Exhibit | - Funds Request and Receipt Times Schedule
State of North Carolina

q
Agriculture-FNS [ACH 14:59 PM iday
|Agriculture-FNS- Fedwire 5:45 PM 0 day
Agriculture-FS ACH 3:00 PM iday
Air National Guard ACH 12:00 PM 15 days
Army National Guard ACH 12:00 PM 18 days
Commerce-NOAA [ACH 2:00 PM 4 day
Dept of Homeland Security (FEMA) Fedwire 2:00 PM 0 day
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 Q day
Education ACH 3:00 PM 4 day
Education Fedwire 2:00 PM 0 day
Energy [ACH 4:00 PM day
Energy Fedwire 3:00 PM. 0 day
HHS. [ACH 6:30 PM 1 day
HHS Fedwire 3:00 PM Q day
HUD [ACH 5:30 PM. 2 days
HUD Fedwire 3:00 PM. Q_day
Interior-FWS ACH 11:59 PM 1 day
Interior-FWS. Fedwire 5:45 PM. 0 day
Interior-OSM ACH 3:00 PM iday
Interior-OSM Fedwire 5:45 PM 0 day
Justice ACH 11:00 PM 6 days
Justice Fedwire 2:00 PM 2 days
Labor-Non-UTF ACH 3:00 PM. iday
Labor-UTF ACH 3:00 PM. tday
Labor-UTF Fedwire 3:00 PM 0 day
National Science Foundation (NSF) ACH 8:00 PM day
National Science Foundation (NSF) Fedwire 5:45 PM. 0 day
Social Security Administration ACH 41:59 PM. 4 day
‘Social Security Administration Fedwire. 5:45 PM. 0 day
Transportation (FAA) ACH 2:00 PM. 1day
Transportation (FHWA) ACH 12:00 PM 3 days
Transportation (FHWA) Fedwire 12:00 PM. 0 day
Transportation (FTA) ACH 2:00 PM. 1dday
Veterans Administration [ACH 42:00 PM. 3 days

Page 20 of 23



WIC Administration by the North Carolina Department of Health & Human Services

Group 5: Payroll by North Carolina Department of Health & Human Services, Department of Public Instruction and
Employment Security Commission

Group 6: Highway Planning and Construction by North Carolina Department of Transportation

High-Speed Rail Corridors and Intercity Passenger Rail Service- Capital Assistance Grants
7.3 The sources of data the State shall use when developing its clearance patterns are as follows:

The clearance pattern for each program, except programs funded by the Federal Highway Trust Fund, shall be
determined by measuring the dollar weighted time from the warrant issuance date to the date of clearance for three
months actual activity. The State Agency administering the program shall provide the warrants issued for three
consecutive months. The Department of State Treasurer shall provide the warrants paid.

The clearance pattern methodology for payrolls shall be based on a once a month payroll at end of month for all programs:
except Highways. The clearance pattem for payrolls is zero days.

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

For all clearance patterns developed by statistical sampling, the State shall randomly sample checks to ensure, ata
minimum, a 95% confidence interval for a .25 weighted-day level of precision for the checks in the sample. The State
shall track at least 99% of the funds disbursed, from issuance to clearance, in the sample period.

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

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

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

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

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

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

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

NIA

Page 14 of 23



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.

Actual Clearance, ZBA - Same Day Payment

The State shall request funds the same day it pays out funds, in accordance with the appropriate Federal agency cut-off
time specified in Exhibit |. A Federal agency will deposit funds in a State account the same day as requested. The amount
of the request shall be for the amount of funds that clear the State's account that day. 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 Il. The request shall be made in
accordance with the appropriate Federal agency cut-off time specified in Exhibit |. The amount of the request shall be for
the exact amount of that disbursement. This funding technique is interest neutral.

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 Il. The
request shall be made in accordance with the appropriate Federal agency cut-off time specified in Exhibit |. The amount of
the request shall be the sum of the payments issued in the series of disbursements. This funding technique is interest
neutral.

Pre-lssuance

The State shall request funds such that they are deposited in a State account not more than three business days prior to
the day the State makes a disbursement. The request shall be made in accordance with the appropriate Federal agency
cut-off time specified in Exhibit |. 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.

Actual Costs - 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
activity of the prior month. The request shall be made in accordance with the appropriate Federal agency cut-off time
specified in Exhibit |. The amount of the request shall be an estimate based on the actual costs of the month distributed to
the program according to the allocation of costs for the preceding six months. This funding technique is interest neutral.

