DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

12.0 © AUTHORIZED SIGNATURES

Kate Nass
State Chief Financial Officer

DocuSigned by:

kale. Nass 4/23/2024

Signature: Date Signed:

Date Submitted 4/22/2024

D. Michael Linder

Assistant Commissioner

Revenue Collections Management
Bureau of the Fiscal Service

U.S. Department of the Treasury

ocusigned by:
Signature: [0. Michal linder 4/25/2024

Date Signed:

Page 20 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

Component: ACH Payments to Beneficiaries
Technique: Actual Clearance, ZBA - ACH
Average Day of Clearance: 0 Days

93.778 Medical Assistance Program
Recipient: 443 - Oregon Health Authority
% of Funds Agency Receives: 2
Component: Allocated Admini:
Technique: Cost Allocation Plans
Average Day of Clearance: 0 Days

‘ative Costs
Estimated Allocation - Monthly

93.778 Medical Assistance Program
Recipient: 443 - Oregon Health Authority
% of Funds Agency Receives: |
Component: Indirect Payroll Costs
Technique: Cost Allocation Plans
Average Day of Clearance: 0 Days

Estimated Allocation - Monthly

93.778 Medical Assistance Program

Recipient: 443 - Oregon Health Authority

% of Funds Agency Receives: |

Component: ACH Payments Direct Administrative & Payroll costs
Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 0 Days

93.778 Medical Assistance Program

Recipient: 443 - Oregon Health Authority

% of Funds Agency Receives: 15

Component: ACH Payments to State & local governments, all other
program costs

Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 0 Days

97.036 Disaster Grants - Public Assistance (Presidentially Declared
Disasters)

Recipient: 258---Oregon Emergency Management

% of Funds Agency Receives: 4

Component: Direct Administrative Costs

Technique: Cost Allocation Plans - Monthly

Average Day of Clearance: N/A

97.036 Disaster Grants - Public Assistance (Presidentially Declared
Disasters)

Recipient: 258---Oregon Emergency Management

% of Funds Agency Receives: 96

Component: Program Payments

Technique: Composite Clearance

Average Day of Clearance: 4 Days

6.3.3 Materiality Exemptions
Agencies exempt from coverage on the basis of materiality:

107 - Department of Administrative Services
109 - Department of Aviation

114 - Long-Term Care Ombudsman.

121 - Office of the Governor

123 - Business Oregon

141 - Department of State Lands

165 - Secretary of State

Page 14 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

Rehabilitation
Grants to States
Rehabilitation 585 - 15.0 ACH Payment to Average Clearance 0 Days
Services -- Commission for contractors and
Vocational the Blind . "
Rehabilitation service providers
Grants to States
Rehabilitation 100---Department 15.0 ACH Payment to Average Clearance 0 Days
Services -- of Human Beneficiaries
Vocational _ Services
Rehabilitation
Grants to States
Rehabilitation 100---Department 3.0 ACH Payments to Average Clearance 0 Days
Services -- of Human State and local
Vocational Services
Rehabilitation governments, all
Grants to States other program costs
84.425 Education 581---Department 99.0 | Program Payments Post-Issuance N/A
Stabilization Fund of Education and Direct
Administrative Costs
Education 581---Department 1.0 Payroll Costs Post-Issuance N/A
Stabilization Fund of Education
93.268 Immunization 100---Department 24.0 ACH Payments Actual Clearance, 0 Days
Cooperative of Human Direct Administrative | ZBA - ACH
greements Services
& Payroll costs
Immunization 100---Department 29.0 | ACH Payments to Actual Clearance, 0 Days
Cooperative of Human State & local ZBA - ACH
Agreements Services
governments, all
other program costs
Immunization 100---Department 5.0 Indirect Payroll Costs | Cost Allocation 0 Days
Cooperative of Human Plans - Estimated
Agreements Services -
Allocation -
Montht.
Immunization 100---Department 42.0 Allocated Cost Allocation 0 Days
Cooperative of Human Administrative Costs_| Plans - Estimated
Agreements Services
Allocation -
Monthly
93.323 Epidemiology and 443 - Oregon 5.0 Program Payments Estimated Clearance | N/A
Lab oratory, Health Authority by check or warrant | (Truncated)
acity for
tle ctious
pigenet (ELC)
Epidemiology and 443 - Oregon 40.0 ACH Payments Actual Clearance, 0 Days
Laboratory Health Authority Direct Administrative | ZBA - ACH
acity for
In Capacity f & Payroll costs
Diseases (ELC)
Epidemiology and 443 - Oregon 25.0 ACH Payments to Actual Clearance, 0 Days
Lab oratory Health ‘Authority State & local ZBA - ACH
(ap ag or governments, all
Dissaes (ELC) other program costs
Epidemiology and 443 - Oregon 8.0 Indirect Payroll Costs | Cost Allocation 0 Days
Laboratory Health Authority Plans - Estimated
Capacity for :
‘ectious Allocation -
Discs (ELC) Monthly
Epidemiology and 443 - Oregon _ 22.0 | Allocated Cost Allocation 0 Days
Laboratory Health Authority Administrative Costs | Plans - Estimated
acity for
Ini Aapacity | Allocation -
Diseases (ELC) Monthly

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DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

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.

