9.0 REVERSE FLOW PROGRAMS

The State Is not required to cover any reverse flow programs under the terms of this Agreement because the State does
not participate in the program.

10.0 INTEREST CALCULATION COSTS

10.1 As set forth in 31 CFR 205.27, interest calculation costs are defined as those costs necessary for the actual
calculation of interest, including the cost of developing and maintaining clearance patterns in support of the interest
calculations, Interest calculation costs do not include expenses for normal disbursing services, such as processing of
checks or maintaining records for accounting and reconciliation of cash balances, or expenses for upgrading or
modernizing accounting systems. Interest calculation costs in excess of $50,000 in any year are not eligible for
reimbursement, unless the State provides justification with the annual report.

10.2 The State expects to incur the following types of interest calculation costs:

General Analyst Time Development and maintenance of various clearance patterns and related procedure development.
Computer Analyst Time Writing program specifications and testing clearance patterns.

Computer Programmer Time Writing computer programs on clearance patterns.

CPU Costs Computer processing time for clearance pattern testing and processing.

Analyst and Testing Costs Costs of compiling clearance pattern and interest calculation costs, costs of preparing and
transmitting the Annual Report to the Secretary.

10.2.1 The State shall submit ail claims of interest calculation costs with its Annual Report in accordance with 31 CFR
Part 205. Any concerns raised by Fiscal Service on the propriety of such claimed costs shall be attempted to be resolved
through negotiation to the mutual satisfaction of both parties to this Agreement. Should such negotiations fail, disputes
will be resolved in accordance with 31 CFR Part 205.31.

10.3 The State shall submit all claims for reimbursement of interest calculation costs with its Annual Report in accordance
with 31 CFR 205.

11.0 NON-COMPLIANCE

11.1 The provisions of 31 CFR Part 205.29 and 31 CFR Part 205.30 shall apply in cases of non-compliance with the
terms of this Agreement.

Page 14 of 18


6.2 Description of Funding Techniques

6.2.1 The following are terms under which standard funding techniques shall be implemented for all transfers of funds to
which the funding technique is applied in section 6.3.2 of this Agreement.

Actual Clearance, ZBA - ACH

The State shall request funds such that they are deposited by ACH in a State account on the settlement date of payments
issued by the State. The request shall be made in accordance with the appropriate Federal agency cut-off time specified
in Exhibit |. The amount of the request shall be for the amount of funds that clear the State's account on the settlement
date. This funding technique is interest neutral.

Average Clearance

The State shall request funds such that they are deposited by ACH on the dollar-weighted average day of clearance for
the disbursement, in accordance with the clearance pattern specified in Exhibit II. The request shall be made in
accordance with the appropriate Federal agency cut-off time specified in Exhibit |. The amount of the request shall be for
the exact amount of that disbursement. This funding technique is interest neutral.

Pre-lssuance

The State shall request funds such that they are deposited in a State account not more than three business days prior to
the day the State makes a disbursement. The request shall be made in accordance with the appropriate Federal agency
cut-off time specified in Exhibit 1. The amount of the request shall be the amount the State expects to disburse. This
funding technique is not interest neutral.

6.2.2 The following are terms under which funding techniques for administrative costs shall be implemented for all
transfers of funds to which the funding technique is applied in section 6.3.2 of this Agreement.

There are no funding techniques listed in Section 6.2.2

6.2.3 The following are terms under which miscellaneous funding techniques shall be implemented for all transfers of
funds to which the funding technique is applied in section 6.3.2 of this Agreement.

There are no funding techniques listed in Section 6.2.3

6.2.4 The following are terms under which State unique funding techniques shall be implemented for all transfers of funds
to which the funding technique is applied in section 6.3.2 of this Agreement.

There are no funding techniques listed in Section 6.2.4
6.3 Application of Funding Techniques to Programs

6.3.1 The State shall apply the following funding techniques when requesting Federal funds for the component cash flows
of the programs listed in sections 4.2 and 4.3 of this Agreement.