Direct Administrative Costs - Drawdowns at Fixed Intervals

Page 5 of 23



Exhibit Il - State of North Carolina
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

10.551 |Supplemental Nutrition |Department of Health and) 100. |Benefits to Recipients Actual Clearance, ZBA- |0 Days
Assistance Program Human Services 00 ‘Same Day Payment

10.553 |School Breakfast Department of Public 100. |Direct Program Costs Pre-Issuance NIA
Program Instruction 00

10.555 |National School Lunch —_| Department of Public 100. |Direct Program Costs Pre-lssuance NIA
Program Instruction 00

10.557 |Special Supplementat Department of Health and|97.0 {Direct Program Costs Pre-Issuance NIA
Nutrition Program for Human Services 0
Women, Infants, and
Children

10.557 |Special Supplemental Department of Health and}3.00 |Payroll Pre-Issuance N/A
Nutrition Program for Human Services
Women, Infants, and
Children

40.558 |Child and Adult Care Department of Health and/100. |Direct Program Cost Pre-Issuance N/A
Food Program Human Services 00

10.561 {State Administrative Department of Health and|97.0 |Payroll Pre-Issuance NIA
Matching Grantsfor the |Human Services 0
Supplemental Nutrition
Assistance Program

10.561 {State Administrative Department of Health and|3.00 | Direct Administrative Pre-Issuance N/A
Matching Grants forthe |Human Services Costs
Supplemental Nutrition
Assistance Program

17.225F |Unemployment Insurance {Department of 61.0 {Payroll Pre-Issuance NIA
|-- Federal Benefit |Commerce 0
[Account and
Administrative Costs

17.225F |Unemployment Insurance |Department of 32.0 |Administrative Cost Pre-Issuance N/A
|-- Federal Benefit [Commerce 0
Account and
[Administrative Costs

47.225F |Unemployment Insurance | Department of 7.00 |Indirect Actual Costs - Estimated |5 Days
-- Federal Benefit Commerce Allocation - Monthly
|Account and
Administrative Costs

17.2288 |Unemployment Insurance |Department of 100. |Direct Program Cost Actual Clearance, ZBA- |0 Days
-- State Benefit Account_|Commerce 00 Same Day Payment

20.205 Highway Planning and —_ | Department of 100. |All Costs Composite Clearance 6 Days
Construction ‘Transportation 00

20.319  |High-Speed Rail Department of 100. |All Costs Composite Clearance 6 Days
Corridors and Intercity | Transportation 00
Passenger Rail Service
Capital Assistance
Grants

84.010 | Title | Grants to Local Department of Public 1.00 |Payroll Costs Pre-Issuance N/A
Educational Agencies Instruction

84.010 Title | Grants to Local Department of Public 98.0 |Program Costs Pre-Issuance NIA
Educational Agencies Instruction ie)

Page 21 of 23



93,767 {Children's Health Department of Health and|95.0 |Program Costs Pre-Issuance NIA
Insurance Program Human Services )

93.778 |Medical Assistance Department of Health and|2.00 |Administrative Costs Pre-Issuance N/A
Program Human Services

93.778 |Medical Assistance Department of Health and|98.0 | Program Costs Pre-Issuance N/A
Program Human Services i]

96.001 |Social Security - Department of Health and|3.00 |Administrative Costs Pre-Issuance N/A
Disability Insurance Human Services

96.001 | Social Security -- Department of Health and/97.0 |Program Costs Pre-Issuance NIA
Disability Insurance. Human Services 0

{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:

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

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

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

4, Are auditable.

Date: olaalit

Printed Name: Am ber £. Vou Pg

Certifying Signature:

rite: Certval Compl (ance Mamager

Page 23 of 23



I= State's total interest liability
P = Total annual expenditures of Federal funds for program or component cash flow of program

r= Annualized rate equal to the average equivalent yields of 13-week Treasury bills auctioned during a State's fiscal year
divided by 365 days

PI = Dollar-weighted average number of days Federal funds are held by State prior to issuance

CT = Dollar-weighted average number of days Federal funds are held by State between issuance and clearance of
checks, as determined by the appropriate clearance pattern in Exhibit I!

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

410.1 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:

Cost associated with the development of check clearance patterns.
Cost associated with the calculation of interest.
Costs associated with preparing the annual report.