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.

Composite Clearance

The State shall request funds such that they are deposited on the dollar-weighted
average number of days required for funds to be paid out for a series of disbursements,
in accordance with the clearance pattern specified in Exhibit I]. 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 sum of the payments issued in the
series of disbursements. This funding technique is interest neutral.

Estimated Clearance

The State shall request funds such that they are deposited in a State account in
accordance with the clearance pattern specified in Exhibit II - EC (Estimated
Clearance). The request shall be made in accordance with the appropriate Federal
agency cut-off time specified in Exhibit I. The amount of each request will be a
percentage of the disbursement, according to the State's clearance pattern specified in
Exhibit II - EC. This funding technique is interest neutral.

Post-Issuance

The State shall request funds such that they are deposited in a State account after the
State issues checks, but before the checks clear. 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 of the disbursement. 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.

Funding Technique Name

Description

Cost Allocation Plans - Estimated Allocation
- Monthly

The State shall request funds once a month, such that they are deposited on the median
day of the month, to fund the costs incurred during that month. 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 an estimate based on the actual allocation
of costs to the program for the preceding six months. This funding technique is
interest neutral.

Cost Allocation Plans - Monthly

The State shall request funds once a month, such that they are deposited on the median
day of the month, to fund activity of the prior month. The request shall be made in
accordance with the appropriate Federal agency cut-off time specified in Exhibit I.
The amount of the request for a given month's activity shall be based on actual costs
distributed in accordance with the State's approved cost allocation plan. This funding
technique is interest neutral.

Direct Administrative Costs - Drawdowns on
a Payroll Cycle

The State shall request funds for all direct administrative costs such that they are
deposited on the dollar-weighted average date of clearance of payroll. The request
shall be made in accordance with the appropriate Federal agency cut-off time
specified in Exhibit I. The amount of funds requested shall be based on the amount of
liabilities recorded for direct administrative costs since the last request for funds. This
funding technique is interest neutral.

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.

Page 5 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

Exhibit I - Funds Request and Receipt Times Schedule

State of Oregon
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: AEDA9A21-4074-4779-809E-FOCD46C96600

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

4. Are auditable.

Date: 4/23/2024

| Kate Nass
Printed Name:

Docusigned by:

kale. Nass

D3ASUDEZCEFEASE:

Certifying Signature:

Title: Chief Financial officer

Page 27 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

Assistance
Program
17.225 Unemployment Pane 85.0 | ACH Program Actual Clearance, 0 Days
insurance -~ mployment © -
F Federal Benefit Department Benefit payments ZBA - ACH
Account and made to claimants
Administrative
Costs
Unemployment al tl 6.0 Program Benefit Estimated Clearance | N/A
insurance -~ mployment . 5 ma
Federal Benefit Department P ayments made to
Account and claimants by warrant
Administrative
Costs
Unemployment 471--- 7.0 Payroll Costs & Direct 0 Days
Insurance ~ fit Bovutneat Direct Administrative | Administrative
Account and Costs Costs - Drawdowns
Administrative on a Payroll Cycle
Costs
Unemployment en ' 2.0 Allocated Cost Allocation 0 Days
Insurance -~ mployment inistrati
Federal Benefit Depart ent Administrative Costs_| Plans - Monthly
Account and
Administrative
Costs
17.225 Unemployment | en t 94.0 ACH Program Actual Clearance, 0 Days
insurance -- State mploymen .
8 Benefit Account Department Benefit Payments ZBA - ACH
made to claimants
tzcmployment a A 6.0 Program Benefit Estimated Clearance | N/A
insurance -- State mployment ents
Benefit Account Department Payments made to
claimants by warrant
20.205 Highway Planning 730---Department 100.0 | All Components Composite 4 Days
and Construction of Transportation Clearance
84.010 Title I Grants to 581---Department 99.0 Program Payments & | Post-Issuance N/A
Local Educational of Education Direct Administrative
Agencies
Costs
Title I Grants to 581---Department 1.0 Payroll Costs Post-Issuance N/A
Local Educational of Education
Agencies
84.027 Special Education 581---Department 3.0 Payroll Costs Post-Issuance N/A
-- Grants to States of Education
Special Education 581---Department 97.0 | Program Payments & | Post-Issuance N/A
-- Grants to States of Education Direct Administrative
Costs
84.126 Rehabilitation 190-~Department 51.0 | ACH Payments Average Clearance | 0 Days
ervices -- of Human A ini
Vocational. Services Direct Administrative
Rehabilitation & Payroll costs
Grants to States
Rehabilitation 100---Department 4.0 Indirect Payroll Costs | Cost Allocation 0 Days
Services -- of Human Plans - Estimated
Vocational | Services . .
Rehabilitation Allocation -
Grants to States Monthly
Rehabilitation 100---Department | 8.0 | Allocated Cost Allocation 0 Days
Vecanonal, gf Human Administrative Costs _| Plans - Estimated
Rehabilitation Allocation -
Grants to States Monthly
Rehabilitation 100 Department 4.0 Program Payments Estimated Clearance | N/A
Vouational Services by check or warrant | (Truncated)

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DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

Refunds Deposited to Interest Neutral Programs:
With programs to which applicable 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.