6.3.2 Programs
Below are programs listed in Section 4.2 and Section 4.3.

10.551 Supplemental Nutrition Assistance Program

Page 5 of 18



93.575 {Child Care and Department of Health & |100. |All Average Clearance 3 Days
Development Block Grant|Human Services 00

93.596 |Child Care Mandatory ‘Department of Health & 100. {All Average Clearance 3 Days
and Matching Funds of {Human Services 00
the Child Care and
Development Fund

93.659 | Adoption Assistance Department of Health & 100. [all Average Clearance 2 Days

Human Services 00

93.767 — |Children's Health Department of Health & 100. /All Average Clearance 4 Days
Insurance Program Human Services 00

93.778 |Medical Assistance Department of Health & |100. |All Average Clearance 3 Days
Program Human Services 00

97.036 |Disaster Grants - Public |Adjutant General, Military |400. |All Pre-Issuance NIA
Assistance (Presidentially |Department ‘00
Declared Disasters)

| hereby certify that an authorized State official has certified at least every five years that the "Rounded Days of Clearance" listed in

Exhibit 2 of this Treasury-State Agreement:

1. Have been prepared in accordance with the standards provided in 31 CFR 205.20;

2. Accurately represent the flow of Federal funds under the Federal assistance programs to which they apply;

3. Reflect seasonal or other periodic variations in the clearance activities; and,

4, Are auditable.

Date: yl LZ

Printed Name: V4 A ale, Gols on

Certifying Signature:

Title: 4 tha fioss

Manager
wd

Page 18 of 18


The State shall use program specific methodology to develop program specific clearance patterns for all programs.
7.2 The following shall develop the State's clearance patterns:

Department of Administrative Services-State Accounting Division

7.3 The sources of data the State shall use when developing its clearance patterns are as follows:

The source of information used in developing the clearance patterns was the Nebraska Information System (NIS, or its
successor system).

Actual Activity In developing the base clearance pattern, the State Department of Administrative Services, State
Accounting Division tested all State warrant clearance activity (100%) that occurred during the twelve month period
beginning July 1, 2014, through June 30, 2015, excluding only the Department of Revenue State tax refund warrants.
That base clearance pattern will then be used to develop weighted clearance patterns for all average clearance pattern
programs.

7.4 The State shall use the following methodology when developing its clearance patterns:

When developing each clearance pattern, the State shall track at least 99% of the funds disbursed, from issuance to
clearance, for a period of at least three months.

7.5 The State shall identify for each check or warrant (hereafter, check) in the population: (1) the date the check was
released for payment; (2) the date the check was debited from the State's account, and, (3) the amount of the check.

7.6 The State shall use the following method to calculate the dollar-weighted average day of clearance:

To determine the number of days each check was outstanding (clearance time), the issue date shall be subtracted from
the date the check cleared the State's account.

To determine the percentage of the disbursement paid out each day following issuance, the amount of the checks that
clear the State's account each day shall be summed and then divided by the amount of the total! disbursement.

For each day following issuance, the clearance time of the checks paid out that day shall be multiplied by the percentage
of the total disbursement those checks represent. This product is the clearance factor.

The dollar-weighted average day of clearance for the disbursement shall be determined by summing the clearance factor
of each day following the disbursement.

7.7 The State shall adjust each clearance pattern to reflect the dollar-weighted proportion of funds paid out by EFT/Direct
payroll, with the following exceptions:

None
The State shall also adjust each clearance pattern to reflect:
NA

7.8 Each of the State's clearance patterns is calculated in calendar days.

Page 10 of 18


% of Funds Agency Receives: 100.00
Component: Ail

Technique: Pre-Issuance

Average Day of Clearance: N/A

17.225F Unemployment insurance -- Federal Benefit Account and Administrative Costs
Recipient: Department of Labor

% of Funds Agency Receives: 27.00

Component: Administrative costs

Technique: Pre-lssuance

Average Day of Clearance: N/A

Recipient: Department of Labor

% of Funds Agency Receives: 73.00
Component: Federal Benefit payments
Technique: Pre-Issuance

Average Day of Clearance: N/A

17.2258 Unemployment Insurance — State Benefit Account
Recipient: Department of Labor

% of Funds Agency Receives: 100.00

Component: Benefits

Technique: Pre-lssuance

Average Day of Clearance: N/A

20.106 Airport Improvement Program
Recipient: Department of Transportation
% of Funds Agency Receives: 100.00
Component: all

Technique: Pre-Issuance

Average Day of Clearance: N/A

20.205 Highway Planning and Construction
Recipient: Department of Transportation

% of Funds Agency Receives: 100.00
Component: All

Technique: Average Clearance

Average Day of Clearance: 4 Days

84.010 Title | Grants to Local Educational Agencies
Recipient: Department of Education

% of Funds Agency Receives: 100.00

Component: All

Technique: Average Clearance

Page 7 of 18



Recipient: Department of Health & Human Services
% of Funds Agency Receives: 100.00

