of expenditures for designated activities , and federal funds to supplement and not supplant non @-@ federal services . Some examples are programs that establish that a recipient must provide medical services to 1 @,@ 000 patients daily and programs that require that a recipients spend over 50 % of its annual budget on capital projects , among other . 