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 Clearance:

To determine the total time Federal funds are held, the State shall measure the time between the date Federal funds are received and
credited to a State's account and the date those funds are debited from the State's account.

8.6.2.2 Source of Data

Bank or Agency:

The time period from deposit to clearance shall be determined from information captured by agency accounting records,

State Treasury records, banking records, and other records as appropriate.

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

Average Daily Balance:
I= ADB x R, where

1 = 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.

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DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

84.425 Education Stabilization Fund
Recipient: 581---Department of Education
% of Funds Agency Receives: 1
Component: Payroll Costs

Technique: Post-Issuance

Average Day of Clearance: N/A

93.268 Immunization Cooperative Agreements

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 24

Component: ACH Payments Direct Administrative & Payroll costs
Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 0 Days

93.268 Immunization Cooperative Agreements

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 29

Component: ACH Payments to State & local governments, all other
program costs

Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 0 Days

93.268 Immunization Cooperative Agreements

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 5

Component: Indirect Payroll Costs

Technique: Cost Allocation Plans - Estimated Allocation - Monthly
Average Day of Clearance: 0 Days

93.268 Immunization Cooperative Agreements

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 42

Component: Allocated Administrative Costs

Technique: Cost Allocation Plans - Estimated Allocation - Monthly
Average Day of Clearance: 0 Days

93.323 Epidemiology and Laboratory Capacity for Infectious Diseases
(ELC)

Recipient: 443 - Oregon Health Authority

% of Funds Agency Receives: 5

Component: Program Payments by check or warrant

Technique: Estimated Clearance (Truncated)

Average Day of Clearance: N/A

93.323 Epidemiology and Laboratory Capacity for Infectious Diseases
(ELC)

Recipient: 443 - Oregon Health Authority

% of Funds Agency Receives: 40

Component: ACH Payments Direct Administrative & Payroll costs
Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 0 Days

93.323 Epidemiology and Laboratory Capacity for Infectious Diseases
(ELC)

Recipient: 443 - Oregon Health Authority

% of Funds Agency Receives: 25

Component: ACH Payments to State & local governments, all other
program costs

Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 0 Days

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DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

4. Is auditable; and,

5. Has been certified as accurate by an authorized State Official.

4/23/2024
Date:

Printed NameS@te Nass

Docusigned by:

Certifying Signature: | kale. Nass

‘psasane2caresse.

Title Chief Financial officer

Page 30 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

Average Day of Clearance: N/A

10.561 State Administrative Matching Grants for the Supplemental
Nutrition Assistance Program

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 6

Component: ACH Payments Direct Administrative & Payroll costs
Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 0 Days

10.561 State Administrative Matching Grants for the Supplemental
Nutrition Assistance Program

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 11

Component: Allocated Administrative Costs

Technique: Cost Allocation Plans - Estimated Allocation - Monthly
Average Day of Clearance: 0 Days

10.561 State Administrative Matching Grants for the Supplemental
Nutrition Assistance Program

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 60

Component: Indirect Payroll Costs

Technique: Cost Allocation Plans - Estimated Allocation - Monthly
Average Day of Clearance: 0 Days

10.561 State Administrative Matching Grants for the Supplemental
Nutrition Assistance Program

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 22

Component: ACH Payments to State & local governments, all other
program costs

Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 0 Days

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

Recipient: 471---Employment Department

% of Funds Agency Receives: 85

Component: ACH Program Benefit payments made to claimants
Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 0 Days

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

Recipient: 471---Employment Department

% of Funds Agency Receives: 6

Component: Program Benefit payments made to claimants by warrant
Technique: Estimated Clearance

Average Day of Clearance: N/A

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

Recipient: 471---Employment Department

% of Funds Agency Receives: 7

Component: Payroll Costs & Direct Administrative Costs
Technique: Direct Administrative Costs - Drawdowns on a Payroll
Cycle

Average Day of Clearance: 0 Days

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DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

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

Actual Clearance, ZBA-ACH (Modified)

The State shall request funds such that they are deposited by ACH in a State account
the following day. The request shall be made in accordance with the appropriate
Federal agency cut-off times specified in Exhibit 1. The amount of the request shall be
for the amount of funds that clear the State's account the previous day. This funding
technique is interest neutral.