Component: All

Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 0 Days

10.553 School Breakfast Program
Recipient: Department of Education
% of Funds Agency Receives: 100.00
Component: ALL

Technique: Average Clearance
Average Day of Clearance: 4 Days

10.555 National School Lunch Program
Recipient: Department of Education

% of Funds Agency Receives: 100.00
Component: All

Technique: Average Clearance
Average Day of Clearance: 4 Days

10.557 Special Supplemental Nutrition Program for Women, Infants, and Children
Recipient: Department of Health & Human Services

% of Funds Agency Receives: 100.00

Component: All

Technique: Average Clearance

Average Day of Clearance: 3 Days

10.558 Child and Adult Care Food Program
Recipient: Department of Education

% of Funds Agency Receives: 100.00
Component: All

Technique: Average Clearance

Average Day of Clearance: 4 Days

10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program
Recipient: Department of Health & Human Services

% of Funds Agency Receives: 100.00

Component: ALL

Technique: Average Clearance

Average Day of Clearance: 3 Days

12.401 National Guard Military Operations and Maintenance (O&M) Projects
Recipient: Adjutant General, Military Department

Page 6 of 18


93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund
Recipient: Department of Health & Human Services

% of Funds Agency Receives: 100.00

Component: All

Technique: Average Clearance

Average Day of Clearance: 3 Days

93.659 Adoption Assistance

Recipient: Department of Health & Human Services
% of Funds Agency Receives: 100.00

Component: all

Technique: Average Clearance

Average Day of Clearance: 2 Days

93.767 Children's Health Insurance Program
Recipient: Department of Health & Human Services
% of Funds Agency Receives: 100.00

Component: All

Technique: Average Clearance

Average Day of Clearance: 4 Days

93.778 Medical Assistance Program

Recipient: Department of Health & Human Services
% of Funds Agency Receives: 100.00

Component: All

Technique: Average Clearance

Average Day of Clearance: 3 Days

97,036 Disaster Grants - Public Assistance (Presidentially Declared Disasters)
Recipient: Adjutant General, Military Department

% of Funds Agency Receives: 100.00

Component: All

Technique: Pre-Issuance

Average Day of Clearance: N/A

6.3.3 Materiality Exemptions

Agencies exempt from coverage on the basis of materiality:
None

7.0 CLEARANCE PATTERNS

7.1 The State shall develop separate clearance patterns for each of the following:

Page 9 of 18



Cash Management Improvement Act Agreement
between
The State of Nebraska
and
The Secretary of the Treasury,
United States Department of the Treasury

The Secretary of the Treasury, United States Department of the Treasury (hereafter ‘Secretary'), and State of Nebraska
(hereafter 'State’), in order to implement Section 5 of the Cash Management Improvement Act of 1990, as amended
(hereafter 'Act'), agree as follows:

1.0 AGENTS OF THE AGREEMENT

1.1 The Authorized Official(s) for the State of Nebraska shall be the State Accounting Administrator in all matters
concerning this Agreement.

1.2 The Assistant Commissioner, Revenue Collections Management, Bureau of the Fiscal Service (Fiscal Service), U.S.
Department of the Treasury, shall act as the Secretary's representative in all matters concerning this Agreement.

2,0 AUTHORITY

2.1 The authority for this Agreement is the Cash Management Improvement Act of 1990 (Public Law 101-453), as
amended by the Cash Management Improvement Act of 1992 (Public Law 102-589), codified at 31 U.S.C, 6501 and 31
U.S.C. 6503,

2.2 The regulations codified at 31 CFR Part 205 shail apply to all matters pertaining to this Agreement, and are
incorporated herein by reference. In the event of any inconsistency between this Agreement and 31 CFR Part 205, the
regulations shall govern.

3.0 DURATION, AMENDING, TERMINATING, AND MISCELLANEOUS PROVISIONS
3.1 This Agreement shall take effect on 07/01/2017 and shall remain in effect until 06/30/2018.

3.2 This Agreement may be amended at any time by written, mutual consent of the State and the Fiscal Service. This
Agreement shall be amended annually to incorporate new programs that qualify as major Federal assistance programs
and remove programs that no longer qualify as major Federal assistance programs. A State must notify the Fiscal Service
in writing within 30 days of the time the State becomes aware of a change that involves additions or deletions of programs
subject to Subpart A, changes in funding techniques, and/or changes in clearance patterns. The notification must include
a proposed amendment for review by the Fiscal Service.

