DocuSign Envelope ID: 1FC8D4C5-1A1A-449A-AFD0-32F7FBF4062B

Exhibit I - Funds Request and Receipt Times Schedule

State of Nebraska
Federal Agency Payment Type | Request Cut-Off Time Receipt Window
Agriculture-FNS ‘ACH 11:59 PM I day
Agriculture-FNS Fedwire 3:45 PM Oday
Agriculture-FS ‘ACH 3:00 PM T day
Air National Guard ‘ACH 12:00 PM 15 days
Army National Guard ACH 12:00 PM 15 days
Commerce-NOAA ACH 2:00 PM 1 day
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 Oday
Education ‘ACH 3:00 PM T day
Education Fedwire 2:00 PM Oday
Energy ACH 4:00 PM I day
Energy Fedwire 3:00 PM 0 day
HHS ‘ACH 3:00 PM I day
HHS Fedwire 3:00 PM Oday
HUD ACH 5:30 PM 2 days
HUD Fedwire 3:00 PM 0 day
Interior-FWS ACH 11:59 PM 1 day
Interior-FWS Fedwire 5:45 PM 0 day
Interior-OSM ACH 3:00 PM 1 day
Interior-OSM Fedwire 1:00 PM 0 day
Justice ‘ACH 11:00 PM 6 days
Justice Fedwire 2:00 PM 2 days
Labor-Non-UTF ‘ACH 3:00 PM I day
Labor-UTF ‘ACH 3:00 PM I day
Labor-UTF Fedwire 3:00 PM Oday
National Science Foundation (NSF) ACH 8:00 PM T day
National Science Foundation (NSF) Fedwire 3:45 PM 0 day
Social Security Administration ‘ACH 11:59 PM T day
Social Security Administration Fedwire 3:45 PM Oday
Transportation (FAA) ACH 2:00 PM I day
Transportation (FHWA) ‘ACH 12:00 PM 3 days
Transportation (FHWA) Fedwire 12:00 PM 0 day
Transportation (FTA) ‘ACH 2:00 PM T day
Veterans Administration ‘ACH 12:00 PM 3 days

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DocuSign Envelope ID: 1FC8D4C5-1A1A-449A-AFD0-32F7FBF4062B

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 I. The amount of the
request shall be for the exact amount of that disbursement. This funding technique is
interest neutral.

Pre-Issuance

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 I. 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 currently 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 currently 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.

Funding Technique Name

Description

Monthly draws - National Guard

The State shall draw down funds on a monthly basis. The draws shall be made in
accordance with the appropriate Federal agency cut-off time specified in Exhibit I.
The amount requested shall be based on estimated costs to be incurred in the next
month. During grant close-out draw requests will be based on actual expenses
incurred but not yet paid. This funding technique is interest neutral.

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.

10.542 Pandemic EBT Food Benefits
Recipient: Department of Education

% of Funds Agency Receives: 100
Component: Benefits

Technique: Actual Clearance, ZBA - ACH
Average Day of Clearance: 0 Days

10.551 Supplemental Nutrition Assistance Program
Recipient: Department of Health & Human Services
% of Funds Agency Receives: 100

Component: Benefits

Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 0 Days

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DocuSign Envelope ID: 1FC8D4C5-1A1A-449A-AFD0-32F7FBF4062B

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:

There are no interest earnings on funds withdrawn from the State account, as the State has implemented estimated clearance, an interest-
neutral funding technique, for such transfers. For transfers UTF that do not follow the technique specified in section 6.2 and result ina
positive balance of funds in a State account, the States liability for interest on funds withdrawn from its account in the UTF shall consist
of the actual interest earnings of the benefit payment account on the pro-rata share less the related banking costs attributed to such
funds.

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 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:
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DocuSign Envelope ID: 1FC8D4C5-1A1A-449A-AFD0-32F7FBF4062B

Component: Benefits and Administrative Costs
Technique: Average Clearance
Average Day of Clearance: 3 Days

84.425 Education Stabilization Fund
Recipient: Department of Education

% of Funds Agency Receives: 100
Component: Benefits and Administration
Technique: Average Clearance

Average Day of Clearance: 3 Days

93.323 Epidemiology and Laboratory Capacity for Infectious Diseases
(ELC)

Recipient: Department of Health & Human Services

% of Funds Agency Receives: 100

Component: Benefits and Administration

Technique: Pre-Issuance

Average Day of Clearance: N/A

93.558 Temporary Assistance for Needy Families
Recipient: Department of Health & Human Services
% of Funds Agency Receives: 100

Component: Benefits and Administrative Costs
Technique: Average Clearance

Average Day of Clearance: 3 Days

93.568 Low-Income Home Energy Assistance

Recipient: Department of Health & Human Services and Department of
Environment and Energy