Estimated Clearance (Truncated)

For the first ten (10) business days, the State shall request funds such that they are
deposited in accordance with the clearance pattern specified. After ten business days,
the State shall request the remaining balance of the clearance pattern. The request for
funds shall be made in accordance with the appropriate Federal agency cut-off time
specified in Exhibit I. 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: 100---Department of Human Services

% of Funds Agency Receives: 100
Component: EBT Payments

Technique: Actual Clearance, ZBA-ACH (Modified)

Average Day of Clearance: | Day

10.551 Supplemental Nutrition Assistance Program
Recipient: 100---Department of Human Services

% of Funds Agency Receives: 100
Component: EBT Payments

Technique: Actual Clearance, ZBA-ACH (Modified)

Average Day of Clearance: | Day

10.555 National School Lunch Program
Recipient: 581---Department of Education

% of Funds Agency Receives: 100

Component: Program Payments & Direct Administrative Costs

Technique: Post-Issuance
Average Day of Clearance: N/A

10.557 Special Supplemental Nutrition Program for Women, Infants,

and Children

Recipient: 443 - Oregon Health Authority

% of Funds Agency Receives: 100
Component: EBT Payments

Technique: Actual Clearance, ZBA-ACH (Modified)

‘Average Day of Clearance: 1 Day

10.561 State Administrative Matching Grants for the Supplemental

Nutrition Assistance Program

Recipient: 100---Department of Human Services

% of Funds Agency Receives: |

Component: Program Payments by check or warrant

Technique: Estimated Clearance (Truncated)

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DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

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:

Prorated portion of consultant's contract related to development of clearance patterns and interest calculation methodologies.

Agency and State Treasury personnel time to calculate clearance patterns and interest.
Agency and State Treasury EDP costs (not including system upgrades) incurred in the calculation of clearance patterns and interest.

Other costs identified that qualify under 31 CFR 205.27.

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 19 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

Component: ACH Payments Direct Administrative & Payroll costs
Technique: Average Clearance
Average Day of Clearance: 0 Days

84.126 Rehabilitation Services -- Vocational Rehabilitation Grants to
States

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 4

Component: Indirect Payroll Costs

Technique: Cost Allocation Plans - Estimated Allocation - Monthly
Average Day of Clearance: 0 Days

84.126 Rehabilitation Services -- Vocational Rehabilitation Grants to
States

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 8

Component: Allocated Administrative Costs

Technique: Cost Allocation Plans - Estimated Allocation - Monthly
Average Day of Clearance: 0 Days

84.126 Rehabilitation Services -- Vocational Rehabilitation Grants to
States

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 4

Component: Program Payments by check or warrant

Technique: Estimated Clearance (Truncated)

Average Day of Clearance: N/A

84.126 Rehabilitation Services -- Vocational Rehabilitation Grants to
States

Recipient: 585 - Commission for the Blind

% of Funds Agency Receives: 15

Component: ACH Payment to contractors and service providers
Technique: Average Clearance

Average Day of Clearance: 0 Days

84.126 Rehabilitation Services -- Vocational Rehabilitation Grants to
States

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 15

Component: ACH Payment to Beneficiaries

Technique: Average Clearance

Average Day of Clearance: 0 Days

84.126 Rehabilitation Services -- Vocational Rehabilitation Grants to
States

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 3

Component: ACH Payments to State and local governments, all other
program costs

Technique: Average Clearance

Average Day of Clearance: 0 Days

84.425 Education Stabilization Fund

Recipient: 581---Department of Education

% of Funds Agency Receives: 99

Component: Program Payments and Direct Administrative Costs
Technique: Post-Issuance

Average Day of Clearance: N/A

Page 9 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

93.558 Temporary 100---Department 15.0 | Program Payments Estimated Clearance | N/A
Ata: Ts gf Human by check or warrant | (Truncated)
Temporary 100---Department 58.0 ACH Payments to Actual Clearance, 0 Days
Assistance for gf Human Beneficiaries ZBA - ACH
Temporary 100---Department 22.0 ACH Payments to Actual Clearance, 0 Days
Assistance for | gf Human Sate &local | ZBA-ACH
governments, all
other program costs
Temporary 100---Department | 4.0 | Indirect Payroll Costs | Cost Allocation 0 Days
Assistance for of Human Plans - Estimated
jeedy Families ervices ‘Allocation -
Monthly
Temporary 100---Department 1.0 Allocated Cost Allocation 0 Days
Nr eeniies gf Human Administrative Costs] Plans - Estimated
Allocation -
Monthly
93.563 Child Support 137 - Oregon 53.0 | Program Costs and Average Clearance | 6 Days
Enforcement Department of Vendor Payments
Child Support By : Oregon ¢ 14.0 | Indirect Costs Actual Clearance, 0 Days
nforcement epartment o: ZBA - ACH
Justice
Child Support 137 - Oregon 33.0 Payroll Actual Clearance, 0 Days
Enforcement Department of ZBA - ACH
93.568 Tow Income ae Oregon 100.0 | Program Payments Actual Clearance, 1 Day
lome Energy Jousing an ZBA - ACH
Assistance Community
Services
93.575 Child Care and 588 - Department 11.0 | Payroll & Indirect Post-Issuance N/A
Revela ment of arly earning Costs
jock Grant and Care :
Child Care and 588 - Department 89.0 Program Payments & | Post-Issuance N/A
Develo ment of Early | earning Direct Administrative
Costs
93.658 Foster Care -- 100---Department 60.0 | Indirect Payroll Costs | Cost Allocation 0 Days
Title IV-E gf Human Plans - Estimated
Allocation -
Monthly
Foster Care -- 100---Department 3.0 ACH Payments Actual Clearance, 0 Days
Title IV-E gf Human Direct Administrative | ZBA - ACH
& Payroll costs
Foster Care -- 100---Department 7.0 Program Payments Estimated Clearance | N/A
Title 1V-E of Human by check or warrant | (Truncated)
Foster Care -- 100---Department 22.0 Allocated Cost Allocation 0 Days
Title IV-E gf Human Administrative Costs_| Plans - Estimated
Allocation -
Monthly
Foster Care -- 100---Department 5.0 ACH Payments to Actual Clearance, 0 Days
Title IV-B gf Human Beneficiaries ZBA - ACH
Foster Care -- 100---Department 3.0 ACH Payments to Actual Clearance, 0 Days
Title IV-E gf Human State & local ZBA - ACH
° governments, all
other program costs