3.3 Notwithstanding section 3.2, in the event of Federal or State non-compliance with Subpart B of 31 CFR, Part 205, the
Fiscal Service may amend this Agreement at any time to incorporate additional programs and the entities that administer
those programs.

3.4 This Agreement may be terminated by either party with 30 days written notice. if this Agreement is terminated, the
Fiscal Service will prescribe the funding techniques, clearance patterns, and methods for calculating interest liabilities to
be used by the State,

Page 1 of 18



Based on statements provided by its financial institution, or other appropriate source, the State shall determine the actual
interest earnings and the related banking costs attributable to funds withdrawn from its account in the UTF.

At the end of the State fiscal year, the State shall calculate the percentage of its total unemployment compensation
expenditures for (1) funds withdrawn from the State account in the UTF (the State %) and (2) funds withdrawn from the
Federal Employees Compensation Account (FECA), and the Extended Unemployment Compensation Account (EUCA),
and any other accounts of Federal funds in the UTF (the Federal %).

The State shall calculate the actual interest earnings and the related banking costs attributable to funds withdrawn from
the State account in the UTF by multiplying the State % by the amount of the actual interest earnings and the related
banking costs of the account as a whole. The State's liability for interest on funds withdrawn from its account in the UTF
shall consist of the actual interest earnings attributable to such funds less the related banking costs attributed to such
funds.

The State shall determine the average daily cash balance of its unemployment compensation benefit payment account for
its fiscal year. The State shall calculate the average daily cash balance of Federal funds by multiplying the Federal % by
the average daily cash balance of the benefit payment account on the whole. The State's liability for interest on funds
withdrawn from the FECA and EUCA (and any other benefit accounts of Federal funds in the UTF from which the State
draws funds) shall be the average daily cash balance of Federal funds multiplied by the annualized rate equal to the
average yields of 13-week Treasury bills auctioned during the State's fiscal year.

8.4 Refund Liabilities

8.4.1 The State shall be liable for interest on refunds from the date the refund is credited to a State account until the date
the refund is debited from the State account for program purposes. The State shall apply a $50,000 refund transaction
threshold below which the State shall not incur or calculate interest liabilities on refunds. A transaction is defined as a
single deposit.

8.4.2 For each refund, the State shall maintain information identifying:

(1) date a refund is credited to a State account

(2) date of the subsequent deposit of Federal funds against which the refund is offset
(3) amount of the refund

8.4.3 The State shall use the following methodology to calculate interest liabilities on refunds:

Refunds Deposited to Interest Neutral Programs:

With programs to which interest neutral funding techniques are applied, the State interest liability shall be based on the
difference in whole days between the date the refund is deposited in a State account and the date the refund is offset
against a subsequent deposit of Federal funds.

_ With programs to which Pre-issuance funding is applied, the State interest liability shall be based on two periods; (1) the
difference in whole days between the date the refund is deposited to a State account and the date the refund is offset
against a subsequent deposit of Federal funds: (2) the difference in whole days between the date the refund is offset
against a subsequent deposit of Federal funds and the date the refund is paid out for program purposes,

Interest on refunds during period (1) will be calculated using the information recorded in a separate account. Interest on
refunds during period (2) will be captured under the State s method for calculating interest under pre-issuance funding, set
forth in Section 8 of this agreement. Under this method interest is calculated on totals disbursed, which include refunds on

Page 12 of 18


7.9 An authorized State official shall certify that each clearance pattern developed by the State accurately corresponds to
the clearance activity of the programs to which it is applied. This certification shal! be provided to the Fiscal Service prior
to the effective date of the Agreement. The State shall recertify its clearance patterns at least every five years.

7.10 The State shall follow the procedures of 31 CFR 206 if it has actual or constructive knowledge, at any time, that a
clearance pattern does not correspond to a program's clearance activity.

8.0 INTEREST CALCULATION METHODOLOGY
8.1 General Terms

8.1.1 The State and the Secretary agree that no interest liabilities will be incurred for transfers of funds made in
accordance with the procedures specified in section 6 of this Agreement where the following funding techniques are

applied:

Actual Clearance, ZBA - ACH
Average Clearance

8.1.2 The State shall maintain information on disbursements and receipts of funds to verify the implementation of any
funding technique and document interest liabilities.