10.3 The State shall submit ail 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 18 of 23



% of Funds Agency Receives: 5.00
Component: Administrative Costs
Technique: Pre-Issuance

Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 1.00

Component: Payroll Costs

Technique: Pre-Issuance

Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 94.00

Component: Program Costs

Technique: Pre-lssuance

Average Day of Clearance: N/A

93.563 Child Support Enforcement

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 35.00

Component: Administrative Costs

Technique: Pre-Issuance

Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 14.00

Component: Payroll Costs

Technique: Pre-Issuance

Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 51.00

Component: Program Costs

Technique: Pre-issuance

Average Day of Clearance: N/A

93.568 Low-Income Home Energy Assistance
Recipient: Department of Health and Human Services
% of Funds Agency Receives: 5.00

Component: Administrative Costs

Technique: Pre-issuance

Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 1.00
Component: Payroll Costs

Page 10 of 23



% of Funds Agency Receives: 97.00
Component: Direct Program Costs
Technique: Pre-Issuance

Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 3.00

Component: Payroll

Technique: Pre-Issuance

Average Day of Clearance: N/A

10.558 Child and Adult Care Food Program
Recipient: Department of Health and Human Services
% of Funds Agency Receives: 100.00

Component: Direct Program Cost

Technique: Pre-Issuance

Average Day of Clearance: N/A

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

% of Funds Agency Receives: 3.00

Component: Direct Administrative Costs

Technique: Pre-lssuance

Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 97.00

Component: Payroll

Technique: Pre-Issuance

Average Day of Clearance: N/A

47.225F Unemployment Insurance -- Federal Benefit Account and Administrative Costs
Recipient: Department of Commerce

% of Funds Agency Receives: 7.00

Component: Indirect

Technique: Actual Costs - Estimated Allocation - Monthly

Average Day of Clearance: 5 Days

Recipient: Department of Commerce
% of Funds Agency Receives: 32.00
Component: Administrative Cost
Technique: Pre-lssuance

Average Day of Clearance: N/A

Recipient: Department of Commerce
% of Funds Agency Receives: 61.00

Page 7 of 23



The State shall request funds once a month, such that they are deposited on the day of the month specified for each
component. The request shall be made in accordance with the appropriate Federal agency cut-off time specified in Exhibit
|. The amount of the request shall be based on the amount of actual cash outlays for direct administrative costs during the
month. This funding technique is interest neutral.

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

There are no funding techniques listed in Section 6.2.3

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

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

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

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

10.551 Supplemental Nutrition Assistance Program
Recipient: Department of Health and Human Services

% of Funds Agency Receives: 100.00

Component: Benefits to Recipients

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

10.553 School Breakfast Program
Recipient: Department of Public Instruction
% of Funds Agency Receives: 100.00
Component: Direct Program Costs
Technique: Pre-Issuance

Average Day of Clearance: N/A

410.555 National School Lunch Program
Recipient: Department of Public instruction
% of Funds Agency Receives: 100.00
Component: Direct Program Costs
Technique: Pre-Issuance

Average Day of Clearance: N/A

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

Page 6 of 23



12.0 AUTHORIZED SIGNATURES

Linda Combs
State Controller

Signature: Date Signed: June 29, 2016

Date Submitted 04/29/2016

Corvelli A. McDaniel
Assistant Commissioner
Revenue Collections Management

Bureau of the Fiscal Service,
U.S. Department of the Treasiry aN) .
Signature: Cot edly At Act) Date snes Woe —

Page 19 of 23



84.027 Special Education -- Grants to States
Recipient: Department of Public Instruction
% of Funds Agency Receives: 3.00
Component: Administrative Costs
Technique: Average Clearance

Average Day of Clearance: 11 Days

Recipient: Department of Public Instruction

% of Funds Agency Receives: 1.00

Component: Indirect Costs

Technique: Direct Administrative Costs - Drawdowns at Fixed Intervals
Average Day of Clearance: 11 Days

Recipient: Department of Public Instruction
% of Funds Agency Receives: 1.00
Component: Payroll Costs

Technique: Pre-lssuance

Average Day of Clearance: N/A

Recipient: Department of Public Instruction
% of Funds Agency Receives: 95.00
Component: Program Costs

Technique: Pre-lssuance

Average Day of Clearance: N/A

84.126 Rehabilitation Services -- Vocational Rehabilitation Grants to States
Recipient: Department of Health and Human Services

% of Funds Agency Receives: 2.00

Component: Administrative Costs

Technique: Pre-Issuance

Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 33.00

Component: Payroll Costs

Technique: Pre-lssuance

Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 65.00

Component: Program Costs

Technique: Pre-Issuance

Average Day of Clearance: N/A

93.558 Temporary Assistance for Needy Families
Recipient: Department of Health and Human Services

Page 9 of 23



’ Cash Management Improvement Act Agreement
between
The State of North Carolina
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 North
Carolina (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

4.1 The Authorized Official(s) for the State of North Carolina shail be the Linda Combs, State Controller in all matters
concerning this Agreement.