Page 25 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

Cash Management Improvement Act Agreement
between
The State of Oregon
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 Oregon (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 Oregon shall be the Oregon Department of Administrative Services Chief Financial
Officer 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.

Page | of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

% of Funds Agency Receives: 14
Component: Indirect C
Technique: Actual Clearance, ZBA - ACH
Average Day of Clearance: 0 Days

93.563 Child Support Enforcement

Recipient: 137 - Oregon Department of Justice
% of Funds Agency Receives: 33

Component: Payroll

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

93.568 Low-Income Home Energy Assistance

Recipient: 914 - Oregon Housing and Community Services
% of Funds Agency Receives: 100

Component: Program Payments

Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 1 Day

93.575 Child Care and Development Block Grant
Recipient: 588 - Department of Early Learning and Care
% of Funds Agency Receives: 11

Component: Payroll & Indirect Costs

Technique: Post-Issuance

Average Day of Clearance: N/A

93.575 Child Care and Development Block Grant

Recipient: 588 - Department of Early Learning and Care

% of Funds Agency Receives: 89

Component: Program Payments & Direct Administrative Costs
Technique: Post-Issuance

Average Day of Clearance: N/A

93.658 Foster Care -- Title IV-E

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 60

Component: Indirect Payroll Costs

Technique: Cost Allocation Plans - Estimated Allocation - Monthly
Average Day of Clearance: 0 Days

93.658 Foster Care -- Title 1V-E

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 3

Component: ACH Payments Direct Administrative & Payroll costs
Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 0 Days

93.658 Foster Care -- Title IV-E

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 7

Component: Program Payments by check or warrant
Technique: Estimated Clearance (Truncated)
Average Day of Clearance: N/A

93.658 Foster Care -- Title 1V-E

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 22

Component: Allocated Administrative Costs

Technique: Cost Allocation Plans - Estimated Allocation - Monthly
Average Day of Clearance: 0 Days

Page 12 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

93.323 Epidemiology and Laboratory Capacity for Infectious Diseases
(ELC)

Recipient: 443 - Oregon Health Authority

% of Funds Agency Receives: 8

Component: Indirect Payroll Costs

Technique: Cost Allocation Plans - Estimated Allocation - Monthly
Average Day of Clearance: 0 Days

93.323 Epidemiology and Laboratory Capacity for Infectious Diseases
(ELC)

Recipient: 443 - Oregon Health Authority

% of Funds Agency Receives: 22

Component: Allocated Administrative Costs

Technique: Cost Allocation Plans - Estimated Allocation - Monthly
Average Day of Clearance: 0 Days

93.558 Temporary Assistance for Needy Families
Recipient: 100---Department of Human Services

% of Funds Agency Receives: 15

Component: Program Payments by check or warrant
Technique: Estimated Clearance (Truncated)
Average Day of Clearance: N/A

93.558 Temporary Assistance for Needy Families
Recipient: 100---Department of Human Services
% of Funds Agency Receives: 58

Component: ACH Payments to Beneficiaries
Technique: Actual Clearance, ZBA - ACH
Average Day of Clearance: 0 Days

93.558 Temporary Assistance for Needy Families

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 22

Component: ACH Payments to State & local governments, all other
program costs

Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 0 Days

93.558 Temporary Assistance for Needy Families

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 4

Component: Indirect Payroll Costs

Technique: Cost Allocation Plans - Estimated Allocation - Monthly
Average Day of Clearance: 0 Days

93.558 Temporary Assistance for Needy Families

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 1

Component: Allocated Administrative Costs

Technique: Cost Allocation Plans - Estimated Allocation - Monthly
Average Day of Clearance: 0 Days

93.563 Child Support Enforcement

Recipient: 137 - Oregon Department of Justice

% of Funds Agency Receives: 53

Component: Program Costs and Vendor Payments
Technique: Average Clearance

Average Day of Clearance: 6 Days

93.563 Child Support Enforcement
Recipient: 137 - Oregon Department of Justice

Page 11 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

17.225F Unemployment Insurance -- Federal Benefit Account and
Administrative Costs
Recipient: 471---Employment Department
% of Funds Agency Receives: 2
Component: Allocated Administrative Costs
Technique: Cost Allocation Plans - Monthly
Average Day of Clearance: 0 Days