For each disbursement, the State shall be able to identify:

(1) amount of the issuance

(2) date of issuance

(3) date Federal funds are received and credited to a State account

(4) amount of Federal funds received

(5) date funds were requested

8.2 Federal Interest Liabilities

8.2.1 A Federal interest liability shall accrue from the day the State pays out its own funds for program purposes to the
day Federal funds are credited to a State account. With regard to funds transferred out of the Federal Highway Trust
Fund, if a State does not bill at least weekly for current project costs, the Federal interest liability shall not accrue prior to
the day the State submits a request for funds.

8.2.2 The State shall use the following method to calculate Federal interest liabilities:

For all transactions where the State pays out its own funds for program purposes prior to receiving Federal funds, the
State shall track each payment from the date it is paid out of a State account to the date Federal funds are subsequently
credited to a State account to cover that outlay. The Federal interest liability on each payment shall be based on the
difference in whole days between the two events. With Federal-State matching programs, interest shall be calculated on
the Federal percentage of the disbursement.

8.3 The Unemployment Trust Fund

8.3.1 The State shall use the following method to calculate State interest liabilities on funds withdrawn from the several
accounts in the Unemployment Trust Fund:

Federal and State Funds are Not Interest Neutral:
The State shall use the following methodology to calculate State interest liabilities on funds withdrawn from the several
accounts in the UTF under the Unemployment Insurance program.

Page 11 of 18



Average Day of Clearance: 3 Days

84.027 Special Education -- Grants to States
Recipient: Department of Education

% of Funds Agency Receives: 100.00
Component: All

Technique: Average Clearance

Average Day of Clearance: 3 Days

84.126 Rehabilitation Services -- Vocational Rehabilitation Grants to States
Recipient: Dept of Education and Commission for the Blind & Visually Impaired
% of Funds Agency Receives: 100.00

Component: All

Technique: Average Clearance

Average Day of Clearance: 4 Days

93.558 Temporary Assistance for Needy Families
Recipient: Department of Health & Human Services
% of Funds Agency Receives: 100.00

Component: All

Technique: Average Clearance

Average Day of Clearance: 4 Days

93.563 Child Support Enforcement

Recipient: Department of Health & Human Services and State Treasurer
% of Funds Agency Receives: 100.00

Component: All

Technique: Average Clearance

Average Day of Clearance: 3 Days

93.568 Low-Income Home Energy Assistance

Recipient: Department of Health & Human Services and NE Energy Office
% of Funds Agency Receives: 100.00

Component: All

Technique: Average Clearance

Average Day of Clearance: 3 Days

93.575 Child Care and Development Block Grant
Recipient: Department of Health & Human Services
‘% of Funds Agency Receives: 100.00

Component: All

Technique: Average Clearance

Average Day of Clearance: 3 Days

Page 8 of 18


guidelines and instructions for completing the CMS-37 are provided in Section 2600F of the State Medicaid Manual
{SMM). The CMS/CO must recelve the revised Form CMS-37 through the Medicaid Budget Expenditure
System/Children's Budget Expenditure System (MBES/CBES) no later than 10 calendar days before the end of the
quarter for which the supplemental grant award is being requested.

Additional guidance on this policy Is available from the respective CMS Regional Office, U.S. Department of Health &
Human Services.

The State will comply with the following guidelines when requesting supplemental funding for TANF (CFDA 93.558),
CCDF (CFDA 93.575), CSE (93.563), and the FC/AA (CFDA 93.658 and CFDA 93.659) programs administered by the
U.S. Department of Human Services, Administration for Children and Families (HHS/ACF):

a. Timing of the Request

A State should initiate its request for supplemental funding during a quarter as soon as it becomes aware of the fact that a
shortfall does/will exist. For the TANF and CCDF grants, supplemental funding requests (estimates) may be submitted by
a State, for consideration by ACF, up through and including the 15th day of the third month of the first, second or third
quarter of any fiscal year. Since TANF and CCDF are block grant programs, all unawarded portions of the annual
allotment will automatically be issued at the beginning of the fourth quarter. Therefore, supplemental funding requests will
not be available during the fourth quarter for these programs. For the CSE and FC/AA programs, supplemental funding
requests may be submitted by a state, for consideration by ACF, up through and including the 15th day of the third month
of any quarter of a fiscal year.

b. Justification for the Request

The request for a supplemental funding for any of the above mentioned programs should contain a justification clearly
documenting the need for the additional funding authority during the current quarter. This documentation should be in the
form of State accounting records or similar documents that will show the actual expenditures through the most recent
month for which such data are available, as well as the State's most accurate projection of its anticipated expenditures
during the remaining month(s) of the quarter. For either the TANF or the CCDF program, the State's justification should
also include an explanation of the activities requiring the obligation and/or expenditure of amounts that exceed the normal
quarterly grant award restrictions and why these activities could not have been delayed until the next quarter.