4.2 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 07/01/2016 and shall remain in effect until 06/30/2017.

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

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

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

be used by the State.

Page 1 of 23

|
i
i


Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 2.00

Component: Administrative Costs

Technique: Pre-lssuance

Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 97.00

Component: Program Costs

Technique: Pre-lssuance

Average Day of Clearance: N/A

93.767 Children's Health Insurance Program
Recipient: Department of Health and Human Services
% of Funds Agency Receives: 5.00

Component: Administrative Costs

Technique: Pre-lssuance

Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 95.00

Component: Program Costs

Technique: Pre-Issuance

Average Day of Clearance: N/A

93.778 Medical Assistance Program

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 2.00

Component: Administrative Costs

Technique: Pre-issuance

Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 98.00

Component: Program Costs

Technique: Pre-Issuance

Average Day of Clearance: N/A

96.001 Social Security -- Disability Insurance
Recipient: Department of Health and Human Services
% of Funds Agency Receives: 3.00

Component: Administrative Costs

Technique: Pre-Issuance

Average Day of Clearance: N/A

Page 12 of 23


Fechnique: Pre-lssuance
Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 94.00

Component: Program Costs

Technique: Pre-Issuance

Average Day of Clearance: N/A

93.575 Child Care and Development Block Grant
Recipient: Department of Health and Human Services
% of Funds Agency Receives: 38.00

Component: Administrative Costs

Technique: Pre-Issuance

Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 13.00

Component: Payroll Costs

Technique: Pre-lssuance

Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 49.00

Component: Program Costs

Technique: Pre-lssuance

Average Day of Clearance: N/A

93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 1.00

Component: Administrative Costs

Technique: Pre-lssuance

Average Day of Clearance: N/A

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 99.00

Component: Program Costs

Technique: Pre-Issuance

Average Day of Clearance: N/A

93.658 Foster Care -- Title 1V-E

Recipient: Department of Health and Human Services
% of Funds Agency Receives: 1.00

Component: Payroll Costs

Technique: Average Clearance

Page 11 of 23


Component: Payroll
Technique: Pre-Issuance
Average Day of Clearance: N/A

17.225S Unemployment Insurance -- State Benefit Account
Recipient: Department of Commerce

% of Funds Agency Receives: 100.00

Component: Direct Program Cost

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

20.205 Highway Planning and Construction
Recipient: Department of Transportation

% of Funds Agency Receives: 100.00
Component: Ail Costs

Technique: Composite Clearance

Average Day of Clearance: 6 Days

20.319 High-Speed Rail Corridors and Intercity Passenger Rail Service Capital Assistance Grants
Recipient: Department of Transportation

% of Funds Agency Receives: 100.00

Component: All Costs

Technique: Composite Clearance

Average Day of Clearance: 6 Days

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

% of Funds Agency Receives: 1.00

Component: Administrative Costs

Technique: Average Clearance

Average Day of Clearance: 11 Days

Recipient: Department of Public Instruction
% of Funds Agency Receives: 1.00
Component: Payroll Costs

Technique: Pre-lssuance

Average Day of Clearance: N/A

Recipient: Department of Public Instruction
% of Funds Agency Receives: 98.00
Component: Program Costs