17.225S Unemployment Insurance -- State Benefit Account
Recipient: 471---Employment Department

% of Funds Agency Receives: 94

Component: ACH Program Benefit payments made to claimants
Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 0 Days

17.225S Unemployment Insurance -- State Benefit Account
Recipient: 471---Employment Department

% of Funds Agency Receives: 6

Component: Program Benefit payments made to claimants by warrant
Technique: Estimated Clearance

Average Day of Clearance: N/A

20.205 Highway Planning and Construction
Recipient: 730---Department of Transportation
% of Funds Agency Receives: 100
Component: All Components

Technique: Composite Clearance

Average Day of Clearance: 4 Days

84.010 Title I Grants to Local Educational Agencies
Recipient: 581---Department of Education

% of Funds Agency Receives: 99

Component: Program Payments & Direct Administrative Costs
Technique: Post-Issuance

Average Day of Clearance: N/A

84.010 Title I Grants to Local Educational Agencies
Recipient: 581---Department of Education

% of Funds Agency Receives: 1

Component: Payroll Costs

Technique: Post-Issuance

Average Day of Clearance: N/A

84.027 Special Education -- Grants to States
Recipient: 581---Department of Education
% of Funds Agency Receives: 3
Component: Payroll Costs

Technique: Post-Issuance

Average Day of Clearance: N/A

84.027 Special Education -- Grants to States

Recipient: 581---Department of Education

% of Funds Agency Receives: 97

Component: Program Payments & Direct Administrative Costs
Technique: Post-Issuance

Average Day of Clearance: N/A

84.126 Rehabilitation Services -- Vocational Rehabilitation Grants to
States

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 51

Page 8 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

Exhibit II - State of Oregon
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 100---Department 100.0 | EBT Payments Actual Clearance, 1 Day
Food Benefits of Human ZBA-ACH
ervices (Modified)
10.551 Supplemental 100---Department 100.0 | EBT Payments Actual Clearance, 1 Day
Nutrition of Human ZBA-ACH
Assistance Services oo ,
Program (Modified)
10.555 National School 581---Department 100.0 | Program Payments & | Post-Issuance N/A
Lunch Program of Education Direct Administrative
Costs
10.557 Special 443 - Oregon 100.0 | EBT Payments Actual Clearance, 1 Day
Supplemental Health ‘Authority ZBA-ACH
lutrition Program A
for Women, (Modified)
Infants, and
Children
10.561 State. strat 100-~-Department 1.0 Program Payments Estimated Clearance | N/A
ministrative of Human
Matching Grants Services by check or warrant (Truncated)
for the
Supplemental
Nutrition
Assistance
Program
State. rat 100.--Department 6.0 ACH Payments Actual Clearance, 0 Days
ministrative of Human i inistrati
Matching Grants Services Direct Administrative | ZBA - ACH
for the & Payroll costs
Supplemental
Nutrition
Assistance
Program
State 100---Department 11.0 Allocated Cost Allocation 0 Days
Met es gf Human Administrative Costs | Plans - Estimated
for the Allocation -
Supplemental Monthly
Nutrition
Assistance
Program
State 100---Department 60.0 Indirect Payroll Costs | Cost Allocation 0 Days
Administrative of Human Plans - Estimated
Matching Grants Services .
for the Allocation -
Supplemental Monthly
Nutrition
Assistance
Program
State. rat 100.--Department 22.0 ACH Payments to Actual Clearance, 0 Days
ministrative of Human
Matching Grants Services State & local ZBA - ACH
for the governments, all
Supplemental other program costs
Nutrition

Page 22 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

Cash Management Improvement Act - 2024 Treasury State Agreement

State of Oregon
Exhibit II Estimated Clearance

Effective 07/01/2023 until 06/30/2024

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

Da % Cleared
Day 1 0.0
Day 2 0.0
Day 3 1.0
Day 4 9.0
Day 5 3.0
Day 6 13.0
Day 7 22.0
Day 8 12.0
Day 9 5.0
Day 10 4.0
Day 11 3.0
Day 12 2.0
Day 13 2.0
Day 14 3.0
Day 15 21.0
Day 16 0.0
Day 17 0.0
Day 18 0.0
Day 19 0.0
Day 20 0.0
Day 21 0.0
Day 22 0.0
Day 23 0.0
Day 24 0.0
Day 25 0.0
Day 26 0.0
Day 27 0.0
Day 28 0.0
Day 29 0.0
Day 30 0.0
Day 31 0.0
Total 100.0

Page 28 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

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.

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.