c. Form Submittal
Supplemental funding requests should be made by completing the appropriate ACF quarterly report of expenditures and
estimates applicable to the particular program for which the grant award request is being made.

d. Approval Process

Upon receipt of the state's request for additional funding authority for a quarter, the ACF Regional Office will promptly
review the supporting documentation, If the request is properly justified, so long as ACF has adequate funding
availability, the State's request will be expedited and supplemental funding will be issued within 5 days of ACF receiving
the request. The State will be notified by the Regional Office when the supplemental award has been transmitted to the
Payment Management System (PMS) and when it may initiate drawdowns against the supplemental funding.

Additional guidance on this policy is provided in the U.S. Department of Health & Human Services, Administration for

Children and Families, letter (May 19, 2004) to State Administrators from the Deputy Assistant Secretary for
Administration.

Page 4 of 18


12.0 AUTHORIZED SIGNATURES

Don Stenberg .,
Nebraska State Treasurer

Signature:,

Byron L. Diamond a
Director {

]
Department inistrative Services _/
Signature:

Date Signed: slalir

#

Date Submitfed 07/05/2017

Corvelli A. McDaniel

Assistant Commissioner

Revenue Collections Management
Bureau of the Fiscal Service /”

U.S. Department of the Treasury : Nn

Signature:

[on x Date Signed: :

Date Signed: yf tag [ 7

Page 15 of 18



Exhibit li - State of Nebraska

LIST OF STATE CLEARANCE TIMES

(Rounded Dollar-Weighted Average Day of Clearance)
Clearance Times Where the Timing of A Draw Down Is Based on A Clearance

Pattern
:
j bee os | day

10.551 |Supplemental Nutrition {Department of Health & | 100. |All Actual Clearance, ZBA- {0 Days
Assistance Program. Human Services 00 |ACH

10.553 |School Breakfast Department of Education |100. {ALL Average Clearance 4 Days
Program 00

10.555 |National School Lunch —_| Department of Education /100. |All Average Clearance 4 Days
Program 60

10.557 |Special Supplemental Department of Health & | 100. |All Average Clearance 3 Days
Nutrition Program for Human Services
Women, Infants, and
Children

10.558 {Child and Adult Care Department of Education |100. |All Average Clearance 4 Days
Food Program. 00

10.561 State Administrative Department of Health & |100. |ALL Average Clearance 3 Days
Matching Grants for the |Human Services 00
Supplemental Nutrition
Assistance Program

12.401 |National Guard Military | Adjutant General, Military }100. |All Pre-Issuance NIA
Operations and Department 00
Maintenance (O&M)
Projects

17.225F jUnemployment Insurance |Department of Labor 27.0 |Administrative costs Pre-Issuance NIA
-- Federal Benefit 0
Account and
Administrative Costs

17.225F |Unemployment Insurance |Department of Labor 73.0 | Federal Benefit payments |Pre-Issuance N/A
|-- Federal Benefit te)
Account and
Administrative Costs

17.225S |Unemployment Insurance |Department of Labor 100. |Benefits Pre-Issuance N/A
-- State Benefit_ Account 00

20.106 {Airport Improvement Department of 100. all Pre-Issuance NIA
Program Transportation 00.

20.205 {Highway Planning and Department of 100. |All Average Clearance 4 Days
Construction ‘Transportation 00

84.010 Title | Grants to Local Department of Education | 100. |All Average Clearance 3 Days
Educational Agencies 00

84.027 |Special Education -- Department of Education |100. |All Average Clearance 3 Days
Grants to States 00

84.126 |Rehabilitation Services -- |Dept of Education and 100. |All Average Clearance 4 Days
Vocational Rehabilitation | Commission for the Blind |00
Grants to States & Visually Impaired

93.558 |Temporary Assistance for|Department of Health & |100. |All Average Clearance 4 Days
Needy Families Human Services 00

93.563 |Child Support Department of Health & | 100. |All Average Clearance 3 Days
Enforcement Human Services and 00

State Treasurer

93.568 |Low-income Home Department of Health & | 100. | Ail Average Clearance 3 Days