Technique: Pre-Issuance

Average Day of Clearance: N/A

Page 8 of 23



84.010 | Title { Grants to Local Department of Public 4,00 |Administrative Costs Average Clearance 11 Days
Educational Agencies Instruction
84.027 |Special Education — Department of Public 95.0 | Program Costs Pre-Issuance N/A
Grants to States. Instruction 0
84.027 . |Special Education -- Department of Public 4.00 |Payroll Costs Pre-Issuance NIA
Grants to States Instruction
84.027 |Special Education —- Department of Public 1.00 |Indirect Costs Direct Administrative 11 Days
Grants to States Instruction Costs - Drawdowns at
Fixed Intervals
84.027 |Special Education - Department of Public 3.00 | Administrative Costs Average Clearance 11 Days
Grants to States Instruction
84.126 |Rehabilitation Services -- [Department of Health and/65.0 |Program Costs Pre-Issuance N/A
Vocational Rehabilitation {Human Services 0 .
Grants to States.
84.126 {Rehabilitation Services -- |Department of Health and|33.0 |Payroll Costs Pre-Issuance N/A
Vocational Rehabilitation | Human Services 0
Grants to States
84.126 Rehabilitation Services -- {Department of Health and]2.00 |Administrative Costs Pre-Issuance NIA
Vocational Rehabilitation [Human Services
Grants to States
93.558 | Temporary Assistance for|Department of Health and}94.0 |Program Costs Pre-issuance N/A
Needy Families Human Services 0
93.558 | Temporary Assistance for|Department of Health and|5.00 |Administrative Costs Pre-issuance NIA
Needy Families Human Services
93.558 | Temporary Assistance for|Department of Health and|1.00 |Payroll Costs Pre-Issuance NA
Needy Families Human Services
93.563 {Child Support Department of Health and|35.0 |Administrative Costs Pre-Issuance NIA
Enforcement. Human Services 0
93.563  |Child Support Department of Health and|14.0 |Payroll Costs Pre-Issuance N/A
Enforcement Human Services 0
93.563 Child Support Department of Health and|51.0 |Program Costs Pre-Issuance N/A
Enforcement Human Services (i)
93.568 {Low-Income Home Department of Health and|5.00 |Administrative Costs Pre-Issuance NIA
Energy Assistance Human Services
93.568 {Low-Income Home Department of Health and|94.0 |Program Costs Pre-Issuance NIA
Energy Assistance Human Services 0
93.568 {Low-Income Home Department of Health and|1.00 |Payroll Costs Pre-Issuance NIA
Energy Assistance Human Services
93,575 {Child Care and Department of Health and|/38.0 |Administrative Costs Pre-Issuance NIA
‘Development Block Grant| Human Services [i
93.575 {Child Care and Department of Health and/49.0 |Program Costs Pre-Issuance N/A
Development Block Grant|Human Services te)
93.575  |Child Care and Department of Health and|13.0 |Payroll Costs Pre-Issuance NIA
Development Block Grant| Human Services 0
93.598 {Child Care Mandatory Department of Health and|1.00 |Administrative Costs Pre-Issuance N/A
and Matching Funds of {Human Services
the Child Care and
Development Fund.
93.596 |Child Care Mandatory Department of Health and/99.0 |Program Costs Pre-Issuance NIA
land Matching Funds of {Human Services 0
the Child Care and
Development Fund
93.658 |Foster Care -- Title 1V-E |Department of Health and|97.0 |Program Costs Pre-Issuance NIA
Human Services 0)
93.658 |Foster Care -- Title 1V-E_|Department of Health and]2.00 |Administrative Costs Pre-Issuance NIA
Human Services
93.658 |Foster Care -- Title 1V-E _|Department of Health and] 1.00 | Payroll Costs Average Clearance NIA
Human Services
93.767 |Children's Health Department of Health and|5.00 |Administrative Costs Pre-Issuance N/A
Insurance Program Human Services

Page 22 of 23



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.

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.

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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 - Same Day Payment

Actual Costs - Estimated Allocation - Monthly

Average Clearance

Composite Clearance

Direct Administrative Costs - Drawdowns at Fixed Intervals

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:

Actual Activity:

For all transactions where the State pays out it's 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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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 shail 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

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

8.6.2.2 Source of Data

Central Accounting System:
The time period from deposit to clearance shall be determined from information captured by the State agency's

accounting system.
8.6.2.3 Standards Applied

Statistical Sampling (Pre-Issuance):

To measure the time Federal funds are held in a State account prior to being disbursed, the State shall use statistical
sampling. The sampie shall be randomly selected, and shall be of sufficient size to ensure, at a minimum, a 95%
confidence interval no wider than + 0.3 dollar-weighted days about the estimated mean.

For each check in the sample population, the State shall:

1 subtract the deposit date from the issuance date

2 multiply the difference of step 1 by the check amount

3 divide the product of step 2 by the total amount of funds drawn in the sample to determine the dollar-weighted pre-

issuance time for that check

The State shall then sum the dollar-weighted pre-issuance time for each check to arrive at the total dollar-weighted
average pre-issuance time to be used for calculating State interest liabilities.