Page 4 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

198 - Judicial Department

213 - Oregon Criminal Justice Commission

248 - Oregon Military Department

250 - Oregon State Marine Board

257 - Oregon State Police

259 - Board on Public Safety Standards & Training
274 - Department of Veteran's Affairs

291 - Department of Corrections

330 - Department of Energy

340 - Department of Environmental Quality

415 - Oregon Youth Authority

440 - Department of Consumer and Business Services
525 - Higher Education Coordinating Commission
543 - Oregon State Library

603 - Department of Agriculture

628 - Oregon Forest Resources Institute

629 - Department of Forestry

632 - Oregon Department of Geology & Mineral Industries
634 - Oregon Parks and Recreation

635 - Oregon Department of Fish and Wildlife

660 - Department of Land Conservation and Development
690 - Water Resources Department

691 - Oregon Watershed Enhancement Board

839 - Bureau of Labor & Industries

851 - Oregon State Board of Nursing

860 - Public Utility Commission

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

10.561 State Administrative Matching Grants for Food Stamp Program

17.225F Unemployment Insurance-Federal Benefit Account and Administrative Costs
17.2258 Unemployment Insurance-State Benefit Account

84.126 Rehabilitation Services -- Vocational Rehabilitation Grants to States

93.558 State Family Assistance Grant

93.658 Foster Care - Title 1V-E

93.767 State Children's Insurance Program

93.778 Medical Assistance Program

7.2. The following shall develop the State's clearance patterns:

The agencies administering the Federal programs shall develop the State's clearance patterns, or use an alternative as outlined in Section
73.

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

Agency accounting records, State treasury records, banking records and other records appropriate.

For Programs where the actual State warrant clearance information is not available, alternate methods of developing clearance patterns
shall be used. These other methods shall consist of the clearance patterns developed by Fiscal Service or use of valid statistical
sampling techniques.

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.

Page 15 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

(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:

Actual Activity:

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 Funds Interest Neutral, State Funds not:
The State shall use the following methodology to calculate State interest liabilities on funds withdrawn from the State's account in the
UTF under the Unemployment Insurance program.

Based on statements provided by its financial institution (or other appropriate sources), 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's 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, or 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, or the Federal %.

The actual interest earnings of the benefit payment account on the whole constitute the actual interest earnings attributable to funds
withdrawn from the State's account in the UTF, since the State shall apply an appropriate interest neutral funding technique, to funds
withdrawn from the FECA and EUCA and any other benefit accounts of Federal funds in the UTF from which the State draws.

The State shall calculate the related banking costs attributable to funds withdrawn from the State's account in the UTF by multiplying
the State % by the amount of the related banking costs of the benefit payment 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 of the benefit payment account on the whole
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:

Page 17 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

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:

100---Department of Human Services

137 - Oregon Department of Justice
258---Oregon Emergency Management

443 - Oregon Health Authority
471---Employment Department
581---Department of Education

585 - Commission for the Blind

588 - Department of Early Learning and Care
730---Department of Transportation

914 - Oregon Housing and Community Services

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
EFD eFunds Corporation 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):

Page 3 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

93.767 Children's Health 443 - Oregon _ 1.0 Program Payments Estimated Clearance | N/A
prance Health Authority by check or warrant | (Truncated)
Children's Health 443 - Oregon _ 1.0 Allocated Cost Allocation 0 Days
{Insurance Health Authority Administrative Costs _| Plans - Estimated
rogram -
Allocation -
Monthl.
Children's Health 443 - Oregon _ 94.0 ACH Payments to Actual Clearance, 0 Days
Prawn’ Health Authority Beneficiaries ZBA - ACH
Children's Health 443 - Oregon _ 2.0 Indirect Payroll Costs | Cost Allocation 0 Days
Insurance Health Authority Plans - Estimated
Program .
Allocation -
Monthly
Children's Health 443 - Oregon _ 2.0 ACH Payments to Actual Clearance, 0 Days
Insurance Health Authority State & local ZBA - ACH
Program
governments, all
other program costs
93.778 Medical 443 - Oregon _ 3.0 Program Payments Estimated Clearance | N/A
pisistance Health Authority by check or warrant | (Truncated)
Medical #3 yreeon it 78.0 | ACH Payments to Actual Clearance, 0 Days
ssistance lealth Authority ‘ari .
Program Beneficiaries ZBA - ACH
Medical 443 - Oregon _ 2.0 Allocated Cost Allocation 0 Days
Assistance Health Authority Administrative Costs | Plans - Estimated
rogram .
Allocation -
Month.
Medical 443 - Oregon _ 1.0 Indirect Payroll Costs | Cost Allocation 0 Days
Assistance Health Authority Plans - Estimated
Program .
Allocation -
Monthly
Medical 443 - Oregon _ 1.0 ACH Payments Actual Clearance, 0 Days
Assistance Health Authority Direct Administrative | ZBA - ACH
Program
& Payroll costs
Medical 443 - Oregon _ 15.0 | ACH Payments to Actual Clearance, 0 Days
Assistance Health Authority State & local ZBA - ACH
rogram
governments, all
other program costs
97.036 Disaster Grants - 238--Oregon 4.0 Direct Administrative | Cost Allocation N/A
ublic Assistance mergency .
(Presidentially Management Costs Plans - Monthly
eclared
Disasters)
Disaster Grants - 258---Oregon 96.0 Program Payments Composite 4 Days
Public Assistance Emergency Clearance
{Presidentially Management
eclared
Disasters)

Certification

I 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;
Page 26 of 30


DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

4.0 PROGRAMS COVERED

4.1 The State's threshold and its major Federal assistance programs shall be determined based on the State's Schedule of

Expenditures of Federal Awards 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 $60,000,000.