Energy Assistance Human Services and NE |00
Energy Office

Page 17 of 18



Adjutant General, Military Department

Department of Education

Department of Health & Human Services

Department of Health & Human Services and NE Energy Office
Department of Health & Human Services and State Treasurer
Department of Labor

Department of Transportation

Dept of Education and Commission for the Blind & Visually Impaired

5.2 Entities that meet the definition of a Fiscal Agent per 31 CFR Part 205 shall be subject to the terms of this Agreement.
The following is a list of Fiscal Agents that administer funds under the programs listed in the Section 4.0 of this
Agreement:

Fidelity Information Services 10.551 Supplemental Nutrition Assistance Program
6.0 FUNDING TECHNIQUES

6.1 General Terms

6.1.1 The State shall request Federal funds in accordance with the appropriate cut-off times shown in Exhibit | to ensure
funds will be received and credited to a State account by the times specified in the funding techniques. Exhibit | is
incorporated by reference herein.

6.1.2 The State shall schedule the receipt of Federal funds such that the funds are received and credited to a State
account in accordance with the clearance patterns specified in Exhibit il - List of State Clearance Patterns. Exhibit Il is
incorporated by reference herein.

6.1.3 In instances where the receipt of funds is scheduled for a Saturday, the State shall request funds for deposit on
Friday. In instances where the receipt of funds is scheduled for a Sunday, the State shall request funds for deposit on
Monday. In instances where the receipt of Federal funds is scheduled for deposit on a day when the State is not open for
business, the State shall request funds for deposit the day following the scheduled day; in instances where the receipt of
Federal funds is scheduled for deposit on a day when the Federal Government is not open for business, the State shall
request funds for deposit the day prior to the scheduled day.

6.1.4 Estimates and Reconciliation of Estimates:

Where estimated expenditures are used to determine the amount of the drawdown, the State will indicate in the terms of
the State unique funding technique how the estimated amount is determined and when and how the State will reconcile
the difference between the estimate and the State's actual expenditures.

6.1.5 Supplemental Funding:
Unless otherwise defined by program rules, Supplemental Funding is the award of additional funds to provide for an
increase in costs due to unforeseen circumstances,

The State will comply with all Federal program agency policies and procedures for requesting supplemental grant funding.

The State will comply with the following guidelines when requesting supplemental funding for the Medical Assistance
Program and associated administrative payments (CFDA 93.778):

The State must submit a revised Medicaid Program Budget Report (CMS-37) to request supplemental funding. The CMS

Page 3 of 18



4.0 PROGRAMS COVERED

4.1 The State's threshold and its major Federal assistance programs shall be determined based on the State of Nebraska
Statewide Single Audit for fiscal year ending 06/30/2016.

All major Federal assistance programs shail be covered by this Agreement, unless otherwise specified in section 4.4 of
this Agreement.

4.2 The State's threshold for major Federal assistance programs Is $16,608,856.
The following programs meet or exceed the threshold and are not excluded in Section 4.4:

10.551 Supplemental Nutrition Assistance Program

10.553 School Breakfast Program

10.555 National School Lunch Program

10.557 Special Supplemental Nutrition Program for Women, Infants, and Children
10,558 Child and Adult Care Food Program

10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program
12.401 National Guard Military Operations and Maintenance (O&M) Projects

17.225F Unemployment Insurance -- Federal Benefit Account and Administrative Costs
17.225S Unemployment Insurance -- State Benefit Account

20.106 Airport Improvement Program

20.205 Highway Planning and Construction

84.010 Title | Grants to Local Educational Agencies

84.027 Special Education -- Grants to States

84.126 Rehabilitation Services - Vocational Rehabilitation Grants to States

93.558 Temporary Assistance for Needy Families

93.563 Child Support Enforcement

93.568 Low-Income Home Energy Assistance

93.575 Child Care and Development Block Grant

93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund
93.659 Adoption Assistance

93.767 Children's Health Insurance Program

93.778 Medical Assistance Program

97.036 Disaster Grants - Public Assistance (Presidentially Declared Disasters)

4,3 The following programs fall below the State's threshold but have been required to be covered by Fiscal Service in
accordance with the non-compliance provisions of Subpart B of 31 CFR Part 205:

There are currently no programs listed for Section 4.3.