8.6.2.4 Calculation Procedure

Pre-Issuance Time + Clearance Time:
l=Pxrx {Pl +CT}, where

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93.855 Allergy, immunology and Transplantation Research --- Exclusion:Non-State
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:

Department of Commerce

Department of Health and Human Services
Department of Public Instruction
Department of Transportation

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:

Computer Sciences Corporation 93.778 Medical Assistance Program
Fidelity National Information Services, Inc. 10.551 Supplemental Nutrition Assistance Program

6.0 FUNDING TECHNIQUES
6.1 General Terms

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

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

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

6.1.4 Estimates and Reconciliation of Estimates:

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

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

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

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4.0 PROGRAMS COVERED

4.1 The State's threshold and its major Federal assistance programs shall be determined based on Audited Schedule of
Expenditures for Federal Awards for fiscal year ending 06/30/2015.

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 $61,973,339.
The following programs meet or exceed the threshold and are not excluded in Section 4.4:

10.551 Supplemental Nutrition Assistance Program

10.553 School Breakfast Program

10.555 National School Lunch Program

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

10.558 Child and Adult Care Food Program

10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program
17.225F Unemployment Insurance -- Federal Benefit Account and Administrative Costs
17.2258 Unemployment Insurance -- State Benefit Account

20.205 Highway Planning and Construction

20.319 High-Speed Rail Corridors and Intercity Passenger Rail Service Capital Assistance Grants
84.010 Title | Grants to Local Educational Agencies

84.027 Special Education -- Grants to States

84.126 Rehabilitation Services -- Vocational Rehabilitation Grants to States

93.558 Temporary Assistance for Needy Families

93.563 Child Support Enforcement

93.568 Low-Income Home Energy Assistance

93.575 Child Care and Development Block Grant

93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund
93.658 Foster Care -- Title IV-E

93.767 Children's Health Insurance Program

93.778 Medical Assistance Program

96.001 Social Security -- Disability Insurance

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:

66.458 Capitalization Grants for Clean Water State Revolving Funds --- Exclusion:Federal Statute - Full Exemption
66.468 Capitalization Grants for Drinking Water Revolving Fund --- Exclusion:Federal Statute - Full Exemption
84,038 Federal Perkins Loan Program -- Federal Capital Contributions --- Exclusion:Non-State

84.063 Federal Pell Grant Program --- Exclusion:Non-State

84.268 Federal Direct Student Loan --- Exclusion:Non-State

93.268 Immunization Grants --- Exclusion:Non-Cash

Page 2 of 23



Recipient: Department of Health and Human Services
% of Funds Agency Receives: 97.00

Component: Program Costs

Technique: Pre-lssuance

Average Day of Clearance: N/A

6.3.3 Materiality Exemptions

Agencies exempt from coverage on the basis of materiality:

N/A

7.0 CLEARANCE PATTERNS.

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

Rehabilitation Services-Basic Support

Temporary Assistance for Needy Families by the North Carolina Department of Health & Human Services
Title | Grants to Local Educational Agencies

Child Care and Development Block Fund

Child Support Enforcement

Payroll

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

Group 1: Medical Assistance Program by North Carolina Department of Health and Human Services
State Administrative Matching Grants for the Supplemental Nutrition Assistance Program by North Carolina Department of

Health & Human Services

Supplemental Nutrition Assistance Program

Child Care Development Fund- Discretionary

Social Security-Disability Insurance

State Children's Insurance Program

Child Support Enforcement by the North Carolina Department of Health & Human Services

Foster Care Title IV-E by the North Carolina Department of Health & Human Services

Group 2: Chapter 1 Programs-Local Educational Agencies by the North Carolina Department of Public Instruction
National School Lunch Program by the North Carolina Department of Public Instruction
Special Education-State Grants by the North Carolina Department of Public Instruction

Schoo! Breakfast Program by the North Carolina Department of Public Instruction

Low-Income Home Energy Assistance

Group 3: Unemployment Insurance-Administration by the North Carolina Employment Security Commission

Group 4: Child & Adult Care Food Program by the North Carolina Department of Health & Human Services

Page 13 of 23



8.3 The Unemployment Trust Fund

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

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

Based on statements provided by its financial institution, or other appropriate source, the State shail 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 State shall calculate the actual interest earnings and the related banking costs attributable to funds withdrawn from
the State account in the UTF by multiplying the State % by the amount of the actual interest earnings and the related
banking costs of the account as a whole. The State's liability for interest on funds withdrawn from its account in the UTF
shall consist of the actual interest earnings attributable to such funds less the related banking costs attributed to such

funds.

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

8.4 Refund Liabllities

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 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.

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