% of Funds Agency Receives: 100

Component: Benefits and Administrative Costs

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

Component: Benefits and Administrative Costs
Technique: Average Clearance

Average Day of Clearance: 2 Days

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

Component: Benefits and Adminsitration

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

Component: Benefits and Administrative Costs
Technique: Average Clearance

Average Day of Clearance: 3 Days

93.778 Medical Assistance Program

Recipient: Department of Health & Human Services
% of Funds Agency Receives: 100

Component: Benefits and Administrative Costs
Technique: Average Clearance

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DocuSign Envelope ID: 1FC8D4C5-1A1A-449A-AFD0-32F7FBF4062B

10.553 School Breakfast Program
Recipient: Department of Education
% of Funds Agency Receives: 100
Component: Benefits

Technique: Average Clearance
Average Day of Clearance: 4 Days

10.555 National School Lunch Program
Recipient: Department of Education

% of Funds Agency Receives: 100
Component: Benefits

Technique: Average Clearance
Average Day of Clearance: 4 Days

17.225F Unemployment Insurance -- Federal Benefit Account and

Administrative Costs

Recipient: Department of Labor

% of Funds Agency Receives: 96.2
Component: Federal Benefit Payments
Technique: Actual Clearance, ZBA - ACH
Average Day of Clearance: 0 Days

17.225F Unemployment Insurance -- Federal Benefit Account and

Administrative Costs

Recipient: Department of Labor
% of Funds Agency Receives: 3.8
Component: Administrative Costs
Technique: Pre-Issuance

Average Day of Clearance: N/A

17.225S Unemployment Insurance -- State Benefit Account

Recipient: Department of Labor

% of Funds Agency Receives: 100
Component: Benefits

Technique: Actual Clearance, ZBA - ACH
Average Day of Clearance: 0 Days

20.106 Airport Improvement Program
Recipient: Department of Transportation

% of Funds Agency Receives: 100
Component: Program and Administrative Costs
Technique: Pre-Issuance

Average Day of Clearance: N/A

20.205 Highway Planning and Construction
Recipient: Department of Transportation
% of Funds Agency Receives: 100

Component: Construction Payments and Administrative Costs

Technique: Average Clearance
Average Day of Clearance: 4 Days

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

% of Funds Agency Receives: 100

Component: Benefits and Administrative Costs
Technique: Average Clearance

Average Day of Clearance: 3 Days

84.027 Special Education -- Grants to States
Recipient: Department of Education
% of Funds Agency Receives: 100

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DocuSign Envelope ID: 1FC8D4C5-1A1A-449A-AFD0-32F7FBF4062B

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.

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 shall 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 205 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
Monthly draws - National Guard

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.

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DocuSign Envelope ID: 1FC8D4C5-1A1A-449A-AFD0-32F7FBF4062B

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 Nebraska State Treasurer and the Director of the Department of
Administrative Services 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 shall 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 07/01/2023 and shall remain in effect until 06/30/2024.

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.

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DocuSign Envelope ID: 1FC8D4C5-1A1A-449A-AFD0-32F7FBF4062B

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 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 II.

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

I= ADB x R, where
T= 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
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:

Actual staff time and any other actual, direct expenses incurred to make annual report interest calculations and to develop and maintain
clearance patterns.

10.3 The State shall submit all claims for reimbursement of interest calculation costs with its Annual Report in accordance with 3 1
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.

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DocuSign Envelope ID: 1FC8D4C5-1A1A-449A-AFD0-32F7FBF4062B

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
Component: Program and Administrative Costs
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:
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).

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 period beginning July 1, 2019, through June 30, 2020, 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.

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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.

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.

Funding Technique Name Description

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 I.
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.

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DocuSign Envelope ID: 1FC8D4C5-1A1A-449A-AFD0-32F7FBF4062B

Exhibit II - 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

CFDA Program Name Recipient % Component Technique Rounded
days
10.542 Pandemic EBT Department of 100.0 | Benefits Actual Clearance, 0 Days
Food Benefits Education ZBA - ACH
10.551 Supplemental Department of 100.0 | Benefits Actual Clearance, 0 Days
Nutrition Health & Human ZBA - ACH
Assistance Services
Program
10.553 School Breakfast Department of 100.0 | Benefits Average Clearance | 4 Days
Program Education
10.555 National School Department of 100.0 | Benefits Average Clearance | 4 Days
Lunch Program Education
17.225 Unemployment Da artment of 96.2 Federal Benefit Actual Clearance, 0 Days
Insurance -~ abor ; -
F Federal Benefit Payments ZBA - ACH
Account and
Administrative
Costs
Unemployment Department of 3.8 Administrative Costs | Pre-Issuance N/A
Insurance -- abor
Federal Benefit
Account and
Administrative
Costs
17.225 Unemployment Department of 100.0 | Benefits Actual Clearance, 0 Days
Ss Insurance -- State abor ZBA - ACH
Benefit Account “
20.106 Airport Department of 100.0 | Program and Pre-Issuance N/A
paprovement Transportation Administrative Costs
20.205 Highway Planning Department of 100.0 | Construction Average Clearance 4 Days
and Construction Transportation Payments and
Administrative Costs
84.010 Title | Grants to 1 Department of 100.0 | Benefits and Average Clearance | 3 Days
ocal Educational lucation inistrativ
Agencies Administrative Costs
84.027 Special Education Department of 100.0 | Benefits and Average Clearance | 3 Days
-- Grants to States Education Administrative Costs
84.425 Education Department of 100.0 | Benefits and Average Clearance | 3 Days
Stabilization Fund Education Administration
93.323 Epidemiology and Department of 100.0 | Benefits and Pre-Issuance N/A
Laboratory Health & Human Administration
Capacity for Services °