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

10.555 National School Lunch Program

10.557 Special Supplemental Nutrition Program for Women, Infants, and
Children

10.561 State Administrative Matching Grants for the Supplemental
Nutrition Assistance Program

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

17.2258 Unemployment Insurance -- State Benefit Account

20.205 Highway Planning and Construction

84.010 Title I Grants to Local Educational Agencies

84.027 Special Education -- Grants to States

84.126 Rehabilitation Services -- Vocational Rehabilitation Grants to
States

84.425 Education Stabilization Fund

93.268 Immunization Cooperative Agreements

93.323 Epidemiology and Laboratory Capacity for Infectious Diseases
(ELC)

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

93.658 Foster Care -- Title [V-E

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

21.023 Emergency Rental Assistance Program Federal Statute - Full Exemption

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

5.0 ENTITIES COVERED

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DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

17.2258 Unemployment Insurance -- State Benefit Account

Day % Cleared
Day | 0.0
Day 2 0.0
Day 3 1.0
Day 4 9.0
Day 5 3.0
Day 6 13.0
Day 7 22.0
Day 8 12.0
Day 9 5.0
Day 10 4.0
Day 11 3.0
Day 12 2.0
Day 13 2.0
Day 14 3.0
Day 15 21.0
Day 16 0.0
Day 17 0.0
Day 18 0.0
Day 19 0.0
Day 20 0.0
Day 21 0.0
Day 22 0.0
Day 23 0.0
Day 24 0.0
Day 25 0.0
Day 26 0.0
Day 27 0.0
Day 28 0.0
Day 29 0.0
Day 30 0.0
Day 31 0.0
Total 100.0

Certification

I hereby certify that the % Cleared listed in Exhibit II Estimated Clearance of this Treasury State Agreement:

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

2. Accurately represents the flow of federal funds under the federal a

istance programs to which they apply;

3. Reflects seasonal or other periodic variations in the clearance activities;

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DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

93.658 Foster Care -- Title IV-E
Recipient: 100---Department of Human Services
% of Funds Agency Receives: 5

Component: ACH Payments to Beneficiaries
Technique: Actual Clearance, ZBA - ACH
Average Day of Clearance: 0 Days

93.658 Foster Care -- Title IV-E

Recipient: 100---Department of Human Services

% of Funds Agency Receives: 3

Component: ACH Payments to State & local governments, all other
program costs

Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 0 Days

93.767 Children's Health Insurance Program
Recipient: 443 - Oregon Health Authority

% of Funds Agency Receives: |

Component: Program Payments by check or warrant
Technique: Estimated Clearance (Truncated)
Average Day of Clearance: N/A

93.767 Children's Health Insurance Program

Recipient: 443 - Oregon Health Authority

% of Funds Agency Receives: |

Component: Allocated Administrative Costs

Technique: Cost Allocation Plans - Estimated Allocation - Monthly
Average Day of Clearance: 0 Days

93.767 Children's Health Insurance Program
Recipient: 443 - Oregon Health Authority

% of Funds Agency Receives: 94
Component: ACH Payments to Beneficiaries
Technique: Actual Clearance, ZBA - ACH
Average Day of Clearance: 0 Days

93.767 Children's Health Insurance Program

Recipient: 443 - Oregon Health Authority

% of Funds Agency Receives: 2

Component: Indirect Payroll Costs

Technique: Cost Allocation Plans - Estimated Allocation - Monthly
Average Day of Clearance: 0 Days

93.767 Children's Health Insurance Program

Recipient: 443 - Oregon Health Authority

% of Funds Agency Receives: 2

Component: ACH Payments to State & local governments, all other
program costs

Technique: Actual Clearance, ZBA - ACH

Average Day of Clearance: 0 Days

93.778 Medical Assistance Program

Recipient: 443 - Oregon Health Authority

% of Funds Agency Receives: 3

Component: Program Payments by check or warrant
Technique: Estimated Clearance (Truncated)
Average Day of Clearance: N/A

93.778 Medical Assistance Program
Recipient: 443 - Oregon Health Authority
% of Funds Agency Receives: 78

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DocuSign Envelope ID: AEDA9A21-4074-4779-809E-FOCD46C96600

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:

N/A

The State shall also adjust each clearance pattern to reflect:

N/A

7.8 Each of the State's clearance patterns is calculated in Business 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

Actual Clearance, ZBA-ACH (Modified)

Average Clearance

Composite Clearance

Cost Allocation Plans - Estimated Allocation - Monthly

Cost Allocation Plans - Monthly

Direct Administrative Costs - Drawdowns on a Payroll Cycle
Estimated Clearance

Estimated Clearance (Truncated)

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
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