4.4 The following programs exceed the State's threshold but have been excluded from coverage for the reason indicated:
93.268 Immunization Grants --- Exciusion:Non-Cash

5.0 ENTITIES COVERED

5.1 State agencies and instrumentalities that meet the definition of a State per 31 CFR Part 205, shall be subject to the
terms of this Agreement. The following is a list of such entities that administer funds under the programs listed in Section
4.0 of this Agreement:

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hand as well as amounts drawn. The reported interest liability for refunds, therefore, will reflect period (1) only.
8.5 Exemptions

8.5.1 Where more than one State agency is a recipient of Federal funds under a program, a particular State agency's
funding may be excluded from interest calculation procedures if the State agency receives an amount of funds less than 5
% of the State's threshold for major Federal assistance programs. Notwithstanding this potential exemption, however, in
no case shall less than 90% of a program's total funding be subject to interest calculation procedures.

Proration of calculations: If less than total program funding is subject to interest calculation procedures, the resulting
interest liability calculations shall be prorated to 100% of program funding.

8.6 State Interest Liabilities

8.6.1 The State shall be liable for interest on Federal funds from the date Federal funds are credited to a State account
until the date those funds are paid out for program purposes.

8.6.2 The State shall use the following method to calculate State interest liabilities on Federal funds:
8.6.2.1 Measuring Time Funds Are Held

Deposit to Issuance; issuance to Clearance:

To determine the total time Federal funds are held, the State shall separately measure two time periods: (1) the date
Federal funds are deposited to the date checks are issued; and (2) the date checks are issued to the date funds are
debited from the State's account.

8.6.2.2 Source of Data

The daily cash balance information was determined from information captured by the Nebraska Information System (NIS,
or its successor system), managed by the Department of Administrative Services - State Accounting Division.

Clearance Patterns - The time period from issuance of funds to the date funds are debited from the State's account shall
be determined by the appropriate clearance pattern specified in Exhibit l1.

8.6.2.3 Standards Applied

Census (Average Daily Balance):
The average daily cash balance of Federal Funds in the program's account reflects the actual activity of each draw from
the date of deposit to the date of issuance or clearance, whichever is pertinent.

8.6.2.4 Calculation Procedure

| = ADB x R, where
| = State's total interest liability
ADB = Average Daily Balance of cash in a program's account, measured from deposit to clearance

R= Annualized rate equal to the average equivalent yields of 13-week Treasury bills auctioned during a State's fiscal year

Page 13 of 18



Exhibit | - Funds Request and Receipt Times Schedule

State of Nebraska

pedetal/ = equest € Receip
Agriculture-FNS ACH 11:59 PM iday
Agriculture-FNS Fedwire 5:45 PM lO day
Agriculture-FS ACH 3:00 PM 1 day
Air National Guard ACH. 42:00 PM 15 days
Army National Guard ACH 42:00 PM 15 days
Commerce-NOAA ACH 2:00 PM. 4day
Dept of Homeland Security (FEMA) Fedwire 2:00 PM 2 days
Dept of Homeland Security (ODP) |ACH 2:00 PM 2 days
Dept of Homeland Security (ODP) Fedwire 2:00 PM 2 days
EPA ACH 2:00 PM 2 days
EPA Fedwire 2:00 PM 0 day
Education ACH 3:00 PM. iday
Education Fedwire 2:00 PM O day
Energy |ACH 4:00 PM. ‘4day
Energy Fedwire 3:00 PM 10 day
HHS [ACH 6:30 PM 4 day
HHS. Fedwire 3:00 PM 10 day
HUD. ACH 5:30 PM 2 days
HUD Fedwire 3:00 PM. 10 day
interior-FWS ACH 11:59 PM 1 day
Interior-FWS Fedwire 5:45 PM 0 day
Interior-OSM ACH 3:00 PM tday
interior-OSM Fedwire 4:00 PM Q day
Justice ACH, 14:00 PM 6 days
Justice Fedwire 2:00 PM 2 days
Labor-Non-UTF ACH 3:00 PM 14 day
Labor-UTF ACH 3:00 PM 1 day
Labor-UTF Fedwire 3:00 PM 0 day
National Science Foundation (NSF) [ACH 8:00 PM 1 day
National Science Foundation (NSF) Fedwire 5:45 PM. ‘0 day
Social Security Administration [ACH 11:59 PM iday
Social Security Administration Fedwire 5:45 PM. iO day
Transportation (FAA) ACH 2:00 PM. day
Transportation (FHWA) ACH 12:00 PM. 3 days
Transportation (FHWA) Fedwire 12:00 PM 0 day
Transportation (FTA) [ACH 2:00 PM iday
Veterans Administration ACH 42:00 PM 3 days

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