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Title, State Treasurer

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DocuSign Envelope ID: 1FC8D4C5-1A1A-449A-AFD0-32F7FBF4062B

Department of Health & Human Services
Department of Health & Human Ser
Department of Health & Human Servic
Department of Labor

Department of Transportation

ind Department of Environment and Energy
nd State Treasurer

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:

Fiscal Agent CFDA Program Name.

Fidelity Information Services 10.542 Pandemic EBT Food Benefits

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 I to ensure funds will
be received and credited to a State account by the times specified in the funding techniques. Exhibit I 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 II - List of State Clearance Patterns. Exhibit II 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 guidelines
and instructions for completing the CMS-37 are provided in Section 2600F of the State Medicaid Manual (SMM). The CMS/CO must
receive 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.

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DocuSign Envelope ID: 1FC8D4C5-1A1A-449A-AFD0-32F7FBF4062B

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 06/30/2022.

All major Federal assistance programs shall 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 $30,053,564.

The following programs meet or exceed the threshold and are not excluded in Section 4.4:

CFDA Program Name

10.542 Pandemic EBT Food Benefits

10.551 Supplemental Nutrition Assistance Program

10.553 School Breakfast Program

10.555 National School Lunch Program

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

17.2258 Unemployment Insurance -- State Benefit Account

20.106 Airport Improvement Program

20.205 Highway Planning and Construction

84.010 Title I Grants to Local Educational Agencies

84.027 Special Education -- Grants to States

84.425 Education Stabilization Fund

93.323 Epidemiology and Laboratory Capacity for Infectious Diseases
(ELC)

93.558 Temporary Assistance for Needy Families

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

93.767 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:

CFDA Program Name Exclusion Reason

21.019 Coronavirus Relief Fund Federal Statute - Full Exemption

21.027 Coronavirus State and Local Fiscal Federal Statute - Full Exemption
Recovery Funds

93.268 Immunization Cooperative Agreements 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:

Adjutant General, Military Department
Department of Education

Page 2 of 17


DocuSign Envelope ID: 1FC8D4C5-1A1A-449A-AFD0-32F7FBF4062B

12.0 | AUTHORIZED SIGNATURES

Jason Jackson
Director Department of Administrative Services

DocuSigned by:
Signature: [ des Jacksou. Date Signed: 9/13/2023

BEBT7FFDZCFaS:

John Murante
Nebraska State Treasurer

Docusigned by
sienauel_ la Murande 9/13/2023

Date Signed:
ODCETACDSHE

Date Submitted 9/12/2023

D. Michael Linder

Assistant Commissioner

Revenue Collections Management
Bureau of the Fiscal Service

U.S. Department of the Treasury

Docusigned by:
Signature: [0. Midvaul indur 9/13/2023

Date Signed:
“UDRAFADTSRUCABD:

Page 13 of 17


DocuSign Envelope ID: 1FC8D4C5-1A1A-449A-AFD0-32F7FBF4062B

Tnfectious
Diseases (ELC)
93.558 Temporary Department of 100.0 | Benefits and Average Clearance | 3 Days
Assistance for Health & Human ‘Administrative Costs
Needy Families Services ° _
93.568 Low-Income Department of 100.0 | Benefits and Average Clearance | 3 Days
lome Energy lealt fuman nistrati
Assistance Services and Administrative Costs
Department of
Environment and
Energy
93.575 Child Care and Department of 100.0 | Benefits and Average Clearance | 2 Days
evelopment eal luman “nistrati “tc
Block Grant Services Administrative Costs
93.596 Child Care Department of 100.0 | Benefits and Average Clearance | 2 Days
Mandatory and Health & Human ‘Adminsitration
Matching Funds Services
of the Child Care
and Development
Fund
93.767 | Children's Health Department of 100.0 | Benefits and Average Clearance | 3 Days
insurance eal luman snistrati
Program Services Administrative Costs
93.778 Medical Department of 100.0 | Benefits and Average Clearance | 3 Days
ssistance lealth & Human «nistrati
Program Services Administrative Costs
97.036 Disaster Grants - Adintant General, 100.0 | Program and Pre-Issuance N/A
ublic Assistance ilitary Parana
(Presidentially Departinent Administrative Costs
eclared
Disasters)
Certification

Thereby 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.

9/13/2023
Date: /13/

. John Murante
Printed Name:

Docusigned by:

Certifying Signature: Jolun, Muwante

‘SAOODCE TACDS4E7,

Page 16 of 17